Liabilities / Assets
22nd percentile
Higher debt load relative to assets than 22% of similar nonprofits.
EIN 76-0591590 • 501(c)3 • Irving, TX
Profile
Supporting the health care ministries of the sponsoring congregations in extending the healing ministry of jesus christ in conformity with the teachings of the catholic church.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
22nd percentile
Higher debt load relative to assets than 22% of similar nonprofits.
Liabilities / Revenue
7th percentile
Higher debt load relative to revenue than 7% of similar nonprofits.
Net Margin
57th percentile
Higher net margin than 57% of similar nonprofits.
Top Officer Pay
75th percentile
Higher top officer pay than 75% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
25th percentile
Faster asset growth than 25% of similar nonprofits.
Revenue Growth
32nd percentile
Faster revenue growth than 32% of similar nonprofits.
Assets
Up$276,847,451
Up $1,443,474 (+0.5%) from 2023
Liabilities
Down$22,922,473
Down $10,904,424 (-32%) from 2023
Net Assets
Up$253,924,978
Up $12,347,898 (+5.1%) from 2023
Revenue
Up$533,669,867
Up $19,241,137 (+3.7%) from 2023
Expenses
Up$500,366,966
Up $53,233,421 (+12%) from 2023
Net Income
Down$33,302,901
Down $33,992,284 (-51%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Supporting the health care ministries of the sponsoring congregations in extending the healing ministry of jesus christ in conformity with the teachings of the catholic church.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $146,775,268 | $157,568,706 | ▲ $10,793,438 |
| Accounts Receivable | $53,566,568 | $62,705,252 | ▲ $9,138,684 |
| Intangible Assets | $34,956,475 | $34,956,475 | → $0 |
| Inventories for Sale or Use | $12,242,099 | $10,686,359 | ▼ $1,555,740 |
| Investments Program Related | $1,991,006 | $1,887,133 | ▼ $103,873 |
| Prepaid Expenses and Deferred Charges | $11,873,318 | $1,132,160 | ▼ $10,741,158 |
| Cash and Non-Interest-Bearing Accounts | $13,553 | $13,804 | ▲ $251 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $275,403,977 | $276,847,451 | ▲ $1,443,474 |
| Other Assets Total | $13,985,690 | $7,897,562 | ▼ $6,088,128 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $24,163,798 | $17,446,766 | ▼ $6,717,032 |
| Other Liabilities | $7,647,905 | $5,120,280 | ▼ $2,527,625 |
| Deferred Revenue | $2,015,194 | $355,427 | ▼ $1,659,767 |
| Total Liabilities | $33,826,897 | $22,922,473 | ▼ $10,904,424 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $241,167,954 | $253,515,852 | ▲ $12,347,898 |
| Net Assets With Donor Restrictions | $409,126 | $409,126 | → $0 |
| Total Net Assets Fund Balance | $241,577,080 | $253,924,978 | ▲ $12,347,898 |
| Total Liabilities and Net Assets / Fund Balance | $275,403,977 | $276,847,451 | ▲ $1,443,474 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $76,493,563 | $230,634,276 | $307,127,839 |
| Equipment | $47,594,724 | $122,953,911 | $170,548,635 |
| Land | $19,516,281 | - | $19,516,281 |
| Leasehold Improvements | $10,834,795 | $7,879,409 | $18,714,204 |
| Other Land Buildings | $3,129,343 | $1,107,228 | $4,236,571 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lori Martel | Nurse Practitioner | FT | $145,120 | $114,137 | $259,257 |
| Mary V Crawford | Registered Nurse | FT | $168,191 | $67,197 | $235,388 |
| Matthew Dunn | Nurse Practitioner | FT | $130,754 | $93,992 | $224,746 |
| Miranda Bacdayan | Registered Nurse | FT | $108,142 | $100,245 | $208,387 |
| Eric L SMITH | Registered Nurse | FT | $108,151 | $99,487 | $207,638 |
| Deborah M Tucker | CORP. SECRETARY (Term 3/24) | FT | $59,942 | $15,415 | $75,357 |
