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) Chris Glenney...................................................................... SVP GROUP OPS NETX- Director/Chairperson (EFF 1/25)	20.0 ................. 20.0	X	X	1,661,685	88,961
(2) Jason Proctor...................................................................... Chief Executive Officer/President	13.0 ................. 27.0	X	X	986,339	35,783
(3) Shannon Dacus...................................................................... DIRECTOR/CHAIRPERSON TERM 12/24	11.0 ................. 0.0	X	X	0	0
(4) Andria Cardinalli-Stein MD...................................................................... Director (TERM 12/24)	8.0 ................. 32.0	X		493,316	16,049
(5) Bill Chen PhD...................................................................... Director (TERM 12/24)	4.0 ................. 7.0	X		17,823	0
(6) Dick Stone...................................................................... Director (TERM 12/24)	10.0 ................. 0.0	X		0	0
(7) Fred Harris Jr...................................................................... Director (TERM 12/24)	10.0 ................. 0.0	X		0	0
(8) Jean Coleman...................................................................... Board Director (TERM 12/24)	8.0 ................. 0.0	X		0	0
(9) Jeb Jones...................................................................... Board Director	10.0 ................. 0.0	X		0	0
(10) Jeffrey Puckett...................................................................... Director (TERM 12/24)	13.0 ................. 27.0	X		6,823,352	56,703
(11) Joe Bob Burgin...................................................................... Board Director (TERM 12/24)	10.0 ................. 0.0	X		0	0
(12) Mark Anderson MD...................................................................... Director	11.0 ................. 29.0	X		942,905	101,941
(13) Michael Hallum...................................................................... Director (TERM 12/24)	4.0 ................. 0.0	X		0	0
(14) Preston Smith...................................................................... Director (TERM 12/24)	11.0 ................. 0.0	X		0	0
(15) Randy Childress...................................................................... Director (TERM 12/24)	4.0 ................. 0.0	X		0	0
(16) Sister Guadalupe Ruiz...................................................................... Director (TERM 12/24)	4.0 ................. 0.0	X		0	0
(17) Sister Rita Fanning...................................................................... Director	2.0 ................. 0.0	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Sister Rosanne Popp MD........................................................................ Director	4.0 .......................36.0	X					0	262,179	7,720
(19) Sonja Yates Hubbard........................................................................ Director (TERM 12/24)	8.0 .......................0.0	X					0	0	0
(20) Steven Keuer MD........................................................................ Director Ex-Officio	10.0 .......................30.0	X					0	1,383,326	63,590
(21) Eric Garrison........................................................................ Chief Financial Officer	40.0 .......................0.0		X				0	464,765	17,520
(22) Janna Garcia-Chapa........................................................................ Corporate Secretary (TERM 9/24)	20.0 .......................20.0		X				0	71,074	1,509
(23) Sonia Acosta........................................................................ Corporate Secretary (eff 10/24)	20.0 .......................20.0		X				0	25,472	170
(24) Ali Birjandi........................................................................ Vice President	40.0 .......................0.0			X			0	443,982	49,695
(25) Andy G Navarro........................................................................ VP MISSION INTEGRATION	40.0 .......................0.0			X			0	403,002	45,738
(26) Anne Pileggi........................................................................ Chief Operating Officer - Tyler	40.0 .......................0.0			X			0	478,328	118,381
(27) Brandy Moore........................................................................ Chief Operating Officer - Tyler Westgate	40.0 .......................0.0			X			0	390,533	72,945
(28) Brian D Matson........................................................................ VP, STRATEGY-BUS DEVELOPMENT	40.0 .......................0.0			X			0	556,242	54,754
(29) Deborah Chelette........................................................................ VP CARDIAC SERVICES	40.0 .......................0.0			X			0	441,314	29,784
(30) Elizabeth Maddox........................................................................ VP Human Resources	40.0 .......................0.0			X			0	340,254	46,100
(31) Jaclynn Harrison........................................................................ Chief Financial Officer/TREASURER (EFF 07/24)	10.0 .......................40.0			X			0	778,682	41,355
(32) Mary Elizabeth Jackson........................................................................ VP ADVOCACY - GOVT AFFAIRS	40.0 .......................0.0			X			0	307,308	39,873
(33) Rebecca Howell........................................................................ ASSOCIATE Chief Investment Officer	40.0 .......................0.0			X			0	262,432	27,793
(34) Scott Fossey........................................................................ VP OF DEVELOPMENT	10.0 .......................30.0			X			0	450,505	68,909
(35) Shelly Birmingham........................................................................ Certified Nurse Educator	40.0 .......................0.0			X			0	492,086	41,185
(36) CHAD W MORGAN........................................................................ Certified Registered Nurse Anesthetist	40.0 .......................0.0				X		411,247	0	47,336
(37) DONALD J MITCHELL........................................................................ Certified Registered Nurse Anesthetist	40.0 .......................0.0				X		491,836	0	37,660
(38) DUSTIN J VIDRINE........................................................................ Certified Registered Nurse Anesthetist	40.0 .......................0.0				X		515,055	0	48,688
(39) RANFERI VALLE........................................................................ Certified Registered Nurse Anesthetist	40.0 .......................0.0				X		413,997	0	46,681
(40) ROBERT W BIENERT........................................................................ Certified Registered Nurse Anesthetist	40.0 .......................0.0				X		691,706	0	46,554
(41) ANDY KIRKPATRICK MD........................................................................ Former Dir/Chairperson (Term 12/20)	0.0 .......................40.0					X	0	727,661	62,248
(42) Fadi Nasrallah........................................................................ Former SVP/Chief Medical Officer (Term 8/19)	0.0 .......................40.0					X	0	1,550,104	28,195
(43) FAGG SANFORD MD........................................................................ FORMER DIRECTOR/SECRETARY (TERM 6/22)	0.0 .......................40.0					X	0	841,222	72,182

- 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

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

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

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

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	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

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

Section D. Computation of Investment Income Percentage

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

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

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

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

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 Mother Frances Hospital Regional Health Care Center

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 Mother Frances Hospital Regional Health Care Center		Employer identification number 75-0818167

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 Mother Frances Hospital Regional Health Care Center			Employer identification number 75-0818167
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

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

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

1,286

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

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

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

1,286

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:	At the federal level, CHRISTUS Health leadership communicated verbally and in writing with members of the Congress and administration officials 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 1115 waiver program. Executive hours: 4.5 Mother Frances Hospital Regional Health Care did not substantially lobby during the fiscal year ending 6-30-2025.

Return Reference

Explanation

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

At the federal level, CHRISTUS Health leadership communicated verbally and in writing with members of the Congress and administration officials 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 1115 waiver program. Executive hours: 4.5 Mother Frances Hospital Regional Health Care did not substantially lobby during the fiscal year ending 6-30-2025.

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

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

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 ....	7,260,531	5,783,553	4,587,177	4,606,929	3,951,360
b	Contributions ...	6,000	500,025	856,276	122,490	0
c	Net investment earnings, gains, and losses	1,181,508	1,077,616	340,534	-123,917	708,623
d	Grants or scholarships ...	146,011	100,663	434	18,325	53,054
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	8,302,028	7,260,531	5,783,553	4,587,177	4,606,929

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

42.07 %

Term endowment right arrow

57.93 %

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 .....	22,479,160		22,479,160
b	Buildings ....	402,347,009	88,398,529	313,948,480
c	Leasehold improvements	15,688,298	7,218,724	8,469,574
d	Equipment ....	361,131,387	182,897,016	178,234,371
e	Other .....	23,014,673	3,233,831	19,780,842
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				542,912,427

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)ROU Transactions				50,125,419
(2)Trade Names Purchased				46,000,000
(3)Asset Clearing				3,106,252
(4)Other Designated Assets				27,123
(5)Pension Receivable				19,289,926
(6)Other Long Term Assets
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				118,548,720

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
Federal Income Taxes
Error Suspense	137,441
Asset Retirement Obligations	690,346
LT Portion Capital Lease Bldg/Hosp	49,375,886
CP Lease Liability	4,520,762
Business State Sales Tax Payable	20,409
NonPatron Collections Payable	121,669
Intercompany Payable	5,233,329
Business Federal Inc Tax Payable
Other Supplemental Payable
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	60,099,842
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 V, Line 4 Intended uses of endowment funds

THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2025 OR 2024.

