CHRISTUS HEALTH: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH (EIN 76-0590551)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-10
IRS object ID: 201801309349304450
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-10T22:17:05-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON STREET STE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	760590551	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RANDY SAFADY	PersonNm
Person Title	EXEC VP/CFO	PersonTitleTxt
Phone	4692822000	PhoneNum
Signature	2018-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,403,809,632	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christushealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	3039	TotalEmployeeCnt
Total Volunteers	13	TotalVolunteersCnt
Total Gross UBI	$706,029	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$568,668	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$536,857,662	PYProgramServiceRevenueAmt
CY Program Service Revenue	$559,663,710	CYProgramServiceRevenueAmt
PY Investment Income	$23,895,433	PYInvestmentIncomeAmt
CY Investment Income	$75,466,057	CYInvestmentIncomeAmt
PY Other Revenue	$27,962,010	PYOtherRevenueAmt
CY Other Revenue	$11,668,077	CYOtherRevenueAmt
PY Total Revenue	$588,715,105	PYTotalRevenueAmt
CY Total Revenue	$646,797,844	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,068,391	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,288,226	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$330,340,243	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$370,116,801	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$383,407,080	PYOtherExpensesAmt
CY Other Expenses	$348,175,391	CYOtherExpensesAmt
PY Total Expenses	$715,815,714	PYTotalExpensesAmt
CY Total Expenses	$720,580,418	CYTotalExpensesAmt
PY Revenues Less Expenses	-$127,100,609	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$73,782,574	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,286,041,835	TotalAssetsBOYAmt
Total Assets EOY	$3,079,152,064	TotalAssetsEOYAmt
Total Liabilities BOY	$2,324,180,716	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,495,909,969	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$38,138,881	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,583,242,095	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	$299,261,966	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$425,141,335	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 TO STRENGTHEN THE 152 YEAR-OLD FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED WITH THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS HEALTH REACHES OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN 350 FACILITIES, INCLUDING 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO AND IN CHILE. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 13,500,000. IN FISCAL YEAR 2017 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 1,056,123 VISITS TO OUR EMERGENCY DEPARTMENTS; 67,319 INPATIENT SURGERY PROCEDURES; 111,384 OUTPATIENT SURGERY PROCEDURES; 224,194 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 2,721,916 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. IN ADDITION, MANY OF OUR HOSPITALS ARE ENGAGED IN RESEARCH AND CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$124,165,457	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$134,522,375	RevenueAmt
Desc	OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR APPROXIMATELY 15,000 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,797,510	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2017, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$181,816	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,288,226	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$427,406,749	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	752	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3039	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CI	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	MX	ForeignCountryCd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD L CLARKE
DIRECTOR	1.0	0.0	Yes (X)	$28,436	$0	$0
SISTER KATHLEEN COUGHLIN CCVI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SISTER WALTER MAHER CCVI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SISTER HANNAH O'DONOGHUE CCVI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SISTER CHRISTINA MURPHY
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHERYL ALSTON
Director	1.0	0.0	Yes (X)	$13,932	$0	$0
GEORGE BO-LINN MD
Director	1.0	0.0	Yes (X)	$12,832	$0	$0
FATHER CHARLES E BOUCHARD
Director	1.0	0.0	Yes (X)	$0	$0	$0
J LYNN BRITTON
Director	1.0	0.0	Yes (X)	$11,632	$0	$0
PATRICIO DONOSO IBANEZ
Director	1.0	0.0	Yes (X)	$10,982	$0	$0
MARICELA SIEWCZYNSKI MOORE
Director	1.0	0.0	Yes (X)	$14,582	$0	$0
ERNIE SADAU
PRESIDENT & CEO	39.0	1.0	Yes (X)	$4,255,468	$0	$972,084	Yes (X)
ARTHUR SOUTHAM MD
Director/CHAIR	1.0	0.0	Yes (X)	$982	$0	$0	Yes (X)
DENNIS N STINE
DIRECTOR	1.0	0.0	Yes (X)	$19,607	$0	$0
KENNETH D WELLS MD
Director	1.0	0.0	Yes (X)	$14,132	$0	$0
CLARENCE R WILLIAMS
Director	1.0	0.0	Yes (X)	$10,732	$0	$0
BILL CHEN
DIRECTOR	1.0	0.0	Yes (X)	$13,482	$0	$0
J LINDSEY BRADLEY JR
DIRECTOR	1.0	39.0	Yes (X)	$0	$6,021,392	$119,675
RAY THOMPSON
DIRECTOR THRU 11/2016	1.0	39.0	Yes (X)	$0	$4,831,460	$8,521
STEVEN KEUER MD
TMF CHIEF FINANCIAL OFFICER	1.0	39.0	Yes (X)	$0	$1,134,411	$36,852
SISTER LORETTA FELICI
DIRECTOR	1.0	39.0	Yes (X)	$0	$0	$0
RANDY SAFADY
EVP/ CHIEF FINANCIAL OFFICER	39.0	1.0		$2,314,820	$0	$503,133	Yes (X)
ANITA DEWAN
Asst Corp Sec.	32.0	8.0		$109,409	$0	$0	Yes (X)
KELLY KLIBERT
Dir. of Governance	32.0	8.0		$96,931	$0	$0	Yes (X)
ALEX J VALDEZ
CEO-Clinica San Carlos de Apoq	39.0	1.0		$855,370	$0	$34,035		Yes (X)
GEORGE S CONKLIN
SR VP CHIEF INFO OFFICER	39.0	1.0		$1,446,984	$0	$263,405		Yes (X)
JOHN A GILLEAN MD
EVP/CHIEF MEDICAL OFFICER	39.0	1.0		$2,169,619	$0	$446,923		Yes (X)
GERARD F HEELEY
SR VP MISSION AND ETHICS	39.0	1.0		$1,353,766	$0	$229,457		Yes (X)
MARTY MARGETTS
EVP CORPORATE SERVICES	39.0	1.0		$1,661,756	$0	$386,566		Yes (X)
JEFFREY M PUCKETT
EVP/COO	39.0	1.0		$2,436,829	$0	$587,494		Yes (X)
LINDA K MCCLUNG
EVP/Chief Admin Officer	39.0	1.0		$1,736,495	$0	$419,292		Yes (X)
PAUL D GENERALE
EVP/Chief Strategy	39.0	1.0		$1,853,324	$0	$414,407		Yes (X)
STEPHEN WRIGHT
PRESIDENT-CEO LA MINISTRIES	1.0	39.0		$0	$943,988	$229,316		Yes (X)
PETER PLANTES MD
CEO CHRISTUS PHYSICIAN GROUP	1.0	39.0		$0	$864,617	$190,190		Yes (X)
DOMINIC DOMINGUEZ
SVP GROUP OPERATIONS	1.0	39.0		$0	$488,468	$92,486		Yes (X)
JOSEPH BARCIE
SVP INTERNATIONAL OPERATIONS	1.0	39.0		$0	$702,442	$171,908		Yes (X)
NANCY LEGROS
SVP CHIEF LEGAL COUNSEL	40.0	0.0		$895,115	$0	$210,769		Yes (X)
MICHAEL SHANNON STANSBURY
SVP POPULATION HEALTH	40.0	0.0		$469,338	$0	$114,311		Yes (X)
PAMELA ROBERTSON
PRESIDENT-CEO SPOHN	1.0	39.0		$0	$1,239,388	$42,811			Yes (X)
PATRICK CARRIER
PRESIDENT-SANTA FE MINISTRY	1.0	39.0		$0	$1,083,342	$213,187			Yes (X)
CHRISTOPHER KARAM
PRESIDENT-CEO ARK-LA-TEX	1.0	39.0		$0	$753,943	$208,232			Yes (X)
RANDY OSTEEN
VP ASSOC CIO STRATEGY-APPS	40.0	0.0		$788,677	$0	$120,425			Yes (X)
ALEJANDRO CANAVATI
CHIEF EXECUTIVE OFFICER	40.0	0.0		$755,664	$0	$95,010			Yes (X)
MARY T LYNCH
FORMER SR VP CHIEF GOVERNANCE	0.0	0.0		$448,957	$0	$2,241				Yes (X)
EUGENE A WOODS
EVP/COO (THRU 3/2016)	0.0	0.0		$478,484	$0	$25,690				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$24,278,337	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$18,063,451	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,138,420	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	416	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
CB RICHARD ELLIS INC
2700 POST OAK BOULEVARD	HOUSTON	TX	77056	LEASE SERVICES	$21,025,007
PROTIVITI INC
5720 STONERIDGE DRIVE STE 3	PLEASANTON	CA	94588	CONSULTING SERVICES	$9,914,514
ERNST YOUNG
200 PLAZA DRIVE	SECAUCUS	NJ	07094	CONSULTING/audit svc	$4,811,994
PRICEWATERHOUSE COOPeRS ADVISORY
4040 WEST BOY SCOUT BOULEVARD	TAMPA	FL	33607	CONSULTING SERVICES	$3,769,201
WELLCENTIVE INC
100 NORTH POINT CENTER EAST SUITE 3	ALPHARETTA	GA	30022	MEDICAL SERVICES	$3,410,896

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	384	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SERVICE FEE INCOME	541900	$187,037,593	$186,331,564	$706,029	$0
PREMIUM REVENUE	900099	$169,246,058	$169,246,058	$0	$0
