CHRISTUS HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH (EIN 76-0590551)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-14
IRS object ID: 202111349349302681
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-14T10:54:15-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 E WASHINGTON ST STE 910	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	760590551	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christus Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KIM REYNOLDS	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 Hidden Ridge Drive	AddressLine1Txt
City	Irving	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RANDY SAFADY	PersonNm
Person Title	EXEC VP/CFO	PersonTitleTxt
Phone	4692822000	PhoneNum
Signature	2021-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PATRICK SHIELDS	PreparerPersonNm
PTIN	P01508556	PTIN
Phone	6023220000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ERNIE SADAU	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	SAME AS C ABOVE	AddressLine1Txt
City	NONE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,130,440,152	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christushealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3702	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$690,442	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$522,722	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$107,384,641	CYContributionsGrantsAmt
PY Program Service Revenue	$652,479,799	PYProgramServiceRevenueAmt
CY Program Service Revenue	$831,843,602	CYProgramServiceRevenueAmt
PY Investment Income	$61,929,868	PYInvestmentIncomeAmt
CY Investment Income	$40,687,312	CYInvestmentIncomeAmt
PY Other Revenue	$22,117,309	PYOtherRevenueAmt
CY Other Revenue	$32,284,447	CYOtherRevenueAmt
PY Total Revenue	$736,526,976	PYTotalRevenueAmt
CY Total Revenue	$1,012,200,002	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,829,820	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,359,974	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$305,824,160	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$477,030,045	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$467,947,165	PYOtherExpensesAmt
CY Other Expenses	$414,168,327	CYOtherExpensesAmt
PY Total Expenses	$777,601,145	PYTotalExpensesAmt
CY Total Expenses	$894,558,346	CYTotalExpensesAmt
PY Revenues Less Expenses	-$41,074,169	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$117,641,656	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,854,146,211	TotalAssetsBOYAmt
Total Assets EOY	$2,730,342,875	TotalAssetsEOYAmt
Total Liabilities BOY	$2,211,818,635	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,506,240,394	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$642,327,576	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$224,102,481	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 AS	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$328,114,778	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$638,049,493	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH MINISTRIES TOGETHER. THE 2016 AFFILIATION WITH TRINITY MOTHER FRANCES HEALTH SYSTEM RESULTED IN A THIRD SPONSORING CONGREGATION OF CHRISTUS HEALTH, THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND 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 HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN 350 FACILITIES, INCLUDING 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO AND IN CHILE. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, 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 PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 8,735,000. IN FISCAL YEAR 2020 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 970,091 VISITS TO OUR EMERGENCY DEPARTMENTS; 46,697 INPATIENT SURGERY PROCEDURES; 133,887 OUTPATIENT SURGERY PROCEDURES; 184,267 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 3,049,934 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH 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, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES 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 STRENGTHENING THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR 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 OF 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 AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$151,943,951	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$163,978,178	RevenueAmt
Desc	OTHER GOVERNMENT 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, DEPARTMENT OF DEFENSE (DOD) 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. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR APPROXIMATELY 15,000 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,844,099	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$55,380,903	RevenueAmt
Desc	COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALSIS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. 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 THE ELDERLY AND THOSE WITH HIV/AIDS, FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH SERVICE ORGANIZATIONS, WHICH DISTRIBUTED THE DONATIONS TO RURAL HEALTH PROVIDERS ACROSS EAST AND NORTHEAST TEXAS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2020, 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.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,626,862	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$3,359,974	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$497,529,690	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	Yes (true)	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2208	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3702	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CI	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	MX	ForeignCountryCd
Foreign Country	CO	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KIM REYNOLDS	PersonNm
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE DRIVE	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (54 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ernie W Sadau
PRESIDENT/CEO	40.0	0.0	Yes (X)	Yes (X)	$8,523,346	$0	$4,940,044
Jeffrey M Puckett
EVP/COO	39.0	1.0			$4,728,660	$0	$2,736,128	Yes (X)
Randolph W Safady
EVP/CFO	40.0	0.0		Yes (X)	$4,804,025	$0	$1,500,678
Paul D Generale
EVP/CHIEF STRATEGY OFFICER	39.0	1.0			$3,645,103	$0	$2,087,640	Yes (X)
Linda K McClung
EVP/CAO (THRU 8/2019)	39.0	1.0			$4,180,115	$0	$1,456,866	Yes (X)
Marty F Margetts
EVP/CAO (EFF 9/2019)	39.0	1.0			$3,462,158	$0	$1,966,781	Yes (X)
John A Gillean
EVP/CMO (THRU 12/2019)	39.0	1.0			$3,462,499	$0	$1,002,658	Yes (X)
Gerard F Heeley
SVP-MISSION AND ETHICS	39.0	1.0			$1,946,554	$0	$508,159	Yes (X)
George S Conklin
SVP-CIO (THRU 12/2019)	39.0	1.0			$1,855,849	$0	$460,850	Yes (X)
SAM BAGCHI MD
EVP/CMO (EFF 1/2020)	40.0	0.0			$1,276,166	$0	$274,170	Yes (X)
CHRISTOPHER KARAM
SR VP & REG CEO	39.0	1.0			$1,032,603	$0	$476,786	Yes (X)
CHARLES T HANKINS
SVP Pediatrics and CMO, CHOSA	40.0	0.0			$1,103,186	$0	$319,572	Yes (X)
Dominic J Dominguez
SVP-GROUP OPERATIONS SO TX	39.0	1.0			$1,198,136	$0	$181,273	Yes (X)
STEVEN KEUER MD
TMF CMO	1.0	39.0	Yes (X)		$1,131,628	$0	$195,924
JEANNIE FREY
SVP Chief Legal Officer	40.0	0.0			$1,047,739	$0	$216,495	Yes (X)
J CHRIS GLENNEY
SVP GROUP OPERATIONS NETX	40.0	0.0			$1,044,991	$0	$211,243	Yes (X)
CRIS C DASKEVICH
SVP Maternal Svcs & CEO, CHOSA	40.0	0.0			$1,005,877	$0	$200,714	Yes (X)
ALEJANDRO CANAVATI
CEO, CRP CHILE OPERATIONS	40.0	0.0			$944,333	$0	$232,823		Yes (X)
SCOTT SMITH
SVP Trinity Clinic-Sys VP CCMS	40.0	0.0			$954,202	$0	$167,858		Yes (X)
FADI NASRALLAH
SVP CMO TRINITY CLINIC	40.0	0.0			$911,119	$0	$175,471		Yes (X)
OSBERT BLOW
PRESIDENT/ CMO CHRISTUS SPOHN	40.0	0.0			$821,576	$0	$227,102		Yes (X)
MARK ANDERSON
CMO, CRP TMF Health System	40.0	0.0			$941,728	$0	$42,579		Yes (X)
M Shannon Stansbury
SVP-POPULATION HEALTH	40.0	0.0			$802,779	$0	$157,050	Yes (X)
KIM REYNOLDS
SVP FINANCE	40.0	0.0			$683,382	$0	$250,359	Yes (X)
DEBRA PASLEY
SVP, CNO	40.0	0.0			$749,548	$0	$121,180	Yes (X)
RYAN THOMPSON
SVP REVENUE CYCLE	40.0	0.0			$651,426	$0	$205,877	Yes (X)
J LINDSEY BRADLEY JR
DIRECTOR	1.0	0.0	Yes (X)		$853,957	$0	$0
TINA BARKER
SVP STRATEGY MARKETING & DIG	40.0	0.0			$618,583	$0	$169,890	Yes (X)
JON MANIS
SVP CIO (EFF 1/2020)	40.0	0.0			$663,609	$0	$96,402	Yes (X)
GABRIELA SAENZ
SVP Corp Services (EFF 9/2019)	40.0	0.0			$543,981	$0	$182,881	Yes (X)
Stephen F Wright
PRES/CEO-LA MINS (THRU 10/18)	0.0	0.0			$700,817	$0	$17,950			Yes (X)
KIMBERLY KING WEBB
SVP CHIEF HR OFFICER	40.0	0.0			$520,976	$0	$135,830	Yes (X)
PETER J PLANTES
CEO CPG (TERM 11/2017)	0.0	0.0			$531,207	$0	$1,476			Yes (X)
IRMA PENALOZA
ASST. CORP SEC	40.0	0.0		Yes (X)	$332,570	$0	$62,649
JOSEPH S BARCIE
SVP INTL OPS (TERM 10/2017)	0.0	0.0			$359,006	$0	$1,680			Yes (X)
KELLY E KLIBERT
DIR. OF GOVERNANCE (THRU 2/20)	32.0	8.0		Yes (X)	$129,755	$0	$6,944
NANCY C LEGROS
SVP-CHIEF LGL CNSL	0.0	0.0			$110,954	$0	$2,148			Yes (X)
KAREN OLIVER
ASST. CORP SEC	40.0	0.0		Yes (X)	$88,552	$0	$10,506
MARICELA SIEWCZYNSKI MOORE
DIRECTOR/CHAIR (INCOMING)	1.0	0.0	Yes (X)	Yes (X)	$16,811	$0	$0
ARTHUR SOUTHAM MD
DIRECTOR/CHAIR (OUTGOING)	1.0	0.0	Yes (X)	Yes (X)	$16,146	$0	$0
BILL CHEN
DIRECTOR	1.0	0.0	Yes (X)		$15,321	$0	$0
CLARENCE R WILLIAMS
Director	1.0	0.0	Yes (X)		$11,921	$0	$0
DAVID STRONG
DIRECTOR/VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$11,321	$0	$0
PATRICIO DONOSO IBANEZ
Director	1.0	0.0	Yes (X)		$10,421	$0	$0
GEORGE BO-LINN MD
Director	1.0	0.0	Yes (X)		$9,671	$0	$0
KEVIN J ROY DBA
DIRECTOR	1.0	0.0	Yes (X)		$8,171	$0	$0
CHERYL ALSTON
Director	1.0	0.0	Yes (X)		$8,061	$0	$0
J LYNN BRITTON
Director	1.0	0.0	Yes (X)		$7,421	$0	$0
ALIDE CHASE
BOARD DIRECTOR	1.0	0.0	Yes (X)		$7,161	$0	$0
SISTER LORETTA FELICI
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
FATHER STEPHEN WORSLEY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SISTER YOLANDA TARANGO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SISTER CHRISTINA MURPHY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
NANCY RODILL
DIR OF GOV, ACS (EFF 3/2020)	40.0	0.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$52,257,302	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$20,110,403	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	708	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HHS ENVIROMENTAL SERVICES
12495 SILVER CREEK ROAD	DRIPPING SPRINGS	TX	78620	ENVIROMENTAL SVCS	$44,938,250
DELOITTE CONSULTING LLP
1111 BAGBY ST STE 4500	HOUSTON	TX	77002	CONSULTING SERVICES	$20,532,669
ARAMARK HEALTHCARE SUPPORT
1800 CONGRESS ST	HOUSTON	TX	77002	HOSPITALITY	$20,060,663
