2020-07-10T17:00:04-05:00 2019-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2018-07-01 760590551 Christus Health % KIM REYNOLDS CHRI 4692822000 919 Hidden Ridge Drive Irving TX 75038 RANDY SAFADY EXEC VP/CFO 4692822000 2020-06-29 true KATHLEEN MOSELEY P00116760 8173351900 104.59.202.31 75303520201925000016 2020-07-10 P B70CE9AE14373BAAA5B0ABFDDCB6B20514EDE789 4649FBF9538438D828890CF76278F3989A1FB147 2018 2021-01-29 14:40:06Z SEE SCHEDULE O ERNIE SADAU 919 HIDDEN RIDGE DRIVE IRVING TX 75038 2043841256 false 0928 X www.christushealth.org X 1999 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 18 8 3503 5 701392 573001 0 0 841199248 652479799 119676011 61929868 26642277 22117309 987517536 736526976 5364075 3829820 0 0 444097063 305824160 0 0 0 556903948 467947165 1006365086 777601145 -18847550 -41074169 2644038414 2854146211 1538747391 2211818635 1105291023 642327576 X 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 false false 336723471 0 517055548 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. 123721164 0 135424251 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. 1898755 0 0 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. 256221 3829820 0 462599611 true false false true false false false false false false true true true false true true false true false false true true false false false false false true false true true true false false false false false false false true false false false false false true true true true false false true X 2445 0 true 3503 true true true true CI CJ MX CO false false false false false false false false true false X 18 8 false false false false true true true true true false false true true true true true true true true true true X X KIM REYNOLDS 4692822000 919 HIDDEN RIDGE DRIVE IRVING TX 75038 GEORGE BO-LINN MD Director 1.0 0.0 X 6857 0 0 J LYNN BRITTON Director 1.0 0.0 X 10907 0 0 PATRICIO DONOSO IBANEZ Director 1.0 0.0 X 12057 0 0 MARICELA SIEWCZYNSKI MOORE BOARD VICE-CHAIR 1.0 0.0 X X 18600 0 0 ARTHUR SOUTHAM MD Director/CHAIR 1.0 0.0 X X 4660 0 0 CLARENCE R WILLIAMS Director 1.0 0.0 X 12407 0 0 BILL CHEN DIRECTOR 1.0 0.0 X 13407 0 0 J LINDSEY BRADLEY JR DIRECTOR (TERM 6/2019) 1.0 0.0 X 858693 0 0 STEVEN KEUER MD TMF CMO 1.0 39.0 X 959193 0 184416 SISTER LORETTA FELICI DIRECTOR 1.0 0.0 X 0 0 0 DAVID STRONG DIRECTOR 1.0 0.0 X 9732 0 0 FATHER STEPHEN WORSLEY DIRECTOR 1.0 0.0 X 0 0 0 SISTER YOLANDA TARANGO DIRECTOR 1.0 0.0 X 0 0 0 Ernie W Sadau PRESIDENT/CEO 40.0 0.0 X X 7184800 0 1159673 SISTER CHRISTINA MURPHY DIRECTOR 1.0 0.0 X 0 0 0 CHERYL ALSTON Director 1.0 0.0 X 11109 0 0 ALIDE CHASE BOARD DIRECTOR 1.0 0.0 X 13359 0 0 KEVIN J ROY DBA DIRECTOR (EFF 7/2018) 1.0 0.0 X 1850 0 0 SISTER HANNAH O'DONOGHUE CCVI DIRECTOR (TERM 12/2018) 1.0 0.0 X 0 0 0 KELLY KLIBERT Dir. of Governance 32.0 8.0 X 127403 0 21018 Randolph W Safady EVP/CFO 40.0 0.0 X 4641179 0 176925 KAREN OLIVER ASST. CORP SEC (EFF 7/2018) 40.0 0.0 X 71662 0 9690 George S Conklin SVP-CIO 39.0 1.0 X 1683750 0 59409 Dominic J Dominguez SVP-GROUP OPERATIONS SO TX 39.0 1.0 X 1108350 0 191803 Paul D Generale EVP/CHIEF STRATEGY OFFICER 39.0 1.0 X 3007416 0 502346 John A Gillean EVP/CHIEF MEDICAL OFFICER 39.0 1.0 X 2458644 0 73712 Gerard F Heeley SVP-MISSION AND ETHICS 39.0 1.0 X 1464780 