TY 2024 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) Charlie Amato...................................................................... BOARD DIRECTOR/VICE CHAIR	1.0 ................. 0.0	X	X	0	0
(2) Cris Daskevich...................................................................... Chief Executive Officer OF CHOSA/BOARD DIRECTOR	40.0 ................. 0.0	X	X	1,227,993	342,114
(3) J Michael Belz...................................................................... Chairperson (TERM 12/24)	1.0 ................. 0.0	X	X	0	0
(4) John Grant Wicklund...................................................................... Chief Executive Officer/Board Director	40.0 ................. 0.0	X	X	913,448	51,176
(5) Varshi Broumand MD...................................................................... Board Director/CSR Medical Staff President (Term 12/24)	1.0 ................. 0.0	X	X	0	0
(6) Christiane Perkins-Garcia...................................................................... Board Director (TERM 12/24)	1.0 ................. 0.0	X		0	0
(7) Gabriela Saenz JD...................................................................... Corporate Secretary/SVP Corporate Services	1.0 ................. 39.0	X		1,488,071	67,068
(8) Gary Arthur...................................................................... Board Director (TERM 12/24)	1.0 ................. 0.0	X		0	0
(9) LEE SONNE...................................................................... Board Director (eff 5/25)	1.0 ................. 39.0	X		729,686	45,808
(10) Lisa Campos...................................................................... Board Director (TERM 12/24)	1.0 ................. 0.0	X		0	0
(11) Pat Frost...................................................................... Board Director	1.0 ................. 0.0	X		0	0
(12) Pilar Oates...................................................................... Board Director (TERM 12/24)	1.0 ................. 0.0	X		0	0
(13) Sam Bagchi MD...................................................................... EVP/Chief Clinical Officer	1.0 ................. 39.0	X		4,021,228	44,231
(14) Sandra Chavarria-Salinas...................................................................... Board Director (TERM 12/24)	1.0 ................. 0.0	X		0	0
(15) Sr Hanna Paradowska...................................................................... Board Director (TERM 12/24)	1.0 ................. 0.0	X		0	0
(16) Dr James Chris Henderson...................................................................... QUALITY COMMITTEE OF THE BOARD (TERM 12/24)	40.0 ................. 0.0		X	343,003	50,675
(17) Rachel Mewborn...................................................................... Corporate Secretary (EFF 1/25)	1.0 ................. 0.0		X	0	0

(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) Steve Chen........................................................................ Chief Financial Officer/Treasurer	40.0 .......................0.0	X				0	571,660	50,807
(19) Alexis Arel........................................................................ Vice President Finance Admin Office	40.0 .......................0.0		X			0	303,687	33,056
(20) Barbara Vazquez........................................................................ Chief Networking Officer Childrens Hospital	40.0 .......................0.0		X			0	385,560	40,724
(21) Bonifacio Benitez........................................................................ Vice President Clinical Operations	40.0 .......................0.0		X			0	293,091	59,785
(22) Cara Ansaldo........................................................................ President Santa Rosa Medical Center	40.0 .......................0.0		X			0	414,031	49,723
(23) Christine Keating........................................................................ Vice President AMB SVS-Network of care	40.0 .......................0.0		X			0	343,982	51,161
(24) Debasish Dasgupta........................................................................ Chief Marketing Officer Westover Hills	40.0 .......................0.0		X			0	558,804	47,933
(25) Derrick Cuenca........................................................................ Chief Executive Officer Westover Hills	40.0 .......................0.0		X			0	518,006	20,715
(26) Dominic Dominguez........................................................................ Regional Chief Executive Officer	20.0 .......................20.0		X			0	1,396,207	25,862
(27) Eleanor Milo........................................................................ Chief Networking Officer SRH Westover Hills	40.0 .......................0.0		X			0	170,516	11,519
(28) Genifer Rucker........................................................................ President New Braunfels	40.0 .......................0.0		X			0	431,600	41,060
(29) Ian Thompson........................................................................ President/VP Market Oncology	40.0 .......................0.0		X			0	562,156	52,365
(30) Karen Bryant........................................................................ Vice President -Strategy-Bus Development	40.0 .......................0.0		X			0	429,730	92,359
(31) Kevin Anderson........................................................................ Chief Financial Officer CHRISTUS Children's Hospital	40.0 .......................0.0		X			0	346,344	38,723
(32) Nikki Rivers........................................................................ Chief Networking Officer New Braunfels	40.0 .......................0.0		X			0	374,161	52,837
(33) Norman Christopher........................................................................ Chief Marketing Officer Childrens Hospital	40.0 .......................0.0		X			0	691,918	55,809
(34) Patricia Burns........................................................................ President	40.0 .......................0.0		X			0	211,514	4,593
(35) Sarah Hill........................................................................ Vice President MISSION INTEGRATION	40.0 .......................0.0		X			0	241,719	33,696
(36) Sherry Fraser........................................................................ President Alamo Heights	40.0 .......................0.0		X			0	285,384	43,327
(37) Steven Martin........................................................................ Associate Chief Information Officer	40.0 .......................0.0		X			0	247,808	35,750
(38) Terry Kyle........................................................................ Chief Development Officer	40.0 .......................0.0		X			0	412,830	61,047
(39) DUSTYN D TYSDAL........................................................................ Director Pharmacy	40.0 .......................0.0			X		272,857	0	49,706
(40) GIANG P DINH........................................................................ Clinical Pharmacist	40.0 .......................0.0			X		284,359	0	24,132
(41) Janice E Williams........................................................................ RN	40.0 .......................0.0			X		234,383	0	23,979
(42) Mark Dizon........................................................................ RN Lead	40.0 .......................0.0			X		215,885	0	20,230
(43) ROBERT PEREZ........................................................................ RN Lead	40.0 .......................0.0			X		238,925	0	5,825
(44) CHARLES HANKINS MD........................................................................ (FORMER) CMO & BOARD OF DIRECTOR, QUALITY COMMITTEE OF THE BOARD (TERM 12/22)	0.0 .......................0.0				X	0	626,808	0
(45) STEPHANIE A Parker........................................................................ (Former) Chief Executive Officer & BOARD DIRECTOR (TERM 2/24)	40.0 .......................0.0				X	0	798,890	49,372
(46) TAMMY RIVERS........................................................................ CORPORATE SECRETARY (TERM 1/22)	0.0 .......................40.0				X	0	107,403	12,035
(47) William M Johnson........................................................................ (Former) Chief Nursing Officer (Term 6/23)	0.0 .......................40.0				X	0	353,670	46,599

- 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.
right arrow

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

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
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	0	0	0	0	0
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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
7	Amounts from line 4..	0	0	0	0	0
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.)..	0	0	0	0	0
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 2024 (line 6, column (f) divided by line 11, column (f)) .........

0 %

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5	0	0	0	0	0
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	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
c	Add lines 7a and 7b..	0	0	0	0	0
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
9	Amounts from line 6...	0	0	0	0	0
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	0	0	0	0	0
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	0	0	0	0	0
13	Total support. (Add lines 9, 10c, 11, and 12.)..	0	0	0	0	0

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 2024 (line 8, column (f) divided by line 13, column (f)) .........

0 %

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

0 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

0 %

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) 2024

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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization Christus Santa Rosa Health Care Corporation

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization Christus Santa Rosa Health Care Corporation		Employer identification number 74-1109665

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization Christus Santa Rosa Health Care Corporation			Employer identification number 74-1109665
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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

2024

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

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) 2024

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(b)

Amount

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

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

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

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

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

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

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

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

Yes

1,572

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

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

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

1,572

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS	LOBBYING DESCRIPTION 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 communicated verbally and in writing with members of the Texas Legislature and administration officials regarding issues important to our ministry. These issues include, but are not limited to, issues related to Medicaid reimbursement, access to health care, state funding for safety net providers, regulatory oversight of operations, emergency preparedness, vaccine mandates, workplace violence, graduate medical education, trauma network and services, local provider participation funds, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, itemized billing, foster care reform, Medicaid directed payment programs, health care staffing, price transparency, and the 1,115 waiver program. 5.5 EXECUTIVE HOURS. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-25.

Return Reference

Explanation

Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS

LOBBYING DESCRIPTION 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 communicated verbally and in writing with members of the Texas Legislature and administration officials regarding issues important to our ministry. These issues include, but are not limited to, issues related to Medicaid reimbursement, access to health care, state funding for safety net providers, regulatory oversight of operations, emergency preparedness, vaccine mandates, workplace violence, graduate medical education, trauma network and services, local provider participation funds, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, itemized billing, foster care reform, Medicaid directed payment programs, health care staffing, price transparency, and the 1,115 waiver program. 5.5 EXECUTIVE HOURS. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-25.