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

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

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) . . .			56,161,665		56,161,665	3.882 %
b	Medicaid (from Worksheet 3, column a) . . . . .			64,081,341	54,984,823	9,096,518	0.629 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	120,243,006	54,984,823	65,258,183	4.511 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	15	422,042	4,403,014	3,530	4,399,484	0.304 %
f	Health professions education (from Worksheet 5) . . .	2	5,715	763,004		763,004	0.053 %
g	Subsidized health services (from Worksheet 6) . . . .	1	2,133	4,078,053		4,078,053	0.282 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	7	47,199	1,936,851	115,424	1,821,427	0.126 %
j	Total. Other Benefits . .	25	477,089	11,180,922	118,954	11,061,968	0.765 %
k	Total. Add lines 7d and 7j .	25	477,089	131,423,928	55,103,777	76,320,151	5.275 %

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	1		4,664		4,664	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy	1		43,620		43,620	0.003 %
8	Workforce development	1	7,639	822,075		822,075	0.057 %
9	Other					0	0 %
10	Total	3	7,639	870,359	0	870,359	0.060 %

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. ......

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

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

Section B. Medicare

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

226,592,172

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

264,104,079

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

-37,511,907

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 %
1Tyler Rehab Associates LP	Rehabilitation services	50 %	0 %	50 %
2
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?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	MOTHER FRANCES REG HEALTHCARE CENTER 800 EAST DAWSON TYLER,TX75701 https://www.christushealth.org/locations/tyler-hospital 000286	X	X	X	A
2	TYLER REHAB ASSOCIATES LP 3131 TROUP HIGHWAY TYLER,TX75701 https://www.encompasshealth.com/locations/christus-tmf-rehab 000692	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. ............................

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

Yes

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

Hospital facility’s website (list url): https://www.christushealth.org/locations/tyler-hospital

Other website (list url): SEE SUPPLEMENTAL INFO

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): https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve

