CHRISTUS SPOHN HEALTH SYSTEM CORPORATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS SPOHN HEALTH SYSTEM CORPORATION (EIN 74-1109836)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-26
IRS object ID: 202031789349301563
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-26T15:28:42-05:00	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	111 MONUMENT CIR STE 4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	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	741109836	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% BECKY RIOS	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3618813000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 Elizabeth Street	AddressLine1Txt
City	Corpus Christi	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78404	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BECKY RIOS	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Phone	3618813000	PhoneNum
Signature	2020-06-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	janice k martin	PreparerPersonNm
PTIN	P00900299	PTIN
Phone	3176817000	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	35057220201785000005	FederalOriginalSubmissionId
Federal Original Submission Id	2020-06-26	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	CCA9B02C92422D8D903F8C535EA08F049314C3B6	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4649FBF9538438D828890CF76278F3989A1FB147	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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	Osbert Blow MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5802 Saratoga Blvd Ste 300	AddressLine1Txt
City	CORPUS CHRISTI	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78414	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$828,520,138	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christusspohn.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	4050	TotalEmployeeCnt
Total Volunteers	492	TotalVolunteersCnt
Total Gross UBI	$8,919	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,405	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,406,390	PYContributionsGrantsAmt
CY Contributions Grants	$2,557,819	CYContributionsGrantsAmt
PY Program Service Revenue	$805,365,086	PYProgramServiceRevenueAmt
CY Program Service Revenue	$822,805,568	CYProgramServiceRevenueAmt
PY Investment Income	$62,243	PYInvestmentIncomeAmt
CY Investment Income	$125,507	CYInvestmentIncomeAmt
PY Other Revenue	$7,011,031	PYOtherRevenueAmt
CY Other Revenue	$2,976,386	CYOtherRevenueAmt
PY Total Revenue	$826,844,750	PYTotalRevenueAmt
CY Total Revenue	$828,465,280	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,960,546	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,993,354	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$250,054,594	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$248,485,668	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$550,927,203	PYOtherExpensesAmt
CY Other Expenses	$567,146,205	CYOtherExpensesAmt
PY Total Expenses	$803,942,343	PYTotalExpensesAmt
CY Total Expenses	$819,625,227	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,902,407	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,840,053	CYRevenuesLessExpensesAmt
Total Assets BOY	$947,434,923	TotalAssetsBOYAmt
Total Assets EOY	$907,784,600	TotalAssetsEOYAmt
Total Liabilities BOY	$244,678,898	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$198,629,451	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$702,756,025	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$709,155,149	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	$260,435,080	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$302,767,424	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS SPOHN HEALTH SYSTEM IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 154-YEAR-OLD, CATHOLIC HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS SPOHN REACHES OUT TO THE MORE THAN 15 COASTAL BEND COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH, A CATHOLIC HEALTH MINISTRY IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN CREATING 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 SPOHN HEALTH SYSTEM CORPORATION RESPONDS TO THE COMMUNITIES' HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI WITH THREE CAMPUSES - THE 557-BED SHORELINE CAMPUS, THE 341 BED MEMORIAL CAMPUS, AND THE 153-BED SOUTH CAMPUS. ADDITIONALLY, WE SERVE OUR COMMUNITIES THROUGH CHRISTUS SPOHN HOSPITAL KLEBERG WITH 96 BEDS IN KINGSVILLE, CHRISTUS SPOHN HOSPITAL ALICE WITH 135 BEDS IN ALICE, AND CHRISTUS SPOHN HOSPITAL BEEVILLE IN BEEVILLE WITH 69 BEDS. EACH OF THE FACILITIES OF CHRISTUS SPOHN HEALTH SYSTEM CORPORATION SHARES ONE OBJECTIVE - TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION IS LOCATED ALONG THE LOWER TEXAS COASTAL AREA (OFTEN CALLED THE COASTAL BEND), AND ITS SERVICE AREA INCLUDES A 15-COUNTY AREA WITH A POPULATION OF MORE THAN 598,000 INDIVIDUALS. IN OUR 2019 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 169,820 VISITS TO OUR EMERGENCY DEPARTMENTS, 8,074 INPATIENT SURGERY PROCEDURES, 8,488 OUTPATIENT SURGERY PROCEDURES, 34,182 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 485,528 PATIENTS WHO RECEIVED OUTPATIENT CARE IN OUR AMBULATORY FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS SPOHN HEALTH SYSTEM CORPORATION STAND APART. ALLOWING OTHERS TO TOUCH US GIVES US 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 TO HER FIRST CHILD, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION'S HEALTH CARE SERVICES WORK TO PROVIDE THE HIGHEST QUALITY CARE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION HAS STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING TO CHRISTUS SPOHN HEALTH SYSTEM CORPORATION BY HELPING US LEARN HOW TO BETTER RESPOND TO THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT 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 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 IMPROVE ACCESS TO HEALTH CARE TO AS MUCH OF OUR POPULATION AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE AND VARIETY OF OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE FREE OR DISCOUNTED SERVICES TO THOSE IN NEED WHO DO NOT HAVE THIRD PARTY COVERAGE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. CHRISTUS SPOHN CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. EACH OF THE SIX CAMPUSES OF CHRISTUS SPOHN HEALTH SYSTEM PROVIDES A 24-HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, OFFERING CONVENIENT LOCATIONS FOR PRIMARY CARE THROUGH THE CHRISTUS SPOHN FAMILY HEALTH CENTERS, RURAL HEALTH CLINICS, AND A MOBILE OUTREACH CLINIC. IN ADDITION, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION COLLABORATES WITH THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN OUR REGION, AS WELL AS, OTHER NOT-FOR-PROFIT HEALTH CLINICS IN THE AREA THAT ARE COMMITTED TO CREATING GREATER ACCESS TO PRIMARY CARE. AS ONE EXAMPLE, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDED FREE LAB TESTS AND FLU VACCINES FOR PATIENTS SEEN BY MISSION OF MERCY, A NOT-FOR-PROFIT FREE HEALTH CLINIC THAT UTILIZES THE SERVICES OF VOLUNTEER PHYSICIANS AND NURSES AND USES DONATED SPACE IN CHURCHES, COMMUNITY CENTERS AND OTHER LOCATIONS THROUGHOUT THE REGION. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES THE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$290,729,389	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$268,480,612	RevenueAmt
Desc	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" (2015), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. THIS FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS DEFINED AS SERVICES PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO CHARGE, IF ANY, IS ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 300 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 300 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO DISCOUNTS CARE FOR THOSE WHOSE MEDICAL EXPENSES WOULD DEPLETE THEIR FINANCIAL RESOURCES. IF A BILL, AFTER ALL PAYMENTS, IS STILL IN EXCESS OF 25% OF THE FAMILY'S ANNUAL GROSS INCOME, THE REMAINING BILL IS DISCOUNTED. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS, NEW MEXICO, ARKANSAS AND LOUISIANA'S MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$95,148,524	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$251,517,783	RevenueAmt
Desc	OTHER GOVERNMENT SPONSORED 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 AND TRICARE. THE NON-REIMBURSED COST OF THESE SERVICES IS REPORTED TO THE STATE OF TEXAS, BUT IS NOT INCLUDED IN FEDERAL REPORTS SINCE CHRISTUS HEALTH FOLLOWS 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 CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED PER THE MEDICARE FEE SCHEDULE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$5,255,478	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$3,993,354	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$651,568,471	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	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	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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
IRP Document	417	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4050	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	false	ForeignFinancialAccountInd
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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BECKY RIOS	PersonNm
Phone	3619855561	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5802 SARATOGA BLVD STE 300	AddressLine1Txt
City	CORPUS CHRISTI	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78414	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Anthony Lamantia
Director/Chair	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Al Jones
Director	1.0	0.0	Yes (X)		$0	$0	$0
DAVID ENGEL
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Dr Kelly Quintanilla
Director (EFF 1/2019)	1.0	0.0	Yes (X)		$0	$0	$0
Gabe Guerra
Director (EFF 1/2019)	1.0	0.0	Yes (X)		$0	$0	$0
Govind Nadkarni
Director	1.0	0.0	Yes (X)		$0	$0	$0
HUGO TOLENTINO MD
MED. STAFF PRES. (TERM 12/18)	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JESUS GARZA
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Karen Urban
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KIRBY TOWNSEND
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Linda B Walker
Director	1.0	0.0	Yes (X)		$0	$0	$0
Patricia Canales Bell
Director	1.0	0.0	Yes (X)		$0	$0	$0
Rachel Canales
Director	1.0	0.0	Yes (X)		$0	$0	$0
Robert Bosquez II
Director	1.0	0.0	Yes (X)		$0	$0	$0
Sister Mary Ann McKeogh
Director (EFF 1/2019)	1.0	0.0	Yes (X)		$0	$0	$0
Sister Rosanne Popp MD
Director (TERM 12/2018)	1.0	0.0	Yes (X)		$0	$0	$0
Sister Teresa Stanley
Director	1.0	0.0	Yes (X)		$0	$0	$0
SRIKANTH DAMARAJU MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
W Aaron Tucker DO
DIRECTOR (EFF 1/2019)	1.0	0.0	Yes (X)		$0	$699,247	$25,886
Laura Martinez
DIR./CORPORATE SECRETARY	40.0	0.0	Yes (X)	Yes (X)	$62,847	$0	$13,089
JUSTIN DOSS
DIRECTOR/PRESIDENT	40.0	0.0	Yes (X)	Yes (X)	$0	$795,436	$130,411
STEVEN KING
Dir./Treasurer/CFO	40.0	0.0	Yes (X)	Yes (X)	$0	$534,210	$106,861
Danny Hardman
Chief Operating Officer	40.0	0.0			$0	$328,414	$6,819	Yes (X)
David LeMonte
President Spohn Kleberg	40.0	0.0			$0	$531,430	$67,609	Yes (X)
DOMINIC DOMINGUEZ
SVP GROUP OPS	40.0	0.0			$0	$1,108,350	$191,803	Yes (X)
Genifer Rucker
President	40.0	0.0			$0	$231,791	$24,969	Yes (X)
Karen Bonner
VP for Philanthropy	40.0	0.0			$0	$250,915	$34,134	Yes (X)
LISA COX
CNO SPOHN HOSPITAL - SOUTH	40.0	0.0			$0	$235,743	$18,199	Yes (X)
Margot Rios
CNO Spohn Alice	40.0	0.0			$0	$263,208	$54,997	Yes (X)
Maria Estela Chapa
Chief Clinical Trans Officer	40.0	0.0			$0	$831,629	$62,649	Yes (X)
Mark W Casanova
President Spohn South Hospital	40.0	0.0			$0	$370,141	$69,830	Yes (X)
Osbert Blow
CMO	40.0	0.0			$0	$689,063	$92,615	Yes (X)
Rebecca B Rios
VP Finance	40.0	0.0			$0	$294,887	$65,680	Yes (X)
Richard Morin
VP Ops Memorial-Shoreline	40.0	0.0			$0	$269,653	$60,251	Yes (X)
Stephen Kazanjian
VP Mission Integration	40.0	0.0			$0	$227,751	$52,181	Yes (X)
Thomas Mckinney
President	40.0	0.0			$0	$354,536	$71,467	Yes (X)
Wray Borland
VP Operations	40.0	0.0			$0	$200,809	$17,132	Yes (X)
DEBORAH D ALLEN
DIR. PHARMACY	40.0	0.0			$223,188	$0	$29,075		Yes (X)
DANIEL VALENCIA
PHARMACIST	40.0	0.0			$192,590	$0	$33,643		Yes (X)
TERESA R CARDENAS
DIR. BUSINESS DEVELOPMENT	40.0	0.0			$190,114	$0	$19,497		Yes (X)
SHANNA M WILLIAMS
ADMIN DIR. NURSING	40.0	0.0			$178,404	$0	$19,802		Yes (X)
DAVID P BELL
MGR. PHARMACY	40.0	0.0			$175,765	$0	$29,457		Yes (X)
SHAH ISLAM MD
FORMER DIRECTOR (TERM 12/2017)	0.0	0.0			$12,626	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,035,534	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,217,213	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,298,056	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	232	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
CARE INTEGRATED BEHAVIORAL
PO BOX 272000	CORPUS CHRISTI	TX	78427	MEDICAL SERVICES	$5,905,572
COASTAL BEND BLOOD CENTER
209 N PADRE ISLAND DR	CORPUS CHRISTI	TX	78406	MEDICAL SERVICES	$4,475,293
GJERSET AND LORENZ LLP
2801 VIA FORTUNA 500	AUSTIN	TX	78746	LEGAL SERVICES	$2,863,620
IKON SPINE LLC
9235 KATY FREEWAY 400	HOUSTON	TX	77024	MEDICAL SERVICES	$2,325,150
HEALTH CAROUSEL LLC
3805 EDWARDS RD 700	CINCINNATI	OH	45209	MEDICAL SERVICES	$1,795,126

