TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DAVID STRONG...................................................................... DIRECTOR/VICE CHAIR	1.0 ................. 0.0	X	X	32,000	0
(2) ERNIE SADAU...................................................................... PRESIDENT & CEO	39.0 ................. 1.0	X	X	17,888,183	89,650
(3) MARICELA M BREEDLOVE...................................................................... DIRECTOR/CHAIR	1.0 ................. 0.0	X	X	51,721	0
(4) ALIDE CHASE...................................................................... DIRECTOR	1.0 ................. 0.0	X		17,823	0
(5) BILL CHEN...................................................................... DIRECTOR	1.0 ................. 10.0	X		22,661	0
(6) CHERYL ALSTON...................................................................... DIRECTOR	1.0 ................. 0.0	X		16,323	0
(7) Eduardo Garcia Luna Martinez...................................................................... Director	1.0 ................. 0.0	X		0	0
(8) FATHER STEPHEN WORSLEY...................................................................... DIRECTOR	1.0 ................. 0.0	X		16,473	0
(9) J LINDSEY BRADLEY JR...................................................................... DIRECTOR	1.0 ................. 0.0	X		11,999	0
(10) KEVIN J ROY DBA...................................................................... DIRECTOR	1.0 ................. 0.0	X		20,424	0
(11) SISTER CHRISTINA MURPHY...................................................................... DIRECTOR (term 12/23)	1.0 ................. 0.0	X		0	0
(12) Sister Kathleen Coughlin...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(13) SISTER LORETTA FELICI...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(14) STEVEN KEUER MD...................................................................... TMF CHIEF FINANCIAL OFFICER	39.0 ................. 1.0	X		1,281,567	254,184
(15) IRMA PENALOZA...................................................................... ASST. CORP SEC	40.0 ................. 0.0		X	582,800	150,930
(16) KAREN OLIVER...................................................................... ASST. CORP SEC	40.0 ................. 0.0		X	118,017	43,659
(17) NANCY RODILL...................................................................... DIR OF GOV, ACS	40.0 ................. 0.0		X	289,627	68,662

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) RANDY SAFADY........................................................................ EVP/CHIEF FINANCIAL OFFICER	39.0 .......................1.0	X			7,181,461	78,909
(19) CHARLES T HANKINS........................................................................ SVP PEDIATRICS AND CMO, CHOSA	39.0 .......................1.0		X		761,816	276,702
(20) CHRIS C DASKEVICH........................................................................ SVP MATERNAL SVCS & CEO, CHOSA	39.0 .......................1.0		X		1,107,196	246,131
(21) CHRISTOPHER KARAM........................................................................ SR VP & REG CEO	39.0 .......................1.0		X		1,383,146	99,933
(22) DOMINIC DOMINGUEZ........................................................................ SVP-GROUP OPERATIONS SO TX	39.0 .......................1.0		X		1,469,771	263,532
(23) FADI NASRALLAH MD........................................................................ SVP CMO TRINITY CLINIC	39.0 .......................1.0		X		1,419,838	280,019
(24) GABRIELA SAENZ........................................................................ SVP CORP SERVICES	40.0 .......................0.0		X		1,028,530	200,796
(25) GERARD F HEELEY........................................................................ SR VP MISSION AND ETHICS (term 6/24)	39.0 .......................1.0		X		2,919,003	460,332
(26) Gerardo Flores MD........................................................................ SVP/CNO	40.0 .......................0.0		X		913,768	219,154
(27) J CHRIS GLENNEY........................................................................ SVP GROUP OPERATIONS NETX	39.0 .......................1.0		X		1,499,959	290,217
(28) JEANNIE FREY........................................................................ SVP CHIEF LEGAL OFFICER	39.0 .......................1.0		X		1,505,851	72,204
(29) JEFFREY M PUCKETT........................................................................ EVP/COO	39.0 .......................1.0		X		8,785,568	100,417
(30) Jennifer Beal........................................................................ SVP CAO	40.0 .......................0.0		X		753,370	158,864
(31) JON MANIS........................................................................ SVP CIO	40.0 .......................0.0		X		2,347,221	198,691
(32) KIM REYNOLDS........................................................................ SVP FINANCE	40.0 .......................0.0		X		1,294,258	271,116
(33) KIMBERLY KING WEBB........................................................................ SVP CHIEF HR OFFICER	40.0 .......................0.0		X		1,260,360	315,844
(34) M SHANNON STANSBURY........................................................................ SVP POPULATION HEALTH	39.0 .......................1.0		X		1,002,684	220,434
(35) MARTY MARGETTS........................................................................ EVP/CAO	39.0 .......................1.0		X		6,172,499	822,017
(36) PAUL D GENERALE........................................................................ EVP/CHIEF STRATEGY OFFICER	39.0 .......................1.0		X		6,220,463	811,418
(37) SAM BAGCHI MD........................................................................ EVP/CMO	39.0 .......................1.0		X		4,781,092	801,686
(38) TINA BARKER........................................................................ SVP STRATEGY MARKETING & DIG	40.0 .......................0.0		X		942,114	207,867
(39) Andrea Teague........................................................................ VP Cancer Services	40.0 .......................0.0			X	944,861	127,125
(40) LILLIAN MONTOYA........................................................................ Pres/CEO SVH	40.0 .......................0.0			X	934,390	211,766
(41) Luis Haro........................................................................ VP Operations for Emergency Services (term 7/23)	40.0 .......................0.0			X	1,222,376	64,080
(42) MARK ANDERSON........................................................................ CMO, CRP TMF HEALTH SYSTEM	39.0 .......................1.0			X	933,072	79,472
(43) PAUL M TREVINO........................................................................ CEO SETX & SWLA	40.0 .......................0.0			X	967,844	227,819

(A) Name and business address	(B) Description of services	(C) Compensation
HHS ENVIRONMENTAL SERVICES LLC 216 E 4TH ST Austin,TX78701	HEALTHCARE SVCS	82,412,859
CROTHALL HEALTHCARE 1500 Liberty Ridge Dr Ste 210 Wayne,PA19087	Healthcare SVCS	66,767,100
HOSPITALIST MEDICINE PHYS OF TX PLLC 18951 N MEMORIAL DR HUMBLE,TX773384217	PHYSICIANS SVCS	32,388,562
AVANT HEALTHCARE PROFESSIONALS LLC 1211 State Road 436 Ste 227 Casselberry,FL32707	HEALTHCARE SVCS	27,406,555
EMERGENCHEALTH PLLC 4100 International Plz Ste 800 Fort Worth,TX76109	Medical Svcs	24,178,875
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 778

- 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

2023

Open to Public
Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	107,384,641	60,002,619	84,003,539	66,102,416	913,336	318,406,551
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	831,153,160	617,632,378	630,880,491	705,533,027	918,480,842	3,703,679,898
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....	2,274,612	512,938	1,568,378	1,995,971	2,201,714	8,553,613
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge						0
6	Total. Add lines 1 through 5	940,812,413	678,147,935	716,452,408	773,631,414	921,595,892	4,030,640,062
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	0	0	0	0	0	0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	0	0	0	0	0	0
c	Add lines 7a and 7b..	0	0	0	0	0	0
8	Public support. (Subtract line 7c from line 6.)						4,030,640,062

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...	940,812,413	678,147,935	716,452,408	773,631,414	921,595,892	4,030,640,062
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	31,465,870	100,544,300	129,301,167	67,192,864	48,150,135	376,654,336
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.	581,914	501,879	558,538	620,044	660,316	2,922,691
c	Add lines 10a and 10b.	32,047,784	101,046,179	129,859,705	67,812,908	48,810,451	379,577,027
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.	0	0	0	0	0	0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	25,564,972	123,582,860	190,203,054	187,908,412	262,476,049	789,735,347
13	Total support. (Add lines 9, 10c, 11, and 12.)..	998,425,169	902,776,974	1,036,515,167	1,029,352,734	1,232,882,392	5,199,952,436

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 2023 (line 8, column (f) divided by line 13, column (f)) .........

77.51 %

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

80.27 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

7 %

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

8 %

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) 2023

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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - ACTUARIAL CREDIT, COLUMN A - 16546857.0, COLUMN B - , COLUMN C - , COLUMN D - 8036801.0, COLUMN E - , COLUMN F - 24583658.0; DESCRIPTION - INTERCOMPANY SALARIES, COLUMN A - 2004393.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2004393.0; DESCRIPTION - AMBULATORY SERVICE, COLUMN A - 1013866.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 1013866.0; DESCRIPTION - PATIENT FINANCIAL SERVICES, COLUMN A - , COLUMN B - 52199849.0, COLUMN C - 97895241.0, COLUMN D - XXX-XX-XXXX.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0; DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 5999856.0, COLUMN B - 71383011.0, COLUMN C - 92307813.0, COLUMN D - 65423236.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0;

Return Reference

Explanation

Schedule A, Part III, Line 12 Other Income

DESCRIPTION - ACTUARIAL CREDIT, COLUMN A - 16546857.0, COLUMN B - , COLUMN C - , COLUMN D - 8036801.0, COLUMN E - , COLUMN F - 24583658.0; DESCRIPTION - INTERCOMPANY SALARIES, COLUMN A - 2004393.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2004393.0; DESCRIPTION - AMBULATORY SERVICE, COLUMN A - 1013866.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 1013866.0; DESCRIPTION - PATIENT FINANCIAL SERVICES, COLUMN A - , COLUMN B - 52199849.0, COLUMN C - 97895241.0, COLUMN D - XXX-XX-XXXX.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0; DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 5999856.0, COLUMN B - 71383011.0, COLUMN C - 92307813.0, COLUMN D - 65423236.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0;

Schedule A (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2022

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

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

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

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

Page 3

Part II-B

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

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

(a)

Yes|No

(b)

Amount

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

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

Yes

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

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

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

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

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

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

Yes

47,322

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

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

Yes

951,289

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

998,611

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	At the federal level, CHRISTUS Health Texas leadership had direct contact with members of the Congress and administration officials, through written and in-person communications, 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 payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, rural health program reauthorization, violence against healthcare workers, women's health, and health care for veterans, service members, and their families. At the state level, Christus Health Texas leadership had direct contact with executive branch officials, legislators, their Staff, and other government officials through emails, letter, virtual meetings and direct communication in TX, LA, NM. These issues include, but are not limited to, vaccine mandates, legislation on prior authorization, workers compensation, physician credentialing, hospital financing, and the state budget. TOTAL HOURS: 128 HOURS EXECUTIVE LEVEL, 119 DIRECTOR/MANAGER

Return Reference

Explanation

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

At the federal level, CHRISTUS Health Texas leadership had direct contact with members of the Congress and administration officials, through written and in-person communications, 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 payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, rural health program reauthorization, violence against healthcare workers, women's health, and health care for veterans, service members, and their families. At the state level, Christus Health Texas leadership had direct contact with executive branch officials, legislators, their Staff, and other government officials through emails, letter, virtual meetings and direct communication in TX, LA, NM. These issues include, but are not limited to, vaccine mandates, legislation on prior authorization, workers compensation, physician credentialing, hospital financing, and the state budget. TOTAL HOURS: 128 HOURS EXECUTIVE LEVEL, 119 DIRECTOR/MANAGER

Schedule C (Form 990) 2022

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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.
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Attach to Form 990.
right arrow