| Name | Title |
|---|---|
| Paul M Trevino | CEO, President, Board Chair |
| Patricia Avery | Board Member/Vice Chair (TERM 3/24) |
| Tyrrell L Garth | Vice Chair |
| Sr Kim-Phuong Tran | Board Member |
| Fadi Nasrallah Md | BOARD MEMBER (Eff 1/24) |
| Kimberly King Webb Jd | Board Member (EFF 1/24) |
| Daniel Thompson MD | Board Member (TERM 12/23) |
| Lauree Thompson MD | Board Member (Term 12/23) |
| Carolyn R Fernandez | Board Member (TERM 3/24) |
| D Mark toups MD | board member (TERM 3/24) |
| David Willard EDD | Board Member (TERM 3/24) |
| Gisela Houseman | Board Member (TERM 3/24) |
| Sr Malgorzata MAJSZCYK | Board Member (TERM 3/24) |
| T Randolph Lombardo MD | Board Member (TERM 3/24) |
| Christopher H Hoyt MD | DIRECTOR (term 12/21) |
| Mark L Porterie EdD | Director (term 3/24) |
| Shawn M Adams | CFO/Treasurer |
| Ryan Miller | Chief Operating Officer |
| ROBERT k PARSLEY | Former EXEC. DIR.- PROVIDER STATEGY (TERM 6/21) |
| Nikki Martin | Former FACILITY FINANCIAL OFFICER (TERM 3/21) |
| D Wayne Moore | Pres.-jasper Mem |
| Rodney PAUL GUIDROZ | Regional CNE |
| Christopher KARAM | SR VP (Eff 3/24) |
| Line Item | Amount |
|---|---|
| Other Expenses | $329,736,681 |
| Salaries, Compensation, and Employee Benefits | $169,187,045 |
| Grants and Similar Amounts Paid | $1,443,240 |
| Total Fundraising Expense | $127,065 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $132,109,117 | $5,877,334 | - | $137,986,451 |
| Fees for Services Other | $41,957,183 | $44,951,096 | $0 | $86,908,279 |
| Office Expenses | $29,704,499 | $1,725,333 | $117,669 | $31,547,501 |
| Other Employee Benefits | $19,918,749 | $1,340,104 | $4,669 | $21,263,522 |
| Information Technology | - | $21,234,834 | - | $21,234,834 |
| Depreciation Depletion | $18,973,686 | $374,089 | - | $19,347,775 |
| Occupancy | $14,667,555 | $133,035 | - | $14,800,590 |
| Payroll Taxes | $9,637,589 | $228,085 | - | $9,865,674 |
| Insurance | $4,228,912 | $2,874,095 | - | $7,103,007 |
| Interest | $5,314,032 | $-272,467 | - | $5,041,565 |
| Other Expenses | $19,284,620 | $1,565,345 | $13 | $1,565,345 |
| Grants to Domestic Orgs | $1,231,477 | - | - | $1,231,477 |
| Advertising | $538,554 | $73,486 | - | $612,040 |
| All Other Expenses | $129,981 | $344,864 | $2,677 | $477,522 |
| Fees for Services Management | $368,620 | - | - | $368,620 |
| Conferences and Meetings | $84,395 | $193,789 | $2,037 | $280,221 |
| Travel | $202,402 | $34,525 | - | $236,927 |
| Grants to Domestic Individuals | $211,763 | - | - | $211,763 |
| Fees for Services Legal | $29,955 | $100,000 | - | $129,955 |
| Current Officers, Directors, Trustees, and Key Employees | $68,357 | $3,041 | - | $71,398 |
| Total Functional Expenses | $419,531,475 | $80,708,426 | $127,065 | $500,366,966 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Greater Beaumont Chamber of Commerce | Beaumont, TX | 501(c)(3) | Program Support | $40,000 |
| Ps Promotions Inc | Leander, TX | - | Program Support | $23,000 |
| Catholic Charities of Southeast Texas | Beaumont, TX | 501(c)(6) | Program Support | $20,000 |
| Monsignor Kelly Catholic Hs | Beaumont, TX | 501(c)(3) | Program Support | $16,667 |
| CHRISTUS SETX Foundation | Beaumont, TX | 501(c)(3) | Program Support | $12,661 |
| County of Jefferson | Beaumont, TX | 501(c)(3) | Program Support | $12,450 |
| Neches River Festival Inc | Beaumont, TX | 501(c)(6) | Program Support | $12,000 |
| Beaumont Bone & Joint Institute Pa | Beaumont, TX | 501(c)(3) | Program Support | $10,000 |
| Port Neches Chamber of Commerce | Port Neches, TX | - | Program Support | $10,000 |