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	THE HOSPITAL FACILITY'S MOST RECENT CHNA REPORT INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT WAS COMPLETED, AND THE MINISTRY CEO/PRESIDENT AND EXECUTIVE LEADERSHIP TEAM REVIEWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON JULY 31, 2025 (RATIFICATION DATE). THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. THIS PLAN WAS SHAPED THROUGH BOTH DATA AND DIALOGUE. USING THE METOPIO PLATFORM AND PUBLIC HEALTH DATASETS, WE ANALYZED DOZENS OF INDICATORS TIED TO HEALTH OUTCOMES AND SOCIAL DETERMINANTS. BUT WE DIDN'T STOP AT NUMBERS - WE LISTENED DEEPLY THROUGH FOCUS GROUPS, COMMUNITY SURVEYS AND DIRECT CONVERSATIONS WITH LOCAL LEADERS, SERVICE PROVIDERS AND RESIDENTS ACROSS THE REGION. WE MADE A FOCUSED EFFORT TO HEAR FROM THOSE WHOSE VOICES ARE TOO OFTEN LEFT OUT: RURAL FAMILIES, LOW-INCOME RESIDENTS, CAREGIVERS, YOUTH AND INDIVIDUALS WITH LIVED EXPERIENCE NAVIGATING HEALTH CHALLENGES. PRIMARY DATA WAS COLLECTED THROUGH FIVE CHANNELS: 1.COMMUNITY RESIDENT SURVEYS: DISTRIBUTED TO ASSOCIATES, PATIENTS AND RESIDENTS TO GATHER INSIGHTS ON SOCIAL NEEDS AND HEALTH CHALLENGES. THERE WERE 2,957 RESIDENT SURVEYS RETURNED. 2.COMMUNITY RESIDENT FOCUS GROUPS (2 LOCAL GROUPS COVERING ADULT HEALTH, TWO ON MATERNAL AND CHILD HEALTH, AND JOINED WITH TWO SYSTEMWIDE FOCUS GROUPS ON HEALTHCARE AND SOCIAL SERVICE PROVIDERS AND BEHAVIORAL HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 49 COMMUNITY MEMBERS. EXAMPLES OF COMMUNITY MEMBERS INCLUDED BETHESDA CLINIC, TYLER JUNIOR COLLEGE, TYLER LEGACY HS, GREATER EAST TEXAS BLACK NURSES, ST. VINCENT DE PAUL, UNITED WAY OF SMITH COUNTY, CAMP V, MOSIAC COUNSELING, EAST TEXAS AREA BOY SCOUTS, HENDERSON COUNTY HELP CENTER, HISPANIC BUSINESS ALLIANCE, MARCH OF DIMES, SMITH COUNTY CHAMPIONS FOR CHILDREN, SENATOR BRYAN HUGHES' OFFICE, AND MANY MORE. THESE TYPES OF ENTITIES WERE USED FOR THE GROUP BELOW ALSO BUT NOT DUPLICATED. 3.DATA DICTIONARY WORKGROUPS: ENGAGED STAKEHOLDERS IN IDENTIFYING MEANINGFUL INDICATORS ALIGNED WITH COMMUNITY PRIORITIES. 4.COMMUNITY FOCUS GROUPS: BROUGHT TOGETHER DIVERSE VOICES TO CONTEXTUALIZE THE DATA AND VALIDATE FINDINGS THROUGH LIVED EXPERIENCE. 5. WINDSHEILD SURVEYS: OFFERED DIRECT OBSERVATIONS OF COMMUNITY ENVIRONMENTS TO IDENTIFY PHYSICAL AND SOCIAL DETERMINANTS OF HEALTH. SECONDARY DATA FOR THE CHNA WAS AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1.HOSPITAL UTILIZATION DATA. 2.SECONDARY SOURCES INCLUDING, BUT NOT LIMITED TO, THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED IN PARTNERSHIP WITH: CHRISTUS MOTHER FRANCES HOSPITAL - JACKSONVILLE, CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO AND CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. MOTHER FRANCES REG. HEALTHCARE CENTER COMPLETED ITS PREVIOUS CHNA (FY2022) ON JUNE 30, 2022. THE SIGNIFICANT NEEDS THAT WERE PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREEYEAR CHNA AND IMPLEMENTATION STRATEGY (FY2023-FY2025) FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: A. ADVANCE HEALTH AND WELLBEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT a. PROJECTS AND PROGRAMS FOR OBESITY, HEART DISEASE, DIABETES, AND CANCER WERE ALL IMPLEMENTED WITH COLLABORATION FROM THE COMMUNITY. WE EXCELLED AT PROVIDING SCREENINGS AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1 - 17 (P/P)Year 2 -20(P/P) Year 3- 28(P/P) 2. BEHAVIORAL HEALTH a. WORKING ON THESE GOALS WAS DEMANDING FOR ADDITIONAL SERVICES AND PROGRAMS SUCH AS PROVIDING BETTER CONNECTIONS FOR SERVICES, ADDRESSING THE DATA ON SUBSTANCE ABUSE (THE MOST DIFFICULT BECAUSE LACK OF PUBLIC TRACKING IN THE AREA), AND TRYING TO FIND WAYS TO EXPAND SERVICES FOR BEHAVIORAL HEALTH (WE SUPPORTED EFFORTS IN THE LOCAL COMMUNITY TO GROW ACCESS, AND EXPANDING STATE SUPPORT FOR PROGRAMS.) b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1 -20(P/P) Year 2 - 19(P/P) Year 3 - 32(P/P) 3. PRIMARY CARE a. ACCESS TO CARE WAS A TOP PRIORITY AND WE CONTINUED TO FOCUS ON OUR EFFORTS FOR JUNIOR HIGH SCHOOL AND HIGH SCHOOL STUDENTS AND FACULTY WHO ARE ACTIVE AND TRYING TO PREVENT ACCIDENTS AND PROVIDING ON-SITE EFFORTS TO HELP WITH THE HEALING PROCESS WHICH ALSO SUPPORTED REMOVING BARRIERS FOR RURAL COMMUNITIES. PROJECTS FOR COLLABORATION ALSO INCREASED WITH COMMUNITY LEADERS HELPING US TO IDENTIFY IMMEDIATE NEEDS. b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1 - 19(P/P)Year 2 -18(P/P) Year 3- 23 (P/P) 4. EDUCATION a. HIS HAS PROVEN TO BE A MASSIVE FOCUS AREA FOR US TO SERVE THE COMMUNITY. BOTH THE PROGRAM/PROJECTS AND THE NUMBER OF PEOPLE SERVED WAS STEADY EACH YEAR. KEY AREAS WERE COLLABORATIONS WITH THE COMMUNITY TO EXPAND HEALTH EDUCATION POINTS, ENHANCE FUNDING FOR SCHOLARSHIPS IN ALL AREAS, AND TO SUPPORT LOCAL COMMUNITY EFFORTS TO BUILD LEADERSHIP. b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1-71(P/P) Year 2 - 64(P/P)Year 3 - 68 (P/P) B. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS THERE WERE TWO MAIN FOCUS AREAS: FOOD INSECURITY AND REDUCING SMOKING AND VAPING. 1. FOOD INSECURITY a. THIS WAS OUR MOST SUCCESSFUL PROGRAM IN THIS AREA AND WE WERE ABLE TO STRETCH OUR SUPPORT AND INCREASE FUNDING AT A TIME THAT ECONOMICALLY THE NEED WAS GREATEST. b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1-8(P/P) Year 2-9(P/P) Year 3-16 (P/P) 2. SMOKING AND VAPING a. THIS PROVED TO BE THE MOST DIFFICULT TO WORK WITHIN. THE COMMUNITY EFFORTS TO DEVELOP COLLABORATIONS WAS STRONG AND THE NEED WAS GREAT BUT IT WAS DIFFICULT. WE SUPPORTED EFFORTS OF OUR TEXAS LEGISLATURE TO LIMIT AND MONITOR ON CAMPUS SMOKING PROGRAMS IN AN EFFORT TO REDUCE SMOKING AND VAPING. FY2023-2025 CHNA IDENTIFIED NEEDS NOT BEING ADDRESSED CERTAIN COMMUNITY NEEDS, PARTICULARLY THOSE RELATED TO BROADER SOCIAL AND ECONOMIC CONDITIONS, WERE NOT IDENTIFIED AS AREAS WHERE CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM COULD SERVE AS THE PRIMARY LEAD OR ACHIEVE THE GREATEST MEASURABLE IMPACT THROUGH DIRECT HOSPITAL INTERVENTION. THESE NEEDS INCLUDED, BUT WERE NOT LIMITED TO, UPSTREAM SOCIAL DETERMINANTS SUCH AS HOUSING INSTABILITY, TRANSPORTATION ACCESS, AND SELECTED ECONOMIC AND ENVIRONMENTAL CHALLENGES THAT EXTEND BEYOND THE SCOPE OF HOSPITAL OPERATIONS AND CLINICAL PROGRAMMING. CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM DID NOT SERVE AS THE PRIMARY LEAD ON ISSUES THAT WERE NOT PRIORITIZED FOR DIRECT IMPLEMENTATION BECAUSE THE SYSTEM CAREFULLY CONSIDERED ITS ABILITY TO MEANINGFULLY INFLUENCE OUTCOMES, THE PRESENCE OF ESTABLISHED COMMUNITY PARTNERS ALREADY LEADING THIS WORK, AND THE IMPORTANCE OF AVOIDING DUPLICATION OF SERVICES. NEVERTHELESS, THE SYSTEM RECOGNIZES THE SIGNIFICANT IMPACT THESE FACTORS HAVE ON HEALTH OUTCOMES AND THE OVERALL WELL BEING OF PATIENTS AND COMMUNITIES. FOR THIS REASON, THROUGHOUT THE FY2023-2025 CHNA CYCLE, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM REMAINED DEEPLY COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS WHO ADDRESSED THESE NEEDS, PARTICIPATING IN COMMUNITY COALITIONS, SUPPORTING ALIGNED INITIATIVES, AND ENSURING THAT ITS STRATEGIES COMPLEMENTED AND ENHANCED THE BROADER COMMUNITY RESPONSE. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS COMPLETED ON JUNE 30, 2025 TO ADDRESS THE THREE-YEAR CHNA AND IMPLEMENTATION STRATEGY (FY2026-FY2028). TO BETTER UNDERSTAND AND RESPOND TO THE EVOLVING NEEDS OF THE COMMUNITIES WE SERVE, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM STRUCTURED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) USING A LIFESPAN APPROACH. THIS FRAMEWORK ORGANIZES DATA, PRIORITIES AND STRATEGIES BY KEY STAGES OF LIFE, RECOGNIZING THAT HEALTH NEEDS - AND THE FACTORS THAT INFLUENCE THEM - SHIFT AS INDIVIDUALS GROW, AGE AND MOVE THROUGH DIFFERENT PHASES OF LIFE. CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS WITHIN EACH OF THE FOLLOWING FOUR LIFE STAGES: - MATERNAL AND EARLY CHILDHOOD (PREGNANCY THROUGH AGE 4) - SCHOOL-AGE CHILDREN AND ADOLESCENTS (AGES 5-17) - ADULTS (AGES 18-64) - OLDER ADULTS (AGES 65-UP) KEY INDICATORS THAT CROSS THE LIFE SPAN APPROACH INCLUDE: PRIMARY CARE, BEHAVIORAL, SPECIALTY CARE, EDUCATION, AND FOOD INSECURITY. SEGMENTING OUR WORK IN THIS WAY ENSURES THAT INTERVENTIONS ARE AGE-APPROPRIATE, CULTURALLY RESPONSIVE AND ALIGNED WITH THE UNIQUE DEVELOPMENTAL, SOCIAL AND HEALTH NEEDS OF EACH PHASE OF LIFE. AT THE SAME TIME, WE RECOGNIZE THAT HEALTH IS DEEPLY INTERCONNECTED - MATERNAL HEALTH AFFECTS INFANT OUTCOMES, EARLY TRAUMA CAN INFLUENCE LONG-TERM WELL-BEING AND INVESTMENTS IN ONE LIFE STAGE OFTEN RIPPLE INTO THE NEXT. THIS PROCESS INCLUDED TOOLS FROM THE RESULTS BASED ACCOUNTING MODEL, FOCUSING ON USING TREND DATA TO UNDERSTAND WHETHER COMMUNITY CONDITIONS ARE IMPROVING OVER TIME, RATHER THAN FOCUSING ON YEAR-TO-YEAR FLUCTUATIONS. BASED ON THESE DISCUSSIONS, EACH WORKGROUP IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS FOR THEIR RESPECTIVE LIFE STAGES. THEY NOW SERVE AS A SHARED FOCUS FOR CTMFHS STRATEGIES, INVESTMENTS, AND PARTNERSHIPS OVER THE NEXT THREE YEARS. FY2026-2026 CHNA IDENTIFIED NEEDS NOT BEING ADDRESSED THE CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM FY2026-2028 CHNA IDENTIFIED A BROAD RANGE OF IMPORTANT HEALTH AND SOCIAL NEEDS ACROSS THE SERVICE AREA. HOWEVER, NOT ALL OF THESE NEEDS FALL WITHIN THE DIRECT SCOPE OF SERVICES OR RESOURCES THAT CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM CAN LEAD OR SUSTAIN INDEPENDENTLY. SOME COMMUNITY ISSUES REQUIRE THE SPECIALIZED FOCUS, INFRASTRUCTURE, OR MISSION ALIGNMENT OF OTHER ORGANIZATIONS, AGENCIES, OR COLLABORATIVE GROUPS THAT ARE BETTER POSITIONED TO LEAD EFFORTS IN THOSE AREAS. EXAMPLES OF THESE NEEDS MAY INCLUDE, BUT ARE NOT LIMITED TO, SOCIAL MEDIA USE AND SOCIAL ISOLATION, INABILITY TO PERFORM ACTIVITIES OF DAILY LIVING, LONG-TERM CARE AFFORDABILITY, PHONE ADDICTION, EXCESSIVE SCREEN TIME. ALTHOUGH CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM DOES NOT SERVE AS THE PRIMARY LEAD ON THESE ISSUES, THE SYSTEM RECOGNIZES THEIR DIRECT IMPACT ON HEALTH OUTCOMES AND THE OVERALL WELL-BEING OF PATIENTS AND COMMUNITIES. FOR THIS REASON, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM REMAINS DEEPLY COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS WHO ADDRESS THESE NEEDS, PARTICIPATING IN COALITIONS, SUPPORTING ALIGNED INITIATIVES, AND ENSURING THAT ITS STRATEGIES COMPLEMENT AND ENHANCE THE WORK OF OTHERS.
Schedule H, Part V, Section B, Line 13 Facility 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 GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility 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?3