SYSTEM OFFICE FEES AND MGMT SERVICES	561000	$81,474,836	$81,474,836	$0	$0
CAPITATION REVENUE	621400	$96,232,724	$96,232,724	$0	$0
MEANINGFUL USE INCENTIVE PAYMENTS	900099	$48,659	$48,659	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,623,840	TotalRevenueColumnAmt
Related Or Exempt Func Income	$25,623,840	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$559,663,710	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,013,709	TotalRevenueColumnAmt
Exclusion	$58,013,709	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	$3,861,937	TotalRevenueColumnAmt
Exclusion	$3,861,937	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$772,449,933	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$754,997,585	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,452,348	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,452,348	TotalRevenueColumnAmt
Exclusion	$17,452,348	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$3,218,597	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,014,203	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,204,394	TotalRevenueColumnAmt
Exclusion	$1,204,394	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MANAGED CARE REVENUE	900099	$3,257,237	$0	$0	$3,257,237
METHODIST REVENUE	900099	$1,304,697	$0	$0	$1,304,697
COBRA INSURANCE - EMPLOYEES	900099	$666,228	$0	$0	$666,228

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,373,584	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,373,584	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,601,746	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$646,797,844	TotalRevenueColumnAmt
Related Or Exempt Func Income	$558,957,681	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$706,029	UnrelatedBusinessRevenueAmt
Exclusion	$87,134,134	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	$2,278,226	TotalAmt
Program Services	$2,278,226	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Program Services	$10,000	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	$26,392,596	TotalAmt
Program Services	$5,461,281	ProgramServicesAmt
Management And General	$20,931,315	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$274,036	TotalAmt
Program Services	$56,705	ProgramServicesAmt
Management And General	$217,331	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$188,523,158	TotalAmt
Program Services	$39,010,107	ProgramServicesAmt
Management And General	$149,513,051	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$6,930,292	TotalAmt
Program Services	-$4,923,220	ProgramServicesAmt
Management And General	-$2,007,072	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$150,315,058	TotalAmt
Program Services	$150,315,058	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,542,245	TotalAmt
Program Services	$2,877,891	ProgramServicesAmt
Management And General	$8,664,354	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$140,000	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$140,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,979,583	TotalAmt
Program Services	$136,891	ProgramServicesAmt
Management And General	$2,842,692	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	-$3,443,147	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	-$3,443,147	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,292,772	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,292,772	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,521,828	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,521,828	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$215,740,384	TotalAmt
Program Services	$184,818,890	ProgramServicesAmt
Management And General	$30,921,494	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,605,419	TotalAmt
Program Services	$12,037	ProgramServicesAmt
Management And General	$4,593,382	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,033,033	TotalAmt
Program Services	$15,317,597	ProgramServicesAmt
Management And General	$8,715,436	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,101,719	TotalAmt
Program Services	$12,668,585	ProgramServicesAmt
Management And General	$433,134	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	$15,623,390	TotalAmt
Program Services	$8,869,254	ProgramServicesAmt
Management And General	$6,754,136	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,281,041	TotalAmt
Program Services	$1,429,520	ProgramServicesAmt
Management And General	$6,851,521	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,629,610	TotalAmt
Program Services	$757,550	ProgramServicesAmt
Management And General	$2,872,060	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,389,623	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$23,389,623	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	$3,539,936	TotalAmt
Program Services	-$2,411,165	ProgramServicesAmt
Management And General	$5,951,101	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,895,206	TotalAmt
Program Services	$7,875,146	ProgramServicesAmt
Management And General	$20,060	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SWAP FINANCING COST	$13,485,226	$0	$13,485,226	$0
DUES/MEMBERSHIPS & SUBSCR	$4,852,546	$1,074,438	$3,778,108	$0
RECRUITMENT/PLACEMENT FEE	$3,387,277	$66,826	$3,320,451	$0
FOREIGN INCOME TAX	$1,220,796	$1,220,796	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,899,149	TotalAmt
Program Services	$484,336	ProgramServicesAmt
Management And General	$1,414,813	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$720,580,418	TotalAmt
Program Services	$427,406,749	ProgramServicesAmt
Management And General	$293,173,669	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	$1,900,565	BOYAmt
EOY	$81,555,076	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	$9,167,413	BOYAmt
EOY	$10,172,836	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	$699,471,901	BOYAmt
EOY	$5,488,887	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,417,459	BOYAmt
EOY	$1,433,749	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$44,483,665	BOYAmt
EOY	$38,198,312	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$278,496,685	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$159,735,538	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$128,649,511	BOYAmt
EOY	$118,761,147	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$459,825,702	BOYAmt
EOY	$458,258,697	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$289,996,632	BOYAmt
EOY	$260,950,740	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$486,179,139	BOYAmt
EOY	$1,421,539,320	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$145,653,218	BOYAmt
EOY	$663,496,670	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,286,041,835	BOYAmt
EOY	$3,079,152,064	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$156,002,393	BOYAmt
EOY	$234,351,373	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	$2,118,058	BOYAmt
EOY	$1,244,879	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$941,691,779	BOYAmt
EOY	$1,055,485,257	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,224,368,486	BOYAmt
EOY	$204,828,460	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,324,180,716	BOYAmt
EOY	$1,495,909,969	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$53,417,148	BOYAmt
EOY	$1,568,963,696	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,671,862	BOYAmt
EOY	$10,671,994	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$38,138,881	BOYAmt
EOY	$1,583,242,095	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,286,041,835	BOYAmt
EOY	$3,079,152,064	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$73,782,574	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$39,207,091	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Other Changes In Net Assets	$1,655,956,459	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$195,922,267	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$177,893,713	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$149,803,902	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$73,618,886	CurrentTaxYearMinus1YearAmt
Current Tax Year	$105,965,033	CurrentTaxYearAmt
Total	$703,203,801	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,936,597	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,045,514	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,219,408	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,469,032	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,247,953	CurrentTaxYearAmt