| Nederland Independent School District | Nederland, TX | GOV'T | Program Support | $9,500 |
| Port Neches Groves Isd | Port Neches, TX | - | Program Support | $8,740 |
| East Chamber Isd | Winnie, TX | 501(c)(3) | Program Support | $8,333 |
| Anahuac Isd | Anahuac, TX | 501(c)(3) | Program Support | $8,000 |
| Junior League of Beaumont | Beaumont, TX | 501(c)(3) | Program Support | $8,000 |
| Holy Family Retreat Center Diocese of Beaumont | Beaumont, TX | GOV'T | Program Support | $7,500 |
| Lumberton Independent School | Lumberton, TX | GOV'T | Program Support | $7,500 |
| American Cancer Society | Atlanta, TX | 501(c)(3) | Program Support | $6,600 |
| Southeast Texas Coaches Association | Orange, TX | - | Program Support | - |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Spouse Is an Independent Contractor Physician for Setx | Medical Servcies | No | $168,000 |
| - | Spouse Is Owner of Medsurg Equipment, LLC | Medical Equipment | No | $64,273 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Lease Liabilities | $4,787,495 |
| Other Long Term Liabilities | $270,114 |
| Sales Tax Payable | $268 |
“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.”
“PAUL TREVINO, KEVIN PARSLEY, SAWN ADAMS AND NIKKI MARTIN HAVE A BUSINESS RELATIONSHIP BECAUSE EACH PERSON IS AN OFFICER OR BOARD MEMBER OF HEALTH VENTURES OF SOUTHEAST TEXAS. - Business relationship”
“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 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 of 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 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 southeast texas. 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 health southeast texas. 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.”
“Alloc Chargeout Phys Contract Rev - Total Revenue: 51000, Related or Exempt Function Revenue: 51000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Shared Savings - Total Revenue: 240284, Related or Exempt Function Revenue: 189119, Unrelated Business Revenue: 51165, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Retail Pharmacy Revenue - Total Revenue: 51059, Related or Exempt Function Revenue: 51059, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rebates - Total Revenue: 492749, Related or Exempt Function Revenue: 492749, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“General Merchandise Revenue - Total Revenue: 2298, Related or Exempt Function Revenue: 2298, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Operating Revenue - Total Revenue: -12354, Related or Exempt Function Revenue: -12354, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Hospital-Orange Christus Hospital-St. Elizabeth CHRISTUS Hospital-St. Mary CHRISTUS Jasper Memorial Hospital CHRISTUS Orthopedic Specialty Center St. Mary CHRISTUS Orthopedic Specialty Center CHRISTUS Pain Management Center St. Elizabeth CHRISTUS SOUTHEAST TEXAS - Jasper Memorial CHRISTUS SOUTHEAST TEXAS - St. Elizabeth CHRISTUS SOUTHEAST TEXAS - St. Mary CHRISTUS SOUTHEAST TEXAS Bariatric Center-St. Elizabeth CHRISTUS SOUTHEAST TEXAS Center for Health Management CHRISTUS SOUTHEAST TEXAS Center for Health Management-St. Elizabeth CHRISTUS SOUTHEAST TEXAS Center for Health Management-St. Mary CHRISTUS SOUTHEAST TEXAS Center For New Life-St. Elizabeth CHRISTUS Southeast Texas Family Practice and Women's Services Center - Jasper CHRISTUS SOUTHEAST TEXAS Family Practice Center - Jasper CHRISTUS SOUTHEAST TEXAS Family Practice Center-Kirbyville CHRISTUS SOUTHEAST TEXAS Family Practice Center-Rayburn CHRISTUS SOUTHEAST TEXAS Foundation CHRISTUS SOUTHEAST TEXAS Health System CHRISTUS Southeast Texas Heart and Vascular CHRISTUS Southeast