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

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
right arrow

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

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) (Rev. 1-2025)

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 .....	27,198,740		27,198,740
b	Buildings ....	710,335,702	226,881,431	483,454,271
c	Leasehold improvements	11,103,281	8,715,618	2,387,663
d	Equipment ....	379,486,396	341,479,511	38,006,885
e	Other .....	55,493,919	17,990,332	37,503,587
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				588,551,146

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1)BENEFICIAL INTEREST SUB ORG				160,856,022
(2)ROU TRANSACTIONS				48,920,752
(3)OTHERS				25,850,105
(4)DEFERRED RENTS				7,143,896
(5)FIN 45 ASSETS				2,139,296
(6)DEPOSITS				568,840
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				245,478,911

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	552,412
Federal Income Taxes	552,412
LT PORTION CAPITAL LEASE BLDG/HOSP	44,080,914
CP LEASE LIABILITY	7,908,136
OTHER	930,187





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	53,471,649
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) (Rev. 1-2025)

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	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
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	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

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	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
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	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

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, THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2025 OR 2024.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 30000 %

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

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

Yes

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

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

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

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

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

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

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

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

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			70,194,265	0	70,194,265	5.686 %
b	Medicaid (from Worksheet 3, column a) . . . . .			334,017,883	292,837,133	41,180,750	3.336 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	404,212,148	292,837,133	111,375,015	9.022 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	16	90,835	4,427,747	0	4,427,747	0.359 %
f	Health professions education (from Worksheet 5) . . .	2	1,344	1,348,651	0	1,348,651	0.109 %
g	Subsidized health services (from Worksheet 6) . . . .	2	6,093	2,666,235	0	2,666,235	0.216 %
h	Research (from Worksheet 7) .			0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1		1,015,982	0	1,015,982	0.082 %
j	Total. Other Benefits . .	21	98,272	9,458,615	0	9,458,615	0.766 %
k	Total. Add lines 7d and 7j .	21	98,272	413,670,763	292,837,133	120,833,630	9.788 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy	1		49,637		49,637	0.004 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	1	0	49,637	0	49,637	0.004 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

50,498,532

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

399,323

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

Section B. Medicare

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

131,243,128

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

159,094,871

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

-27,851,743

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1CH SN RSA OTPT SGY	OUTPATIENT SURGERY CENTER	52.4 %	0 %	47.6 %
2CR SN RS PH AB SG CT	SURGERY CENTER	57.81 %	0 %	27.96 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?6Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	CHRISTUS SANTA ROSA NEW BRAUNFELS 600 N UNION AVENUE NEW BRAUNFELS,TX78130 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 100514	X	X				X	A
2	CHRISTUS SANTA ROSA WESTOVER HILLS 11212 STATE HIGHWAY 151 SAN ANTONIO,TX78251 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 000339	X	X				X	A
3	CHRISTUS SANTA ROSA MEDICAL CENTER 2827 BABCOCK ROAD SAN ANTONIO,TX78229 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 000339	X	X				X	A
4	CHRISTUS SANTA ROSA ALAMO HEIGHTS 403 TREELINE PARK SAN ANTONIO,TX78209 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 000339	X	X				X	A
5	CHRISTUS CHILDREN'S 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 WWW.CHOFSA.ORG 100166	X	X	X	X	X	X	A
6	CHRISTUS SANTA ROSA SAN MARCOS 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 WWW.CHRISTUSHEALTH.ORG 100514	X	X				X	A

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	A
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 25

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

Yes

6 a

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): See Part VI

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 25

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

Yes

If "Yes" (list url): See Part VI

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

10b

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

12a

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

12a

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

12b

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

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE

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

SEE SUPPLEMENTAL INFO

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL INFO

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	A
Name of hospital facility or letter of facility reporting group

