Christus Spohn Health System Corporation

“Christus health and most of its affiliated entities do not have forms 1023 because of its 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.”

“Christus health is the sole corporate member of the filing organization.”

“Christus health, the sole corporate member of the filing organization, has the power to appoint all members of the filing organization's governing body.”

“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 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 and vice chairperson of board of directors; approve incurrence of debt that exceeds $5 million per incurrence or $25 million annually; approve any merger, consolidation, acquisition, dissolution or liquidation by the filing organization; approve the implementation of system-wide policies for 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 $10 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 participant or local entity which creates a new legal entity or joint venture, or changes in business purpose or relationship of any local entity; and approve and authorize actions reserved 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 $5 million but more than $1 million; approve the incurrence of debt up to a $5 million cap or $25 million annually by the filing organization; approve strategic plans of the filing organization; approve the filing organization's budget; set the threshold of capital projects less than $10 million by the filing organization; and approve management directives for the filing organization. The christus health members are the congregation of sisters of charity of the incarnate word, houston, texas and the congregation of sisters of charity of the incarnate word (of san antonio). The christus health members have the following powers: approve the adoption and amendment of articles of incorporation and bylaws of the filing organization if the change is related to reserved powers of members; approve the sale, lease, mortgage, transfer, easement or encumbrance of real property in excess of a $5 million threshold amount required by canon law for the filing organization; approve the sale, lease, mortgage, transfer, easement, or encumbrance of real property designated as designated ministry property by the filing organization, but not in excess of $5 million; approve the change of ownership, management or control, (except in the ordinary course of business office and space leases) the fundamental use by change in license that would significantly change 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.”

“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 review. Review of the final form 990 occurs prior to filing with the irs in the spring of 2023 via a web portal polling tool by the respective christus organization's board, based on a set of suggested review processes developed by christus health.”

“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.”

“The executive compensation committee of christus health determines the compensation of the ceo (or executive director, as applicable), officers and key employees of christus health and certain other officers and key employees of related organizations, including christus spohn health system corporation. The executive compensation committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The executive compensation committee of the christus health board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. Develops the merit increase recommendations for all designated system executives based on market comparability. 2. Recommends the changes in the compensation structure (grades) based on the market changes. 3. Completes a review and evaluation of newly created positions to recommend a grade placement to the committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other designated system executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the executive compensation committee makes final compensation decisions. Additionally, the executive compensation committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the committee are documented and formalized in the committee minutes and maintained on record. The filing organization determines the compensation of the secretary by use of an independent and external consultant. The consultant helps determine pay rates for the associates of the filing organization, taking into account market data and shift differential. The compensation rates are approved by the filing organization. Based on the aforementioned procedure, the secretary's compensation is not reviewed by a compensation committee.”

“The executive compensation committee of christus health determines the compensation of the ceo (or executive director, as applicable), officers and key employees of christus health and certain other officers and key employees of related organizations, including christus spohn health system corporation. The executive compensation committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The executive compensation committee of the christus health board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. Develops the merit increase recommendations for all designated system executives based on market comparability. 2. Recommends the changes in the compensation structure (grades) based on the market changes. 3. Completes a review and evaluation of newly created positions to recommend a grade placement to the committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other designated system executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the executive compensation committee makes final compensation decisions. Additionally, the executive compensation committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the committee are documented and formalized in the committee minutes and maintained on record. The filing organization determines the compensation of the secretary by use of an independent and external consultant. The consultant helps determine pay rates for the associates of the filing organization, taking into account market data and shift differential. The compensation rates are approved by the filing organization. Based on the aforementioned procedure, the secretary's compensation is not reviewed by a compensation committee.”

“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.”