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	87	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$59,903	RelatedOrganizationsAmt
Government Grants	$1,401,940	GovernmentGrantsAmt
All Other Contributions	$1,095,976	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,557,819	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621990	$792,524,321	$792,515,402	$8,919	$0
CORPORATE SYSTEM OFFICE REVENUE	446110	$24,000,000	$24,000,000	$0	$0
RENT-EXEMPT FUNCTION	531120	$4,658,645	$4,658,645	$0	$0
EQUITY IN-UNCONSOL SUBS	900099	$1,390,917	$1,390,917	$0	$0
ALL OTHER PROGRAM SERVICE REVENUE	900099	$231,685	$231,685	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$822,805,568	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$160,660	TotalRevenueColumnAmt
Exclusion	$160,660	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	$0	TotalRevenueColumnAmt

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	$352	SecuritiesAmt
Other	$19,353	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$54,858	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$352	SecuritiesAmt
Other	-$35,505	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$35,153	TotalRevenueColumnAmt
Exclusion	-$35,153	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	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PROPERTY INSURANCE CLAIMS	900099	$1,555,602	$0	$0	$1,555,602
VENDING & GIFT SHOP	900099	$245,701	$0	$0	$245,701
FOOD SERVICE REVENUE	722320	$39,867	$0	$0	$39,867

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,135,216	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,135,216	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,976,386	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$828,465,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$822,796,649	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,919	UnrelatedBusinessRevenueAmt
Exclusion	$3,101,893	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	$1,889,273	TotalAmt
Program Services	$1,889,273	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,104,081	TotalAmt
Program Services	$2,104,081	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	$88,562	TotalAmt
Program Services	$79,914	ProgramServicesAmt
Management And General	$8,648	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$199,636,203	TotalAmt
Program Services	$180,140,839	ProgramServicesAmt
Management And General	$19,495,364	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,954,201	TotalAmt
Program Services	$1,944,029	ProgramServicesAmt
Management And General	$10,172	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,922,504	TotalAmt
Program Services	$27,626,411	ProgramServicesAmt
Management And General	$5,339,691	ManagementAndGeneralAmt
Fundraising	-$43,598	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,884,198	TotalAmt
Program Services	$12,762,076	ProgramServicesAmt
Management And General	$1,084,437	ManagementAndGeneralAmt
Fundraising	$37,685	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$180,430	TotalAmt
Program Services	$20,000	ProgramServicesAmt
Management And General	$160,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,952,085	TotalAmt
Program Services	$4,703	ProgramServicesAmt
Management And General	$2,947,382	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,928,391	TotalAmt
Program Services	$1,928,391	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$28,809	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$28,809	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	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$174,374,653	TotalAmt
Program Services	$43,127,827	ProgramServicesAmt
Management And General	$131,246,826	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$330,384	TotalAmt
Program Services	-$53,925	ProgramServicesAmt
Management And General	$384,309	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$54,574,515	TotalAmt
Program Services	$52,521,948	ProgramServicesAmt
Management And General	$2,051,899	ManagementAndGeneralAmt
Fundraising	$668	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,861,661	TotalAmt
Program Services	$26,861,661	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,578,445	TotalAmt
Program Services	$9,505,220	ProgramServicesAmt
Management And General	$1,073,225	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,148,325	TotalAmt
Program Services	$493,250	ProgramServicesAmt
Management And General	$650,782	ManagementAndGeneralAmt
Fundraising	$4,293	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	$337,334	TotalAmt
Program Services	$263,694	ProgramServicesAmt
Management And General	$73,640	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,465,191	TotalAmt
Program Services	$8,431,623	ProgramServicesAmt
Management And General	$33,568	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	$24,236,980	TotalAmt
Program Services	$23,250,483	ProgramServicesAmt
Management And General	$986,497	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,170,041	TotalAmt
Program Services	$9,167,583	ProgramServicesAmt
Management And General	$2,458	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$136,513,191	$135,592,578	$920,461	$152
PROV. UNCOLLECTIBLE ACCT	$112,710,464	$112,710,464	$0	$0
DUES & MEMBERSHIP	$39,560	$59,297	-$19,737	$0
RECRUITMENT/PLACEMENT FEE	$842,203	$794,085	$48,118	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,873,543	TotalAmt
Program Services	$342,966	ProgramServicesAmt
Management And General	$1,529,777	ManagementAndGeneralAmt
Fundraising	$800	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$819,625,227	TotalAmt
Program Services	$651,568,471	ProgramServicesAmt
Management And General	$168,056,756	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	$325,235,814	BOYAmt
EOY	$187,682,687	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	$102,496,166	BOYAmt
EOY	$122,471,377	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	$138,633	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$20,200,427	BOYAmt
EOY	$19,122,068	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$692,395	BOYAmt
EOY	$787,098	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,013,508,406	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$488,337,659	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$441,109,557	BOYAmt
EOY	$525,170,747	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$21,942,828	BOYAmt
EOY	$21,058,758	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$936,823	BOYAmt
EOY	$699,484	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,682,280	BOYAmt
EOY	$30,792,381	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$947,434,923	BOYAmt
EOY	$907,784,600	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,169,135	BOYAmt
EOY	$39,792,160	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	$392,950	BOYAmt
EOY	$458,307	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$3,717,386	BOYAmt
EOY	$3,830,664	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	$171,399,427	BOYAmt
EOY	$154,548,320	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$244,678,898	BOYAmt
EOY	$198,629,451	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$702,717,376	BOYAmt
EOY	$709,115,878	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,649	BOYAmt
EOY	$39,271	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$702,756,025	BOYAmt
EOY	$709,155,149	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$947,434,923	BOYAmt
EOY	$907,784,600	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,840,053	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$2,596,294	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$155,365	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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$28,809	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$28,809	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

TRANSFORMATION OF CARE

FORM 990, SCHEDULE C, PART I-A, PART I-B, LINE 4, PART I-C, LINE 5, PART II-A AND PART II-B, LINE 1 CHRISTUS SPOHN LEADERSHIP MET WITH LOCAL COUNTY OFFICIALS ON ISSUES RELATING TO THE DELIVERY OF HEALTHCARE AND THE INDIGENT CARE PROGRAM IN NUECES COUNTY.