Total	$24,918,504	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$202,858,864	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$182,939,227	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$156,023,310	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$77,087,918	CurrentTaxYearMinus1YearAmt
Current Tax Year	$109,212,986	CurrentTaxYearAmt
Total	$728,122,305	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$728,122,305	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,128,748	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$22,860,349	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,161,269	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,301,669	CurrentTaxYearMinus1YearAmt
Current Tax Year	$61,875,646	CurrentTaxYearAmt
Total	$125,327,681	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$3,055,553	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,783,879	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,974,103	CurrentTaxYearMinus1YearAmt
Current Tax Year	$569,668	CurrentTaxYearAmt
Total	$11,383,203	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,128,748	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,915,902	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$21,945,148	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,275,772	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,445,314	CurrentTaxYearAmt
Total	$136,710,884	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

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

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,309,554	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,924,589	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,538,968	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$22,666,640	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,572,390	CurrentTaxYearAmt
Total	$45,012,141	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$228,297,166	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$213,779,718	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$182,507,426	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$107,030,330	CurrentTaxYearMinus1YearAmt
Current Tax Year	$178,230,690	CurrentTaxYearAmt
Total	$909,845,330	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.80027	PublicSupportCY509Pct
Public Support PY509	0.86490	PublicSupportPY509Pct
Investment Income CY	0.15026	InvestmentIncomeCYPct
Investment Income PY	0.09520	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$728	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	$432,685	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$859,359	OtherActivitiesAmt
Total Lobbying Expenditures	$1,292,772	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING DESCRIPTION	FormAndLineReferenceDesc
Explanation	Part 1(b): Paid staff and management: with approximately five paid staff members for the CHRISTUS Health system that serve the Advocacy and Public and Policy department. The department represents the organization before state and federal legislative bodies and regulatory agencies. Part 1(d) Mailings to members and legislators through system-wide action alert for issues related to: 10/26/2017 Contact you Congressman to Support Safety Net Hospitals 172 letters sent; 3/20/2017 Act Now to Oppose Passage of AHCA 402 letters sent; 5/31/2017 Act Now to Oppose the AHCA 410 letters sent; 6/26/2017 Act Now to Oppose BCRA 481 letters sent. Total letters 1465 letters sent. 1 minute per letter. Part 1 (g) Direct contact with legislators, their staffs, government officials and legislative bodies for issues related to: emails, letters and direct contact to members of congressional and state lawmakers in TX, LA, NM, and AR to discuss: draft report language in the House Armed Services Committee report on the National Defense Authorization Act for FY 2017, sole community provider status, tax reform, disproportionate share hospital funding, critical access hospital funding, rural hospital issues, 1115 waiver medicaid proposals, uniform hospital rate increase program, mediciad managed care, health Information technology and interoperability, Affordable Care Act, federal emergency preparedness, pharmaceutical 340B safety-net hospital program, school based health clinics, medicaid expansion under the ACA, military health, in-hospital do-not-rescsitate orders, hospital local provider fees, trauma funding, pediatric hospital issues, hospital liens, advance directives legislation, behavioral health issues, abortion complications reporting, maintenance of certification for physicians, public Information act and transparency legislation, foster care reform, balance billing and insurance reform, Medicaid Expansion, physician group legislation, state hospital reforms, VA unreimbursed claims, and non subscription as an alternative to Texas Workers Compensation system. Part 1 (i) Other Activity includes: Annual fee to CapWiz to administer action alert server hosting fee. Lobbying fees as portion to dues for trade associations including: Alliance, American Health Insurance Plans, American Hospital Association , Arkansas Hospital Association, Association of community Cancer Centers, Catholic Health Association, Childrens Hospital Association, Children's Hospital Association of Texas, Louisiana Assisted Living Association, Louisiana Hospital Association, Louisiana Nursing Home Association, New Mexico Hospital Association, Texas Association Home Care, Texas Association of Health Plans, Texas Hospital Association, US Family Health Plan, Teaching Hospitals of Texas, 340B Health. In addition, paid lobbyists and consultants to support the issues described above. Total Hours 600 executive/director level, 800 hours Director/Associate.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$20,927,018	OtherCostOrOtherBasisAmt
Book Value	$20,927,018	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$92,594,696	OtherCostOrOtherBasisAmt
Depreciation	$42,045,484	DepreciationAmt
Book Value	$50,549,212	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$15,828,038	OtherCostOrOtherBasisAmt
Depreciation	$6,499,977	DepreciationAmt
Book Value	$9,328,061	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$61,900,402	OtherCostOrOtherBasisAmt
Depreciation	$9,176,651	DepreciationAmt
Book Value	$52,723,751	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$87,246,531	OtherCostOrOtherBasisAmt
Depreciation	$102,013,426	DepreciationAmt
Book Value	-$14,766,895	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$118,761,147	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	HEDGE FUNDS	Desc
Book Value	$260,950,740	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$260,950,740	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN CONSOL SUBS	Desc
Book Value	$1,421,539,320	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$1,421,539,320	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED ASSETS	$42,370,232
SVH RESTRICTED CAPITAL ACCOUNT	$32,111,105
DUE FROM RELATED ORGANIZATIONS	$503,717,701
DEPOSITS	$3,280,776
CURRENT PORTION ALATU-PENSION	$987
CMS DUE RELATED ENTITIES	$73,318,560
BOND ISSUE COST OF NET AMORT	$8,697,309

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$663,496,670	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
LT PENSION LIABILITY	$135,365,246
LT OBLIGATION SELF FUNDED	$67,079,163
TAXES PAYABLE	$2,651,186
CCVI PAYABLE	$553,673
CAPITAL LEASE LIABILITY	$41,486
COLLECTIONS PAYABLE	-$862,294

Field	Value	IRS element (for citing)
Total Liability	$204,828,460	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS	FORM 990, PART X, LINE 1 AND 2 OTHER ASSETS, FORM 990, PART X, LINE 15 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
ENDOWMENT FUNDS	FORM 990, SCHEDULE D, PART V CHRISTUS HEALTH HAS A 50% INTEREST IN BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES SHOW ENDOWMENTS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS. THEREFORE, CHRISTUS HEALTH REPORTS 50% OF SUCH ENDOWMENTS ON ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HOWEVER, SUCH ENDOWMENTS ARE NOT REPORTED ON THE CHRISTUS HEALTH FORM 990, SCHEDULE D, PART V BECAUSE CHRISTUS HEALTH DOES NOT HAVE A CONTROLLING INTEREST OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES, AND THEREFORE IT IS NOT A RELATED ORGANIZATION PER THE IRS FORM 990 INSTRUCTIONS.