0 254355 Christopher karam SVP-Group Operations LA 39.0 1.0 X 1252076 0 274560 Marty F Margetts EVP/CORP SERVICES 39.0 1.0 X 2825188 0 482873 Linda K McClung EVP/CAO 39.0 1.0 X 3824848 0 146885 Jeffrey M Puckett EVP/COO 39.0 1.0 X 3969895 0 709272 M Shannon Stansbury SVP-POPULATION HEALTH 40.0 0.0 X 781187 0 160661 Stephen F Wright PRES/CEO-LA MINS (TIL 10/2018) 39.0 1.0 X 1727752 0 138925 J Chris Glenney SVP GROUP OPERATIONS NETX 40.0 0.0 X 1666029 0 315046 JEANNIE FREY SVP CHF LGL OFFCR (EFF 7/2018) 40.0 0.0 X 538670 0 82621 SAM BAGCHI MD SVP, Chief Medical Officer 40.0 0.0 X 1039033 0 193744 DEBRA PASLEY SVP, CNO 40.0 0.0 X 681928 0 116372 ALEJANDRO CANAVATI CEO - CHILE OPDERATIONS 40.0 0.0 X 1084034 0 162952 Patrick B Carrier PRESIDENT - SANTA FE MINISTRY 40.0 0.0 X 1502606 0 56259 N TODD HANCOCK CEO GSHS 40.0 0.0 X 1171176 0 204302 SCOTT SMITH SVP TRINITY CLINIC 40.0 0.0 X 983696 0 155426 MARIA ESTELA CHAPA CCTO SPOHN 40.0 0.0 X 831629 0 62649 ALEX J VALDEZ CEO-Clinica San Carlos de Apoq 0.0 0.0 X 100517 0 3334 Joseph S Barcie SVP INTL Ops (tERM 10/2017) 0.0 0.0 X 484796 0 1282 Nancy C Legros til 102017 SVP-CHIEF Lgl CNSL 0.0 0.0 X 287436 0 1627 Peter J Plantes CEO CPG (term 11/2017) 0.0 0.0 X 596052 0 1095 49029363 0 5903232 582 true true false HHS ENVIRONMENTAL SERVICES LLC 12495 Silver Creek Road DRIPPING SPRINGS TX 78620 ENVIRONMENTAL SRVCS 39948784 GRIFFIN CAPITAL CORPORATION 18191 VON KARMAN AVE STE 300 IRVINE CA 92612 RENTAL SERVICES 6390578 DE LAGE LANDEN FINANCIAL 1111 OLD EAGLE SCHOOL RD WAYNE PA 19087 RENTAL SERVICES 5720884 DELL FINANCIAL SERVICES LLC 1 DELL WAY ROUND ROCK TX 78682 RENTAL SERVICES 4822231 OPTUM360 LLC 11000 OPTUM CIRCLE EDEN PRAIRIE MN 55344 MANAGEMENT SERVICES 4296330 167 0 0 0 SERVICE FEE INCOME 541900 287275802 286574410 701392 0 CAPITATION REVENUE 621400 137906107 137906107 0 0 SYSTEM OFFICE FEES AND MGMT SERVICES 561000 106087238 106087238 0 0 PREMIUM REVENUE 900099 97920463 97920463 0 0 TLRA FEES 900099 16771337 16771337 0 0 6518852 6518852 0 652479799 46143248 46143248 0 358195 358195 0 0 0 1321356646 1305570026 15786620 15786620 15786620 0 0 0 0 0 0 3178662 1744254 1434408 1434408 MANAGED CARE REVENUE 900099 5592409 0 0 5592409 COBRA INSURANCE - EMPLOYERS 900099 1189448 0 0 1189448 METHODIST REVENUE 900099 1141102 0 0 1141102 12401747 0 0 12401747 20324706 736526976 651778407 701392 84047177 X 3829820 3829820 0 0 0 0 0 0 47112406 14657070 32455336 0 1476139 459239 1016900 0 176658629 54960000 121698629 0 -4271798 -2188892 -2082906 0 70233470 65096173 5137297 0 14615314 4618845 9996469 0 0 0 0 0 2497089 21468 2475621 0 -1907829 0 -1907829 0 1111134 0 1111134 0 0 0 1494148 0 1494148 0 239963499 214653339 25310160 0 0 0 0 0 68845256 38575561 30269695 0 11523000 685220 10837780 0 0 0 0 0 10568620 9759031 809589 0 10326153 2141660 8184493 0 0 0 0 0 5665504 532677 5132827 0 37832212 356665 37475547 0 0 0 0 0 5449627 990979 4458648 0 52108036 52086069 21967 0 SWAP FINANCING COST 6731462 0 6731462 0 SALES TAX AND OTHER TAX 4119697 152830 3966867 0 RECRUITMENT/PLACEMENT FEE 3241114 42000 3199114 0 MEDICAL EXPENSE 41921 17756 24165 0 8336522 1152101 7184421 777601145 462599611 315001534 0 0 87473254 199876193 0 0 0 0 35089861 46547681 0 0 0 0 7208230 35029271 1293128 1441608 