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 Health

Employer identification number

76-0590551

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	39,686,878		39,686,878
b	Buildings ....	341,978,740	77,377,933	264,600,807
c	Leasehold improvements	794,818	362,257	432,561
d	Equipment ....	309,382,983	130,827,630	178,555,353
e	Other .....	34,656,701	3,852,485	30,804,216
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				514,079,815

Schedule D (Form 990) 2022

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) Curr Portion Assets Limited As to Use	28,045,000	F
(B) ST Val Allow Eq Inv MF Hedge Funds	64,075,526	F
(C) ST Eq Inv Managed Funds Hedge Funds	142,790,494	F
(D) Val Allow ST Inv Equity Sec International	70,822	F
(E) ST Inv Equity Securities International	4,825,556	F
(F) ALATU Cash and Cash Equivalents	173,774	F
(G) ST Eq Inv Managed Funds Fixed Inc Funds	112,481,805	F
(H) ST Inv Fixed Income Securities	250,000	F
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	352,712,977

Part VIII

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

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Investment in Consolidated Subsidiaries	787,122,799	F
(2)Pending Sale Investment	1,032,637	F
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	788,155,436

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
(2)Other Long Term Assets
(3)Deposits
(4)Executive Benefit Plan Asset
(5)LT Amortizing Prepaid Asset
(6)DC SERP Assets
(7)Deferred Comp
(8)Asset Clearing
(9)ROU Transactions				1,415,916
(10)Other Long Term Assets				6,966,253
(11)Deposits				11,133,302
(12)Executive Benefit Plan Asset				6,066,901
(13)LT Amortizing Prepaid Asset				50,325,138
(14)DC SERP Assets				56,120,623
(15)Deferred Comp				71,637,772
(16)Asset Clearing				190,446
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				203,856,351

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
Error Suspense	-154,507
Executive Benefit Plan Liabilities	4,311,382
Other Long Term Liabilities	66,784,242
Asset Retirement Obligations	6,886,967
Lease Liability Operating LT Portion	1,009,501
Notes Payable	562,274,236
Accum Amort Bond Issue Costs	4,082,177
Bond Issue Costs	-13,593,477
Pension Restoration Liability	633,067
Pension Liability	-39,042,743
CP OPERATING LEASE LIABILITY	1,222,803
HEALTH INSURANCE	25,128,481
BUSINESS FOREIGN TAX PAYABLE	723,142
BUSINESS STATE SALES TAX PAYABLE	27,892
BUSINESS FEDERAL INC TAX PAYABLE	14,894,593
NONPATRON COLLECTIONS PAYABLE	2,356
INVENTORY	7,000,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	642,190,112
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) 2022

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, 2024 AND 2023.

Schedule D (Form 990) 2022

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

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SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
Christus Health

Employer identification number

76-0590551

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Program Services	PROGRAM/BUS TRAVEL	74,172
	East Asia and the Pacific	0	0	Program Services	PROGRAM/BUS TRAVEL	2,559
	Europe (Including Iceland and Greenland)	0	0	Program Services	PROGRAM/BUS TRAVEL	58,770
	North America (Canada & Mexico only)	0	0	Program Services	PROGRAM/BUS TRAVEL	472,130
	South America	0	0	Program Services	PROGRAM/BUS TRAVEL	177,295
	Middle East and North Africa	0	0	Program Services	PROGRAM/BUS TRAVEL	1,569
	South Asia	0	0	Program Services	PROGRAM/BUS TRAVEL	399
	Sub-Saharan Africa	0	0	Program Services	PROGRAM/BUS TRAVEL	5









3a	Sub-total ....	0	0			786,899
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			786,899

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

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

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

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

ReturnReference	Explanation
Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds	THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual