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	CHRISTUS Santa Rosa Health System and CHRISTUS Children's, CHRISTUS Santa Rosa Hospital - New Braunfels and CHRISTUS Santa Rosa Hospital - San Marcos EACH SITE CONDUCTED ITS OWN CHNA. THE HOSPITAL FACILITIES' MOST RECENT CHNA REPORTS INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. GIVEN THE LARGE POPULATION OF UNINSURED PATIENTS, CSRHS CHOOSES TO IMPLEMENT EMMOTIONAL WELLBEING, MATERNAL AND INFANT RISK, SOCIAL DETERMINANTS OF HEALTH, WELLNESS AND VIOLENCE PREVENTION.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - CHRISTUS Santa Rosa Health System and CHRISTUS Children's. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS WERE COMPLETED BY COUNTY, AND THE MINISTRY'S CEO/PRESIDENT AND EXECTUVE LEADERSHIP TEAM REVEIWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON AUGUST 8, 2025 (RATIFICATION DATE). THE CHNA WAS DEVELOPED THROUGH A COMMUNITY-CENTERED, EQUITY-DRIVEN PROCESS. GUIDED BY THE HEALTH COLLABORATIVE'S BOARD OF DIRECTORS, CHNA AND DATA COMMITTEE, AND CHIP WORKGROUPS' PARTNERS, THE ASSESSMENT INVOLVED INTERVIEWS WITH KEY COMMUNITY LEADERS, OUTREACH THROUGH GRASSROOTS AND FAITH-BASED PARTNERS, AND RESIDENT FOCUS GROUPS FACILITATED BY COMMUNITY HEALTH WORKERS (CHWS). SPECIAL CARE WAS TAKEN TO ENGAGE INDIVIDUALS WITH LIVED EXPEREINCE AND TO CENTER THE VOICE OF THOSE MOST IMPACTED BY HEALTH INEQUITIES.
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - CHRISTUS Santa Rosa Hospital - New Braunfels. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS WERE COMPLETED BY COUNTY, AND THE MINISTRY'S CEO/PRESIDENT AND EXECTUVE LEADERSHIP TEAM REVEIWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON AUGUST 8, 2025 (RATIFICATION DATE). THE CHNA WAS DEVELOPED AND SUPPORTED BY MANY LOCAL COMMUNITY PARTNERS WHOSE INSIGHT, FEEDBACK, AND ACTIVE ENGAGMENT SHAPED THE REPORT. RESIDENTS PARTICPATED IN LISTENING SESSIONS AND SHARED THEIR PROSPECTIVES - THIER VOICES ARE THE HEART OF THE FINDINGS.
Schedule H, Part V, Section B, Line 5 Facility A, 3	Facility A, 3 - Christus Santa Rosa Hospital - San Marcos. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS WERE COMPLETED BY COUNTY, AND THE MINISTRY'S CEO/PRESIDENT AND EXECTUVE LEADERSHIP TEAM REVEIWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON AUGUST 8, 2025 (RATIFICATION DATE). THE CHNA WAS DEVELOPED AND SHAPED BY COMMUNITY-LED WORKGROUPS, FOCUS GROUPS, AND CONVERSATIONS THAT EXPLORED COMPLEX CHALLENGES GROUNDED IN LIVED EXPERIENCE AND COMMUNITY STRENGTH. COMMUNITY PARTICPATED AS STORYTELLERS, ORGANIZERS, SURVEY RESPONDENTS, VOLUNTEERS, AND ADVOCATES.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - CHRISTUS Santa Rosa Health System and CHRISTUS Children's. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LED BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH LOCAL HEALTHCARE, PUBLIC HEALTH, EDUCATION, WORKFORCE, HOUSING, PHILANTHROPY, AND GRASSROOTS ADVOCACY MEMBERS OF THE COMMUNITY. THE MEMBERS OF THE HEALTH COLLABORATIVE'S MEMBERSHIP IS COMPOSED OF A WIDE ARRAY OF ORGANIZATIONS INCLUDING APPDICTION STUDIOS, BEXAR COUNTY PUBLIC HEALTH, CHRISTUS SANTA ROSA HEALTH SYSTEM, THE CITY OF SAN ANOTNIO METROPOLITAN HEALTH DISTRICT, COMMUNITY FIRST HEALTH PLANS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC., MEDTHODIST HEALTHCARE SYSTEM, TEXAS A&M UNIVERSITY - SAN ANTONIO, UNIVERSITY HEALTH, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO - DEPT. OF FAMILY & COMMUNITY MEDICINE, AND COMMUNITY MEMBERS AT LARGE.
Schedule H, Part V, Section B, Line 6a Facility A, 2	Facility A, 2 - CHRISTUS Santa Rosa Hospital - New Braunfels. THE MOST RECENLTY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LEAD BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH SEVERAL COMAL COUNTY ORGANZATIONS, INCLUDING THE MCKENNA FOUNDATION AND THE UNITED WAY OF COMAL COUNTY - ALONG WITH ANY ADDITIONAL GRASSROOTS, BUSINESS, FAITH, AND GOVERNMENT LEADERS.
Schedule H, Part V, Section B, Line 6a Facility A, 3	Facility A, 3 - CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND INCLUDED QUANTITATIVE AND QUALITATIVE DATA FROM A VARIETY OF SOURCES, ENGAGING KEY STAKEHOLDERS INCLUDING RESIDENTS, HEALTHCARE PROVIDERS, LOCAL LEADERS, AND NONPROFIT ORGANIZATIONS. METOPIO, A DATA PLATFORM DESIGNED FOR COMMUNITY ENGAGEMENT, SUPPORTED THE CHNA BY ENABLING REAL-TIME DATA VISUALIZATION AND EXLORATION. THE FOLLOWING ORGANIZATIONS PARTICPATED IN THE WORKGROUPS AND FOCUS GROUPS: CITY OF SAN MARCOS, UNITED WAY OF SAN MARCOS, HAYS COUTNY HEALTH DEPARTMENT, ANY BABY CAN, COMMUNITY ACTION, CASA OF CENTRAL TEXAS, INC., HOUSING & COMMUNITY INITIATIVES, HAYS-CALDWELL WOMEN'S CENTER, CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS, AMERICAN RED CROSS, PALS, CITY MANAGER'S OFFICE COMMUNITY RESOURCES ENGAGMENT, THE HEALTH COLLABORATIVE AND COMMUNITY PARTICPANT VOICES.
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - CHRISTUS Santa Rosa Hospital - San Marcos. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND INCLUDED QUANTITATIVE AND QUALITATIVE DATA FROM A VARIETY OF SOURCES, ENGAGING KEY STAKEHOLDERS INCLUDING RESIDENTS, HEALTHCARE PROVIDERS, LOCAL LEADERS, AND NONPROFIT ORGANIZATIONS. METOPIO, A DATA PLATFORM DESIGNED FOR COMMUNITY ENGAGEMENT, SUPPORTED THE CHNA BY ENABLING REAL-TIME DATA VISUALIZATION AND EXLORATION. THE FOLLOWING ORGANIZATIONS PARTICPATED IN THE WORKGROUPS AND FOCUS GROUPS: CITY OF SAN MARCOS, UNITED WAY OF SAN MARCOS, HAYS COUTNY HEALTH DEPARTMENT, ANY BABY CAN, COMMUNITY ACTION, CASA OF CENTRAL TEXAS, INC., HOUSING & COMMUNITY INITIATIVES, HAYS-CALDWELL WOMEN'S CENTER, CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS, AMERICAN RED CROSS, PALS, CITY MANAGER'S OFFICE COMMUNITY RESOURCES ENGAGMENT, THE HEALTH COLLABORATIVE AND COMMUNITY PARTICPANT VOICES.
Schedule H, Part V, Section B, Line 6b Facility A, 2	Facility A, 2 - CHRISTUS SANTA ROSA HEALTH SYSTEM AND CHRISTUS CHILDREN'S. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LED BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH LOCAL HEALTHCARE, PUBLIC HEALTH, EDUCATION, WORKFORCE, HOUSING, PHILANTHROPY, AND GRASSROOTS ADVOCACY MEMBERS OF THE COMMUNITY. THE MEMBERS OF THE HEALTH COLLABORATIVE'S MEMBERSHIP IS COMPOSED OF A WIDE ARRAY OF ORGANIZATIONS INCLUDING APPDICTION STUDIOS, BEXAR COUNTY PUBLIC HEALTH, CHRISTUS SANTA ROSA HEALTH SYSTEM, THE CITY OF SAN ANOTNIO METROPOLITAN HEALTH DISTRICT, COMMUNITY FIRST HEALTH PLANS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC., MEDTHODIST HEALTHCARE SYSTEM, TEXAS A&M UNIVERSITY - SAN ANTONIO, UNIVERSITY HEALTH, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO - DEPT. OF FAMILY & COMMUNITY MEDICINE, AND COMMUNITY MEMBERS AT LARGE.
Schedule H, Part V, Section B, Line 6b Facility A, 3	Facility A, 3 - CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS. THE MOST RECENLTY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LEAD BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH SEVERAL COMAL COUNTY ORGANZATIONS, INCLUDING THE MCKENNA FOUNDATION AND THE UNITED WAY OF COMAL COUNTY - ALONG WITH ANY ADDITIONAL GRASSROOTS, BUSINESS, FAITH, AND GOVERNMENT LEADERS.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - All Hospital Facilities. FY2023-2025 CHNA Prioritized Needs and Implementation Activities Christus Santa Rosa Health System (CHRISTUS SRHS) and Christus Children's, Christus Santa Rosa Hospital - New Braunfels, and Christus Santa Rosa Hospital - San Marcos Community ("The Hospital Facilities") completed their prior CHNAs on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period, which identified many priorities to be addressed in the San Antonio, New Braunfels, and San Marcos communities. However, given the large population of uninsured patients with specific care needs and chronic illness (heart disease, stroke, asthma, depression, diabetes, chronic obstructive pulmonary disease (COPD)) who seek care at The Hospital Facilities, access to health care and education are a high priority. The Hospital Facilities chose to implement programs targeted specifically at this population to address the identified priorities and improve health outcomes. To that end, the major community benefit activities enacted are focused on advancing health & well-being (specifically care for chronic illness and behavioral health) and building resilient communities and improving social determinants of health (improving food access and reducing smoking and vaping). The Hospital Facilities address access to care by focusing on increasing access to primary care providers. All patients without a primary care provider are offered assistance in finding a primary care provider, enrolling in CareLink - San Antonio, and obtaining primary care services, including but not limited to The Hospital Facilities' clinics, Communicare, CentroMed, and other collaborating partner community clinics. Programs such as the Pedi Mobile Clinic offer community health child/family outreach with immunizations, physicals, and navigation to community services at local public schools. Educators for diabetes, asthma, and heart failure provide education in collaboration with the American Heart Association, American Diabetes Association, and the American Lung Association. In addition to community health workers providing navigation to community services and addressing SDOH, community health worker programs provide navigation and assistance with online food, housing, and utility assistance applications. Collaboration with Enroll SA and The Health Collaborative ensures the uninsured are educated about insurance through CareLink San Antonio, marketplace options, and appropriate use of the emergency room. The Hospital Facilities address chronic illness by providing opportunities for education and resource assistance related to heart disease, diabetes, and obesity. The Hospital Facilities will utilize their nurse navigators, diabetes educators, case managers, community health workers, and community partners (AHA, ADA, SA Food Bank, chef programs, etc.) to educate, provide resources, conduct online application assistance, and provide navigation to other community partners as needed, such as food pantries and other community resources. The Hospital Facilities address behavioral-related needs by providing resources to combat mental illness or substance abuse. The Hospital Facilities conduct SDOH and behavioral screenings for patients, identify community resources for all patients at the time of their visit, and have expanded inpatient behavioral health services with pediatric and adult clinics, outpatient counseling centers, and enhanced collaboration and referral relationships with other local behavioral health service providers. FY2023-2025 CHNA Identified Needs Not Being Addressed To maximize resources available for the priority areas listed above, The Hospital Facilities determined that the following issues would not be explicitly included in their community health improvement plan: transportation and physician specialties. The Hospital Facilities anticipate meeting all the needs identified. FY2026-2028 CHNA Prioritized Needs and Implementation Approach CHRISTUS SRHS and Christus Children's FY2026-2028 CHNA The FY2026-2028 CHNA for CHRISTUS SRHS and Christus Children's was completed on June 30, 2025 (FY2025) and identifies prioritized health needs to guide community health improvement efforts for the implementation period. Based on quantitative data, qualitative input, and stakeholder and community engagement, the CHNA identified priority areas affecting the San Antonio service area, including access to care, food, housing, early and ongoing prenatal care, and mental health. To address these prioritized needs, CHRISTUS SRHS and Christus Children's developed and adopted an implementation approach focused on expanding access to primary care and preventive services, improving education and support for individuals with chronic conditions, enhancing behavioral health resources, and addressing selected social and economic barriers to health. Community benefit programs emphasize outreach to uninsured and vulnerable populations through care navigation, health education, community-based initiatives, and coordination with local partner organizations. In alignment with CHRISTUS Health system strategy, CHRISTUS SRHS and Christus Children's implemented community health initiatives collaboratively with other hospital facilities, public health agencies, nonprofit organizations, and community-based