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, 2017 AND 2016.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
South America	Program Services	Program/Bus Develop	$1,064,207
North America	Program Services	Program/Bus Develop	$310,030
Europe (Including Iceland and Greenland)	Program Services	Program/Bus Develop	$255,106
Central America and the Caribbean	Program Services	Program/Bus Develop	$8,886
East Asia and the Pacific	Program Services	Program/Bus Develop	$4,397
Middle East and North Africa	Program Services	Program/Bus Develop	$1,853
South Asia	Program Services	Program/Bus Develop	$246
Central America and the Caribbean	Program Services	INVESTMENTS-BOOK VALUE	$247,089,988
Central America and the Caribbean	Program Services	INVESTMENTS-BOOK VALUE	$95,781,755
Central America and the Caribbean	Program Services	self insurance funding	$25,289,148
North America	Program Services	Investments-Cap Contr	$3,500,000

Field	Value	IRS element (for citing)
Subtotal Spent	$373,305,616	SubtotalSpentAmt
Total Spent	$373,305,616	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Europe (Including Iceland and Greenland)	RegionTxt
Purpose Of Grant	MONASTERY OF THE INCARNATE WORLD	PurposeOfGrantTxt
Cash Grant	$10,000	CashGrantAmt
Manner Of Cash Disbursement	TRANSFER	MannerOfCashDisbursementTxt

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE F, PART I, LINE 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
INTERFAITH LEAP INC
816 Highway 22	Pena Blanca	NM	87041	270736366	501(c)(3)	$30,000	WOMEN'S TRAUMA INFORMED CARE PROGRAM
NORTHWEST LOUISIANA INTERFAITH PHARMACY
909 OLIVE STREET	Shreveport	TX	71104	721479289	501(c)(3)	$20,000	GENERAL SUPPORT
THE COMING HOME CONNECTION INC
418 Cerrillos Road Suite 27	Santa Fe	NM	875012664	742853467	501(c)(3)	$16,121	Volunteer Home Care Model Program
CASA OF NORTHEAST TEXAS INC
P O Box 1546	Texarkana	TX	75004	752352271	501(c)(3)	$25,000	SANE CERTIFIED NURSE PROGRAM
SAN ANTONIO CHRISTIAN DENTAL CLINIC
1 Haven for Hope Way Bldg 1 Suit	San Antonio	TX	78207	742428161	501(c)(3)	$75,000	DENTAL CARE FOR LOW INCOME & HOMELESS
SAMARITAN COUNSELING CENTER
7980 Anchor Drive Bldg 500	Port Arthur	TX	776428285	741437991	501(c)(3)	$100,000	PSYCHOTHERAPY/PSYCHOEDUCATIONAL SVCS
CHRISTUS SOUTHEAST TEXAS
2830 Calder Street	Beaumont	TX	77702	760591590	501(c)(3)	$43,333	COALITION PROGRAM
DAVID RAINES COMMUNITY
3041 Martin Luther King Jr Drive	Shreveport	LA	77107	582000630	501(c)(3)	$33,333	GET COVERED 4 CADDO PROGRAM
AMISTAD COMMUNITY HEALTH CENTER
1533 S Brownlee Blvd	Corpus Christi	TX	78404	203008507	501(c)(3)	$11,900	MARKETPLACE EXCHANGE PROGRAM
CORPUS CHRISTI HOPE HOUSE INC
658 Robinston Street	Corpus Christi	TX	78404	742480299	501(c)(3)	$20,000	PROGRAM SUPPORT
NEW MEXICO SUICIDE INTERVENTION
1720 Llano Street	Santa Fe	NM	87505	850427990	501(c)(3)	$30,000	PATHWAY TO RESILIENCE PROGRAM
THE HEALTH COLLABORATIVE
1002 North Flores Street	San Antonio	TX	78212	311449807	501(c)(3)	$70,000	PREVENTATIVE HEALTH SCREENINGS
COASTAL BEND CENTER FOR INDEPENDENT LIVING
1537 Seventh Street	Corpus Christi	TX	78404	742878070	501(C)(3)	$13,000	NAVIGATOR ENHANCED MARKETING CAMPAIGN PROGRAM
FOOD BANK OF CORPUS CHRISTI
826 Krill Street	Corpus Christi	TX	78408	742234089	501(C)(3)	$50,000	DIABETES HANDS ON PROGRAM
ANY BABY CAN OF SAN ANTONIO INC
217 Howard Street	San Antonio	TX	78212	742684333	501(C)(3)	$30,000	PRESCRIPTION ASSISTANCE PROGRAM
YWCA CORPUS CHRISTI
4601 Corona Drive	Corpus Christi	TX	78411	741157366	501(C)(3)	$46,856	THERAPEUTIC RECREATION PROGRAM
MARYS HOUSE OF LOUISIANA INC
906 Margaret Place	Shreveport	LA	71101	472593937	501(C)(3)	$52,800	PREGNANCY CARE CENTER PROGRAMS
CANCER FOUNDATION FOR NEW MEXICO
3005 South St Francis Drive Suite	Santa Fe	NM	87505	412079799	501(C)(3)	$15,000	GROCERY SUPPORT PROGRAMS
I CARE SAN ANTONIO INC
1 Haven for Hope Way Bldg 1 Suit	San Antonio	TX	78207	742690192	501(C)(3)	$33,700	SENIOR VISION HEALTHCARE PROGRAMS
SLEW WELLNESS CENTER
12521 Nacogdoches Road Suite 101	San Antonio	TX	78217	421580967	501(C)(3)	$35,000	LOW INCOME WOMEN WITH CANCER
CHRISTUS ST MICHAEL
2800 St Michael Drive	Texarkana	TX	75503	471655865	501(C)(3)	$33,500	ACA ENROLLMENT INITIATIVE
FRIENDSHIP CLUB
P O Box 6723	Santa Fe	NM	87502	850324089	501(C)(3)	$25,000	PROGRAM SUPPORT
CORPUS CHRISTI PREGNANCY CENTER
4730 Everhart Road	Corpus Christi	TX	78411	742541210	501(C)(3)	$20,000	PREGNANCY CENTER PROGRAM SUPPORT
SOUTHEAST TEXAS FOOD BANK
3845 South Martin Luther King Jr P	Beaumont	TX	77705	760338721	501(C)(3)	$14,250	HEALTH FOOD DISTRIBUTION PROGRAM
CATHOLIC CHARITIES OF NORTH LOUISIANA
331 E 71st Street	Shreveport	LA	71106	320315500	501(C)(3)	$25,000	GABRIEL'S CLOSET FOR LOW INCOME PARENTS PROGRAM
DALLAS AREA INTERFAITH SPONSORING COMMITTEE
1104 Lupo Drive	Dallas	TX	752015208	752409130	501(C)(3)	$6,000	CHRISTUS MEDICAL MISSION FUND
Catholic Charities of Southeast TX
2780 Eastex Freeway	Beaumont	TX	77703	741900345	501(C)(3)	$168,963	DISASTER RESPONSE PROGRAM
SISTERS OF CHARITY OF THE INCARNATE WORD
4503 Broadway	San Antonio	TX	78209	741676917	501(C)(3)	$190,366	MEDICAL BRIGADE IN PERU, SANTIAGO APOSTOL HOSPICE PROGRAM
CHRISTUS SANTA ROSA VOLUNTEER SVCS
11212 STATE HWY 151	SAN ANTONIO	TX	78251	741109665	501(C)(3)	$56,183	PAYOUT TO THE REGION
CHRISTUS SPOHN HOSPITAL
1311 E GENERAL CALAZOS	KINGSVILLE	TX	78363	741109836	501(C)(3)	$97,406	PAYOUT TO THE REGION
CHRISTUS SHUMPERT HEALTH SYSTEM
1453 E Bert Kouns Ind Loop	Shreveport	LA	71105	721219280	501(C)(3)	$22,118	PAYOUT TO THE REGION
CHRISTUS ST FRANCES CABRINI
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	501(C)(3)	$13,668	PAYOUT TO THE REGION
RISE AGAINST HUNGER INC
3733 NATIONAL DRIVE SUITE 200	RALEIGH	NC	27612	161541024	501(C)(3)	$5,826	IRVING 4 HOURS SHIFTS
BISHOP FARRELL INVITATIONAL
12222 Merit Drive Suite 850	Dallas	TX	752513242	750800637	501(c)(3)	$100,000	TOURNAMENT SPONSORSHIP
HOLY TRINTIY SEMINARY
3131 Vince Hagan Drive	Irving	TX	75062	756045735	501(C)(3)	$10,000	DONATION
ST JOSEPH COMMUNITY FOUNDATION
PO BOX 6427	PARIS	TX	75461	392034296	501(c)(3)	$15,000	ST JOSEPH'S COMMUNITY FOUNDATION
ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DRIVE	SANTA FE	NM	87505	356088862	501(c)(3)	$48,000	GALA SPONSORSHIP THOUGHTS
DALLAS WOMENS FOUNDATION
8150 NORTH CENTRAL EXPRESSWAY SUITE	DALLAS	TX	75206	752048261	501(c)(3)	$10,000	2017 LEADERSHIP FORUM & AWARD DINNER
CHRISTUS SPOHN FOUNDATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	501(c)(3)	$33,000	GRAND TOURNAMENT AWARDS SPONSOR
BENEDICTINE ABBEY OF NEWARK
520 DR MARTIN LUTHER KING JR BLVD	NEWARK	NJ	07102	221861903	501(c)(3)	$65,500	PASSENGER BUS
CATHOLIC CHARITIES OF DALLAS INC
9461 LBJ FREEWAY SUITE 110	DALLAS	TX	75243	752745221	501(C)(3)	$75,000	GALA SPONSORSHIP
