Christus Good Shepherd Medical Center

“The executive committee shall have the authority of the board to transact all regular business of the corporation between meetings of the board.”

“The sole member of the organization is christus northeast texas health system corporation.”

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

“Christus health's board of directors has the following powers: approve, change and/or interpret the filing organization's philosophy, mission and vision; approve the adoption or amendment of the filing organization's certificate of formation/ articles of incorporation and bylaws; appoint and remove members of the filing organization's board of directors; appoint and remove the filing organization's chair of the board of directors; approve incurrence of debt that exceeds $20 million per incurrence; approve any merger, consolidation, acquisition, dissolution or liquidation by the filing organization; approve system wide consolidated budget and performance indicators for the filing organization; approve the independent audit reports of the filing organization; approve capital projects greater than $20 million for the filing organization; approve any transaction by the filing organization the effect of which is to create a new legal entity or joint venture, any transaction involving a system entity which creates a new legal entity or joint venture, or changes in business purpose or relationship of any system entity; and approve and authorize actions reserved to christus health in organization documents or similar governance documents. The christus health ceo has the following powers: power to appoint and remove the president of the filing organization; approve the sale, lease, mortgage, transfer, easement or encumbrance of the filing organization's real property designated as non designated ministry property under $1 million but more than $20 million; approve the incurrence of debt up to a $20 million per incurrence by the filing organization; approve strategic plans of the filing organization; approve the filing organization's budget; approve the implementation of system-wide policies for the filing organization; set the threshold of capital projects less than $20 million by the filing organization; and approve management directives for the filing organization. The christus health members are two sisters appointed by each of the founding sponsoring congregations of christus health, the congregation of the sisters of charity of the incarnate word, houston, texas, and the congregation of sisters of charity of the incarnate word of san antonio, and one sister appointed by the sisters of the holy family of nazareth. The christus health members have the following powers: approve the adoption and amendment of certificates of formation/ articles of incorporation and bylaws of the filing organization if the change is related to member reserved powers; approve the sale, lease, mortgage, transfer, easement or encumbrance of real property in excess of a threshold dollar amount required by canon law; approve the sale, lease, mortgage, transfer, easement, or encumbrance of real property designated as designated ministry property; approve the change of ownership, management or control of designated ministry property (except in the ordinary course of business) or the fundamental use of designated ministry property by change in license that would significantly change the nature of a facility, or the elimination of ob, ped, psych or emergency services on real property provided in connection with designated ministry property owned by the filing organization; and approve the merger, consolidation, acquisition, dissolution or liquidation of the filing organization if it owns designated ministry property.”

“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 2025 via either meeting, conference call or web portal polling tool by the respective christus organization's board, based on a set of suggested review processes developed by christus health.”

“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 director of the filing organization is paid by a related organization; therefore, the filing organization was not involved in the process of determining compensation for the executive director of the filing organization. The related organization determines the compensation of the executive director of the filing organization by use of an independent and external consultant. The consultant helps determine pay rates for the associates of the related organization, taking into account market data and shift differential. The compensation rates are approved by the related organization. Based on the aforementioned procedure, the executive director's compensation is not reviewed by a compensation committee. The executive director's salary is split between the filing organization and the related organization.”

“The executive director of the filing organization is paid by a related organization; therefore, the filing organization was not involved in the process of determining compensation for the executive director of the filing organization. The related organization determines the compensation of the executive director of the filing organization by use of an independent and external consultant. The consultant helps determine pay rates for the associates of the related organization, taking into account market data and shift differential. The compensation rates are approved by the related organization. Based on the aforementioned procedure, the executive director's compensation is not reviewed by a compensation committee. The executive director's salary is split between the filing organization and the related organization.”

“Christus health and most of its affiliated entities do not have forms 1023 because of their inclusion in the irs group ruling with the united states conference of catholic bishops, which covers the organization listed in the annual official catholic directory. Christus health's website displays the irs group ruling and relevant annual official catholic directory pages for the organizations related to christus health. Forms 990 and 990-t are made available upon request.”

“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.”

“Alloc Chargeout Phys Contract Rev - Total Revenue: 379419, Related or Exempt Function Revenue: 379419, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Shared Savings - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Fees and Commission Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contract Service Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“Other operating Revenue - Total Revenue: 238615, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 238615;”