partners to leverage resources, promote continuity of care, and avoid duplication of services. Progress toward addressing the prioritized needs is monitored periodically to evaluate outcomes, inform adjustments, and ensure continued alignment with community needs and available resources throughout the FY2026-2028 implementation period. Christus Santa Rosa Hospital - New Braunfels FY2026-2028 CHNA The FY2026-2028 CHNA for Christus Santa Rosa Hospital - New Braunfels was completed on June 30, 2025 (FY2025) and identifies prioritized health needs to guide the Hospital Facility's community health improvement efforts for the implementation period. Based on a review of quantitative data, qualitative community input, and stakeholder engagement, the CHNA identified priority areas related to access to care, food, housing, early and ongoing prenatal care, and mental health. To respond to these prioritized needs, the Hospital Facility developed and adopted an implementation approach focused on delivering community benefit programs and services that improve access to primary care, expand chronic disease education and management, enhance behavioral health resources, and address selected social and economic barriers to health. Programs are designed to support uninsured and vulnerable populations through care navigation, health education, community outreach, and collaboration with local partners and community-based organizations. Consistent with the CHRISTUS Health system strategy, Christus Santa Rosa Hospital - New Braunfels implements its community health initiatives through partnerships with other hospital facilities, public health agencies, nonprofits, and social service organizations to leverage resources and avoid duplication of services. Community benefit activities are monitored periodically to assess progress toward addressing the prioritized needs identified in the CHNA and to ensure alignment with community conditions and available resources throughout the FY2026-2028 implementation period. (CONTINUED)
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - All Hospital Facilities (CONTINUED). CHRISTUS Santa Rosa Hospital - San Marcos FY2026-2028 CHNA The most recent CHNAs for At CHRISTUS Santa Rosa Hospital - San Marcos was completed on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period. To better understand and respond to the evolving needs of the communities they serve, CHRISTUS Santa Rosa Hospital - San Marcos structured its CHNA and community health implementation plan (CHIP) using a lifespan approach. This framework organizes data, priorities, and strategies by key stages of life, recognizing that health needs-and the factors that influence them-change as individuals age and move through different phases of life. CHRISTUS Santa Rosa Hospital - San Marcos identified three to five leading health indicators within each of the following four life stages: * Maternal and early childhood (pregnancy through age 4) * School-age children and adolescents (ages 5-17) * Adults (ages 18-64) * Older adults (ages 65 and over) Segmenting this work in this way ensures that interventions are age-appropriate, culturally responsive, and aligned with the unique developmental, social, and health needs of each phase of life. At the same time, CHRISTUS Santa Rosa Hospital - San Marcos recognize that health is deeply interconnected-maternal health affects infant outcomes, early trauma can influence long-term well-being, and investments in one life stage often ripple into the next. This process included tools from the results-based accounting model, focusing on trend data to understand whether community conditions are improving over time rather than emphasizing year-to-year fluctuations. Through data review and structured discussion, three to five leading indicators were identified for each life stage. These indicators now serve as a shared focus for CHRISTUS Santa Rosa Hospital - San Marcos' strategies, investments, and partnerships over the next three years. FY2026-2028 CHNA Identified Needs Not Being Addressed The FY2026-2028 CHNA identified a broad range of important health and social needs across the service area. However, not all of these needs fall within the direct scope of services or resources that The Hospital Facilities can lead or sustain independently. Some community issues require specialized focus, infrastructure, or mission alignment with other organizations, agencies, or collaborative groups that are better positioned to lead efforts in those areas. Examples of these needs may include, but are not limited to, transportation barriers. Although The Hospital Facilities do not serve as the primary lead organization for these issues, the health system acknowledges their influence on health outcomes and quality of life. Consistent with the systems of care framework outlined in the CHNA and implementation plan, The Hospital Facilities remain committed to ongoing collaboration with community partners, participation in coalitions, and support of aligned initiatives through community benefit investments to ensure these needs are addressed by organizations best positioned to lead them.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - See Schedule, H, Part V, Section A. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% TO 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - See Schedule, H, Part V, Section A. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - See Schedule, H, Part V, Section A. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY FOR AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING THE TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - See Schedule, H, Part V, Section A. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address		Type of Facility (describe)
1	CHRISTUS SR PHYS AMB SURG CENTER SA 502 MADISON OAK SAN ANTONIO,TX78258	SURGERY CENTER
2	CHRISTUS SR PHYS AMB SURG CENTER SA 423 TREELINE PARK STE 202 SAN ANTONIO,TX78209	SURGERY CENTER
3	CHRISTUS SR PHYS AMB SURG CENTER NB 1738 E COMMON ST NEW BRAUNFELS,TX78130	SURGERY CENTER
4	CHRISTUS SR PHYS AMB SURG CENTER NB 1305 WONDER WORLD DR 105 SAN MARCOS,TX78666	SURGERY CENTER
5	CHRISTUS SR EMERGENCY CENTER - CREEKSIDE 244 CREEKSIDE CROSSING NEW BRAUNFELS,TX78130	EMERGENCY CENTER
6	CHRISTUS SANTA ROSA - ALON 11503 NW MILITARY HIGHWAY SUITE 12 SAN ANTONIO,TX78231	EMERGENCY CENTER
7	The CHRISTUS Childrens Emergency Center Stone Oak 1434 E Sonterra Blvd San Antonio,TX78258	Emergency Center
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT.
Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN(A) IS $1,284,950,348. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $50,498,532. THIS LEAVES A TOTAL EXPENSE OF $ 1,234,451,816 FOR PURPOSES OF CALCULATING LINES 7, COLUMN(F).
Schedule H, Part I, Line 7k FIN ASSISTANCE/OTHER BENEFITS AS PERCENTAGE OF COST	THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN(C) AS A PERCENTAGE OF TOTAL EXPENSE IS 32.12%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN(F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS	THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $320,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS SANTA ROSA HEALTH CARE CORPORATION SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY.
Schedule H, Part V, Section B, Line 13 ITEM A	DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS	THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11.
Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 22 FAP-eligible emergency or other medical care	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 45% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF THE FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% OF THE FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY	THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUE 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 NONPROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE FOREGONE INTEREST FOR THE CHRISTUS SANTA ROSA REGION IN FISCAL YEAR ENDING JUNE 30, 2025 WAS $0. IN AN EFFORT TO MEET AND ADDRESS THE IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION PROVIDES ACCESS TO HEALTH CARE SERVICES THROUGH PROGRAMS AND LOCAL COMMUNITY PARTNERS AND SERVICE ORGANIZATIONS. THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE THROUGH IMPROVED ACCESS TO HEALTH SERVICES AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2025, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES BY WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. THESE ARE SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES THAT ARE IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE.
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/2021PLAINLANGUAGESUMMARYHOSPITALENGLISH.ASHX
Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY CRITERIA	CHRISTUS HEALTH PROVIDES FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WITH MEDICAL BILLS IF UNINSURED AND HAVE A LOW INCOME. ELIGIBLE FAMILIES USUALLY HAVE INCOMES BELOW 400% OF FEDERAL POVERTY LEVEL. SOME FAMILIES MAY BE ELIGIBLE FOR DISCOUNTSS IF MEDICAL BILLS EXCEED 10% OF FAMILY'S ANNUAL INCOME. IF ELIGIBLE FOR ASSITANCE, DISCOUNTS ON NECESSARY SERVICES WILL BE RECEIVED. FREE CARE, IF THE FAMILY INCOME IS LESS THAN 300% OF THE FEDERAL POVERTY LEVEL.
Schedule H, Part VI Rev. Proc. 2015-21 Disclosure	Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on August 8, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on August 8, 2025. Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (August 8, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on August 8, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies.
Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITE (LIST URL)	The CHNA reports are all posted on the general website: https://www.christushealth.org/connect/community/community-needs Specific links are as follows: CHRISTUS SANTA ROSA HEALTH SYSTEM AND CHRISTUS CHILDREN'S https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/christus-santa-rosa-health-system/2026-2028-community-health-needs-assessment-christus-santa-rosa-health-system--new-braunfels.ashx CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/santa-rosa-san-marcos/2026-2028-community-health-needs-assessment-christus-santa-rosa-health-system--san-marcos.ashx CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/christus-santa-rosa-health-system-new-braunfels/2026-2028-community-health-needs-assessment-christus-santa-rosa-health-system.ashx
Schedule H, Part V, Section B, Line 10 IF "YES", (LIST URL)	The implementation plans are all posted on the general website: https://www.christushealth.org/connect/community/community-needs Specific links are as follows: CHRISTUS SANTA ROSA HEALTH SYSTEM AND CHRISTUS CHILDREN'S https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/christus-santa-rosa-health-system-new-braunfels/2026--2028-community-health-implementation-plan-christus-santa-rosa-health-system.ashx CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/santa-rosa-san-marcos/2026--2028-community-health-implementation-plan-christus-santa-rosa-health-system.ashx CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/santa-rosa-san-marcos/2026--2028-community-health-implementation-plan.ashx
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	50498532
