Christus Health Ark-La-Tex

“Christus st. Michael health system auxiliary is treated as a department of christus health ark-la-tex (operates under the same tax id number as christus health ark-la-tex) and is required to follow christus st. Michael's policies and procedures. The ceo/president or designee is a member of the auxiliary board. Volunteers are supervised and operate under the direction of the ceo/president or other designee. New volunteer candidates are required to submit applications, undergo background checks and complete other requirements that are applicable to christus st. Michael applicants. All volunteers are required to attend orientation, sign code of ethics, complete the conflict of interest statements, etc., all of which are retained on file. Revenues and expenses are submitted to the accounting department at month-end close and each month are recorded on the christus st. Michael financial statements and are included in audits. The accounting department retains copies of all bank statements, deposits, and disbursements. The accounting department reconciles the monthly bank statements.”

“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.”

“Christus northeast texas health system corporation is the sole member of the filing organization.”

“Christus health northeast texas health system corporation, as the sole corporation 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 was reviewed prior to filing with the irs in the spring 2025 by the organization's board of directors, 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 health ark-la-tex. 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 decision. 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 health ark-la-tex. 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 decision. 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.”

“The corporation is organized and shall be operated exclusively for, charitable, scientific, educational and religious purposes of advancing, promoting and supporting the health care ministries of the sponsoring congregations which operate and are controlled in conformity with the ethical and moral teachings of the roman catholic church, and promoting efficient governance and management, cooperative planning and the sharing of resources among such health, care ministries. Without limiting the generality of the foregoing, the corporation's mission shall be to extend the healing ministry of jesus christ, and consistent therewith, shall operate according to the doctrines, resolutions, decrees and ethical principles of the sponsoring congregations, and ethical and religious directors for catholic health care services as promulgated or amended from time to time by the united states conference of catholic bishops. It is also a purpose of the corporation to aid, lend financial support and assistance to, aid to invest, transfer and/or dispose of funds of the corporation and the system participants for the use and benefit of, and in furtherance of the purposes of, the system, the corporation, the system participants, and the local entities. The corporation's purposes shall also include the making of gifts, grants, and contributions to other qualifying tax-exempt organizations, particularly those designed to support and benefit the health and, welfare of the poor and underserved. The corporation shall also be authorized to engage in such pursuits as may be necessary or incidental, or which may aid and assist, in carrying out the corporation's mission and purposes. The corporation is organized and shall be operated exclusively for the benefit of these purposes, as well as those system entities that are described, in section 501(c)(3), and section 509(a)(1) or section 509(a)(2) of, is organized and shall be operated exclusively for the benefit of these purposes, as well as those system entities that are described in section 501(c)(3), and section 509(a)(1) or section 509(a)(2) of the internal revenue code of 1986, as amended, or corresponding provisions of any subsequent law.”

“COMMITMENT TO BENEFITING OUR COMMUNITIES PATIENT CARE SERVICES - CHRISTUS HEALTH ARK-LA-TEX IS A REGION OF CHRISTUS HEALTH, WHICH WAS FORMED IN 1999 TO STRENGTHEN THE 159-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 66 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. 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. THE CHRISTUS HEALTH ARK-LA-TEX REGION RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. MICHAEL SYSTEM, WHICH INCLUDES CHRISTUS ST. MICHAEL HOSPITAL, A 311-BED ACUTE CARE HOSPITAL, CHRISTUS ST. MICHAEL HOSPITAL-ATLANTA, A 43-BED ACUTE CARE HOSPITAL, 50-BED CHRISTUS ST. MICHAEL REHABILITATION HOSPITAL, CHRISTUS ST. MICHAEL OUTPATIENT REHABILITATION CENTER, and CHRISTUS ST. MICHAEL IMAGING CENTER. EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE - TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH ARK-LA-TEX IS LOCATED IN TEXARKANA, TEXAS AND SERVICES NORTHEAST TEXAS, SOUTHWEST ARKANSAS, AND SOUTHEAST OKLAHOMA, WHICH COVERS A POPULATION OF MORE THAN 338,000 INDIVIDUALS. IN FISCAL YEAR 2024 ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING; 67,164 VISITS TO OUR EMERGENCY DEPARTMENTS; 3,032 SURGERY PROCEDURES WITHIN OUR HOSPITALS; 6,286 OUTPATIENT SURGERY PROCEDURES; 15,014 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 206,305 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH ARK-LA-TEX STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS HEALTH ARK-LA-TEX'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS HEALTH ARK-LA-TEX BETTER SERVE THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN CHRISTUS' HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITY, NURTURING CHRISTUS' MISSION TO MEET HEALTH CARE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL STRUCTURE TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC DISCOUNTS ON A SLIDING SCALE FOR NECESSARY SERVICES PROVIDED TO PATIENTS WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT SPONSORED PROGRAMS. CHRISTUS HEALTH ARK-LA-TEX PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ALL PATIEN”

