CHRISTUS HEALTH GULF COAST: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH GULF COAST (EIN 76-0591592)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-07
IRS object ID: 201521279349302162
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-07T18:34:05-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4000	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	760591592	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christus Health Gulf Coast	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 Hidden Ridge Drive	AddressLine1
Address Line2	Suite	AddressLine2
City	Irving	City
State	TX	State
ZIP Code	75038	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL GENERALE	PersonNm
Person Title	svp	PersonTitleTxt
Signature	2015-05-06	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JANICE MARTIN	PreparerPersonNm
PTIN	P00900299	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	PAUL TREVINO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2830 Calder	AddressLine1
City	Beaumont	City
State	TX	State
ZIP Code	77726	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$149,846,623	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	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
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	690	TotalEmployeeCnt
Total Volunteers	170	TotalVolunteersCnt
Total Gross UBI	$1,797,923	TotalGrossUBIAmt
PY Contributions Grants	$1,934,698	PYContributionsGrantsAmt
CY Contributions Grants	$3,076,603	CYContributionsGrantsAmt
PY Program Service Revenue	$226,370,703	PYProgramServiceRevenueAmt
CY Program Service Revenue	$140,044,598	CYProgramServiceRevenueAmt
PY Investment Income	$2,928,062	PYInvestmentIncomeAmt
CY Investment Income	-$1,436,109	CYInvestmentIncomeAmt
PY Other Revenue	$2,563,130	PYOtherRevenueAmt
CY Other Revenue	$6,722,694	CYOtherRevenueAmt
PY Total Revenue	$233,796,593	PYTotalRevenueAmt
CY Total Revenue	$148,407,786	CYTotalRevenueAmt
PY Grants And Similar Paid	$38,455,945	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,743,990	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$85,173,462	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,576,907	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$75,981	CYTotalFundraisingExpenseAmt
PY Other Expenses	$104,176,090	PYOtherExpensesAmt
CY Other Expenses	$68,693,110	CYOtherExpensesAmt
PY Total Expenses	$227,805,497	PYTotalExpensesAmt
CY Total Expenses	$128,014,007	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,991,096	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,393,779	CYRevenuesLessExpensesAmt
Total Assets BOY	$320,797,374	TotalAssetsBOYAmt
Total Assets EOY	$292,259,969	TotalAssetsEOYAmt
Total Liabilities BOY	$109,456,544	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$35,589,349	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$211,340,830	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$256,670,620	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	Yes (true)	SignificantChangeInd
Expense	$49,862,062	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,119,143	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH GULF COAST IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 149-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 ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND AN 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 GULF COAST RESPONDS TO THE HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. CATHERINE HOSPITAL, A 102-BED HOSPITAL IN KATY, TEXAS, CHRISTUS ST. JOHN HOSPITAL, A 178-BED HOSPITAL IN NASSAU BAY, TEXAS, AND VARIOUS CLINICS AND OUTREACH PROGRAMS. EACH OF THE FACILITIES OF CHRISTUS HEALTH GULF COAST SHARES ONE OBJECTIVE -- WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH GULF COAST SERVICES SEVERAL COUNTIES TO THE WEST AND SOUTHEAST OF HOUSTON. THIS AREA OF THE TEXAS GULF COAST COMPRISES A POPULATION OF MORE THAN 4.5 MILLION. IN OUR 2014 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS, INCLUDING 26,201 VISITS TO OUR EMERGENCY DEPARTMENT; 1,140 INPATIENT SURGERY PROCEDURES; 2,781 OUTPATIENT SURGERY PROCEDURES; 5,229 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE; AND 117,810 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH GULF COAST STAND APART. ALLOWING OTHERS TO TOUCH US GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS HEALTH GULF COAST'S HEALTH CARE SERVICES WORK TO 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 GULF COAST'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS HEALTH GULF COAST FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF THE PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE HAVE SPECIFIC PROGRAMS THAT PROVIDE DISCOUNTED SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH GULF COAST PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS ST. CATHERINE HOSPITAL IN KATY OFFERS A BROAD SPECTRUM OF ADULT AND PEDIATRIC MEDICAL AND SURGICAL CARE WITH THE LATEST TECHNOLOGY, INCLUDING AN URGENT CARE CENTER, BIRTHING SUITES, NEWBORN AND LEVEL II NEONATAL INTENSIVE CARE NURSERIES, INPATIENT AND OUTPATIENT SURGERY, DIAGNOSTIC IMAGING AND CARDIOLOGY SERVICES. CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY OFFERS COMPREHENSIVE MEDICAL SERVICES IN CARDIOLOGY, ONCOLOGY, INTENSIVE CARE, DIAGNOSTIC IMAGING, GYNECOLOGY, PEDIATRICS, ADVANCED LAPAROSCOPIC PROCEDURES, CANCER TREATMENT, CARDIOVASCULAR, SPORTS MEDICINE AND VASCULAR SPECIALTIES. CHRISTUS ST. CATHERINE HOSPITAL AND CHRISTUS ST. JOHN HOSPITAL EACH PROVIDE SERVICES IN 24-HOUR EMERGENCY DEPARTMENTS THAT ARE OPEN TO ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH GULF COAST ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING MOBILE CLINIC SERVICES, THE CHRISTUS LITERACY CENTER AND CHRISTUS OUR DAILY BREAD IN GALVESTON, AS WELL AS OTHER VARIOUS CLINICS FOR THE UNDERSERVED IN HOUSTON, KATY AND DICKINSON IN ADDITION TO SIXTEEN SCHOOL-BASED CLINICS. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA IT SERVES GUIDES CHRISTUS HEALTH GULF COAST. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$37,599,037	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$119,240,338	RevenueAmt
Desc	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2008), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTHCARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. CHARITY CARE FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, CHRISTUS HEALTH GULF COAST PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH FACILITIES PROVIDE OTHER CHARITY CARE BY FUNDING OR OTHERWISE FINANCIALLY SUPPORTING HEALTH CARE SERVICES PROVIDED TO FINANCIALLY INDIGENT PATIENTS THROUGH OTHER NONPROFIT OR PUBLIC OUTPATIENT CLINICS, HOSPITALS OR HEALTH CARE ORGANIZATIONS. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS, NEW MEXICO AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,255,228	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$17,685,117	RevenueAmt
Desc	OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE, DOD AND TRICARE. THE NON-REIMBURSED 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 A FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 11,230 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DEPARTMENT OF DEFENSE. 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