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	501(C)(3)	$60,000	SPRING LUNCHEON
CHRISTUS HEALTH FOUNDATION SETX
2830 CALDER STREET	BEAUMONT	TX	77702	760136274	501(C)(3)	$10,000	DONATION FOR VISIONARIES
VISITATION HOUSE MINISTRIES
945 W HAUISACHE	SAN ANTONIO	TX	78201	742447137	501(C)(3)	$7,500	SUMMER SOJOURN SPONSOR
CHEF SHOWCASE FOUNDATION
2100 MCKINNEY AVENUE SUITE 700	DALLAS	TX	75201	200371453	501(C)(3)	$10,000	CHEF'S SHOWCASE
AQUINAS INSTITUTE OF THEOLOGY
23 SOUTH SPRING AVE	ST LOUIS	MO	63108	431233793	501(C)(3)	$100,000	DONATION
BISHOPS APPEAL
1015 EAST SOUTHWEST LOOP 323	TYLER	TX	75701	464060526	501(C)(3)	$250,000	SUPPORT FOR CRUSADER CENTER
CHRISTUS CABRINI FOUNDATION
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	501(C)(3)	$10,000	FOUNDATION ANNUAL BALL
THE UNIVERSITY OF DALLAS
1845 EAST NORTHGATE DRIVE	IRVING	TX	75062	750926755	501(C)(3)	$10,000	UNIVERSITY OF DALLAS GOLF TOURNAMENT

Field	Value	IRS element (for citing)
Total501c3 Org	49	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Description of Organization's Procedures for Monitoring the Use of Grants	FormAndLineReferenceDesc
Explanation	Form 990, Schedule I, Part I, LINE 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERNIE SADAU
PRESIDENT & CEO	$1,959,919	$0	$2,289,600	$0	$5,949	$0	$910,980	$0	$61,104	$0	$5,227,552	$0	$0	$0
J LINDSEY BRADLEY JR
DIRECTOR	$0	$960,694	$0	$450,000	$0	$4,610,698	$0	$112,630	$0	$7,045	$0	$6,141,067	$0	$0
RAY THOMPSON
DIRECTOR THRU 11/2016	$0	$795,235	$0	$470,000	$0	$3,566,225	$0	$2,650	$0	$5,871	$0	$4,839,981	$0	$0
STEVEN KEUER MD
TMF CHIEF FINANCIAL OFFICER	$0	$641,694	$0	$384,712	$0	$108,005	$0	$29,263	$0	$7,589	$0	$1,171,263	$0	$0
RANDY SAFADY
EVP/ CHIEF FINANCIAL OFFICER	$1,143,902	$0	$1,170,000	$0	$918	$0	$460,051	$0	$43,082	$0	$2,817,953	$0	$0	$0
ALEX J VALDEZ
CEO-Clinica San Carlos de Apoq	$518,526	$0	$93,135	$0	$243,709	$0	$19,191	$0	$14,844	$0	$889,405	$0	$28,473	$0
GEORGE S CONKLIN
SR VP CHIEF INFO OFFICER	$861,134	$0	$566,400	$0	$19,450	$0	$237,312	$0	$26,093	$0	$1,710,389	$0	$0	$0
JOHN A GILLEAN MD
EVP/CHIEF MEDICAL OFFICER	$1,204,420	$0	$936,000	$0	$29,199	$0	$392,031	$0	$54,892	$0	$2,616,542	$0	$0	$0
GERARD F HEELEY
SR VP MISSION AND ETHICS	$809,156	$0	$480,000	$0	$64,610	$0	$204,802	$0	$24,655	$0	$1,583,223	$0	$42,676	$0
MARTY MARGETTS
EVP CORPORATE SERVICES	$790,838	$0	$870,000	$0	$918	$0	$333,449	$0	$53,117	$0	$2,048,322	$0	$0	$0
JEFFREY M PUCKETT
EVP/COO	$1,175,911	$0	$1,260,000	$0	$918	$0	$542,385	$0	$45,109	$0	$3,024,323	$0	$0	$0
EUGENE A WOODS
EVP/COO (THRU 3/2016)	$478,484	$0	$0	$0	$0	$0	$17,662	$0	$8,028	$0	$504,174	$0	$0	$0
LINDA K MCCLUNG
EVP/Chief Admin Officer	$865,577	$0	$870,000	$0	$918	$0	$386,812	$0	$32,480	$0	$2,155,787	$0	$0	$0
PAUL D GENERALE
EVP/Chief Strategy	$879,406	$0	$973,000	$0	$918	$0	$375,762	$0	$38,645	$0	$2,267,731	$0	$0	$0
PAMELA ROBERTSON
PRESIDENT-CEO SPOHN	$0	$791,758	$0	$99,524	$0	$348,106	$0	$19,396	$0	$23,415	$0	$1,282,199	$0	$56,076
PATRICK CARRIER
PRESIDENT-SANTA FE MINISTRY	$0	$809,818	$0	$247,508	$0	$26,016	$0	$187,797	$0	$25,390	$0	$1,296,529	$0	$0
STEPHEN WRIGHT
PRESIDENT-CEO LA MINISTRIES	$0	$641,224	$0	$302,764	$0	$0	$0	$198,815	$0	$30,501	$0	$1,173,304	$0	$0
CHRISTOPHER KARAM
PRESIDENT-CEO ARK-LA-TEX	$0	$486,951	$0	$266,992	$0	$0	$0	$176,676	$0	$31,556	$0	$962,175	$0	$0
PETER PLANTES MD
CEO CHRISTUS PHYSICIAN GROUP	$0	$539,397	$0	$325,220	$0	$0	$0	$154,746	$0	$35,444	$0	$1,054,807	$0	$0
MARY T LYNCH
FORMER SR VP CHIEF GOVERNANCE	$0	$0	$0	$0	$448,957	$0	$0	$0	$2,241	$0	$451,198	$0	$0	$0
DOMINIC DOMINGUEZ
SVP GROUP OPERATIONS	$0	$483,468	$0	$5,000	$0	$0	$0	$79,115	$0	$13,371	$0	$580,954	$0	$0
JOSEPH BARCIE
SVP INTERNATIONAL OPERATIONS	$0	$444,842	$0	$257,600	$0	$0	$0	$142,895	$0	$29,013	$0	$874,350	$0	$0
NANCY LEGROS
SVP CHIEF LEGAL COUNSEL	$559,115	$0	$336,000	$0	$0	$0	$179,553	$0	$31,216	$0	$1,105,884	$0	$0	$0
MICHAEL SHANNON STANSBURY
SVP POPULATION HEALTH	$317,985	$0	$151,353	$0	$0	$0	$84,578	$0	$29,733	$0	$583,649	$0	$0	$0
RANDY OSTEEN
VP ASSOC CIO STRATEGY-APPS	$564,643	$0	$186,395	$0	$37,639	$0	$108,583	$0	$11,842	$0	$909,102	$0	$19,976	$0
ALEJANDRO CANAVATI
CHIEF EXECUTIVE OFFICER	$639,899	$0	$65,475	$0	$50,290	$0	$64,931	$0	$30,079	$0	$850,674	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
FIRST CLASS TRAVEL	FORM 990, SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: MARY T. LYNCH - $441,833 ALEX VALDEZ - $167,168 PAMELA ROBERTSON - $214,179 J. LINDSEY BRADLEY - $4,610,698 RAY THOMPSON - $3,566,225
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	FORM 990, SCHEDULE J, PART I, QUESTION 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THe PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR YEAR 990 ALEX J. VALDEZ RECEIVED $28,473 DURING CALENDAR YEAR 2016 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. GERARD F. HEELEY RECEIVED $42,676 DURING CALENDAR YEAR 2016 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PAMELA ROBERTSON RECEIVED $56,076 DURING CALENDAR YEAR 2016 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. RANDY OSTEEN RECEIVED $19,976 DURING CALENDAR YEAR 2016 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2016. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FORM 990, SCHEDULE J, PART II, COLUMN (F) THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$203,995,000	$7,125,000	$320,967,666	$0	$0	$0	$1,687,415	$4,733,000	$0	$3,624,407	$310,922,844	$0	2009	false	Yes (true)	Yes (true)	Yes (true)
B	$54,070,000	$16,105,000	$96,654,505	$0	$0	$0	$0	$0	$4,505	$0	$96,650,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$14,225,000	$0	$62,856,665	$0	$0	$0	$337,093	$914,000	$393,273	$18,182,274	$43,030,025	$0	2009	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILTIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 5, 2005, NOVEMBER 20, 2007). FORM 990, SCHEDULE K, PART I, LINE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS. FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $347,666 C. LINE 3. INVESTMENT EARNINGS = $1,556,665 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $232,271 B. LINE 3. INVESTMENT EARNINGS = $602,530 C. LINE 3. INVESTMENT EARNINGS = $1,029,156 D. LINE 3. INVESTMENT EARNINGS = $701 FORM 990, SCHEDULE K, PART II, PAGE 3 A. LINE 3. INVESTMENT EARNINGS = $151 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 24, 2015. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. C. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. D. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. FORM 990, SCHEDULE K, PART IV, PAGE 3 A. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 7, 2014. LINE 7. CHRISTUS HEALTH HAS THE APPROPRIATE PROCESSES IN PLACE TO ADHERE TO AND MONITOR THE REQUIREMENTS UNDER IRC SECTION 148. CHRISTUS HEALTH IS CURRENTLY IN THE PROCESS OF FORMALLY ADOPTING WRITTEN PROCEDURES. FORM 990, SCHEDULE K, PART V THE ANSWER "YES" REFERS TO THE ORGANIZATION'S WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF REGULATIONS SECTIONS 1.141-12 AND 1.145-2 ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LOUISIANA PUBLIC FACILITIES AUTHORITY