“Other government sponsored services in addition to the provision of charity care and other community services, christus health provides services to persons covered under government-sponsored programs, including medicare and tricare. The unreimbursed costs of these services are reported to the state of texas but are not included in reports prepared following catholic health association guidelines. Christus health provides services to persons covered under the federal medicare program, and in fact, this is the largest single payor classification of patients served by this health system. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group (drg) into which the patient is categorized. Medicare, based on their fee schedule, reimburses outpatient services. Christus health also participates in the tricare standard program and many of our hospitals contract with the managed care support contractor for the south region to provide services under the provision of tricare prime.”

“Community benefit reporting - charity care and medicaid christus adheres to the catholic health association's a guide for planning and reporting community benefit (2022), and complies with the state of texas requirements for reporting. Community benefit, reported as unpaid costs, includes 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 the provision of health care services to those persons who are unable to 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 health provides charity care services in a manner that respects the dignity of the patients and their families. Charity care is provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to be charged, if any, is made according to a patient's ability to pay as determined by established eligibility criteria. For uninsured patients whose economic circumstances place them at or under 200 percent of the federal poverty level (fpl), services are provided without any expectation of payment. Uninsured patients whose economic circumstances place them between 200 and 400 percent of fpl are charged based on a sliding scale, and those above 400 percent receive discounts based on the uninsured fee schedule. Christus health is an active participant in texas, louisiana, and arkansas' medicaid programs. Those programs seek to provide payment for health care services to individuals who meet certain financial and other requirements, which include evaluation of both assets and income.”