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,521,767	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$13,743,990	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$112,238,094	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	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	Yes (true)	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	342	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	690	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	1	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BILL HECHT	PersonNm
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2830 CALDER	AddressLine1
City	BEAUMONT	City
State	TX	State
ZIP Code	77726	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John R Adams MD
Board member (term 12/16/13)	1.0	0.0	Yes (X)	$129,253	$8,830
Daniel Casso MD
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Charles T Doyle
Board Member (term 12/16/13)	1.0	0.0	Yes (X)
Sister Mary Gerard Earls
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Alton L Frailey
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Robert L Hargrave
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Gilbert A Herrera
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Ann F Hodges
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Ellen M Jones
Pres/CEO/Brd Mmbr (term 12/13)	15.0	25.0	Yes (X)	$525,546	$370,891	Yes (X)	$315,326
Lance E LaCour
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Georgia Meyer
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Sister Eilish Ryan ThD
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Daniel F Shank
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Brian J Stevens
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Randeep M Suneja MD
Board member (term 12/16/13)	2.0	0.0	Yes (X)
George R Willy
Board member (term 12/16/13)	1.0	0.0	Yes (X)
Fernando Romero MD
BOARD MEMBER (term 12/16/13)	1.0	0.0	Yes (X)
PAUL GENERALE
DIRECTOR (EFFECTIVE 12/1/13)	1.0	39.0	Yes (X)	$811,900	$102,108		$0
SISTER ELIZABETH ANN HAYES
EX-OFFICIO (EFFECTIVE 12/1/13)	1.0	0.0	Yes (X)
PAUL TREVINO
EX-OFFICIO (EFFECTIVE 1/16/14)	1.0	39.0	Yes (X)	$427,419	$138,806		$0
William A Hecht
Chief Financial Officer	16.0	24.0		$342,330	$37,379	Yes (X)	$228,221
Diana L Smith
Corporate Secretary	0.0	40.0			$2,205	Yes (X)	$47,102
Gene Wright
CEO	40.0	0.0		$0	$3,911	Yes (X)	$260,000
Tom Permetti
COO & Admin-St. John Hospital	24.0	16.0		$172,609	$174,445		$258,914	Yes (X)
Nancy Pittman
CNE/COO-St. John Hospital	40.0	0.0		$0	$16,433		$283,372	Yes (X)
Harold Gottlieb
VP Medical Affairs/CMO	40.0	0.0		$0	$197,859		$397,402	Yes (X)
Alfred L Cave III
PRES/DIR PHLNTRPY (term 12/13)	28.0	12.0		$98,177	$43,844		$218,525	Yes (X)
BARBARA LAZOR
CHIEF NURSING OFFICER	40.0	0.0		$0	$36,416		$242,369	Yes (X)
WILLIAM PACK
CONTRACTOR	40.0	0.0		$0	$5,235		$141,603		Yes (X)
KAREN WILSON
RN	40.0	0.0		$0	$7,627		$135,500		Yes (X)
THOMAS VAN DE STEENE
RN	40.0	0.0		$0	$5,703		$121,342		Yes (X)
DEBRA MUNOZ
CONTRACTOR	40.0	0.0		$0	$6,961		$119,108		Yes (X)
DAVID M WITT
FRMR FACILITY FINANCIAL OFFCR	40.0	0.0		$0	$29,599		$183,625		Yes (X)
PATRICK B CARRIER
FORMER PRESIDENT/CEO	0.0	0.0		$847,179	$409,493		$0			Yes (X)
PEARL R MOHNKERN
FORMER VP HUMAN RESOURCES	0.0	0.0		$279,123	$46,982		$0			Yes (X)
MICHAEL E SULLIVAN
FORMER VP MISSION & ORG ETHICS	0.0	0.0		$276,035	$55,408		$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,952,409	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,909,571	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,700,135	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	13	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Hospital Housekeeping Systems Ltd
216 EAST 4TH STREET	AUSTIN	TX	78701	housekeeping svcs.	$1,280,181
GENERAL ELECTRIC CREDIT CORP OF TEN
20225 WATERTOWER BOULEVARD	BROOKFIELD	WI	53045	CREDIT SERVICES	$1,264,007
TRITON CONSTRUCTION CO INC
PO BOX 840694	HOUSTON	TX	772840694	CONSTRUCTION SVCS	$1,194,710
DEPUY ORTHOPAEDICS INC
700 ORTHOPAEDIC DRIVE	WARSAW	IN	465810988	ORTHOPAEDIC SVCS	$1,035,532
GULF COAST REGIONAL BLOOD CENTER
PO BOX 301092	DALLAS	TX	753031092	BLOOD SERVICES	$939,399

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	37	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,996,144	RelatedOrganizationsAmt
Government Grants	$80,459	GovernmentGrantsAmt
Total Contributions	$3,076,603	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$106,130,041	$105,729,426	$400,615
EQUITY IN UNCONSOLIDARED SUBSIDIARIES	900099	$31,819,442	$31,819,442
RENT RELATED TO EXEMPT FUNCTION	531120	$1,939,950	$1,939,950
PHYSICIAN INTEREST INCOME	900099	$84,843	$84,843
WELLNESS CENTER	713940	$75,237	$75,237

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,915	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$15,048	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,133	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$140,044,598	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,728	TotalRevenueColumnAmt
Exclusion	$2,728	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,438,837	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$1,438,837	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,438,837	TotalRevenueColumnAmt
Exclusion	-$1,438,837	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
SERVICE AGREEMENT WITH HOUSTON METHODIST	541900	$4,379,870	$4,379,870
MD ANDERSON RENTAL	900002	$1,387,175		$1,387,175
FOOD SERVICE	722210	$413,366	$413,366

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$542,283	TotalRevenueColumnAmt
Exclusion	$542,283	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,722,694	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$148,407,786	TotalRevenueColumnAmt
Related Or Exempt Func Income	$139,633,850	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,797,923	UnrelatedBusinessRevenueAmt
Exclusion	$3,899,410	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,705,224	TotalAmt
Program Services	$13,705,224	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$38,766	TotalAmt
Program Services	$38,766	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,537,697	TotalAmt
Program Services	$2,224,903	ProgramServicesAmt
Management And General	$311,562	ManagementAndGeneralAmt
Fundraising	$1,232	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,623,219	TotalAmt
Program Services	$31,232,337	ProgramServicesAmt
Management And General	$4,373,588	ManagementAndGeneralAmt
Fundraising	$17,294	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$48,701	TotalAmt
Program Services	$4,472	ProgramServicesAmt
Management And General	$44,229	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,324,000	TotalAmt
Program Services	$3,663,119	ProgramServicesAmt
Management And General	$660,881	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,043,290	TotalAmt
Program Services	$2,604,195	ProgramServicesAmt
Management And General	$391,368	ManagementAndGeneralAmt
Fundraising	$47,727	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$44,075	TotalAmt
Program Services	$44,075	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$176,167	TotalAmt
Management And General	$176,167	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,274,191	TotalAmt
Program Services	$1,274,191	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,108,272	TotalAmt
Program Services	$7,108,272	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$280,070	TotalAmt
Program Services	$5,469	ProgramServicesAmt
Management And General	$274,601	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,867,016	TotalAmt
Program Services	$9,165,356	ProgramServicesAmt
Management And General	$3,691,932	ManagementAndGeneralAmt
Fundraising	$9,728	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,185,552	TotalAmt
Management And General	$4,185,552	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,930,360	TotalAmt
Program Services	$3,498,611	ProgramServicesAmt
Management And General	$431,749	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,228,846	TotalAmt
Program Services	$4,120,598	ProgramServicesAmt
Management And General	$108,248	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$125,039	TotalAmt
Program Services	$38,686	ProgramServicesAmt
Management And General	$86,353	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,209,383	TotalAmt
Program Services	$3,205,013	ProgramServicesAmt
Management And General	$4,370	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,439,932	TotalAmt
Program Services	$6,583,866	ProgramServicesAmt
Management And General	$856,066	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,167,540	TotalAmt
Program Services	$2,145,173	ProgramServicesAmt
Management And General	$22,367	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$11,886,590	$11,869,231	$17,359
PROVISION FOR UNCOLLECT ACCT	$9,633,437	$9,633,179	$258
DUES & MEMBERSHIPS	$111,724	$65,838	$45,886
UBTI TAX EXPENSE	$5,000	$5,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,916	TotalAmt
Program Services	$2,520	ProgramServicesAmt
Management And General	$17,396	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$128,014,007	TotalAmt
Program Services	$112,238,094	ProgramServicesAmt
Management And General	$15,699,932	ManagementAndGeneralAmt
Fundraising	$75,981	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$119,424,967	BOYAmt
EOY	$216,723,773	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	$36,149,276	BOYAmt
EOY	$4,329,307	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	$2,794,324	BOYAmt
EOY	$552,689	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,108,579	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$540,329	BOYAmt
EOY	$446,614	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$37,539,687	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$16,403,599	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$140,883,383	BOYAmt
EOY	$21,136,088	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,875,000	BOYAmt
EOY	$44,144,489	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$751,809	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,269,707	BOYAmt
EOY	$4,927,009	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$320,797,374	BOYAmt
EOY	$292,259,969	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,292,730	BOYAmt
EOY	$6,571,679	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	$2,231,824	BOYAmt
EOY	$2,085,310	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$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	$90,931,990	BOYAmt
EOY	$26,932,360	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$109,456,544	BOYAmt
EOY	$35,589,349	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$211,340,597	BOYAmt
EOY	$256,670,387	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$233	BOYAmt
EOY	$233	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$211,340,830	BOYAmt
EOY	$256,670,620	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$320,797,374	BOYAmt
EOY	$292,259,969	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,393,779	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$24,936,011	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,843,803	OtherCostOrOtherBasisAmt
Book Value	$5,843,803	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,002,576	OtherCostOrOtherBasisAmt
Depreciation	$2,098,059	DepreciationAmt
Book Value	$8,904,517	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,497,543	OtherCostOrOtherBasisAmt
Depreciation	$1,222,984	DepreciationAmt
Book Value	$1,274,559	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$733,606	OtherCostOrOtherBasisAmt
Depreciation	$482,980	DepreciationAmt
Book Value	$250,626	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,462,159	OtherCostOrOtherBasisAmt
Depreciation	$12,599,576	DepreciationAmt
Book Value	$4,862,583	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$21,136,088	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN SUBSIDIARIES	Desc
Book Value	$44,144,489	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$44,144,489	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO RELATED ORGS	$26,931,664
SALES TAX PAYABLE	$696