A	720895871	546398ZM3	2008-11-25	$44,382,370	SEE SCH K, PART VI	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
B	720895871	546398C71	2009-08-12	$231,654,638	SEE SCH K, PART VI	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
C	043833551	87638TDB6	2008-11-25	$185,542,228	SEE SCH K, PART VI	Yes (true)	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
D	043833551	87638TDF7	2008-12-19	$268,560,000	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,285,000	$0	$44,614,641	$4,224,038	$0	$0	$775,238	$575,366	$0	$0	$39,040,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$73,185,000	$0	$232,257,168	$16,203,030	$0	$0	$0	$0	$4,138	$0	$216,050,000	$0	Yes (true)	false	false	Yes (true)
C	$31,675,000	$12,540,000	$186,571,384	$17,956,451	$0	$0	$3,029,908	$2,510,025	$0	$0	$163,075,000	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$106,480,000	$0	$268,560,701	$0	$0	$0	$1,638,896	$235,297	$0	$0	$266,686,508	$0	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	false	false	0.00000	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00200	0.00200	false	false	0.00000	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	false	false		false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false		false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$44,345,000	$0	$73,865,444	$0	$0	$0	$0	$0	$0	$0	$73,865,444	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$174,304,000	$0	$0	$0	$0	$0	$0	$174,165,274	$138,726	$0	false	false	Yes (true)	Yes (true)	2016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	false		false	0.03300	0.00000	0.03300	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, ITEM C	Doing Business As: Christus Health Service Center CHRISTUS Health System CHRISTUS Healthy Living Spa CHRISTUS Innovations Institute CHRISTUS St. Joseph Village CHRISTUS St. Michael Simulation Center Marketplace Solutions TechSource TLRA Uniformed Services Family Health Plan US Family Health Plan USFHP
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2017 WAS $0. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2017, GRANT FUNDS WERE DISTRIBUTED FROM CHRISTUS HEALTH FOUNDATION OF $1,538,933.
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, LINE 2 Officers Ernie Sadau and Randy Safady, and Key Employees John Gillean, MD and Eugene Woods have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 6 CHRISTUS HEALTH HAS FOUR (4) CORPORATE MEMBERS, CONSISTING OF TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TX, AND TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO. TOGETHER THOSE FOUR SISTERS COMPRISE THE CORPORATE MEMBERS AND COLLECTIVELY THEY EXERCISE THE POWERS RESERVED TO THE MEMBERS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, LINE 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, and ONE SISTER OF THE Sisters of the Holy Family of Nazareth. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, LINE 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2018 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, LINE 12C A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2017.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 CASH MANAGEMENT SYSTEM $ 1,529,128,467 NARF ADJUSTMENT $ 184,972,826 PENSION AMORTIZATION $ 7,943,273 PENSION FUNDING & LIABILITY/EXPENSE $ 4,509,877 EQUITY ADJ CONSOL SUBS $ 3,475,858 CONTRIBUTIONS $ 354,010 BOND FUNDING $ 143,883 SPONSORSHIP FEES $ (1,470,988) EXTRAORDINARY ITEM $ (73,100,748) ROUNDING $ 1 ---------------- LINE 9 TOTAL $ 1,655,956,459
FORM 990 PART IX LINE 11G	DESCRIPTION:SVC FEES - PHARMACY, PHYSICIAN TOTAL FEES:90317644
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIR & MAINTENANCE SERVICES TOTAL FEES:72891571
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING & CONSULTING SVCS TOTAL FEES:36992744
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:17628168
FORM 990 PART IX LINE 11G	DESCRIPTION:CAPITATION EXPENSES TOTAL FEES:17250957
FORM 990 PART IX LINE 11G	DESCRIPTION:FUND ADMINISTRATION COSTS TOTAL FEES:7567677
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:2306246
FORM 990 PART IX LINE 11G	DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1229804
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:165
FORM 990 PART IX LINE 11G	DESCRIPTION:LOBBYING EXPENSES TOTAL FEES:-1292053
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCO PROF & SYSTEM FEES TOTAL FEES:-12782911
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCOMPANY OVERHEAD ALLOC TOTAL FEES:-16369628

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
Christus Spohn Health System Corporation
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 Calder Street	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS Continuing Care
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE 1	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTHSTE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	CH	Yes (true)
ST FRANCES CABRINI HPL FDN OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HTH SVCS	LA	501(C)(3)	7	CNLA	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HTH SVCS	TX	501(C)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HTH SVCS	LA	501(C)(3)	7	NOLA	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HTH SVCS	TX	501(C)(3)	7	SPOHN HS	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST OF TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	SETX	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	CSRHCC	Yes (true)
SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HLTHCARE SVCS	TX	501(C)(3)	10	CSRHCC	Yes (true)
CHRISTUS Health Liab Retention Trust
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760259623	SELF INS TRST	TX	501(C)(3)	12-Type I	CH	Yes (true)
SANTA ROSA GENERAL HOSPITAL AUXILIARY
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741278312	SUPP HTH SVCS	TX	501(C)(3)	3	CSRHCC	Yes (true)
CHRISTUS HEALTH PLAN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(C)(4)		CSHSC	Yes (true)
ST FRANCES CABRINI HOSPITAL AUXILIARY
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HTH SVCS	LA	501(C)(3)	10	CNLA	Yes (true)
Christus Santa Rosa Med Ctr Auxiliary
2827 Babock Road	San Antonio	TX	78229	731655493	SUPP HTH SVCS	TX	501(C)(3)	10	CSRHCC	Yes (true)
CHRISTUS Health Strategic Growth