LOBBYING DESCRIPTION

FORM 990, SCHEDULE C, PART II-B, LINES 1D AND 1G At the state level, had direct contact with members of the Texas Legislature and their respective staff through emails, letters, telephone calls, and meetings on issues related to Medicaid reimbursement, access to health care and state funding for safety net providers, graduate medical education, trauma network and services, local provider participation funds, opioid abuse, the Public Information Act, maternal health, childrens health issues, behavioural health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, surprise billing, and the 1115 waiver program. At the federal level, had direct contact with members and staff through emails, letters, telephone calls and meetings to discuss issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340b drug program, childrens health issues, the ACE Kids Act, CHGME, Medicaid, rural health program reauthorization, and health care for veterans. TOTAL - 109 EXECUTIVE HOURS CHRISTUS SPOHN HEALTH SYSTEM CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDED JUNE 30, 2019.

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	$26,335,868	OtherCostOrOtherBasisAmt
Book Value	$26,335,868	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$738,041,159	OtherCostOrOtherBasisAmt
Depreciation	$312,772,325	DepreciationAmt
Book Value	$425,268,834	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,203,388	OtherCostOrOtherBasisAmt
Depreciation	$14,247,025	DepreciationAmt
Book Value	$2,956,363	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$220,855,512	OtherCostOrOtherBasisAmt
Depreciation	$158,933,077	DepreciationAmt
Book Value	$61,922,435	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,072,479	OtherCostOrOtherBasisAmt
Depreciation	$2,385,232	DepreciationAmt
Book Value	$8,687,247	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$525,170,747	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO CHRISTUS HEALTH BOND FUND	$121,494,482
CAPITAL LEASE	$30,748,414
SALES TAX PAYABLE	$950
OTHER LONG TERM LIABILITIES	$2,361,290
DUE TO RELATED ORG	-$56,816

Field	Value	IRS element (for citing)
Total Liability	$154,548,320	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

CASH - NON-BEARING INTEREST

FORM 990, PART X, LINE 1 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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$134,185,813	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,185,813	NetCommunityBenefitExpnsAmt
Total Expense	0.18980	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,148,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,934,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,310,850	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,085,649	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$236,645,187	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$119,019,775	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$134,185,813	NetCommunityBenefitExpnsAmt
Total Expense	0.18980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	58178	PersonsServedCnt
Total Community Benefit Expns	$4,201,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,201,329	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	12664	PersonsServedCnt
Total Community Benefit Expns	$370,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$302,018	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	2155	PersonsServedCnt
Total Community Benefit Expns	$635,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$635,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	72997	PersonsServedCnt
Total Community Benefit Expns	$5,207,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,139,318	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	72997	PersonsServedCnt
Total Community Benefit Expns	$241,852,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$119,088,228	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$139,325,131	NetCommunityBenefitExpnsAmt
Total Expense	0.19700	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$100,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	262	PersonsServedCnt
Total Community Benefit Expns	$15,909	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,909	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	262	PersonsServedCnt
Total Community Benefit Expns	$116,160	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$116,160	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$112,710,464	BadDebtExpenseAmt
Bad Debt Expense Attributable	$664,992	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$140,352,031	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$133,451,427	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,900,604	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CSUSP SURG CTR LP
AMBULATORY SURGERY CENTER	0.4999	0.5001
COASTAL BEND PET
DIAGNOSTIC TESTING FACILITY	0.495	0.505
CORPUS CH SURGICARE
AMBULATORY SURGERY CENTER	0.3009	0.3982
SHORELINE SURGERY CT
AMBULATORY SURGERY CENTER	0.2505	0.4989