Name and address		Type of Facility (describe)
1	CHRISTUS TRINITY MOTHER FRANCES TYLER SQUARE 415 SOUTH FLEISHEL TYLER,TX75702	AMBULATORY SURGICAL CENTER
2	CHRISTUS ENDOSCOPY CENTER AT TYLER MEDICAL PARK 1720 S BECKHAM AVENUE TYLER,TX75701	AMBULATORY SURGICAL CENTER
3	CHRISTUS HEART AND VASCULAR INSTITUTE 1783 TROUP HWY TYLER,TX75701	AMBULATORY SURGICAL CENTER
4
5
6
7
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 V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS	THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11.
Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 22 FAP-ELIGIBLE EMERGENCY OR OTHER MEDICAL CARE	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY CRITERIA	FACTORS OTHER THAN THE FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING FACTORS IN ITS DETERMINATION: 1) ASSET LEVEL 2) MEDICAL INDIGENCY 3) INSURANCE STATUS 4) UNDER INSURANCE STATUS 5) GREATER THAN 400% UNDER THE CATASTROPHIC CAP PROVISION 6) RESIDENCY
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part I, Line 7k 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 9.45 PERCENT, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS	THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $315,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY [INSERT FILING ORGANIZATIONS NAME]. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS [INSERT FILING ORGANIZATIONS NAME] SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY.
Schedule H, Part III, Line 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 2015. 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 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE:	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7H: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part V, Section B, Line 7 OTHER WEBSITE	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/trinity-mother-frances-tyler/2026-2028-community-health-needs-assessment-christus-trinity-mother-frances-health-system.ashx
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/2021PLAINLANGUAGESUMMARYHOSPITALENGLISH.ASHX
Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $1,446,777,575. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $0. THIS LEAVES A TOTAL EXPENSE OF $1,446,777,575 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Schedule H, Part VI Rev. Proc. 2015-21 Disclosure	Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on July 31, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on July 31, 2025. Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (July 31, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on July 31, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies.
Schedule H, Part II Community Building Activities	THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2025, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES, AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	DURING THE TAXABLE YEAR, THE HOSPITAL FACILITY DID NOT REPORT ANY BAD DEBT EXPENSE. ACCORDINGLY, THE HOSPITAL DID NOT USE A METHODOLOGY TO ESTIMATE BAD DEBT AS A COMMUNITY BENEFIT, AND NO BAD DEBT WAS INCLUDED AS COMMUNITY BENEFIT FOR SCHEDULE H REPORTING PURPOSES.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH 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 MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. 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 $109,325,278 IF TOTAL EXPENSES ALLOWABLE 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 THE 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 - MOTHER FRANCES REG. HEALTHCARE CENTER: 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 - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16b URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16c URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part VI, Line 2 Needs assessment	ONE OF THE KEY AREAS USED TO GET INPUT FROM OUR COMMUNITIES IS TO HAVE ASSOCIATES SERVE ON LOCAL BOARDS AND ATTEND COMMUNITY PARTNER MEETINGS TO HEAR FIRSTHAND WHAT THEIR ISSUES ARE AND HOW THEY ARE TRYING TO ADDRESS THEM. OUR HOSPITAL COMMUNITY BENEFIT ADVISORY COUNCIL HOLDS NOT ONLY QUARTERLY MEETINGS BUT AN ANNUAL MEETING WITH GUESTS FROM THE AREA COMMUNITIES WHO COULD IMPACT THE NEXT YEAR'S GOALS AND THE ENTIRE GROUP EVALUATES THE PERFORMANCE OF THE HOSPITAL IN THE CURRENT YEAR. AWARDS ARE GIVEN TO GROUPS WHO HAVE EXCELLED IN A SPECIFIC AREA. THE COMMUNITY BENEFIT TEAM ALSO HOSTS ROUND-TABLE DISCUSSIONS DURING THE YEAR TO GET INPUT ON ISSUES OR CHANGES THAT OCCUR FROM THE COMMUNITY. THE HOSPITAL ADVISORY COUNCIL AND THE COMMUNITY BENEFITS ADVISORY COUNCIL MEMBERS HAVE INFLUENCE ON DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE INEQUALITIES AND EMPOWER THE GREATER COMMUNITY. WITH THE NEW MANNER OF DOING THE CHNA AND CHIP, RELATIONSHIPS WERE KEY TO THE PROCESS AND PARTICIPATION.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MOTHER FRANCIS HOSPITAL - TYLER 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	SERVING EAST TEXAS SINCE MARCH 18, 1937, MOTHER FRANCES HOSPITAL - TYLER IS A 457-BED ACUTE CARE FACILITY LOCATED IN THE HEART OF SMITH COUNTY AND TYLER, TEXAS, OFFERING A WIDE RANGE OF SERVICES INCLUDING EMERGENCY AND TRAUMA CARE, MEDICAL AND SURGICAL CARE, TYLER'S LARGEST LEVEL III NEONATAL INTENSIVE CARE UNIT, LEVEL III MATERNAL UNIT, PEDIATRICS, ADVANCED NEUROSURGICAL, ORTHOPEDIC, AND CARDIAC CARE. THIS HOSPITAL ALSO HAS THE ONLY HEART HOSPITAL WITH A TOTAL BED COUNT OF 96. FOLLOWING IRS GUIDELINES, RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CHRISTUS MOTHER FRANCES TYLER AND JACKSONVILLE TOTAL PRIMARY SERVICE AREA INCLUDES 8 COUNTIES, 36 ZIP CODES COVERING 491,348 INDIVIDUALS. THE PRIMARY SERVICE AREA (PSA) IS THE GEOGRAPHIC REGION WITH 80% HOSPITAL UTILIZATION. THE PRIMARY SERVICE AREA INCLUDES THESE COUNTIES: ANDERSON, CHEROKEE, HENDERSON, RUSK, SMITH, VAN ZANDT, HOPKINS, AND WOOD. THE DEMOGRAPHICS OF THE PSA ARE FEMALES MAKE UP 50.6% AND MALES 49.4%. THE LARGEST AGE GROUP IS 40 - 64 FOLLOWED BY 18-39, THEN 0-4 AND FINALLY 0-4. WHILE SMITH COUNTY CONTINUES TO GROW MOST OF THE RURAL COUNTIES ARE NOT GROWING AT ALL AND OFTEN AS MUCH AS 25 - 30% OF THE CHILDREN AGE 5 ARE LIVING IN POVERTY WHICH IS MORE THAN DOUBLING THE STATE AVERAGE WHICH SIGNALS SIGNIFICANT RISKS TO LONG-TERM CHILD HEALTH AND DEVELOPMENT ISSUES. ALMOST ALL SCHOOL DISTRICTS HAVE A SIGNIFICANT PERCENTAGE OF LOW-INCOME STUDENTS RECEIVING ASSISTANCE.
Schedule H, Part VI, Line 5 Promotion of community health	CHRISTUS MOTHER FRANCES HOSPITAL TYLER AND JACKSONVILLE AND ITS AFFILIATED FACILITES ALL WORK TOGETHER TO SERVE THE PEOPLE NOT ONLY IN ITS PRIMARY AND SECONDARY SERVICE AREA BUT ALL OF NORTHEAST TEXAS, WHICH COVERS OVER 2O COUNTIES IN NORTHEAST TEXAS. THOSE COUNTIES ARE BOTH RURAL AND SMALL URBAN, BUT MOSTLY RURAL. KEY HEALTH INDICATORS FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND THE STATE. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCIL OF THE HOSPITALS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL OF EACH HOSPITAL. BOTH OF THESE MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES. HEALTH EQUITY IS ONE OF THE OTHER TOPICS INCLUDED IN THEIR MEETINGS. IN EACH MARKET, OUR FACILITIES ARE THE ONLY NON-PROFIT HEALTHCARE ENTITIES IN THIS MINISTRY AND ARE SEEN AS THE GO-TO FOR ASSISTANCE AND SUPPORT TO CARE FOR THOSE WHO DO NOT HAVE RESOURCES. SAMPLES OF KEY PROGRAMS AND PROJECTS ARE INCLUDED, BUT ARE NOT LIMITED TO, THOSE LISTED BELOW: 1. HEALTH FAIR - CHAPEL HILL BACK TO SCHOOL HEALTH EXPO - SC PURPOSE: The goal is to provide an avenue for parents and their children to familiarize themselves with a spectrum of community resources. Education and how to reach out to services was the prime focus of the event. DESCRIPTION: Over 350 people attended the back-to-school expo within one of the most disadvantaged school districts in smith county. The message was about the importance of health screenings for all ages focusing on different types of cancer for men and women and how you can secure them with few or no financial resources of their own. 2. DEMENTIA CARE EDUCATION - BH PURPOSE: To provide awareness and uplift the efforts made by the families and friends of those suffering from Dementia by holding an educational and community program. DESCRIPTION: In collaboration with the Alzheimer's Alliance of Smith County nursing development, caregiver, and families all received education on Dementia and how to respond to the needs of individuals suffering from this disease. Additionally, at two hospital locations pinwheels were placed at entrances to support Alzheimer's Month. 3 NARCAN EXPERT FOR COMMUNITY EDUCATION AND NARCAN BOOTH - (2 items) - BH PURPOSE: To educate the community on the use of Narcan for emergency situations. DESCRIPTION: Trinity Clinic Pain Management Opioid Nurse Navigator served as a preceptor/expert for the UT Tyler Nursing students Narcan project and advised the group on the B.L.U.E. project as a quick tool for identifying signs of an opioid overdose. Additionally, we provided a booth for education to the public on NARCAN use and disposal of narcotic medicines safely that was open to the public. 4. MARCH OF DIMES FOR BABIES - PC PURPOSE: To raise awareness of maternal and infant mortality. DESCRIPTION: The volunteer-led March of Dimes Walk was held at Rose Rudman Park. Medical professionals, families and interested community members and leaders participated in the event to heighten the awareness of healthcare issues for babies and mothers and the need for more available care in East Texas. 5. PRECEPTORS - RADIOLOGY - ED PURPOSE: To provide the necessary preceptor support at no charge to the educational entity. The goal is for students to receive the educational requirements for their program. DESCRIPTION: CHRISTUS TMF's Radiology Department is a training site for students from several area schools. Radiologists serve as formal preceptors to these students while on site. The program does not provide any financial support for these preceptors or the costs of students on site. 6. EAST TEXAS FOOD BANK - GRANT - FA PURPOSE: To address food insecurity in Northeast Texas. DESCRIPTION: CHRISTUS Mother Frances Health System provided a grant to provide support for securing food to have for local pantries in their fight against food insecurity.
Schedule H, Part VI, Line 6 Affiliated health care system	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION. CHRISTUS NORTHEAST TEXAS IS A FAITHBASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES, WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule H (Form 990) 2024