MAXOR NATIONAL PHARMACY
3701 HIGHWAY 73	PORT ARTHUR	TX	79410	MEDICAL SERVICES	$14,145,615
METHODIST WILLOWBROOK HOSPITAL
18220 TX-249	HOUSTON	TX	77070	MEDICAL SERVICES	$8,386,679

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	376	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$0	FundraisingAmt
Government Grants	$107,384,641	GovernmentGrantsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$107,384,641	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INSURANCE PREMIUM	900099	$302,952,900	$302,952,900	$0	$0
SERVICE FEE INCOME	541900	$287,298,647	$286,608,205	$690,442	$0
MANAGEMENT FEES	900099	$131,831,216	$131,831,216	$0	$0
CAPITATION REVENUE	621400	$85,515,365	$85,515,365	$0	$0
All other program service revenue		$24,245,474	$24,245,474	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$831,843,602	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,814,741	TotalRevenueColumnAmt
Exclusion	$25,814,741	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,651,129	TotalRevenueColumnAmt
Exclusion	$5,651,129	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,131,906,455	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,117,033,884	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$14,872,571	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,872,571	TotalRevenueColumnAmt
Exclusion	$14,872,571	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,274,612	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,206,266	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,068,346	TotalRevenueColumnAmt
Exclusion	$1,068,346	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ACTUARIAL CREDIT	900099	$16,546,857	$16,546,857	$0	$0
INTERCOMPANY SALARIES	900099	$2,004,393	$2,004,393	$0	$0
AMBULATORY SERVICE	900099	$1,013,866	$1,013,866	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,999,856	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,999,856	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$25,564,972	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,012,200,002	TotalRevenueColumnAmt
Related Or Exempt Func Income	$856,718,132	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$690,442	UnrelatedBusinessRevenueAmt
Exclusion	$47,406,787	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,359,974	TotalAmt
Program Services	$3,359,974	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$72,344,608	TotalAmt
Program Services	$22,426,828	ProgramServicesAmt
Management And General	$49,917,780	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,855,645	TotalAmt
Program Services	$885,250	ProgramServicesAmt
Management And General	$1,970,395	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$241,256,031	TotalAmt
Program Services	$74,789,370	ProgramServicesAmt
Management And General	$166,466,661	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$59,629	TotalAmt
Program Services	$30,554	ProgramServicesAmt
Management And General	$29,075	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$143,324,521	TotalAmt
Program Services	$132,840,906	ProgramServicesAmt
Management And General	$10,483,615	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,189,611	TotalAmt
Program Services	$5,432,394	ProgramServicesAmt
Management And General	$11,757,217	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,018,640	TotalAmt
Program Services	$43,147	ProgramServicesAmt
Management And General	$4,975,493	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$6,139,344	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,139,344	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$951,408	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$951,408	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,773,088	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,773,088	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$115,843,235	TotalAmt
Program Services	$80,948,569	ProgramServicesAmt
Management And General	$34,894,666	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$238	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$238	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$78,905,897	TotalAmt
Program Services	$44,212,767	ProgramServicesAmt
Management And General	$34,693,130	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,155,670	TotalAmt
Program Services	$8,454,318	ProgramServicesAmt
Management And General	$701,352	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,303,465	TotalAmt
Program Services	$1,929,553	ProgramServicesAmt
Management And General	$7,373,912	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,576,053	TotalAmt
Program Services	$336,225	ProgramServicesAmt
Management And General	$3,239,828	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$42,214,529	TotalAmt
Program Services	$397,980	ProgramServicesAmt
Management And General	$41,816,549	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,443,626	TotalAmt
Program Services	$1,171,731	ProgramServicesAmt
Management And General	$5,271,895	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$92,634,386	TotalAmt
Program Services	$92,595,334	ProgramServicesAmt
Management And General	$39,052	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL EXPENSE	$3,110,849	$1,317,620	$1,793,229	$0
PRICE CONCESSIONS	$15,000,000	$15,000,000	$0	$0
INTERCOMPANY	$9,998,500	$9,998,500
SWAP FINANCING COST	$9,901,535	$0	$9,901,535	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,197,864	TotalAmt
Program Services	$1,358,670	ProgramServicesAmt
Management And General	$1,839,194	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$894,558,346	TotalAmt
Program Services	$497,529,690	ProgramServicesAmt
Management And General	$397,028,656	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$199,876,193	BOYAmt
EOY	$669,526,031	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,547,681	BOYAmt
EOY	$405,981,596	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$35,029,271	BOYAmt
EOY	$15,747,346	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,441,608	BOYAmt
EOY	$2,744,218	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$48,595,718	BOYAmt
EOY	$55,319,062	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$311,471,083	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$171,653,617	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$121,745,022	BOYAmt
EOY	$139,817,466	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$771,260,310	BOYAmt
EOY	$895,033,417	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$210,466,456	BOYAmt
EOY	$205,792,437	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$559,537,021	BOYAmt
EOY	$182,676,989	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,296,630	BOYAmt
EOY	$19,319,130	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$840,350,301	BOYAmt
EOY	$138,385,183	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,854,146,211	BOYAmt
EOY	$2,730,342,875	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$256,315,554	BOYAmt
EOY	$343,482,667	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$23,491,630	BOYAmt
EOY	$161,389,541	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,592,949,542	BOYAmt
EOY	$1,614,823,289	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$339,061,909	BOYAmt
EOY	$386,544,897	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,211,818,635	BOYAmt
EOY	$2,506,240,394	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$626,329,518	BOYAmt
EOY	$208,497,437	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,998,058	BOYAmt
EOY	$15,605,044	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$642,327,576	BOYAmt
EOY	$224,102,481	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,854,146,211	BOYAmt
EOY	$2,730,342,875	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$117,641,656	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,598,866	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$239,956,304	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$306,509,313	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$107,384,641	CurrentTaxYearAmt
Total	$107,384,641	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$530,733,967	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$558,957,681	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$840,475,716	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$651,778,407	CurrentTaxYearMinus1YearAmt
Current Tax Year	$830,172,775	CurrentTaxYearAmt
Total	$3,412,118,546	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,469,032	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,218,597	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,954,555	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,178,662	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,274,612	CurrentTaxYearAmt
Total	$17,095,458	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$534,202,999	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$562,176,278	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$845,430,271	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$654,957,069	CurrentTaxYearMinus1YearAmt
Current Tax Year	$939,832,028	CurrentTaxYearAmt
Total	$3,536,598,645	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$3,536,598,645	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,301,669	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$61,875,646	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$96,385,207	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$46,501,443	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,465,870	CurrentTaxYearAmt
Total	$240,529,835	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,974,103	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$569,668	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$595,523	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$574,001	CurrentTaxYearMinus1YearAmt
Current Tax Year	$581,914	CurrentTaxYearAmt
Total	$5,295,209	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,275,772	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$62,445,314	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$96,980,730	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$47,075,444	CurrentTaxYearMinus1YearAmt
Current Tax Year	$32,047,784	CurrentTaxYearAmt
Total	$245,825,044	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$22,666,638	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,601,746	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,515,312	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$20,324,706	CurrentTaxYearMinus1YearAmt
Current Tax Year	-$980,385	CurrentTaxYearAmt