“Christus health was formed in 1999 when the sisters of charity health care system, sponsored by the sisters of charity of the incarnate word of houston, and the incarnate word health care system, sponsored by the sisters of charity of the incarnate word of san antonio, brought their health care ministries together. Bishop claude marie dubois founded both congregations beginning in 1866, and his original call to the sisters continues to challenge christus health to fulfill its mission of extending the healing ministry of jesus christ and to reach out to those in need in the more than 60 communities it serves. In 2016 another sponsoring congregation, the sisters of the holy family of nazareth, joined. The vision of christus health, a catholic, faith-based health ministry, is to be a leader, a partner, and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience god's healing presence and love. Christus good shepherd health system, part of the northeast texas and northern louisiana (netx-nla) region of christus health, responds to community needs in upper east texas through services provided at two medical centers, four emergency departments, specialty health institutes, and other health facilities. Christus good shepherd medical center - longview founded in 1935 in longview, texas, a level ii trauma center with 425 licensed beds providing intensive care, medical/surgical, inpatient rehabilitation. The longview medical center operates one of the first nicus in the region and hosts a level iii maternal care which includes a dedicated obstetric emergency department. Christus good shepherd medical center - marshall founded in 1909 in marshall, texas, a 149-bed facility with endoscopy, surgical services, intermediate care, a 24-hour level iv trauma center. Cgs also operates additional 24-hour emergency rooms in north longview and kilgore, texas. The latter facility also includes a clinic, rehabilitation, and the kilgore college health sciences, training the next generation of health care professionals. Cgs operates a heart and vascular institute (hvi) offering cardiology, electrophysiology, and cardiovascular and thoracic surgery. The orthopedic and sports medicine institute (osmi) includes orthopedic medicine, orthopedic surgery, sports medicine, and podiatry. Each facility in this region shares the one objective of leading the way toward healthier communities. Christus gshs service areas which have a total population of more than 400,000, of which more than 16 percent live at or below the federal poverty level. In fy24 alone, the hospital admitted 19,331 patients and treated 412,877 patients in its outpatient facilities. The hospital performed 14,477 surgeries and delivered 1,400 babies. In addition, the hospital provided emergency services to 123,351 individuals. As a nonprofit organization and as part of christus health, a regional governing board comprised largely of independent community members helps govern christus health. The region has an open medical staff comprised of qualified physicians who work with its facilities to provide care to our communities. These physicians receive their privileges only after a thorough and comprehensive credentialing process. Touching the lives of people helps christus gshs stand apart and provides further motivation to serve the medically needy in all communities surrounding its facilities. Whether the issue is the life of a child hoping for a bright future, the life of a man in need of a critical heart surgery, or the life of a woman about to give birth to her first child, christus gshs works to provide the best care possible regardless of an individual's ability to pay, moreover, the christus gshs provides its services without regard to race, color, creed, religion, gender, sexual orientation, disability, age or nationality. By collaborating with churches, businesses, communities and other healt”

“The corporation's mission shall be to "extend the healing ministry of jesus christ, consistent therewith, shall operate according to the doctrines, resolutions, decrees, and ethical principles of christus health, and the ethical and religious directives for catholic health care services as promulgated or amended from time to time by the united states conference of catholic bishops. It is also a purpose of the corporation to aid, lend financial support and assistance to, and to invest, transfer and/or dispose of funds of the corporation for the use and benefit of, and in furtherance of the purposes of, christus health. The corporations purposes are also to make gifts, grants, and contributions to other qualifying tax-exempt organizations, particularly those designated to support and benefit the health and welfare of the poor and underserved.”

“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 the provision of health care services to those persons who are unable to pay. Charity care falls into two categories: charity care and unpaid government indigent care. In keeping with the mission, values and vision of christus health, the organization provides charity care services in a manner that respects the dignity of the patients and their families. Charity care is defined as services provided without charge or at a charge less than the usual charge for such services. Financial assistance is free or discounted for health care services provided to persons who cannot afford to pay and who meet the eligibility criteria in the organization's financial assistance policy (fap). For community benefit purposes, financial assistance is reported in terms of costs, not charges, financial assistance does not include bad debt and discounts not described by the fap (for example, discounts provided to self-pay patients and/or services ineligible for financial assistance). Christus health actively participates in the state of texas medicaid program. This program seeks to provide payment for health care services to individuals who meet certain financial and other requirements. Financial requirements include evaluation of both assets and income.”

“In addition to the provision of charity care and other community services, christus health provides services to persons covered under government-sponsored programs, including medicare and tricare, for example. The unreimbursed costs of these services are reported to the state of texas but are not included in reports prepared following catholic health association guidelines.”

“Christus good shepherd medical center continues to provide the same program services as in tax year 2022 but is presenting them more succinctly on the tax year 2023 return.”

“(Expenses $ 2,599,505 including grants of $ 297,908)(Revenue $ 0) Broader Community”

“(Expenses $ 443,202 including grants of $ 39,986)(Revenue $ 0) Poor & Underserved”

“(Expenses $ 0 including grants of $ 46,448)(Revenue $ 0) Additional Grants”

“Physician Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 61578027, Fundraising Expenses: ; Maintenance - Total Expense: 2733304, Program Service Expense: 2613729, Management and General Expenses: 119575, Fundraising Expenses: ; Marketing - Total Expense: 40380, Program Service Expense: 40380, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 309985, Program Service Expense: 157323, Management and General Expenses: 152662, Fundraising Expenses: ; Billing - Total Expense: 3542, Program Service Expense: 3542, Management and General Expenses: , Fundraising Expenses: ; Collection - Total Expense: 3745, Program Service Expense: 3745, Management and General Expenses: , Fundraising Expenses: ; Other Fees - Total Expense: 9341682, Program Service Expense: 260621, Management and General Expenses: 9081061, Fundraising Expenses: ; Medical Fees - Total Expense: 5131656, Program Service Expense: 5131656, Management and General Expenses: , Fundraising Expenses: ;”

“INTERCOMPANY - -40040740; Grant Reclass - -11438;”

“DOING BUSINESS AS CHRISTUS GOOD SHEPHERD MEDICAL CENTER OPERATES UNDER THE FOLLOWING NAMES: Acuity Diagnostics CHRISTUS Good Shepherd CHRISTUS Good Shepherd Breast Center CHRISTUS Good Shepherd Health System CHRISTUS Good Shepherd Healthy Living Spa CHRISTUS Good Shepherd Heart & Vascular Institute CHRISTUS Good Shepherd Hospital - NorthPark CHRISTUS Good Shepherd Institute for Healthy Living CHRISTUS Good Shepherd Medical Center - Longview CHRISTUS Good Shepherd Medical Center - Marshall CHRISTUS Good Shepherd Surgery Center CHRISTUS Ortho & Sports Medicine Institute CHRISTUS Orthopedics & Sports Medicine Institute Good Shepherd Medical Center Good Shepherd Occupational Medicine Marshall Life Center Wound Healing Center - Marshall (for CLIA registration only)”