919 hidden ridge drive	irving	TX	75038	462798043	supp hth svcs	TX	501(c)(3)	12-type I	CH	Yes (true)
Christus Health Plan Louisiana
919 Hidden Ridge Dr	Irving	TX	75038	464617988	Medicaid HMO	LA	501(c)(4)		CH	Yes (true)
Christus Health Plan New Mexico
919 Hidden Ridge Dr	Irving	TX	75038	464487295	Medicaid HMO	NM	501(c)(3)	10	CH	Yes (true)
Christus Pediatric Physician Group
919 Hidden Ridge Dr	Irving	TX	75038	465203505	Hlthcare Svcs	TX	501(c)(3)	3	CH	Yes (true)
Christus Health Latin America
919 hidden ridge drive	irving	TX	75038	462816604	spt hlth svcs	TX	501(C)(3)	12-type 1	CH Stra Grth	Yes (true)
Christus HEALTH International
919 hidden RIDGE drive	irving	TX	75038	462811167	spt hlth svcs	TX	501(C)(3)	12-type 1	CH Stra Grth	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SPT HLTH SVCS	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SPT HLTH SVCS	LA	501(C)(3)	7	SWLA	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(c)(3)	3	ch	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(C)(3)	12-TYPE 1	CTMFHS	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE	TX	501(C)(3)	3	CTMFHS	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
CHRISTUS TRINITY MOTHER FRANCES HS
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
Good Shepherd Health System INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	hlthcare svcs	TX	501(c)(3)	12-type II	CH	Yes (true)
CHRISTUS ARK-LA-TEX HEALTH SYSTEM
919 HIDDEN RIDGE DR	IRVING	TX	75038	822109465	hlthcare svcs	TX	501(c)(3)	12-type II	CH	Yes (true)
Champion EMS
2201 S Mobberly Ave	Longview	TX	75602	752747708	Hlthcare Svcs	TX	501(c)(3)	10	GSHS INC	Yes (true)
Hopkins Country Physician Services
115 Airport Road	Sulpher Springs	TX	75482	260637747	HLTHCARE SVCS	TX	501(C)(3)	3	GSHS INC	Yes (true)
HCMH Retail Clinic
115 Airport Road	Sulphur Springs	TX	75482	475417965	HLTHCARE SVCS	TX	501(C)(3)	3	GSHS INC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE	TX	501(C)(3)	3	GSHS INC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(C)(3)	10	GSH INC	Yes (true)
SERVICE ORGANIZATION OF GOOD SHEPHERD
2950 50TH ST	LUBBOCK	TX	79413	383914883	SUPPORT	TX	501(C)(3)	12-TYPE I	GSH INC	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE	TX	501(C)(3)	7	GSMC	Yes (true)
christus health fdn of setx
2830 calder	beaumont	TX	77702	760136274	supp hth svcs	TX	501(C)(3)	12-type I	SETX	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	750974351	HEALTHCARE	TX	501(C)(3)	3	GSHS INC	Yes (true)
BAPTISTST ANTHONY'S HEALTH SYSTEM
1600 WALLACE BLVD	AMARILLO	TX	79106	751858993	SUPPORT	TX	501(C)(3)	12-TYPE I		false	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
ST ELIZABETH REHAB PARTNERS
2830 CALDER STREET	BEAUMONT	TX	777021809	205657181	HLTHCARE SVCS	TX	H VENTURES-SETX
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SVCS	LA	OCCUPATIONAL HS
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HLTHCARE SVCS	TX	CSRHCC
CSR Outpatient Surgery New Braunfels
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HLTHCARE SVCS	TX	CSRHCC
CSR Surgery Center LLP
15305 Dallas Pkwy Ste 1600 LB 28	Addison	TX	75001	200424958	HLTHCARE SVCS	TX	CSRHCC
CSR AMB SUR CTR
333 Santa Rosa	San Antonio	TX	78207	412092141	HLTHCARE SVCS	TX	CSRHCC
Colonnade Endoscopy Center
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HLTHCARE SVCS	LA	SWLA
ALAMO HEIGHTS SURGICAL GP
333 SANTA ROSA	SAN ANTONIO	TX	78207	462683189	HLTHCARE SVCS	TX	CSRHCC
ALAMO HEIGHTS SURGICAL HOSPITAL GROUP LP
333 SANTA ROSA	SAN ANTONIO	TX	78207	900974203	HLTHCARE SVCS	TX	CSRHCC
ASPG LOUISIANA LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	383981731	AMB. SURGERY	LA	ASPG INC
PROMPTU IMAGING OF CORPUS CHRISTI PLLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	813074600	IMAGING SVCS	TX	ASPG INC
LA ATHLETIC CLB LLC
COLLEGE DR	PINEVILLE	LA	71359	721461793	HEALTH CLUB	LA	CNLA
ETMF JV LLC
8686 NEW TRAILS DR	SPRING	TX	77381		INACTIVE	TX	CTMFHS	INACTIVE
IMPERIAL CALCASIEU SURGICAL CENTER LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605		ASC	LA	SWLA	RELATED
Tyler Radiation Equipment Leasing
10101 woodloch Forest Drive	Woodlands	TX	77380		Equipment leasing	TX	MFH Reg	unrelated
MCKENNA LSNG GP LLC
UN AVE	NEW BRAUNFELS	TX	78130	741191729	INVESTMENT	TX	CSRHCC
MCKENNA EQ LSNG LP
un ave	new braunfels	TX	78130	204177842	med equip lsng	TX	csrhcc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Foreign PostalForeignAddress/ForeignPostalCd
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	755042911	752562459	HEALTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
AK INTEGRATED COMM HLTH NTWK
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	760480684	HEALTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
SCH MGMNT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MGT JOINT VENTR	LA	NOLA	C-Corp	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN Admin	TX	Spohn HSC	C-Corp	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	Spohn HSC	C-Corp	Yes (true)
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SVCS	TX	CH SETX	C-Corp	Yes (true)
HEALTH VENTURES OF SE TEXAS
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760397263	BUILDING RENT	TX	CH SETX	C-Corp	Yes (true)
OCCUPATIONAL HEALTH SVCS INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SVCS	LA	CH SWLA	C-Corp	Yes (true)
SOUTHWESTERN LOUISIANA PHO
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTHCARE SVCS	LA	CH SWLA	C-Corp	Yes (true)
SOUTH RYAN DEVELOPMENT CORP
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BLDG	LA	CH SWLA	C-Corp	Yes (true)
MCKENNA PROF BLDG OWNERS ASSOC
598 N UNION ST SUITE 210	NEW BRAUNFELS	TX	78130	742742934	BUILDING ASSOC	TX	CSRHCC	C-Corp	Yes (true)
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480	SAN ANTONIO	TX	78201	742782184	HEALTHCARE SVCS	TX	CSRHCC	C-Corp	Yes (true)
CHRISTUS Muguerza SAPI de CV
					HEALTHCARE SVCS		CH	C-Corp	Yes (true)	Hidalgo PTE 2525 64060	Col Obispado Monterrey	N.L.	MX	MX	$20,442,427	$87,548,072	0.85271
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C-Corp	Yes (true)	PO BOX 1051	GRAND CAYMAN		CJ	CJ	$34,412,742	$247,089,988	1.00000	KY1-1102
AMBULATORY STRATEGIES PHYSICIAN GROUP
919 HIDDEN RIDGE	IRVING	TX	75038	472897722	HEALTHCARE SVCS	TX	CCC	C-CORP	Yes (true)
CHRISTUS TEXARKANA UNIT OWNERS ASSOC
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSOC	TX	ALT	C-CORP	Yes (true)
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDIRA	LA	71301	463977886	HEALTHCARE SVCS	LA	CNLA	C-CORP	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSOC	TX	SPOHN	C-CORP	Yes (true)
AMATISTA FINANCING COMPANY LTD
					FINANCING		CH STRAT GRWTH	C-CORP	Yes (true)	3RD FL1ST CARIBBEAN HOUSE KY1-1104	GEORGE TOWN		CJ	CJ
CHRISTUS CHILE SPA