Total	$66,128,017	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$564,145,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$631,223,338	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$959,926,313	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$722,357,219	CurrentTaxYearMinus1YearAmt
Current Tax Year	$970,899,427	CurrentTaxYearAmt
Total	$3,848,551,706	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.91894	PublicSupportCY509Pct
Public Support PY509	0.72010	PublicSupportPY509Pct
Investment Income CY	0.06388	InvestmentIncomeCYPct
Investment Income PY	0.22240	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$131,613	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$819,795	OtherActivitiesAmt
Total Lobbying Expenditures	$951,408	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING DESCRIPTION	FormAndLineReferenceDesc
Explanation	Part 1(b): Paid staff and management: with approximately four paid staff members for the CHRISTUS Health system that serve the Advocacy and Public and Policy department. The department represents the organization before state and federal legislative bodies, the executive branches, and regulatory agencies. Part 1 (g) Direct contact with legislators, their staffs, government officials and legislative bodies for issues related to: emails, letters virtual meetings and direct contact to members of congressional and state lawmakers in TX, LA, NM, and AR to discuss: sole community provider program, tax reform, disproportionate share hospital funding, critical access hospital funding, rural hospital issues, 1115 waiver Medicaid proposals, uniform hospital rate increase program, Medicaid managed care, health Information technology and interoperability, Affordable Care Act, federal emergency preparedness, COVID-19, 340B Drug Pricing Program, prescription drug pricing, school based health clinics, Medicaid program, military health, palliative care, hospital provider fees, hospital-related tax issues, trauma funding, pediatric hospital issues, ACE Kids Act, graduate medical education, maternal health care, opioid abuse, advance directives legislation, behavioral health issues, medical malpractice caps and tort reform, foster care reform, Medicare advanced payments, bond issuers, surprise billing and insurance reform, state hospital reforms, COVID-19 antibody testing, CARES Funding, liability reform, the Federal Bureau of Prisons and Veterans Affairs unreimbursed claims. Part 1 (i) Other Activity includes: Annual fee to CapWiz to administer action alert server hosting fee. Lobbying fees as portion to dues for trade associations including: 340B Health, ACCC, AHA, Arkansas Hospital Association, CHA (Childrens), CHAUSA, Childrens Hospital Association of Texas, Health Plan Alliance, LALA, LHA, LNHA, NMHA Personal Connect, Picard Group (alliance), Texas Association Business, Texas Association Voluntary Hospital, Texas E-Health Alliance, Texas Hospital Association, Teaching Hospital of Texas, US Family Health . In addition, paid lobbyists and consultants to support the issues described above. Total Hours 238 executive/director level, 194 hours Director/Associate.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,107,018	OtherCostOrOtherBasisAmt
Book Value	$21,107,018	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,014,851	OtherCostOrOtherBasisAmt
Depreciation	$36,786,998	DepreciationAmt
Book Value	$39,227,853	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,570,591	OtherCostOrOtherBasisAmt
Depreciation	$10,919,683	DepreciationAmt
Book Value	$6,650,908	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$172,796,831	OtherCostOrOtherBasisAmt
Depreciation	$121,256,025	DepreciationAmt
Book Value	$51,540,806	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,981,792	OtherCostOrOtherBasisAmt
Depreciation	$2,690,911	DepreciationAmt
Book Value	$21,290,881	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$139,817,466	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	HEDGE FUNDS	Desc
Book Value	$205,792,437	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$205,792,437	TotalBookValueSecuritiesAmt
Total Book Value Program Rltd	$0	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSETS	$14,710,627
DEFERRED COMPENSATION	$40,482,131
DC SERP ASSETS	$39,497,050
PREPAIDS	$33,019,083
DEPOSITS	$2,468,855
OTHER ASSETS	$8,207,437

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$138,385,183	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$8,070,000	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
DEFERRED PAYROLL TAX	$23,012,342
OTHER TAXES PAYABLE	$624,496
PENSION LIABILITY	$138,840,382
BOND ISSUE COSTS	-$17,207,754
ACCUMULATED AMORT OF BOND ISSUE COSTS	$8,013,983
LEASE LIABILITY	$23,401,397
DEFERRED COMPENSATION	$42,997,284
DC SERP LIABILITIES	$39,497,050
OTHER LIABILITIES	$146,719,353
RESTRICTED LT NOTES RECEIVABLE	-$27,423,636

Field	Value	IRS element (for citing)
Total Liability	$386,544,897	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	UNCERTAIN TAX POSITIONS UNDER ASC 740	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2020 AND 2019.	ExplanationTxt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
South America	Program Services	Program/ Bus Travel	$198,317
North America	Program Services	Program/ Bus Travel	$73,082
Europe (Including Iceland and Greenland)	Program Services	Program/ Bus Travel	$22,102
Central America and the Caribbean	Program Services	Program/ Bus Travel	$15
East Asia and the Pacific	Program Services	Program/ Bus Travel	$1,692

Field	Value	IRS element (for citing)
Subtotal Spent	$295,208	SubtotalSpentAmt
Total Spent	$295,208	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE F, PART I, LINE 2 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.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SAMARITAN COUNSELING CENTER
7980 Anchor Drive Bldg 500	Port Arthur	TX	776428285	760068922	501(c)(3)	$49,865	PSYCHOTHERAPY/PSYCHOEDUCATIONAL SVCS
ANY BABY CAN OF SAN ANTONIO INC
217 Howard Street	San Antonio	TX	78212	742383181	501(C)(3)	$22,500	PRESCRIPTION ASSISTANCE PROGRAM
SLEW CANCER WELLNESS CENTER
12521 Nacogdoches Road Suite 101	San Antonio	TX	78217	421580967	501(C)(3)	$26,250	LOW INCOME WOMEN WITH CANCER
CATHOLIC CHARITIES OF NORTH LOUISIANA
331 E 71st Street	Shreveport	LA	71106	320315500	501(C)(3)	$100,000	To provide environmental remediation, including but not limited to, mold and asbestos abatement to a newly donated building at 902 Olive Street, Shreveport, LA
SISTERS OF CHARITY OF THE INCARNATE WORD
4503 Broadway	San Antonio	TX	78209	237152879	501(C)(3)	$116,916	REMOTE STAFF AND PROGRAM SUPPORT. three months, obtaining materials & providing remote psychological support for patients & staff.
CHRISTUS Schumpert HEALTH SYSTEM
1 Saint Mary Place	Shreveport	LA	71101	720408982	501(C)(3)	$13,753	PAYOUT TO THE REGION
ST VINCENT HOSPITAL FOUNDATION
440 ST MICHAELS DRIVE	SANTA FE	NM	87505	814637279	501(c)(3)	$26,000	GALA SPONSORSHIP THOUGHTS
CHRISTUS SANTA ROSA FOUNDATION
100 NE LOOP 410 SUITE 706	SAN ANTONIO	TX	78216	731655493	501(C)(3)	$17,500	Eagle Sponsor, Golf Gift Underwriter, Awards Ceremony Sponsor,Benefactor Sponsor, 9th Annual National Speakers Lucheon October, 2, 2019 at the Mays Family Center at the Witte Museum
CHRISTUS SPOHN FOUNDATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	501(c)(3)	$113,123	GRAND TOURNAMENT AWARDS SPONSOR
CATHOLIC CHARITIES OF DALLAS INC
9461 LBJ FWY STE 110	DALLAS	TX	75243	752745221	501(C)(3)	$50,000	DONATION
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	501(C)(3)	$21,000	SPRING LUNCHEON
VISITATION HOUSE MINISTRIES
945 W HAUISACHE	SAN ANTONIO	TX	78201	742447137	501(C)(3)	$7,500	SUMMER SOJOURN SPONSOR
AQUINAS INSTITUTE OF THEOLOGY
23 SOUTH SPRING AVE	ST LOUIS	MO	63108	431233793	501(C)(3)	$10,000	DONATION
UNIVERSITY OF THE INCARNATE WORD
4301 BROADWAY 309	SAN ANTONIO	TX	78209	741109661	501(C)(3)	$15,000	SWING-IN PARTY & GOLF TOURNAMENT
CORPUS CHRISTI METRO MINISTRIES
PO BOX 4899	CORPUS CHRISTI	TX	78469	742247261	501(c)(3)	$43,500	To expand free primary medical care at the clinic for 900 individual unduplicated clients.
ARK-TEX COUNCIL OF GOVERNMENTS
4808 ELIZABETH STREET	TEXARKANA	TX	75503	751293383	501(C)(3)	$56,250	To provide transportation for seniors in rural areas to medical destinations and senior meal centers
MISSION OF MERCY INC
2421 AYERS ST	CORPUS CHRISTI	TX	78404	860704883	501(C)(3)	$70,000	To provide free health care and free prescription medications to 1,800 individual patients
CATHOLIC CHARITIES DIOCESE OF TYLER
202 WEST FRONT STREET	TYLER	TX	75702	202766724	501(C)(3)	$39,000	To expand the Nurse Network to hire four school nurses and six parish nurses that have a significant number of congregations who are identified as marginalized or elderly with limited access to healthcare
RISE RECOVERY
PO BOX 15322	SAN ANTONIO	TX	78212	742216041	501(C)(3)	$48,750	To implement a collective impact model that improves the behavioral health issue of substance use disorder with the explicit purpose of reducing family violence and increasing family health for 3,000 indvdls
YMCA SAN ANTONIO
6756 MONTGOMERY DRIVE	SAN ANTONIO	TX	78239	741143135	501(C)(3)	$30,000	To support the Teen Service Learning Program which will allow 80 high school students to implement a food pantry and community garden to address food security as well as social justice issues in their community
ALPHA HOME INC
PO BOX 15440	SAN ANTONIO	TX	78212	741668144	501(C)(3)	$57,750	To fund the on-campus wellness center (Dr. Richard Usaline Wellness Center) that will deliver primary care, counseling, dental exams, referrals, health literacy, and tobacco cessation through 870 visits
SANTA FE DREAMERS PROJECT
PO BOX 8009	SANTA FE	NM	87504	820839645	501(C)(3)	$63,848	To provide 120 legal consultations for undocumented immigrants who are victims of violence and file 50 U Visa cases
THE CHILDRENS BEREAVEMENT CENTER OF SOUTH TEXAS
205 WEST OLMOS DR	SAN ANTONIO	TX	78212	742828178	501(C)(3)	$18,750	To support the center's individual counseling services which increases access to quality mental health care for 2,500 children and families
RECOVERY WERKS
618 COMAL AVENUE	NEW BRAUNFELS	TX	78130	473519239	501(C)(3)	$40,000	To continue bringing addiction recovery support services to 415 unduplicated teens, young adults, and families
THE UNIVERSITY OF TEXAS FOUNDATION INC
PO BOX 250	AUSTIN	TX	78767	741587488	501(C)(3)	$78,000	Building a Healthy Temple: A Faith-Based Hypertension Prevention & Management Program through Healthy Eating & Active Living
HOPE CENTER FOR CRISIS PREGNANCY
3740 LAUREL AVE	BEAUMONT	TX	77707	760548301	501(C)(3)	$23,231	To provide supplemental funding for the Mobile Medical Unit to deliver primary care services to those who are uninsured, underinsured, underemployed, and underserved.