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

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Mother Frances Hospital Regional Health Care Center

Employer identification number
75-0818167

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Brookshire Grocery Company 1600 WSW Loop 323 Tyler,TX75701	75-0865842		7,500	Donations to local non-profits
(2) Diocese of Tyler 1015 ESE Loop 323 Tyler,TX75701	75-2152475	501(C)(6)	62,000	Women's retreat, Sanctity of Life, and Bishop Greg Kelly Intallation
(3) American Cancer Society P O Box 140069 Tyler,TX75701	13-1788491	501(C)(3)	6,000	Cancer services
(4) United Way of Smith County P O Box 10029 Tyler,TX75711	75-0957331	501(C)(3)	53,200	Leadership Dinner and Community Pillar program
(5) Alzheimers Alliance of Northeast Texas 3531 S Broadway Tyler,TX75701	75-2486061	501(C)(3)	12,500	Education, Program and resource support
(6) American College of Healthcare Executives P O Box 6657 Tyler,TX75711	75-3032691	501(C)(6)	6,000	Education
(7) Mosaic Counseling Centers of East Texas 6141 Paluxy Drive Tyler,TX75703	45-2047833	501(C)(3)	6,000	Education and behavioral health services
(8) East Texas Triathletes P O Box 7558 Tyler,TX75701	26-1808251	501(C)(3)	10,000	Health education
(9) Boy Scouts of America 1331 E 5th Street Tyler,TX75701	75-0808767	501(C)(3)	10,000	Educational support for at risk youth
(10) Junior League of Tyler Inc 1919 S Donnybrook Tyler,TX75701	75-0884075	501(C)(3)	18,000	Educational and community program support
(11) Green Acres Baptist Church 1607 Troup Highway Tyler,TX75701	75-1092783	501(C)(3)	20,000	Special disabilities and behavior needs support program
(12) Greenberg Smoked Turkeys Inc 221 McMurrey Drive Tyler,TX75702	75-1328897		41,800	Purchase smoked turkeys which were distributed to community
(13) Lindale Area Chamber of Commerce P O Box 670 Tyler,TX75771	75-2218487	501(C)(6)	7,000	Member leadership education, education scholarships and community projects
(14) Leadership Tyler 315 N Broadway Tyler,TX75771	75-2340612	501(C)(3)	5,450	Leadership and growth education
(15) Children's Advocacy Center P O Box 132889 Tyler,TX75713	75-2748697	501(C)(3)	10,000	Program grant
(16) Cancer Foundation for Life Inc P O Box 8257 Tyler,TX75711	75-2957440	501(C)(3)	45,000	Medically integrated exercise therapy for chronic diseases
(17) Bethesda Health Clinic 409 W Ferguson Tyler,TX75702	26-0036674	501(C)(3)	40,000	Low-income pediatric services
(18) Discovery Science Place 308 N Broadway Tyler,TX75702	75-2392134	501(C)(3)	9,000	Educational exhibit
(19) Lindale ISD 505 Pierce Street Lindale,TX75771	26-2688995	501(C)(3)	35,000	Rehabilitative services for students
(20) Women's Fund P O Box 6965 Tyler,TX75711	75-2666792	501(C)(3)	11,000	support high school aged girls GIVE program
(21) East Texas Veterans Community Council 3212 W Front Street Tyler,TX75702	82-4140973	501(C)(3)	14,198	Veteran services
(22) People Attempting To Help 420 W Front Street Tyler,TX75702	75-2033113	501(C)(3)	16,000	Food insecurities and social determinants of health
(23) East Texas Symphony Orchestra Association P O Box 6323 Tyler,TX75711	75-6013387	501(C)(3)	7,000	Provide healing through gift of music
(24) All Saints Episcopal School 2695 S SW Loop 323 Tyler,TX75701	75-1520564	501(C)(3)	20,000	Educational scholarship for low income students
(25) Cathedral of Immaculate Conception 423 S Broadway Tyler,TX75702	75-6004616	501(C)(3)	15,000	Saint Vincent De Paul food insecurity canopy project
(26) Tyler ISD Foundation 807 Glenwood Blvd Tyler,TX75701	75-2366991	501(C)(3)	7,000	Educational scholarships
(27) Mount Pleasant ISD Foundation 2230 N Edwards Avenue Mount Pleasant,TX75455	46-5635580	501(C)(3)	25,000	Educational scholarships
(28) Saint Mary Magdalen Church 18221 FM 2493 Flint,TX75762	27-0114583	501(C)(3)	10,000	Youth conference
(29) Hawkins ISD Education Foundation P O Box 1430 Hawkins,TX75765	83-0544752	501(C)(3)	7,500	Educational scholarships

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

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

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

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

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

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

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

Part IV

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

Return Reference

Explanation

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

GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY.