Schedule F (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

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

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(h) Purpose of grant or assistance
(1) Catholic Diocese of Dallas 3725 Blackburn Street Dallas,TX75219	75-0800637	501(c)(3)	26,200	FMV	To purchase medications and medical supplies and to provide travel scholarships for medical professionals and one consecrated religious.
(2) Haven Homes PO Box 5345 Texarkana,TX75505	90-1004117	501(c)(3)	75,000	FMV	To support the Haven Home for Women, a safe place for women in need of recovery and addiction support.
(3) Path People Attempting To Help 402 W Front St Tyler,TX75702	75-2033113	501(c)(3)	50,000	FMV	To provide financial assistance to famillies with elementary aged students who are economically disadvantaged or experiencing homelessnee to address student mobility rates and educational outcomes.
(4) Sabine Valley Regional Mhmr Ctr PO Box 6800 Longview,TX75608	75-1724017	501(c)(3)	100,000	FMV	To provide an immediate response to individuals that present at the ER for behavioral health reasons.
(5) Buckner Children And Family Services 700 N Pearl St Ste 1200 Dallas,TX75201	75-0891443	501(c)(3)	56,250	FMV	To empower single parents and their families achieve self-sufficiency by providing support services that help reduce family stress factors.
(6) Crossroads Community Services Inc 4500 S Cockrell Hill Rd Dallas,TX75236	47-2676714	501(c)(3)	100,000	FMV	To improve and stabilize the nutritional intake of low-income individuals, families, and communities and reduce the frequency and impact of household food crises.
(7) TX A&M - Corpus Christi Fnd 6300 Ocean Dr 5741 Corpus Christi,TX78412	74-2491445	501(c)(3)	91,600	FMV	Building resilient adult voices through Engagement in Simulation (BRAVES) Mental Health Initiative
(8) Council on Alcoholism & Drug Abuse of NW LA 2000 Fairfield Ave Shreveport,LA71104	72-0544581	501(c)(3)	50,000	FMV	To provide assistance to the police & other first responders to help individuals experiencing a mental health crisis.
(9) The Food Bank of Central LA Inc 3223 Baldwin Ave Alexandria,LA71301	72-1154072	501(c)(3)	75,000	FMV	To expand the food bank's permanent capacity to store and distribute food while creating a space to learn more about nutrition and how to prepare healthy food.
(10) Congregation Of The Sisters Aka Ccvi San Antonio 4503 Broadway San Antonio,TX78209	74-1676917	501(c)(3)	100,000	FMV	To enhance the level of care & support provided to the Sisters of the Congregation
(11) Cenla Pregnancy Centers Inc 1254 MacArthur Dr Alexandria,LA71303	82-1338688	501(c)(3)	25,000	FMV	To connect women experiencing an unplanned pregnancy to medical & social resources.
(12) Coastal Bend Center for Independent Living 3462 S Almeda St Corpus Christi,TX78411	74-2878070	501(c)(3)	91,600	FMV	To provide transportation services to health-related services and community activitites for individuals with disabilities and older adults
(13) Community Renewal International Inc PO Box 4678 Shreveport,LA71134	72-1213057	501(c)(3)	72,500	FMV	To build & grow positive caring relationships between & amongst the Highland neighborhood residents through the Friendship House strategy.
(14) Rural Economic Assistance League Inc 301 Lucero St Alice,TX78332	74-1784537	501(c)(3)	91,600	FMV	To provide a space for adults living with severe mental illnessed to learn, volunteer, and grow.
(15) Villages of Sante Fe 369 Montezuma Ave Ste 124 Santa Fe,NM87501	81-2081196	501(c)(3)	20,000	FMV	To reduce death & injury from falls by increasing the activity level in the older population of northern New Mexico.
(16) Women's Center of East Texas 1011 Wal Street Ste 101 Longview,TX75606	75-1659423	501(c)(3)	93,000	FMV	To provide prompt counseling services to survivors of domestic & sexual violence from qualified, licensed counselors.
(17) The Memory Care Alliance 1541 S St Frances Dr Santa Fe,NM87505	88-3566227	501(c)(3)	115,000	FMV	To support caregiver mental health & wellbeing in culturally appropriate ways. To provide mental health services to pregnant and perinatal women and to work with the family to create a longer-term mental health solution.
(18) Runnin' WJ Therapeutic Riding Center Inc 4802 S Kings Hwy Texarkana,TX75501	75-2897949	501(c)(3)	25,000	FMV	To aid individuals with mental health issues using alternative methods of counseling.
(19) Family Services of Southeast Texas Inc 3550 Fannin St Beaumont,TN77701	75-1382713	501(c)(3)	100,000	FMV	To provide safe counseling, safe shelter, food, clothing and other services to survivors of sexual assualt, rape & domestic violence.
(20) Society of St Vincent de Paul 410 S College Tyler,TX75702	26-4618666	501(c)(3)	100,000	FMV	To improve food security by being a reliable and sustainable supplemental source of food.
(21) Food Bank of Northwest Louisiana 285 Mt Zion Rd Shreveport,LA71106	72-1328890	501(c)(3)	69,500	FMV	To increase food access to low-income, rural areas through mobile food pantry deliveries.
(22) Harvest Texarkana 3120 E 19th St Texarkana,AR71854	75-2671647	501(c)(3)	100,000	FMV	To implement a Food Box Prescription program at CHRISTUS St. Michael for patients who are diabetic and/or hypertensive.
(23) Catholic Charities of Southwest Louisiana 1225 2nd St Lake Charles,LA70601	87-1727700	501(c)(3)	100,000	FMV	To provide fresh fruits, vegetables, dairy products and meats to increase the nutritional profile of the foods provided in the food bank.
(24) Bexar County Communty Health Collaborative 2300 W Commerce St Ste 301 San Antonio,TX78207	74-2953076	501(c)(3)	50,000	FMV	To connect recently discharged hospital patients with chronic medical conditions with Community Health Workers to avoid rehospitalizations and improve their quality of life.
(25) Carevide PO Box 1908 Greenville,TX75403	75-1528614	501(c)(3)	100,000	FMV	To advance the health & wellbeing of Hopkins County by supporting the healthcare center's engagement in a value-based healthcare delivery model.
(26) Santa Fe Farmer's Market Institute 1607 Paseo de Peralta Ste A Santa Fe,NM87501	30-0124953	501(c)(3)	99,900	FMV	To increase equitable access to local, fresh, nutritious food in underinvested communities.
(27) Manna House 2655 Lee St Alexandria,LA71301	26-0737060	501(c)(3)	50,000	FMV	To improve food security by providing hot nutritious food 365 days a year in central Louisiana.
(28) Center of Christian Service DBA United Board of Missions 6650 9th Avenue Port Arthur,TX77642	74-1715362	501(c)(3)	20,000	FMV	To improve food security by delivering nutritious meals for the elderly and/or individuals.
(29) River City Advocacy Inc 1614 W San Antonio St New Braunfels,TX78130	74-3004101	501(c)(3)	70,000	FMV	To provide mental health counseling for an affordable sliding scale cost to citizens in Comal County.
(30) Samaritan Counseling Center of Southeast Texas 7980 Anchor Dr Bldg 500 Port Arthur,TX77642	76-0068922	501(c)(3)	75,000	FMV	To increase prompt counseling for uninsured and underinsured individuals through the recruitment, training and retention of fully licensed professional counselors.
(31) Shreveport Green 3625 Southern Ave Shreveport,LA71104	72-0970610	501(c)(3)	75,000	FMV	To provide fresh, locally sourced produce along with educational initiativies to individuals experiencing cardiovascular disease.
(32) Newgate United Methodist Mission of Longview 207 S Mobberly Ave Longview,TX75602	75-2663844	501(c)(3)	56,250	FMV	To provide access to nutritious meals and healthy food, 7 days a week, in Longview, TX.
(33) Family & Youth Counseling Agency Inc 220 Louie St Lake Charles,LA70601	72-0688561	501(c)(3)	100,000	FMV	To improve the immediate and long-term mental health of residents of southwest Louisiana.
(34) Central Louisiana Homeless Coalition 1515 Jackson St Alexandria,LA71301	72-1247718	501(c)(3)	145,000	FMV	To provide case management services to people experiencing homelessness and connect them to community programs and resources.
(35) Family Service Association of San Antonio Inc 702 San Pedro Ave San Antonio,TX78212	74-1117341	501(c)(3)	100,000	FMV	To expand access to mental health services to underserved communities through schoool-based mental health services.
(36) Texarkana Volunteer Services Bureau Inc 1915 Olive St Texarkana,TX75501	71-0408622	501(c)(3)	20,000	FMV	To improve access to essential healthcare services & nutritious food for senior citizens in Texas & Arkansas.
(37) Women's Shelter of South Texas 4444 Corona Dr Ste 139 Corpus Christi,TX78411	74-1943398	501(c)(3)	20,200	FMV	To expand culturally competent, specialized, supportive services to survivors of domestic and sexual violence and their families.
(38) St Vincent de Paul Pharmacy 3826 Gilbert Ave Dallas,TX75219	26-3273175	501(c)(3)	50,000	FMV	To provide free medications to all Texas residens whose household income is at or below 300 percent of the federal poverty level.
(39) Catholic Charities of Dallas Inc 1421 W Mockingbird Ln Dallas,TX75247	75-2745221	501(c)(3)	180,000	FMV	To create a welcoming, safe and supportive environment for the formerly chronically homeless, where they can work towards stabilization and self-sufficiency. 2024 Bishop Gala, School supplies
(40) St Luke's Episcopal Mobile Medical Ministry Inc 875 Cotton St Shreveport,LA71101	45-3786377	501(c)(3)	28,000	FMV	To provide free health services to the underserved residents of northwest Louisiana with a focus on individuals who are homeless and/or low-income.
(41) Rise School of San Antonio 414 N San Saba St San Antonio,TX78207	93-2412684	501(c)(3)	75,000	FMV	To deliver comprehensive education, intervention and therapy services to students one to five years old.
(42) The Salvation Army of Greater Texarkana 400 East 4th St Texarkana,AR71854	58-0660607	501(c)(3)	50,000	FMV	To provide young people with access to high-quality educational opportunities to help them succeed in school and life.
(43) Children's Advocacy Center of Smith County Inc PO Box 132889 Tyler,TX75713	75-2748697	501(c)(3)	50,000	FMV	To establish trauma-informed schools in Smith County that offer children learning environments that reduce trauma.
(44) Tierra Nueva Counseling Center LLC 3952 San Delipe Rd Santa Fe,NM87507	85-0271348	501(c)(3)	60,100	FMV	To help low-income individuals and families achieve greater well-being by reducing problematic mental health symptoms.
(45) Twelve Way Foundation Inc 3901 Elysian Fields Ave Marshall,TX75672	41-2131469	501(c)(3)	37,500	FMV	To support men during their recovery journey by addressing recidivism, relapse and depression.
(46) Family Foundation of Southwest LA 220 Louie St Lake Charles,LA70601	72-1472220	501(c)(3)	95,000	FMV	To provide court-appointed advocacy for children & youth involved with the foster care system.
(47) Catholic Charities of Southeast Texas 2780 Eastex Freeway Beaumont,TX77703	74-1900345	501(c)(3)	100,000	FMV	To improve food security by providing supplemental grocery products to low-income households.
(48) Asbury House Child Enrichment Center 320 S Center St Longview,TX75601	80-0393214	501(c)(3)	52,000	FMV	To develop a fully bilingual Pre-Kindergarten classroom to encourage children to learn a second language.
(49) Sisters Of Charity Of The Incarnate 4503 Broadway St San Antonio,TX78209	23-7152879	501(c)(3)	120,000	FMV	Donation in the name Mr Don Powell and Juan Maya Patino, Deceased father of Sister Tere Maya
(50) Congregation Of The Sisters Of The Incarnate Word 6510 Lawndale Street PO Box 230969 Houston,TX77223	51-0142133	501(c)(3)	100,000	FMV	Donation in the name of Mr Kevin O'Neil
(51) Sisters Of The Holy Family Of Nazareth Usa Inc 310 North River Rd Des Plaines,IL60016	20-5728349	501(c)(3)	100,000	FMV	Donation in the name of Mr Kevin O'Neil
(52) Childrens Hospital Of San Antonio Foundation PO BOX 1661 San Antonio,TX78296	74-1224362	501(c)(3)	35,000	FMV	Donation Request
(53) Christus Mother Frances Hospital Foundation 100 East Ferguson Street Tyler,TX75702	75-2028241	501(c)(3)	30,000	FMV	Donation Request
(54) NRVCNational Religious Vocation Conference 5416 South Cornell Chicago,IL60615	36-2701960	501(c)(3)	25,000	FMV	Donation for 2024 Annual Conference per Ernie Sadau, CEO
(55) Texas Medical Association 401 West 15th Street Austin,TX78701	74-6073346	501(c)(3)	20,000	FMV	Sponsorship of TMA 2024 annual meeting
(56) Leadership Conference Of Women Religious Of The Us 8737 Colesville Rd Suite 610 Silver Spring,MD20910	53-0196620	501(c)(3)	20,000	FMV	Donation, Diamond Sponsorship
(57) FRIENDS OF SANTA ROSA FOUNDATION 100 Northeast Loop 410 Suite 706 San Antonio,TX78216	74-2723391	501(c)(3)	15,000	FMV	Donation Request
(58) Christus Spohn Health System Foundation 613 Elizabeth Suite 605 Corpus Christi,TX78404	74-1109836	501(c)(3)	15,000	FMV	Donation Request
(59) Christus St Michael Foundation 2600 St Michael Drive Texarkana,TX75503	47-1655865	501(c)(3)	15,000	FMV	Donation Request
(60) University Of The Incarnate Word 4301 Broadway CPO 317 San Antonio,TX78209	74-1109661	501(c)(3)	15,000	FMV	Sponsorship Donation
(61) St Vincent Hospital Foundation 455 St Michael Drive Santa Fe,NM87505	85-0282847	501(c)(3)	25,000	FMV	Sponsorship Donation
(62) Congressional Hispanic Caucus Institute Inc 1128 16th Street NW Washington,DC20036	52-1114225	501(c)(3)	30,000	FMV	45th Annual Awards Gala Partnership
(63) Christus Foundation For Healthcare 919 Hidge Ridge Irving,TX75038	61-1500100	501(c)(3)	20,000	FMV	19th Annual Nun Run _Honorary Nun Sponsorship
(64) Christus Health Foundation Southeast Texas 2830 Calder Street Beamont,TX77702	74-1461326	501(c)(3)	10,000	FMV	Gala Donation
(65) American College Of Healthcare Executives 300 Decker Drive Suite 300 Irving,TX75062	35-2225477	501(c)(3)	10,000	FMV	Donation for Upcoming events
(66) St Frances Cabrini Hospital 3330 Masonic Drive Alexandria,LA71301	72-0998302	501(c)(3)	10,000	FMV	Donation requestion from Ashley Walker, Foundation Exec.Dir
(67) Christus Foundation Shreveport Bossier 7591 Fern Avenue Suite 1903 Shreveport,LA71105	72-1219280	501(c)(3)	10,000	FMV	Donation
(68) The Village At Incarnate Word Incarnate Word Retir 4707 Broadway San Antonio,TX78209	74-1109717	501(c)(3)	10,000	FMV	Donation Spirit of Service Luncheon
(69) The National Center For Missing & Exploited Children 333 John Carlyle St Suite 125 Alexandria,VA22314	52-1328557	501(c)(3)	10,000	FMV	Texas Women for Children 2023 Saddle UP
(70) Hopkins County Health Care Foundation 115 Airport Rd Sulpur Springs,TX75482	75-2845157	501(c)(3)	10,000	FMV	FY2024 Donation
(71) Christus Ochsner Southwestern Louisiana Foundation 524 Dr Michael Dbakey Drive Lake Charles,LA70601	47-1496376	501(c)(3)	10,000	FMV	FY2024 Donation
(72) Christus Good Shepherd Foundation Longview 700 East Marshall Avenue Longview,TX75601	75-0974351	501(c)(3)	10,000	FMV	Donation
(73) Christus Santa Rosa San Marcos Foundation 1301 Wonder World Dr San Marcos,TX78666	74-2259907	501(c)(3)	10,000	FMV	Donation Request
(74) In My Shoes 12222 Merit Drive 1900 Dallas,TX75251	46-3543853	501(c)(3)	10,000	FMV	Donation
(75) Irving Symphony Orchestra 225 E John Carpenter Freeway Suite 120 Irving,TX75062	75-6085542	501(c)(3)	10,000	FMV	2023 - 2024 Corpate Sponsorship
(76) Visitation House Ministries PO Box 12074 San Antonio,TX78212	74-2447137	501(c)(3)	7,500	FMV	Donation
(77) Texas A&M Foundation 101 Bizzell Street College Station,TX77843	74-2245072	501(c)(3)	10,000	FMV	For Isen Capstone Program
(78) Shreveport - Bossier Washington Mardi Gras PO Box 962 Shreveport,LA71163	72-1251999	501(c)(6)	11,200	FMV	DONATION
(79) Canine Companions 7710 Las Colinas Ridge Irving,TX75063	94-2494324	501(c)(3)	7,500	FMV	DONATION

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) 2023

Page 2

Part III

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

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

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

Part IV

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

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.