Field	Value	IRS element (for citing)
Total Liability	$26,932,360	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

CASH NON-BEARING INTEREST

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

UNCERTAIN TAX POSITIONS UNDER ASC 740

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, 2014 AND 2013.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,094,030	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,094,030	NetCommunityBenefitExpnsAmt
Total Expense	0.04350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,728,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,815,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$11,086,747	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,822,889	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,815,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$5,992,717	NetCommunityBenefitExpnsAmt
Total Expense	0.05110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	59344	PersonsServedCnt
Total Community Benefit Expns	$2,107,297	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,107,297	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	233	PersonsServedCnt
Total Community Benefit Expns	$42,654	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,889	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	105	PersonsServedCnt
Total Community Benefit Expns	$205,064	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$205,064	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	18029	PersonsServedCnt
Total Community Benefit Expns	$12,883,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,871,832	NetCommunityBenefitExpnsAmt
Total Expense	0.10990	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	101	ActivitiesOrProgramsCnt
Persons Served	77711	PersonsServedCnt
Total Community Benefit Expns	$15,238,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,226,082	NetCommunityBenefitExpnsAmt
Total Expense	0.13010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	101	ActivitiesOrProgramsCnt
Persons Served	77711	PersonsServedCnt
Total Community Benefit Expns	$29,060,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,827,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,233,365	NetCommunityBenefitExpnsAmt
Total Expense	0.07900	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	400	PersonsServedCnt
Total Community Benefit Expns	$2,576	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,576	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	443	PersonsServedCnt
Total Community Benefit Expns	$4,869	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,869	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	6738	PersonsServedCnt
Total Community Benefit Expns	$279,895	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$279,895	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,345	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	7581	PersonsServedCnt
Total Community Benefit Expns	$295,685	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$295,685	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,633,437	BadDebtExpenseAmt
Bad Debt Expense Attributable	$359,327	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,948,572	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$16,188,153	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,239,581	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
CHRISTUS ST JOHN HOSPITAL
1	18300 ST JOHN DRIVE	NASSAU BAY	TX	77058	www.houstonmethodist.org/	000600	Yes (X)	Yes (X)	Yes (X)
CHRISTUS ST CATHERINE HOSPITAL
2	701 S FRY ROAD	KATY	TX	77450	www.houstonmethodist.org/	007159	Yes (X)	Yes (X)	Yes (X)	URGENT CARE CENTER