SOUTHWEST LOUISIANA YOUTH FOUNDATION
419 ALAMO STREET	LAKE CHARLES	LA	70601	812689132	501(C)(3)	$14,360	To expand the Truth, Facts, and Lies Teen Education Program to 10 middle schools and 400 middle school students
UNITED CHRISTIAN CARE CENTER OF VIDOR TEXAS INC
PO BOX 487	VIDOR	TX	77670	760674278	501(C)(3)	$20,000	To provide a free food pantry for 1,275 individuals each month with a goal of approximately 15,300 individuals who are low income
COURT APPOINTED SPECIAL ADVOCATES OF SOUTH TEXAS
2449 CALDER AVENUE	BEAUMONT	TX	77702	760337759	501(C)(3)	$22,340	To implement the Child Trafficking and Exploitation Prevention Program, A Number,educate 150 youths
SURVIVING PARENTS OF SETX
PO BOX 7281	BEAUMONT	TX	77726	823308914	501(C)(3)	$15,000	To provide free mental health services for 750 individuals who are uninsured or who cannot afford the co-pay
BOSSIER COUNTY ON AGING
706 BEARKAT DRIVE	BOSSIER CITY	LA	77702	720822231	501(c)(3)	$25,000	To provide no cost medical transportation to 2,500 senior citizens of Bossier Parish
TRIANGLE AREA NETWORK
1495 NORTH 7TH STREET	BEAUMONT	TX	77702	760226835	501(C)(3)	$60,000	To support the development and implementation of the OYHY Program that integrates primary care services with support and educational initiatives to 150 individuals
JEWISH FAMILY SERVICE OF DALLAS INC
5402 ARAPHO ROAD	DALLAS	TX	75248	751992728	501(C)(3)	$12,500	To provide psychiatric consultation for uninsured/underinsured clients who access their mental health services
THE SALVATION ARMY TERRITORIAL HEADQUARTERS
PO BOX 13727	ALEXANDRIA	LA	71315	135562351	501(c)(3)	$102,500	To provide a long-term relationship-based and team-oriented case management system that assist low income parents and families to obtain permanent housing, find employment, and create strategies to move from
MARTIN HOUSE CHILDREN'S ADVOCACY CENTER
606 W GARFIELD DRIVE	LONGVIEW	TX	75602	264773954	501(C)(3)	$43,505	Therapy Program Expansion for Child Abuse Victims; To support the recruitment and training of 3-4 licensed professional counselor interns
ST PAUL UNITED METHODIST CHURCH
821 FREEMAN AVE	PORT ARTHUR	TX	77640	561382286	501(c)(3)	$6,250	to serve hot meals to 4,000 individuals and assist 300 households with food items from the food pantry for those that are on a fixed income, homeless, and/or poor and underserved
GARTH HOUSE MICKEY MEHAFFY CHILDRENS ADV PROGRAM
1895 MCFADDIN AVENUE	BEAUMONT	TX	77701	760660968	501(c)(3)	$55,000	to expand its prevention program to include education on human trafficking and its Counseling Program Services to offer alternative treatment options
HAND UP NETWORK
200 NORTH BECKHAM AVENUE	TYLER	TX	75702	900891521	501(c)(3)	$50,000	To enhance Mentoring Program and Response Team(responding to emergencies, disasters, and community service opportunities)
UNITED WAY OF CENTRAL LOUISIANA
1101 4TH STREET	ALEXANDRIA	LA	71301	720462338	501(C)(3)	$66,679	To facilitate the work of a collective impact initiative that improves the health outcomes, housing, and sense of resiliency among 8,000 who live in Pineville, LA
MEDICAL PROFESSIONALS ON A MISSION INC
346 14TH STREET	BROOKLYN	NY	11215	823808092	501(C)(3)	$15,000	Intend to provide medical care for seven days to survivors of Hurricane Dorian, serving between 1,500 to 3,000 adults and children.
MALTESER INTERNATIONAL AMERICAS
1011 FIRST AVENUE	NEW YORK	NY	10022	263701623	501(C)(3)	$40,080	To support 5 one-week long mission throughout 1 year, specifically, to support the logistics of transporting 2-3 specialized medical professionals for each mission with a minimum
BLACKBAUD INC
PO BOX 930256	ATLANTA	GA	31193	460942102	501(C)(3)	$8,076	Blackbaud supports donor listing for Friends of Hospice and Foundation. Bill is paid annually by CHRISTUS Health Foundation.
ST JOSEPH COMMUNITY FOUNDATION
PO BOX 6427	PARIS	TX	75461	311016570	501(c)(3)	$10,000	2019 Texas Underwriter's Ball. Due in September 2019
CHILDREN'S MIRACLE NETWORK
2830 CALDER STREET	BEAUMONT	TX	77702	870387205	501(C)(3)	$15,000	40th Annual Gala - Even with event cancelled we will still give donation.
Third Marine Aircraft Wing Band
MAG 113D MAW	SAN DIEGO	CA	92145	330861260	501(C)(3)	$10,000	Donation from Ernie Sadu processed right away
LEADERSHIP CONFERENCE OF WOMEN
8808 CAMERON STREET	SILVER SPRING	MD	20910	436033728	501(C)(3)	$40,000	Donation for Annual Assembly in August, 2020
Quijotes of San Antonio Ambassadors of Health
13730 WILDERNESS PT	SAN ANTONIO	TX	78231	300786140	501(C)(3)	$10,000	DONATION
HOPKINS COUNTY HEALTH CARE FOUNDATION
115 AIRPORT ROAD	SULPHU SPRINGS	TX	75482	752845157	501(C)(3)	$20,000	2019-2020 Lights of Life Campaign
WHEELCHAIR FOR WARRIORS
PO BOX 92911	LEAGUE CITY	TX	77474	814602791	501(C)(3)	$61,500	PLEDGES
THE HALO IMPACT FUND
PO BOX 190507	DALLAS	TX	75219	455396591	501(C)(3)	$100,000	DONATION
Christus Santa Rosa Health Care Corporation
333 N Santa Rosa St	San Antonio	TX	78207	741109665	501(c)(3)	$46,017	Payout to Regions
Christus Spohn Health System Corporation
5950 Saratoga	Corpus Christi	TX	78414	741109836	501(c)(3)	$36,235	Payout to Regions
Christus Health Northern Louisiana
3330 Masonic Drive	Alexandria	LA	71301	720998302	501(c)(3)	$13,166	Payout to REgions
Homewise Inc
1301 Siler Road Bldg D	Sante Fe	NM	87507	850346325	501(c)(3)	$1,005,322	Loan coversion to grant

Field	Value	IRS element (for citing)
Total501c3 Org	54	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Description of Organization's Procedures for Monitoring the Use of Grants	FormAndLineReferenceDesc
Explanation	Form 990, Schedule I, Part I, LINE 2 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (36 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J LINDSEY BRADLEY JR
DIRECTOR	$0	$0	$0	$0	$853,957	$0	$0	$0	$0	$0	$853,957	$0	$0	$0
STEVEN KEUER MD
TMF CMO	$644,917	$0	$332,451	$0	$154,260	$0	$186,636	$0	$9,288	$0	$1,327,552	$0	$0	$0
George S Conklin
SVP-CIO (THRU 12/2019)	$1,020,394	$0	$635,040	$0	$200,415	$0	$446,516	$0	$14,334	$0	$2,316,699	$0	$0	$0
Dominic J Dominguez
SVP-GROUP OPERATIONS SO TX	$692,831	$0	$370,892	$0	$134,413	$0	$172,407	$0	$8,866	$0	$1,379,409	$0	$0	$0
Paul D Generale
EVP/CHIEF STRATEGY OFFICER	$2,241,071	$0	$1,350,667	$0	$53,365	$0	$2,077,266	$0	$10,374	$0	$5,732,743	$0	$0	$0
John A Gillean
EVP/CMO (THRU 12/2019)	$1,653,207	$0	$1,377,750	$0	$431,542	$0	$980,637	$0	$22,021	$0	$4,465,157	$0	$0	$0
Gerard F Heeley
SVP-MISSION AND ETHICS	$781,326	$0	$795,000	$0	$370,228	$0	$502,981	$0	$5,178	$0	$2,454,713	$0	$0	$0
Marty F Margetts
EVP/CAO (EFF 9/2019)	$2,116,379	$0	$1,298,846	$0	$46,933	$0	$1,949,583	$0	$17,198	$0	$5,428,939	$0	$0	$0
Linda K McClung
EVP/CAO (THRU 8/2019)	$1,958,968	$0	$1,372,356	$0	$848,791	$0	$1,449,349	$0	$7,517	$0	$5,636,981	$0	$0	$0
Jeffrey M Puckett
EVP/COO	$2,881,923	$0	$1,725,250	$0	$121,487	$0	$2,724,163	$0	$11,965	$0	$7,464,788	$0	$0	$0
Ernie W Sadau
PRESIDENT/CEO	$4,838,032	$0	$3,554,279	$0	$131,035	$0	$4,928,002	$0	$12,042	$0	$13,463,390	$0	$0	$0
Randolph W Safady
EVP/CFO	$2,583,491	$0	$1,606,431	$0	$614,103	$0	$1,476,085	$0	$24,593	$0	$6,304,703	$0	$0	$0
M Shannon Stansbury
SVP-POPULATION HEALTH	$447,152	$0	$263,839	$0	$91,788	$0	$145,091	$0	$11,959	$0	$959,829	$0	$0	$0
Stephen F Wright
PRES/CEO-LA MINS (THRU 10/18)	$0	$0	$0	$0	$700,817	$0	$17,950	$0	$0	$0	$718,767	$0	$0	$0
JEANNIE FREY
SVP Chief Legal Officer	$643,152	$0	$383,103	$0	$21,484	$0	$197,484	$0	$19,011	$0	$1,264,234	$0	$0	$0
SAM BAGCHI MD
EVP/CMO (EFF 1/2020)	$779,276	$0	$494,092	$0	$2,798	$0	$259,847	$0	$14,323	$0	$1,550,336	$0	$0	$0
GABRIELA SAENZ
SVP Corp Services (EFF 9/2019)	$316,542	$0	$175,821	$0	$51,618	$0	$125,871	$0	$57,010	$0	$726,862	$0	$0	$0
IRMA PENALOZA
ASST. CORP SEC	$229,408	$0	$102,462	$0	$700	$0	$45,958	$0	$16,691	$0	$395,219	$0	$0	$0
JON MANIS
SVP CIO (EFF 1/2020)	$470,158	$0	$75,000	$0	$118,451	$0	$88,308	$0	$8,094	$0	$760,011	$0	$0	$0
NANCY C LEGROS
SVP-CHIEF LGL CNSL	$0	$0	$0	$0	$110,954	$0	$2,148	$0	$0	$0	$113,102	$0	$0	$0
PETER J PLANTES
CEO CPG (TERM 11/2017)	$0	$0	$0	$0	$531,207	$0	$1,476	$0	$0	$0	$532,683	$0	$0	$0
JOSEPH S BARCIE
SVP INTL OPS (TERM 10/2017)	$0	$0	$0	$0	$359,006	$0	$1,680	$0	$0	$0	$360,686	$0	$0	$0
CHRISTOPHER KARAM
SR VP & REG CEO	$751,721	$0	$237,461	$0	$43,421	$0	$461,893	$0	$14,893	$0	$1,509,389	$0	$0	$0
J CHRIS GLENNEY
SVP GROUP OPERATIONS NETX	$689,678	$0	$354,523	$0	$790	$0	$197,308	$0	$13,935	$0	$1,256,234	$0	$0	$0
DEBRA PASLEY
SVP, CNO	$413,278	$0	$239,077	$0	$97,193	$0	$115,068	$0	$6,112	$0	$870,728	$0	$0	$0