Schedule I (Form 990) Rev. 1-2025

Additional Data

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

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)
1ANDY KIRKPATRICK MD Former Dir/Chairperson (Term 12/20)	(i) (ii)	0 ------------- 699,803	0 ------------- 0	0 ------------- 27,858	0 ------------- 49,132	0 ------------- 13,116	0 ------------- 789,909	0 ------------- 0
2Chris Glenney SVP GROUP OPS NETX- Director/Chairperson (EFF 1/25)	(i) (ii)	0 ------------- 852,427	0 ------------- 632,258	0 ------------- 177,000	0 ------------- 70,531	0 ------------- 18,430	0 ------------- 1,750,646	0 ------------- 176,296
3Jason Proctor Chief Executive Officer/President	(i) (ii)	0 ------------- 589,752	0 ------------- 308,185	0 ------------- 88,402	0 ------------- 21,858	0 ------------- 13,925	0 ------------- 1,022,122	0 ------------- 87,752
4Fadi Nasrallah Former SVP/Chief Medical Officer (Term 8/19)	(i) (ii)	0 ------------- 763,257	0 ------------- 572,327	0 ------------- 214,520	0 ------------- 13,801	0 ------------- 14,394	0 ------------- 1,578,299	0 ------------- 178,970
5Mark Anderson MD Director	(i) (ii)	0 ------------- 575,731	0 ------------- 268,639	0 ------------- 98,535	0 ------------- 34,301	0 ------------- 67,640	0 ------------- 1,044,846	0 ------------- 0
6Andria Cardinalli-Stein MD Director (TERM 12/24)	(i) (ii)	0 ------------- 397,136	0 ------------- 95,510	0 ------------- 670	0 ------------- 13,801	0 ------------- 2,248	0 ------------- 509,365	0 ------------- 0
7Steven Keuer MD Director Ex-Officio	(i) (ii)	0 ------------- 712,901	0 ------------- 429,357	0 ------------- 241,068	0 ------------- 51,823	0 ------------- 11,767	0 ------------- 1,446,916	0 ------------- 240,068
8Sister Rosanne Popp MD Director	(i) (ii)	0 ------------- 225,619	0 ------------- 0	0 ------------- 36,560	0 ------------- 1,026	0 ------------- 6,694	0 ------------- 269,899	0 ------------- 0
9Jeffrey Puckett Director (TERM 12/24)	(i) (ii)	0 ------------- 1,659,819	0 ------------- 2,929,083	0 ------------- 2,234,450	0 ------------- 39,670	0 ------------- 17,033	0 ------------- 6,880,055	0 ------------- 1,954,259
10FAGG SANFORD MD FORMER DIRECTOR/SECRETARY (TERM 6/22)	(i) (ii)	0 ------------- 835,457	0 ------------- 0	0 ------------- 5,765	0 ------------- 51,950	0 ------------- 20,232	0 ------------- 913,404	0 ------------- 0
11Eric Garrison Chief Financial Officer	(i) (ii)	0 ------------- 281,963	0 ------------- 131,184	0 ------------- 51,618	0 ------------- 0	0 ------------- 17,520	0 ------------- 482,285	0 ------------- 0
12Ali Birjandi Vice President	(i) (ii)	0 ------------- 321,748	0 ------------- 121,584	0 ------------- 650	0 ------------- 33,651	0 ------------- 16,044	0 ------------- 493,677	0 ------------- 0
13Shelly Birmingham Certified Nurse Educator	(i) (ii)	0 ------------- 324,745	0 ------------- 117,693	0 ------------- 49,648	0 ------------- 26,842	0 ------------- 14,343	0 ------------- 533,271	0 ------------- 49,368
14Deborah Chelette VP CARDIAC SERVICES	(i) (ii)	0 ------------- 325,380	0 ------------- 115,880	0 ------------- 54	0 ------------- 29,784	0 ------------- 0	0 ------------- 471,098	0 ------------- 0
15Scott Fossey VP OF DEVELOPMENT	(i) (ii)	0 ------------- 336,697	0 ------------- 113,179	0 ------------- 629	0 ------------- 39,772	0 ------------- 29,137	0 ------------- 519,414	0 ------------- 0
16Jaclynn Harrison Chief Financial Officer/TREASURER (EFF 07/24)	(i) (ii)	0 ------------- 396,737	0 ------------- 363,741	0 ------------- 18,204	0 ------------- 25,473	0 ------------- 15,882	0 ------------- 820,037	0 ------------- 17,274
17Rebecca Howell ASSOCIATE Chief Investment Officer	(i) (ii)	0 ------------- 201,691	0 ------------- 60,741	0 ------------- 0	0 ------------- 22,783	0 ------------- 5,010	0 ------------- 290,225	0 ------------- 0
18Mary Elizabeth Jackson VP ADVOCACY - GOVT AFFAIRS	(i) (ii)	0 ------------- 231,822	0 ------------- 74,782	0 ------------- 704	0 ------------- 33,697	0 ------------- 6,176	0 ------------- 347,181	0 ------------- 0
19Elizabeth Maddox VP Human Resources	(i) (ii)	0 ------------- 229,011	0 ------------- 88,758	0 ------------- 22,485	0 ------------- 30,304	0 ------------- 15,796	0 ------------- 386,354	0 ------------- 0
20Brian D Matson VP, STRATEGY-BUS DEVELOPMENT	(i) (ii)	0 ------------- 360,911	0 ------------- 152,796	0 ------------- 42,535	0 ------------- 32,639	0 ------------- 22,115	0 ------------- 610,996	0 ------------- 42,391
21Brandy Moore Chief Operating Officer - Tyler Westgate	(i) (ii)	0 ------------- 271,459	0 ------------- 119,020	0 ------------- 54	0 ------------- 54,320	0 ------------- 18,625	0 ------------- 463,478	0 ------------- 0
22Andy G Navarro VP MISSION INTEGRATION	(i) (ii)	0 ------------- 227,660	0 ------------- 87,481	0 ------------- 87,861	0 ------------- 29,303	0 ------------- 16,435	0 ------------- 448,740	0 ------------- 56,663
23Anne Pileggi Chief Operating Officer - Tyler	(i) (ii)	0 ------------- 256,362	0 ------------- 107,544	0 ------------- 114,422	0 ------------- 29,624	0 ------------- 88,757	0 ------------- 596,709	0 ------------- 74,818
24ROBERT W BIENERT Certified Registered Nurse Anesthetist	(i) (ii)	262,110 ------------- 0	31,012 ------------- 0	398,584 ------------- 0	44,217 ------------- 0	2,337 ------------- 0	738,260 ------------- 0	0 ------------- 0
25DONALD J MITCHELL Certified Registered Nurse Anesthetist	(i) (ii)	230,289 ------------- 0	500 ------------- 0	261,047 ------------- 0	27,374 ------------- 0	10,286 ------------- 0	529,496 ------------- 0	0 ------------- 0
26CHAD W MORGAN Certified Registered Nurse Anesthetist	(i) (ii)	215,028 ------------- 0	500 ------------- 0	195,719 ------------- 0	28,260 ------------- 0	19,076 ------------- 0	458,583 ------------- 0	0 ------------- 0
27RANFERI VALLE Certified Registered Nurse Anesthetist	(i) (ii)	217,064 ------------- 0	500 ------------- 0	196,433 ------------- 0	30,243 ------------- 0	16,438 ------------- 0	460,678 ------------- 0	0 ------------- 0
28DUSTIN J VIDRINE Certified Registered Nurse Anesthetist	(i) (ii)	229,992 ------------- 0	29,119 ------------- 0	255,944 ------------- 0	30,662 ------------- 0	18,026 ------------- 0	563,743 ------------- 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 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	Anne Pileggi RECEIVED $35,188 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: Jeffrey Puckett - $2,234,450 STEVEN KEUER - $240,068 Fadi NASRALLAH - $214,520. CHRIS GLENNEY - $176,296 Jason Proctor - $87,752 Andy G. Navarro - $86,427 ANNE PILEGGI - $78,130 SHELLY BIRMINGHAM - $49,368 Brian D. Matson - $42,391 Jaclynn Harrison - $17,274 MARK ANDERSON, M.D. - $98,481
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. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6 PERCENT OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule J (Form 990) (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

