Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $171,000

• 1f · All other contributions, gifts and grants

  $724,369

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $422,641,571 · related or exempt $422,641,571

• 2b · Program service revenue: ER COVERAGE NET CHARGE

  total $4,974,898 · related or exempt $4,974,898

• 2c · Program service revenue: PHYS ON CALL, MED. DIR. & BREAKEVEN REVENUE

  total $18,577,519 · related or exempt $18,577,519

• 2d · Program service revenue: PHYSICIAN CHARGE-OUT & DIRECTOR FEES

  total $517,856,352 · related or exempt $517,856,352

• 2e · Program service revenue: MCCS REVENUE

  total $113,804,449 · related or exempt $113,804,449

• 2f · All other program service revenue

  total $83,573 · related or exempt $83,573

• 3 · Investment income

  total $45,063 · excluded $45,063

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 6d · Net rental income or loss

  total $0

• 7d · Net gain or loss

  total $0 · excluded $0

• 8a · Fundraising events: gross income

  $0

• 8b · Fundraising events: direct expenses

  $0

• 8c · Net income from fundraising events

  total $0

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $12,990 · program services $12,990

• 2 · Grants to domestic individuals

  total $0

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $9,938,936 · program services $9,640,768 · management and general $298,168

• 6 · Compensation of disqualified persons

  total $6,231,621 · program services $6,044,672 · management and general $186,949

• 7 · Other salaries and wages

  total $519,540,926 · program services $503,954,698 · management and general $15,586,228

• 8 · Pension plan contributions

  total $0

• 9 · Other employee benefits

  total $44,768,126 · program services $41,951,801 · management and general $2,816,325

• 10 · Payroll taxes

  total $24,783,886 · program services $23,768,318 · management and general $1,015,568

• 11a · Fees: management

  total $0

• 11b · Fees: legal

  total $27,962 · program services -$3,252 · management and general $31,214

• 11c · Fees: accounting

  total $8,320 · program services $8,320

• 11d · Fees: lobbying

  total $0

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $150 · program services $150

• 11g · Fees: other

  total $121,706,287 · program services $58,625,419 · management and general $63,080,868

• 12 · Advertising and promotion

  total $410,697 · program services $396,708 · management and general $13,989

• 13 · Office expenses

  total $9,459,402 · program services $8,236,032 · management and general $1,223,370

• 14 · Information technology

  total $1,082,697 · program services $379,750 · management and general $702,947

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $14,659,436 · program services $14,658,001 · management and general $1,435

• 17 · Travel

  total $1,017,804 · program services $570,325 · management and general $447,479

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $2,307,206 · program services $2,136,238 · management and general $170,968

• 20 · Interest

  total $501,988 · program services $37,301 · management and general $464,687

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $6,389,038 · program services $6,068,955 · management and general $320,083

• 23 · Insurance

  total $8,791,213 · program services $7,910,475 · management and general $880,738

• 24a · Other expenses: MEDICAL SUPPLIES

  total $11,270,121 · program services $11,390,539 · management and general -$120,418

• 24b · Other expenses: PROV FOR UNCOLLECTIBLE ACCOUNT

  total $28,857,659 · program services $28,857,659

• 24c · Other expenses: ALLOCATION CHARGEOUT PHY REV

  total $267,480,717 · program services $267,480,717

• 24d · Other expenses: ALL OTHER EXPENSES

  total $1,443,504 · program services $1,332,465 · management and general $111,039

• 24e · All other expenses

  total $350,823 · management and general $350,823

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $1,253,584 · end of year $2,362,835

• 2 · Savings and temporary cash investments

  beginning of year $0 · end of year $0

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $33,103,375 · end of year $36,964,641

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $313,900 · end of year $2,068,302

• 8 · Inventories for sale or use

  beginning of year $73 · end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $2,579,547 · end of year $3,930,354

• 10a · Land, buildings and equipment: cost or other basis

  $71,505,152

• 10b · Land, buildings and equipment: accumulated depreciation

  $36,586,946

• 10c · Land, buildings and equipment, net

  beginning of year $29,056,672 · end of year $34,918,206

• 11 · Investments: publicly traded securities

  beginning of year $7,312,000 · end of year $7,312,000

• 12 · Investments: other securities

  beginning of year $991,339 · end of year $1,036,243

• 13 · Investments: program-related

  beginning of year $0 · end of year $0

• 14 · Intangible assets

  beginning of year $56,268 · end of year $45,351

• 15 · Other assets

  beginning of year $35,456,402 · end of year $19,062,849

• 17 · Accounts payable and accrued expenses

  beginning of year $46,560,675 · end of year $50,463,760

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $728,631 · end of year $1,340,742

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $4,281,501 · end of year $2,963,576

• 25 · Other liabilities

  beginning of year $36,510,196 · end of year $20,388,483

• 27 · Net assets without donor restrictions

  beginning of year $22,042,157 · end of year $32,544,220

• 28 · Net assets with donor restrictions

  beginning of year $0 · end of year $0

Itemized on Schedule J with no Part VII listing of the same name on this return:

The filer's explanations (Part III)

COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION

FORM 990, SCHEDULE J, PART I, LINE 6A SOME PHYSICIANS ARE PAID BASED ON THE COMPENSATION FORMULA OF THEIR INDIVIDUAL RESPECTIVE DEPARTMENTS.

SUPPLEMENT COMPENSATION INFORMATION

FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.

PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

PARTICIPANTS IN 457(F) REPORTED IN W-2 --------------------------------------- NONE

DEFERRED COMPENSATION

FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

SUPPLEMENTAL COMPENSATION INFORMATION

FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE FILING ORGANIZATION OR A RELATED ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.

EXPLANATION OF RELATED ORGANIZATION DETERMINING EXECUTIVE DIRECTOR COMP

FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. CHRISTUS TRINITY CLINIC RELIED ON A RELATED ORGANIZATION, CHRISTUS HEALTH, THAT USED THE FOLLOWING METHOD TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT AND EXTERNAL CONSULTANT. THE FILING ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DETERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION. ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DERTERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION.

SEVERANCE PAYMENTS

FORM 990, SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS: NONE

SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F) COMPENSATION REPORTED AS DEFERRED IN A PRIOR FORM 990 DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET.

BONUS AND INCENTIVE COMPENSATION

FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2023.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CHRISTUS MUGUERZA SAPI DE CV

  controlled entity

• EMERALD ASSURANCE CAYMAN LTD

  C CORP · INSURANCE · TX · controlled entity

  Directly controlled by CH

• CHRISTUS LOUISIANA QUALITY ALLIANCE

  C CORP · ACO · LA · controlled entity

  Directly controlled by CH