Schedule I (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

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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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ERNIE SADAU PRESIDENT & CEO	(i) (ii)	2,381,334 ------------- 0	7,652,681 ------------- 0	7,854,168 ------------- 0	83,415 ------------- 0	6,235 ------------- 0	17,977,833 ------------- 0	7,298,780 ------------- 0
2STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER	(i) (ii)	697,737 ------------- 0	405,809 ------------- 0	178,021 ------------- 0	243,814 ------------- 0	10,370 ------------- 0	1,535,751 ------------- 0	176,699 ------------- 0
3RANDY SAFADY EVP/CHIEF FINANCIAL OFFICER	(i) (ii)	1,482,193 ------------- 0	3,630,377 ------------- 0	2,068,891 ------------- 0	70,284 ------------- 0	8,625 ------------- 0	7,260,370 ------------- 0	2,066,919 ------------- 0
4IRMA PENALOZA ASST. CORP SEC	(i) (ii)	348,461 ------------- 0	185,444 ------------- 0	48,895 ------------- 0	134,086 ------------- 0	16,844 ------------- 0	733,730 ------------- 0	47,811 ------------- 0
5NANCY RODILL DIR OF GOV, ACS	(i) (ii)	206,669 ------------- 0	82,808 ------------- 0	150 ------------- 0	56,046 ------------- 0	12,616 ------------- 0	358,289 ------------- 0	0 ------------- 0
6KAREN OLIVER ASST. CORP SEC	(i) (ii)	116,471 ------------- 0	1,200 ------------- 0	346 ------------- 0	27,815 ------------- 0	15,844 ------------- 0	161,676 ------------- 0	0 ------------- 0
7JEFFREY M PUCKETT EVP/COO	(i) (ii)	1,555,613 ------------- 0	3,764,956 ------------- 0	3,464,999 ------------- 0	85,694 ------------- 0	14,723 ------------- 0	8,885,985 ------------- 0	3,463,677 ------------- 0
8PAUL D GENERALE EVP/CHIEF STRATEGY OFFICER	(i) (ii)	1,244,347 ------------- 0	3,218,724 ------------- 0	1,757,392 ------------- 0	802,353 ------------- 0	9,065 ------------- 0	7,031,881 ------------- 0	1,754,920 ------------- 0
9MARTY MARGETTS EVP/CAO	(i) (ii)	1,240,814 ------------- 0	3,218,724 ------------- 0	1,712,961 ------------- 0	801,347 ------------- 0	20,670 ------------- 0	6,994,516 ------------- 0	1,710,990 ------------- 0
10SAM BAGCHI MD EVP/CMO	(i) (ii)	1,193,899 ------------- 0	3,155,393 ------------- 0	431,800 ------------- 0	771,191 ------------- 0	30,495 ------------- 0	5,582,778 ------------- 0	409,437 ------------- 0
11GERARD F HEELEY SR VP MISSION AND ETHICS (term 6/24)	(i) (ii)	780,710 ------------- 0	1,358,982 ------------- 0	779,311 ------------- 0	457,724 ------------- 0	2,608 ------------- 0	3,379,335 ------------- 0	772,757 ------------- 0
12JON MANIS SVP CIO	(i) (ii)	730,470 ------------- 0	1,009,800 ------------- 0	606,951 ------------- 0	43,201 ------------- 0	155,490 ------------- 0	2,545,912 ------------- 0	606,951 ------------- 0
13J CHRIS GLENNEY SVP GROUP OPERATIONS NETX	(i) (ii)	785,008 ------------- 0	553,491 ------------- 0	161,460 ------------- 0	274,329 ------------- 0	15,888 ------------- 0	1,790,176 ------------- 0	160,310 ------------- 0
14DOMINIC DOMINGUEZ SVP-GROUP OPERATIONS SO TX	(i) (ii)	777,464 ------------- 0	525,911 ------------- 0	166,396 ------------- 0	254,594 ------------- 0	8,938 ------------- 0	1,733,303 ------------- 0	162,091 ------------- 0
15FADI NASRALLAH MD SVP CMO TRINITY CLINIC	(i) (ii)	728,008 ------------- 0	521,181 ------------- 0	170,649 ------------- 0	267,539 ------------- 0	12,480 ------------- 0	1,699,857 ------------- 0	167,458 ------------- 0
16JEANNIE FREY SVP CHIEF LEGAL OFFICER	(i) (ii)	770,035 ------------- 0	547,872 ------------- 0	187,944 ------------- 0	65,701 ------------- 0	6,503 ------------- 0	1,578,055 ------------- 0	0 ------------- 0
17KIMBERLY KING WEBB SVP CHIEF HR OFFICER	(i) (ii)	667,518 ------------- 0	491,680 ------------- 0	101,162 ------------- 0	246,531 ------------- 0	69,313 ------------- 0	1,576,204 ------------- 0	100,512 ------------- 0
18KIM REYNOLDS SVP FINANCE	(i) (ii)	591,745 ------------- 0	601,440 ------------- 0	101,073 ------------- 0	264,505 ------------- 0	6,611 ------------- 0	1,565,374 ------------- 0	100,423 ------------- 0
19CHRISTOPHER KARAM SR VP & REG CEO	(i) (ii)	616,874 ------------- 0	489,957 ------------- 0	276,315 ------------- 0	87,004 ------------- 0	12,929 ------------- 0	1,483,079 ------------- 0	0 ------------- 0
20CHRIS C DASKEVICH SVP MATERNAL SVCS & CEO, CHOSA	(i) (ii)	619,777 ------------- 0	349,946 ------------- 0	137,473 ------------- 0	222,825 ------------- 0	23,306 ------------- 0	1,353,327 ------------- 0	137,473 ------------- 0
21GABRIELA SAENZ SVP CORP SERVICES	(i) (ii)	543,205 ------------- 0	389,832 ------------- 0	95,493 ------------- 0	191,828 ------------- 0	8,968 ------------- 0	1,229,326 ------------- 0	93,521 ------------- 0
22CHARLES T HANKINS SVP PEDIATRICS AND CMO, CHOSA	(i) (ii)	0 ------------- 0	0 ------------- 0	761,816 ------------- 0	22,426 ------------- 0	254,276 ------------- 0	1,038,518 ------------- 0	151,024 ------------- 0
23M SHANNON STANSBURY SVP POPULATION HEALTH	(i) (ii)	537,529 ------------- 0	365,992 ------------- 0	99,163 ------------- 0	211,667 ------------- 0	8,767 ------------- 0	1,223,118 ------------- 0	98,263 ------------- 0
24TINA BARKER SVP STRATEGY MARKETING & DIG	(i) (ii)	488,459 ------------- 0	351,551 ------------- 0	102,104 ------------- 0	197,263 ------------- 0	10,604 ------------- 0	1,149,981 ------------- 0	101,454 ------------- 0
25Gerardo Flores MD SVP/CNO	(i) (ii)	504,147 ------------- 0	365,248 ------------- 0	44,373 ------------- 0	206,110 ------------- 0	13,044 ------------- 0	1,132,922 ------------- 0	44,373 ------------- 0
26Jennifer Beal SVP CAO	(i) (ii)	489,590 ------------- 0	263,130 ------------- 0	650 ------------- 0	156,378 ------------- 0	2,486 ------------- 0	912,234 ------------- 0	0 ------------- 0
27Luis Haro VP Operations for Emergency Services (term 7/23)	(i) (ii)	321,170 ------------- 0	287,617 ------------- 0	613,589 ------------- 0	54,920 ------------- 0	9,160 ------------- 0	1,286,456 ------------- 0	214,600 ------------- 0
28PAUL M TREVINO CEO SETX & SWLA	(i) (ii)	548,668 ------------- 0	308,678 ------------- 0	110,498 ------------- 0	201,424 ------------- 0	26,395 ------------- 0	1,195,663 ------------- 0	109,848 ------------- 0
29LILLIAN MONTOYA Pres/CEO SVH	(i) (ii)	573,237 ------------- 0	275,129 ------------- 0	86,024 ------------- 0	202,440 ------------- 0	9,326 ------------- 0	1,146,156 ------------- 0	85,198 ------------- 0
30Andrea Teague VP Cancer Services	(i) (ii)	812,100 ------------- 0	132,761 ------------- 0	0 ------------- 0	120,814 ------------- 0	6,311 ------------- 0	1,071,986 ------------- 0	0 ------------- 0
31MARK ANDERSON CMO, CRP TMF HEALTH SYSTEM	(i) (ii)	576,363 ------------- 0	264,127 ------------- 0	92,582 ------------- 0	65,701 ------------- 0	13,771 ------------- 0	1,012,544 ------------- 0	92,082 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
Schedule J, Part I, Line 1a First-class or charter travel	CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL.
Schedule J, Part I, Line 1a Travel for companions	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment	CHARLES HANKINS RECEIVED $588,925 IN SEVERANCE DURING CALENDAR YEAR 2023. LUIS HARO RECEIVED $242,781 IN SEVERANCE DURING CALENDAR YEAR 2023.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. The following individuals received payouts under a supplemental nonqualified retirement plan. Ernie Sadau - $7,848,046 Jeffrey Puckett - $3,463,677 Randy Safady - $2,066,919 Paul Generale - $1,754,920 Marty Margetts - $1,710,990 Gerard Heely - $772,757 JON MANIS - $606,951 Sam Bagchi - $430,479 Luis Haro - $360,589 Jeannie Frey - $187,944 STEVE KEUER - $176,699 Christopher Karam - $171,348 Fadi Nasrallah - $170,649 Dominic Dominguez - $162,091 J. Chris Glenney - $160,310 Charles T Hankins - $158,846 CHRIS DASKEVICH - $137,473 Paul M Trevino -$109,848 TINA BARKER - $101,454 Kimberly King Webb - $100,512 Kim Reynolds - $100,423 M. SHANNON STANSBURY - $98,263 GABRIELA SAENZ - $93,521 MARK ANDERSON - $92,082 LILLIAN MONTOYA - $85,198 Irma Penaloza - $48,245 GERARDO FLORES - $44,373
Schedule J, Part II FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
Schedule J, Part II, Column (B)(ii) BONUS AND INCENTIVE COMPENSATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2023.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.
Schedule J, Part II, Column (F) COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.

Schedule J (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638TGW7	08-05-2022	364,828,621	SEE SCH K, PART VI		X		X		X
B	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399HA7	10-30-2018	70,942,111	SEE SCH K, PART VI		X		X		X
C	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546398C71	08-12-2009	231,654,638	SEE SCH K, PART VI		X		X		X
D	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TGN7	10-30-2018	481,651,366	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TDF7	12-19-2008	268,560,000	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399GC4	04-02-2019	53,021,204	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facilities Finance Corporation (2016A-E)	04-3833551	000000000	10-03-2016	174,304,000	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638THQ9	05-22-2024	94,987,623	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638THF3	05-22-2024	241,732,826	SEE SCH K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		8,160,000		167,200,000		41,945,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	378,212,349		72,199,222		232,748,696		484,781,301
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,116,213		0		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		4,138		0
10 Capital expenditures from proceeds .............	348,376,279		41,256,527		0		363,127,523
11 Other spent proceeds .............	26,668,414		30,942,111		232,744,558		121,651,366
12 Other unspent proceeds .............	51,444		584		0		2,412
13 Year of substantial completion .............			2022		2016		2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.3 %		0.1 %		0.1 %		0.1 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.3 %		0.1 %		0.1 %		0.1 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

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

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I, Column (f) PAGE 1	A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS.
Schedule K, Part I, Column (f) Page 2	A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). B. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE DATE 12/9/2010 (2005A-6); CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS, LARGELY GERALD CHAMPION. D. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND PRIOR ISSUE DATE 11/8/2005 (2005A-3, 2005A-4 2005B-2)
Schedule K, Part I, Column (f) PAGE 3	A. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH UNCLUDE ONE OR MORE ACUTE CARE HOSPITALS.
Schedule K, Part II, Line 3 PAGE 1	A. LINE 3. INVESTMENT EARNINGS= $1,025.93 B. LINE 3. INVESTMENT EARNINGS = $0.00 C. LINE 3. INVESTMENT EARNINGS = $0.00 D. LINE 3. INVESTMENT EARNINGS=$0.00
Schedule K, Part II, Line 3 PAGE 2	A. LINE 3. INVESTMENT EARNINGS= $0.00 B. LINE 3. INVESTMENT EARNINGS = $6,696,696.77 C. LINE 3. INVESTMENT EARNINGS= $0.00 D. LINE 3. INVESTMENT EARNINGS = $0.00
Schedule K, Part II, Line 3 PAGE 3	A. LINE 3 INVESTMENT EARNINGS= $0.00
Schedule K, Part II, Line 16 PAGE 3	REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS.
Schedule K, Part IV, Line 2c PAGE 1	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 B. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023 D. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023.
Schedule K, Part IV, Line 2c PAGE 2	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023. B. LINE 2C - REBATE COMPUTATION PERFORMED: N/A C. LINE 2C - REBATE COMPUTATION PERFORMED: N/A D. LINE 2C - REBATE COMPUTATION PERFORMED: N/A
Schedule K, Part IV, Line 2c PAGE 3	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020.