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
CHRISTUS ST JOHN HOSPITAL
1	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (X)	Yes (true)	Yes (X)	false	false
CHRISTUS ST CATHERINE HOSPITAL
2	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule H, Part V, Section B, Line 3	FormAndLineReferenceDesc
Explanation	INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY INTERVIEWS WITH COMMUNITY LEADERS REPRESENTED A CRITICAL COMPONENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY CHRISTUS HEALTH. INDIVIDUALS INTERVIEWED INCLUDED REPRESENTATIVES OF: KATY CHAMBER OF COMMERCE CHRIST CLINIC - KATY KATY INDEPENDENT SCHOOL DISTRICT UNIVERSITY OF HOUSTON - CLEAR LAKE CATHOLIC CHARITIES - GALVESTON UNIVERSITY OF TEXAS MEDICAL BRANCH - GALVESTON GALVESTON COUNTY HEALTH DEPARTMENT KATY/WEST HOUSTON CLERGY ASSOCIATION GALVESTON FOOD BANK UNIVERSITY OF TEXAS MEDICAL BRANCH - COMMUNITY HEALTH PROGRAM - GALVESTON GALVESTON COUNTY SCHOOL SOCIAL WORKER GALVESTON MEALS ON WHEELS SAN JOSE CLINIC - HOUSTON HEALTHCARE FOR THE HOMELESS - HOUSTON COMMUNITY FAMILY CENTERS - HOUSTON CLEAR LAKE CHAMBER OF COMMERCE DICKINSON INDEPENDENT SCHOOL DISTRICT MEALS ON WHEELS - GALVESTON LEAGUE CITY CHAMBER OF COMMERCE - GALVESTON SCHEDULE H, PART V, SECTION B, LINE 4 CHRISTUS HEALTH GULF COAST RESPONDS TO THE HEALTH CARE NEEDS OF ITS SERVICE AREA THROUGH SERVICES PROVIDED AT CHRISTUS ST. CATHERINE HOSPITAL IN KATY, TEXAS WHICH IS A 102-BED HOSPITAL, CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY, TEXAS WHICH IS A 178-BED HOSPITAL, AND VARIOUS CLINICS AND OUTREACH PROGRAMS. CHRISTUS HEALTH GULF COAST SERVICES SEVERAL COUNTIES TO THE WEST AND SOUTHEAST OF HOUSTON. THE ORGANIZATION'S SERVICE AREA COMPRISES A POPULATION OF 4.5 MILLION. IN THE ORGANIZATION'S SERVICE AREA, 17.3% PERCENT OF HOUSEHOLDS ARE AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL AND 29.9% PERCENT ARE UNINSURED. THERE IS A NOTED INCREASE IN SENIOR RESIDENTS (I.E., 65 TO 74 YEARS OF AGE) IN THE COMMUNITIES SERVED BY CHRISTUS HEALTH GULF COAST THUS IMPACTING THE INPATIENT AND OUTPATIENT DEMAND FOR HEALTH CARE SERVICES, PARTICULARLY THOSE PATIENTS WITH CHRONIC HEALTH PROBLEMS INCLUDING HEART DISEASE, DIABETES, CANCER, AND RESPIRATORY DISEASES. THE SERVICE AREA'S POPULATION IS 40 PERCENT HISPANIC. SCHEDULE H, PART V, SECTION B, LINE 5A THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING WEBSITE URL: http://www.houstonmethodist.org/community-health-needs-assessment SCHEDULE H, PART V, SECTION B, LINE 10 DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE THE HOSPITAL FACILITY PROVIDES DISCOUNTED CARE TO ALL UNINSURED PATIENTS. IN ORDER TO DETERMINE DISCOUNTS FOR UNINSURED PATIENTS, THE FACILITY UTILIZES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES AND OTHER CRITERIA APPLIED TO A UNIFORM FEE SCHEDULE. THE FACILITY HAS IMPLEMENTED A 3 TIER UNINSURED FEE SCHEDULE WHEREIN INDIVIDUALS BETWEEN 201-300% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; INDIVIDUALS BETWEEN 301%-400% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; AND INDIVIDUALS ABOVE 401% OF THE FEDERAL POVERTY LEVEL RECEIVE NO ADDITIONAL DISCOUNT OFF OF THE UNINSURED DISCOUNTED PRICE. THERE IS NO FEDERAL POVERTY LIMIT FOR THE UNINSURED POPULATION TO RECEIVE DISCOUNTED CARE BECAUSE ALL CHARGES BY THE FACILITY ARE BASED ON THE UNINSURED DISCOUNTED PRICE. THE UNINSURED DISCOUNTED PRICE IS BASED ON THE FY 2009 MANAGED CARE AVERAGE REIMBURSEMENT RATE, EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. SCHEDULE H, PART V, SECTION B, LINES 14 & 14G HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY THE HOSPITAL FACILITY'S COMPLETE FINANCIAL ASSISTANCE POLICY IS NOT POSTED IN THE FACILITY'S EMERGENCY ROOMS, WAITING ROOMS OR ADMISSIONS OFFICES; HOWEVER, A NOTICE THAT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE BUSINESS OFFICE AND ONLINE IS POSTED IN THE FACILITY'S EMERGENCY ROOMS, WAITING ROOMS AND ADMISSION OFFICES. SCHEDULE H, PART V, SECTION B, LINE 15 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE ORGANIZATION DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NON-PAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 16 OR 17 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11. SCHEDULE H, PART V, SECTION B, LINE 20D DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL FACILITY USED THE AVERAGE MANAGED CARE REIMBURSEMENT RATE FROM THE FISCAL YEAR ENDING 6-30-09 IN ORDER TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE PATIENTS. THE AVERAGE MANAGED CARE RATE IS THE AVERAGE REIMBURSEMENT RECEIVED FOR SPECIFIC CATEGORIES OF SERVICES FROM THE COLLECTIVE GROUP OF PRIVATE INSURERS THAT REIMBURSE ALL HOSPITAL FACILITIES WITHIN THE CHRISTUS HEALTH SYSTEM EXCEPT ST. VINCENT HOSPITAL AND CHRISTUS CONTINUING CARE.	ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 5	BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. SCHEDULE H, PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. 2014-2017 PLANNING PROCESS CHRISTUS HEALTH GULF COAST IS COMPRISED OF CHRISTUS ST. JOHN HOSPITAL, NASSAU BAY, CHRISTUS ST. CATHERINE HOSPITAL, KATY, AND NUMEROUS PHYSICIANS AND CLINICS. IN ADDITION, CHRISTUS HEALTH GULF COAST HAS ESTABLISHED MORE THAN 30 COMMUNITY OUTREACH MINISTRIES IN HOUSTON AND GALVESTON. THE HOSPITALS AND SERVICE ORGANIZATIONS ARE UNITED BY A COMMON MISSION, VISION AND OBJECTIVE: MISSION - TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. VISION - TO BE A LEADER, A PARTNER, AND AN 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. OBJECTIVE - TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH GULF COAST IS MUCH MORE THAN A NETWORK OF HEALTH CARE, SOCIAL SERVICE AND COMMUNITY OUTREACH MINISTRIES. WE ARE A COMMUNITY PARTNER - AND HAVE BEEN FOR MORE THAN 140 YEARS. WE BELIEVE IN PROVIDING FOR THE NEEDS OF THE COMMUNITIES WE SERVE BECAUSE IT IS OUR RESPONSIBILITY AS A NOT-FOR-PROFIT, CATHOLIC HEALTH MINISTRY. AS AN ACTIVELY ENGAGED PARTNER, OUR COMMUNITY BENEFIT EFFORTS ARE ALWAYS SHAPED AROUND THE SPECIFIC NEEDS OF EACH COMMUNITY. SCHEDULE H, PART I, LINE 7B UNREIMBURSED MEDICAID CHRISTUS HEALTH GULF COAST REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. SCHEDULE H, PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $126,802,707. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $9,663,437. THIS LEAVES A TOTAL EXPENSE OF $117,169,270 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 24.80%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS CHRISTUS GULF COAST MADE OVER $12,883,032 IN CASH AND IN KIND CONTRIBUTIONS DURING FY 2014. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH THE REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH, THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $50,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH GULF COAST. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH GULF COAST SERVES. THE CHRISTUS FUND GRANTS WERE USED TO FUND VARIOUS CLINICS AND HEALTH PROGRAMS THAT SERVE UNDERSERVED YOUTH AND ADULTS. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). INDIGENT FUNDING EXPENSE OF $8,728,859 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). SCHEDULE H, PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (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 NONPROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE FOREGONE INTEREST FOR CHRISTUS HEALTH GULF COAST IN FISCAL YEAR ENDING JUNE 30, 2014 WAS $31,908. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2014 WAS $1,107,368. INCLUDED AS PHYSICAL IMPROVEMENTS TO HOUSING AT SCHEDULE H, PART II, LINE 1 ARE SOME OF THE AFOREMENTIONED LOANS MADE FOR LOW INCOME HOUSING TO INCLUDE "NEW HOPE HOUSING", AN ECONOMICALLY LINKED DEPOSIT (ELD) BENEFITTING THE ONGOING OPERATION OF A 133 UNIT PERMANENT HOUSING, SINGLE ROOM OCCUPANCY PROJECT HELPING THE FORMERLY HOMELESS AND THOSE AT RISK OF HOMELESSNESS; THE TEJANO CENTER FOR COMMUNITY CONCERNS WHICH OFFERS AFFORDABLE HOUSING FOR FAMILIES EARNING LESS THAN 80% OF THE MEDIAN AREA INCOME; AND ACRES HOME, WHICH OFFERS LOW INCOME HOUSING. CHRISTUS ALSO PROVIDED FINANCING OF THE WOMEN'S HOME, A MULTI-UNIT APARTMENT COMPLEX FOR WOMEN WHO HAVE GRADUATED FROM A DRUG REHABILITATION PROGRAM. CHRISTUS HEALTH GULF COAST DEMONSTRATES ITS COMMITMENT TO THE ECONOMIC DEVELOPMENT OF THE COMMUNITIES SERVED THROUGH VARIOUS MICRO-FINANCING LOAN PROGRAMS TO INCLUDE ACCION TEXAS WHICH AIDS IN THE DEVELOPMENT OF SMALL BUSINESSES FOR THOSE WITH LOW AND MODERATE INCOME. THESE INDIVIDUALS WOULD NOT BE ABLE TO OBTAIN TRADITIONAL FINANCING. THESE SMALL BUSINESSES ARE IN UNDERSERVED COMMUNITIES. CHRISTUS HEALTH GULF COAST SHOWS ITS COMMITMENT TO THE COMMUNITY BY ITS INVOLVEMENT IN LITERACY AND MENTORING IN PROGRAMS SUCH AS ENGLISH AS A SECONDARY LANGUAGE (ESL) FOR ADULT STUDENTS. CHRISTUS HEALTH GULF COAST ALSO PARTICIPATES IN PROGRAMS IN CONJUNCTION WITH THE LOCAL CHAMBER OF COMMERCE FOR COMMUNITY IMPROVEMENT. THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2014, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. SCHEDULE H, PART III, SECTION A, LINE 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. SCHEDULE H, PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. SCHEDULE H, PART III, SECTION A, LINE 3 ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. IN ORDER TO ASSESS THE BAD DEBT ACCOUNTS THAT WOULD LIKELY QUALIFY FOR CHARITY CARE, THE FOLLOWING CRITERIA WERE ESTABLISHED BASED ON AN ANALYSIS OF HISTORICAL DATA OF CHRISTUS HEALTH AND ITS RELATED ORGANIZATIONS: 1. PARO SCORE OF LESS THAN OR EQUAL TO 586, WHICH IS A PREDICTOR DEFINING THE LIKELY SOCIOECONOMIC CONDITIONS FOR THE PATIENT; 2. ESTIMATED FEDERAL POVERTY LEVEL OF LESS THAN OR EQUAL TO 226%, WHICH IS BASED ON ESTIMATED HOUSEHOLD SIZE AND HOUSEHOLD ESTIMATED INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2014, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 25.4% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THESE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE PREVIOUS FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2014. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 3.73% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2014 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; PROVISIONS FOR BAD DEBT; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." SCHEDULE H, PART III, SECTION B, LINE 8 EXTENT TO WHICH SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT COSTING METHODOLOGY
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT THE ORGANIZATION DEVELOPED THE 2013 COMMUNITY BENEFIT PLAN AND HEALTHY NEEDS ASSESSMENT. THE OBJECTIVES FOR FY 2014 ARE PROPOSED TO MEET THE IDENTIFIED NEEDS IN THE COMMUNITIES WE SERVE. EACH COMMUNITY IN THE REGION HAD A SIGNIFICANT POPULATION GROWTH AND INCREASED NEEDS. THE HIGHEST PROJECTED INCREASE IN RESIDENTS IS THE HISPANIC POPULATION. HEALTH CARE PRIORITIES INCLUDE PRIMARY CARE ACCESS, GEOGRAPHIC DISPARITIES, UNDER/UNINSURED/WORKING, POOR, TEEN BIRTHS, PRENATAL CARE, CHILDHOOD IMMUNIZATIONS, ACCESS TO INFORMATION/REFERRALS, CARDIOVASCULAR DISEASE, DIABETES, RESPIRATORY CANCER AND OTHER CHRONIC DISEASES, SENIOR POPULATION, 45 TO 64 YEAR OLD POPULATION GROUP, AND MENTAL HEALTH SERVICE. AN ADDITIONAL AREA OF FOCUS OVERLAPPING MANY OF THESE PRIORITIES IS THE ALREADY HIGH AND INCREASING PERCENTAGE OF CONSOLIDATED METROPOLITAN STATISTICAL AREA (CMSA) RESIDENTS OF THE ORGANIZATION DEVELOPED THE 2013 COMMUNITY BENEFIT PLAN AND HEALTHY NEEDS ASSESSMENT. BARRIERS TO ACCESS TO HEALTH CARE INCLUDE LIMITED ACCESS, INABILITY TO PAY FOR SERVICES, LACK OF TRANSPORTATION, LANGUAGE BARRIERS AND CULTURAL DIFFERENCES, SOCIOECONOMIC FACTORS IMPACTING ACCESS TO HEALTHCARE, LACK OF EMPLOYMENT OPPORTUNITIES, WITH 42 PERCENT OF FAMILIES EARNING LESS THAN $50,000 WHICH TRANSLATE TO OVER 400,000 FAMILIES AND DIMINISHED HEALTH COVERAGE. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS HEALTH GULF COAST MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION CHRISTUS HEALTH GULF COAST RESPONDS TO THE HEALTH CARE NEEDS OF ITS SERVICE AREA THROUGH SERVICES PROVIDED AT CHRISTUS ST. CATHERINE HOSPITAL IN KATY, TEXAS, WHICH IS A 102-BED HOSPITAL, CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY, TEXAS, WHICH IS A 178-BED HOSPITAL, AND VARIOUS CLINICS AND OUTREACH PROGRAMS. CHRISTUS HEALTH GULF COAST SERVICES SEVERAL COUNTIES TO THE WEST AND SOUTHEAST OF HOUSTON. THE ORGANIZATION'S SERVICE AREA COMPRISES A POPULATION OF 4.5 MILLION. IN THE ORGANIZATION'S SERVICE AREA, 17.3% PERCENT OF HOUSEHOLDS ARE AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL AND 29.9% PERCENT ARE UNINSURED. THERE IS A NOTED INCREASE IN SENIOR RESIDENTS (I.E., 65 TO 74 YEARS OF AGE) IN THE COMMUNITIES SERVED BY CHRISTUS HEALTH GULF COAST THUS IMPACTING THE INPATIENT AND OUTPATIENT DEMAND FOR HEALTH CARE SERVICES, PARTICULARLY THOSE PATIENTS WITH CHRONIC HEALTH PROBLEMS INCLUDING HEART DISEASE, DIABETES, CANCER, AND RESPIRATORY DISEASES. THE SERVICE AREA'S POPULATION IS 40 PERCENT HISPANIC.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH CHRISTUS HEALTH GULF COAST CONSISTS OF TWO COMMUNITY HOSPITALS, INCLUDING CHRISTUS ST. CATHERINE HOSPITAL IN KATY, TEXAS WHICH IS A 102-BED HOSPITAL AND CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY, TEXAS WHICH IS A 178-BED HOSPITAL. CHRISTUS ST. CATHERINE HOSPITAL IN KATY OFFERS A BROAD SPECTRUM OF ADULT AND PEDIATRIC MEDICAL AND SURGICAL CARE WITH THE LATEST IN TECHNOLOGY INCLUDING AN URGENT CARE CENTER, BIRTHING SUITES, NEWBORN AND LEVEL II NEONATAL INTENSIVE CARE NURSERIES, INPATIENT AND OUTPATIENT SURGERY, DIAGNOSTIC IMAGING AND CARDIOLOGY SERVICES. CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY OFFERS COMPREHENSIVE MEDICAL SERVICES IN CARDIOLOGY, ONCOLOGY, INTENSIVE CARE, DIAGNOSTIC IMAGING, GYNECOLOGY, PEDIATRICS, ADVANCED LAPAROSCOPIC PROCEDURES, CANCER TREATMENT, CARDIOVASCULAR, SPORTS MEDICINE AND VASCULAR SPECIALTIES. EACH OF THE FACILITIES OF CHRISTUS HEALTH GULF COAST SHARES ONE OBJECTIVE -- TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH GULF COAST'S OTHER HEALTH CARE OPERATIONS INCLUDE PART OWNERSHIP IN GALVESTON COUNTY CLINICAL SERVICES, INC. AND INDIGENT CARE SERVICES OF HARRIS COUNTY. BOTH PROVIDE PHYSICIAN HEALTH CARE SERVICES TO MEDICAID PATIENTS. IN OUR 2014 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 26,201 VISITS TO OUR EMERGENCY DEPARTMENT; 1,140 INPATIENT SURGERY PROCEDURES; 2,781 OUTPATIENT SURGERY PROCEDURES; 5,229 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE; AND 117,810 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. CHRISTUS HEALTH GULF COAST PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE, ABILITY TO PAY, OR NATIONAL ORIGIN. 