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part II Community Building Activities	COMMUNITY BUILDING ACTIVITIES PROMOTE COMMUNITY HEALTH BY STRENGTHENING SOCIAL CONNECTIONS AND MENTAL HEALTH, PROMOTE ACTIVE LIFESTYLES AND PHYSICAL HEALTH, IMPROVE SOCIAL DETERMINANTS AND HEALTH EQUITY, BUILD RESILIENT COMMUNITY SYSTEMS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE FILING ORGANIZATION RECOGNIZED THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 PERCENT OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHER WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73 PERCENT OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2025. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.791 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2025 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $32,478,153 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHRISTUS SANTA ROSA NEW BRAUNFELS: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHRISTUS SANTA ROSA NEW BRAUNFELS: Line 16b URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHRISTUS SANTA ROSA NEW BRAUNFELS: Line 16c URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part VI, Line 2 Needs assessment	Over the Last 25 years, The Health Collaborative has had the privilege to work in partnership with community stakeholders, leaders and community members to ensure that this comprehensive report is produced and shared. The report is the result of a formal community assessment that reflects over 18 months of collaborative work with agency partners and community stakeholders to establish a shared vision, select relevant indicators, and prepare a document that addresses the important drivers of health in our community. In keeping with the national movement in public health to focus more sharply on the root causes of health outcomes, the report devotes significant space to describing social, economic, and environmental conditions. The framework used to organize the report developed by the Bay Area Regional Health Inequities Initiatives, moves from population characteristics to living conditions, to health behaviors and risk factors, and finally to prevalence of specific disease and causes of death. Recognizing that COVID-19 has placed additional stress on our community families on the already fragile eco-system of care, this report highlights key access issues of concern and public health threats that we need to continue to learn about and act upon for years to come. As is customary, the community's voice has been integrated into the narrative of the CHNA. This strengthens and validates the 2022 CHNA by providing on going community commentary and reinforces the idea that we are more than just collective data points on page but rather individuals that experience health outcomes in our daily lives. The Report reveals numerous health disparities along a number of dimensions, e.g., age, race and ethnicity, education. A guiding principle for the pro-active approach through an equity lens is to remember that equity and disparity are related: in communities where resources are not equitably distributed, health disparities tend to predominate. Through the leadership and guidance of The Health Collaborative Board of Directors, Steering Committee, Research partner CI:NOW The Report was developed. With the support of the sponsors and in-kind partners it was possible for the report to be available to the community. Most importantly, the contribution from the greater community, for providing feedback and ongoing support to the people and places reflected in The Report. CHRISTUS Santa Rosa Hospital - New Braunfels and CHRISTUS Santa Rosa Hospital - San Marcos The CHNA is a systematic, data-driven approach to determine the health needs in the service area of the hospitals. In the process, the hospitals directly engaged community members and stakeholders to identify issues of greatest need, as well as the largest impediments to health. With this information, the hospitals can better allocate resources towards efforts to improve community health and wellness. Directing resources toward the greatest needs in the community is critical to CSRHS' work as a nonprofit hospital. The important work of a CHNA was codified in the Patient Protection and Affordable Care Act added Section 501(r) to the Internal Revenue Service Code, which requires nonprofit hospitals to conduct a CHNA every three years. The process used was designed to meet federal requirements and guidelines in Section 501(r): including: - Clearly defining the community served by the hospital, and ensuring that defined community does not exclude low-income, medically underserved, or minority populations in proximity to the hospital; - Providing a clear description of the CHNA process and methods; community health needs: collaboration, including with public health experts; and description of existing facilities and resources in the community; - Receiving input from persons representing the broad needs of the community; - Documenting community comments on the CHNA and health needs in the community; and - Documenting the CHNA in a written report and making it widely available to the public. When assessing the health needs of the entire CSRHS-New Braunfels and -San Marcos service areas, the CHNA data is presented by zip code and county depending on the available data. Providing localized data brings to light the differences and similarities within the communities. The hospitals worked with Metopio, a software and services company that is grounded in the philosophy that communities are connected through places and people. Metopio's tools and visualizations use data to reveal valuable, interconnected factors that influence outcome in different locations. The health system's partners and stakeholder groups provided insight and expertise around the indicators to be assessed, types of focus group questions to be asked, interpretation of results and prioritization of areas of highest need. Primary data for the CHNA was collected through four channels: - Community resident surveys - Community resident focus groups - Health care and social services provider focus groups - Key informant interviews Secondary data for the CHNA were aggregated on Metopio's data platform and included: - Hospital utilization data - Secondary sources including, but not limited to, the American Community Survey, the Decennial Census, the Centers for Disease Control, the Environmental Protection Agency, Housing and Urban Development, and the Texas department of State Health Services Community Resident Surveys were conducted in both service areas to provide input to the CHNA. The survey was available online and in paper form in English and Spanish. Survey dissemination happened through multiple channels led by our hospitals and community partners. The survey sought input from priority populations typically underrepresented in assessment processes, including communities of color, immigrants, persons with disabilities, and low-income residents. The survey was designed to collect information regarding: - Demographics of respondents - Health needs of the community for different age groups - Perception of community strengths - Utilization and perception of local health services The survey was based on a design used extensively for CHNAs and by public health agencies across the country. The final survey included 26 questions. Two focus groups were conducted in an effort to speak directly to community members, partners and leaders that live in and/or work in the hospitals PSA.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHRISTUS SANTA ROSA HEALTH CARE CORPORATION MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	CHRISTUS Santa Rosa Health Care Corporation is headquartered in San Antonio, Texas in the South-Central Area of the State. It has six hospital campuses (Medical Center, Westover Hills, Alamo Heights, New Braunfels, San Marcos and CHRISTUS Children's. It serves the southwestern border of Texas and into the Central Texas Hill Country. The area comprises a population of more than 3.2 million individuals. The population consists of 55.60% Hispanic and 44.40% non-Hispanic.
Schedule H, Part VI, Line 5 Promotion of community health	CHRISTUS Santa Rosa Health Care Corporation provides a full range of inpatient and outpatient services to the communities it serves. It conducts its activities and its health care purpose without regard to race, color, creed, religion, gender, orientation, disability, age, or national origin. One of the top health care organizations in South Texas, CHRISTUS Health Care Corporation has six hospital campuses: 1. CHRISTUS Santa Rosa Hospital - Medical Center, located in the South Texas Medical Center of San Antonio 2. CHRISTUS Children's, located in downtown San Antonio 3. CHRISTUS Santa Rosa Hospital - Westover Hills, located in the Westover Hills area of San Antonio 4. CHRISTUS Santa Rosa Hospital - Alamo Heights, located in the Alamo Heights area of San Antonio 5. CHRISTUS Santa Rosa Hospital - New Braunfels, located in New Braunfels, Texas 6. CHRISTUS Santa Rosa Hospital - San Marcos, located in San Marcos, Texas Each of the facilities of CHRISTUS Santa Rosa share one objective - To lead the way to a healthier community. Each of the six hospitals within CHRISTUS Santa Rosa Health Care Corporation provides a 24-hour emergency room that is open to serve all those in need of emergency care, regardless of ability to pay. CHRISTUS Santa Rosa Health Care Corporation works to facilitate and strengthen access to quality comprehensive health care services for all, particularly the vulnerable and underserved populations. CHRISTUS Santa Rosa Health Care Corporation also supports many local community health services, offering convenient locations for adult and pediatric primary care through family health clinics and mobile health clinics. CHRISTUS Santa Rosa Health Care Corporation offers services such as: Comprehensive Pediatric Care, Intensive and Intermediate care to critically ill infants requiring medical and/or surgical interventions such as the neonatal ECMO Program that provides Veno-Venous or Veno-Arterial Extracorporeal Life support for up to three infants in the NICU; a centralized Level IV NICU and a Wound Care and Hyperbaric Center. In addition, our adult hospitals offer the following; Cardiac Care that is nationally certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and accredited as a Chest Pain Center with Percutaneous Coronary Intervention (PCI) designation from the Society of Chest Pain Centers (SCPC); a comprehensive cancer program; complete obstetrical and newborn services; surgical units; a diabetes care program; and state-of-the-art medical care for children with an array of specialty services and orthopedic services. We also offer rehabilitation treatment for those who have experienced a stroke, a spinal cord injury, closed head injury and more. CHRISTUS Santa Rosa Health Care Corporation collaborates with communities, churches, and other health care organizations to provide comprehensive and accessible health care services and proactive healthcare programs. The Health Collaborative's (as defined in schedule H, Part VI, Question 2) existing priorities of Risk Behaviors, Health Care and Disease and Injury, as they relate to diabetes, obesity, and heart disease, will continue to be addressed through the chronic care management for children and adults as well as preventative care and health education through the collaborative relationships with school districts. The CHRISTUS Santa Rosa Health Care Corporation Community Benefit Plan ("The Plan") supports the CHNAs priority areas. The Plan's focus is on the community initiatives that can impact family members of all ages with diabetes, obesity, and heart disease. These initiatives are provided through a pediatric mobile clinic, school-based health centers, community health worker program and chronic illness education programs. The Plan includes the work performed at The Center for Miracles which is dedicated to providing free services for abused/neglected children and their affected family members. Other efforts are to provide application assistance to Medicaid/CHIP patients to ensure health care opportunities are offered to women and children. Women, Infant and Children (WIC) services provide nutrition/breastfeeding education and food vouchers to help decrease the incidence of low-birth-weight infants and improve infant mortality rates in Bexar County. CHRISTUS Health reinvests all surplus funds back into the communities it serves through expanded health services, new technologies, and better facilities. As a not-for-profit health system and as part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the makeup of the area we serve guides CHRISTUS Santa Rosa Health Care Corporation. We are privileged to have an open medical staff comprised of qualified physicians who work with us to provide care to our communities. All qualified physicians who are granted privileges to serve with us in our hospitals must undergo a thorough and comprehensive credentialing and orientation process. CLINICAL experience and other education for all persons employed and affiliated with CHRISTUS Santa Rosa Health Care Corporation are required to complete annual conflict of interest statements. Individuals employed and affiliated with CHRISTUS Santa Rosa Health Care Corporation are required to complete annual conflict of interest survey.
Schedule H, Part VI, Line 6 Affiliated health care system	CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, CHILE AND COLOMBIA. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