MARK ANDERSON
CMO, CRP TMF Health System	$578,783	$0	$251,843	$0	$111,102	$0	$28,800	$0	$13,779	$0	$984,307	$0	$0	$0
CHARLES T HANKINS
SVP Pediatrics and CMO, CHOSA	$683,230	$0	$419,816	$0	$140	$0	$310,329	$0	$9,243	$0	$1,422,758	$0	$0	$0
CRIS C DASKEVICH
SVP Maternal Svcs & CEO, CHOSA	$555,076	$0	$419,816	$0	$30,985	$0	$185,027	$0	$15,687	$0	$1,206,591	$0	$0	$0
SCOTT SMITH
SVP Trinity Clinic-Sys VP CCMS	$638,279	$0	$300,323	$0	$15,600	$0	$133,342	$0	$34,516	$0	$1,122,060	$0	$0	$0
ALEJANDRO CANAVATI
CEO, CRP CHILE OPERATIONS	$529,887	$0	$343,800	$0	$70,646	$0	$227,231	$0	$5,592	$0	$1,177,156	$0	$0	$0
TINA BARKER
SVP STRATEGY MARKETING & DIG	$360,248	$0	$209,192	$0	$49,143	$0	$162,042	$0	$7,848	$0	$788,473	$0	$0	$0
KIM REYNOLDS
SVP FINANCE	$393,042	$0	$213,675	$0	$76,665	$0	$205,570	$0	$44,789	$0	$933,741	$0	$0	$0
RYAN THOMPSON
SVP REVENUE CYCLE	$426,497	$0	$224,279	$0	$650	$0	$189,530	$0	$16,347	$0	$857,303	$0	$0	$0
KIMBERLY KING WEBB
SVP CHIEF HR OFFICER	$363,943	$0	$151,202	$0	$5,831	$0	$125,823	$0	$10,007	$0	$656,806	$0	$0	$0
FADI NASRALLAH
SVP CMO TRINITY CLINIC	$600,162	$0	$262,438	$0	$48,519	$0	$149,649	$0	$25,822	$0	$1,086,590	$0	$0	$0
OSBERT BLOW
PRESIDENT/ CMO CHRISTUS SPOHN	$574,683		$232,760		$14,133		$212,570		$14,532		$1,048,678		$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, QUESTION 1A & 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 ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
FIRST CLASS TRAVEL	FORM 990, SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 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 A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: J.LINDSEY BRADLEY $843,286 LINDA K. MCLUNG $266,152 JOHN A. GILLEAN, M.D. $120,240 NANCY C. LEGROS $ 94,754 STEPHEN F. WRIGHT $680,004 PETER J. PLANTES $504,321 JOSEPH S. BARCIE $347,548
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	FORM 990, SCHEDULE J, PART I, QUESTION 4B 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 BE BETTER THAN CURRENT MARKET. SUPPLEMENTAL 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. 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 2019. 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. COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FORM 990, SCHEDULE J, PART II, COLUMN (F) THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY HEALTH FACILITIES DEV CORP
A	521284201	41315RFV1	2005-11-08	$320,620,000	SEE SCH K, PART VI	Yes (true)	false	false
HARRIS COUNTY HEALTH FACILITIES DEV CORP
B	521284201	41315RHY3	2010-12-09	$96,654,505	SEE SCH K, PART VI	Yes (true)	false	false
COASTAL BEND HEALTH FACILITIES DEV CORP
C	742352502	19042FAB2	2005-11-08	$61,300,000	SEE SCH K, PART VI	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
D	720895871	546399HA7	2018-10-30	$70,942,111	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$226,170,000	$7,800,000	$320,968,858	$0	$0	$0	$1,687,416	$4,733,000	$0	$3,624,407	$310,924,036	$0	2009	false	Yes (true)	Yes (true)	Yes (true)
B	$54,070,000	$16,105,000	$96,654,505	$0	$0	$0	$0	$0	$4,505	$0	$96,650,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$20,050,000	$0	$62,858,328	$0	$0	$0	$337,093	$914,000	$393,273	$18,182,274	$43,031,688	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
D	$1,325,000	$0	$72,116,066	$0	$0	$0	$0	$0	$0	$13,860,670	$30,942,111	$27,313,285		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0		false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)
0
D	false	false	Yes (true)	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2008); THE ACQUISITION, CONSTRUCTION, AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). FORM 990, SCHEDULE K, PART I, PAGE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS. B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $348,858 C. LINE 3. INVESTMENT EARNINGS = $1,558,328 D. LINE 3. INVESTMENT EARNINGS = $1,173,955 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $1,094,058 B. LINE 3. INVESTMENT EARNINGS = $3,070,664 C. LINE 3. INVESTMENT EARNINGS = $971 FORM 990, SCHEDULE K, PART II, PAGE 3 B. LINE 3. INVESTMENT EARNINGS= $6,993 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. B. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 24, 2015. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 1, 2019. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 22, 2019. FORM 990, SCHEDULE K PART IV, PAGE 3 B. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 7, 2014.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LOUISIANA PUBLIC FACILITIES AUTHORITY
A	720895871	546398C71	2009-08-12	$231,654,638	SEE SCH K, PART VI	Yes (true)	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
B	043833551	87638TGN7	2018-10-30	$481,651,366	SEE SCH K, PART VI	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
C	043833551	87638TDF7	2008-12-19	$268,560,000	SEE SCH K, PART VI	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
D	720895871	546399GC4	2019-04-02	$53,021,204	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$88,510,000	$78,690,000	$232,748,696	$16,694,549	$0	$0	$0	$0	$4,138	$0	$216,050,010	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$8,575,000	$0	$484,722,030	$0	$0	$0	$0	$0	$0	$341,244,062	$121,651,366	$21,826,602	Yes (true)	false	false	Yes (true)
C	$109,350,000	$0	$268,560,971	$0	$0	$0	$1,638,195	$235,297	$0	$0	$266,687,479	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$53,021,204	$0	$0	$0	$0	$0	$0	$0	$53,021,204	$0	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00100	0.00100	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false		0.00100	0.00100	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00200	0.00200	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00300	0.00300	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	Yes (true)	Yes (true)
CITIBANK NA
C	false	false	false	Yes (true)	Yes (true)	Yes (true)	false	0	Yes (true)	Yes (true)	39.7	false	false
0
D	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
A	043833551	000000000	2016-10-03	$174,304,000	SEE SCH K, PART VI	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
B	043833551	87638TEA7	2009-12-03	$73,865,293	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$23,149,000	$0	$174,304,000	$0	$0	$0	$0	$0	$0	$174,165,274	$138,726	$0	2016	false	false	Yes (true)	Yes (true)
B	$71,500,000	$0	$73,872,286	$0	$0	$0	$0	$0	$0	$0	$73,872,286	$0		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	Yes (true)	false	Yes (true)	Yes (true)	0.03500	0.03500	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0		false	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Roy Alston	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Husband of Cheryl Alston	RelationshipDescriptionTxt
Transaction	$287,121	TransactionAmt
Transaction	See Part V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN D	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS ROY ALSTON IS AN EMPLOYEE OF CHRISTUS HEALTH. HIS WIFE, CHERYL ALSTON IS A DIRECTOR OF CHRISTUS HEALTH.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, ITEM C	Doing Business As: Christus Health Service Center CHRISTUS Health System CHRISTUS Healthy Living Spa CHRISTUS Innovations Institute CHRISTUS St. Joseph Village CHRISTUS St. Michael Simulation Center Marketplace Solutions Texas Health Information Network Collaborative TLRA Uniformed Services Family Health Plan US Family Health Plan USFHP
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D COMMUNITY SERVICES - 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 COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2017 WAS $0. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. CHRISTUS Health established the CHRISTUS Fund to address prevention and wellness strategies for the uninsured and underinsured by providing resources to not-for-profit agencies and groups whose vision, mission and goals are consistent with CHRISTUS Healths mission, values and philosophy of a health community. We believe that by working together, we can make a profound difference in the quality of peoples lives and create sustainable health improvements in our communities. During FY20, $1,499,919.50 of grant funds were distributed from the CHRISTUS Fund. Across the grant programs of the CHRISTUS Fund, $1,212,443.50 were distributed for community programming, $100,000 were distributed for special projects, and $187,476 were distributed for Medical Missions and Disaster Relief.