Texas Hospital - Orange CHRISTUS Southeast Texas Lung Care Center St. Elizabeth CHRISTUS Southeast Texas Maternity and Women's Health Center CHRISTUS SOUTHEAST TEXAS Minor Care Center - St. Mary CHRISTUS SOUTHEAST TEXAS Minor Care Center-St. Elizabeth CHRISTUS Southeast Texas Orthopedic Specialty Center and Beaumont Bone and Joint Institute - Beaumont CHRISTUS Southeast Texas Orthopedic Specialty Center and Beaumont Bone and Joint Institute - Mid County CHRISTUS Southeast Texas Orthopedic Specialty Center and Beaumont Bone and Joint Institute - Port Arthur CHRISTUS SOUTHEAST TEXAS Orthopedic Specialty Center CHRISTUS SOUTHEAST TEXAS Orthopedic Specialty Center-Mid County CHRISTUS SOUTHEAST TEXAS Orthopedic Specialty Center-St. Mary CHRISTUS SOUTHEAST TEXAS Outpatient Center CHRISTUS SOUTHEAST TEXAS Outpatient Center - Jasper CHRISTUS SOUTHEAST TEXAS Outpatient Center - Mid County CHRISTUS SOUTHEAST TEXAS Outpatient Center - St. Mary CHRISTUS SOUTHEAST TEXAS Outpatient Pavilion - St. Elizabeth CHRISTUS SOUTHEAST TEXAS Pain Management Center CHRISTUS Southeast Texas Plastic and Reconstructive Surgery Center St. Elizabeth CHRISTUS SOUTHEAST TEXAS Spine thopedic Specialty Center - St. Elizabeth CHRISTUS SOUTHEAST TEXAS Spine Center CHRISTUS SOUTHEAST TEXAS Sports Medicine CHRISTUS SOUTHEAST TEXAS St. Elizabeth & St. Mary CHRISTUS SOUTHEAST TEXAS Vein Specialists CHRISTUS SOUTHEAST TEXAS Women's Center - St. Elizabeth CHRISTUS SOUTHEAST TEXAS Women's Center-St. Mary CHRISTUS SOUTHEAST TEXAS Wound Care and Hyperbaric Center-St. Elizabeth CHRISTUS St. Mary Outpatient Center Mid County Healthy Options Cafe”
“The corporation is organized and shall be operated exclusively for, charitable scientific, educational and religious purposes of, advancing, promoting and supporting the health care ministries of the sponsoring congregations which operate and are controlled in conformity with the ethical and moral teachings of the roman catholic church, and promoting efficient governance and management, cooperative planning and the sharing of resources among such health, care ministries. Without limiting the generality of the foregoing, the corporation's mission shall be to extend the healing ministry of jesus christ, and, consistent therewith, shall operate according to the doctrines, resolutions, decrees and ethical principles of the sponsoring, congregations, and the ethical and religious directors for catholic health care services as promulgated or amended from time to time by the united states conference of catholic bishops. It is also a purpose of the corporation to aid, lend financial support and assistance to, and to invest, transfer and/or dispose of funds of the corporation and the system participants for the use and benefit of, and in furtherance of the purposes of, the system, the, corporation, the system participants, and the local entities. The corporation's purposes shall also include the making of gifts, grants and contributions to other qualifying tax-exempt organizations, particularly those designed to support and benefit the health and welfare of the poor and underserved. The corporation shall also be authorized to engage in such pursuits, as may be necessary or incidental, or which may aid and assist, in carrying out the corporation's mission and purposes. The corporation is organized and shall be operated exclusively for the benefit of these purposes, as well as those system entities that are described in section 501(c)(3), and section 509(a)(1) or section 509(a)(2) of the internal revenue code of 1986, as amended, or corresponding provisions of any subsequent law.”