46207569 48595718 272366481 150621459 126403391 121745022 629455485 771260310 244264768 210466456 1336966076 559537021 19296630 19296630 110380022 840350301 2644038414 2854146211 225121777 256315554 0 0 291330 23491630 986421547 1592949542 0 0 0 0 0 0 0 0 326912737 339061909 1538747391 2211818635 X 1089844571 626329518 11840047 12391653 3606405 3606405 1105291023 642327576 2644038414 2854146211 X -41074169 0 0 0 -18367620 -403521658 X false true X true true true X 0 0 0 0 0 0 149803902 73618886 105965033 277953335 138308764 745649920 6219408 3469032 3247953 3199276 1449781 17585450 0 0 156023310 77087918 109212986 281152611 139758545 763235370 0 0 0 763235370 17161269 4301669 61875646 96385207 46501443 226225234 4783879 2974103 569668 595523 574014 9497187 21945148 7275772 62445314 96980730 47075457 235722421 0 4538968 22666640 6572390 17499291 9720698 60997987 182507426 107030330 178230690 395632632 196554700 1059955778 0.72006 0.74860 0.22239 0.19920 X false true false true 2123 false false true 120691 false true 988320 1111134 false LOBBYING DESCRIPTION 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 21107018 21107018 99308522 47900837 51407685 16735258 9665264 7069994 73433208 43141473 30291735 61782475 49913885 11868590 121745022 HEDGE FUNDS 210466456 F 210466456 INVESTMENT IN CONSOL SUBS 1366966076 C 1366966076 0 LT PENSION LIABILITY 182979585 LT OBLIGATION SELF FUNDED 93108522 BOND ISSUE COSTS 52461133 CAPITAL LEASE LIABILITY 3835245 TAXES PAYABLE 3451188 CCVI PAYABLE 3346359 CURRENT PORTION PENSION FUNDING 14905 COLLECTIONS PAYABLE -135028 339061909 X 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. true South America Program Services Program/Bus Travel 295408 North America Program Services Program/Bus Travel 121746 Europe (Including Iceland and Greenland) Program Services Program/Bus Travel 29322 Central America and the Caribbean Program Services Program/Bus Travel 3595 East Asia and the Pacific Program Services Program/Bus Travel 3713 Central America and the Caribbean Program Services INVESTMENTS-BOOK VALUE 152667304 Central America and the Caribbean Program Services INVESTMENTS-CAP CONTR 37063335 North America Program Services INVESTMENTS-BOOK VALUE 118286816 North America Program Services INVESTMENTS-CAP CONTR 2000000 310471239 310471239 true false true false false false ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US 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. true CORPUS CHRISTI HOPE HOUSE INC 658 Robinston Street Corpus Christi TX 78404 742480299 501(c)(3) 15000 PROGRAM SUPPORT YWCA CORPUS CHRISTI 4601 Corona Drive Corpus Christi TX 78411 741157366 501(C)(3) 71128 THERAPEUTIC RECREATION PROGRAM MARYS HOUSE OF LOUISIANA INC 906 Margaret Place Shreveport LA 71101 472593937 501(C)(3) 37500 PREGNANCY CARE CENTER PROGRAMS SLEW WELLNESS CENTER 12521 Nacogdoches Road Suite 101 San Antonio TX 78217 421580967 501(C)(3) 75000 LOW INCOME WOMEN WITH CANCER DALLAS AREA INTERFAITH SPONSORING COMMITTEE 1104 Lupo Drive Dallas TX 752015208 752409130 501(C)(3) 40000 CHRISTUS MEDICAL MISSION FUND CATHOLIC CHARITIES OF DALLAS INC 1421 W Mockingbird Lane DALLAS TX 75247 752745221 501(C)(3) 62500 PROVIDING MENTAL HEALTH SERVICES VISITATION HOUSE MINISTRIES 945 W HAUISACHE SAN ANTONIO TX 