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, LINE 2 Officers Ernie Sadau and Randy Safady, and Key Employee John Gillean, MD have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 6 THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITYOF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, LINE 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, and ONE SISTER OF THE Sisters of the Holy Family of Nazareth. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, LINE 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, LINE 11B 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 2021 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, LINE 12C A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department 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. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, LINES 15A & 15B 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. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. 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. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. 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. MAINTAINED ON RECORD.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, QUESTION 19 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. FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2020.
CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INV.	FORM 990, PART X, LINE 1 AND 2 PART X, LINE 15, OTHER ASSETS CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION AMOUNT 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.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 INTERCOMPANY EQUITY ADJUSTMENT $ (1,981,791,501) CONTRIBUTED CAPITAL ADJUSTMENT $ (68,358,542) EQUITY IN CONSOLIDATED SUBSIDIARIES $ 281,644,127 CASH MANAGEMENT SYSTEM $ 1,422,121,351 CHANGE IN PENSION LIABILITY $ 15,703,507 EXTRAORDINARY ITEM $ 25,603,702 SPONSORSHIP FEES $ (4,806,634) ALL OTHER $ (7,412,102) CHANGE IN NONCONTROLLING INTEREST $ (2,526,073) CHANGE IN RESTRICTED NET ASSETS $ 11,994,006 CURRENT YEAR EQUITY ADJUSTMENT $ 1,318,846 ---------------- LINE 9 TOTAL $ (306,509,313)
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIR & MAINTENCE SERVICES TOTAL FEES:79916067
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:-948944
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING & CONSULTING TOTAL FEES:35447494
FORM 990 PART IX LINE 11G	DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1139767
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:50762
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:238089

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CH SANTA ROSA QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474580155	ACO	TX	$0	CH
CHRISTUS LOUISIANA ACO LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474592015	ACO	LA	$0	CH
CH ARK-LA-TEX QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474599144	ACO	TX	$0	CH
CHRISTUS QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474607533	ACO	TX	$0	CH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (56 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
Christus Spohn Health System Corporation
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 Calder Street	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS Continuing Care
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE 1	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	CH	Yes (true)
ST FRANCES CABRINI HPL FDN OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HTH SVCS	LA	501(C)(3)	7	CNLA	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HTH SVCS	TX	501(C)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HTH SVCS	LA	501(C)(3)	7	NOLA	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HTH SVCS	TX	501(C)(3)	7	SPOHN HS	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	SETX	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	CSRHCC	Yes (true)
SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HLTHCARE SVCS	TX	501(C)(3)	10	CSRHCC	Yes (true)
CHRISTUS HEALTH PLAN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(C)(4)		CSHSC	Yes (true)
ST FRANCES CABRINI HOSPITAL AUXILIARY
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HTH SVCS	LA	501(C)(3)	10	CNLA	Yes (true)
Christus Santa Rosa Med Ctr Auxiliary
2827 Babock Road	San Antonio	TX	78229	731655493	SUPP HTH SVCS	TX	501(C)(3)	10	CSRHCC	Yes (true)
CHRISTUS Health Strategic Growth
919 hidden ridge drive	irving	TX	75038	462798043	supp hth svcs	TX	501(c)(3)	12-type I	CH	Yes (true)
Christus Health Plan Louisiana
919 Hidden Ridge Dr	Irving	TX	75038	464617988	Medicaid HMO	LA	501(c)(4)		CH	Yes (true)
Christus Pediatric Physician Group
919 Hidden Ridge Dr	Irving	TX	75038	465203505	Hlthcare Svcs	TX	501(c)(3)	3	CH	Yes (true)
Christus Health Latin America
919 hidden ridge drive	irving	TX	75038	462816604	spt hlth svcs	TX	501(C)(3)	12-type 1	CH Stra Grth	Yes (true)
Christus HEALTH International
919 hidden RIDGE drive	irving	TX	75038	462811167	spt hlth svcs	TX	501(C)(3)	12-type 1	CH Stra Grth	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SPT HLTH SVCS	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SPT HLTH SVCS	LA	501(C)(3)	7	SWLA	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(c)(3)	3	ch	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(C)(3)	12-TYPE 1	CTMFHS	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE	TX	501(C)(3)	3	CTMFHS	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
CHRISTUS TRINITY MOTHER FRANCES HS
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
Good Shepherd Health System INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	hlthcare svcs	TX	501(c)(3)	12-type II	CH	Yes (true)
CHRISTUS ARK-LA-TEX HEALTH SYSTEM
919 HIDDEN RIDGE DR	IRVING	TX	75038	822109465	hlthcare svcs	TX	501(c)(3)	12-type II	CH	Yes (true)
Champion EMS
2201 S Mobberly Ave	Longview	TX	75602	752747708	Hlthcare Svcs	TX	501(c)(3)	10	MFH REG	Yes (true)
HCMH Retail Clinic
115 Airport Road	Sulphur Springs	TX	75482	475417965	HLTHCARE SVCS	TX	501(C)(3)	3	GSHS INC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE	TX	501(C)(3)	3	GSHS INC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(C)(3)	10	GSH INC	Yes (true)
SERVICE ORGANIZATION OF GOOD SHEPHERD
2950 50TH ST	LUBBOCK	TX	79413	383914883	SUPPORT	TX	501(C)(3)	12-TYPE I	GSH INC	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE	TX	501(C)(3)	7	GSMC	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	750974351	HEALTHCARE	TX	501(C)(3)	3	GSHS INC	Yes (true)
BAPTISTST ANTHONY'S HEALTH SYSTEM
1600 WALLACE BLVD	AMARILLO	TX	79106	751858993	SUPPORT	TX	501(C)(3)	12-TYPE I		false	N/A
CENTRAL TEXAS HEALTHCARE COLLABORATIVE
1301 WANDER WORLD DR	SAN MARCOS	TX	78666	453739929	SUPPORT	TX	501(C)(3)	12-TYPE I	SRHCC	Yes (true)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	HEALTHCARE	TX	501(C)(3)	TYPE 3	AHS	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DR	IRVING	TX	75038	473403356	SPT HLTH SVCS	TX	501(C)(4)		CH	Yes (true)
HOPKINS COUNTY HEATH CAE FDN INC
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	752845157	SUPPORT	TX	501(C)(3)	7	CH	Yes (true)
MARSHALL HEALTH SERVICES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580686	HEALTHCARE	TX	501(C)(3)	3	CTMFHS	Yes (true)
GOOD SHEPHERD MED CENTER - LINDEN INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	010829282	HEALTH SVCS	TX	501(C)(3)	3	GSHS INC	Yes (true)
GSMC - LINDEN FOUNDATION INC
404 N KAUFMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Direct Controlling NADirectControllingNACd
ST ELIZ REHAB PTRS
2830 CALDER STREET	BEAUMONT	TX	777021809	205657181	HLTHCARE SVCS	TX	H VENTURES-SETX
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SVCS	LA	OCCUPATIONAL HS
NEW BRN SUG CTR
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HLTHCARE SVCS	TX	CSRHCC
CSR OTPT SUR NB
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HLTHCARE SVCS	TX	CSRHCC