					INVESTING		CH LATIN AMER	C-CORP	Yes (true)	MIRAFLORES 222 28TH FLOOR 8320198	SANTIAGO		CI	CI
DEDICATED SYSTEM SUPPORT INC
919 HIDDEN RIDGE DR	IRVING	TX	75038	810861043	MANAGEMENT SVCS	TX	CCC	C-CORP	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
919 HIDDEN RIDGE DR	IRVING	TX	75038	474618648	ACO	LA	CH	C-CORP	Yes (true)						$0	$0	1.00000
TRI-STATE FINANCIAL LLC
1315 DOCTORS DRIVE	TYLER	TX	75701	752728318	DORMAN	TX	CTMFHS	C CORP	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	CTMFHS	C-CORP	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY ADMIN	TX	CTMFHS	C-CORP	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	CTMFHS	C-CORP	Yes (true)
TEXAS HEALTH FACILITY INSUR CORP LTD
				980136025	INSURANCE		MFH REG	C-CORP	Yes (true)	PO BOX 1109	BWI		CJ	CJ
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DR	IRVING	TX	75038	473403356	SPT HLTH SVCS	TX	CH	C-CORP	Yes (true)						$0	$0	1.00000
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE	TX	GSHS INC	C CORP	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	GSH INC	C CORP	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	GSMC	C CORP	Yes (true)
NORTHEAST TEXAS PHYSICIAN SERVICES
700 E MARSHALL AVE	LONGVIEW	TX	75601	752712245	MGMT SERVICES	TX	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	510412465	HOLDING COMPANY	DE	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES OPERATING 1
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954772	HEALTHCARE	DE	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES OPERATING 2
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954777	HEALTHCARE	DE	GSHS ENTERPRISE	C CORP	Yes (true)
TYLER COUNTY CLINICAL SERVICES
2801 VIA FORTUNA	AUSTIN	TX	78746	472135795	HEALTHCARE	TX	SETX	C CORP	Yes (true)

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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (78 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALAMO HEIGHTS SURGICAL HOSPITAL
Q	$72,084	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
L	$7,680,435	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
M	$14,293,868	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
Q	$21,571,345	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
S	$6,807,188	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
A(I)	$4,397,897	ACCRUAL
AMBULATORY STRATEGIES PHYSICIAN GROUP
Q	$143,931	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
L	$3,289,682	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
Q	$29,920,148	ACCRUAL
CHRISTUS CONTINUING CARE
J	$252,838	ACCRUAL
CHRISTUS CONTINUING CARE
L	$817,433	ACCRUAL
CHRISTUS CONTINUING CARE
M	$956,903	ACCRUAL
CHRISTUS CONTINUING CARE
Q	$4,540,728	ACCRUAL
CHRISTUS CONTINUING CARE
S	$210,168	ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
L	$1,895,480	ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
M	$1,846,111	ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
Q	$451,642	ACCRUAL
CHRISTUS HEALTH PLAN
M	$13,578,087	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
B	$60,000	ACCRUAL
CHRISTUS CONTINUING CARE
L	$845,736	ACCRUAL
CHRISTUS CONTINUING CARE
Q	$4,715,666	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
B	$97,406	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
L	$6,830,170	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
M	$12,381,466	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
Q	$21,612,169	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
S	$8,911,174	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
A(I)	$7,098,757	ACCRUAL
COLONNADE ENDOSCOPY CENTER LLC
Q	$70,548	ACCRUAL
CHRISTUS PEDIATRIC PHYSICIAN GROUP
L	$159,224	ACCRUAL
CHRISTUS PEDIATRIC PHYSICIAN GROUP
Q	$142,973	ACCRUAL
EMERALD ASSURANCE CAYMAN LTD
P	$27,605,329	ACCRUAL
EVANGELINE CLINICAL SERVICES INC
M	$51,000	ACCRUAL
EVANGELINE CLINICAL SERVICES INC
Q	$77,873	ACCRUAL
CHRISTUS HEALTH GULF COAST
Q	$94,270	ACCRUAL
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
Q	$499,918	ACCRUAL
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
A(I)	$1,680,578	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
L	$5,049,842	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
M	$9,747,985	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
Q	$14,915,365	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
S	$3,434,973	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
A(I)	$1,952,202	ACCRUAL
SANTA ROSA FAMILY HEALTH CENTER
L	$227,971	ACCRUAL
SANTA ROSA FAMILY HEALTH CENTER
M	$78,514	ACCRUAL
SANTA ROSA FAMILY HEALTH CENTER
Q	$471,054	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
K	$268,908	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
L	$17,939,960	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
M	$31,906,016	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
P	$264,619	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Q	$49,800,152	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
S	$20,773,944	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
A(I)	$14,785,492	ACCRUAL
SANTA ROSA NEW BRAUNFELS OUTPATIENT SURG CTR
Q	$236,416	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
L	$10,535,535	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
M	$19,399,760	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
P	$100,329	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$31,648,885	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
S	$7,099,087	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
A(I)	$4,276,106	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
A(IV)	$5,648	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
L	$16,905,688	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
M	$55,794,995	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
P	$24,000,000	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Q	$55,778,980	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
R	$2,389,786	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
S	$11,860,713	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
A(I)	$8,380,890	ACCRUAL
SPOHN INVESTMENT CORPORATION
Q	$50,586	ACCRUAL
SANTA ROSA PHYSICIAN AMBULATORY SURGERY CTR
Q	$209,442	ACCRUAL
CHRISTUS HEALTH STRATEGIC GROWTH
A(I)	$5,000,000	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
L	$4,528,446	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
M	$8,293,082	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
P	$85,967	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Q	$13,527,798	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
S	$3,477,916	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
A(I)	$2,483,898	ACCRUAL
CHRISTUS-TRINITY MOTHER FRANCES HEALTH SYSTEM
L	$59,151	ACCRUAL
CHRISTUS-TRINITY MOTHER FRANCES HEALTH SYSTEM
M	$103,839	ACCRUAL
TRINITY CLINIC
Q	$109,385	ACCRUAL