78201 742447137 501(C)(3) 17500 SUMMER SOJOURN SPONSOR UNIVERSITY OF THE INCARNATE WORD 4301 BROADWAY 309 SAN ANTONIO TX 78209 741109661 501(C)(3) 81229 EXPANDING WELLNESS SERVICES FOR WOMEN PROJECT MEND INC 5727 West IH 10 SAN ANTONIO TX 78201 742647324 501(C)(3) 30000 PROVIDING MEDICAL EQUIPMENT Anayat House Inc PO BOX 5934 Beaumont TX 77726 760441913 501(C)(3) 20000 PROVIDING MEDICAL HOSPITALITY Pregnancy Center for the Coastal Bend 4730 Everhart Rd Corpus Christi TX 78411 742541210 501(C)(3) 15000 PROVIDING PREGNANCY SUPPORT AND EDUCATION YWCA San Antonio 6756 Montgomery DR San Antonio TX 78239 741143135 501(C)(3) 20000 POSITIVE YOUTH DVLPMNT PROGRAM ENHANCEMENT Women's Global Connection of San Antonio 4503 Broadway St San Antonio TX 78209 421619919 501(C)(3) 20000 PROVIDING INSTALLATION OF WATER FILTRATION SYSTEMS Villa Therese Catholic Clinic 219 Cathedral Place Sant Fe NM 87501 850229019 501(C)(3) 112500 INCREASING HEALTH ACCESS Volunteers for Youth Justice 900 Jordan St Suite 102 Shreveport LA 71101 721057695 501(C)(3) 100000 TRUANCY ASSESSMENT SERVICE CENTER HOPE CONNECTIONS INC PO box 37148 Shreveport LA 71133 721476208 501(C)(3) 107000 DAY SHELTER Jewish Family Service of Dallas Inc 5402 Arapaho Rd Dallas TX 75248 751992728 501(C)(3) 25000 MENTAL HEALTH SVCS SUPPORT The Visiting Nurse Association of Texas 1600 Viceroy Dr Suite 400 DALLAS TX 75235 750800692 501(C)(3) 100000 MEALS ON WHEELS Guide Dogs of Texas Inc 1503 Allena Drive SAN ANTONIO TX 78213 742530268 501(C)(3) 62050 MOBILITY FOR TXNS BLINDNESS Mary McLeod Bethune Early Child Development Nurser 900 Kinney St Corpus Christi TX 78401 741238426 501(C)(3) 25000 CHILD CASE SRVCS FOR HOMELESS Nueces County Family Drug Treatment court Advisory 710 Buffalo Street suite 507 Corpus Christi TX 78401 814022909 501(C)(3) 59812 SUPPT SUBST ABUSE TRTMT PROGRAMMING Women Called Moses Coalition and Outreach Inc 7800 North Stemmons Freeway suite Dallas TX 75247 200442818 501(C)(3) 100000 SUPPORT TO DOMESTIC VIOLENCE VICTIMS Clarity Child Guidance Center 8535 Tom Slick Dr San Antonio TX 78229 741153067 501(C)(3) 100000 MENTAL HEALTH SRVCS FOR HEALTHCARE Mission of Mercy Inc 2421 Ayers Street Corpus Christi TX 78404 860704883 501(C)(3) 75000 TEXAS MEDICAL PROGRAM The Food Bank of Central Louisiana Inc 3223 Baldwin Ave Alexandria LA 71301 721154072 501(C)(3) 38886 THE GOOD FOOD PROJECT Youth 180 Inc 7777 Forest Lane Suite C-140 Dallas TX 75230 270016585 501(C)(3) 68300 TEEN & FAMILY COUNSELING PRGRM Shreveport-Bossier Rescue Mission 901 McNeil St Shreveport LA 71101 462460128 501(C)(3) 10000 OPERATION HEALTHY HOMELESS Big Brothers Big Sisters of SW Louisiana 4135 Common St Lake Charles LA 70607 721009565 501(C)(3) 20000 MENTORING St Peter-St Joseph Children's Home 919 Mission Rd San Antonio TX 78210 741143129 501(C)(3) 37500 TRAUMA RECOVERY PROGRAM New Mexico Suicide Intervention Project PO box 6004 Sant Fe NM 87502 850427990 501(C)(3) 60000 WELLNESS AND RESILIENCE Re-Entry Solutions Inc 1617 Branch St Alexandria LA 71302 501(C)(3) 75000 PROVIDING MEDICAID ENROLLMENT SRVCS Stable-Spirit 295 Flamingo St Rose City TX 77662 270084459 501(C)(3) 33200 EQUINE THERAPY SERVICES The Purple Door PO Box 3368 Corpus Christi TX 78463 741943398 501(C)(3) 20000 SHELTER AND SUPPORT