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

Open to Public Inspection

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

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) (Rev. 1-2025)

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)
1STEPHANIE A Parker (Former) Chief Executive Officer & BOARD DIRECTOR (TERM 2/24)	(i) (ii)	0 ------------- 103,462	0 ------------- 0	0 ------------- 695,428	0 ------------- 13,801	0 ------------- 35,571	0 ------------- 848,262	0 ------------- 202,391
2CHARLES HANKINS MD (FORMER) CMO & BOARD OF DIRECTOR, QUALITY COMMITTEE OF THE BOARD (TERM 12/22)	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 626,808	0 ------------- 0	0 ------------- 0	0 ------------- 626,808	0 ------------- 0
3Cris Daskevich Chief Executive Officer OF CHOSA/BOARD DIRECTOR	(i) (ii)	0 ------------- 632,206	0 ------------- 432,003	0 ------------- 163,784	0 ------------- 28,872	0 ------------- 313,242	0 ------------- 1,570,107	0 ------------- 153,318
4John Grant Wicklund Chief Executive Officer/Board Director	(i) (ii)	0 ------------- 574,486	0 ------------- 253,087	0 ------------- 85,875	0 ------------- 44,603	0 ------------- 6,573	0 ------------- 964,624	0 ------------- 27,960
5Sam Bagchi MD EVP/Chief Clinical Officer	(i) (ii)	0 ------------- 1,276,855	0 ------------- 2,272,809	0 ------------- 471,564	0 ------------- 13,801	0 ------------- 30,430	0 ------------- 4,065,459	0 ------------- 459,831
6Gabriela Saenz JD Corporate Secretary/SVP Corporate Services	(i) (ii)	0 ------------- 612,998	0 ------------- 680,044	0 ------------- 195,029	0 ------------- 56,933	0 ------------- 10,135	0 ------------- 1,555,139	0 ------------- 194,379
7LEE SONNE Board Director (eff 5/25)	(i) (ii)	0 ------------- 333,072	0 ------------- 323,591	0 ------------- 73,023	0 ------------- 31,251	0 ------------- 14,557	0 ------------- 775,494	0 ------------- 72,023
8TAMMY RIVERS CORPORATE SECRETARY (TERM 1/22)	(i) (ii)	0 ------------- 93,797	0 ------------- 12,188	0 ------------- 1,418	0 ------------- 6,267	0 ------------- 5,768	0 ------------- 119,438	0 ------------- 0
9Steve Chen Chief Financial Officer/Treasurer	(i) (ii)	0 ------------- 403,492	0 ------------- 168,168	0 ------------- 0	0 ------------- 33,529	0 ------------- 17,278	0 ------------- 622,467	0 ------------- 0
10Dr James Chris Henderson QUALITY COMMITTEE OF THE BOARD (TERM 12/24)	(i) (ii)	0 ------------- 328,624	0 ------------- 2,510	0 ------------- 11,869	0 ------------- 38,662	0 ------------- 12,013	0 ------------- 393,678	0 ------------- 0
11William M Johnson (Former) Chief Nursing Officer (Term 6/23)	(i) (ii)	0 ------------- 237,149	0 ------------- 52,929	0 ------------- 63,592	0 ------------- 32,947	0 ------------- 13,652	0 ------------- 400,269	0 ------------- 0
12Derrick Cuenca Chief Executive Officer Westover Hills	(i) (ii)	0 ------------- 394,643	0 ------------- 50,000	0 ------------- 73,363	0 ------------- 15,885	0 ------------- 4,830	0 ------------- 538,721	0 ------------- 0
13Dominic Dominguez Regional Chief Executive Officer	(i) (ii)	0 ------------- 794,703	0 ------------- 423,801	0 ------------- 177,703	0 ------------- 15,678	0 ------------- 10,184	0 ------------- 1,422,069	0 ------------- 176,628
14Norman Christopher Chief Marketing Officer Childrens Hospital	(i) (ii)	0 ------------- 472,210	0 ------------- 159,052	0 ------------- 60,656	0 ------------- 49,829	0 ------------- 5,980	0 ------------- 747,727	0 ------------- 60,656
15Ian Thompson President/VP Market Oncology	(i) (ii)	0 ------------- 370,011	0 ------------- 130,712	0 ------------- 61,433	0 ------------- 36,569	0 ------------- 15,796	0 ------------- 614,521	0 ------------- 61,433
16Debasish Dasgupta Chief Marketing Officer Westover Hills	(i) (ii)	0 ------------- 196,099	0 ------------- 132,758	0 ------------- 229,947	0 ------------- 32,065	0 ------------- 15,868	0 ------------- 606,737	0 ------------- 24,020
17Karen Bryant Vice President -Strategy-Bus Development	(i) (ii)	0 ------------- 289,701	0 ------------- 92,632	0 ------------- 47,397	0 ------------- 28,812	0 ------------- 63,547	0 ------------- 522,089	0 ------------- 46,747
18Terry Kyle Chief Development Officer	(i) (ii)	0 ------------- 308,149	0 ------------- 104,031	0 ------------- 650	0 ------------- 50,044	0 ------------- 11,003	0 ------------- 473,877	0 ------------- 0
19Genifer Rucker President New Braunfels	(i) (ii)	0 ------------- 289,654	0 ------------- 141,946	0 ------------- 0	0 ------------- 26,761	0 ------------- 14,299	0 ------------- 472,660	0 ------------- 0
20Cara Ansaldo President Santa Rosa Medical Center	(i) (ii)	0 ------------- 307,865	0 ------------- 106,166	0 ------------- 0	0 ------------- 36,978	0 ------------- 12,745	0 ------------- 463,754	0 ------------- 0
21Nikki Rivers Chief Networking Officer New Braunfels	(i) (ii)	0 ------------- 280,485	0 ------------- 93,676	0 ------------- 0	0 ------------- 51,075	0 ------------- 1,762	0 ------------- 426,998	0 ------------- 0
22Barbara Vazquez Chief Networking Officer Childrens Hospital	(i) (ii)	0 ------------- 271,034	0 ------------- 114,526	0 ------------- 0	0 ------------- 24,936	0 ------------- 15,788	0 ------------- 426,284	0 ------------- 0
23Christine Keating Vice President AMB SVS-Network of care	(i) (ii)	0 ------------- 257,287	0 ------------- 86,695	0 ------------- 0	0 ------------- 48,350	0 ------------- 2,811	0 ------------- 395,143	0 ------------- 0
24Kevin Anderson Chief Financial Officer CHRISTUS Children's Hospital	(i) (ii)	0 ------------- 258,917	0 ------------- 87,427	0 ------------- 0	0 ------------- 35,531	0 ------------- 3,192	0 ------------- 385,067	0 ------------- 0
25Bonifacio Benitez Vice President Clinical Operations	(i) (ii)	0 ------------- 214,823	0 ------------- 78,268	0 ------------- 0	0 ------------- 37,603	0 ------------- 22,182	0 ------------- 352,876	0 ------------- 0
26Alexis Arel Vice President Finance Admin Office	(i) (ii)	0 ------------- 226,851	0 ------------- 76,086	0 ------------- 750	0 ------------- 30,530	0 ------------- 2,526	0 ------------- 336,743	0 ------------- 0
27Sherry Fraser President Alamo Heights	(i) (ii)	0 ------------- 219,259	0 ------------- 65,925	0 ------------- 200	0 ------------- 34,897	0 ------------- 8,430	0 ------------- 328,711	0 ------------- 0
28Steven Martin Associate Chief Information Officer	(i) (ii)	0 ------------- 188,320	0 ------------- 58,673	0 ------------- 815	0 ------------- 22,498	0 ------------- 13,252	0 ------------- 283,558	0 ------------- 0
29Sarah Hill Vice President MISSION INTEGRATION	(i) (ii)	0 ------------- 157,555	0 ------------- 61,934	0 ------------- 22,230	0 ------------- 24,168	0 ------------- 9,528	0 ------------- 275,415	0 ------------- 21,045
30Patricia Burns President	(i) (ii)	0 ------------- 70,975	0 ------------- 0	0 ------------- 140,539	0 ------------- 2,903	0 ------------- 1,690	0 ------------- 216,107	0 ------------- 0
31Eleanor Milo Chief Networking Officer SRH Westover Hills	(i) (ii)	0 ------------- 109,572	0 ------------- 0	0 ------------- 60,944	0 ------------- 4,043	0 ------------- 7,476	0 ------------- 182,035	0 ------------- 0
32DUSTYN D TYSDAL Director Pharmacy	(i) (ii)	244,061 ------------- 0	27,746 ------------- 0	1,050 ------------- 0	36,242 ------------- 0	13,464 ------------- 0	322,563 ------------- 0	0 ------------- 0
33GIANG P DINH Clinical Pharmacist	(i) (ii)	144,373 ------------- 0	1,650 ------------- 0	138,336 ------------- 0	20,700 ------------- 0	3,432 ------------- 0	308,491 ------------- 0	0 ------------- 0
34Janice E Williams RN	(i) (ii)	103,457 ------------- 0	1,500 ------------- 0	129,426 ------------- 0	20,990 ------------- 0	2,989 ------------- 0	258,362 ------------- 0	0 ------------- 0
35ROBERT PEREZ RN Lead	(i) (ii)	78,663 ------------- 0	1,750 ------------- 0	158,512 ------------- 0	0 ------------- 0	5,825 ------------- 0	244,750 ------------- 0	0 ------------- 0
36Mark Dizon RN Lead	(i) (ii)	102,288 ------------- 0	1,400 ------------- 0	112,197 ------------- 0	17,541 ------------- 0	2,689 ------------- 0	236,115 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 Travel for companions	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
Schedule J, Part I, Line 4a Severance or change-of-control payment	PATRICIA BURNS RECEIVED $135,825 IN SEVERANCE DURING CALENDAR YEAR 2024. STEPHANIE A. PARKER RECEIVED $404,069 IN SEVERANCE DURING CALENDAR YEAR 2024. Debasish Dasgupta RECEIVED $130,050 IN SEVERANCE DURING CALENDAR YEAR 2024. ELEANOR MILO RECEIVED $58,962 IN SEVERANCE DURING CALENDAR YEAR 2024. CHARLES HANKINS RECEIVED $612,482 IN SEVERANCE DURING CALENDAR YEAR 2024.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNING WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: SAM BAGCHI, M.D. - 471,564 STEPHANIE A. PARKER - 279,574 GABRIELA SAENZ, J.D. - 194,379 DOMINIC DOMINGUEZ -176,628 CRIS DASKEVICH - 163,784 DEBASISH DASGUPTA - 95,302 LEE SONNE - 72,023 IAN THOMPSON - 61,433 NORMAN CHRISTOPHER - 60,656 KAREN BRYANT - 46,747 JOHN WICKLUND - 27,960 SARAH HILL - 22,005
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. 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 2024.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