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

Return Reference	Explanation
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	THE CORPORATIONS' MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST", AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS. DECREES, AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH, THE CORPORATIONS PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	Patient Care Services MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER responds to the health care needs of the community through services provided at 2 campuses: * MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER is a 457-bed acute care not-for-profit hospital in Tyler, Texas. * MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER - SOUTH TYLER in Tyler, Texas. Each facility shares the objective of leading the way to a healthier community. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER, located in Smith County, and services an area including Anderson, Cherokee, Henderson, Hopkins, Rusk, Smith, Van Zandt, and Wood Counties serving a population of 491,348 individuals in Fiscal Year 2025, we served individuals in various ways, including: 178,836 visits to our emergency department 7,597 inpatient surgery procedures 20,053 outpatient surgery procedures 32,289 patients admitted for care 1,022,744 patients who received outpatient care
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	Other Government Programs MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER 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, MOTHER FRANCES HOSPITAL HEALTHCARE CENTER served 1,264,706 patients under these programs, with unreimbursed costs totaling $95,306,171. 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 4c PROGRAM SERVICE DESCRIPTION	Charity Care and Community Benefit Activity In keeping with the mission, values, and vision of CHRISTUS Health, MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER provides charity care services in a manner that respects the dignity of the patients and their families. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines In FY 2025, 12,401 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 569 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER actively participates in Texas Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualifications. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER 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, MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER invested $11,932,327 in community benefit programs, impacting potentially 484,728 individuals.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 11,444,392 including grants of $ 689,832)(Revenue $ 0) MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE 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 $1,115,726 Broader community: Expenses of $10,328,666
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 NORTHEAST HEALTH SYSTEM CORPORATION IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER, CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 PER MILLION 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 2026 VIA WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. 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 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	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	Other Operating Rev - Total Revenue: 3136944, Related or Exempt Function Revenue: , Unrelated Business Revenue: 3136944, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gen Merchandise Rev - Total Revenue: 231457, Related or Exempt Function Revenue: 231457, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Spa Revenue - Total Revenue: 25691, Related or Exempt Function Revenue: 25691, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Food Service Rev - Total Revenue: 1171, Related or Exempt Function Revenue: 1171, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts - Total Revenue: 1061, Related or Exempt Function Revenue: 1061, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Patient Financial Serv. - Total Expense: 21381013, Program Service Expense: 0, Management and General Expenses: 21381013, Fundraising Expenses: 0; MCCS Expense - Total Expense: 20646224, Program Service Expense: 0, Management and General Expenses: 20646224, Fundraising Expenses: 0; System Office Fee - Total Expense: 43959611, Program Service Expense: 91016, Management and General Expenses: 43868595, Fundraising Expenses: 0; Professional Fees - Total Expense: 890441, Program Service Expense: 803796, Management and General Expenses: 86645, Fundraising Expenses: 0; Less: Lobbying Ex - Total Expense: -1286, Program Service Expense: 0, Management and General Expenses: -1286, Fundraising Expenses: 0; Charge Out Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 0, Fundraising Expenses: 0; Medical Services - Total Expense: 31454303, Program Service Expense: 30218037, Management and General Expenses: 1236266, Fundraising Expenses: 0; R&M - Total Expense: 16064952, Program Service Expense: 16221647, Management and General Expenses: -158990, Fundraising Expenses: 2295; Billings & Collections - Total Expense: 106972, Program Service Expense: 97842, Management and General Expenses: 9130, Fundraising Expenses: 0; Purchased Services - Total Expense: 6541883, Program Service Expense: 6119555, Management and General Expenses: 236506, Fundraising Expenses: 185822;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -98649985; CHANGE IN PENSION LIABILITIES - -2736653; Reclass for GAAP For Donations/Grants to UNRA - 71013; Total - -XXX-XX-XXXX;
FORM 990, PAGE 1, BOX C DOING BUSINESS AS	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Health at Work Jacksonville CHRISTUS Human Performance Center CHRISTUS Mother Frances Hospital CHRISTUS MOTHER FRANCES HOSPITAL - ATHENS CHRISTUS Mother Frances Hospital - Canton CHRISTUS MOTHER FRANCES HOSPITAL - LINDALE CHRISTUS Mother Frances Hospital - South Tyler CHRISTUS Mother Frances Hospital - Tyler CHRISTUS Mother Frances Hospital Cardiology Services CHRISTUS Mother Frances Hospital Outpatient Cath Lab CHRISTUS Specialty Pharmacy CHRISTUS TRINITY MOTHER FRANCES - ATHENS CHRISTUS Trinity Mother Frances DeHaven Surgery Center - Tyler CHRISTUS Trinity Mother Frances Endoscopy Center CHRISTUS Trinity Mother Frances Louis & Peaches Owen Heart Hospital - Tyler Flight for Life TRINITY MOTHER FRANCES ENDOSCOPY 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

Mother Frances Hospital Regional Health Care Center

Employer identification number

75-0818167

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 HEALTH CARE CORPORATION 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-1109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(28)CHRISTUS SANTA ROSA MED CTR AUXILIARY 2827 BABCOCK ROAD SAN ANTONIO,TX78229 73-1655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes
(29)CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION PO Box 912 SAN MARCOS,TX78667 74-2259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes
(30)CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(31)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
(32)CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC 3330 MASONIC DRIVE ALEXANDRIA,LA71301 23-7255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes
(33)CHRISTUS ST MICHAEL FOUNDATION 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 47-1655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes
(34)CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 47-1496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes
(35)Chritus Trinity Clinic Texas 1315 DOCTORS DRIVE TYLER,TX75701 75-2616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(36)CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes
(37)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
(38)GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(39)GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW,TX75601 23-7203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes
(40)GOOD SHEPHERD MED CENTER - LINDEN INC 700 E MARSHALL AVE LONGVIEW,TX75601 01-0829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes
(41)GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC 404 N KAUFMAN LINDEN,TX75563 20-0845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(42)GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW,TX75601 86-1132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(43)HOPKINS CTY PHYSICIAN SERVICES 115 AIRPORT RD SULPHUR SPRINGS,TX75482 26-0637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes
(44)MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 75-2605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes
(45)MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER,TX75701 75-1976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes
(46)MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER,TX75701 75-2771569	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	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CENTRAL LOUISIANA SURGICAL HOSPITAL LLC 651 NORTH BOLTON AVE ALEXANDRIA,LA71301 26-4732398	SURGICAL CENTER	LA	NA
(2) CHRISTUS SURGERY CENTER - VILLAGES LLC 1453 E BERT KOUNS SHREVEPORT,LA71108 84-4975265	SURGICAL CENTER	LA	NA
(3) CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC 13525 CENTERBROOK 100 UNIVERSAL CITY,TX78148 38-4092858	SURGICAL CENTER	TX	NA
(4) CHRISTUS CENTER FOR SPECIAL SURGERY 14603 HUEBNER RD SAN ANTONIO,TX78240 99-0686547	SURGICAL CENTER	TX	NA
(5) CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC 1927 ROGERS RD SAN ANTONIO,TX78251 85-1975909	SURGICAL CENTER	TX	NA
(6) NEW BRAUNFELS SURGICAL CENTER LLC 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571408	HEALTHCARE SERVICES	TX	NA
(7) CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC 333 N SANTA ROSA ST SAN ANTONIO,TX78207 41-2092141	HEALTHCARE SERVICES	TX	NA
(8) CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571409	HEALTHCARE SERVICES	TX	NA
(9) GOOD SHEPHERD NORTH PARK LP 700 E MARSHALL AVE LONGVIEW,TX75601 46-4834106	HEALTHCARE SERVICES	TX	NA
(10) GOOD SHEPHERD AMBULATORY SURGICAL LTD 700 E MARSHALL AVE LONGVIEW,TX75601 90-0259782	HEALTHCARE SERVICES	TX	NA
(11) GSHS CUSTOMER SERVICE BUILDING I LTD 700 E MARSHALL AVE LONGVIEW,TX75601 02-0636726	CUSTOMER SERVICES	TX	NA
(12) ST ELIZABETH REHAB PARTNERS LLP 2830 CALDER STREET BEAUMONT,TX77702 20-5657181	HEALTHCARE SERVICES	TX	NA
(13) NORTHERN LOUISIANA CARDIAC SERVICES LLC 1751 IMPERIAL BLVD LAKE CHARLES,LA70605 81-3198914	SURGICAL CENTER	LA	NA
(14) SOUTH RYAN MRI LLC 650 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 74-3103662	IMAGING SERVICES	LA	NA
(15) ALAMOGORDO IMAGING CENTER LLC 2669 SCENIC DRIVE ALAMOGORDO,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 72-0896055	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	NA	C Corporation				Yes
(35) HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC 5101 N OCONNOR BLVD IRVING,TX75039 99-9999999	SUPPORT	TX	NA	C Corporation				Yes
(36) RELIANCE BENEFITS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2642104	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(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,NM88310 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 .....................