“ALL OTHER SERVICES REVENUE - Total Revenue: 920948, Related or Exempt Function Revenue: 920948, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“CHRISTUS SPOHN CANCER CENTER - ALICE CHRISTUS SPOHN CANCER CENTER - CALALLEN CHRISTUS SPOHN CANCER CENTER - SHORELINE CHRISTUS SPOHN DR. HECTOR P. GARCIA MEMORIAL FAMILY HEALTH CENTER CHRISTUS SPOHN FAMILY HEALTH CENTER (BEEVILLE) CHRISTUS SPOHN FAMILY HEALTH CENTER - FREER CHRISTUS SPOHN FAMILY HEALTH CENTER - NORTHSIDE CHRISTUS SPOHN FAMILY HEALTH CENTER - PADRE ISLAND CHRISTUS SPOHN FAMILY HEALTH CENTER - ROBSTOWN CHRISTUS SPOHN FAMILY HEALTH CENTER - WESTSIDE CHRISTUS SPOHN HEART INSTITUTE CHRISTUS SPOHN HEALTH SYSTEM CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - MEMORIAL CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - SHORELINE CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - SOUTH CHRISTUS Spohn Medical Clinic - Alice CHRISTUS SPOHN MEDICAL CLINIC - BEEVILLE CHRISTUS SPOHN MEMORIAL QUICK CARE CHRISTUS SPOHN NEUROSCIENCES CENTER CHRISTUS Spohn Women's Clinic - Alice CHRISTUS SPOHN WOUND CARE & HYPERBARIC CLINIC”

“CHRISTUS Spohn Health System is part of CHRISTUS Health, formed in 1999 to strengthen the healthcare ministries of the congregations of the Sisters of Charity of the Incarnate Word of Houston and San Antonio and the Sisters of the Holy Family of Nazareth. Founded on the mission To extend the healing ministry of Jesus Christ, CHRISTUS Spohn serves the entire coastal bend region, striving to help those in need. The vision of CHRISTUS Health, a Catholic health ministry, is to be a leader, a partner, and an advocate in creating innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love.”

“COMMITMENT TO BENEFITTING OUR COMMUNITIES CHRISTUS Spohn Health System responds to the community's health care needs through services provided at three hospital campuses in Corpus Christi - the Shoreline campus, the Memorial campus, and the South campus. Additionally, we serve our rural communities through CHRISTUS Spohn Hospital Kleberg in Kingsville, CHRISTUS Spohn Hospital Alice in Alice, and CHRISTUS Spohn hospital Beeville in Beeville. Each facility of CHRISTUS Spohn Health System shares one objective - to heal the way Jesus healed; mind, body, and spirit to create a holistically healthy community. By collaborating with non-profit organizations, FQHCs, local businesses, churches, and grassroots organizers, CHRISTUS Spohn Health System strengthened its role as a primary provider of comprehensive and accessible healthcare services. These partnerships within the community have assisted us in creating a response to those in need. Furthermore, investment in community services is only possible with dedicated employees and volunteers. They help build strong relationships between the hospitals, other healthcare ministries, and the communities, nurturing CHRISTUS' mission to meet the needs and make a difference in the lives of others. Understanding the need to improve access to health care to as much of our population as possible, CHRISTUS Health participates in government-sponsored healthcare programs, including Medicaid, Medicare, and a variety of others. In addition, we offer specific programs to provide free or discounted services to those in need who do not have third-party coverage or do not participate in government-sponsored programs. CHRISTUS Spohn conducts its activities and serves its healthcare purpose without regard to race, color, creed, religion, gender, orientation, disability, age, or national origin. Each of the six campuses within CHRISTUS Spohn Health System provides a 24-hour emergency room that is open to all who need emergent care, regardless of their ability to pay. CHRISTUS Spohn corporation also offers various local Community health services, convenient locations for Primary care through the CHRISTUS Spohn family health centers, rural health clinics, and a mobile outreach clinic. In addition, CHRISTUS Spohn collaborates with the federally qualified health centers (FQHCs) in our region, as well as other not-for-profit organizations in the coastal bend area that are committed to creating greater access to primary care. One example is CHRISTUS Spohn provides free lab work and flu vaccines for patients seen by Mission of Mercy. This not-for-profit free health clinic utilizes the services of volunteer physicians and nurses and uses donated space in churches, community centers, and other locations throughout the region.”

“COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS adheres to the catholic health association's a guide for planning and reporting community benefit and complies with the state of Texas requirements for reporting. Community benefits reported as unpaid costs include both charity care and community services. To the limits of its resources, CHRISTUS Health is an institution of purely public charity; thus, the most tangible expression of CHRISTUS Health's charitable purpose is providing health care services to those who cannot pay. This falls into two categories: charity care and unpaid government indigent care. In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Spohn Health System provides charity care services that respect the dignity of the patients and their families. Charity care is services provided without charge or at a cost that is less than the usual charge for such services. The determination as to the amount to Charge, if any, is according to a patient's ability to pay as determined by the established eligibility criteria. For uninsured patients whose economic circumstances place them at or under 300 percent of the federal poverty level (FPL), services are provided without any expectation of payment. Uninsured patients whose economic circumstances place them between 300 and 400 percent of FPL are charged based on a sliding scale. Those above 400 percent receive discounts based on the uninsured fee schedule. CHRISTUS Spohn Health System also discounts care for those whose medical expenses would deplete their financial resources. If, after payments, a bill is still more than 25% of the family's annual gross income, the remaining bill is discounted. No patient is refused necessary medical care due to inability to pay. CHRISTUS Health participates in Medicaid programs in Texas, New Mexico, Arkansas, and Louisiana. Those programs seek to provide payment for health care services to individuals who meet specific financial and other requirements. Financial requirements include the evaluation of both assets and income.”

“OTHER GOVERNMENT SPONSORED SERVICES In addition to providing charity care and other community services, CHRISTUS Health provides services to persons covered under government-sponsored programs, including Medicare and Tricare. The non-reimbursed cost of these services is reported to the state of Texas but is not included in federal reports since CHRISTUS Health follows catholic health association guidelines. CHRISTUS Health provides services to persons covered under the federal Medicare program, and in fact, this is the largest single-payor classification of patients served by this health system. The payment rate for inpatient services is on a case rate, calculated based on the diagnostic-related group into which the patient is categorized. Outpatient services are reimbursed per the Medicare fee schedule.”

“(Expenses $ 9,612,244 including grants of $ 4,534,812)(Revenue $ 0) COMMUNITY SERVICES FOR A BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS DEDICATED TO COMMUNITY HEALTH IMPROVEMENT SERVICES. THIS CATEGORY OF COMMUNITY BENEFIT INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH, WHICH EXTEND BEYOND DIRECT PATIENT CARE SERVICES. CHRISTUS SPOHN'S COMMUNITY HEALTH DEVELOPMENT DEPARTMENT CONSTITUTES A MAJORITY OF THIS CATEGORY'S EXPENSE.THE COMMUNITY HEALTH DEVELOPMENT DEPARTMENT IS COMPRISED OF COMMUNITY HEALTH WORKERS AND REGISTERED NURSE NAVIGATORS THAT DEDICATE 100% OF THEIR TIME TO PROVIDING EDUCATION TO, IMPROVING ACCESS FOR, AND REDUCING BARRIERS FOR THE VULNERABLE, UNDERSERVED, UNINSURED, AND UNDERINSURED POPULATION. IN FISCAL YEAR 2022, THIS GROUP OF ASSOCIATES HELPED MORE THAN 47,354 UNIQUE INDIVIDUALS ESTABLISH WITH PHYSICIANS, KEEP FOLLOW UP APPOINTMENTS, OBTAIN NEEDED MEDICATIONS AND MEDICAL EQUIPMENT, OBTAIN TRANSPORTATION, OBTAIN REFERRALS TO NEEDED SERVICES, ACQUIRE KNOWLEDGE AND COACHING ON HOW TO IMPROVE THEIR HEALTH AND/OR MANAGE THEIR CHRONIC DISEASE(S), AND COUNTLESS OTHER ENDEAVORS. IN FY 2022, THE CHRISTUS SPOHN CAREVAN MOBILE CLINIC DELIVERED OB AND WOMEN'S SERVICES TO THE REGION'S UNINSURED WOMEN INCLUDING PRE-NATAL CARE, PAP SMEARS, LABORATORY AND ULTRA-SOUND TESTING, ANNUAL EXAMS, REFERRALS FOR FREE MAMMOGRAMS AND PRE-NATAL CARE. THIS PREVENTATIVE AND WELLNESS CARE HELPS WITH EARLY DETECTION THAT OTHERWISE MIGHT RESULT IN MORE SERIOUS HEALTH ISSUES REQUIRING HOSPITALIZATION IN THE FUTURE. THE CAREVAN ALSO PROVIDES HEALTH SCREENINGS, IMMUNIZATIONS, AND HEALTH EDUCATION TO VULNERABLE AND UNDERSERVED POPULATIONS IN THE COMMUNITY. IN FY 2022 THE CAREVAN HAD OVER 710 ENCOUNTERS WITH WOMEN AND OTHER VULNERABLE MEMBERS OF THE COMMUNITY. CHRISTUS SPOHN AWARDED GRANTS TO LOCAL ORGANIZATIONS THROUGH THE CHRISTUS FUND PROGRAM. GRANTS WERE AWARDED TO ADDRESS COMMUNITY NEEDS IDENTIFIED THROUGH THE LAST ITERATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLE'S LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. IN FY22, THE CHRISTUS FUND DISPERSED GRANTS INTO LOCAL ORGANIZATIONS THAT ACTIVELY ADDRESS MENTAL HEALTH, AFFORDABLE HOUSING, COMMUNITY AND FAMILY VIOLENCE, VULNERABLE POPULATIONS AND TRUST, OR HIGH EMERGENCY ROOM USE. ADVOCACY FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH AND AUGMENT GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE PATIENTS WE SERVE. THESE EFFORTS TAKE PLACE AT THE STATE AND NATIONAL LEVEL THROUGH CHRISTUS HEALTH. CLINICAL EDUCATION THROUGH ITS ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. EACH YEAR SPOHN ACCEPTS 5-6 STUDENTS THAT PARTICIPATE IN A YEAR LONG CLASSROOM AND HANDS-ON EDUCATION PROGRAM THROUGHOUT OUR FACILITIES. SPOHN EMPLOYS A CERTIFIED CLINICAL PASTORAL EDUCATOR THAT OVERSEES THE PROGRAM AND STUDENTS AND ITS CHAPLAINS ACT AS PROFESSIONAL MENTORS TO THE STUDENTS THROUGHOUT THE YEAR LONG PROGRAM. ENROLLMENT ASSISTANCE TO THE COMMUNITY. ELIGIBILITY VENDORS ASSIST COMMUNITY MEMBERS WITH ENROLLMENT IN PUBLIC PROGRAMS TO INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THEY PROVIDE EDUCATION AND ENROLLMENT ASSISTANCE TO THE UNINSURED POPULATION IDENTIFIED AT THE HOSPITAL.”