Schedule K (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638TGW7	08-05-2022	364,828,621	SEE SCH K, PART VI		X		X		X
B	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399HA7	10-30-2018	70,942,111	SEE SCH K, PART VI		X		X		X
C	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546398C71	08-12-2009	231,654,638	SEE SCH K, PART VI		X		X		X
D	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TGN7	10-30-2018	481,651,366	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TDF7	12-19-2008	268,560,000	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399GC4	04-02-2019	53,021,204	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facilities Finance Corporation (2016A-E)	04-3833551	000000000	10-03-2016	174,304,000	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638THQ9	05-22-2024	94,987,623	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638THF3	05-22-2024	241,732,826	SEE SCH K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		8,160,000		167,200,000		41,945,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	378,212,349		72,199,222		232,748,696		484,781,301
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,116,213		0		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		4,138		0
10 Capital expenditures from proceeds .............	348,376,279		41,256,527		0		363,127,523
11 Other spent proceeds .............	26,668,414		30,942,111		232,744,558		121,651,366
12 Other unspent proceeds .............	51,444		584		0		2,412
13 Year of substantial completion .............			2022		2016		2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.3 %		0.1 %		0.1 %		0.1 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.3 %		0.1 %		0.1 %		0.1 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

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

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I, Column (f) PAGE 1	A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS.
Schedule K, Part I, Column (f) Page 2	A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). B. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE DATE 12/9/2010 (2005A-6); CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS, LARGELY GERALD CHAMPION. D. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND PRIOR ISSUE DATE 11/8/2005 (2005A-3, 2005A-4 2005B-2)
Schedule K, Part I, Column (f) PAGE 3	A. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH UNCLUDE ONE OR MORE ACUTE CARE HOSPITALS.
Schedule K, Part II, Line 3 PAGE 1	A. LINE 3. INVESTMENT EARNINGS= $1,025.93 B. LINE 3. INVESTMENT EARNINGS = $0.00 C. LINE 3. INVESTMENT EARNINGS = $0.00 D. LINE 3. INVESTMENT EARNINGS=$0.00
Schedule K, Part II, Line 3 PAGE 2	A. LINE 3. INVESTMENT EARNINGS= $0.00 B. LINE 3. INVESTMENT EARNINGS = $6,696,696.77 C. LINE 3. INVESTMENT EARNINGS= $0.00 D. LINE 3. INVESTMENT EARNINGS = $0.00
Schedule K, Part II, Line 3 PAGE 3	A. LINE 3 INVESTMENT EARNINGS= $0.00
Schedule K, Part II, Line 16 PAGE 3	REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS.
Schedule K, Part IV, Line 2c PAGE 1	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 B. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023 D. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023.
Schedule K, Part IV, Line 2c PAGE 2	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023. B. LINE 2C - REBATE COMPUTATION PERFORMED: N/A C. LINE 2C - REBATE COMPUTATION PERFORMED: N/A D. LINE 2C - REBATE COMPUTATION PERFORMED: N/A
Schedule K, Part IV, Line 2c PAGE 3	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020.

Schedule K (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638TGW7	08-05-2022	364,828,621	SEE SCH K, PART VI		X		X		X
B	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399HA7	10-30-2018	70,942,111	SEE SCH K, PART VI		X		X		X
C	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546398C71	08-12-2009	231,654,638	SEE SCH K, PART VI		X		X		X
D	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TGN7	10-30-2018	481,651,366	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TDF7	12-19-2008	268,560,000	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399GC4	04-02-2019	53,021,204	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facilities Finance Corporation (2016A-E)	04-3833551	000000000	10-03-2016	174,304,000	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638THQ9	05-22-2024	94,987,623	SEE SCH K, PART VI		X		X		X
	Tarrant County Cultural Education Facility Finance Corporation	04-3833551	87638THF3	05-22-2024	241,732,826	SEE SCH K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		8,160,000		167,200,000		41,945,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	378,212,349		72,199,222		232,748,696		484,781,301
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,116,213		0		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		4,138		0
10 Capital expenditures from proceeds .............	348,376,279		41,256,527		0		363,127,523
11 Other spent proceeds .............	26,668,414		30,942,111		232,744,558		121,651,366
12 Other unspent proceeds .............	51,444		584		0		2,412
13 Year of substantial completion .............			2022		2016		2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.3 %		0.1 %		0.1 %		0.1 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.3 %		0.1 %		0.1 %		0.1 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

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

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I, Column (f) PAGE 1	A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS.
Schedule K, Part I, Column (f) Page 2	A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). B. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE DATE 12/9/2010 (2005A-6); CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS, LARGELY GERALD CHAMPION. D. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND PRIOR ISSUE DATE 11/8/2005 (2005A-3, 2005A-4 2005B-2)
Schedule K, Part I, Column (f) PAGE 3	A. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH UNCLUDE ONE OR MORE ACUTE CARE HOSPITALS.
Schedule K, Part II, Line 3 PAGE 1	A. LINE 3. INVESTMENT EARNINGS= $1,025.93 B. LINE 3. INVESTMENT EARNINGS = $0.00 C. LINE 3. INVESTMENT EARNINGS = $0.00 D. LINE 3. INVESTMENT EARNINGS=$0.00
Schedule K, Part II, Line 3 PAGE 2	A. LINE 3. INVESTMENT EARNINGS= $0.00 B. LINE 3. INVESTMENT EARNINGS = $6,696,696.77 C. LINE 3. INVESTMENT EARNINGS= $0.00 D. LINE 3. INVESTMENT EARNINGS = $0.00
Schedule K, Part II, Line 3 PAGE 3	A. LINE 3 INVESTMENT EARNINGS= $0.00
Schedule K, Part II, Line 16 PAGE 3	REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS.
Schedule K, Part IV, Line 2c PAGE 1	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 B. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023 D. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023.
Schedule K, Part IV, Line 2c PAGE 2	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023. B. LINE 2C - REBATE COMPUTATION PERFORMED: N/A C. LINE 2C - REBATE COMPUTATION PERFORMED: N/A D. LINE 2C - REBATE COMPUTATION PERFORMED: N/A
Schedule K, Part IV, Line 2c PAGE 3	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020.

Schedule K (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Return Reference	Explanation
DOING BUSINESS AS	Christus Health Service Center CHRISTUS Health System CHRISTUS Healthy Living Spa CHRISTUS Innovations Institute CHRISTUS Institute for Innovation and Advanced Clinical Care CHRISTUS St. Joseph Village CIIACC Marketplace Solutions Texas Health Information Network Collaborative Uniformed Services Family Health Plan TLRA US Family Health Plan USFHP
Form 990, Part III, Line 1 MISSION, CONTINUED	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM ENTITIES FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, AND THE SYSTEM ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID AND ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THESE PURPOSES, AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT LAW.
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH MINISTRIES TOGETHER. THE 2016 AFFILIATION WITH TRINITY MOTHER FRANCES HEALTH SYSTEM RESULTED IN A THIRD SPONSORING CONGREGATION OF CHRISTUS HEALTH, THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN 350 FACILITIES, INCLUDING 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, LOUISIANA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEON, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO, CHILE, and Colombia. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 9,000,000. IN FISCAL YEAR 2023 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 1,182,248 VISITS TO OUR EMERGENCY DEPARTMENTS; 41,815 INPATIENT SURGERY PROCEDURES; 178,138 OUTPATIENT SURGERY PROCEDURES; 212,681 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 3,857,788 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHEND THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR APPROXIMATELY 15,000 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2023 WAS $0. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO ADDRESS PREVENTION AND WELLNESS STRATEGIES FOR THE UNINSURED AND UNDERINSURED BY PROVIDING RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTH COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLE'S LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY24, $3,350,000 OF GRANT FUNDS WERE DISTRIBUTED FROM THE CHRISTUS FUND.
Form 990, Part III, Line 4d PROGRAM SERVICE DESCRIPTION	COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS, FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH PROVIDERS ACROSS EAST AND NORTHEAST TEXAS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY23, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 64,453 including grants of $ 7,824,060)(Revenue $ 0) Other program services
Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	OFFICERS ERNIE SADAU AND RANDY SAFADY - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	THE MEMBERS OF CHRISTUS HEALTH ARE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO, THE CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD, HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM ENTITY WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM ENTITY THAT OWNS DESIGNATED MINISTRY PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM ENTITY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE (A) OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY, (B) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY, OR (C) ELIMINATE CERTAIN TYPES OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2025 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	A CONFLICT OF INTEREST QUESTIONNAIRE WAS DISTRIBUTED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES DURING THE FISCAL YEAR. THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS.
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	GRANT REVENUE - Total Revenue: 9413568, Related or Exempt Function Revenue: 9413568, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SERVICE FEE - Total Revenue: 5768712, Related or Exempt Function Revenue: 5768712, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Business Interruption Revenue - Total Revenue: 18065374, Related or Exempt Function Revenue: 18065374, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; TLRA Collection Revenue - Total Revenue: 17670443, Related or Exempt Function Revenue: 17670443, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Interco Revenue - Total Revenue: 9367739, Related or Exempt Function Revenue: 9367739, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Loss Contingency Reserve Revenue - Total Revenue: 7221502, Related or Exempt Function Revenue: 7221502, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Non-Control. Int. Revenue - Total Revenue: 1951050, Related or Exempt Function Revenue: 1951050, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts Revenue - Total Revenue: 208412, Related or Exempt Function Revenue: 208412, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Print Shop Revenues - Total Revenue: 161322, Related or Exempt Function Revenue: 161322, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Parking Revenues - Total Revenue: 12294, Related or Exempt Function Revenue: 12294, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Food Service Revenue - Total Revenue: 10207, Related or Exempt Function Revenue: 10207, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	collection fees - Total Expense: 12689258, Program Service Expense: 12689258, Management and General Expenses: , Fundraising Expenses: ; subscription fees - Total Expense: 54181034, Program Service Expense: 46056487, Management and General Expenses: 8124547, Fundraising Expenses: ; marketing & consulting - Total Expense: 60819722, Program Service Expense: 20781988, Management and General Expenses: 39571488, Fundraising Expenses: 466246; professional fees - Total Expense: 551580, Program Service Expense: , Management and General Expenses: 551580, Fundraising Expenses: ; line of credit fees - Total Expense: 2727047, Program Service Expense: , Management and General Expenses: 2727047, Fundraising Expenses: ; other fees - Total Expense: 8058489, Program Service Expense: 4551544, Management and General Expenses: 3506945, Fundraising Expenses: ; charge out fees - Total Expense: 1344521, Program Service Expense: 1344521, Management and General Expenses: , Fundraising Expenses: ; medical service - Total Expense: 2633964, Program Service Expense: 322018, Management and General Expenses: 2311946, Fundraising Expenses: ; r&m - Total Expense: 94881075, Program Service Expense: 93710184, Management and General Expenses: 1170891, Fundraising Expenses: ; capitation exp - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part X, Line 1 CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS	CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -XXX-XX-XXXX; CHANGE IN PENSION LIABILITIES - 51506485; CHANGE IN NET ASSETS ATTRIBUTABLE TO NON CONTROLLING INTEREST - -1951050; CHANGE IN RESTRICTED NET ASSETS - -5761; OTHER TAX ADJUSTMENTS - -5731143; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 52516965; RESTRICTED CONTRIBUTIONS - 12043; ROUNDING - 2;