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) CHAMPION EMS	L	279,856	Accrual
(2) CHRISTUS FOUNDATION SHREVEPORT-BOSSIER	B	60,000	Accrual
(3) CHRISTUS FOUNDATION SHREVEPORT-BOSSIER	C	65,000	Accrual
(4) CHRISTUS HEALTH ARK-LA-TEX	M	279,940	Accrual
(5) CHRISTUS HEALTH ARK-LA-TEX	L	70,000	Accrual
(6) CHRISTUS HEALTH FDN OF SOUTHEAST TX	B	60,000	Accrual
(7) CHRISTUS HEALTH FDN OF SOUTHEAST TX	C	65,000	Accrual
(8) CHRISTUS Health Plan	M	120,752	Accrual
(9) CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION	C	323,338	Accrual
(10) CHRISTUS St Patrick Foundation	B	60,000	Accrual
(11) CHRISTUS St Patrick Foundation	C	65,000	Accrual
(12) CHRISTUS TRINITY CLINIC TEXAS	M	159,194,870	Accrual
(13) CHRISTUS TRINITY CLINIC TEXAS	L	271,959,225	Accrual
(14) CHRISTUS TRINITY CLINIC TEXAS	Q	204,748	Accrual
(15) CHRISTUS TRINITY CLINIC TEXAS	P	84,336	Accrual
(16) CHRISTUS TRINITY CLINIC TEXAS	J	1,726,942	Accrual
(17) CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION	C	110,134	Accrual
(18) GOOD SHEPHERD FOUNDATION INC	B	60,000	Accrual
(19) GOOD SHEPHERD FOUNDATION INC	C	65,000	Accrual
(20) MOTHER FRANCES HOSPITAL - JACKSONVILLE	M	70,325	Accrual
(21) MOTHER FRANCES HOSPITAL - JACKSONVILLE	K	165,715	Accrual
(22) MOTHER FRANCES HOSPITAL - JACKSONVILLE	J	1,292,820	Accrual
(23) ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA	B	60,000	Accrual
(24) ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA	C	65,000	Accrual
(25) TRINCARE INC	L	5,957,302	Accrual
(26) TRINCARE INC	M	10,150,219	Accrual
(27) TRINCARE INC	J	61,458	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: TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	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	7,081
6	Total number of volunteers (estimate if necessary) .............	6	130
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,136,944
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	3,497

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	480,870	341,417
9	Program service revenue (Part VIII, line 2g) .........	1,421,201,286	1,507,440,149
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,033,325	4,052,359
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,561,178	33,662,948
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,435,276,659	1,545,496,873
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	646,258	689,832
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)	339,661,472	357,026,886
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 698,519
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,001,853,014	1,089,060,857
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,342,160,744	1,446,777,575
19	Revenue less expenses. Subtract line 18 from line 12.......	93,115,915	98,719,298
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	853,341,334	841,287,297
21	Total liabilities (Part X, line 26).............	101,868,706	92,202,213
22	Net assets or fund balances. Subtract line 21 from line 20.....	751,472,628	749,085,084

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 670,778,444 including grants of $ 0 ) (Revenue $ 1,035,866,834 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ 541,165,109 including grants of $ 0 ) (Revenue $ 445,858,937 )
	SEE SCHEDULE O

4c	(Code: ) (Expenses $ 64,081,341 including grants of $ 0 ) (Revenue $ 54,984,823 )
	SEE SCHEDULE O

	(Code: ) (Expenses $ 11,444,392 including grants of $ 689,832 ) (Revenue $ 0 )
	MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE 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 $1,115,726 Broader community: Expenses of $10,328,666

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 11,444,392 including grants of $ 689,832 ) (Revenue $ )
4e	Total program service expenses1,287,469,286

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,523,841	21,595,891	1,416,002

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





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

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	341,417
e	Government grants (contributions)		1e

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

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

h Total. Add lines 1a-1f.......		341,417

		Business Code
2a	NET PATIENT SERVICE REVENUE	621110	1,093,274,433	1,093,274,433
b	UNCON SUB REVENUE	900099	8,189,599	8,189,599
c	REBATES	900099	6,710,580	6,710,580
d	EDUCATION AND WELLNESS	900099	4,236,068	4,236,068
e	ALLOC CHARGEOUT PHYS NON CONTRACT REV	900099	395,029,469	395,029,469
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		1,507,440,149

3 Investment income (including dividends, interest, and othersimilar amounts) ......			162,229			162,229
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,255,559
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	1,255,559	0
d	Net rental income or (loss).......			1,255,559			1,255,559
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	19,309,029
b	Less: cost or other basis and sales expenses	7b	15,418,899
c	Gain or (loss)	7c	3,890,130	0
d	Net gain or (loss).........			3,890,130			3,890,130
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	Implicit Price Concessions		900099	22,914,743	22,914,743
b	Air Methods Program		900099	4,625,019	4,625,019
c	Contract Service Revenue		900099	1,471,303	1,471,303
d	All other revenue ....			3,396,324	259,380	3,136,944	0
e	Total. Add lines 11a–11d ......			32,407,389
12	Total revenue. See instructions.....			1,545,496,873	1,536,710,594	3,136,944	5,307,918

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	689,832	689,832
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........	286,989,904	279,838,150	6,968,739	183,015
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	49,793,464	47,945,983	1,800,704	46,777
10	Payroll taxes ...........	20,243,518	19,975,173	252,027	16,318
11	Fees for services (non-employees):
a	Management ......	45,537,986	45,537,986
b	Legal .........	82,841	75,469	7,372
c	Accounting ...........
d	Lobbying ...........	1,286		1,286
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	40,032	40,032
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	373,544,284	286,052,064	87,304,103	188,117
12	Advertising and promotion ....	1,418	1,418
13	Office expenses .......	159,520,367	155,549,928	3,747,638	222,801
14	Information technology ......	51,095,138		51,095,138
15	Royalties ..
16	Occupancy ...........	21,267,360	21,094,634	172,726
17	Travel ............	999,229	913,156	79,449	6,624
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	413,044	339,853	63,635	9,556
20	Interest ...........	616,281	616,281
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	41,665,142	41,665,142
23	Insurance ...	11,070,063	7,092,836	3,977,227
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Expenses	339,216,995	338,947,416	269,579
b	LPPF Tax	39,225,509	39,225,509
c	TLRA Collection Fee	2,587,554		2,587,554
d	License Subscrip Fee	1,127,242	927,376	199,866
e	All other expenses	1,049,086	941,048	82,727	25,311
25	Total functional expenses. Add lines 1 through 24e	1,446,777,575	1,287,469,286	158,609,770	698,519
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 ........			67,176	1	68,595
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			128,380,823	4	121,223,823
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 ...........			5,398,865	7	9,067,100
8	Inventories for sale or use ............			8,617,463	8	12,834,212
9	Prepaid expenses and deferred charges ......			34,932,242	9	3,186,316
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	824,660,527
b	Less: accumulated depreciation	10b	281,748,100	527,869,244	10c	542,912,427
11	Investments—publicly traded securities .			-2,908,195	11	-5,100,107
12	Investments—other securities. See Part IV, line 11 .....			3,811,324	12	2,519,663
13	Investments—program-related. See Part IV, line 11 ..			9,752,221	13	10,341,235
14	Intangible assets ...............			25,685,313	14	25,685,313
15	Other assets. See Part IV, line 11 ...........			111,734,858	15	118,548,720
16	Total assets. Add lines 1 through 15 (must equal line 33)...			853,341,334	16	841,287,297

17	Accounts payable and accrued expenses .....	37,749,802	17	31,387,360
18	Grants payable ...		18
19	Deferred revenue .........	697,836	19	715,011
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	63,421,068	25	60,099,842
26	Total liabilities. Add lines 17 through 25..	101,868,706	26	92,202,213

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	750,942,154	27	748,554,610
28	Net assets with donor restrictions ...........	530,474	28	530,474
	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 ...........	751,472,628	32	749,085,084
33	Total liabilities and net assets/fund balances ........	853,341,334	33	841,287,297