CHRISTUS HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH (EIN 76-0590551)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-10
IRS object ID: 202021929349301742
Schema version: 2018v3.3
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	2020-07-10T17:00:04-05:00	ReturnTs
Tax Period End	2019-06-30	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	425 HOUSTON STREET STE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	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	2020-06-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KATHLEEN MOSELEY	PreparerPersonNm
PTIN	P00116760	PTIN
Phone	8173351900	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	104.59.202.31	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	75303520201925000016	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-10	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B70CE9AE14373BAAA5B0ABFDDCB6B20514EDE789	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4649FBF9538438D828890CF76278F3989A1FB147	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	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	919 HIDDEN RIDGE DRIVE	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,043,841,256	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	18	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3503	TotalEmployeeCnt
Total Volunteers	5	TotalVolunteersCnt
Total Gross UBI	$701,392	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$573,001	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$841,199,248	PYProgramServiceRevenueAmt
CY Program Service Revenue	$652,479,799	CYProgramServiceRevenueAmt
PY Investment Income	$119,676,011	PYInvestmentIncomeAmt
CY Investment Income	$61,929,868	CYInvestmentIncomeAmt
PY Other Revenue	$26,642,277	PYOtherRevenueAmt
CY Other Revenue	$22,117,309	CYOtherRevenueAmt
PY Total Revenue	$987,517,536	PYTotalRevenueAmt
CY Total Revenue	$736,526,976	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,364,075	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,829,820	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$444,097,063	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$305,824,160	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$556,903,948	PYOtherExpensesAmt
CY Other Expenses	$467,947,165	CYOtherExpensesAmt
PY Total Expenses	$1,006,365,086	PYTotalExpensesAmt
CY Total Expenses	$777,601,145	CYTotalExpensesAmt
PY Revenues Less Expenses	-$18,847,550	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$41,074,169	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,644,038,414	TotalAssetsBOYAmt
Total Assets EOY	$2,854,146,211	TotalAssetsEOYAmt
Total Liabilities BOY	$1,538,747,391	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,211,818,635	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,105,291,023	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$642,327,576	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	$336,723,471	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$517,055,548	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 2019 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 STRENGTHENED 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	$123,721,164	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$135,424,251	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	$1,898,755	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	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 PROFESSIONALS IS 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 2019, 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	$256,221	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$3,829,820	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$462,599,611	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	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	Yes (true)	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	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	2445	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3503	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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 (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GEORGE BO-LINN MD
Director	1.0	0.0	Yes (X)	$6,857	$0	$0
J LYNN BRITTON
Director	1.0	0.0	Yes (X)	$10,907	$0	$0
PATRICIO DONOSO IBANEZ
Director	1.0	0.0	Yes (X)	$12,057	$0	$0
MARICELA SIEWCZYNSKI MOORE
BOARD VICE-CHAIR	1.0	0.0	Yes (X)	$18,600	$0	$0	Yes (X)
ARTHUR SOUTHAM MD
Director/CHAIR	1.0	0.0	Yes (X)	$4,660	$0	$0	Yes (X)
CLARENCE R WILLIAMS
Director	1.0	0.0	Yes (X)	$12,407	$0	$0
BILL CHEN
DIRECTOR	1.0	0.0	Yes (X)	$13,407	$0	$0
J LINDSEY BRADLEY JR
DIRECTOR (TERM 6/2019)	1.0	0.0	Yes (X)	$858,693	$0	$0
STEVEN KEUER MD
TMF CMO	1.0	39.0	Yes (X)	$959,193	$0	$184,416
SISTER LORETTA FELICI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DAVID STRONG
DIRECTOR	1.0	0.0	Yes (X)	$9,732	$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
Ernie W Sadau
PRESIDENT/CEO	40.0	0.0	Yes (X)	$7,184,800	$0	$1,159,673	Yes (X)
SISTER CHRISTINA MURPHY
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHERYL ALSTON
Director	1.0	0.0	Yes (X)	$11,109	$0	$0
ALIDE CHASE
BOARD DIRECTOR	1.0	0.0	Yes (X)	$13,359	$0	$0
KEVIN J ROY DBA
DIRECTOR (EFF 7/2018)	1.0	0.0	Yes (X)	$1,850	$0	$0
SISTER HANNAH O'DONOGHUE CCVI
DIRECTOR (TERM 12/2018)	1.0	0.0	Yes (X)	$0	$0	$0
KELLY KLIBERT
Dir. of Governance	32.0	8.0		$127,403	$0	$21,018	Yes (X)
Randolph W Safady
EVP/CFO	40.0	0.0		$4,641,179	$0	$176,925	Yes (X)
KAREN OLIVER
ASST. CORP SEC (EFF 7/2018)	40.0	0.0		$71,662	$0	$9,690	Yes (X)
George S Conklin
SVP-CIO	39.0	1.0		$1,683,750	$0	$59,409		Yes (X)
Dominic J Dominguez
SVP-GROUP OPERATIONS SO TX	39.0	1.0		$1,108,350	$0	$191,803		Yes (X)
Paul D Generale
EVP/CHIEF STRATEGY OFFICER	39.0	1.0		$3,007,416	$0	$502,346		Yes (X)
John A Gillean
EVP/CHIEF MEDICAL OFFICER	39.0	1.0		$2,458,644	$0	$73,712		Yes (X)
Gerard F Heeley
SVP-MISSION AND ETHICS	39.0	1.0		$1,464,780	$0	$254,355		Yes (X)
Christopher karam
SVP-Group Operations LA	39.0	1.0		$1,252,076	$0	$274,560		Yes (X)
Marty F Margetts
EVP/CORP SERVICES	39.0	1.0		$2,825,188	$0	$482,873		Yes (X)
Linda K McClung
EVP/CAO	39.0	1.0		$3,824,848	$0	$146,885		Yes (X)
Jeffrey M Puckett
EVP/COO	39.0	1.0		$3,969,895	$0	$709,272		Yes (X)
M Shannon Stansbury
SVP-POPULATION HEALTH	40.0	0.0		$781,187	$0	$160,661		Yes (X)
Stephen F Wright
PRES/CEO-LA MINS (TIL 10/2018)	39.0	1.0		$1,727,752	$0	$138,925		Yes (X)
J Chris Glenney
SVP GROUP OPERATIONS NETX	40.0	0.0		$1,666,029	$0	$315,046		Yes (X)
JEANNIE FREY
SVP CHF LGL OFFCR (EFF 7/2018)	40.0	0.0		$538,670	$0	$82,621		Yes (X)
SAM BAGCHI MD