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) CHRISTUS ARK-LA-TEX QUALITY CARE ALLIANCE LLC 5101 N OCONNOR BLVD IRVING,TX75039 47-4599144	ACO	TX	CH
(2) CHRISTUS HEALTH QUALITY CARE ALLIANCE LLC 5101 N OCONNOR BLVD IRVING,TX75039 47-4607533	ACO	TX	CH
(3) CHRISTUS LOUISIANA ACO LLC 5101 N OCONNOR BLVD IRVING,TX75039 47-4592015	ACO	LA	CH
(4) CHRISTUS NETWORKS LLC 5101 N OCONNOR BLVD IRVING,TX75039 85-0760673	HOLDING COMPANY	TX	CH
(5) CHRISTUS PHO AND AFFILIATED NETWORKS LLC 5101 N OCONNOR BLVD IRVING,TX75039 76-0590551	HOLDING COMPANY	TX	CH
(6) CHRISTUS SANTA ROSA QUALITY CARE ALLIANCE LLC 5101 N OCONNOR BLVD IRVING,TX75039 47-4580155	ACO	TX	CH
(7) NORTHERN NEW MEXICO ACO LLC 5101 N OCONNOR BLVD IRVING,TX75039 76-0590551	ACO	TX	CH

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER,TX75701 46-5720165	HEALTHCARE SERVICES	TX	501(c)(3)	3	MFH REG	Yes
(2)CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON,TX77027 76-0422435	HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(3)CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW,TX75602 75-2747708	HEALTHCARE SERVICES	TX	501(c)(3)	10	MFH REG	Yes
(4)CHRISTUS CONNECTED CARE NETWORK 5101 N OCONNOR BLVD IRVING,TX75039 47-3403356	SUPP HEALTHCARE SERVICES	TX	501(c)(4)		CH	Yes
(5)CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON,TX77027 74-2898615	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(6)CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON,TX77251 74-6074210	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes
(7)CHRISTUS FOUNDATION SHREVEPORT-BOSSIER ONE ST MARY PLACE SHREVEPORT,LA71101 72-1219280	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	NOLA	Yes
(8)CHRISTUS GOOD SHEPHERD MEDICAL CENTER 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 75-0974351	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes
(9)CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 75-2796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes
(10)CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA,LA71301 72-0408984	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes
(11)CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT,TX77702 76-0136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes
(12)CHRISTUS HEALTH FOUNDATION 5101 N OCONNOR BLVD IRVING,TX75039 61-1500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(13)CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON,TX77292 76-0591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes
(14)CHRISTUS HEALTH INTERNATIONAL 5101 N OCONNOR BLVD IRVING,TX75039 46-2811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes
(15)CHRISTUS HEALTH LATIN AMERICA 5101 N OCONNOR BLVD IRVING,TX75039 46-2816604	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes
(16)CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT,LA75039 72-0408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes
(17)CHRISTUS HEALTH PLAN 5101 N OCONNOR BLVD IRVING,TX75039 45-2106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes
(18)CHRISTUS HEALTH PLAN LOUISIANA 5101 N OCONNOR BLVD IRVING,TX75039 46-4617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes
(19)CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT,TX77726 76-0591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(20)CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 72-0411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes
(21)CHRISTUS HEALTH STRATEGIC GROWTH 5101 N OCONNOR BLVD IRVING,TX75039 46-2798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(22)CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS,TX75482 81-1708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes
(23)CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2616975	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	CH	Yes
(24)CHRISTUS PEDIATRIC PHYSICIAN GROUP 5101 N OCONNOR BLVD IRVING,TX75039 46-5203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(25)CHRISTUS SANTA ROSA FAMILY HEALTH CENTER 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-2806531	HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes
(26)CHRISTUS SANTA ROSA HEALTH CARE CORPORATION 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-1109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(27)CHRISTUS SANTA ROSA MED CTR AUXILIARY 2827 BABCOCK ROAD SAN ANTONIO,TX78229 73-1655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes
(28)CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION PO Box 912 SAN MARCOS,TX78667 74-2259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes
(29)CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(30)CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1906005	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	SPOHN HS	Yes
(31)CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC 3330 MASONIC DRIVE ALEXANDRIA,LA71301 23-7255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes
(32)CHRISTUS ST MICHAEL FOUNDATION 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 47-1655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes
(33)CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 47-1496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes
(34)CHRISTUS TRINITY CLINIC 1315 DOCTORS DRIVE TYLER,TX75701 75-2616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(35)CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes
(36)FRIENDS OF SANTA ROSA FOUNDATION 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-2723391	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CSRHCC	Yes
(37)GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(38)GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW,TX75601 23-7203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes
(39)GOOD SHEPHERD MED CENTER - LINDEN INC 700 E MARSHALL AVE LONGVIEW,TX75601 01-0829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes
(40)GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC 404 N KAUFMAN LINDEN,TX75563 20-0845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(41)GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW,TX75601 86-1132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(42)HOPKINS CTY PHYSICIAN SERVICES 115 AIRPORT RD SULPHUR SPRINGS,TX75482 26-0637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes
(43)MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 75-2605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes
(44)MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER,TX75701 75-1976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes
(45)MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER,TX75701 75-2771569	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes
(46)MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 1315 DOCTORS DRIVE TYLER,TX75701 75-0818167	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes
(47)OTERO COUNTY HOSPITAL ASSOCIATION 2669 SCENIC DRIVE ALAMOGORDO,NM88311 85-0138775	HOSPITAL	NM	501(c)(3)	3	CH	Yes
(48)REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2511459	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes
(49)SPECIALTY PHYSICIANS OF CENTRAL TEXAS 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 20-8814408	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes
(50)ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA 3330 MASONIC DRIVE ALEXANDRIA,LA71301 72-0998302	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	CHCL	Yes
(51)ST VINCENT HOSPITAL PO BOX 2107 SANTA FE,NM87504 85-0106941	HOSPITAL	NM	501(c)(3)	3	CH	Yes
(52)ST VINCENT HOSPITAL FOUNDATION 455 ST MICHAELS DRIVE SANTA FE,NM87505 85-0282847	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	SVH	Yes
(53)THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-1041154	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes
(54)TRINCARE INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2161369	HEALTHCARE SERVICES	TX	501(c)(3)	10	CCC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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) CENTRAL LOUISIANA SURGICAL HOSPITAL LLC 651 NORTH BOLTON AVE ALEXANDRIA,LA71301 26-4732398	SURGICAL CENTER	LA	NA
(2) CHRISTUS SURGERY CENTER - VILLAGES LLC 1453 E BERT KOUNS SHREVEPORT,LA71108 84-4975265	SURGICAL CENTER	LA	NA
(3) CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC 13525 CENTERBROOK 100 UNIVERSAL CITY,TX78148 38-4092858	SURGICAL CENTER	TX	NA
(4) CHRISTUS CENTER FOR SPECIAL SURGERY 14603 HUEBNER RD SAN ANTONIO,TX78240 99-0686547	SURGICAL CENTER	TX	NA
(5) CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC 1927 ROGERS RD SAN ANTONIO,TX78251 85-1975909	SURGICAL CENTER	TX	NA
(6) NEW BRAUNFELS SURGICAL CENTER LLC 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571408	HEALTHCARE SERVICES	TX	NA
(7) CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC 333 N SANTA ROSA ST SAN ANTONIO,TX78207 41-2092141	HEALTHCARE SERVICES	TX	NA
(8) CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571409	HEALTHCARE SERVICES	TX	NA
(9) GOOD SHEPHERD NORTH PARK LP 700 E MARSHALL AVE LONGVIEW,TX75601 46-4834106	HEALTHCARE SERVICES	TX	NA
(10) GOOD SHEPHERD AMBULATORY SURGICAL LTD 700 E MARSHALL AVE LONGVIEW,TX75601 99-9999999	HEALTHCARE SERVICES	TX	NA
(11) GSHS CUSTOMER SERVICE BUILDING I LTD 700 E MARSHALL AVE LONGVIEW,TX75601 02-0636726	CUSTOMER SERVICES	TX	NA
(12) ST ELIZABETH REHAB PARTNERS LLP 2830 CALDER STREET BEAUMONT,TX77702 20-5657181	HEALTHCARE SERVICES	TX	NA
(13) NORTHERN LOUISIANA CARDIAC SERVICES LLC 1751 IMPERIAL BLVD LAKE CHARLES,LA70605 81-3198914	SURGICAL CENTER	LA	NA
(14) SOUTH RYAN MRI LLC 650 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 74-3103662	IMAGING SERVICES	LA	NA
(15) ALAMOGORDO IMAGING CENTER LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88311 20-1451281	IMAGING SERVICES	NM	NA
(16) ALAMOGORDO SURGERY VENTURE LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88311 06-1791828	HEALTHCARE SERVICES	NM	NA
(17) CHAMPION HEALTH CARE LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88311 85-0860214	HEALTHCARE SERVICES	NM	NA
(18) GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88311 61-1753921	HEALTHCARE SERVICES	NM	NA
(19) WHITE SANDS HEALTH CARE SYSTEMS LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88311 85-0438529	HEALTHCARE SERVICES	NM	NA
(20) SANTA FE IMAGING LLC 1640 HOSPITAL DR SANTA FE,NM87505 85-0465936	IMAGING CENTER	NM	NA
(21) SANTA FE MEDICAL PROPERTIES LLC 455 SAINT MICHAELS DR SANTA FE,NM87505 20-1480795	LEASING	NM	NA
(22) IMPERIAL CALCASIEU SURGICAL CENTER LLC 1757 IMPERIAL RD LAKE CHARLES,LA70605 20-5109610	ASC	LA	NA
(23) GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW,TX75601 71-0896055	CUSTOMER SERVICES	TX	NA

