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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Christus Health
 
Employer identification number
76-0590551
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) St Joseph Community Foundation
Po Box 6427
Paris,TX75461 		31-1016570 501(c)(3) 15,000       Underwriters Ball
(2) Christus Foundation For Healthcare
Po Box 1919
Houston,TX77251 		61-1500100 501(c)(3) 15,000       2021 NUN RUN / annual Spring Luncheon
(3) Sisters Of Charity Of The Incarnate Word
4503 Broadway ST
San Antonio,TX78209 		23-7152879 501(c)(3) 10,000       chapter meeting
(4) Christus Santa Rosa Health Care Corp
333 N Santa Rosa Street
San Antonio,TX78207 		74-1109665 501(c)(3) 452,500       Honorarium for Don Beeler Santa Rosa NTL Speakers Luncheon.
(5) SANTA ROSA'S CHILDREN'S HOSPITAL FOUNDATION
100 Northeast Loop
San Antonio,TX78216 		74-1224362 501(c)(3) 150,000       Honorarium for Don Beeler
(6) Christus Spohn Development FDN
613 Elizabeth st
Corpus Christi,TX78404 		74-1906005 501(c)(3) 20,000       Challenge Grant Fundraiser
(7) Christus St Frances Cabrini Foundation
3330 Prescott Avenue
Alexandria,LA71301 		72-0998302 501(c)(3) 25,000       Healing Garden Project
(8) Christus Cabrini Foundation
3330 Masonic Drive
Alexandria,LA71301 		23-7255175 501(c)(3) 20,000       Trinity Healing Garden / Cabrini Ball
(9) University Of The Incarnate Word
4301 Broadway
Cpo 317
San Antonio,TX78209 		74-1109661 501(c)(3) 35,000       2022 Swing In Golf Tournament / 2022 Swing a Thon event
(10) Catholic Charities Of Dallas Inc
1421 Mockingbird Lane
Dallas,TX75247 		75-2745221 501(c)(3) 75,000       2022 Annual Gala
(11) Visitation House Ministries
Po Box 12074
San Antonio,TX78212 		74-2447137 501(c)(3) 7,500       2022 Summer Sojourn Gala
(12) Hopkins County Health Care Foundation
115 Airport Road
Sulphur Springs,TX75482 		75-2845157 501(c)(3) 10,000       Donation for Mammograms for the poor and vulnerable in the county
(13) Sisters Of The Holy Family
310 North River Road
Des Plaines,IL60016 		20-5728349 501(c)(3) 50,000       to support Sisters in Poland and Ukraine dealing with the impact of the war
(14) Christus Mother Frances Hospital Foundation
100 East Ferguson Street
Attention Mr Scott Fossey
Tyler,TX75702 		75-2028241 501(c)(3) 12,000       Donation
(15) Christus Ochsner Southwestern Louisiana Foundation
524 Dr Michael Debakey Drive
Lake Charles,LA70601 		47-1496376 501(c)(3) 10,000       Funds for Year End Campaign
(16) The Catholic Foundation
12222 Merit Drive
Suit 850
Dallas,TX75251 		75-1106620 501(c)(3) 100,000       Title Sponsor FOR The Bishop's Invitational Impact Fund
(17) The Sisters At Benet Hill Monastery
3190 Benet Lane
Attn Sister Therese 719 633-065
Colorado Springs,CO80921 		84-0523354 501(c)(3) 25,000       Memorial Donation in honor of Father Bob Lampert,
(18) St Vincent Hospital Foundation
455 St MichaelS Drive
Santa Fe,NM87505 		85-0282847 501(c)(3) 10,000       Associate assistance fund to support associates in need
(19) In My Shoes INC
PO Box 227301
Dallas,TX75222 		46-3543853 501(c)(3) 10,300       Christus Health Sponsorship
(20) Archdiocese of San Antonio Communications
2718 W Woodlawn Ave
San Antonio,TX78228 		74-1109740 501(c)(3) 15,000       Donation for honoring Sister Teresa Maya
(21) The Texas Lyceum
1321 Antoine Dr
Houston,TX77055 		75-1720024 501(c)(3) 15,000       Donation
(22) St Monica Dad's Club
4140 Walnut Hill Ln
Dallas,TX75201 		75-2730857 501(c)(3) 5,175       Fundraiser donation
(23) Family And Youth Counseling Agency
220 Louie Street
Lake Charles,LA70601 		74-1321308 501(c)(3) 100,000       Support Pathway to Recovery program
(24) Catholic Charities Of Corpus Christi
Po Box 9056
Corpus Christi,TX78469 		74-2330464 501(c)(3) 100,000       To support the creation of a homeless discharge plan program
(25) Harvest Texarkana Regional Food Bank Inc
Po Box 707
Texarkana,TX75504 		75-2671647 501(c)(3) 100,000       To establish on-site pantries and distributions at partnering healthcare and senior care organizations
(26) Ccvi San Antonio
4503 Broadway
San Antonio,TX78209 		23-7152879 501(c)(3) 134,000       Support the response to the significant influx of human mobility and change across the globe.
(27) Diocese Of Lake Charles
1225 2Nd Street
Catholic Charities Jazz Brunch
Lake Charles,LA70601 		73-6338181 501(c)(3) 100,000       To increase the quantity and quality of the food we distribute.