SVP, Chief Medical Officer	40.0	0.0		$1,039,033	$0	$193,744		Yes (X)
DEBRA PASLEY
SVP, CNO	40.0	0.0		$681,928	$0	$116,372		Yes (X)
ALEJANDRO CANAVATI
CEO - CHILE OPDERATIONS	40.0	0.0		$1,084,034	$0	$162,952			Yes (X)
Patrick B Carrier
PRESIDENT - SANTA FE MINISTRY	40.0	0.0		$1,502,606	$0	$56,259			Yes (X)
N TODD HANCOCK
CEO GSHS	40.0	0.0		$1,171,176	$0	$204,302			Yes (X)
SCOTT SMITH
SVP TRINITY CLINIC	40.0	0.0		$983,696	$0	$155,426			Yes (X)
MARIA ESTELA CHAPA
CCTO SPOHN	40.0	0.0		$831,629	$0	$62,649			Yes (X)
ALEX J VALDEZ
CEO-Clinica San Carlos de Apoq	0.0	0.0		$100,517	$0	$3,334				Yes (X)
Joseph S Barcie
SVP INTL Ops (tERM 10/2017)	0.0	0.0		$484,796	$0	$1,282				Yes (X)
Nancy C Legros til 102017
SVP-CHIEF Lgl CNSL	0.0	0.0		$287,436	$0	$1,627				Yes (X)
Peter J Plantes
CEO CPG (term 11/2017)	0.0	0.0		$596,052	$0	$1,095				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$49,029,363	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,903,232	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	582	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 ENVIRONMENTAL SERVICES LLC
12495 Silver Creek Road	DRIPPING SPRINGS	TX	78620	ENVIRONMENTAL SRVCS	$39,948,784
GRIFFIN CAPITAL CORPORATION
18191 VON KARMAN AVE STE 300	IRVINE	CA	92612	RENTAL SERVICES	$6,390,578
DE LAGE LANDEN FINANCIAL
1111 OLD EAGLE SCHOOL RD	WAYNE	PA	19087	RENTAL SERVICES	$5,720,884
DELL FINANCIAL SERVICES LLC
1 DELL WAY	ROUND ROCK	TX	78682	RENTAL SERVICES	$4,822,231
OPTUM360 LLC
11000 OPTUM CIRCLE	EDEN PRAIRIE	MN	55344	MANAGEMENT SERVICES	$4,296,330

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	167	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SERVICE FEE INCOME	541900	$287,275,802	$286,574,410	$701,392	$0
CAPITATION REVENUE	621400	$137,906,107	$137,906,107	$0	$0
SYSTEM OFFICE FEES AND MGMT SERVICES	561000	$106,087,238	$106,087,238	$0	$0
PREMIUM REVENUE	900099	$97,920,463	$97,920,463	$0	$0
TLRA FEES	900099	$16,771,337	$16,771,337	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,518,852	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,518,852	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$652,479,799	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,143,248	TotalRevenueColumnAmt
Exclusion	$46,143,248	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	$358,195	TotalRevenueColumnAmt
Exclusion	$358,195	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	$1,321,356,646	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,305,570,026	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,786,620	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,786,620	TotalRevenueColumnAmt
Exclusion	$15,786,620	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	$3,178,662	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,744,254	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,434,408	TotalRevenueColumnAmt
Exclusion	$1,434,408	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MANAGED CARE REVENUE	900099	$5,592,409	$0	$0	$5,592,409
COBRA INSURANCE - EMPLOYERS	900099	$1,189,448	$0	$0	$1,189,448
METHODIST REVENUE	900099	$1,141,102	$0	$0	$1,141,102

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,401,747	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$12,401,747	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$20,324,706	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$736,526,976	TotalRevenueColumnAmt
Related Or Exempt Func Income	$651,778,407	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$701,392	UnrelatedBusinessRevenueAmt
Exclusion	$84,047,177	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	$3,829,820	TotalAmt
Program Services	$3,829,820	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	$47,112,406	TotalAmt
Program Services	$14,657,070	ProgramServicesAmt
Management And General	$32,455,336	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,476,139	TotalAmt
Program Services	$459,239	ProgramServicesAmt
Management And General	$1,016,900	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$176,658,629	TotalAmt
Program Services	$54,960,000	ProgramServicesAmt
Management And General	$121,698,629	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$4,271,798	TotalAmt
Program Services	-$2,188,892	ProgramServicesAmt
Management And General	-$2,082,906	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$70,233,470	TotalAmt
Program Services	$65,096,173	ProgramServicesAmt
Management And General	$5,137,297	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,615,314	TotalAmt
Program Services	$4,618,845	ProgramServicesAmt
Management And General	$9,996,469	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	$2,497,089	TotalAmt
Program Services	$21,468	ProgramServicesAmt
Management And General	$2,475,621	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	-$1,907,829	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	-$1,907,829	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,111,134	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,111,134	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	$1,494,148	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,494,148	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$239,963,499	TotalAmt
Program Services	$214,653,339	ProgramServicesAmt
Management And General	$25,310,160	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,845,256	TotalAmt
Program Services	$38,575,561	ProgramServicesAmt
Management And General	$30,269,695	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,523,000	TotalAmt
Program Services	$685,220	ProgramServicesAmt
Management And General	$10,837,780	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	$10,568,620	TotalAmt
Program Services	$9,759,031	ProgramServicesAmt
Management And General	$809,589	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$10,326,153	TotalAmt
Program Services	$2,141,660	ProgramServicesAmt
Management And General	$8,184,493	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	$5,665,504	TotalAmt
Program Services	$532,677	ProgramServicesAmt
Management And General	$5,132,827	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$37,832,212	TotalAmt
Program Services	$356,665	ProgramServicesAmt
Management And General	$37,475,547	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	$5,449,627	TotalAmt
Program Services	$990,979	ProgramServicesAmt
Management And General	$4,458,648	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$52,108,036	TotalAmt
Program Services	$52,086,069	ProgramServicesAmt
Management And General	$21,967	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SWAP FINANCING COST	$6,731,462	$0	$6,731,462	$0