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) CHRISTUS TEXARKANA UNIT OWNERS ASSOCIATION 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 47-2486362	BUILDING ASSOCIATION	TX	NA	C Corporation				Yes
(2) CHRISTUS AMBULATORY SERVICES HOLDINGS 5101 N OCONNOR BLVD IRVING,TX75039 47-2897722	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(3) DEDICATED SYSTEM SUPPORT INC 5101 N OCONNOR BLVD IRVING,TX75039 81-0861043	MANAGEMENT SERVICES	TX	NA	C Corporation				Yes
(4) SAN MARCOS REGIONAL MRI 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 77-0597968	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(5) CHRISTUS LOUISIANA QUALITY ALLIANCE 5101 N OCONNOR BLVD IRVING,TX75039 47-4618648	ACO	LA	CH	C Corporation	0	148,247	100 %	Yes
(6) CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 G40G0 OBISPADO MONTERRE MX	HEALTHCARE SERVICES	MX	CH	C Corporation	28,035,530	482,187,521	91.47 %	Yes
(7) EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMANKY11102 CJ 98-0407545	INSURANCE	CJ	CH	C Corporation	90,160,565	249,587,457	100 %	Yes
(8) ARK-LA-TEX HEALTH NETWORK PO BOX 2911 TEXARKANA,TX75504 75-2562459	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(9) CHRISTUS CHILE SPA MIRAFLORES 222 28TH FLOOR SANTIAGO8320198 CI	INVESTING	CI	NA	C Corporation				Yes
(10) CHRISTUS SOUTHEAST TEXAS PHO 3010 HARRISON STREET SUITE 202 BEAUMONT,TX77702 76-0429902	MEDICAL SERVICES	TX	NA	C Corporation				Yes
(11) HEALTH VENTURES OF SOUTHEAST TEXAS INC 3000 GATES BLVD PORT ARTHUR,TX77640 76-0397263	BUILDING RENT	TX	NA	C Corporation				Yes
(12) AMATISTA FINANCING COMPANY LTD 3RD FL1ST CARIBBEAN HOUSE GEORGETOWNKY11104 CJ	FINANCING	CJ	NA	C Corporation				Yes
(13) OCCUPATIONAL HEALTH SERVICES INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1217389	MEDICAL SERVICES	LA	NA	C Corporation				Yes
(14) SOUTH RYAN DEVELOPMENT CORPORATION 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1183790	LEASING BULDINGS	LA	NA	C Corporation				Yes
(15) SOUTHWESTERN LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1274256	HEALTHCARE SERVICES	LA	NA	C Corporation				Yes
(16) CH COLUMBIA SAS CL 70 A 4 41 BOGOTA CO	HEALTHCARE SERVICES	CO	NA	C Corporation				Yes
(17) CLINICA PALMA REAL SAS CARRERA 28 44 35 CALI CO	HEALTHCARE SERVICES	CO	NA	C Corporation				Yes
(18) SINERGIA GLOBAL EN SALUD SAS CARRERA 44 A 9 C 67 CALI CO	HEALTHCARE SERVICES	CO	NA	C Corporation				Yes
(19) HCMH RETAIL CLINIC 115 AIRPORT RD SULPHUR SPRINGS,TX75482 47-5417965	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(20) EVANGELINE CLINICAL SERVICES INC 3330 MASONIC DRIVE ALEXANDIRA,LA71301 46-3977886	HEALTHCARE SERVICES	LA	NA	C Corporation				Yes
(21) GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW,TX75601 75-2554695	INACTIVE	TX	NA	C Corporation				Yes
(22) GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW,TX75601 51-0412465	HOLDING COMPAY	DE	NA	C Corporation				Yes
(23) GSHS ENTERPRISES OPERATING 1 INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2954772	HEALTHCARE SERVICES	DE	NA	C Corporation				Yes
(24) GSHS ENTERPRISES OPERATING 2 INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2954777	HEALTHCARE SERVICES	DE	NA	C Corporation				Yes
(25) GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2027162	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(26) MARSHALL PHYSICIAN HOSPITAL ORGANIZATION INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2580689	INACTIVE	TX	NA	C Corporation				Yes
(27) HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2636862	THIRD PARTY ADMINISTRATION	TX	NA	C Corporation				Yes
(28) THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER,TX75701 75-2484109	PREFER PROVIDER	TX	NA	C Corporation				Yes
(29) SCH MANAGEMENT SOLUTIONS INC ONE ST MARY PLACE SHREVEPORT,LA71101 72-1270625	MANAGEMENT JOINT VENTURES	LA	NA	C Corporation				Yes
(30) CENTRAL TEXAS PROVIDERS NETWORK 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 74-2827652	PHYSICIAN HOSPITAL	TX	NA	C Corporation				Yes
(31) LTACH CONDOMINIUM UNIT OWNERS ASSOC 600 ELIZABETH STREET CORPUS CHRISTI,TX77726 47-2404808	BUILDING ASSOCIATION	TX	NA	C Corporation				Yes
(32) SPOHN HEALTH NETWORK 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-2616328	HEALTH PLAN	TX	NA	C Corporation				Yes
(33) SPOHN INVESTMENT CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-2322574	RENTALS	TX	NA	C Corporation				Yes
(34) CENTRAL TX HEALTHCARE COLLABORATIVE 1301 Wonderland Dr San Marcos,TX78666 45-3739929	SUPPORT	TX	NA	C Corporation				Yes
(35) HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC 5101 N OCONNOR BLVD IRVING,TX75039 99-9999999	SUPPORT	TX	NA	C Corporation				Yes
(36) RELIANCE BENEFITS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2642104	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes

Schedule R (Form 990) 2023

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) Central Louisiana Surgical Hospital LLC	Q	304,072	ACCRUAL
(2) CH Chile SpA	A	3,247,777	ACCRUAL
(3) CH Chile SpA	S	3,247,777	ACCRUAL
(4) CH Colombia SAS	A	1,164,527	ACCRUAL
(5) CH Colombia SAS	S	1,164,527	ACCRUAL
(6) CH LATAM HUB Center of Excellence	M	28,317,423	ACCRUAL
(7) CH LATAM HUB Center of Excellence	L	650,371	ACCRUAL
(8) CH Muguerza Sistema Hospitalarios SA de CV	Q	1,287,088	ACCRUAL
(9) CH Wilkinson Physician Network CHRISTUS Physicians Group	Q	124,030	ACCRUAL
(10) CH Wilkinson Physician Network CHRISTUS Physicians Group	A	78,026	ACCRUAL
(11) CH Wilkinson Physician Network CHRISTUS Physicians Group	S	78,026	ACCRUAL
(12) CHRISTUS ArkLaTex Health System	Q	393,388,126	ACCRUAL
(13) CHRISTUS ArkLaTex Health System	P	337,844,634	ACCRUAL
(14) CHRISTUS ArkLaTex Health System	M	818,635	ACCRUAL
(15) CHRISTUS ArkLaTex Health System	L	327,427	ACCRUAL
(16) CHRISTUS ArkLaTex Health System	S	6,063,167	ACCRUAL
(17) CHRISTUS Children's	Q	350,454,593	ACCRUAL
(18) CHRISTUS Children's	P	301,691,020	ACCRUAL
(19) CHRISTUS Children's	M	211,126	ACCRUAL
(20) CHRISTUS Children's	L	285,299	ACCRUAL
(21) CHRISTUS Children's	K	126,289	ACCRUAL
(22) CHRISTUS Children's	S	9,817,758	ACCRUAL
(23) CHRISTUS Children's	A	8,770,513	ACCRUAL
(24) CHRISTUS Connected Care Network	P	105,220	ACCRUAL
(25) CHRISTUS Connected Care Network	Q	274,595	ACCRUAL
(26) CHRISTUS EMS	Q	1,832,136	ACCRUAL
(27) CHRISTUS EMS	P	395,408	ACCRUAL
(28) CHRISTUS Good Shepherd Health System Inc	P	89,431	ACCRUAL
(29) CHRISTUS Good Shepherd Health System Inc	A	89,431	ACCRUAL
(30) CHRISTUS Good Shepherd Health System Inc	K	395,463	ACCRUAL
(31) CHRISTUS Good Shepherd Health System Inc	S	1,008,062	ACCRUAL
(32) CHRISTUS Good Shepherd Medical Center	Q	534,962,361	ACCRUAL
(33) CHRISTUS Good Shepherd Medical Center	P	460,010,796	ACCRUAL
(34) CHRISTUS Good Shepherd Medical Center	M	787,849	ACCRUAL
(35) CHRISTUS Good Shepherd Medical Center	L	326,315	ACCRUAL
(36) CHRISTUS Good Shepherd Medical Center	S	7,945,272	ACCRUAL
(37) CHRISTUS Good Shepherd Medical Center	A	5,706,293	ACCRUAL
(38) CHRISTUS Health Central Louisiana	M	814,150	ACCRUAL
(39) CHRISTUS Health Central Louisiana	Q	335,325,649	ACCRUAL
(40) CHRISTUS Health Central Louisiana	P	286,518,744	ACCRUAL
(41) CHRISTUS Health Central Louisiana	S	7,999,151	ACCRUAL
(42) CHRISTUS Health Central Louisiana	A	6,771,798	ACCRUAL
(43) CHRISTUS Health Gulf Coast	Q	157,340	ACCRUAL
(44) CHRISTUS Health Northern Louisiana	Q	250,572,524	ACCRUAL
(45) CHRISTUS Health Northern Louisiana	P	214,031,321	ACCRUAL
(46) CHRISTUS Health Northern Louisiana	M	542,508	ACCRUAL
(47) CHRISTUS Health Northern Louisiana	S	8,133,606	ACCRUAL
(48) CHRISTUS Health Northern Louisiana	A	7,353,666	ACCRUAL
(49) CHRISTUS Health Plan	M	701,306	ACCRUAL
(50) CHRISTUS Health Plan	L	182,705	ACCRUAL
(51) CHRISTUS Health Plan	P	993,317	ACCRUAL
(52) CHRISTUS Health Plan	Q	1,982,858	ACCRUAL
(53) CHRISTUS Health Plan Louisiana	M	172,203	ACCRUAL
(54) CHRISTUS Health Southeast Texas	M	1,067,738	ACCRUAL
(55) CHRISTUS Health Southeast Texas	Q	393,400,097	ACCRUAL
(56) CHRISTUS Health Southeast Texas	P	333,622,383	ACCRUAL
(57) CHRISTUS Health Southeast Texas	S	6,542,895	ACCRUAL
(58) CHRISTUS Health Southeast Texas	A	5,313,844	ACCRUAL
(59) CHRISTUS Health Southwestern Louisiana	M	516,370	ACCRUAL
(60) CHRISTUS Health Southwestern Louisiana	Q	225,774,447	ACCRUAL
(61) CHRISTUS Health Southwestern Louisiana	P	189,618,941	ACCRUAL
(62) CHRISTUS Health Southwestern Louisiana	K	118,823	ACCRUAL
(63) CHRISTUS Health Southwestern Louisiana	S	851,826	ACCRUAL
(64) CHRISTUS Health USFHP	M	557,147	ACCRUAL
(65) CHRISTUS Health USFHP	Q	9,253,626	ACCRUAL
(66) CHRISTUS Health USFHP	P	1,511,814	ACCRUAL
(67) CHRISTUS Health USFHP	S	403,772	ACCRUAL
(68) CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs	Q	119,468,036	ACCRUAL
(69) CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs	P	103,017,022	ACCRUAL
(70) CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs	M	103,176	ACCRUAL
(71) CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs	S	360,074	ACCRUAL
(72) CHRISTUS Santa Rosa Health Care Corporation	M	2,324,389	ACCRUAL
(73) CHRISTUS Santa Rosa Health Care Corporation	Q	571,330,619	ACCRUAL
(74) CHRISTUS Santa Rosa Health Care Corporation	P	483,336,727	ACCRUAL
(75) CHRISTUS Santa Rosa Health Care Corporation	K	161,604	ACCRUAL
(76) CHRISTUS Santa Rosa Health Care Corporation	S	13,000,385	ACCRUAL
(77) CHRISTUS Santa Rosa Health Care Corporation	A	9,303,688	ACCRUAL
(78) CHRISTUS Santa Rosa Outpatient Surgery New Braunfels LP	P	61,466	ACCRUAL
(79) CHRISTUS Santa Rosa Outpatient Surgery New Braunfels LP	Q	715,565	ACCRUAL
(80) CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center San Antonio LLC	P	75,164	ACCRUAL
(81) CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center San Antonio LLC	Q	620,885	ACCRUAL
(82) CHRISTUS Spohn Health System Corporation	M	2,480,074	ACCRUAL
(83) CHRISTUS Spohn Health System Corporation	Q	729,664,766	ACCRUAL
(84) CHRISTUS Spohn Health System Corporation	P	621,092,325	ACCRUAL
(85) CHRISTUS Spohn Health System Corporation	K	68,534	ACCRUAL
(86) CHRISTUS Spohn Health System Corporation	A	2,456,631	ACCRUAL
(87) CHRISTUS Spohn Health System Corporation	S	21,700,652	ACCRUAL
(88) CHRISTUS Spohn Health System Corporation	A	18,947,140	ACCRUAL
(89) Christus Trinity Clinic Texas	M	664,621	ACCRUAL
(90) Christus Trinity Clinic Texas	Q	520,640,022	ACCRUAL
(91) Christus Trinity Clinic Texas	P	447,708,663	ACCRUAL
(92) Christus Trinity Clinic Texas	L	1,428,297	ACCRUAL
(93) Christus Trinity Clinic Texas	J	72,919	ACCRUAL
(94) Christus Trinity Clinic Texas	S	1,842,588	ACCRUAL
(95) CHRISTUS Trinity Mother Frances Health System	Q	1,147,119	ACCRUAL
(96) CHRISTUS Trinity Mother Frances Health System	P	689,970	ACCRUAL
(97) CHRISTUS Trinity Mother Frances Health System	K	119,683	ACCRUAL
(98) Colonnade Endoscopy Center LLC	Q	72,430	ACCRUAL
(99) Dedicated System Support Inc	M	121,246	ACCRUAL
(100) Dedicated System Support Inc	Q	9,285,709	ACCRUAL
(101) Dedicated System Support Inc	P	7,502,336	ACCRUAL
(102) Dedicated System Support Inc	S	190,133	ACCRUAL
(103) Dedicated System Support Inc	A	98,921	ACCRUAL
(104) Emerald Assurance Cayman Ltd	C	8,500,000	ACCRUAL
(105) Emerald Assurance Cayman Ltd	P	72,955,733	ACCRUAL
(106) Evangeline Clinical Services Inc	Q	400,826	ACCRUAL
(107) Evangeline Clinical Services Inc	P	117,871	ACCRUAL
(108) GSHS Administrative Services Organization Inc	Q	3,302,898	ACCRUAL
(109) GSHS Administrative Services Organization Inc	P	1,498,369	ACCRUAL
(110) Healthplan of Texas Inc	Q	60,718	ACCRUAL
(111) Imperial Calcasieu Surgical Center LLC	P	50,092	ACCRUAL
(112) Imperial Calcasieu Surgical Center LLC	Q	352,093	ACCRUAL
(113) Mother Frances Hospital Jacksonville	Q	77,861,190	ACCRUAL
(114) Mother Frances Hospital Jacksonville	P	67,011,823	ACCRUAL
(115) Mother Frances Hospital Jacksonville	S	285,575	ACCRUAL
(116) Mother Frances Hospital Regional Health Care Center	L	84,654,531	ACCRUAL
(117) Mother Frances Hospital Regional Health Care Center	M	116,075,598	ACCRUAL
(118) Mother Frances Hospital Regional Health Care Center	O	154,121	ACCRUAL
(119) Mother Frances Hospital Regional Health Care Center	Q	927,861,101	ACCRUAL
(120) Mother Frances Hospital Regional Health Care Center	P	797,031,368	ACCRUAL
(121) Mother Frances Hospital Regional Health Care Center	B	77,900	ACCRUAL
(122) Mother Frances Hospital Regional Health Care Center	C	368,160	ACCRUAL
(123) Mother Frances Hospital Regional Health Care Center	S	11,954,864	ACCRUAL
(124) Mother Frances Hospital Regional Health Care Center	A	7,581,589	ACCRUAL
(125) Mother Frances Hospital Winnsboro	Q	21,631,640	ACCRUAL
(126) Mother Frances Hospital Winnsboro	P	18,347,290	ACCRUAL
(127) Mother Frances Hospital Winnsboro	S	54,506	ACCRUAL
(128) Otero County Hospital Association - CSNM	P	3,432,290	ACCRUAL
(129) Otero County Hospital Association - CSNM	Q	16,017,356	ACCRUAL
(130) Spohn Investment Corporation	Q	135,995	ACCRUAL
(131) St Vincent Hospital	B	20,000,000	ACCRUAL
(132) St Vincent Hospital	C	20,000,000	ACCRUAL
(133) St Vincent Hospital	M	34,839,069	ACCRUAL
(134) St Vincent Hospital	L	17,848,979	ACCRUAL
(135) St Vincent Hospital	Q	46,855,742	ACCRUAL
(136) St Vincent Hospital	P	1,811,160	ACCRUAL
(137) Trincare Inc	Q	1,247,601	ACCRUAL
(138) Trincare Inc	P	1,076,421	ACCRUAL