SRVCS Central LA Cltn to Prevent Homelessness INC 1515 Jackson St Alexandria LA 71301 721247718 501(C)(3) 30000 HEALTHCARE SRVCS FOR HOMELESS Neighbor for Neighbor Inc 505 East 36th Street North Tulsa OK 74106 840630214 501(C)(3) 75000 Providing support to homeless Runnin W J Therapeutic Center Inc 4802 South Kings Highway Texarkana TX 75501 752897949 501(C)(3) 30000 THERAPEUTIC RIDING FOR SPCL NDS CHLDRN Sant Fe Community Services Inc 440 Cerrillos Rd 4 Sant Fe NM 87501 562491916 501(C)(3) 33750 Overdose Prevention Training Martin Luther King Health Center & Pharmacy 865 Olive St Shreveport LA 71104 721079721 501(C)(3) 37500 PROMOTING HEALTH BEHAVIORS Capland Speech Therapy Center 2660 Aero Drive Port Arthur TX 77640 746012298 501(C)(3) 25000 INC SPEECH THERAPY SRVCS TO UNINSURED CASA of Central Texas Inc 1619 E Common St Suite 301 New Braunfels TX 78130 742403373 501(C)(3) 25000 ADVOCACY FOR ABUSED & NEGLECTED CHILDREN Charlie's Place Recovery Center 11931 Wickchester Lane Suite 300 Houston TX 77043 741595867 501(C)(3) 75000 FUNDING FOR NURSE PRTNR SRVCS Coming Home Connection 418 Cerrillos Rd Suite 27 Sant Fe NM 87501 742853467 501(C)(3) 35000 Free and Affordable Home Care for Seniors Family and Youth Counseling Agency Inc 220 Louie Street Lake Charles LA 70601 720688561 501(C)(3) 75000 COUNSELING & SRVCS TO WOMEN & MOTHERS Family Counseling Services 3833 S Staples Suite S203 Corpus Christi TX 78411 741321308 501(C)(3) 18750 Therapy Services TO Uninsured Haven Homes PO Box 5345 Texarkana TX 75505 710429793 501(C)(3) 100000 Housing & support for homeless Successfully Preparing Our Teens International 6402 Dianne St Shreveport LA 71119 821402961 501(C)(3) 79500 Providing substance use education Coastal Bend Food Bank 826 Krill St Corpus Christi TX 78408 742234089 501(C)(3) 37500 DIABETES EDUCATION Las Cumbres Community Services 102 N Coronado Ave Espanola NM 87532 237144268 501(C)(3) 40350 TRAUMA-FOCUSED BEHAVIROAL HEALTH Coastal Bend Neighborhood Empowerment 4833 Saratoga Blvd suite 136 Corpus Christi TX 78413 825033516 501(C)(3) 65000 COMMUNITY DVLPMT PROGRAM Campti Community Development Center 208 Edenborn st Campti LA 71411 432008828 501(C)(3) 30000 EDU TO SUPP HLTHY FOOD CHCS New Braunfels Christian Ministries 1659 State Highway 46 West suite 115-405 New Braunfels TX 78132 262221231 501(C)(3) 50000 SERVICES FOR CLIENTS INELIGIBLE FOR MEDICAID Refuge International Inc PO box 3586 Longview TX 75606 453161988 501(C)(3) 7950 MEDICAL MISSION TO GUATEMALA Sisters of Charity of the Incarnate Word 4503 Broadway St San Antonio TX 78209 741676917 501(C)(3) 62500 IMPLEMENTATION NEW PHARMACY SYSTEM CHRISTUS ST MICHAEL FOUNDATION 2600 St Michael Dr Texarkana TX 75503 471655865 501(c)(3) 10000 DONATION COMMONWEAL FOUNDATION 475 Riverside Dr 405 NEW YORK NY 10115 133174407 501(c)(3) 25000 DONATION AQUINAS INSTITUTE OF THEOLOGY 23 S Spring Ave St Louis MO 63108 431233793 501(c)(3) 75000 DONATION CBRE 2100 McKinney Ave Ste 700 DALLAS TX 75201 510439609 501(c)(3) 10000 DONATION CENTURION MILITARY ALLIANCE 18226 Stockton Springs Dr Spring TX 77379 461956681 501(c)(3) 10000 DONATION CHRISTUS CABRINI FOUNDATION 3330 Masonic Dr Alexandria LA 71301 720998302 501(c)(3) 10000 GOLD SPONSOR ANNUAL BALL CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 Houston TX 77251 746074210 501(c)(3) 20000 DONATION CHRISTUS GOOD SHEPHERD FDN - LONGVIEW 700 East Marshall Ave Longview TX 75601 752056700 501(c)(3) 7500 DONATION CHRISTUS HEALTH FOUNDATION 2830 Calder Beaumont TX 77702 611500100 501(c)(3) 15000 DONATION CHRISTUS MOTHER FRANCES FOUNDATION 100 E Ferguson St STE 800 Tyler TX 75702 752028241 501(c)(3) 20000 DONATION CHRISTUS SPOHN FOUNDATION 613 Elizabeth ST 605 Corpus Christi TX 78404 741906005 501(c)(3) 83000 HEALTH PLAN DONATION FRIENDS OF CHRISTUS SANTA ROSA FOUNDATION 100 NE Loop 410 STE 706 SAN ANTONIO TX 78216 742723391 501(c)(3) 7500 DONATION HOPKINS COUNTY MEMORIAL HOSPITAL 115 Airport Rd Sulphur Springs TX 75482 756001812 501(c)(3) 20000 DONATION INTERFAITH COMMUNITY SHELTER GROUP INC PO box 22653 Sant Fe NM 87502 270736366 501(c)(3) 56250 SERVICES TO VICTIMS IRVING CARES INC 440 S Nursery Rd 101 Irving TX 75060 751436937 501(c)(3) 25000 FINANCIAL STABILITY LEADERSHIP CONFERENCE OF WOMEN 8808 Cameron St Silver Spring MD 20910 436033728 501(c)(3) 10000 DONATION QUIJOTES OF SAN ANTONIO (AMBASSADOR OF HEALTH) 13730 Wilderness PT San Antonio TX 78231 300786140 501(c)(3) 10000 DONATIONS RISE AGAINST HUNGER INC 3733 National Dr Ste 200 Raleigh NC 27612 161541024 501(c)(3) 6830 DONATIONS St Benedict's Prep 520 Dr Martin Luther King Jr Blvd Newark NJ 07102 221861903 501(c)(3) 15000 DONATION St Vincent Hospital Foundation 440 St Michaels Dr Santa Fe NM 87505 850282847 501(c)(3) 25000 DONATION Texas Hospital Association 1108 Lavaca st 700 Austin TX 78701 741362741 501(c)(3) 56565 THA COMPASS PROGRAM The Catholic Health Association 4455 Woodson Rd St Louis MO 63134 430653271 501(c)(3) 56500 SPONSORSHIPS The University Of Dallas 1845 E Northgate Dr Irving TX 75062 750926755 501(c)(3) 10000 DONATION Wheelchairs For Warriors PO BOX 2911 League City TX 77575 814602791 501(c)(3) 7313 CUSTOM BUILT WHEELCHAIR 77 0 Description of Organization's Procedures for Monitoring the Use of Grants 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. X X X true true X X X X true true false false false false false false false J LINDSEY BRADLEY JR DIRECTOR (TERM 6/2019) 0 0 0 0 858693 0 0 0 0 0 858693 0 0 0 STEVEN KEUER MD TMF CMO 598914 0 334779 0 25500 0 172760 0 11656 0 1143609 0 0 0 ALEX J VALDEZ CEO-Clinica San Carlos de Apoq 0 0 0 0 100517 0 3334 0 0 0 103851 0 0 0 ALEJANDRO CANAVATI CEO - CHILE OPDERATIONS 519295 0 418000 0 146739 0 145712 0 17240 0 1246986 0 0 0 Joseph S Barcie SVP INTL Ops (tERM 10/2017) 0 0 0 0 484796 0 1282 0 0 0 486078 0 0 0 Patrick B Carrier PRESIDENT - SANTA FE MINISTRY 507454 0 361063 0 634089 0 43149 0 13110 0 1558865 0 0 0 George S Conklin SVP-CIO 788891 0 603952 0 290907 0 41847 0 17562 0 1743159 0 0 0 Dominic J Dominguez SVP-GROUP OPERATIONS SO TX 655631 0 431626 0 21093 0 179134 0 12669 0 1300153 0 0 0 Paul D Generale EVP/CHIEF STRATEGY OFFICER 1864660 0 1090468 0 52288 0 484517 0 17829 0 3509762 0 0 0 John A Gillean EVP/CHIEF MEDICAL OFFICER 1037092 0 1000595 0 420957 0 43096 0 30616 0 2532356 0 0 0 Gerard F Heeley SVP-MISSION AND ETHICS 683161 0 522466 0 259153 0 245172 0 9183 0 1719135 0 0 0 Christopher karam SVP-Group Operations LA 724486 0 435363 0 92227 0 254291 0 20269 0 1526636 0 0 0 Nancy C Legros til 102017 