CSR SUR CTR LLP
15305 Dallas Pkwy Ste 1600 LB 28	Addison	TX	75001	200424958	HLTHCARE SVCS	TX	CSRHCC
CSR AMB SUR CTR
333 Santa Rosa	San Antonio	TX	78207	412092141	HLTHCARE SVCS	TX	CSRHCC
COL ENDO CTR
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HLTHCARE SVCS	LA	SWLA
ALAMO HTS SUR GP
333 SANTA ROSA	SAN ANTONIO	TX	78207	462683189	HLTHCARE SVCS	TX	CSRHCC
ALAMO HTS SUR HOS
333 SANTA ROSA	SAN ANTONIO	TX	78207	900974203	HLTHCARE SVCS	TX	CSRHCC
ASPG LA LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	383981731	AMB. SURGERY	LA	ASPG INC
PROMPTU IMAGING
919 HIDDEN RIDGE DR	IRVING	TX	75038	813074600	IMAGING SVCS	TX	ASPG INC
LA ATHLETIC CLB LLC
COLLEGE DR	PINEVILLE	LA	71359	721461793	HEALTH CLUB	LA	CNLA
ETMF JV LLC
8686 NEW TRAILS DR	SPRING	TX	77381		INACTIVE	TX	CTMFHS
IMPERIAL CAL SURG CTR LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605		ASC	LA	SWLA
Tyler Radiation Equipment Leas
10101 woodloch Forest Drive	Woodlands	TX	77380		EQUIPMENT LEASING	TX	MFH Reg
MCKENNA LSNG GP LLC
UN AVE	NEW BRAUNFELS	TX	78130	741191729	INVESTMENT	TX	CSRHCC
MCKENNA EQ LSNG LP
un ave	new braunfels	TX	78130	204177842	med equip lsn	TX	csrhcc
SAN MARCOS MRI
1330 WONDER WORLD	SAN MARCOS	TX	78666	770597972	IMAGING	TX		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	OwnershipOwnershipPct	Foreign PostalForeignAddress/ForeignPostalCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Direct Controlling NADirectControllingNACd
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	755042911	752562459	HEALTHCARE SV	TX	CH Ark-La-Tex	C-Corp	Yes (true)
AK INTEGRATED COMM HLTH NTWK
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	760480684	HEALTHCARE SV	TX	CH Ark-La-Tex	C-Corp	Yes (true)
SCH MGMNT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MGT JOINT VEN	LA	NOLA	C-Corp	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN A	TX	Spohn HSC	C-Corp	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	Spohn HSC	C-Corp	Yes (true)
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SVCS	TX	CH SETX	C-Corp	Yes (true)
HEALTH VENTURES OF SE TEXAS
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760397263	BUILDING RENT	TX	CH SETX	C-Corp	Yes (true)
OCCUPATIONAL HEALTH SVCS INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SVCS	LA	CH SWLA	C-Corp	Yes (true)
SOUTHWESTERN LOUISIANA PHO
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTHCARE SV	LA	CH SWLA	C-Corp	Yes (true)
SOUTH RYAN DEVELOPMENT CORP
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BLDG	LA	CH SWLA	C-Corp	Yes (true)
MCKENNA PROF BLDG OWNERS ASSOC
598 N UNION ST SUITE 210	NEW BRAUNFELS	TX	78130	742742934	BUILDING ASSO	TX	CSRHCC	C-Corp	Yes (true)
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480	SAN ANTONIO	TX	78201	742782184	HEALTHCARE SV	TX	CSRHCC	C-Corp	Yes (true)
CHRISTUS Muguerza SAPI de CV
					HEALTHCARE SV		CH	C-Corp	Yes (true)	Hidalgo PTE 2525 64060	Col Obispado Monterrey	N.L.	MX	MX	0.86559
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C-Corp	Yes (true)	PO BOX 1051	GRAND CAYMAN		CJ	CJ	1.00000	KY1-1102	$42,422,473	$133,396,005
AMBULATORY STRATEGIES PHYSICIAN GROUP
919 HIDDEN RIDGE	IRVING	TX	75038	472897722	HEALTHCARE SV	TX	CCC	C-CORP	Yes (true)
CHRISTUS TEXARKANA UNIT OWNERS ASSOC
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSO	TX	ALT	C-CORP	Yes (true)
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDIRA	LA	71301	463977886	HEALTHCARE SV	LA	CNLA	C-CORP	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSO	TX	SPOHN	C-CORP	Yes (true)
AMATISTA FINANCING COMPANY LTD
					FINANCING		CH STRAT GRWTH	C-CORP	Yes (true)	3RD FL1ST CARIBBEAN HOUSE KY1-1104	GEORGE TOWN		CJ	CJ
CHRISTUS CHILE SPA
					INVESTING		CH LATIN AMER	C-CORP	Yes (true)	MIRAFLORES 222 28TH FLOOR 8320198	SANTIAGO		CI	CI
DEDICATED SYSTEM SUPPORT INC
919 HIDDEN RIDGE DR	IRVING	TX	75038	810861043	MANAGEMENT SV	TX	CCC	C-CORP	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
919 HIDDEN RIDGE DR	IRVING	TX	75038	474618648	ACO	LA	CH	C-CORP	Yes (true)						1.00000		$859,073	$1,186,747
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH	TX	CTMFHS	C-CORP	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY A	TX	CTMFHS	C-CORP	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVID	TX	CTMFHS	C-CORP
TEXAS HEALTH FACILITY INSUR CORP LTD
				980136025	INSURANCE		MFH REG	C-CORP	Yes (true)	PO BOX 1109	BWI		CJ	CJ
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE	TX	GSHS INC	C CORP	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	GSH INC	C CORP	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	GSMC	C CORP	Yes (true)
NORTHEAST TEXAS PHYSICIAN SERVICES
700 E MARSHALL AVE	LONGVIEW	TX	75601	752712245	MGMT SERVICES	TX	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	510412465	HOLDING COMPA	DE	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES OPERATING 1
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954772	HEALTHCARE	DE	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES OPERATING 2
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954777	HEALTHCARE	DE	GSHS ENTERPRISE	C CORP	Yes (true)
TYLER COUNTY CLINICAL SERVICES
2801 VIA FORTUNA	AUSTIN	TX	78746	472135795	HEALTHCARE	TX	SETX	C CORP	Yes (true)
CENTRAL TEXAS MEDICAL ASSOCIATE
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742729873	INACTIVE	TX		C CORP	Yes (true)										N/A
CENTRAL TEXAS PROVIDERS NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSP	TX		C CORP	Yes (true)										N/A
SAN MARCOS REGIONAL MRI
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HEALTHCARE SVCS	TX		C CORP	Yes (true)										N/A
CH COLUMBIA SAS
					MANAGEMENT SVCS		CHI	C CORP	Yes (true)	CL 70 A 4 41	BOGOTA		CO	CO
CLINICA PALMA REAL SAS
					HEALTHCARE SVCS		CHI	C CORP	Yes (true)	CARRERA 28 44 35	CALI		CO	CO
SINERGIA GLOBAL EN SALUD SAS
					HEALTHCARE SVCS		CHI	C CORP	Yes (true)	CARRERA 44 A 9 C 67	CALI		CO	CO
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	710896055	CUSTOMER SERVICES	DE	GSHS INC	LLC	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (169 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALIGNED PROVIDERS OF EAST TEXAS
p	$104,693	accrual
ALIGNED PROVIDERS OF EAST TEXAS
q	$209,386	accrual
AMBULATORY STRATEGIES PHYSICIAN GROUP INC
p	$252,253	accrual
AMBULATORY STRATEGIES PHYSICIAN GROUP INC
q	$590,541	accrual
AMBULATORY STRATEGIES PHYSICIAN GROUP of LA
p	$212,981	accrual
AMBULATORY STRATEGIES PHYSICIAN GROUP of LA
q	$390,006	accrual
C H WILKINSON PHYSICIAN GROUP
a(I)	$78,026	accrual
C H WILKINSON PHYSICIAN GROUP
l	$33,232,742	accrual
C H WILKINSON PHYSICIAN GROUP
m	$63,223,675	accrual
C H WILKINSON PHYSICIAN GROUP
o	$538,498	accrual
C H WILKINSON PHYSICIAN GROUP
p	$20,515,958	accrual
C H WILKINSON PHYSICIAN GROUP
q	$25,929,188	accrual
C H WILKINSON PHYSICIAN GROUP
r	$565,596	accrual
C H WILKINSON PHYSICIAN GROUP
s	$926,420	accrual
CHAMPION EMS
P	$2,249,168	accrual
CHAMPION EMS
Q	$4,943,835	accrual
CHRISTUS CONNECTED CARE NETWORK
L	$1,070,191	accrual
CHRISTUS CONNECTED CARE NETWORK
M	$1,709,146	accrual
CHRISTUS CONNECTED CARE NETWORK
P	$431,236	accrual
CHRISTUS CONNECTED CARE NETWORK
Q	$431,236	accrual
CHRISTUS GOOD SHEPHERD HEALTH SYSTEM INC
A(I)	$5,706,293	accrual
CHRISTUS GOOD SHEPHERD HEALTH SYSTEM INC
L	$451,303	accrual
CHRISTUS GOOD SHEPHERD HEALTH SYSTEM INC
M	$451,303	accrual
CHRISTUS GOOD SHEPHERD HEALTH SYSTEM INC
P	$21,851,518	accrual
CHRISTUS GOOD SHEPHERD HEALTH SYSTEM INC
Q	$21,851,518	accrual
CHRISTUS GOOD SHEPHERD HEALTH SYSTEM INC
R	$456,657	accrual
CHRISTUS GOOD SHEPHERD HEALTH SYSTEM INC
S	$456,657	accrual
CHRISTUS HEALTH ARK-LA-TEX
A(I)	$4,524,517	accrual
CHRISTUS HEALTH ARK-LA-TEX
L	$35,957,141	accrual
CHRISTUS HEALTH ARK-LA-TEX
M	$62,489,612	accrual
CHRISTUS HEALTH ARK-LA-TEX
P	$19,688,205	accrual
CHRISTUS HEALTH ARK-LA-TEX
Q	$44,961,916	accrual
CHRISTUS HEALTH ARK-LA-TEX
R	$1,438,259	accrual
CHRISTUS HEALTH ARK-LA-TEX
S	$7,401,035	accrual