“(Expenses $ 87,924 including grants of $ 0)(Revenue $ 0) COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND HERITAGE, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS, MEALS FOR HOMELESS SHELTERS, TRANSPORTATION SERVICES, AND A VARIETY OF OTHER SOCIAL SERVICES.”

“(Expenses $ 0 including grants of $- 3,703,625)(Revenue $ 0) Additional Grants”

“Patient Financial Services Fee - Total Expense: 12652520, Program Service Expense: 0, Management and General Expenses: 12652520, Fundraising Expenses: 0; Repairs & Maintenance Services - Total Expense: 25282361, Program Service Expense: 25005081, Management and General Expenses: 277280, Fundraising Expenses: 0; Medical Services - Total Expense: 55380949, Program Service Expense: 18115378, Management and General Expenses: 37265571, Fundraising Expenses: 0; Collection Services - Total Expense: 2277531, Program Service Expense: 2277531, Management and General Expenses: 0, Fundraising Expenses: 0; Physician Services - Total Expense: 38518698, Program Service Expense: 31509302, Management and General Expenses: 7009396, Fundraising Expenses: 0; MCCS Expense - Total Expense: 4862853, Program Service Expense: 0, Management and General Expenses: 4862853, Fundraising Expenses: 0; Consulting Services - Total Expense: 165375, Program Service Expense: 229571, Management and General Expenses: -64196, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;”

“Christus health system maintains a centralized cash management system. This cash management system (cms) includes a concentration account wherein deposits and disbursements for related christus exempt organizations flow through this account and over to the managed investment accounts. Each participating organization reports a balance in the cms reflective of its cumulative cash activity. Cash balances for each christus organization are reported on form 990 in accordance with financial statement reporting. Cms ownership is maintained by christus health (ein 76-0590551) and all associated investment income is properly reported on the christus health form 990.”

“Intercompany - 71767553; restricted contributions - 5323; rounding - 2; other tax adjustments - 28713;”