SVP-CHIEF Lgl CNSL 0 0 0 0 287436 0 1627 0 0 0 289063 0 0 0 Marty F Margetts EVP/CORP SERVICES 1517379 0 1004190 0 303619 0 446320 0 36553 0 3308061 0 0 0 Linda K McClung EVP/CAO 2103377 0 976628 0 744843 0 132227 0 14658 0 3971733 0 81699 0 Peter J Plantes CEO CPG (term 11/2017) 0 0 0 0 596052 0 1095 0 0 0 597147 0 0 0 Jeffrey M Puckett EVP/COO 2482445 0 1378064 0 109386 0 690019 0 19253 0 4679167 0 0 0 Ernie W Sadau PRESIDENT/CEO 4351450 0 2666867 0 166483 0 1140874 0 18799 0 8344473 0 0 0 Randolph W Safady EVP/CFO 3032412 0 1282199 0 326568 0 147590 0 29335 0 4818104 0 109445 0 M Shannon Stansbury SVP-POPULATION HEALTH 421397 0 251394 0 108396 0 137149 0 23512 0 941848 0 0 0 Stephen F Wright PRES/CEO-LA MINS (TIL 10/2018) 1175006 0 217562 0 335184 0 121744 0 17181 0 1866677 0 73765 0 J Chris Glenney SVP GROUP OPERATIONS NETX 639604 0 1013387 0 13038 0 294769 0 20277 0 1981075 0 0 0 JEANNIE FREY SVP CHF LGL OFFCR (EFF 7/2018) 436753 0 0 0 101917 0 76464 0 6157 0 621291 0 0 0 SAM BAGCHI MD SVP, Chief Medical Officer 641172 0 377091 0 20770 0 172970 0 20774 0 1232777 0 0 0 DEBRA PASLEY SVP, CNO 379726 0 217875 0 84327 0 105418 0 10954 0 798300 0 0 0 N TODD HANCOCK CEO GSHS 433569 0 712364 0 25243 0 180254 0 24048 0 1375478 0 0 0 SCOTT SMITH SVP TRINITY CLINIC 596969 0 361727 0 25000 0 129079 0 26347 0 1139122 0 0 0 MARIA ESTELA CHAPA CCTO SPOHN 599647 0 156987 0 74995 0 49935 0 12714 0 894278 0 29857 0 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. A HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RFV1 2005-11-08 320620000 SEE SCH K, PART VI true false false B HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RHY3 2010-12-09 96654505 SEE SCH K, PART VI true false false C COASTAL BEND HEALTH FACILITIES DEV CORP 742352502 19042FAB2 2005-11-08 61300000 SEE SCH K, PART VI false false false D LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399HA7 2018-10-30 70942111 SEE SCH K, PART VI false false false A 218520000 7650000 320968617 0 0 0 1687416 4733000 0 3624407 310923795 0 2009 false true true true B 54070000 16105000 96654505 0 0 0 0 0 4505 0 96650000 0 true false true true C 18050000 0 62857619 0 0 0 337093 914000 393273 18182274 43030979 0 2009 true false true true D 0 0 71484383 0 0 0 0 0 0 0 30942111 40542272 true false false true A false false true true false 0.00100 0.00100 false false false true B false false true true false 0 false false false true C false false true true false 0.00100 0.00100 false false false true D false false true true false 0.00100 0.00100 false false false true A false false false true true false 0 false 0 false true B false false false true false false 0 false 0 true true C false false false true true false 0 false 0 true true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I 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. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398C71 2009-08-12 231654638 SEE SCH K, PART VI true false false B TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TGN7 2018-10-30 481651366 SEE SCH K, PART VI false false false C TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TDF7 2008-12-19 268560000 SEE SCH K, PART VI false false false D LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399GC4 2019-04-02 53021204 SEE SCH K, PART VI false false false A 88510000 78690000 232748687 16694549 0 0 0 0 4138 0 212381708 3668292 true false false true B 0 0 483893565 0 0 0 0 0 0 296900259 121651366 65341939 true false false true C 109350000 0 268560854 0 0 0 1638195 235297 0 0 266687362 0 true false true true D 0 0 53021204 0 0 53020767 0 0 0 0 0 437 true false false true A false true true true false 0.00100 0.00100 false false false true B false false true true false 0.00100 0.00100 false false false true C false true true true false 0.00020 0.00020 false false false true D false true true true false 0.00300 0.00300 false false false true A false false false true true false 0 false 0 true true B false true false false false false 0 false 0 true true C false false false true true true CITIBANK NA 39.7 false false false 0 true true D false true false false false false 0 false 0 false true A true B true C true D true A TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 000000000 2016-10-03 174304000 SEE SCH K, PART VI false false false B TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TEA7 2009-12-03 73865293 SEE SCH K, PART VI false false false A 15074000 0 174304000 0 0 0 0 0 0 174165274 138726 0 2016 false false true true B 61915000 0 73869126 0 0 0 0 0 0 0 73869126 0 true false true true A false true false false 0.03300 0.03300 false false false true B false true true true false 0 false false false true A false true false false true false 0 false 0 false true B false false false true false false 0 false 0 false true A true B true Roy Alston HUSBAND OF CHERYL ALSTON 170636 SEE PART V false SCHEDULE L, PART IV, COLUMN D BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS Roy Alston is an employee of Christus Health. His wife, Cheryl Alston is a director of Christus Health. 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 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 CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(C)(3) 3 CH true Christus Spohn Health System Corporation 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 Calder Street BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(C)(3) 3 CH 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 true CHRISTUS Continuing Care 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(C)(3) 3 CH 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 true DUBUIS HEALTH SYSTEM INC 1700 WEST LOOP SOUTHSTE 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING TX 75038 611500100 SUPP HTH SVCS TX 501(C)(3) 12-TYPE 1 CH true ST FRANCES CABRINI HPL FDN OF ALEXANDRIA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720998302 SUPP HTH SVCS LA 501(C)(3) 7 CNLA true CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON TX 77251 746074210 SUPP HTH SVCS TX 501(C)(3) 7 CH true CHRISTUS FOUNDATION SHREVEPORT-BOSSIER ONE ST MARY PLACE SHREVEPORT LA 71101 721219280 SUPP HTH SVCS LA 501(C)(3) 7 NOLA 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 true CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT TX 77702 760136274 SUPP HTH SVCS TX 501(C)(3) 12-TYPE 1 SETX 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 true SANTA ROSA FAMILY HEALTH CENTER 333 N SANTA ROSA STREET SAN ANTONIO 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