SALES TAX AND OTHER TAX	$4,119,697	$152,830	$3,966,867	$0
RECRUITMENT/PLACEMENT FEE	$3,241,114	$42,000	$3,199,114	$0
MEDICAL EXPENSE	$41,921	$17,756	$24,165	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,336,522	TotalAmt
Program Services	$1,152,101	ProgramServicesAmt
Management And General	$7,184,421	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$777,601,145	TotalAmt
Program Services	$462,599,611	ProgramServicesAmt
Management And General	$315,001,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$87,473,254	BOYAmt
EOY	$199,876,193	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	$35,089,861	BOYAmt
EOY	$46,547,681	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	$7,208,230	BOYAmt
EOY	$35,029,271	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,293,128	BOYAmt
EOY	$1,441,608	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$46,207,569	BOYAmt
EOY	$48,595,718	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$272,366,481	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$150,621,459	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$126,403,391	BOYAmt
EOY	$121,745,022	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$629,455,485	BOYAmt
EOY	$771,260,310	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$244,264,768	BOYAmt
EOY	$210,466,456	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,336,966,076	BOYAmt
EOY	$559,537,021	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$110,380,022	BOYAmt
EOY	$840,350,301	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,644,038,414	BOYAmt
EOY	$2,854,146,211	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$225,121,777	BOYAmt
EOY	$256,315,554	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	$291,330	BOYAmt
EOY	$23,491,630	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$986,421,547	BOYAmt
EOY	$1,592,949,542	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	$326,912,737	BOYAmt
EOY	$339,061,909	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,538,747,391	BOYAmt
EOY	$2,211,818,635	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,089,844,571	BOYAmt
EOY	$626,329,518	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,840,047	BOYAmt
EOY	$12,391,653	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,606,405	BOYAmt
EOY	$3,606,405	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,105,291,023	BOYAmt
EOY	$642,327,576	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,644,038,414	BOYAmt
EOY	$2,854,146,211	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$41,074,169	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$18,367,620	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$403,521,658	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	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$149,803,902	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$73,618,886	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$105,965,033	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$277,953,335	CurrentTaxYearMinus1YearAmt
Current Tax Year	$138,308,764	CurrentTaxYearAmt
Total	$745,649,920	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,219,408	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,469,032	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,247,953	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,199,276	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,449,781	CurrentTaxYearAmt
Total	$17,585,450	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	$156,023,310	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$77,087,918	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$109,212,986	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$281,152,611	CurrentTaxYearMinus1YearAmt
Current Tax Year	$139,758,545	CurrentTaxYearAmt
Total	$763,235,370	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	$763,235,370	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$17,161,269	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,301,669	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$61,875,646	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$96,385,207	CurrentTaxYearMinus1YearAmt
Current Tax Year	$46,501,443	CurrentTaxYearAmt
Total	$226,225,234	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,783,879	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,974,103	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$569,668	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$595,523	CurrentTaxYearMinus1YearAmt
Current Tax Year	$574,014	CurrentTaxYearAmt
Total	$9,497,187	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,945,148	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,275,772	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$62,445,314	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$96,980,730	CurrentTaxYearMinus1YearAmt
Current Tax Year	$47,075,457	CurrentTaxYearAmt
Total	$235,722,421	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	$4,538,968	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$22,666,640	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,572,390	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,499,291	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,720,698	CurrentTaxYearAmt
Total	$60,997,987	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$182,507,426	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$107,030,330	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$178,230,690	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$395,632,632	CurrentTaxYearMinus1YearAmt
Current Tax Year	$196,554,700	CurrentTaxYearAmt
Total	$1,059,955,778	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.72006	PublicSupportCY509Pct
Public Support PY509	0.74860	PublicSupportPY509Pct
Investment Income CY	0.22239	InvestmentIncomeCYPct
Investment Income PY	0.19920	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	Yes (true)	MailingsMembersInd
Mailings Members	$2,123	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$120,691	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$988,320	OtherActivitiesAmt