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. CHRISTUS ASSOCIATES AND PHYSICIANS CONTINUE THE TRADITION OF CARING ESTABLISHED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD AND SEEK TO RESTORE THE WHOLE PERSON BACK TO A PLACE OF COMPLETE PHYSICAL, MENTAL AND SPIRITUAL WELLNESS. CHRISTUS HEALTH GULF COAST COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, PARTICULARLY THE VULNERABLE AND UNDERSERVED POPULATIONS. IN AN EFFORT TO MEET AND ADDRESS THE IDENTIFIED HEALTHCARE NEEDS IN THE COMMUNITIES WE SERVE, CHRISTUS HEALTH GULF COAST JOINS WITH MANY LOCAL COMMUNITY PARTNERS AND SERVICE ORGANIZATIONS, SOME OF WHICH INCLUDE THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, THE ARCHDIOCESE OF GALVESTON-HOUSTON, BREATH OF LIFE CLINIC, CHRIST CLINIC AND LOCAL FAITH COMMUNITIES, THE DOMINICAN SISTERS OF THE SACRED HEART, UNIVERSITY OF TEXAS MEDICAL BRANCH (UTMB) AT GALVESTON, REGIONAL MATERNAL AND CHILD PROGRAM, DICKINSON INDEPENDENT SCHOOL DISTRICT, THE ARCHDIOCESE OF GALVESTON-HOUSTON SCHOOL SYSTEM, DEPELCHIN CHILDREN'S CENTER, COMMUNITY REPRESENTATIVES, SCHOOL ADMINISTRATORS, PARENTS, AND COMMUNITY VOLUNTEERS. THESE LOCAL COMMUNITY PARTNERS AND ORGANIZATIONS PARTAKE IN THE FOLLOWING PROGRAMS: (1) THE CHRISTUS LITERACY CENTER: A COLLABORATIVE INITIATIVE BETWEEN CHRISTUS HEALTH GULF COAST, THE ARCHDIOCESE OF GALVESTON-HOUSTON AND THE DOMINICAN SISTERS OF THE SACRED HEART. THROUGH IN-KIND VOLUNTEERS, THE LITERACY CENTER PROVIDES ASSISTANCE IN IMPROVING THE READING AND WRITING SKILLS OF INDIVIDUALS WHO ARE NOT PROFICIENT IN ENGLISH, SO THEY MAY ENHANCE THEIR PRONUNCIATION AND VOCABULARY SKILLS. AN INTRODUCTION TO BASIC COMPUTER SKILLS IS INTEGRATED WITHIN THE CURRICULUM. THESE COMBINED OFFERINGS INCREASE THE ABILITY OF THE STUDENTS TO BECOME MORE COMFORTABLE IN THE LOCAL COMMUNITY, AND THEY ENHANCE OPPORTUNITIES FOR EMPLOYMENT AND IMPROVED COMMUNICATION. (2) CHRISTUS OUR DAILY BREAD: A MINISTRY OF CHRISTUS HEALTH GULF COAST. IT IS A MULTI-SERVICE CENTER WHICH SERVES AS A RESPITE FOR THE HOMELESS AND THOSE WHO ARE CHEMICALLY DEPENDENT AND/OR EXPERIENCING MENTAL/PSYCHIATRIC DISORDERS. THE CENTER SERVES APPROXIMATELY 2,800 CLIENTS PER MONTH, PROVIDING MEALS, CLOTHING, HYGIENE, COUNSELING AND REFERRAL SERVICES. OUR DAILY BREAD SERVES ALL CLIENTS WITH RESPECT AND DIGNITY IN A MANNER BEFITTING ONE OF GOD'S OWN. (3) THE CHRISTUS HEALTHY LIVING MOBILE UNIT: WE WILL CONTINUE TO FOCUS ON THE HEALTH NEEDS OF THE UNINSURED AND UNDERINSURED IN THE COMMUNITY BY INCREASING ACCESS TO CARE THROUGH COLLABORATION AND NETWORKING WITH OTHER AGENCIES. SOME OF THE SERVICES PROVIDED INCLUDE: (A) HEALTH ASSESSMENTS: THROUGH OUR HEALTH ASSESSMENT SCREENING WE FOCUS ON CHRONIC DISEASES, SUCH AS CARDIOVASCULAR DISEASE, DIABETES AND OBESITY, EDUCATING OUR PATIENTS AND ASSISTING THEM IN FINDING A MEDICAL HOME BASE. WE WILL FOCUS ON OUR SENIOR SITES WORKING WITH THE ACES PROGRAM. WE WILL CONTINUE TO ATTEND HEALTH FAIRS AT SCHOOLS AND CHURCHES. WE COLLABORATE WITH THE ARCHDIOCESE OF GALVESTON-HOUSTON BY REACHING OUT TO AS MANY OF THE CHURCHES AS POSSIBLE IN THE OUTLYING COUNTIES THAT DO NOT HAVE ACCESS TO CARE SO THEY CAN PARTICIPATE IN THE PROJECTS TO PROVIDE HEALTH SCREENINGS. (B) VACCINE ADMINISTRATION: WE CONTINUE TO MEET THE NEEDS OF OUR SENIORS BY PROVIDING INFLUENZA VACCINES, ATTEMPTING TO ADMINISTER 5,000 IMMUNIZATIONS ANNUALLY. WE PROVIDED 300 BLANKETS TO NEEDY SENIORS AND DISTRIBUTED 500 HEALTHY LIVING GIFT PACKS CONTAINING EDUCATIONAL AND RESOURCE MATERIALS THAT PROMOTE HEALTHY LIVING AND ADDRESS PSYCHOLOGICAL NEEDS. WE COLLABORATE WITH THE CITY OF HOUSTON AND THE STATE OF TEXAS ON A VACCINE FOR CHILDREN PROGRAM THAT ADMINISTERS IMMUNIZATIONS IN THE COMMUNITY AT SCHOOLS, HEALTH FAIRS AND APARTMENT COMPLEXES IN NEEDY AREAS. (4) SUSAN G. KOMEN BREAST CANCER AWARENESS AND SCREENING: COLLABORATION WITH THE SUSAN G. KOMEN BREAST CANCER FOUNDATION AND THE ROSE AND Y ME ORGANIZATION TO COMPLEMENT OUR BREAST CANCER AWARENESS CLINICS, DISTRIBUTING 500 BREAST CANCER AWARENESS PACKETS WITH EDUCATIONAL AND RESOURCE MATERIALS DURING THE MONTH OF OCTOBER. (5) MINORITY HEALTH DISPARITIES: COLLABORATION WITH MD ANDERSON CANCER CENTER FOR RESEARCH ON MINORITY HEALTH DISPARITIES FOR THE MEDICARE NAVIGATION PROGRAM TO HELP DIAGNOSE CANCER PATIENTS. WE ACT AS A MENTOR AND NAVIGATOR FOR HEALTH CARE ACCESS. (6) DIABETES EDUCATION: WE CONTINUE TO COLLABORATE WITH THE TEXAS COOPERATIVE EXTENSION DIABETES EDUCATION PROGRAM THROUGH ITS "DO WELL BE WELL WITH DIABETES" PROGRAM WHICH PRESENTS DIABETES AND EXERCISE EDUCATION AT SENIOR SITES AND COMMUNITY CENTERS. (7) ACCESS TO CARE: WE CONTINUE TO COLLABORATE WITH KATY COMMUNITY CLINICS AND CHRISTUS ST. JOHN HOSPITAL BY PROVIDING HEALTH SCREENING ASSESSMENTS TO ASSIST PATIENTS WHO NEED TO ESTABLISH A MEDICAL HOME BASE CLINIC. (8) CHRISTUS ST. JOHN HOSPITAL COLLABORATES WITH CHRISTUS FOUNDATION FOR HEALTHCARE TO ASSESS THE NEEDS OF SCHOOL BASE NURSE PRACTITIONERS IN THE DICKINSON ISD AND THE ARCHDIOCESE OF GALVESTON-HOUSTON SCHOOLS. CURRENTLY THERE ARE 16 SCHOOL-BASED HEALTH CARE CENTERS SPONSORED BY CHRISTUS HEALTH GULF COAST. (9) EXPAND OUR SERVICES TO RURAL AREAS AND COUNTIES FOR THE UNINSURED AND UNDERSERVED BY COLLABORATING WITH MEDICARE/CHIP HEALTH CARE PROVIDERS (UNITED HEALTHCARE AND COMMUNITY HEALTH CARE) TO ENROLL CHILDREN INTO THE SYSTEM. (10) CANCER EDUCATION AND PREVENTION: THE ORGANIZATION WILL EXPAND PROGRAM SERVICES FOCUSING ON CANCER EDUCATION AND PREVENTION IN PARTNERSHIP WITH MD ANDERSON CANCER CENTER. AS PART OF THIS PLAN, SEMINARS AND SCREENINGS WILL BE OFFERED TO THE LOCAL COMMUNITY WITH A FOCUS ON CANCER DETECTION, PREVENTION AND EDUCATION. (11) CONGREGATIONAL HEALTH MINISTRIES: THE ORGANIZATION WILL CONTINUE TO ASSIST IN THE DEVELOPMENT OF PARISH NURSE/HEALTH MINISTRY PROGRAMS AT LOCAL CHURCHES. THIS IS AN ECUMENICAL PROGRAM WHICH WILL PROVIDE INFORMATION RELATED TO GOOD HEALTH AND SERVE AS A RESOURCE IN RESPECTIVE CONGREGATIONS. EDUCATIONAL PROGRAMS RELATED TO GOOD HEALTH AND INFORMATION WILL BE PRESENTED TO THE NURSE COORDINATORS TO MEET THE NEEDS OF THE CONGREGATIONS. GRANT MONEY ASSISTS IN SUPPORTING THIS PROGRAM. SERVICES ANTICIPATED THROUGH THIS PROGRAM INCLUDE THE ADMINISTRATION OF OVER 8,000 FLU SHOTS IN AN ATTEMPT TO REACH THOSE MOST AT RISK AND COLLABORATING WITH CHRISTUS VNA. THE CHURCHES WILL OFFER HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL PROGRAMS RELATED TO CHRONIC DISEASE AND ITS PREVENTION, SPIRITUAL SUPPORT AND SERVING AS A RESOU
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM CHRISTUS HEALTH GULF COAST IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, MISSOURI, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH GULF COAST, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH GULF COAST, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. SCHEDULE H, PART VI, LINE 7 COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT: TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
San Jose Clinic
2615 Fannin Street	Houston	TX	77002	760373703	501(c)(3)	$1,086,242	In-kind Rent in Moran Clinic Building
Catholic Charities of Archdiocese of Galv-Houston
2615 Fannin Street	Houston	TX	77002	741109733	501(c)(3)	$165,696	In-kind Rent in Moran Clinic Building Narcotics Cabinets
CHRISTUS Foundation for Healthcare
PO Box 1919	Houston	TX	77251	746074210	501(c)(3)	$148,232	In-kind Rent in Moran Clinic Building Drunk Driving Campaign
Christ Clinic
5504 First Street	Katy	TX	77492	900789318	501(c)(3)	$61,000	Help fund salaries of Clinic Manager and Nurse Pra
Houston Center for Literacy
2401 Portsmouth St	Houston	TX	77098	760151362	501(c)(3)	$50,978	In-kind Rent in Moran Clinic Building
Katy Area Chamber of Commerce
23501 Cinco Ranch Blvd	Katy	TX	77494	742028745	501(c)(6)	$16,000	Sponsorship of Katy Rice Harvest Festival Luncheon Sponsorships, Building Fund and Other Luncheon Sponsorships
Sport Management LLC
3327 Ivy Mill Lane	Missouri City	TX	77459	263752988	501(c)(3)	$12,500	Sponsorship for International Soccer Development C Practitioner
Clear Creek ISD
PO Box 799	League City	TX	77574	746001592	501(c)(3)	$22,000	Funding for stadium field goal net Campuses
Texas Right to Life Committee
9800 Centre Parkway	Houston	TX	77036	237373806	501(c)(4)	$10,000	Celebration of life sponsorship and advertising