(28) Legacy Community Health Services Inc
Po Box 66308
Houston,TX77266 		76-0009637 501(c)(3) 100,000       To expand existing programs that will help extend Legacy Community Health's reach into Beaumont area schools.
(29) Spindletop Mhmr Services Cashier
Po Box 3846
Beaumont,TX77704 		74-1684198 501(c)(3) 100,000       To fund a new program that focuses on providing education to individuals with autism, their caregivers, and support systems.
(30) Save Cenla
Po Box 381
Dupont,LA71329 		81-4863849 501(c)(3) 54,000       To expand their existing Applied Suicide Intervention Skills Training workshop.
(31) Shreveport Green
3625 Southern Avenue
Shreveport,LA71104 		72-0970610 501(c)(3) 50,000       To support their existing Mobile Market and Beyond program.
(32) Solace Crisis Treatment Center
6601 Valentine Way
Santa Fe,NM87507 		85-0242274 501(c)(3) 100,000       To expand their no-cost therapy program for trauma treatment for children and adult victims of sexual abuse, stalking, teen dating violence, and human trafficking.
(33) Clarity Child Guidance Center
8535 Tom Slick Drive
San Antonio,TX78229 		74-1153067 501(c)(3) 100,000       Support children ages 3-17 and their families to feel prepared to manage their child's mental illness after discharge.
(34) Regional East Texas Food Bank
3201 Robertson Rd
Tyler,TX75701 		75-2222686 501(c)(3) 100,000       To expand and increase the accessibility of food assistance and wrap-around services to low-income residents in an area.
(35) Sabine Valley Regional Mhmr Center Dba Community Healthcore
107 Woodbine
Longview,TX75601 		75-1724017 501(c)(3) 100,000       To implement the Behavioral Health Diversion program.
(36) Community Renewal
Po Box 4678
Shreveport,LA71134 		72-1213057 501(c)(3) 75,000       To support their initiative of creating a system of relationships and resources that address the social determinants of health.
(37) The Pines Education Group
14833 Midway Rd
Ste 210
Addison,TX75001 		75-2255462 501(c)(3) 75,000       To implement a new program that will assist in managing mental health among their participants.
(38) Coastal Bend Wellness Foundation
2882 Holly Road
Corpus Christi,TX78415 		74-2429518 501(c)(3) 99,998       To implement their Red Cord Initiative.
(39) The Salvation Army Of Beaumont
2350 IH-10 East
Beaumont,TX77703 		58-0660607 501(c)(3) 80,000       To support an existing program that will provide resources and care to their clients.
(40) Mission Marshall
Po Box 1806
Marshall,TX75671 		45-4040928 501(c)(3) 94,000       To support the Remote Order Ahead program.
(41) St Lukes Episcopal Mobile Medical Ministry Inc
P O Box 12550
875 Cotton St
Shreveport,LA71101 		45-3786377 501(c)(3) 50,000       To provide free preventive health screenings, basic health services, case management, health education, & medical referrals.
(42) The Salvation Army Of The Coastal Bend
1804 Buford Street
Corpus Christi,TX78404 		58-0660607 501(c)(3) 100,000       To expand a program that will provide resources for homeless patients.
(43) Family Services Of Southeast Texas Inc
3550 Fannin St
Beaumont,TX77701 		74-1382713 501(c)(3) 94,400       To expand their Family Services Sexual Assault program.
(44) Mission Texarkana
620 W 4Th Street
Texarkana,TX75501 		75-2678943 501(c)(3) 30,000       To Implement the SOAR program.
(45) Hays-Caldwell Womens Center
Po Box 234
San Marcos,TX78667 		74-2020505 501(c)(3) 100,000       To Support prevention & counseling program.
(46) Tyler Family Circle Of Care
523 S Fannin Ave
Tyler,TX75702 		45-2578435 501(c)(3) 100,000       To expand their ED diversion program.
(47) Sfps Adelante
1300 Camino Sierra Vista
Santa Fe,NM87505 		85-0392417 501(c)(3) 15,000       To address the rate of homelessness and the risks it poses for babies from birth to age five, as well as pregnant teens.
(48) Tan Healthcare
1495 N 7Th St
Beaumont,TX77702 		76-0226835 501(c)(3) 50,000       To support their Connections 2 Care program.
(49) Fostering Community
3336 Prescott Rd
Alexandria,LA71301 		82-4148732 501(c)(3) 100,000       To improve the lives of children impacted by foster care.
(50) Meals On Wheels San Antonio
4306 Nw Loop 410
San Antonio,TX78229 		74-1948646 501(c)(3) 100,000       To provide access to nutritious meals and personal visits to seniors who are homebound and nutritionally at-risk.
(51) Casa Of Central Texas
1619 E Common St
Suite 301
New Braunfels,TX78130 		74-2403373 501(c)(3) 43,000       To support their existing Empowered Advocacy for Children Abused and Neglected).
(52) Womens Center Of East Texas
Po Box 347
Longview,TX75606 		75-1659423 501(c)(3) 53,000       To support their Youth Advocacy Project.
(53) Dallas Business Journal
PO Box 840190
Dallas,TX75284 		43-1366184 501(c)(3) 6,250       Upcoming event ad space and donation for table.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
53
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.
Schedule I (Form 990) 2021



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