Field	Value	IRS element (for citing)
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
CHRISTUS SPOHN HOSPITAL SHORELINE
1	600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	WWW.CHRISTUSSPOHN.ORG	000398	Yes (X)	Yes (X)	Yes (X)	Yes (X)	IP SNF & REHAB UNIT, IP & OP PHYSICAL THERAPY	A
CHRISTUS SPOHN HOSPITAL MEMORIAL
2	2606 HOSPITAL BLVD	CORPUS CHRISTI	TX	78405	WWW.CHRISTUSSPOHN.ORG	000398	Yes (X)	Yes (X)		Yes (X)	OP PHYSICIAN CLINICS PSYCHIATRY UNIT	A
CHRISTUS SPOHN HOSPITAL SOUTH
3	5950 SARATOGA BLVD	CORPUS CHRISTI	TX	78414	WWW.CHRISTUSSPOHN.ORG	000398	Yes (X)	Yes (X)		Yes (X)		A
CHRISTUS SPOHN HOSPITAL ALICE
4	2500 MAIN STREET	ALICE	TX	78332	WWW.CHRISTUSSPOHN.ORG	006894	Yes (X)	Yes (X)		Yes (X)	OP PHYSICIAN CLINICS PSYCHIATRY UNIT	A
CHRISTUS SPOHN HOSPITAL KLEBERG
5	1311 EAST GENERAL CAVAZOS BLVD	KINGSVILLE	TX	78363	WWW.CHRISTUSSPOHN.ORG	000216	Yes (X)	Yes (X)		Yes (X)	OUTPATIENT PHYSICAL THERAPY	A
CHRISTUS SPOHN HOSPITAL BEEVILLE
6	1500 EAST HOUSTON HIGHWAY	BEEVILLE	TX	78102	WWW.CHRISTUSSPOHN.ORG	000429	Yes (X)	Yes (X)		Yes (X)	OP PHYSICIAN CLINICS	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	16	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SCHEDULE H, PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Schedule H, Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH. H, PART V, SEC. C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH. H, PART V, SEC. C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH. H, PART V, SEC. C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	CHRISTUS SPOHN HEALTH SYSTEM, AS PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMNTATION PLAN, COMMITTED TO ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN ITS COMMUNITY: ACCESS TO CARE AND USE OF THE EMERGENCY ROOM FOR PRIMARY CARE, PRECENTABLE HOSPITALIZATIONS, PREVALENCE OF CHRONIC CONDITIONS, LACK OF HEALTH LITERACY, AND WOMEN'S HEALTH ISSUES. AT THIS TIME, CHRISTUS SPOHN DOES NOT HAVE THE FINANCIAL RESOURCES TO FURTHER INVEST IN SERVICES THAT ADDRESS BEHAVIORAL HEALTH AND OBESITY IN THE COASTAL BEND. ALTHOUGH NOT DIRECTLY ADDRESSED IN OUR COMMUNITY HEALTH IMPLEMENTATION PLAN, THE EXPANSION OF PRIMARY CARE, OUR EFFORTS TO IMPROVE HEALTH LITERACY, AND CONTINUED COMMUNITY OUTREACH SHOULD HAVE A SIGNIFICANT IMPACT ON BOTH OF THESE IDENTIFIED NEEDS (BEHAVIORAL HEALTH; OBESITY) IN OUR COMMUNITY. WE BELIEVE THAT THROUGH OUR CONTINUED COMMUNITY COLLABORATION WITH A DIVERSE GROUP OF PROVIDERS AND ENGAGED COMMUNITY LEADERS WE WILL CONTINUE TO IDENTIFY AREAS WHERE WE CAN WORK TOGETHER TO PROVIDE RESOURCES, HEALTH INFORMATION, AND ACCESS TO CARE TO IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY. CHRISTUS SPOHN UTILIZES COMMUNITY HEALTH WORKERS, REGISTERED NURSE HEALTH COACHES, HEALTH FAIRS, HEALTH EDUCATION SESSIONS, AND THE HECTOR P. GARCIA CLINIC TO ADDRESS ACCESS TO CARE NEEDS, CHRONIC CONDITION PREVALENCE NEEDS, AND PREVENTABLE HOSPITALIZATIONS. BEHAVIORAL HEALTH NEEDS ARE BEING ADDRESSED WITH HOSPITAL RESOURCES AND IN COLLABORATION WITH COMMUNITY RESOURCES. SCHEDULE H, PART V, SECTION B, LINE 5 CHRISTUS SPOHN HEALTH SYSTEM, IN COLLABORATION WITH ALL REGIONAL HOSPITALS IN THE COASTAL BEND AREA, AND FACILITATED BY FACULTY AT TAMU-CC, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE FINDINGS OF THE ASSESSMENT GUIDE OUTREACH EFFORTS AND INTENTIONAL COLLABORATION WITH COMMUNITY STAKEHOLDERS TO IMPROVE HEALTH STATUS FOR THOSE IN THE COASTAL BEND REGION (ESPECIALLY FOR THOSE WHO ARE UNDERSERVED). THE TASK FORCE THAT CREATED THE FIRST NEEDS ASSESSMENT ALMOST A DECADE AGO CONTINUES TO WORK TOGETHER TO CONDUCT THE REQUIRED TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT UPDATES AS WELL AS TO ADDRESS SPECIFIC UNMET HEALTH NEEDS IN THE COMMUNITY. IN ADDITION TO THE INFORMATION GATHERED FROM A COMMUNITY SURVEY, FEEDBACK WAS SOLICITED THROUGH AN ON-LINE SURVEY OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS WHICH INCLUDED PHYSICIANS, NURSE PRACTITIONERS AND OTHER HEALTH CARE PROFESSIONALS, AND TARGETED INTERVIEWS WITH HEALTH CARE AND SOCIAL SERVICES PROVIDERS. IN ADDITION, -FIRST LOOK- DISCUSSIONS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS, AND LOCAL HEALTH SYSTEM LEADERS WHICH INCLUDED REPRESENTATIVES FROM COASTAL BEND CENTER FOR INDEPENDENT LIVING, UNITED WAY, TRANSPORTATION COORDINATION NETWORK, ADULT PROTECTIVE SERVICES, CHRISTUS SPOHN CANCER CENTER, TEXAS A&M COASTAL BEND HEALTH EDUCATION CENTER AND NUECES COUNTY HEALTH DEPARTMENT WERE HELD IN NUECES AND VICTORIA COUNTIES TO REVIEW THE DATA AND BEGIN TO PRIORITIZE THE TOP HEALTH NEEDS OF THE REGION. ONE SIGNIFICANT DEVELOPMENT FROM THE TASK FORCE HAS BEEN THE ESTABLISHMENT AND MAINTENANCE OF A WEBSITE (HTTP://COASTALBENDHEALTHFINDER.COM/) TO ASSIST COASTAL BEND RESIDENTS IN THE NAVIGATION OF AN INCREASINGLY COMPLICATED HEALTH CARE DELIVERY SYSTEM. THE WEBSITE AIMS TO PROVIDE INFORMATION PERTAINING TO ACCESS TO CARE, PREVENTABLE HOSPITALIZATIONS, WOMENS HEALTH, AND HEALTH LITERACY. THE TASK FORCE WILL CONTINUE TO FUNCTION IN THIS CAPACITY AND COLLABORATE ON IMPACTFUL INITIATIVES WHENEVER POSSIBLE.
SCHEDULE H, PART V, SECTION B, LINE 6A & 6B	CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES AND OTHER ORGANIZATIONS the 2016 Community Health Needs Assessment was initiated by CHRISTUS Spohn Health System, Citizen's Medical Center, Corpus Christi Medical Center, DeTar Health Care System, and Driscoll Children's Hospital. In Fiscal Year 2016, CHRISTUS Spohn Health System Corporation participated in a Community Health Needs Assessment of the 18-County Service Area largely constituting the Coastal Bend Region of Texas (14 of which fall within CHRISTUS Spohn's primary service area). The participants included Corpus Christi Independent School District, Nueces County Health Department, Nueces County Medical Society, Nueces County Hospital District, United Way of the Coastal Bend, FQHC Rural Community Action Corporation of South Texas, San Patricio County Health Department and Texas A&M University - Corpus Christi.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE URL FOR THE ORGANIZATION'S MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.CHRISTUSHEALTH.ORG/ABOUT/DONATE/COMMUNITY-HEALTH/COMMUNITY-HEA LTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLAN Schedule H, Part V, Section B, Line 7B The community health needs assessment can be found at the following website: http://www.coastalbendhealthfinder.com/about/finalreport.pdf Schedule H, Part V, Section B, Line 10A The hospital facility's most recent adopted implementation strategy is posted on the following website: https://www.christushealth.org/about/donate/community-health/community-hea lth-needs-assessment-and-implementation-plan Schedule H, Part V, Section B, Line 11 Significant Needs Addressed and Not Addressed CHRISTUS Spohn Health System, as part of its Community Health Needs Assessment and Community Health Implementation Plan, committed to address the following health needs identified in its community: Access to care and use of the emergency room for primary care, preventable hospitalizations, prevalence of chronic conditions, lack of health literacy, and women's health issues. AT THIS TIME, CHRISTUS SPOHN DOES NOT HAVE THE FINANCIAL RESOURCES TO FURTHER INVEST IN SERVICES THAT ADDRESS BEHAVIORAL HEALTH AND OBESITY IN THE COASTAL BEND. ALTHOUGH NOT DIRECTLY ADDRESSED IN OUR COMMUNITY HEALTH IMPLEMENTATION PLAN, THE EXPANSION OF PRIMARY CARE, OUR EFFORTS TO IMPROVE HEALTH LITERACY, AND CONTINUED COMMUNITY OUTREACH SHOULD HAVE A SIGNIFICANT IMPACT ON BOTH OF THESE IDENTIFIED NEEDS (BEHAVIORAL HEALTH; OBESITY) IN OUR COMMUNITY. WE BELIEVE THAT THROUGH OUR CONTINUED COMMUNITY COLLABORATION WITH A DIVERSE GROUP OF PROVIDERS AND ENGAGED COMMUNITY LEADERS WE WILL CONTINUE TO IDENTIFY AREAS WHERE WE CAN WORK TOGETHER TO PROVIDE RESOURCES, HEALTH INFORMATION, AND ACCESS TO CARE TO IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY. CHRISTUS SPOHN UTILIZES COMMUNITY HEALTH WORKERS, REGISTERED NURSE HEALTH COACHES, HEALTH FAIRS, HEALTH EDUCATION SESSIONS, AND THE HECTOR P. GARCIA CLINIC TO ADDRESS ACCESS TO CARE NEEDS, CHRONIC CONDITION PREVALENCE NEEDS, AND PREVENTABLE HOSPITALIZATIONS. BEHAVIORAL HEALTH NEEDS ARE BEING ADDRESSED WITH HOSPITAL RESOURCES AND IN COLLABORATION WITH COMMUNITY RESOURCES. SCHEDULE H, PART V, SECTION B, LINE 13 DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 200% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 200% OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 200% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. SCHEDULE H, PART V, SECTION B, LINE 15E FAP APPLICATION FORM'S METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. SCHEDULE H, PART V, SECTION B, LINES 16A-16C THE FAP, FAP APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT: HTTPS://WWW.CHRISTUSHEALTH.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY, AND ADMISSIONS AREAS. (THE SIGNS DID NOT SPECIFICALLY REFERENCE THE POLICY (FAP), WHICH IS WHY THE HOSPITAL DID NOT SELECT "YES" IN RESPONSE TO LINE 16F). IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE.) EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS.
SCHEDULE H, PART V, SECTION B, LINE 17	DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. SCHEDULE H, PART V, SECTION B, LINE 20E NOTIFICATION OF FINANCIAL ASSISTANCE POLICY WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.
SCHEDULE H, PART V, SECTION B, LINE 22D	DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/09 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN THE AVERAGE REIMBURSEMENT RATE FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED THE AMOUNT GENERALLY BILLED (AGB) RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (INCOMES BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CORPUS CHRISTI SURGICARE LTD
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	OUTPATIENT SURGERY CENTER
SHORELINE SURGERY CENTER LLP
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	OUTPATIENT SURGERY CENTER
COASTAL BEND PET SCAN LTD
3226 REID DRIVE	CORPUS CHRISTI	TX	78404	RADIOLOGY, IMAGING AND X-RAY CLINIC