“(Expenses $ 2,485,448 including grants of $ 2,021,199)(Revenue $ 0) COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM CHARITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, TRANSPORTATION SERVICES, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ARK-LA-TEX PROVIDES MEDICATION ASSISTANCE FOR COMMUNITY RESIDENTS WHO ARE UNABLE TO AFFORD THE MEDICATIONS THEY NEED. THE HOSPITALS WORK WITH COMMUNITY PHARMACIES AND OTHER PHARMACEUTICAL COMPANIES TO IDENTIFY THESE PATIENTS AND THEN DISTRIBUTE THE NEEDED MEDICATIONS TO THEM. COLLABORATIVE EFFORTS WITH GENESIS PRIME CARE, ALL FOR KIDS PEDIATRIC CLINIC AND RANDY SAMS HOMELESS SHELTER PROVIDE PRIMARY CARE TO MEET THE NEEDS OF THE POOR, UNDERSERVED AND HOMELESS. CHRISTUS HEALTH ARK-LA-TEX ALSO SUPPORTS THE NEEDS OF SPECIAL POPULATIONS IN THE COMMUNITY BY PROVIDING HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AS WELL AS SCREENINGS AND IMMUNIZATIONS FOR CHILDREN THROUGH A MOBILE HEALTH CLINIC. HEALTH EDUCATION PROGRAMS, SCREENINGS AND ADULT IMMUNIZATIONS ASSIST OTHER TARGETED POPULATIONS SUCH AS PERSONS AGE 65 OR OLDER AND AFRICAN-AMERICANS. CHRISTUS HEALTH HAS 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 PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. THE CHRISTUS FUND HAS INVESTED A TOTAL OF $295,000 IN THE ARK-LA-TEX REGION IN FY 2024. HARVEST REGIONAL FOOD BANK, COMMUNITY HEALTHCORE, THE SALVATION ARMY OF GREATER TEXARKANA, RUNNIN' WJ THERAPEUTIC RIDING CENTER, AND HANDS ON TEXARKANA, FIVE COMMUNITY AGENCIES SERVING TO IMPROVE THE HEALTH OF THEIR COMMUNITIES WERE RECIPIENTS OF THESE FUNDS. SEVERAL CHRISTUS REGIONS PROVIDE INDIGENT FUNDING DONATIONS OR GRANTS TO AID THE COUNTIES IN WHICH THEY, OR ANOTHER CHRISTUS REGION, SERVE. SUCH GRANTS MAY BE PAID TO THE COUNTY DIRECTLY OR VIA ANOTHER HOSPITAL OR HEALTHCARE ORGANIZATION IN THE AREA. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTH CARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT CHRISTUS MAY NOT DIRECTLY SERVE IN ONE OF OUR HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. IN ORDER TO PROVIDE CLINICALLY TRAINED PROFESSIONALS, CHRISTUS HEALTH ARK-LA-TEX COOPERATES WITH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES AREA HEALTH EDUCATION CENTER-SOUTHWEST TO PROVIDE SUPPORT FOR THE MEDICAL LABORATORY SCIENCES PROGRAM. IN EFFORTS TO MEET THE NEEDS FOR PRIMARY CARE PHYSICIANS IN THE AREA, CHRISTUS PROVIDES SUPPORT FOR A THREE-YEAR PRIMARY CARE RESIDENCY PROGRAM FOR PHYSICIANS THROU”

“Information Services - Total Expense: 21321841, Program Service Expense: , Management and General Expenses: 21321841, Fundraising Expenses: ; Occupancy Related Services - Total Expense: 2600540, Program Service Expense: 2600540, Management and General Expenses: , Fundraising Expenses: ; Physician Services - Total Expense: 37286388, Program Service Expense: 37286388, Management and General Expenses: , Fundraising Expenses: ; Medical Services - Total Expense: 56037980, Program Service Expense: 27703105, Management and General Expenses: 28334875, Fundraising Expenses: ; Repairs & Maintenance Services - Total Expense: 4443921, Program Service Expense: 4171717, Management and General Expenses: 272204, Fundraising Expenses: ; Collection Services - Total Expense: 109843, Program Service Expense: 109843, Management and General Expenses: , Fundraising Expenses: ; Consulting Services - Total Expense: 421444, Program Service Expense: 117233, Management and General Expenses: 304211, Fundraising Expenses: ; Marketing Services - Total Expense: 30753, Program Service Expense: 30753, Management and General Expenses: , Fundraising Expenses: ; Other Professional Services - Total Expense: 8533511, Program Service Expense: 79377, Management and General Expenses: 8454134, 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 equity adjustment - 29167464; change in restricted net assets - -602; rounding - 3;”

“Christus health ark-la-tex operates under the following names: christus emergency center christus st. Michael cardiovascular & thoracic surgery clinic christus st. Michael endocrinology clinic christus st. Michael family clinic christus st. Michael health & fitness center christus st. Michael health care center christus st. Michael health care center pharmacy christus st. Michael health care center prescott christus st. Michael health system christus st. Michael hospital - atlanta christus st. Michael neurosurgery clinic christus st. Michael oncology clinic christus st. Michael oncology clinic - cowhorn creek christus st. Michael orthopedic surgery clinic christus st. Michael pain management clinic christus st. Michael pulmonary & sleep medicine clinic christus st. Michael rehabilitation hospital christus st. Michael rheumatology clinic - cowhorn creek christus st. Michael senior health center”