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Indigent Assistance	GrantTypeTxt
Recipient	18029	RecipientCnt
Cash Grant	$12,265,086	CashGrantAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	MEALS/RX/HOUSING	NonCashAssistanceDesc

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	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 GENERALLY BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH IT SERVES VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
Ellen M Jones
Pres/CEO/Brd Mmbr (term 12/13)	$206,832	$344,721	$45,543	$75,906	$62,951	$104,919	$126,190	$210,318	$12,894	$21,489	$454,410	$757,353	$16,298	$27,163
William A Hecht
Chief Financial Officer	$131,656	$197,483	$18,998	$28,497	$77,567	$116,350	$6,856	$10,284	$8,096	$12,143	$243,173	$364,757	$38,101	$57,152
Tom Permetti
COO & Admin-St. John Hospital	$200,789	$133,859	$37,612	$25,074	$20,513	$13,676	$85,658	$57,106	$19,009	$12,672	$363,581	$242,387	$20,513	$13,676
Nancy Pittman
CNE/COO-St. John Hospital	$181,651	$0	$39,211	$0	$62,510	$0	$8,147	$0	$8,286	$0	$299,805	$0	$0	$0
Harold Gottlieb
VP Medical Affairs/CMO	$312,130	$0	$85,272	$0	$0	$0	$170,726	$0	$27,133	$0	$595,261	$0	$0	$0
Gene Wright
CEO	$260,000	$0	$0	$0	$0	$0	$141	$0	$3,770	$0	$263,911	$0	$0	$0
Alfred L Cave III
PRES/DIR PHLNTRPY (term 12/13)	$156,973	$70,524	$28,958	$13,010	$32,594	$14,643	$22,446	$10,084	$7,807	$3,507	$248,778	$111,768	$0	$0
PATRICK B CARRIER
FORMER PRESIDENT/CEO	$0	$548,478	$0	$141,690	$0	$157,011	$0	$390,919	$0	$18,574	$0	$1,256,672	$0	$0
PEARL R MOHNKERN
FORMER VP HUMAN RESOURCES	$0	$183,400	$0	$6,558	$0	$89,165	$0	$35,904	$0	$11,078	$0	$326,105	$0	$1,423
MICHAEL E SULLIVAN
FORMER VP MISSION & ORG ETHICS	$0	$185,906	$0	$48,484	$0	$41,645	$0	$42,721	$0	$12,687	$0	$331,443	$0	$41,645
PAUL GENERALE
DIRECTOR (EFFECTIVE 12/1/13)	$0	$482,295	$0	$263,750	$0	$65,855	$0	$72,512	$0	$29,596	$0	$914,008	$0	$0
PAUL TREVINO
EX-OFFICIO (EFFECTIVE 1/16/14)	$0	$338,742	$0	$19,137	$0	$69,540	$0	$100,266	$0	$38,540	$0	$566,225	$0	$34,780
BARBARA LAZOR
CHIEF NURSING OFFICER	$152,428	$0	$35,095	$0	$54,846	$0	$25,484	$0	$10,932	$0	$278,785	$0	$37,130	$0
DAVID M WITT
FRMR FACILITY FINANCIAL OFFCR	$158,005	$0	$25,620	$0	$0	$0	$26,673	$0	$2,926	$0	$213,224	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATION	PART VII, LINE 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. COMPANION TRAVEL SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
EXPLANATION OF RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMP	SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
DEFERRED COMPENSATION	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.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS	SCHEDULE J, PART I, LINE 4B AND SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990: ELLEN M. JONES RECEIVED $43,461 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. WILLIAM A. HECHT RECEIVED $95,253 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THOMAS PERMETTI RECEIVED $34,189 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. BARBARA A. LAZOR RECEIVED $37,130 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PEARL R. MOHNKERN RECEIVED $1,423 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MICHAEL E. SULLIVAN RECEIVED $41,645 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PAUL TREVINO RECEIVED $34,780 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.
SUPPLEMENTAL COMPENSATION INFORMATION	SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
SUPPLEMENTAL COMPENSATION INFORMATION	SCHEDULE J, PART II BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2013.
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, SECTION A & SCHEDULE J, PART II THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: ELLEN JONES, WILLIAM HECHT, TOM PERMETTI, NANCY PITTMAN, HAROLD GOTTLIEB, ALFRED CAVE III, PATRICK CARRIER, PEARL MOHNKERN, MICHAEL SULLIVAN, PAUL GENERALE, PAUL TREVINO, BARBARA LAZOR, AND DAVID WITT.