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 5	BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
SCHEDULE H, PART I, LINE 6A	ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
SCHEDULE H, PART I, LINE 7B	UNREIMBURSED MEDICAID CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $819,625,227. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $112,710,464. THIS LEAVES A TOTAL EXPENSE OF $706,914,763 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
SCHEDULE H, PART I, LINE 7, COLUMN (F)	DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 34.21% WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
SCHEDULE H, PART I, LINE 7I	CASH AND IN-KIND CONTRIBUTIONS CHRISTUS SPOHN HEALTH SYSTEM CORPORATION MADE OVER $0 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2019. THIS AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH, THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $477,190 WERE DISTRIBUTED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS SPOHN HEALTH SYSTEM CORPORATION SERVES. THE CHRISTUS FUND GRANTS SUPPORT WORTHY CAUSES THAT BUILD COLLABORATION AND IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I).
SCHEDULE H, PART I, LINE 7	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: SUBSIDIZED HEALTH SERVICES COST IS AT FMV SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. 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 PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED. THE INDIGENT CARE HEALTH PROGRAM IS A LIMITED BENEFIT PLAN, ADMINISTERED BY CHRISTUS SPOHN HEALTH SYSTEM IN WHICH CERTAIN MEDICAL SERVICES ARE COVERED FOR ELIGIBLE COUNTY RECIPIENTS. ELIGIBILITY ENTITLES QUALIFIED RESIDENTS WITHIN NUECES COUNTY TO RECEIVE HEALTH CARE SERVICES WHILE RESIDING WITHIN THE COUNTY INCLUDING MAJOR MEDICAL EXPENSES, HOSPITALIZATION AND SURGERIES, AND ROUTINE MEDICAL EXPENSES, OFFICE VISITS, ANNUAL EXAMS AND DURABLE MEDICAL EQUIPMENT, ALL SUBJECT TO CO-PAYMENTS. CHRISTUS SPOHN COMMUNITY OUTREACH REMAINS A COMMITTED PARTNER WITH PHYSICIANS AND RECIPIENTS OF CARE TO PROVIDE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE, AND WE ARE A COLLABORATIVE PARTNER COORDINATING CARE WITH OUR PHYSICIANS, FAMILY HEALTH CENTERS, AND HOSPITALS SEEKING SOLUTIONS TO IMPROVE THE HEALTH OF THOSE IN OUR COMMUNITY.
SCHEDULE H, PART III, SECTION A, LINE 1	BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
SCHEDULE H, PART III, SECTION A, LINE 2	METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
SCHEDULE H, PART III, SECTION A, LINE 3	ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2019, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 42.9% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2019. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.59% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2019 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISIONS FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, including assets acquired; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES."
SCHEDULE H, PART III, SECTION B, LINE 8	The Medical Center uses Medicare cost report methodology, which apportions routine costs (room and board) based on Medicare or Medicaid days to total days and apportions ancillary costs based on program charges to total charges.
SCHEDULE H, PART III, SECTION C, LINE 9	COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT IN 2016, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT OF THE 19-COUNTY SERVICE AREA LARGELY CONSTITUTING THE COASTAL BEND REGION OF TEXAS (14 OF WHICH FALL WITHIN CHRISTUS SPOHN'S PRIMARY SERVICE AREA). THE PARTICIPANTS INCLUDED CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, DRISCOLL CHILDREN'S HOSPITAL, DRISCOLL CHILDREN'S HEALTH PLAN, CORPUS CHRISTI MEDICAL CENTER, CITIZENS MEDICAL CENTER, CORPUS CHRISTI INDEPENDENT SCHOOL DISTRICT, NUECES COUNTY HEALTH DEPARTMENT, NUECES COUNTY MEDICAL SOCIETY, UNITED WAY OF THE COASTAL BEND, FQHC RURAL COMMUNITY ACTION CORPORATION OF SOUTH TEXAS, DELMAR COLLEGE, DUBUIS HEALTH SYSTEM, SAN PATRICIO COUNTY HEALTH DEPARTMENT AND TEXAS A&M UNIVERSITY AT CORPUS CHRISTI. AN ONGOING COASTAL BEND COMMUNITY NEEDS TASK FORCE WAS FORMED BY THE PARTICIPANTS OF THE 2010 COMMUNITY NEEDS ASSESSMENT TO ADDRESS THE ONGOING HEALTH NEEDS OF THE REGION. IN 2012, THE TASK FORCE WAS EXPANDED TO BEGIN WORK ON THE 2013 COASTAL BEND HEALTH NEEDS ASSESSMENT AND CONTINUES TO ENSURE THAT THE CHRISTUS SPOHN COMMUNITY HEALTH IMPLEMENTATION PLAN ACCURATELY REFLECTS THE NEEDS OF THE COMMUNITY, DEVELOPS ACTION PLANS IN COLLABORATION WITH KEY STAKEHOLDERS TO ADDRESS THOSE NEEDS, AND IS COMMUNITY OWNED. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION BOARD MEMBERS REVIEWED AND APPROVED THE ACTION PLANS DEVELOPED BY THE TASK FORCE. THE TASK FORCE IS COMMITTED TO CONTINUED WORK RELATED TO THE COMMUNITY HEALTH NEEDS OF THE COASTAL BEND REGION FOR THE LONG-TERM.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION CHRISTUS SPOHN HEALTH SYSTEM CORPORATION IS LOCATED ALONG THE LOWER TEXAS COASTAL AREA (OFTEN CALLED THE COASTAL BEND), AND ITS SERVICE AREA INCLUDES A 14-COUNTY AREA WITH A POPULATION OF MORE THAN 611,996 INDIVIDUALS. OVERALL, POPULATION GROWTH HAS INCREASED BY 2.2% IN THE REGION. THE POPULATION BY AGE IS ALLOCATED AS FOLLOWS: 0-18(25.1%); 19-64(60.7%); 65+(14.2%). POPULATION GROWTH IS EXPECTED THROUGHOUT THE REGION. FLAT GROWTH IS EXPECTED IN THE PEDIATRIC AGE RANGE, A MODEST INCREASE IN THE 19-64 AGE RANGE, AND THERE IS A LARGE GROWTH PROJECTION IN THE POPULATION AGE RANGE OF 65 YEARS OF AGE OR OLDER. THE REGION IS COMPRISED OF 61.4% HISPANICS, 32.1% CAUCASIAN, 3.7% AFRICAN AMERICAN, AND 1.4% ASIAN PACIFIC ISLANDER AND 1.3% AMERICAN INDIAN AND OTHER. APPROXIMATELY 7.6% OF HOUSEHOLDS IN THE REGION LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IN THE REGION BEING APPROXIMATELY $42,197. INSURANCE ESTIMATES INDICATE THAT 41.2% PERCENT OF HOUSEHOLDS IN THE REGION ARE ON MEDICARE OR MEDICAID, WHILE 19.3% ARE UNINSURED. LOOKING AT THE REGION'S DEMOGRAPHICS AND THE "HEALTHY PEOPLE 2010 HEALTH STATUS INDICATORS" RELATIVE TO OTHER COUNTIES ACROSS THE COUNTRY, THE FOLLOWING HEALTH INDICATORS APPEAR "UNFAVORABLE" RELATIVE TO PEER COUNTIES: PREMATURE BIRTH WEIGHTS, BIRTHS BY UNMARRIED TEENS, HISPANIC INFANT MORTALITY IN RURAL AREAS, OBESITY, DIABETES, STROKE, CORONARY HEART DISEASE, COLON CANCER, AND BREAST CANCER. IN ADDITION TO THE SIX FACILITIES THAT COMPRISE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, THERE ARE FIVE OTHER HOSPITALS IN THE REGION: CORPUS CHRISTI MEDICAL CENTER'S THREE CAMPUSES (BAY AREA HOSPITAL, HEART HOSPITAL, BAYVIEW BEHAVIORAL AND DOCTOR'S REGIONAL HOSPITAL) WHICH ARE FOR-PROFIT ENTITIES OWNED BY HCA; DRISCOLL CHILDREN'S HOSPITAL, A NONPROFIT HOSPITAL; AND COASTAL BEND SURGICAL HOSPITAL, A FOR-PROFIT SURGICAL HOSPITAL.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH CHRISTUS SPOHN HEALTH SYSTEM INCLUDES 3 CAMPUSES IN CORPUS CHRISTI: 584-BED SHORELINE CAMPUS, 314-BED MEMORIAL CAMPUS, AND 153-BED SOUTH CAMPUS AS WELL AS 3 RURAL HOSPITALS: KINGSVILLE (SPOHN KLEBERG WITH 96 BEDS), ALICE (SPOHN ALICE WITH 135 BEDS), AND BEEVILLE (SPOHN BEEVILLE WITH 69 BEDS). CHRISTUS SPOHN COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY HEALTH CARE SERVICES FOR ALL, ESPECIALLY VULNERABLE AND UNDERSERVED POPULATIONS. CHRISTUS SPOHNS OTHER HEALTH CARE FACILITIES INCLUDE INVESTMENTS IN TWO AMBULATORY SURGERY CENTERS (CORPUS CHRISTI SURGICARE, LTD. AND SHORELINE SURGERY CENTER, L.L.P.), AND COASTAL BEND P.E.T. SCAN, LTD. IN FY 2019, CHRISTUS SPOHN WAS PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS, INCLUDING 169,820 VISITS TO ITS EMERGENCY DEPARTMENTS, 8,074 INPATIENT SURGERY PROCEDURES, 8,488 OUTPATIENT SURGERY PROCEDURES, 34,210 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 485,528 PATIENTS WHO RECEIVED OUTPATIENT CARE AT ITS FACILITIES. CHRISTUS SPOHN ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, OFFERING CONVENIENT LOCATIONS FOR PRIMARY CARE THROUGH THE CHRISTUS SPOHN FAMILY HEALTH CENTERS AND A CAREVAN MOBILE OUTREACH CLINIC. IN ADDITION, CHRISTUS SPOHN COLLABORATES WITH THE TEN FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S) IN ITS REGION AND OTHER NONPROFIT HEALTH CLINICS