Total Lobbying Expenditures	$1,111,134	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 five 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 and regulatory agencies. Part 1(d) Mailings to members and legislators through system-wide action alert for issues related to: Please Act Now to Support Rural Hospitals 7/10/2018; Support Preservation of 340B Drug Discount Program; 3185 letters sent, 594 advocates took action, 1 minute per letter Part 1 (g) Direct contact with legislators, their staffs, government officials and legislative bodies for issues related to: emails, letters 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, 340B Drug Pricing Program, 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, maintenance of certification for physicians, public Information act and transparency legislation, medical malpractice caps and tort reform, foster care reform, balance billing and insurance reform, Medicaid managed care, state hospital reforms, and VA 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), CHA Children's CHGME, CHAUSA, Childrens Hospital 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 40 Hours Executive/730 Hours Director/40 Hours Administrative	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	$99,308,522	OtherCostOrOtherBasisAmt
Depreciation	$47,900,837	DepreciationAmt
Book Value	$51,407,685	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,735,258	OtherCostOrOtherBasisAmt
Depreciation	$9,665,264	DepreciationAmt
Book Value	$7,069,994	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,433,208	OtherCostOrOtherBasisAmt
Depreciation	$43,141,473	DepreciationAmt
Book Value	$30,291,735	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,782,475	OtherCostOrOtherBasisAmt
Depreciation	$49,913,885	DepreciationAmt
Book Value	$11,868,590	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$121,745,022	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	HEDGE FUNDS	Desc
Book Value	$210,466,456	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$210,466,456	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN CONSOL SUBS	Desc
Book Value	$1,366,966,076	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$1,366,966,076	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
LT PENSION LIABILITY	$182,979,585
LT OBLIGATION SELF FUNDED	$93,108,522
BOND ISSUE COSTS	$52,461,133
CAPITAL LEASE LIABILITY	$3,835,245
TAXES PAYABLE	$3,451,188
CCVI PAYABLE	$3,346,359
CURRENT PORTION PENSION FUNDING	$14,905
COLLECTIONS PAYABLE	-$135,028

Field	Value	IRS element (for citing)
Total Liability	$339,061,909	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS

FORM 990, PART X, LINE 1 AND 2 OTHER ASSETS, FORM 990, PART X, LINE 15 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.

UNCERTAIN TAX POSITIONS UNDER ASC 740

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, 2019 AND 2018.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
South America	Program Services	Program/Bus Travel	$295,408
North America	Program Services	Program/Bus Travel	$121,746
Europe (Including Iceland and Greenland)	Program Services	Program/Bus Travel	$29,322
Central America and the Caribbean	Program Services	Program/Bus Travel	$3,595
East Asia and the Pacific	Program Services	Program/Bus Travel	$3,713
Central America and the Caribbean	Program Services	INVESTMENTS-BOOK VALUE	$152,667,304
Central America and the Caribbean	Program Services	INVESTMENTS-CAP CONTR	$37,063,335
North America	Program Services	INVESTMENTS-BOOK VALUE	$118,286,816
North America	Program Services	INVESTMENTS-CAP CONTR	$2,000,000

Field	Value	IRS element (for citing)
Subtotal Spent	$310,471,239	SubtotalSpentAmt
Total Spent	$310,471,239	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 (77 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
CORPUS CHRISTI HOPE HOUSE INC
658 Robinston Street	Corpus Christi	TX	78404	742480299	501(c)(3)	$15,000	PROGRAM SUPPORT
YWCA CORPUS CHRISTI
4601 Corona Drive	Corpus Christi	TX	78411	741157366	501(C)(3)	$71,128	THERAPEUTIC RECREATION PROGRAM
MARYS HOUSE OF LOUISIANA INC
906 Margaret Place	Shreveport	LA	71101	472593937	501(C)(3)	$37,500	PREGNANCY CARE CENTER PROGRAMS
SLEW WELLNESS CENTER
12521 Nacogdoches Road Suite 101	San Antonio	TX	78217	421580967	501(C)(3)	$75,000	LOW INCOME WOMEN WITH CANCER
DALLAS AREA INTERFAITH SPONSORING COMMITTEE
1104 Lupo Drive	Dallas	TX	752015208	752409130	501(C)(3)	$40,000	CHRISTUS MEDICAL MISSION FUND
CATHOLIC CHARITIES OF DALLAS INC
1421 W Mockingbird Lane	DALLAS	TX	75247	752745221	501(C)(3)	$62,500	PROVIDING MENTAL HEALTH SERVICES
VISITATION HOUSE MINISTRIES
945 W HAUISACHE	SAN ANTONIO	TX	78201	742447137	501(C)(3)	$17,500	SUMMER SOJOURN SPONSOR
UNIVERSITY OF THE INCARNATE WORD
4301 BROADWAY 309	SAN ANTONIO	TX	78209	741109661	501(C)(3)	$81,229	EXPANDING WELLNESS SERVICES FOR WOMEN
PROJECT MEND INC
5727 West IH 10	SAN ANTONIO	TX	78201	742647324	501(C)(3)	$30,000	PROVIDING MEDICAL EQUIPMENT
Anayat House Inc
PO BOX 5934	Beaumont	TX	77726	760441913	501(C)(3)	$20,000	PROVIDING MEDICAL HOSPITALITY
Pregnancy Center for the Coastal Bend
4730 Everhart Rd	Corpus Christi	TX	78411	742541210	501(C)(3)	$15,000	PROVIDING PREGNANCY SUPPORT AND EDUCATION
YWCA San Antonio
6756 Montgomery DR	San Antonio	TX	78239	741143135	501(C)(3)	$20,000	POSITIVE YOUTH DVLPMNT PROGRAM ENHANCEMENT
Women's Global Connection of San Antonio
4503 Broadway St	San Antonio	TX	78209	421619919	501(C)(3)	$20,000	PROVIDING INSTALLATION OF WATER FILTRATION SYSTEMS
Villa Therese Catholic Clinic
219 Cathedral Place	Sant Fe	NM	87501	850229019	501(C)(3)	$112,500	INCREASING HEALTH ACCESS
Volunteers for Youth Justice
900 Jordan St	Shreveport	LA	71101	721057695	501(C)(3)	$100,000	TRUANCY ASSESSMENT SERVICE CENTER	Suite 102
HOPE CONNECTIONS INC
PO box 37148	Shreveport	LA	71133	721476208	501(C)(3)	$107,000	DAY SHELTER
Jewish Family Service of Dallas Inc
5402 Arapaho Rd	Dallas	TX	75248	751992728	501(C)(3)	$25,000	MENTAL HEALTH SVCS SUPPORT
The Visiting Nurse Association of Texas
1600 Viceroy Dr	DALLAS	TX	75235	750800692	501(C)(3)	$100,000	MEALS ON WHEELS	Suite 400
Guide Dogs of Texas Inc
1503 Allena Drive	SAN ANTONIO	TX	78213	742530268	501(C)(3)	$62,050	MOBILITY FOR TXNS BLINDNESS
Mary McLeod Bethune Early Child Development Nurser
900 Kinney St	Corpus Christi	TX	78401	741238426	501(C)(3)	$25,000	CHILD CASE SRVCS FOR HOMELESS
Nueces County Family Drug Treatment court Advisory
710 Buffalo Street	Corpus Christi	TX	78401	814022909	501(C)(3)	$59,812	SUPPT SUBST ABUSE TRTMT PROGRAMMING	suite 507
Women Called Moses Coalition and Outreach Inc
7800 North Stemmons Freeway suite	Dallas	TX	75247	200442818	501(C)(3)	$100,000	SUPPORT TO DOMESTIC VIOLENCE VICTIMS
Clarity Child Guidance Center
8535 Tom Slick Dr	San Antonio	TX	78229	741153067	501(C)(3)	$100,000	MENTAL HEALTH SRVCS FOR HEALTHCARE
Mission of Mercy Inc
2421 Ayers Street	Corpus Christi	TX	78404	860704883	501(C)(3)	$75,000	TEXAS MEDICAL PROGRAM
The Food Bank of Central Louisiana Inc
3223 Baldwin Ave	Alexandria	LA	71301	721154072	501(C)(3)	$38,886	THE GOOD FOOD PROJECT
Youth 180 Inc
7777 Forest Lane	Dallas	TX	75230	270016585	501(C)(3)	$68,300	TEEN & FAMILY COUNSELING PRGRM	Suite C-140