Schedule N IRS990ScheduleN

Field	Value	IRS element (for citing)
Liquidation Of Assets Table		LiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail (2 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	IRC SectionIRCSectionTxt
HOUSTON METHODIST HOSPITAL
CHRISTUS ST. JOHN HOSPITAL	2014-02-01	$45,095,868	FMV	741180155	6565 FANNIN NO GB240	HOUSTON	TX	770302707	501(C)(3)
HOUSTON METHODIST HOSPITAL
CHRISTUS ST. CATHERINE HOSPITAL	2014-02-01	$77,504,930	FMV	741180155	6565 FANNIN NO GB240	HOUSTON	TX	77030	501(C)(3)

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE N, PART II	FormAndLineReferenceDesc
Explanation	CHRISTUS HEALTH GULF COAST SOLD THEIR INTEREST IN CHRISTUS ST. JOHN HOSPITAL AND CHRISTUS ST. CATHERINE HOSPITAL TO HOUSTON METHODIST HOSPITAL ON FEBRUARY 1, 2014.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DOING BUSINESS AS	FORM 990, PAGE 1, ITEM C CHRISTUS HEALTH GULF COAST OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS ST. CATHERINE HOSPITAL (THROUGH 2/1/2014) CHRISTUS ST. JOHN HOSPITAL (THROUGH 2/1/2014) CHRISTUS OUR DAILY BREAD CHRISTUS ST. JOHN CONCUSSION CENTER AND NEUROCOGNITIVE INSTITUTE CHRISTUS ST. JOHN LABORATORY AND IMAGING SERVICES SIGNIFICANT CHANGES TO PROGRAM SERVICES FORM 990, PART III, LINE 3 CHRISTUS HEALTH GULF COAST DISPOSED OF THEIR INTEREST IN CHRISTUS ST. JOHN HOSPITAL AND CHRISTUS ST. CATHERINE HOSPITAL EFFECTIVE FEBRUARY 1, 2014. CHRISTUS HEALTH GULF COAST TRANSFERRED THEIR OWNERSHIP INTEREST TO HOUSTON METHODIST HOSPITAL AND WILL CEASE REPORTING ACTIVITIES FROM THESE TWO ENTITIES.
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE 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 CHARITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. THE POINT OF LIGHT CLINIC HAS BEEN IN OPERATION SINCE 1990 TO PROVIDE ACUTE CARE AND EPISODIC HEALTHCARE SERVICES TO THOSE WHO ARE UNINSURED AND UNDERINSURED WITHIN THE SECONDARY MARKET OF CHRISTUS ST. JOHN HOSPITAL. IN THE FISCAL YEAR ENDING 6/30/14, THE POINT OF LIGHT CLINIC PROVIDED CARE TO 5,186 PATIENTS. HEALTHY LIVING MOBILE CLINIC, A COLLABORATIVE MOBILE HEALTH PROGRAM DELIVERING PRIMARY AND PREVENTIVE CARE (INCLUDING IMMUNIZATIONS), WHICH TARGETS THE ELDERLY, WOMEN, AND CHILDREN PROVIDED 18,504 PATIENT VISITS. PARISH HEALTH MINISTRY PROVIDES A CONTINUUM OF CARE, ESPECIALLY FOR THE UNDERSERVED POPULATIONS, THROUGH AN ONGOING PARTNERSHIP WITH ASSOCIATED CATHOLIC CHARITIES IN COLLABORATION WITH THE DIOCESE OF GALVESTON-HOUSTON. WEE SEE PROGRAM OFFERS EYE EXAMINATIONS AND CORRECTIVE GLASSES TO CHILDREN WHO ARE FINANCIALLY OR MEDICALLY INDIGENT. PARISH NURSE/HEALTH MINISTRY PROGRAM OFFERS ASSISTANCE IN STARTING CHURCH BASED PROGRAMS WITH A FOCUS ON WELLNESS AND HEALTHY LIVING. THE GABRIEL PROJECT IS A PARISH-BASED CRISIS PREGNANCY PROGRAM FOR THE DIOCESE OF GALVESTON-HOUSTON. THE PARISH PLACES THE "SIGN OF LIFE" ON THE PARISH GROUNDS, WHICH INVITES ANY PREGNANT WOMAN TO SEEK ALL THE HELP SHE NEEDS FROM THE PARISH AND ITS ASSOCIATED SERVICES. THE MOTHER ATTENDS THE GABRIEL PROJECT AT THE PARISH WHERE SHE LIVES. THE VIP PROGRAM IS DESIGNED TO MEET SOME OF THE NEEDS OF SENIOR ADULTS. THE FOCUS IS ON IMPROVED HEALTH AND HEALTH EDUCATION. LOW IMPACT AEROBIC AND CHAIR EXERCISES ARE OFFERED AT NO COST TO THE PARTICIPANTS. HEALTH EDUCATION PROGRAMS ARE OFFERED SIX TIMES PER YEAR. THE PROGRAM COORDINATOR HOSTS THE AARP DEFENSIVE DRIVING COURSE EVERY OTHER MONTH. OTHER PROGRAMS OF INTEREST WILL BE OFFERED BASED ON INPUT OF THE MEMBERS. THE BREATH OF LIFE CHILDREN'S CENTER CLINIC ADMINISTERS HEALTHCARE TO VULNERABLE CHILDREN IN THE WEST HOUSTON AND KATY AREAS. CURRENTLY, THE BREATH OF LIFE CHILDREN'S CENTER CLINIC SERVES CHILDREN AND THEIR FAMILIES THROUGH ITS TWO DIVISIONS: PREVENTION AND ACUTE SICK CARE SERVICES. COLLABORATIVE PARTNERS INCLUDE THE AMERICAN CANCER SOCIETY, THE ARCHDIOCESE OF GALVESTON-HOUSTON, AND LOCAL CHURCH MEMBERS. CHRISTUS LITERACY CENTER IS A COLLABORATIVE INITIATIVE ESTABLISHED AMONG CHRISTUS HEALTH GULF COAST, THE ARCHDIOCESE OF GALVESTON-HOUSTON AND THE DOMINICAN SISTERS OF THE SACRED HEART. THE LITERACY CENTER PROVIDES ENGLISH AS A SECONDARY LANGUAGE (ESL) CLASSES WHICH ENHANCE LANGUAGE AND WRITING SKILLS TO AID INDIVIDUALS WHO ARE NOT PROFICIENT IN ENGLISH. THE CLASSES HELP ATTENDEES ENHANCE PRONUNCIATION, VOCABULARY, READING, AND WRITING SKILLS. THE CENTER PROVIDED 35 LITERACY CLASSES. CHRISTUS OUR DAILY BREAD IS A MINISTRY OF CHRISTUS HEALTH GULF COAST WHICH SERVES AS A RESPITE FOR THE HOMELESS AND THOSE WHO ARE CHEMICALLY DEPENDENT AND/OR EXPERIENCE MENTAL/PSYCHIATRIC DISORDERS. THE CENTER SERVES APPROXIMATELY 2,500 CLIENTS PER MONTH BY PROVIDING MEALS, CLOTHING, HYGIENE, COUNSELING AND REFERRALS SERVICES. OUR DAILY BREAD SERVES ALL CLIENTS WITH RESPECT AND DIGNITY IN A MATTER BEFITTING ONE OF GOD'S VERY OWN. ONE EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). 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 THE 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 COSTS OF THIS PROGRAM ARE NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH GULF COAST. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2014 WAS $1,107,368. THE FOREGONE INTEREST FOR CHRISTUS HEALTH GULF COAST IN FY 2014 WAS $31,908. 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 IN OUR COMMUNITIES. DURING FY 2014, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE GULF COAST REGION WAS $100,000. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH GULF COAST. TOTAL PROGRAM SERVICE EXPENSE = $ 15,296,372 GRANTS = $ 12,189,126 TOTAL PROGRAM SERVICE REVENUE = $ 0 DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS SPENT 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 USES CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MAKE 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 OUR ELDERLY, CLEFT LIP AND PALATE REPAIR, HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2014, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. PROGRAM SERVICE EXPENSE = $ 225,395 GRANTS = $ 1,554,864 PROGRAM SERVICE REVENUE = $ 0
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINE 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION.
DESCRIPTIONS OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, SECTION A, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER FORM 990, PART VI, SECTION A, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
PROCESS USED TO REVIEW FORM 990	FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2015 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST	FORM 990, PART VI, SECTION B, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS INCLUDING CHRISTUS HEALTH GULF COAST. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, SECTION C, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY AND FIN STMTS TO PUBLIC	FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 RECLASS ST. CATHERINE NOTE - $ 27,703,747 TRANSFER OF NET ASSETS - $ 270,034 RESTRICTED DONATIONS - $ 45,726 RELEASED RESTRICTION - $ 43,998 ASSETS RELEASED - $ 20,298 OTHER - $ 1,033 CONTRIBUTED CAPITAL - ($ 380,055) PENSION FUNDING - ($ 1,175,204) PENSION LIABILITY/EXPENSE - ($ 1,593,566) ------------ TOTAL - $ 24,936,011

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVC	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100A	HOUSTON	TX	77027	742898615	HLTHCARE SVC	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVC	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE 2ND F	PARIS	TX	75460	421619230	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTH STE 1100A	HOUSTON	TX	77027	721270964	Hlthcare Svc	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 Hidden Ridge Drive	Irving	TX	75038	611500100	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVC	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVC	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORP
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVC	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HLTHCARE SVC	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS Health
919 Hidden Ridge Drive	Irving	TX	75038	760590551	SUPT HLTH SVC	TX	501(C)(3)	9	NA	false
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVC	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS Health Southwestern Louisiana
524 Dr Michael Debakey Drive	Lake Charles	LA	70601	720411322	HLTHCARE SVC	LA	501(C)(3)	3	CH	Yes (true)
Christus Health Liability Retention Trst
919 Hidden Ridge Drive	Irving	TX	75038	760259623	SELF INS TRST	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
Christus Foundation for Healthcare
PO Box 1919	Houston	TX	77251	746074210	SUPT HLTH SVC	TX	501(C)(3)	7	GULF COAST	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
Christus Health Plan Louisiana
919 Hidden Ridge Dr	Irving	TX	75038	464617988	Medicaid HMO	LA	501(c)(3)	9	CH	Yes (true)
Christus Health Plan New Mexico
919 Hidden Ridge Dr	Irving	TX	75038	464487295	Medicaid HMO	NM	501(c)(3)	9	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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WEST HOUSTON REAL ESTATE DEVELOPMENT	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 W LOOP S	AddressLine1
City	HOUSTON	City
State	TX	State
ZIP Code	77027	ZIPCode

Field	Value	IRS element (for citing)
EIN	262330994	EIN
Primary Activities	HEALTHCARE SVCS	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	INVESTMENT	PredominantIncomeTypeTxt
Share Of Total Income	-$2,079	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.73959	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HOUSTON METROPOLITAN HEALTH NETWORK
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760427193	HEALTHCARE SVCS	TX	GULF COAST	C Corp	$1,935	$121,838	1.00000	Yes (true)
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SVCS		CH	C Corp				false	Hidalgo PTE 2525	Col. Obispado, Monterrey	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C CORP				false	PO BOX 1051	GRAND CAYMAN		CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	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	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS FOUNDATION FOR HEALTHCARE
B	$132,000	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
C	$2,720,124	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
H	$69,232	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
J	$132,000	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
O	$785,208	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
P	$844,412	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
M	$1,245,840	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
M	$69,020	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
O	$355,441	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$280,692	ACCRUAL
HOUSTON METROPOLITAN HEALTH NETWORK
O	$100,959	ACCRUAL
CHRISTUS CONTINUING CARE
L	$118,169	ACCRUAL
CHRISTUS CONTINUING CARE
M	$71,394	ACCRUAL
WEST HOUSTON REAL ESTATE DEVELOPMENT LLC
A(I)	$2,621	ACCRUAL