IN THE AREA THAT ARE COMMITTED TO CREATING GREATER ACCESS TO PRIMARY CARE. ACTIVITIES UNDERTAKEN BY CHRISTUS SPOHN HEALTH SYSTEM CORPORATION TO IMPROVE ACCESS TO HEALTH SERVICES, ENHANCE PUBLIC HEALTH AND ADVANCE KNOWLEDGE INCLUDE: (1) AGREEMENTS WITH 3 PRIMARY CARE PHYSICIANS AND 6 MID-LEVEL PROVIDERS IN THE 2 CHRISTUS SPOHN FAMILY HEALTH CENTERS. CHRISTUS SPOHN AIDS IN THE RECRUITING OF PHYSICIANS WHO ULTIMATELY CONTRACT WITH CHRISTUS PROVIDER NETWORK, WHICH IN TURN CONTRACTS WITH CHRISTUS SPOHN TO PROVIDE THE PHYSICIAN SERVICES IN THE CHRISTUS SPOHN FAMILY HEALTH CENTERS. MOST OF THE CLIENTS WHO RECEIVE PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT ARE UNINSURED OR RECEIVE COVERAGE FROM MEDICAID/CHIP/NUECES COUNTY HOSPITAL DISTRICT. (2) IMPLEMENTATION OF THE COMMUNITY HEALTH WORKER AND CARE MANAGEMENT CONCEPT AT ALL CHRISTUS SPOHN FAMILY HEALTH CENTERS ESTABLISHED A WORKING NETWORK TO PROVIDE CONTINUITY OF CARE FOR THE INDIGENT AND UNDERSERVED FROM PRIMARY CARE SERVICES TO IN-PATIENT AND AMBULATORY SERVICES. THIS PROGRAM ASSISTS PATIENTS IN MANAGING THEIR CHRONIC ILLNESS, PREVENTING OVER-UTILIZATION OF THE EMERGENCY DEPARTMENT, AND AVOIDING PREVENTABLE HOSPITALIZATIONS. (3) THE CHRISTUS SPOHN CAREVAN IS A MOBILE CLINIC THAT DELIVERS OB AND WOMEN'S SERVICES (INCLUDING PRE-NATAL CARE, PAP SMEARS, LABORATORY AND ULTRA-SOUND TESTING, ANNUAL EXAMS, AND REFERRALS FOR FREE MAMMOGRAMS AND PRE-NATAL CARE) TO THE REGION'S UNINSURED WOMEN. THIS PREVENTATIVE AND WELLNESS CARE HELPS WITH EARLY DETECTION THAT OTHERWISE MIGHT RESULT IN MORE SERIOUS HEALTH ISSUES REQUIRING HOSPITALIZATION IN THE FUTURE. THE CAREVAN ALSO PROVIDES HEALTH SCREENING, IMMUNIZATIONS, HEALTH EDUCATION, AND COUNSELING TO VULNERABLE AND UNDERSERVED POPULATIONS THROUGHOUT THE COMMUNITY. IN FY 2019 THE CAREVAN HAD OVER 1,353 ENCOUNTERS WITH WOMEN AND OTHER VULNERABLE POPULATIONS. (4) THE DR. HECTOR P GARCIA MEMORIAL FAMILY HEALTH CENTER IS LOCATED ON THE GROUNDS OF CHRISTUS SPOHNS MEMORIAL HOSPITAL. IT PROVIDES EDUCATION TO COASTAL BEND RESIDENTS ON NIGHTS AND WEEKENDS; OFFERS SPECIALTY CLINICS, LABORATORY SERVICES, AND IMAGING SERVICES; A PHARMACY WITH WALK-IN AND DRIVE-THROUGH ACCESS; AND A QUICK CARE WALK-IN CLINIC OPERATING 9AM TO 9PM MONDAY THROUGH SATURDAY AND 11AM TO 5PM ON SUNDAY. (5) THE CHRISTUS SPOHN FAMILY MEDICINE ACADEMIC CENTER CLINIC IS LOCATED WITHIN WALKING DISTANCE FROM CHRISTUS SPOHNS MEMORIAL HOSPITAL. FAMILY MEDICINE RESIDENTS FROM TEXAS A&M UNIVERSITY WORK ALONGSIDE THE ATTENDING PHYSICIANS OF CHRISTUS PROVIDER NETWORK TO PROVIDE CARE TO THE UNDERSERVED AND UNINSURED POPULATION OF THE COASTAL BEND. AN AVERAGE OF 100-120 PATIENTS ARE SEEN ON A DAILY BASIS. MOST OF THESE PATIENTS HAVE MEDICAID COVERAGE OR LACK INSURANCE ALTOGETHER. (6) IN ADDITION TO THESE CLINICS, THERE ARE 2 CHRISTUS SPOHN FAMILY HEALTH CENTERS. EACH OF THE FOUR FAMILY HEALTH CENTER CLINICS CARES FOR OUR NUECES COUNTY HOSPITAL DISTRICT PATIENTS AS WELL AS PATIENTS WITH OTHER PAYOR SOURCES. THE LOCATIONS ARE LISTED BELOW: CHRISTUS SPOHN FAMILY HEALTH CENTER ROBSTOWN 1038 TEXAS YES BLVD, ROBSTOWN, TX 78380 CHRISTUS SPOHN FAMILY HEALTH CENTER WESTSIDE 4617 GREENWOOD DRIVE, CORPUS CHRISTI, TX 78416 (7) SPECIALTY CLINICS ARE LOCATED IN THE HECTOR P GARCIA MEMORIAL FAMILY HEALTH CENTER. THESE CLINICS EXIST FOR FOLLOW UP CARE AND SPECIALTY CARE. PHYSICIANS/PROVIDERS OFFER A CENTRALIZED AREA FOR EASY ACCESS TO CARDIOVASCULAR, NEUROLOGY, NEPHROLOGY, ORTHOPEDIC, GYNECOLOGICAL, AND PLASTIC SURGERY CARE. ALSO, CONTRACTS WITH OFF CAMPUS PROVIDERS ENSURE OTHER SPECIALTY MEDICAL SERVICES ARE AVAILABLE FOR THOSE VULNERABLE PEOPLE WHO WOULD NORMALLY NOT BE ABLE TO ACCESS SPECIALTY CARE OUTSIDE OF THIS TYPE OF CONTROLLED SETTING. (8) THE REVAMPING OF THE NUECES COUNTY HEALTH DEPARTMENT'S (NCHD) INDIGENT CARE PROGRAM HAS PROVIDED A REORGANIZATION OF SERVICES, ONE KEY GOAL OF WHICH IS TO ROUTE ELIGIBLE PARTICIPANTS TO THE APPROPRIATE SETTINGS. THE FOLLOWING PROGRAMS ARE INCLUDED: (A) UM/CM PLAN; (B) PRE-APPROVAL OF SERVICES WITH VERIFICATION OF MEDICAL NECESSITY AND A TIE-IN TO THE CARE MANAGEMENT PROGRAM; (C) AN EMPANELMENT OF CLIENTS INTO A MEDICAL HOME CONCEPT; (D) TARGET OF POPULATIONS, I.E., DIABETIC PATIENTS WITH A1C'S GREATER THAN 10, INTO FULL SERVICE TRACK; (E) WEEKLY MULTIDISCIPLINARY DIABETIC CLINIC TO MEET TARGET POPULATION'S NEED; (F) PHARMACEUTICAL CASE MANAGEMENT; (G) PREFERRED PROVIDER LIST WITH CM/UM MANAGEMENT; AND (H) MEDICAL DIRECTOR FOR INDIGENT CARE PLAN. (9) CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI MEMORIAL IS THE DESIGNATED CONTRACT PROVIDER WITH NUECES COUNTY BEHAVIORAL HEALTH CENTER OF NUECES COUNTY (BHCNC). IT PROVIDES PSYCHIATRIC ONSITE TRIAGE AS PART OF ITS CONTRACTUAL RELATIONSHIPS WITH BHCNC. THIS PROVIDES AN ALTERNATIVE FOR PATIENTS WHO WOULD NORMALLY UTILIZE THE EMERGENCY DEPARTMENT AS A FIRST RESORT. (10) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION HAS RURAL HEALTH CLINICS IN BEEVILLE AND FREER PROVIDING SERVICES TO THE UNINSURED, UNDERINSURED, AND BROADER COMMUNITY. CHRISTUS SPOHN FAMILY HEALTH CENTER-FREER PROVIDER PRIMARY CARE AS WELL AS BEHAVIORAL HEALTH SERVICES THROUGH A COLLABORATIVE RELATIONSHIP TO THIS UNDERSERVED AND RURAL COMMUNITY. THE NURSE PRACTITIONERS, NURSES, AND OFFICE STAFF IN THESE CLINICS ARE EMPLOYED BY CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. (11) CHRISTUS SPOHN HEALTH SYSTEM HOSPITALS IN ALICE, BEEVILLE, AND KLEBERG COLLABORATE WITH THE COMMUNITY ACTION CORPORATION OF SOUTH TEXAS' FQHC IN ITS RESPECTIVE AREAS. THESE CLINICS PROVIDE PRIMARY CARE TO UNINSURED AND UNDER INSURED PATIENTS. THIS PREVENTS PATIENTS FROM UTILIZING THE HOSPITAL EMERGENCY DEPARTMENTS AS THEIR MEDICAL HOME. (12) CHRISTUS SPOHN HEALTH SYSTEM CONTINUES INITIATIVES WITH THE COASTAL BEND RURAL HEALTH PARTNERSHIP AND MENTAL HEALTH PROVIDERS TO HELP KEEP PSYCHIATRIC PATIENTS OUT OF THE EMERGENCY DEPARTMENT. (13) IN CONJUNCTION WITH MISSION OF MERCY, A NATIONAL NONPROFIT ORGANIZATION, CHRISTUS SPOHN HEALTH SYSTEM PROVIDES FREE PRIMARY CARE TO UNINSURED PATIENTS. ITS 5 LOCATIONS (CORPUS CHRISTI AND RURAL AREAS) ARE OPEN ONE DAY PER WEEK AND ARE STAFFED BY VOLUNTEER PHYSICIANS AND NURSES. CHRISTUS SPOHN HEALTH PROVIDES LAB WORK, DIABETES EDUCATION, AND FLU VACCINATIONS TO PATIENTS AT NO CHARGE. IN ADDITION, THE CHRISTUS SPOHN CAREVAN REFERS UNINSURED PATIENTS WHO NEED PRIMARY CARE TO MISSION OF MERCY. LIKEWISE, MISSION OF MERCY REFERS WOMEN NEEDING A MAMMOGRAM OR PRE-NATAL CARE TO THE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CAREVAN MOBILE UNIT. (14) DIABETES EDUCATION IS PROVIDED THROUGH DIABETES SELF-MANAGEMENT TRAINING CLASSES. THESE CLASSES ARE OFFERED AT THE HECTOR P GARCIA MEMORIAL FAMILY HEALTH CENTER THROUGH THE TEXAS A&M COASTAL BEND HEALTH EDUCATION CENTER (CBHEC). DIABETES SUPPORT GROUPS, SELF-MANAGEMENT TRAINING CLASSES, AND ADDITIONAL DIABETES RESOURCES ARE OFFERED THROUGH TEXAS A&M CBHEC IN VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. CHRISTUS SPOHN WORKS IN CONJUNCTION WITH TEXAS A&M CBHEC TO HOST DIABETES HEALTH FAIRS THROUGHOUT THE COASTAL BEND. CHRISTUS SPOHN HOUSES A CERTIFIED DIABETES EDUCATOR AT THE HECTOR P GARCIA MEMORIAL FAMILY HEALTH CENTER TO PROVIDE ON-SITE EDUCATION AND REFERRALS TO PATIENTS IN IMMEDIATE NEED. COMMUNITY BENEFIT REPORT CHRISTUS SPOHN IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES AND WILL CONTINUE TO COLLABORATE WITH OTHER HOSPITALS AND PROVIDERS IN THE REGION, WHENEVER POSSIBLE, TO ADDRESS THOSE NEEDS NOT SPECIFICALLY TARGETED BY OUR SYSTEM'S COMMUNITY BENEFIT PLAN. THE IDENTIFIED NEED TO ADD
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CHRISTUS SPOHN HEALTH SYSTEM DEV FNDN
600 ELIZABETH ST	CORPUS CHRISTI	TX	78404	741906005	501(c)(3)	$1,825,708	GENERAL SUPPORT
CORPUS CHRISTI HOOKS
734 E Port Ave	CORPUS CHRISTI	TX	78401	200991928		$10,425	BASEBALL CLUB SPONSORSHIP
AMERICAN CANCER SOCIETY
4101 S ALAMEDA ST	CORPUS CHRISTI	TX	78411	131788491	501(C)(3)	$10,000	SUPPORT CANCER RESEARCH
UNITED CORPUS CHRISTI CHAMBER OF COMMERCE
602 N STAPLES	CORPUS CHRISTI	TX	78401	813423895	501(C)(6)	$7,500	SPONSORSHIP
DR HECTOR P GARCIA MEMORIAL
2014 ENCINO VISTA	SAN ANTONIO	TX	78259	131788491	501(C)(3)	$6,000	LEGACY FOUNDATION SPONSOR