Return Reference	Explanation
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS, AND THE LOCAL ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID AND ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THESE PURPOSES, AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT LAW. PROVISIONS OF ANY SUBSEQUENT LAW.
Form 990, Part III, Line 4c PROGRAM SERVICE, LINE 4C	CHARITY CARE AND COMMUNITY BENEFIT ACTIVITY In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Santa Rosa Health Care Corporation provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS Santa Rosa Health Care Corporation provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. In FY2025, 28,588 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 23 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. CHRISTUS Santa Rosa Health Care Corporation actively participates in Texas Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. CHRISTUS Santa Rosa Health Care Corporation also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, CHRISTUS Santa Rosa Health Care Corporation invested $9,508,252 in community benefit programs, impacting 98,272 individuals.
Form 990, Part III, Line 4a PROGRAM SERVICE, LINE 4A	PATIENT CARE SERVICES CHRISTUS Santa Rosa Health Care Corporation responds to the health care needs of the community through services provided at 5 campuses: CHRISTUS Santa Rosa New Braunfels, a 115-bed hospital in New Braunfels CHRISTUS Santa Rosa Westover Hills, a 150 -bed hospital in San Antonio CHRISTUS Santa Rosa Alamo Hights, a 36-bed hospital in San Antonio CHRISTUS Children's, a 196-bed Hospital in San Antonio CHRISTUS Santa Rosa San Marcos, a 105-bed Hospital in San Marcos Each facility shares the objective of leading the way to a healthier community. CHRISTUS Santa Rosa Health Care Corporation is located in Texas, serving a population of 3.2 million individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 138,514 visits to our emergency department 5,758 inpatient surgery procedures 43,114 outpatient surgery procedures 28,321 patients admitted for care 282,489 patients who received outpatient care
Form 990, Part III, Line 4b PROGRAM SERVICE, LINE 4B	OTHER GOVERNMENT PROGRAMS CHRISTUS Santa Rosa Health Care Corporation provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. In FY2025, CHRISTUS Santa Rosa Health Care Corporation served 463,376 patients under these programs, with unreimbursed costs totaling $167,965,850. Medicare is the largest single payor classification of patients served by this hospital. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 8,492,270 including grants of $ 18,935)(Revenue $ 0) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE Poor & Undeserved AND Broader community. Poor & Undeserved: Expenses of $2,988,607, Grants of $18,935 Broader community: Expenses of $5,503,663
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 ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 MILLION PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2026 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS INCLUDING CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS INCLUDING CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISC REVENUE - Total Revenue: 20004, Related or Exempt Function Revenue: -699, Unrelated Business Revenue: 20703, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Print Shop Revenues - Total Revenue: -149, Related or Exempt Function Revenue: -149, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Fees and Commission Revenue - Total Revenue: -356, Related or Exempt Function Revenue: -356, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Business Interruption Revenue - Total Revenue: 368663, Related or Exempt Function Revenue: 368663, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PHYSICIAN FEES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 627521, Fundraising Expenses: 0; OCCUPANCY - Total Expense: 1047921, Program Service Expense: 1045580, Management and General Expenses: 2341, Fundraising Expenses: 0; CONSULTING SERVICES - Total Expense: 2203960, Program Service Expense: 1330741, Management and General Expenses: 873219, Fundraising Expenses: 0; MEDICAL SERVICES - Total Expense: 558213, Program Service Expense: 528115, Management and General Expenses: 30098, Fundraising Expenses: 0; BILLING AND COLLECTIONS FEES - Total Expense: 3973299, Program Service Expense: 3978780, Management and General Expenses: -5481, Fundraising Expenses: 0; REPAIR AND MAINTENANCE - Total Expense: 20253320, Program Service Expense: 19977051, Management and General Expenses: 273472, Fundraising Expenses: 2797; MARKETING - Total Expense: 66480, Program Service Expense: 66167, Management and General Expenses: 313, Fundraising Expenses: 0; OTHER SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: 6155147, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: 0; Software Expenses - Total Expense: 1519056, Program Service Expense: 1515542, Management and General Expenses: 2278, Fundraising Expenses: 1236; MCCS Expense - Total Expense: 42270355, Program Service Expense: 0, Management and General Expenses: 42270355, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part X, Line 1 CASH - NON-BEARING INTEREST	CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - 50997597; CHANGE IN RESTRICTED NET ASSETS - 22297953; NA RELEASED FROM RESTRICTIONS FOR CAPITAL - 5306904; Total - 78602454;
FORM 990, BOX C DOING BUSINESS AS	CHRISTUS HEALTH SANTA ROSA HEALTH CARE CORPORATION OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Cardiovascular CHRISTUS Cardiovascular Medical Center CHRISTUS Cardiovascular New Braunfels CHRISTUS Cardiovascular Westover Hills CHRISTUS Children's CHRISTUS Heart and Vascular Clinic CHRISTUS Hospice - Central Texas CHRISTUS Neuroscience Institute - Alamo Heights CHRISTUS Neuroscience Institute - Medical Center CHRISTUS Neuroscience Institute - Westover Hills CHRISTUS Oncology CHRISTUS Oncology - Medical Center CHRISTUS Oncology - New Braunfels CHRISTUS Oncology - Westover Hills CHRISTUS Santa Rosa Cardiothoracic Center CHRISTUS Santa Rosa Children's Hospital CHRISTUS Santa Rosa Diagnostic Services - San Marcos CHRISTUS Santa Rosa Emergence Center - Creekside CHRISTUS Santa Rosa Emergency - Bandera CHRISTUS Santa Rosa Emergency Center CHRISTUS Santa Rosa Emergency Center - Alon CHRISTUS Santa Rosa Emergency Center - Bandera CHRISTUS Santa Rosa Emergency Center - Bitters CHRISTUS Santa Rosa Emergency Center - Creekside CHRISTUS Santa Rosa Health System CHRISTUS Santa Rosa Heart and Vascular Clinic CHRISTUS Santa Rosa Hospice - San Marcos CHRISTUS Santa Rosa Hospital CHRISTUS Santa Rosa Hospital - Alamo Heights CHRISTUS Santa Rosa Hospital - Medical Center CHRISTUS Santa Rosa Hospital - New Braunfels CHRISTUS Santa Rosa Hospital - San Marcos CHRISTUS Santa Rosa Hospital - San Marcos Hospice CHRISTUS Santa Rosa Hospital - Westover Hills CHRISTUS Santa Rosa Hospital Alamo Heights Outpatient Surgery Center CHRISTUS Santa Rosa Imaging Center-Alamo Heights CHRISTUS Santa Rosa Medical Center CHRISTUS Santa Rosa Neurosurgical Spine CHRISTUS Santa Rosa Orthopaedic & Sports Medicine - New Braunfels CHRISTUS Santa Rosa Orthopaedics & Sports Medicine CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center Alamo Heights CHRISTUS SANTA ROSA Quality Care Alliance CHRISTUS Santa Rosa Rehabilitation Services CHRISTUS Santa Rosa Sleep Lab - San Marcos CHRISTUS Santa Rosa Specialty Care Clinic - San Marcos CHRISTUS Santa Rosa Specialty Clinic New Braunfels CHRISTUS Santa Rosa Spine Center CHRISTUS Santa Rosa Sports Medicine CHRISTUS Santa Rosa Surgical Solutions - Westover Hills CHRISTUS Santa Rosa Urology Clinic CHRISTUS Santa Rosa Urology Clinic - Medical Center CHRISTUS Santa Rosa Wound Care and Hyperbaric Center CHRISTUS Weight Loss Institute - San Marcos CHRISTUS Weight Loss Institute - Westover Hills CHRISTUS Women's Pavilion - Alamo Heights PT Solutions - CHRISTUS Santa Rosa Health System Spinal and Thoracic Treatment and Research Center (STTAR Center) The Children's Hospital of San Antonio The Children's Hospital of San Antonio - Multispecialty Center The Children's Hospital of San Antonio CHRISTUS Health - Health Pavilion Stone Oak The Children's Hospital of San Antonio Emergency Center - Bandera The Children's Hospital of San Antonio Specialty Care Center

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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