Shreveport-Bossier Rescue Mission
901 McNeil St	Shreveport	LA	71101	462460128	501(C)(3)	$10,000	OPERATION HEALTHY HOMELESS
Big Brothers Big Sisters of SW Louisiana
4135 Common St	Lake Charles	LA	70607	721009565	501(C)(3)	$20,000	MENTORING
St Peter-St Joseph Children's Home
919 Mission Rd	San Antonio	TX	78210	741143129	501(C)(3)	$37,500	TRAUMA RECOVERY PROGRAM
New Mexico Suicide Intervention Project
PO box 6004	Sant Fe	NM	87502	850427990	501(C)(3)	$60,000	WELLNESS AND RESILIENCE
Re-Entry Solutions Inc
1617 Branch St	Alexandria	LA	71302		501(C)(3)	$75,000	PROVIDING MEDICAID ENROLLMENT SRVCS
Stable-Spirit
295 Flamingo St	Rose City	TX	77662	270084459	501(C)(3)	$33,200	EQUINE THERAPY SERVICES
The Purple Door
PO Box 3368	Corpus Christi	TX	78463	741943398	501(C)(3)	$20,000	SHELTER AND SUPPORT SRVCS
Central LA Cltn to Prevent Homelessness INC
1515 Jackson St	Alexandria	LA	71301	721247718	501(C)(3)	$30,000	HEALTHCARE SRVCS FOR HOMELESS
Neighbor for Neighbor Inc
505 East 36th Street North	Tulsa	OK	74106	840630214	501(C)(3)	$75,000	Providing support to homeless
Runnin W J Therapeutic Center Inc
4802 South Kings Highway	Texarkana	TX	75501	752897949	501(C)(3)	$30,000	THERAPEUTIC RIDING FOR SPCL NDS CHLDRN
Sant Fe Community Services Inc
440 Cerrillos Rd 4	Sant Fe	NM	87501	562491916	501(C)(3)	$33,750	Overdose Prevention Training
Martin Luther King Health Center & Pharmacy
865 Olive St	Shreveport	LA	71104	721079721	501(C)(3)	$37,500	PROMOTING HEALTH BEHAVIORS
Capland Speech Therapy Center
2660 Aero Drive	Port Arthur	TX	77640	746012298	501(C)(3)	$25,000	INC SPEECH THERAPY SRVCS TO UNINSURED
CASA of Central Texas Inc
1619 E Common St	New Braunfels	TX	78130	742403373	501(C)(3)	$25,000	ADVOCACY FOR ABUSED & NEGLECTED CHILDREN	Suite 301
Charlie's Place Recovery Center
11931 Wickchester Lane	Houston	TX	77043	741595867	501(C)(3)	$75,000	FUNDING FOR NURSE PRTNR SRVCS	Suite 300
Coming Home Connection
418 Cerrillos Rd	Sant Fe	NM	87501	742853467	501(C)(3)	$35,000	Free and Affordable Home Care for Seniors	Suite 27
Family and Youth Counseling Agency Inc
220 Louie Street	Lake Charles	LA	70601	720688561	501(C)(3)	$75,000	COUNSELING & SRVCS TO WOMEN & MOTHERS
Family Counseling Services
3833 S Staples	Corpus Christi	TX	78411	741321308	501(C)(3)	$18,750	Therapy Services TO Uninsured	Suite S203
Haven Homes
PO Box 5345	Texarkana	TX	75505	710429793	501(C)(3)	$100,000	Housing & support for homeless
Successfully Preparing Our Teens International
6402 Dianne St	Shreveport	LA	71119	821402961	501(C)(3)	$79,500	Providing substance use education
Coastal Bend Food Bank
826 Krill St	Corpus Christi	TX	78408	742234089	501(C)(3)	$37,500	DIABETES EDUCATION
Las Cumbres Community Services
102 N Coronado Ave	Espanola	NM	87532	237144268	501(C)(3)	$40,350	TRAUMA-FOCUSED BEHAVIROAL HEALTH
Coastal Bend Neighborhood Empowerment
4833 Saratoga Blvd	Corpus Christi	TX	78413	825033516	501(C)(3)	$65,000	COMMUNITY DVLPMT PROGRAM	suite 136
Campti Community Development Center
208 Edenborn st	Campti	LA	71411	432008828	501(C)(3)	$30,000	EDU TO SUPP HLTHY FOOD CHCS
New Braunfels Christian Ministries
1659 State Highway 46 West	New Braunfels	TX	78132	262221231	501(C)(3)	$50,000	SERVICES FOR CLIENTS INELIGIBLE FOR MEDICAID	suite 115-405
Refuge International Inc
PO box 3586	Longview	TX	75606	453161988	501(C)(3)	$7,950	MEDICAL MISSION TO GUATEMALA
Sisters of Charity of the Incarnate Word
4503 Broadway St	San Antonio	TX	78209	741676917	501(C)(3)	$62,500	IMPLEMENTATION NEW PHARMACY SYSTEM
CHRISTUS ST MICHAEL FOUNDATION
2600 St Michael Dr	Texarkana	TX	75503	471655865	501(c)(3)	$10,000	DONATION
COMMONWEAL FOUNDATION
475 Riverside Dr 405	NEW YORK	NY	10115	133174407	501(c)(3)	$25,000	DONATION
AQUINAS INSTITUTE OF THEOLOGY
23 S Spring Ave	St Louis	MO	63108	431233793	501(c)(3)	$75,000	DONATION
CBRE
2100 McKinney Ave Ste 700	DALLAS	TX	75201	510439609	501(c)(3)	$10,000	DONATION
CENTURION MILITARY ALLIANCE
18226 Stockton Springs Dr	Spring	TX	77379	461956681	501(c)(3)	$10,000	DONATION
CHRISTUS CABRINI FOUNDATION
3330 Masonic Dr	Alexandria	LA	71301	720998302	501(c)(3)	$10,000	GOLD SPONSOR ANNUAL BALL
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	Houston	TX	77251	746074210	501(c)(3)	$20,000	DONATION
CHRISTUS GOOD SHEPHERD FDN - LONGVIEW
700 East Marshall Ave	Longview	TX	75601	752056700	501(c)(3)	$7,500	DONATION
CHRISTUS HEALTH FOUNDATION
2830 Calder	Beaumont	TX	77702	611500100	501(c)(3)	$15,000	DONATION
CHRISTUS MOTHER FRANCES FOUNDATION
100 E Ferguson St STE 800	Tyler	TX	75702	752028241	501(c)(3)	$20,000	DONATION
CHRISTUS SPOHN FOUNDATION
613 Elizabeth ST 605	Corpus Christi	TX	78404	741906005	501(c)(3)	$83,000	HEALTH PLAN DONATION
FRIENDS OF CHRISTUS SANTA ROSA FOUNDATION
100 NE Loop 410 STE 706	SAN ANTONIO	TX	78216	742723391	501(c)(3)	$7,500	DONATION
HOPKINS COUNTY MEMORIAL HOSPITAL
115 Airport Rd	Sulphur Springs	TX	75482	756001812	501(c)(3)	$20,000	DONATION
INTERFAITH COMMUNITY SHELTER GROUP INC
PO box 22653	Sant Fe	NM	87502	270736366	501(c)(3)	$56,250	SERVICES TO VICTIMS
IRVING CARES INC
440 S Nursery Rd	Irving	TX	75060	751436937	501(c)(3)	$25,000	FINANCIAL STABILITY	101
LEADERSHIP CONFERENCE OF WOMEN
8808 Cameron St	Silver Spring	MD	20910	436033728	501(c)(3)	$10,000	DONATION
QUIJOTES OF SAN ANTONIO (AMBASSADOR OF HEALTH)
13730 Wilderness PT	San Antonio	TX	78231	300786140	501(c)(3)	$10,000	DONATIONS
RISE AGAINST HUNGER INC
3733 National Dr Ste 200	Raleigh	NC	27612	161541024	501(c)(3)	$6,830	DONATIONS
St Benedict's Prep
520 Dr Martin Luther King Jr Blvd	Newark	NJ	07102	221861903	501(c)(3)	$15,000	DONATION
St Vincent Hospital Foundation
440 St Michaels Dr	Santa Fe	NM	87505	850282847	501(c)(3)	$25,000	DONATION
Texas Hospital Association
1108 Lavaca st 700	Austin	TX	78701	741362741	501(c)(3)	$56,565	THA COMPASS PROGRAM
The Catholic Health Association
4455 Woodson Rd	St Louis	MO	63134	430653271	501(c)(3)	$56,500	SPONSORSHIPS
The University Of Dallas
1845 E Northgate Dr	Irving	TX	75062	750926755	501(c)(3)	$10,000	DONATION
Wheelchairs For Warriors
PO BOX 2911	League City	TX	77575	814602791	501(c)(3)	$7,313	CUSTOM BUILT WHEELCHAIR

Field	Value	IRS element (for citing)
Total501c3 Org	77	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 (28 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 (TERM 6/2019)	$0	$0	$0	$0	$858,693	$0	$0	$0	$0	$0	$858,693	$0	$0	$0
STEVEN KEUER MD
TMF CMO	$598,914	$0	$334,779	$0	$25,500	$0	$172,760	$0	$11,656	$0	$1,143,609	$0	$0	$0
ALEX J VALDEZ
CEO-Clinica San Carlos de Apoq	$0	$0	$0	$0	$100,517	$0	$3,334	$0	$0	$0	$103,851	$0	$0	$0
ALEJANDRO CANAVATI