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	INDIGENT ASSISTANCE	GrantTypeTxt
Recipient	566	RecipientCnt
Cash Grant	$2,104,081	CashGrantAmt

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. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH CHRISTUS HEALTH SYSTEM AFFILIATES SERVE VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	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 (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	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	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
SHAH ISLAM MD
FORMER DIRECTOR (TERM 12/2017)	$12,626	$0	$0	$0	$0	$12,626	$0	$0	$0
W Aaron Tucker DO
DIRECTOR (EFF 1/2019)		$0	$8,250	$0	$17,636	$0	$725,133	$0	$0	$621,408	$1,639	$76,200
JUSTIN DOSS
DIRECTOR/PRESIDENT		$0	$112,781	$0	$17,630	$0	$925,847	$0	$0	$487,240	$294,465	$13,731
STEVEN KING
Dir./Treasurer/CFO		$0	$86,623	$0	$20,238	$0	$641,071	$0	$0	$335,558	$184,806	$13,846
Danny Hardman
Chief Operating Officer		$0	$6,144	$0	$675	$0	$335,233	$0	$0	$251,232	$62,708	$14,474
David LeMonte
President Spohn Kleberg		$0	$49,096	$0	$18,513	$0	$599,039	$0	$0	$319,429	$119,507	$92,494
DOMINIC DOMINGUEZ
SVP GROUP OPS		$0	$179,134	$0	$12,669	$0	$1,300,153	$0	$0	$655,631	$431,626	$21,093
Genifer Rucker
President		$0	$7,246	$0	$17,723	$0	$256,760	$0	$0	$170,897	$56,435	$4,459
Karen Bonner
VP for Philanthropy		$0	$18,031	$0	$16,103	$0	$285,049	$0	$0	$195,951	$50,977	$3,987
LISA COX
CNO SPOHN HOSPITAL - SOUTH		$0	$0	$0	$18,199	$0	$253,942	$0	$0	$175,503	$57,083	$3,157
Margot Rios
CNO Spohn Alice		$0	$42,101	$0	$12,896	$0	$318,205	$0	$0	$175,213	$56,553	$31,442
Maria Estela Chapa
Chief Clinical Trans Officer		$0	$49,935	$0	$12,714	$0	$894,278	$0	$29,857	$599,647	$156,987	$74,995
Mark W Casanova
President Spohn South Hospital		$0	$52,275	$0	$17,555	$0	$439,971	$0	$0	$243,405	$78,380	$48,356
Osbert Blow
CMO		$0	$75,060	$0	$17,555	$0	$781,678	$0	$0	$453,763	$161,777	$73,523
Rebecca B Rios
VP Finance		$0	$36,425	$0	$29,255	$0	$360,567	$0	$0	$225,903	$63,245	$5,739
Richard Morin
VP Ops Memorial-Shoreline		$0	$41,315	$0	$18,936	$0	$329,904	$0	$0	$178,933	$59,160	$31,560
Stephen Kazanjian
VP Mission Integration		$0	$33,327	$0	$18,854	$0	$279,932	$0	$0	$166,182	$55,967	$5,602
Thomas Mckinney
President		$0	$47,086	$0	$24,381	$0	$426,003	$0	$0	$221,258	$80,489	$52,789
Wray Borland
VP Operations		$0	$5,015	$0	$12,117	$0	$217,941	$0	$0	$143,111	$50,717	$6,981
DEBORAH D ALLEN
DIR. PHARMACY	$209,914	$7,076	$0	$21,999	$0	$252,263	$0	$0	$0				$10,583	$2,691
DANIEL VALENCIA
PHARMACIST	$187,729	$12,333	$0	$21,310	$0	$226,233	$0	$0	$0				$944	$3,917
TERESA R CARDENAS
DIR. BUSINESS DEVELOPMENT	$181,045	$2,553	$0	$16,944	$0	$209,611	$0	$0	$0				$9,056	$13
SHANNA M WILLIAMS
ADMIN DIR. NURSING	$167,350	$12,864	$0	$6,938	$0	$198,206	$0	$0	$0				$11,054	$0
DAVID P BELL
MGR. PHARMACY	$147,131	$14,496	$0	$14,961	$0	$205,222	$0	$0	$0				$7,819	$20,815