“Commitment to benefiting our communities - patient care services christus southeast texas health system is part of christus health, formed in 1999 to strengthen the 158-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 60 communities we serve to help those in need. The vision of christus health as a catholic, faith-based 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 southeast texas health system responds to the health care needs of the community through services provided at four campuses; the 425-bed christus hospital - st. Elizabeth in beaumont, the 6-bed the beaumont bone and joint institute, the 2-bed st. Mary outpatient center in port arthur, and christus jasper memorial hospital, a 59-bed hospital in jasper. Each of the facilities of christus southeast texas health system shares one objective -- which is to lead the way to a healthier community. Christus health southeast texas is located in far southeast texas, and its service area extends to the southeast coast of the state and northward into east texas, an area which includes a population of more than 769,000 individuals as of 2020. In fiscal year 2024 alone, we served hundreds of thousands of individuals in various ways including 105,750 visits to our emergency department; 3,582 inpatient surgery procedures; 13,269 outpatient surgery procedures; 18,155 patients who were admitted to our hospitals for care and 288,070 patients who received outpatient care at our facilities. Touching the lives of the people around us is what makes christus southeast texas health system stand apart. Allowing others to touch us gives us 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 southeast texas health system'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 southeast texas health system's various entities have strengthened their roles as major providers of comprehensive, accessible health care services. These partnerships with the community have been a blessing by helping christus health southeast texas further care for those in need. Furthermore, investment in community services would not be possible without dedicated employees and volunteers. They help to build strong relationships between the hospitals and other health care ministries and the communities, nurturing christus' mission to meet the 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 walls 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, usfhp and others. In addition, we provide specific programs to provide discounted services to those in need who do not have medical insurance or who do not participate in government-sponsored programs. Christus southeast texas health system provides a full range of inpatient and outpatient services to the people from the communities it serves. It conducts its activities and serves its health care purpose without regard to race, color, creed, re”
“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 costs not reimbursed for these services are reported to the state of texas. They are not included in reports prepared following catholic health association guidelines. Christus southeast texas health system 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 hospital. 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 reimburses outpatient services based on its fee schedule.”
“Community benefit reporting charity care and medicaid christus adheres to the catholic health association's 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 southeast texas health system 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 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 guidelines (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, and those above 400 percent receive discounts based on the uninsured fee schedule. No patient is refused necessary medical care due to their inability to pay. Christus health is an active participant in the states of texas, new mexico and louisiana medicaid programs. Those programs seek 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.”
“(Expenses $ 1,577,738 including grants of $ 25,643)(Revenue $ 0) COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS SPENT EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. THE THREE FACILITIES (CHRISTUS HOSPITAL - ST. ELIZABETH, CHRISTUS HOSPITAL - ST. MARY AND CHRISTUS JASPER MEMORIAL HOSPITAL) PROVIDE A NUMBER OF SERVICES FOR THE BENEFIT OF THE COMMUNITY -- INCLUDING LEADERSHIP ACTIVITIES. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2024, 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 CONSTITUENTS WE SERVE.”