CHRISTUS HEALTH CENTRAL LOUISIANA
L	$274,971	accrual
CHRISTUS HEALTH CENTRAL LOUISIANA
M	$23,017,494	accrual
CHRISTUS HEALTH CENTRAL LOUISIANA
Q	$22,387,718	accrual
CHRISTUS HEALTH CENTRAL LOUISIANA
S	$7,688,462	accrual
CHRISTUS HEALTH GULF COAST
A(IV)	$137,100	accrual
CHRISTUS HEALTH GULF COAST
P	$222,112	accrual
CHRISTUS HEALTH GULF COAST
Q	$417,100	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
A(I)	$13,409,067	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
J	$73,186	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
K	$72,801	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
L	$56,798,088	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
M	$76,477,195	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
P	$30,979,002	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
Q	$47,358,530	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
r	$2,255,772	accrual
CHRISTUS HEALTH NORTHERN LOUISIANA
s	$10,238,050	accrual
CHRISTUS HEALTH PLAN
l	$2,593,349	accrual
CHRISTUS HEALTH PLAN
m	$31,263,513	accrual
CHRISTUS HEALTH PLAN LOUISIANA
l	$780,213	accrual
CHRISTUS HEALTH PLAN LOUISIANA
m	$1,658,631	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
a(i)	$5,313,844	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
l	$40,858,584	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
m	$68,755,786	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
P	$22,973,956	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$54,354,681	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
r	$1,669,322	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
s	$8,652,487	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
a(iv)	$104,494	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
k	$126,855	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
l	$24,692,360	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
m	$44,276,652	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
p	$14,274,466	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
q	$29,862,492	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
r	$2,083,711	accrual
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
s	$4,167,422	accrual
CHRISTUS HOPKINS HEALTH ALLIANCE
l	$6,298,096	accrual
CHRISTUS HOPKINS HEALTH ALLIANCE
m	$12,063,451	accrual
CHRISTUS HOPKINS HEALTH ALLIANCE
p	$4,135,131	accrual
CHRISTUS HOPKINS HEALTH ALLIANCE
q	$8,040,185	accrual
CHRISTUS HOPKINS HEALTH ALLIANCE
r	$223,053	accrual
CHRISTUS HOPKINS HEALTH ALLIANCE
s	$446,106	accrual
CHRISTUS LA QUALITY ALLIANCE
l	$451,510	accrual
CHRISTUS LA QUALITY ALLIANCE
m	$760,874	accrual
CHRISTUS LA QUALITY ALLIANCE
p	$142,146	accrual
CHRISTUS LA QUALITY ALLIANCE
q	$142,146	accrual
CHRISTUS PEDIATRIC PHYSICIAN GROUP
a(i)	$36,736	accrual
CHRISTUS PEDIATRIC PHYSICIAN GROUP
l	$472,663	accrual
CHRISTUS PEDIATRIC PHYSICIAN GROUP
m	$611,367	accrual
CHRISTUS PEDIATRIC PHYSICIAN GROUP
p	$1,079,134	accrual
CHRISTUS PEDIATRIC PHYSICIAN GROUP
q	$1,904,409	accrual
CHRISTUS PEDIATRIC PHYSICIAN GROUP
s	$57,858	accrual
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
m	$516,767	accrual
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
p	$87,058	accrual
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
q	$1,986,587	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
a(i)	$16,925,135	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
a(iv)	$161,604	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
k	$268,908	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
l	$74,177,903	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
m	$119,788,325	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
p	$37,631,639	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
q	$56,850,931	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
r	$2,901,099	accrual
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
s	$12,785,587	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
a(i)	$15,931,950	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
j	$678,021	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
k	$326,542	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
l	$72,874,803	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
m	$119,004,028	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
p	$41,630,161	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
q	$76,812,919	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
r	$2,762,684	accrual
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
s	$21,457,317	accrual
Christus spohn Health System Dev Fnd
b	$113,123	accrual
CHRISTUS TRINITY MOTHER FRANCES Health Sys
l	$38,591,884	accrual
CHRISTUS TRINITY MOTHER FRANCES Health Sys
m	$71,066,003	accrual
CHRISTUS TRINITY MOTHER FRANCES Health Sys
p	$5,079,547	accrual
CHRISTUS TRINITY MOTHER FRANCES Health Sys
q	$12,487,962	accrual
CHRISTUS TRINITY MOTHER FRANCES Health Sys
r	$2,990,607	accrual
CHRISTUS TRINITY MOTHER FRANCES Health Sys
s	$5,981,214	accrual
DEDICATED SYSTEM SUPPORT INC
l	$1,148,477	accrual
DEDICATED SYSTEM SUPPORT INC
m	$2,237,744	accrual
DEDICATED SYSTEM SUPPORT INC
p	$223,827	accrual
DEDICATED SYSTEM SUPPORT INC
q	$444,029	accrual
DEDICATED SYSTEM SUPPORT INC
r	$82,379	accrual
DEDICATED SYSTEM SUPPORT INC
s	$215,620	accrual
EVANGELINE CLINICAL SERVICES INC
l	$72,562	accrual
EVANGELINE CLINICAL SERVICES INC
m	$144,687	accrual
EVANGELINE CLINICAL SERVICES INC
p	$947,989	accrual
EVANGELINE CLINICAL SERVICES INC
q	$1,790,485	accrual
GOOD SHEPHERD MEDICAL CENTER
M	$114,704	accrual
GOOD SHEPHERD MEDICAL CENTER
q	$19,037,966	accrual
GSHS ADMINISTRATIVE SERVICES Organization
l	$29,946,199	accrual
GSHS ADMINISTRATIVE SERVICES Organization
m	$58,601,229	accrual
GSHS ADMINISTRATIVE SERVICES Organization
p	$2,377,635	accrual
GSHS ADMINISTRATIVE SERVICES Organization
q	$4,334,360	accrual
GSHS ADMINISTRATIVE SERVICES Organization
R	$2,463,085	accrual
GSHS ADMINISTRATIVE SERVICES Organization
S	$4,926,171	accrual
HEALTHPLAN OF TEXAS
P	$53,088	accrual
HEALTHPLAN OF TEXAS
Q	$85,393	accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
l	$1,284,609	accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
m	$2,569,218	accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
p	$2,910,217	accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
q	$4,976,628	accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
s	$88,059	accrual
MOTHER FRANCES HOSPITAL - WINNSBORO
l	$402,000	accrual
MOTHER FRANCES HOSPITAL - WINNSBORO
m	$804,000	accrual
MOTHER FRANCES HOSPITAL - WINNSBORO
p	$1,005,039	accrual
MOTHER FRANCES HOSPITAL - WINNSBORO
q	$904,325	accrual
MOTHER FRANCES HOSPITAL - WINNSBORO
r	$1,907,324	accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
a(i)	$6,949,790	accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
l	$17,750,832	accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
m	$35,183,106	accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
p	$41,246,509	accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
q	$73,435,587	accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
r	$3,821,987	accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
s	$7,476,833	accrual
SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC
p	$161,306	accrual
SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC
q	$161,306	accrual
SPOHN HEALTH NETWORK
l	$69,127	accrual
SPOHN HEALTH NETWORK
m	$124,102	accrual
SPOHN INVESTMENT CORPORATION
q	$79,025	accrual
ST VINCENT HOSPITAL
l	$18,012,355	accrual
ST VINCENT HOSPITAL
m	$18,021,637	accrual
ST VINCENT HOSPITAL
p	$11,121,983	accrual
ST VINCENT HOSPITAL
q	$11,212,983	accrual
TRINCARE INC
p	$2,882,891	accrual
TRINCARE INC
q	$2,882,891	accrual
TRINITY CLINIC
a(iv)	$81,256	accrual
TRINITY CLINIC
j	$81,256	accrual
TRINITY CLINIC
l	$16,420,138	accrual
TRINITY CLINIC
m	$16,420,138	accrual
TRINITY CLINIC
p	$8,710,109	accrual
TRINITY CLINIC
q	$17,176,086	accrual
TRINITY CLINIC
r	$797,316	accrual
TRINITY CLINIC
s	$797,316	accrual