CEO - CHILE OPDERATIONS	$519,295	$0	$418,000	$0	$146,739	$0	$145,712	$0	$17,240	$0	$1,246,986	$0	$0	$0
Joseph S Barcie
SVP INTL Ops (tERM 10/2017)	$0	$0	$0	$0	$484,796	$0	$1,282	$0	$0	$0	$486,078	$0	$0	$0
Patrick B Carrier
PRESIDENT - SANTA FE MINISTRY	$507,454	$0	$361,063	$0	$634,089	$0	$43,149	$0	$13,110	$0	$1,558,865	$0	$0	$0
George S Conklin
SVP-CIO	$788,891	$0	$603,952	$0	$290,907	$0	$41,847	$0	$17,562	$0	$1,743,159	$0	$0	$0
Dominic J Dominguez
SVP-GROUP OPERATIONS SO TX	$655,631	$0	$431,626	$0	$21,093	$0	$179,134	$0	$12,669	$0	$1,300,153	$0	$0	$0
Paul D Generale
EVP/CHIEF STRATEGY OFFICER	$1,864,660	$0	$1,090,468	$0	$52,288	$0	$484,517	$0	$17,829	$0	$3,509,762	$0	$0	$0
John A Gillean
EVP/CHIEF MEDICAL OFFICER	$1,037,092	$0	$1,000,595	$0	$420,957	$0	$43,096	$0	$30,616	$0	$2,532,356	$0	$0	$0
Gerard F Heeley
SVP-MISSION AND ETHICS	$683,161	$0	$522,466	$0	$259,153	$0	$245,172	$0	$9,183	$0	$1,719,135	$0	$0	$0
Christopher karam
SVP-Group Operations LA	$724,486	$0	$435,363	$0	$92,227	$0	$254,291	$0	$20,269	$0	$1,526,636	$0	$0	$0
Nancy C Legros til 102017
SVP-CHIEF Lgl CNSL	$0	$0	$0	$0	$287,436	$0	$1,627	$0	$0	$0	$289,063	$0	$0	$0
Marty F Margetts
EVP/CORP SERVICES	$1,517,379	$0	$1,004,190	$0	$303,619	$0	$446,320	$0	$36,553	$0	$3,308,061	$0	$0	$0
Linda K McClung
EVP/CAO	$2,103,377	$0	$976,628	$0	$744,843	$0	$132,227	$0	$14,658	$0	$3,971,733	$0	$81,699	$0
Peter J Plantes
CEO CPG (term 11/2017)	$0	$0	$0	$0	$596,052	$0	$1,095	$0	$0	$0	$597,147	$0	$0	$0
Jeffrey M Puckett
EVP/COO	$2,482,445	$0	$1,378,064	$0	$109,386	$0	$690,019	$0	$19,253	$0	$4,679,167	$0	$0	$0
Ernie W Sadau
PRESIDENT/CEO	$4,351,450	$0	$2,666,867	$0	$166,483	$0	$1,140,874	$0	$18,799	$0	$8,344,473	$0	$0	$0
Randolph W Safady
EVP/CFO	$3,032,412	$0	$1,282,199	$0	$326,568	$0	$147,590	$0	$29,335	$0	$4,818,104	$0	$109,445	$0
M Shannon Stansbury
SVP-POPULATION HEALTH	$421,397	$0	$251,394	$0	$108,396	$0	$137,149	$0	$23,512	$0	$941,848	$0	$0	$0
Stephen F Wright
PRES/CEO-LA MINS (TIL 10/2018)	$1,175,006	$0	$217,562	$0	$335,184	$0	$121,744	$0	$17,181	$0	$1,866,677	$0	$73,765	$0
J Chris Glenney
SVP GROUP OPERATIONS NETX	$639,604	$0	$1,013,387	$0	$13,038	$0	$294,769	$0	$20,277	$0	$1,981,075	$0	$0	$0
JEANNIE FREY
SVP CHF LGL OFFCR (EFF 7/2018)	$436,753	$0	$0	$0	$101,917	$0	$76,464	$0	$6,157	$0	$621,291	$0	$0	$0
SAM BAGCHI MD
SVP, Chief Medical Officer	$641,172	$0	$377,091	$0	$20,770	$0	$172,970	$0	$20,774	$0	$1,232,777	$0	$0	$0
DEBRA PASLEY
SVP, CNO	$379,726	$0	$217,875	$0	$84,327	$0	$105,418	$0	$10,954	$0	$798,300	$0	$0	$0
N TODD HANCOCK
CEO GSHS	$433,569	$0	$712,364	$0	$25,243	$0	$180,254	$0	$24,048	$0	$1,375,478	$0	$0	$0
SCOTT SMITH
SVP TRINITY CLINIC	$596,969	$0	$361,727	$0	$25,000	$0	$129,079	$0	$26,347	$0	$1,139,122	$0	$0	$0
MARIA ESTELA CHAPA
CCTO SPOHN	$599,647	$0	$156,987	$0	$74,995	$0	$49,935	$0	$12,714	$0	$894,278	$0	$29,857	$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	FFORM 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 ALEX J. VALDEZ - $59,703 JOSEPH S. BARCIE - $469,196 PATRICK B. CARRIER - $89,854 PETER J. PLANTES - $580,426 STEPHEN F. WRIGHT - $154,308 NANCY LEGROS - $285,061
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 OR BETTER THAN CURRENT MARKET. PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR YEAR 990. LINDA K. MCCLUNG RECEIVED $81,699 DURING CALENDAR YEAR 2018 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. RANDOLPH W. SAFADY RECEIVED $109,445 DURING CALENDAR YEAR 2018 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. STEPHEN F. WRIGHT RECEIVED $73,765 DURING CALENDAR YEAR 2018 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. MARY ESTELA CHAPA RECEIVED $29,857 DURING CALENDAR YEAR 2018 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. 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 2018. 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	$218,520,000	$7,650,000	$320,968,617	$0	$0	$0	$1,687,416	$4,733,000	$0	$3,624,407	$310,923,795	$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	$18,050,000	$0	$62,857,619	$0	$0	$0	$337,093	$914,000	$393,273	$18,182,274	$43,030,979	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$71,484,383	$0	$0	$0	$0	$0	$0	$0	$30,942,111	$40,542,272		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	Yes (true)	false	false	false	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 20,2007, DECEMBER 19, 2008). 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 = $348,617 C. LINE 3. INVESTMENT EARNINGS= $1,557,619 D. LINE 3. INVESTMENT EARNINGS=$542,272 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $1,094,049 B. LINE 3. INVESTMENT EARNINGS = $2,242,199 C. LINE 3. INVESTMENT EARNINGS= $854 FORM 990, SCHEDULE K, PART II, PAGE 2 B. LINE 3. INVESTMENT EARNINGS= $3,833 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 24, 2014. 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 22, 2014. C. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. 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	$232,748,687	$16,694,549	$0	$0	$0	$0	$4,138	$0	$212,381,708	$3,668,292	Yes (true)	false	false	Yes (true)
B	$0	$0	$483,893,565	$0	$0	$0	$0	$0	$0	$296,900,259	$121,651,366	$65,341,939	Yes (true)	false	false	Yes (true)
C	$109,350,000	$0	$268,560,854	$0	$0	$0	$1,638,195	$235,297	$0	$0	$266,687,362	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$53,021,204	$0	$0	$53,020,767	$0	$0	$0	$0	$0	$437	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	Yes (true)	Yes (true)	Yes (true)	false	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)	false	0.00020	0.00020	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	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	false	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	$15,074,000	$0	$174,304,000	$0	$0	$0	$0	$0	$0	$174,165,274	$138,726	$0	2016	false	false	Yes (true)	Yes (true)
B	$61,915,000	$0	$73,869,126	$0	$0	$0	$0	$0	$0	$0	$73,869,126	$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	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	false	0.03300	0.03300	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	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	$170,636	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 (23 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 TECHSOURCE TLRA UNIFORMED SERVICES FAMILY HEALTH PLAN US FAMILY HEALTH PLAN USFHP TEXAS HEALTH INFORMATION NETWORK COLLABORATIVE
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 FY2019 WAS $25,764. 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 PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2019, GRANT FUNDS WERE DISTRIBUTED FROM CHRISTUS HEALTH FOUNDATION OF $2,655,705.