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATION	SCHEDULE J, PART I, LINE 1A, COMPANION TRAVEL TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
FORM 990, PART VII, LINE 1A AND SCHEDULE J, PART II	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE 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.
RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION	SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B AND FORM 990, SCHEDULE J PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990. MARIA E. CHAPA RECEIVED $29,857 DURING THE CALENDAR YEAR 2018 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 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.
SUPPLEMENTAL COMPENSATION INFORMATION	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. 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.
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: JUSTIN DOSS, STEVEN KING, DANNY HARDMAN, DAVID LEMONTE, DOMINIC DOMINGUEZ, GENIFER RUCKER, KAREN BONNER, LISA COX, MARGOT RIOS, MARIA CHAPA, MARK W. CASANOVA, OSBERT BLOW, REBECCA B. RIOS, RICHARD MORIN, STEPHEN KAZANJIAN, THOMAS MCKINNEY AND WRAY BORLAND.
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
RADIOLOGY IMAGING OF SOUTH TEXAS
ANTHONY HEIN, MD BRD MBR	$863,832	SEE SUPPLEMENTAL INFORMATION	false
SRIKANTH DAMARAJU
INDEPENDENT CONTRACTOR	$13,500	SEE SUPPLEMENTAL INFORMATION	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV 1) FEES OF $863,832 WERE PAID TO RADIOLOGY & IMAGING OF SOUTH TEXAS FOR THEIR SERVICES. ANTHONY HEIN, M.D. IS A PARTNER WITHIN THE GROUP. 2) FEES OF $13,500 WERE PAID TO SRIKANTH DAMARAJU FOR HIS SERVICES. SRIKANTH DAMARAJU IS ON THE BOARD OF DIRECTORS OF CHRISTUS SPOHN.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DOING BUSINESS AS	FORM 990, PART I, LINE C CHRISTUS SPOHN CANCER CENTER - ALICE CHRISTUS SPOHN CANCER CENTER - CALALLEN CHRISTUS SPOHN CANCER CENTER - SHORELINE CHRISTUS SPOHN DR. HECTOR P. GARCIA MEMORIAL FAMILY HEALTH CENTER CHRISTUS SPOHN FAMILY HEALTH CENTER - BEEVILLE CHRISTUS SPOHN FAMILY HEALTH CENTER - NORTHSIDE CHRISTUS SPOHN FAMILY HEALTH CENTER - PADRE ISLAND CHRISTUS SPOHN FAMILY HEALTH CENTER - ROBSTOWN CHRISTUS SPOHN FAMILY HEALTH CENTER - WESTSIDE CHRISTUS SPOHN HEART INSTITUTE CHRISTUS SPOHN HEALTH SYSTEM CHRISTUS SPOHN HOSPITAL ALICE CHRISTUS SPOHN HOSPITAL BEEVILLE CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - MEMORIAL CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - SHORELINE CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - SOUTH CHRISTUS SPOHN HOSPITAL KLEBURG CHRISTUS SPOHN MEDICAL CLINIC - BEEVILLE CHRISTUS SPOHN MEMORIAL QUICK CARE CHRISTUS SPOHN WOUND CARE & HYPERBARIC CLINIC DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR A 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. IN FY 2019, THE CHRISTUS SPOHN CAREVAN MOBILE CLINIC DELIVERED OB AND WOMEN'S SERVICES TO THE REGION'S UNINSURED WOMEN INCLUDING PRE-NATAL CARE, PAP SMEARS, LABORATORY AND ULTRA-SOUND TESTING, ANNUAL EXAMS, AND REFERRALS FOR FREE MAMMOGRAMS AND PRE-NATAL CARE. THIS PREVENTATIVE AND WELLNESS CARE HELPS WITH EARLY DETECTION THAT OTHERWISE MIGHT RESULT IN MORE SERIOUS HEALTH ISSUES REQUIRING HOSPITALIZATION IN THE FUTURE. THE CAREVAN ALSO PROVIDES HEALTH SCREENING, IMMUNIZATIONS, HEALTH EDUCATION AND COUNSELING TO VULNERABLE AND UNDERSERVED POPULATIONS IN THE COMMUNITY. IN ADDITION, PATIENT NAVIGATORS ASSIST PATIENTS IN NEED OF PRIMARY CARE BY FACILITATING INTEGRATION INTO THE CHRISTUS SPOHN FAMILY HEALTH CENTERS AND PRIMARY CARE PROVIDER CLINICS INCLUDING AREA FQHC'S. IN FY 2019 THE CAREVAN HAD 1,300 ENCOUNTERS WITH WOMEN AND OTHER VULNERABLE MEMBERS OF THE COMMUNITY. CHRISTUS HEALTH ALSO USED CASH DONATIONS 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, DIABETES, HEART DISEASE, AND MANY OTHER EQUALLY WORTHWHILE ENDEAVORS. DURING FY 2019, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE PATIENTS WE SERVE. IN FY 2019, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CONTINUED ITS PARTNERSHIP WITH HEALTH AND SOCIAL SERVICE PROVIDERS CALLED THE COASTAL BEND COMMUNITY NEEDS TASK FORCE. ITS GOAL IS TO STRATEGICALLY ADDRESS THE COMMUNITY NEEDS IDENTIFIED THROUGH THE 2013 COASTAL BEND HEALTH NEEDS ASSESSMENT. CHRISTUS SPOHN HEALTH SYSTEM'S IMPLEMENTATION PLAN BEGINS WITH ADDRESSING THE SURVEYED HEALTH NEEDS OF THE COMMUNITY. THE OVERARCHING CONCERNS IDENTIFIED IN THE ASSESSMENT FOCUS UPON EXPANSION OF PRIMARY CARE, CHRONIC DISEASE MANAGEMENT, BETTER ACCESS TO BEHAVIORAL HEALTHCARE SERVICES. PROVIDING MORE ACCESSIBLE VENUES OF CARE SHOULD REDUCE INAPPROPRIATE USE OF THE EMERGENCY DEPARTMENT AND AVOIDABLE HOSPITALIZATIONS. ONGOING COLLABORATION AMONG TASK FORCE MEMBERS AND OTHER HEALTH RELATED STAKEHOLDERS IN THE COMMUNITY WILL CREATE AVENUES TO IMPROVE OVERALL HEALTH LITERACY. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CONTINUES TO SUPPORT THE COASTAL BEND COMMUNITY NEEDS TASK FORCE'S WEB BASED HEALTH INFORMATION CLEARINGHOUSE, WHICH AMONG OTHER RESOURCES, PROVIDES A LINK TO THE CURRENT NEEDS ASSESSMENT. WWW.COASTALBENDHEALTHFINDER.COM
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND HERITAGE, 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 FOR HOMELESS SHELTERS, TRANSPORTATION SERVICES, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH HAS 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 PEOPLE'S LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY 2019, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE SPOHN REGION WAS $118,500.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINE 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, SECTION A, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, SECTION A, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
DESCR. THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, SECTION B, 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 REVIEW. 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 RESPECTIVE 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, SECTION B, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY 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. 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, SECTION B, 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, INCLUDING CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. 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. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. 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. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, SECTION C, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF ITS INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS 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, SECTION C, LINE 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.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 PENSION LIABILITY/EXPENSE $ 1,944,029 GRANTS $ 1,077,350 PENSION FUNDING $(1,666,176) TRANSFER OF NET ASSETS BETWEEN ENTITIES $(420,184) EQUITY ADJUSTMENT UNCONSOL SUBS $(780,275) UNRESTRICTED CONTRIBUTIONS - NET $ 621 --------------- TOTAL $ 155,365
FORM 990 PART IX LINE 11G	DESCRIPTION:MEMBERSHIP AGREEMENT EXPENSE TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:10240115
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:9894484
FORM 990 PART IX LINE 11G	DESCRIPTION:OCCUPANCY RELATED SERVICES TOTAL FEES:9717050
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:7081471
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:4465339
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1021981
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:27625447

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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
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 Health
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760590551	SUPT HLTH SVC	TX	501(c)(3)	10	NA	false
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 WEST LOOP SOUTH STE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 W Loop South STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(c)(3)	12 - TYPE I	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 W LOOP SOUTH STE 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	SUPT HLTH SVC	TX	501(c)(3)	12 - Type I	CH	Yes (true)
CHRISTUS SPOHN HLTH SYSTEM DEVELOP FDTN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPT HLTH SVC	TX	501(c)(3)	7	SPHSC	Yes (true)
CHRISTUS HEALTH PLAN
600 ELIZABeTH ST	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(c)(4)		SPHSC	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPT HLTH SVC	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 FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HTH SVCS	TX	501(C)(3)	7	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT ROAD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(C)(3)	3	CH	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 Shepard Health System Inc
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	HLTHCARE SVCS	TX	501(c)(3)	12, type ii	CH	Yes (true)
CHRISTUS HEALTH ARK-LA-TEX HEALTH SYSTEM
919 HIDDEN RIDGE	IRVING	TX	75038	822109465	HLTHCARE SVCS	TX	501(C)(3)	12, TYPE II	CH	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DR	IRVING	TX	75038	473403356	SPT HLTH SVCS	TX	501(C)(4)		CH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HLTH PLAN ADM	TX	SPHSC	C CORP	$230,634	$2,636,773	1.00000	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	Rental	TX	SPHSC	C CORP	$925,853	$14,859,243	1.00000	Yes (true)
CHRISTUS Muguerza SAPI de CV
					HLTHCARE SVC		CH	C corp				Yes (true)	HIDALGO PTE 2525	COL OBISPADO MONTERREY	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C CORP				Yes (true)	PO BOX 1051 KY1-1102	GRAND CAYMAN		CJ		CJ
LTACH Condominium Unit Owners Assoc
600 Elizabeth Street	Corpus Christi	TX	78404	472404808	building assoc	TX	SPHSC	c corp	$0	$0	1.00000	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
919 HIDDEN RIDGE	IRVING	TX	75038	474618648	ACO	LA	CH	C CORP				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	false	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 (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
B	$1,825,708	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
C	$59,903	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
O	$502,046	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
Q	$92,163	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
L	$191,339	accrual
CHRISTUS HEALTH ARK-LA-TEX
O	$123,470	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
M	$113,039	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
L	$641,987	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
O	$1,320,382	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
P	$275,896	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
J	$785,423	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
L	$10,664,198	accrual
C H WILKINSON PHYSICIAN NETWORK
M	$10,919,436	accrual
C H WILKINSON PHYSICIAN NETWORK
P	$255,237	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
Q	$785,423	ACCRUAL
CHRISTUS HEALTH PLAN
L	$999,996	ACCRUAL
SPOHN HEALTH NETWORK
A(I)	$47	ACCRUAL
SPOHN INVESTMENT CORPORATION
A(I)	$62	ACCRUAL
SPOHN INVESTMENT CORPORATION
K	$71,510	ACCRUAL
SANTA ROSA FAMILY HEALTH CENTER
O	$65,000	ACCRUAL