“(Expenses $ 752,317 including grants of $ 242,188)(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 ARE 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 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 FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS COMMUNITY IMPACT FUNDS 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. 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 COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH SOUTHEAST TEXAS. 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 HEALTHCARE FOR THE INDIGENT POPULATION WITHIN THE 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.”
“(Expenses $ 0 including grants of $ 1,175,409)(Revenue $ 0) Additional Grants”
“Other Prof Serv - Total Expense: 30092591, Program Service Expense: 4558345, Management and General Expenses: 25534246, Fundraising Expenses: ; Marketing - Total Expense: 43782, Program Service Expense: 42607, Management and General Expenses: 1175, Fundraising Expenses: ; Consulting - Total Expense: 584740, Program Service Expense: 174635, Management and General Expenses: 410105, Fundraising Expenses: ; Medical Services - Total Expense: 10852393, Program Service Expense: 1051775, Management and General Expenses: 9800618, Fundraising Expenses: ; Physician Services - Total Expense: 36267746, Program Service Expense: 27233086, Management and General Expenses: 9034660, Fundraising Expenses: ; R&M - Total Expense: 6486730, Program Service Expense: 6379876, Management and General Expenses: 106854, Fundraising Expenses: ; Reruitment - Total Expense: 25000, Program Service Expense: , Management and General Expenses: 25000, Fundraising Expenses: ; Collection Services - Total Expense: 2555297, Program Service Expense: 2516859, Management and General Expenses: 38438, 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: ; - 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 transaction - -19530531; reclass for gaap for donations/grants to unrna - -1424469; rounding - -3;”
“Per footnote 3 in the consolidated financial statements, there are no material unrecorded tax liabilities as of june 30, 2024 and 2023.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Carolyn R Fernandez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | D Mark toups MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Daniel Thompson MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | David Willard EDD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | FADI NASRALLAH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Gisela Houseman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KIMBERLY KING WEBB JD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Lauree Thompson MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Mark L Porterie EdD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Sr Kim-Phuong Tran |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Sr Malgorzata MAJSZCYK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | T Randolph Lombardo MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Christopher KARAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Deborah M Tucker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Shawn M Adams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | D WAYNE MOORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Rodney PAUL GUIDROZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | RYAN MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Eric L SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | LORI MARTEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MARY V CRAWFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | MATTHEW DUNN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | MIRANDA BACDAYAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Christopher H Hoyt MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Nikki Martin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | ROBERT k PARSLEY |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 59942 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 177521 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 212355 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 189613 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 183932 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 184311 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 967844 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 157122 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 1419838 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 1260360 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 1383146 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 490298 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 319540 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 460958 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 348413 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 356827 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 267479 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 408840 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board Member/Vice Chair (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CEO, President, Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | board member (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member (TERM 12/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER (Eff 1/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member (EFF 1/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member (Term 12/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Board Member (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Board Member (TERM 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | SR VP (Eff 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CORP. SECRETARY (Term 3/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PRES.-JASPER MEM |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | REGIONAL CNE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Chief Operating Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Registered Nurse |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Nurse Practitioner |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Registered Nurse |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Nurse Practitioner |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Registered Nurse |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | DIRECTOR (term 12/21) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | Former FACILITY FINANCIAL OFFICER (TERM 3/21) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | Former EXEC. DIR.- PROVIDER STATEGY (TERM 6/21) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1999 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 5905 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 273798 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 211763 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 211763 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 1231477 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 1231477 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 232849 |
| IRS990/GrossReceiptsAmt | 0 | 533896811 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 240 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 21234834 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 21234834 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 2874095 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 4228912 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 7103007 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 34956475 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 34956475 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | -272467 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 5314032 |
| IRS990/InterestGrp/TotalAmt | 0 | 5041565 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 12242099 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 10686359 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 487892 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 487892 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1991006 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1887133 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 362574824 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 146775268 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 157568706 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 520143530 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 226944 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
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