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, LINE 2 OFFICERS ERNIE SADAU AND RANDY SAFADY, AND KEY EMPLOYEES 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 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.
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 2020 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.
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, 2019.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 CHANGE IN NONCONTROLLING INTEREST $ 59,023,856 SWAP FAIR VALUE $ 25,511,064 EQUITY IN CONSOLIDATED SUBSIDIARIES $ 16,876,012 INTERCOMPANY EQUITY ADJUSTMENT $ (312,839,141) BOND FUNDING $ (125,241,580) CHANGE IN PENSION LIABILITY $ (55,844,944) CURRENT YEAR EQUITY ADJUSTMENTS $ (10,723,362) OTHER $ (283,563) ---------------- LINE 9 TOTAL $ (403,521,658)
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIR & MAINTENANCE SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:62723384
FORM 990 PART IX LINE 11G	DESCRIPTION:SVC - PHARMACY, PHYSICIAN TOTAL FEES:48176844
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING & CONSULTING SERVICE TOTAL FEES:28225822
FORM 990 PART IX LINE 11G	DESCRIPTION:CAPITALTION EXPENSES TOTAL FEES:14732175
FORM 990 PART IX LINE 11G	DESCRIPTION:PURHCASED SERVICES TOTAL FEES:1437513
FORM 990 PART IX LINE 11G	DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1211093
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:649
FORM 990 PART IX LINE 11G	DESCRIPTION:LOBBYING EXPENSES TOTAL FEES:-1111091
FORM 990 PART IX LINE 11G	DESCRIPTION:INTRCMPNY OVERHEAD ALLOCATION TOTAL FEES:-5763751
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCO PROF & SYSTEM FEES TOTAL FEES:-67932189

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	Total IncomeTotalIncomeAmt	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	$0	CH
CHRISTUS LOUISIANA ACO LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474592015	ACO	LA	$0	$0	CH
CH ARK-LA-TEX QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474599144	ACO	TX	$0	$0	CH
CHRISTUS QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474607533	ACO	TX	$0	$0	CH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (55 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)	3	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)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTHSTE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	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	GSHS INC	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
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	473403356	SPT HLTH SVCS	TX	501(C)(4)		CH	Yes (true)
HOPKINS COUNTY HEALTH CAE FDN INC
115 AIRPORT ROAD	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	HEALTH CARE	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 KAUMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
ST ELIZ REHAB PRTNRS
2830 CALDER	BEAUMONT	TX	77702	205657181	HLTHCARE SVCS	TX	H VENTURES-SETX
SOUTH RYAN MRI LLC
650 M DEBAKEY	LK CHLS	LA	70601	743103662	IMAGING SVCS	LA	OCCUPATIONAL HS
NEW BRN SUG CTR LLC
333 N SN	SAN ANT	TX	78207	810571408	HLTHCARE SVCS	TX	CSRHCC
CSR OTPT SUR NB
333 SN ROSA	SAN ANT	TX	78207	810571409	HLTHCARE SVCS	TX	CSRHCC
CSR AMB SUR CTR
333 SN ROSA	San Ant	TX	78207	412092141	HLTHCARE SVCS	TX	CSRHCC
COL EDNSPY CTR
524 M DBKY	LK CHRLS	LA	70601	721274256	HLTHCARE SVCS	LA	SWLA
ALAMO HTS SUR GP
333 SN ROSA	SAN ANT	TX	78207	462683189	HLTHCARE SVCS	TX	CSRHCC
ALAMO HTS SUR HOS
333 SN ROSA	SN ANT	TX	78207	900974203	HLTHCARE SVCS	TX	CSRHCC
PROMPTU IMAGING
919 HIDDEN RDG	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	INACTIVE
IMPERIAL CAL SURG CTR
1757 IMP RD	LK CHRLS	LA	70605		ASC	LA	SWLA	RELATED
Tyler Radiation Equip Leas
10101 woodloch Forest Drive	Woodlands	TX	77380		Equipment leasing	TX	MFH Reg	UNRELATED
NORTH LA CARDIAC
919 HIDDEN RG	IRVING	TX	75038	813758914	HEALTHCARE SVCS	LA	NOLA
GS AMB SURG CTR
700 E MARSH	LONGVIEW	TX	75601	900259782	SURGERY CENTER	TX	GSHS ENTERPRISE
GSPS Gastro PLLC
701 MARSHALL	LONGVIEW	TX	75601	273871232	HEALTHCARE SVCS	TX	GSHS ENTERPRISE
Good Shep Surg Assc
701 Marshall	Longview	TX	75601	453620439	SURGERY CENTER	TX	GSHS ENTERPRISE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (39 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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Foreign PostalForeignAddress/ForeignPostalCd
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	755042911	752562459	HEALTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
AK INTEGRATED COMM HLTH NTWK
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	760480684	HEALTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
SCH MGMNT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MGT JOINT VENTR	LA	NOLA	C-Corp	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN ADMIN	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 SVCS	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 ASSOC	TX	CSRHCC	C-Corp	Yes (true)
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480	SAN ANTONIO	TX	78201	742782184	HEALTHCARE SVCS	TX	CSRHCC	C-Corp	Yes (true)
CHRISTUS Muguerza SAPI de CV
					HEALTHCARE SVCS		CH	C-Corp	Yes (true)	Hidalgo PTE 2525 64060	Col Obispado Monterrey	N.L.	MX	MX	$26,862,070	$118,286,816	0.86559
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C-Corp	Yes (true)	PO BOX 1051	GRAND CAYMAN		CJ	CJ	$40,343,007	$152,667,304	1.00000	KY1-1102
AMBULATORY STRATEGIES PHYSICIAN GROUP
919 HIDDEN RIDGE	IRVING	TX	75038	472897722	HEALTHCARE SVCS	TX	CCC	C-CORP	Yes (true)
CHRISTUS TEXARKANA UNIT OWNERS ASSOC
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSOC	TX	ALT	C-CORP	Yes (true)
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	463977886	HEALTHCARE SVCS	LA	CNLA	C-CORP	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSOC	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 SVCS	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)						$480,102	$463,358	1.00000
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	CTMFHS	C-CORP	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY ADMIN	TX	CTMFHS	C-CORP	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	CTMFHS	C-CORP	Yes (true)
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 COMPANY	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)
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)
THE LAMC BUILDING E
							NA		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 (118 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALAMO HEIGHTS SURGICAL GROUP
A(I)	$1,252,486	ACCRUAL
ALAMO HEIGHTS SURGICAL GROUP
L	$550,011	ACCRUAL
ALAMO HEIGHTS SURGICAL GROUP
M	$1,634,910	ACCRUAL
ALAMO HEIGHTS SURGICAL GROUP
Q	$2,120,837	ACCRUAL
ALAMO HEIGHTS SURGICAL GROUP