Open to Public Inspection

Name of the organization

Christus Santa Rosa Health Care Corporation

Employer identification number

74-1109665

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)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 5101 N OCONNOR BLVD IRVING,TX75039 76-0590551	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	NA		No
(10)CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 75-2796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes
(11)CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA,LA71301 72-0408984	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes
(12)CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT,TX77702 76-0136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes
(13)CHRISTUS HEALTH FOUNDATION 5101 N OCONNOR BLVD IRVING,TX75039 61-1500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(14)CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON,TX77292 76-0591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CCC	Yes
(15)CHRISTUS HEALTH INTERNATIONAL 5101 N OCONNOR BLVD IRVING,TX75039 46-2811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes
(16)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
(17)CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT,LA75039 72-0408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes
(18)CHRISTUS HEALTH PLAN 5101 N OCONNOR BLVD IRVING,TX75039 45-2106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes
(19)CHRISTUS HEALTH PLAN LOUISIANA 5101 N OCONNOR BLVD IRVING,TX75039 46-4617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes
(20)CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT,TX77726 76-0591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(21)CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 72-0411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes
(22)CHRISTUS HEALTH STRATEGIC GROWTH 5101 N OCONNOR BLVD IRVING,TX75039 46-2798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(23)CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS,TX75482 81-1708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes
(24)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
(25)CHRISTUS PEDIATRIC PHYSICIAN GROUP 5101 N OCONNOR BLVD IRVING,TX75039 46-5203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(26)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
(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)Chritus Trinity Clinic Texas 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,NM88310 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
(55)Gerald Champion Regional Medical Center Foundation 2669 SCENIC DRIVE ALAMOGORDO,NM88310 85-0352051	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	OCHA	Yes
(56)Santa Rosa Children's Hospital Foundation PO Box 1661 SAN ANTONIO,TX78296 74-1224362	FUNDRAISING ACTIVITIES	TX	501(c)(3)	7	SRHCC	Yes
(57)Christus St Joseph Village 5101 N OCONNOR BLVD IRVING,TX75039 01-0829282	Senior living	TX	501(c)(3)	10	GSMC Linden	Yes
(58)Continue Care Hospital of Tyler Inc 7950 Legacy Drive 1000 Plano,TX75024 20-0991990	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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	CSRHCC	Related				No			No	54.34 %
(8) CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571409	HEALTHCARE SERVICES	TX	CSRHCC	Related				No			No	51 %
(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 90-0259782	HEALTHCARE SERVICES	TX	NA
(11) GSHS CUSTOMER SERVICE BUILDING I LTD 700 E MARSHALL AVE LONGVIEW,TX75601 72-0896055	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,NM88310 20-1451281	IMAGING SERVICES	NM	NA
(16) CHAMPION HEALTH CARE LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88310 85-0860214	HEALTHCARE SERVICES	NM	NA
(17) WHITE SANDS HEALTH CARE SYSTEMS LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88310 85-0438529	HEALTHCARE SERVICES	NM	NA
(18) SANTA FE IMAGING LLC 1640 HOSPITAL DR SANTA FE,NM87505 85-0465936	IMAGING CENTER	NM	NA
(19) SANTA FE MEDICAL PROPERTIES LLC 455 SAINT MICHAELS DR SANTA FE,NM87505 20-1480795	LEASING	NM	NA
(20) IMPERIAL CALCASIEU SURGICAL CENTER LLC 1757 IMPERIAL RD LAKE CHARLES,LA70605 20-5109610	ASC	LA	NA
(21) GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW,TX75601 99-9999999	CUSTOMER SERVICES	TX	NA
(22) Christus Cardiac Surgery Center LLC 5101 N OCONNOR BLVD IRVING,TX75039 99-0803350	SURGICAL CENTER	TX	NA
(23) Christus Latam Hub Center of Excellence and Innovation 5101 N OCONNOR BLVD IRVING,TX75039 99-9999999	HEALTHCARE SERVICES	TX	NA
(24) CHC Community Care LLC 5101 N OCONNOR BLVD IRVING,TX75039 37-1485773	HEALTHCARE 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	NA	C Corporation				Yes
(6) CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 G40G0 OBISPADO MONTERRE MX	HEALTHCARE SERVICES	MX	NA	C Corporation				Yes
(7) EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMANKY11102 CJ 98-0407545	INSURANCE	CJ	NA	C Corporation				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	SRHCC	C Corporation			100 %	Yes
(35) HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC 5101 N OCONNOR BLVD IRVING,TX75039 99-9999999	SUPPORT	TX	SRHCC	C Corporation	0	0	100 %	Yes
(36) RELIANCE BENEFITS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2642104	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(37) Otero County Medical Group Inc 2669 SCENIC DRIVE ALAMOGORDO,NM88310 99-9999999	HEALTHCARE SERVICES	NM	NA	C Corporation				Yes
(38) Alamogordo Home Health Care and Hospice Inc PO Drawer 29 ALAMOGORDO,NM88311 26-1674556	HEALTHCARE SERVICES	NM	NA	C Corporation				Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP	K	58,623	Accrual
(2) CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP	J	58,623	Accrual
(3) CHRISTUS Spohn Health System Corporation	M	308,849	Accrual
(4) CHRISTUS TRINITY CLINIC	M	13,989,118	Accrual
(5) CHRISTUS TRINITY CLINIC	Q	57,258	Accrual
(6) CHRISTUS TRINITY CLINIC	L	62,194,474	Accrual
(7) CHRISTUS TRINITY CLINIC	J	512,119	Accrual
(8) DEDICATED SYSTEM SUPPORT INC	O	70,604	Accrual
(9) DEDICATED SYSTEM SUPPORT INC	Q	62,240	Accrual
(10) Friends of Santa Rosa Foundation	C	150,397	Accrual
(11) TRINCARE INC	M	116,857	Accrual
(12) CHRISTUS Children's Foundation	C	1,234,675	Accrual
(13) FRIENDS OF SANTA ROSA FOUNDATION	C	85,577	Accrual

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALTH 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	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	3
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	5,661
6	Total number of volunteers (estimate if necessary) .............	6	574
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-328,496
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	14,933

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,816,601	11,187,766
9	Program service revenue (Part VIII, line 2g) .........	1,215,752,263	1,262,052,337
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-1,545,095	95,766
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,706,134	1,544,355
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,225,729,903	1,274,880,224
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	14,099	18,935
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)	382,963,707	403,275,978
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 400,396
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	839,030,934	881,655,435
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,222,008,740	1,284,950,348
19	Revenue less expenses. Subtract line 18 from line 12.......	3,721,163	-10,070,124
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	966,652,962	1,069,372,526
21	Total liabilities (Part X, line 26).............	90,239,934	124,427,168
22	Net assets or fund balances. Subtract line 21 from line 20.....	876,413,028	944,945,358

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 290,594,811 including grants of $ 0 ) (Revenue $ 701,651,953 )
	See Schedule O

4b	(Code: ) (Expenses $ 437,014,524 including grants of $ 0 ) (Revenue $ 269,048,675 )
	See Schedule O

4c	(Code: ) (Expenses $ 334,017,883 including grants of $ 0 ) (Revenue $ 292,837,133 )
	See Schedule O

	(Code: ) (Expenses $ 8,492,270 including grants of $ 18,935 ) (Revenue $ 0 )
	CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE Poor & Undeserved AND Broader community. Poor & Undeserved: Expenses of $2,988,607, Grants of $18,935 Broader community: Expenses of $5,503,663

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 8,492,270 including grants of $ 18,935 ) (Revenue $ )
4e	Total program service expenses1,070,119,488

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,246,409	19,800,908	1,735,801

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





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a	38,630
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,346,328
e	Government grants (contributions)		1e	3,537,908

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,264,900

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

h Total. Add lines 1a-1f.......		11,187,766

		Business Code
2a	NET PATIENT SERVICE REVENUE	621100	1,246,269,335	1,246,618,534	-349,199
b	RENT RELATED TO EXEMPT PURPOSE	531120	1,802,201	1,802,201
c	SUPPORT SERVICES REVENUE	900099	1,602,916	1,602,916
d	RESEARCH REVENUE	900099	327,447	327,447
e	OTHER PROGRAM SERVICES	900099	12,050,438	12,050,438
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		1,262,052,337

3 Investment income (including dividends, interest, and othersimilar amounts) ......			122			122
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			99			99
			(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		126,867
b	Less: cost or other basis and sales expenses	7b		31,223
c	Gain or (loss)	7c	0	95,644
d	Net gain or (loss).........			95,644			95,644
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	CLINICAL RESEARCH		900099	1,117,965	1,117,965
b	PARKING SERVICES		900099	28,628			28,628
c	MANAGEMENT SERIVCE REVENUE		900099	9,501			9,501
d	All other revenue ....			388,162	367,459	20,703	0
e	Total. Add lines 11a–11d ......			1,544,256
12	Total revenue. See instructions.....			1,274,880,224	1,263,886,960	-328,496	133,994

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	18,935	18,935
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	331,150,675	314,612,779	16,241,009	296,887
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,247,164	5,755,133	486,732	5,299
9	Other employee benefits .......	42,659,564	39,299,669	3,323,709	36,186
10	Payroll taxes ...........	23,218,575	22,417,655	771,643	29,277
11	Fees for services (non-employees):
a	Management ......	158,161	158,161
b	Legal .........	17,739	17,511	228
c	Accounting ...........
d	Lobbying ...........	1,572		1,572
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	331,151,778	171,060,838	160,086,907	4,033
12	Advertising and promotion ....	2,991,187	2,905,562	85,517	108
13	Office expenses .......	97,656,641	91,388,414	6,247,030	21,197
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	32,571,135	32,303,285	267,850
17	Travel ............	631,854	412,228	216,921	2,705
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	783,028	387,242	394,927	859
20	Interest ...........	4,903	4,903
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	45,946,365	45,214,878	731,487
23	Insurance ...	18,111,313	11,420,394	6,690,919
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 Expenses	204,617,112	204,438,584	178,457	71
b	LPPF Tax Expense	75,531,371	75,531,371
c	Provision for Uncollectable Accounts	50,498,532	50,498,532
d	TAXES AND FEES	17,781,081	387,868	17,390,348	2,865
e	All other expenses	3,201,663	1,885,546	1,315,208	909
25	Total functional expenses. Add lines 1 through 24e	1,284,950,348	1,070,119,488	214,430,464	400,396
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 ........			2,675	1	2,675
2	Savings and temporary cash investments .........			27,946	2	27,946
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			159,374,051	4	188,505,917
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 ...........			23,357,155	7	5,513,055
8	Inventories for sale or use ............			29,321,232	8	26,442,438
9	Prepaid expenses and deferred charges ......			24,603,226	9	13,493,219
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,183,618,038
b	Less: accumulated depreciation	10b	595,066,892	535,855,119	10c	588,551,146
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			10,566,174	13	1,357,219
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			183,545,384	15	245,478,911
16	Total assets. Add lines 1 through 15 (must equal line 33)...			966,652,962	16	1,069,372,526

17	Accounts payable and accrued expenses .....	56,862,962	17	67,458,650
18	Grants payable ...		18
19	Deferred revenue .........	2,926,470	19	3,496,869
20	Tax-exempt bond liabilities .........	43,150	20	0
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	30,407,352	25	53,471,649
26	Total liabilities. Add lines 17 through 25..	90,239,934	26	124,427,168

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	731,088,484	27	777,322,861
28	Net assets with donor restrictions ...........	145,324,544	28	167,622,497
	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 ...........	876,413,028	32	944,945,358
33	Total liabilities and net assets/fund balances ........	966,652,962	33	1,069,372,526