Schedule R (Form 990) 2023

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) 2023

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) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

1	Briefly describe the organization’s mission or most significant activities: SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	4,575
6	Total number of volunteers (estimate if necessary) .............	6	4
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	850,763
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	593,284

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	66,102,416	913,336
9	Program service revenue (Part VIII, line 2g) .........	705,533,027	918,480,842
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	67,314,579	58,902,033
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	189,448,528	263,870,493
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,028,398,550	1,242,166,704
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,867,061	7,824,060
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)	477,530,561	581,208,236
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 833,450
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	664,017,448	844,899,714
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,145,415,070	1,433,932,010
19	Revenue less expenses. Subtract line 18 from line 12.......	-117,016,520	-191,765,306
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,676,525,161	3,458,173,956
21	Total liabilities (Part X, line 26).............	3,046,106,976	3,710,643,474
22	Net assets or fund balances. Subtract line 21 from line 20.....	630,418,185	-252,469,518

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 988,612,445 including grants of $ 0 ) (Revenue $ 1,029,644,474 )
	See Schedule O

4b	(Code: ) (Expenses $ 158,012,417 including grants of $ 0 ) (Revenue $ 151,312,417 )
	See Schedule O

4c	(Code: ) (Expenses $ 1,861,179 including grants of $ 0 ) (Revenue $ 0 )
	See Schedule O

	(Code: ) (Expenses $ 64,453 including grants of $ 7,824,060 ) (Revenue $ 0 )
	Other program services

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 64,453 including grants of $ 7,824,060 ) (Revenue $ )
4e	Total program service expenses1,148,550,494

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	80,102,129	0	7,713,630

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	913,336

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.......		913,336

		Business Code
2a	INFORMATION SERVICE FEE	900099	283,566,374	282,715,611	850,763
b	SYSTEM OFFICE FEE	900099	242,272,242	242,272,242
c	PHARMACY REVENUE	900099	207,137,359	207,137,359
d	INSURANCE PREMIUM	900099	144,167,480	144,167,480
e	MANAGEMENT FEE	541610	26,155,107	26,155,107
f	All other program service revenue.		15,182,280	15,182,280	0	0
g	Total. Add lines 2a–2f .....		918,480,842

3 Investment income (including dividends, interest, and othersimilar amounts) ......			47,612,127			47,612,127
4 Income from investment of tax-exempt bond proceeds			358,981			358,981
5 Royalties...........			179,027			179,027
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	2,339,440,752
b	Less: cost or other basis and sales expenses	7b	2,328,509,827
c	Gain or (loss)	7c	10,930,925	0
d	Net gain or (loss).........			10,930,925			10,930,925
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	2,201,714
b	Less: cost of goods sold ..		10b	986,297
c	Net income or (loss) from sales of inventory..			1,215,417			1,215,417

Business Code
11a	Patient Financial Service Revenue		900990	130,914,243	130,914,243
b	Other Operating Revenue		900099	53,885,804	53,885,804
c	Other Professional Revenue		900099	23,007,659	23,007,659
d	All other revenue ....			54,668,343	54,668,343	0	0
e	Total. Add lines 11a–11d ......			262,476,049
12	Total revenue. See instructions.....			1,242,166,704	1,180,106,128	850,763	60,296,477

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	7,824,060	7,824,060
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 ...........	99,710,899	63,563,972	36,087,746	59,181
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	400,997,888	255,629,211	145,130,673	238,004
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,363		13,363
9	Other employee benefits .......	56,832,405	31,191,199	25,612,245	28,961
10	Payroll taxes ...........	23,653,681	18,212,616	5,423,172	17,893
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	6,126,940	1,448,914	4,678,026
c	Accounting ...........	5,061,075		5,061,075
d	Lobbying ...........	998,837		998,837
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,248,192	3,199,160	49,032
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	467,574,212	409,143,522	57,964,444	466,246
12	Advertising and promotion ....	3,544,441	3,526,495	17,946
13	Office expenses .......	22,702,462	84,083,823	-61,392,456	11,095
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	18,065,019	9,841,964	8,223,055
17	Travel ............	16,239,437	5,006,686	11,220,681	12,070
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	7,312,706	2,361,346	4,951,360
20	Interest ...........	17,808,246	1,687,897	16,120,349
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	19,227,150	19,227,150
23	Insurance ...	127,245,283	117,321,013	9,924,270
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	Other Tax Expense	91,484,391	83,133,907	8,350,484
b	Community Benefit Expense	29,473,186	29,473,186
c	Recruiting Fees	5,006,153	1,633,137	3,373,016
d	License Permits/inspection fees	1,543,832	979,730	564,102
e	All other expenses	2,238,152	61,506	2,176,646	0
25	Total functional expenses. Add lines 1 through 24e	1,433,932,010	1,148,550,494	284,548,066	833,450
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 ........			649,284,092	1	550,008,660
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			27,986,015	4	110,292,225
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 ...........			36,761,646	7	102,621,777
8	Inventories for sale or use ............			2,101,894	8	2,185,776
9	Prepaid expenses and deferred charges ......			71,620,893	9	76,821,405
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	726,500,120
b	Less: accumulated depreciation	10b	212,420,305	377,211,127	10c	514,079,815
11	Investments—publicly traded securities .			896,939,969	11	738,142,904
12	Investments—other securities. See Part IV, line 11 .....			364,587,166	12	352,712,977
13	Investments—program-related. See Part IV, line 11 ..			1,091,793,673	13	788,155,436
14	Intangible assets ...............			19,296,630	14	19,296,630
15	Other assets. See Part IV, line 11 ...........			138,942,056	15	203,856,351
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,676,525,161	16	3,458,173,956

17	Accounts payable and accrued expenses .....	495,459,759	17	779,276,889
18	Grants payable ...		18
19	Deferred revenue .........	171,420,747	19	272,059,013
20	Tax-exempt bond liabilities .........	1,937,396,553	20	2,017,117,460
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	441,829,917	25	642,190,112
26	Total liabilities. Add lines 17 through 25..	3,046,106,976	26	3,710,643,474

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	614,839,317	27	-268,048,668
28	Net assets with donor restrictions ...........	15,578,868	28	15,579,150
	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 ...........	630,418,185	32	-252,469,518
33	Total liabilities and net assets/fund balances ........	3,676,525,161	33	3,458,173,956

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