S	$1,285,751	ACCRUAL
ALIGNED PROVIDERS OF EAST TEXAS
Q	$97,496	ACCRUAL
AMBULATORY STRATEGY PHYSICIANS GROUP
Q	$572,805	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
A(I)	$103,180	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
L	$1,410,249	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
M	$1,786,987	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
O	$73,138	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
Q	$36,942,679	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
S	$162,814	ACCRUAL
CHRISTUS CONNECTED CARE NETWORK
M	$60,603	ACCRUAL
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
A(I)	$1,056,880	ACCRUAL
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
Q	$3,077,328	ACCRUAL
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
S	$1,096,848	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
A(I)	$5,081,602	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
L	$8,054,133	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
M	$25,758,388	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
Q	$34,469,810	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
S	$6,980,388	ACCRUAL
CHRISTUS HEALTH PLAN
M	$26,593,538	ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
M	$2,211,417	ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
Q	$3,230,549	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
A(I)	$7,341,453	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
L	$6,896,338	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
M	$20,208,121	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
Q	$32,691,792	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
S	$9,047,420	ACCRUAL
CHRISTUS HEALTH GULF COAST
Q	$160,424	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
A(I)	$6,330,326	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
A(IV)	$5,648	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
L	$10,300,913	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
M	$29,086,410	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$42,616,569	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
S	$9,123,076	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
A(I)	$7,682,946	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
L	$66,620,942	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
M	$15,644,655	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
Q	$26,531,777	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
S	$9,129,320	ACCRUAL
CHRISTUS HEALTH SOUTHWEST LOUISIANA
A(IV)	$2,183	ACCRUAL
CHRISTUS HEALTH SOUTHWEST LOUISIANA
K	$101,149	ACCRUAL
CHRISTUS HEALTH SOUTHWEST LOUISIANA
L	$5,707,526	ACCRUAL
CHRISTUS HEALTH SOUTHWEST LOUISIANA
M	$15,242,433	ACCRUAL
CHRISTUS HEALTH SOUTHWEST LOUISIANA
P	$602,576	ACCRUAL
CHRISTUS HEALTH SOUTHWEST LOUISIANA
Q	$24,713,753	ACCRUAL
CHRISTUS HEALTH SOUTHWEST LOUISIANA
S	$1,713,437	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
A(I)	$17,844,027	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
K	$268,908	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
L	$16,901,827	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
M	$48,537,818	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
P	$269,140	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Q	$67,104,330	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
S	$22,422,030	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
A(I)	$10,439,854	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
L	$16,815,901	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
M	$69,732,093	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
P	$24,000,000	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Q	$72,281,484	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
R	$2,396,708	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
S	$13,619,866	ACCRUAL
DEDICATED SYSTEM SUPPORT INC
A(I)	$119,349	ACCRUAL
DEDICATED SYSTEM SUPPORT INC
M	$224,144	ACCRUAL
DEDICATED SYSTEM SUPPORT INC
Q	$1,051,541	ACCRUAL
DEDICATED SYSTEM SUPPORT INC
S	$119,349	ACCRUAL
EMERALD ASSURANCE CAYMAN
P	$36,278,721	ACCRUAL
EVANGELINE CLINICAL SERVICES
M	$68,750	ACCRUAL
EVANGELINE CLINICAL SERVICES
Q	$786,629	ACCRUAL
GSHS INC
S	$196,452	ACCRUAL
GSHS ADMINISTRATIVE SERVICES ORG INC
L	$9,278,348	ACCRUAL
GSHS ADMINISTRATIVE SERVICES ORG INC
M	$10,671,274	ACCRUAL
GSHS ADMINISTRATIVE SERVICES ORG INC
Q	$4,198,542	ACCRUAL
MOTHER FRANCES HOSPITAL - JACKSONVILLE
Q	$1,836,589	ACCRUAL
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
A(I)	$1,474,385	ACCRUAL
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
Q	$30,394,886	ACCRUAL
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE
S	$1,478,807	ACCRUAL
MOTHER FRANCES HOSPITAL - WINNSBORO
Q	$923,732	ACCRUAL
THE GOOD SHEPHERD HOSPITAL INC
A(I)	$2,270,572	ACCRUAL
THE GOOD SHEPHERD HOSPITAL INC
Q	$16,040,820	ACCRUAL
THE GOOD SHEPHERD HOSPITAL INC
S	$2,270,572	ACCRUAL
CHRISTUS MUGUERZA SAPI DE CV
L	$6,779,717	ACCRUAL
CHRISTUS MUGUERZA SAPI DE CV
M	$6,779,717	ACCRUAL
SANTA ROSA FAMILY HEALTH CENTER
L	$101,740	ACCRUAL
SANTA ROSA FAMILY HEALTH CENTER
M	$193,426	ACCRUAL
SANTA ROSA FAMILY HEALTH CENTER
Q	$1,187,419	ACCRUAL
CHRISTUS SR NB OUTPATIENT SURGERY CENTER
Q	$532,796	ACCRUAL
SPOHN HEALTH NETWORK
L	$54,900	ACCRUAL
SPOHN HEALTH NETWORK
M	$54,900	ACCRUAL
SPOHN INVESTMENT CORPORATION
M	$182,955	ACCRUAL
CHRISTUS CHILE SPA
A(I)	$1,754,718	ACCRUAL
CHRISTUS CHILE SPA
S	$1,754,718	ACCRUAL
CHRISTUS SR PHYSICIAN AMBULATORY SURGERY CNTR
A(I)	$2,137	ACCRUAL
CHRISTUS SR PHYSICIAN AMBULATORY SURGERY CNTR
Q	$487,655	ACCRUAL
CHRISTUS ST PATRICK FOUNDATION
R	$89,276	ACCRUAL
CHRISTUS ST PATRICK FOUNDATION
S	$89,276	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
L	$16,116,496	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
M	$19,917,705	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
O	$59,769	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
P	$97,209	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
Q	$31,883,858	ACCRUAL
CHAMPION EMS
Q	$2,739,852	ACCRUAL
TRINCARE INC
Q	$288,895	ACCRUAL
TRINITY CLINIC
J	$148,969	ACCRUAL
TRINITY CLINIC
L	$10,422,512	ACCRUAL
TRINITY CLINIC
Q	$16,596,654	ACCRUAL
TRINITY CLINIC
S	$150,746	ACCRUAL
ST VINCENT HOSPITAL
L	$15,208,370	ACCRUAL
ST VINCENT HOSPITAL
Q	$9,533,752	ACCRUAL
CHRISTUS PEDIATRIC PHYSICIAN GROUP
A(I)	$49,623	ACCRUAL
CHRISTUS PEDIATRIC PHYSICIAN GROUP
L	$204,916	ACCRUAL
CHRISTUS PEDIATRIC PHYSICIAN GROUP
M	$258,816	ACCRUAL
CHRISTUS PEDIATRIC PHYSICIAN GROUP
Q	$965,250	ACCRUAL
CHRISTUS PEDIATRIC PHYSICIAN GROUP
S	$62,377	ACCRUAL
CHRISTUS SPOHN HEALTH DEVELOPMENT FOUNDATION
B	$83,000	ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
L	$1,964,467	ACCRUAL
CHRISTUS MUGUERZA SAPI DE CV
R	$2,000,000	ACCRUAL