CHRISTUS HEALTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH (EIN 76-0590551)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-12
IRS object ID: 201531329349301428
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 C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-12T09:25:55-05:00	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	425 HOUSTON STREET SUITE 600	AddressLine1
City	FORT WORTH	City
State	TX	State
ZIP Code	76102	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	760590551	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 Hidden Ridge Drive	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	Randy Safady	PersonNm
Person Title	cfo	PersonTitleTxt
Signature	2015-05-08	SignatureDt

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	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	Ernie Sadau	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE DRIVE	AddressLine1
City	Irving	City
State	TX	State
ZIP Code	75038	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,557,959,571	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christushealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2490	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$8,629,315	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,054,553	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$584,899,633	PYProgramServiceRevenueAmt
CY Program Service Revenue	$608,139,426	CYProgramServiceRevenueAmt
PY Investment Income	$49,039,925	PYInvestmentIncomeAmt
CY Investment Income	$55,556,080	CYInvestmentIncomeAmt
PY Other Revenue	$12,902,962	PYOtherRevenueAmt
CY Other Revenue	$9,714,396	CYOtherRevenueAmt
PY Total Revenue	$646,842,520	PYTotalRevenueAmt
CY Total Revenue	$673,409,902	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,122,043	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,159,229	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$115,829,611	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$256,599,132	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$397,373,825	PYOtherExpensesAmt
CY Other Expenses	$385,285,984	CYOtherExpensesAmt
PY Total Expenses	$522,325,479	PYTotalExpensesAmt
CY Total Expenses	$648,044,345	CYTotalExpensesAmt
PY Revenues Less Expenses	$124,517,041	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,365,557	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,696,321,439	TotalAssetsBOYAmt
Total Assets EOY	$2,312,245,452	TotalAssetsEOYAmt
Total Liabilities BOY	$2,515,045,098	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,226,558,149	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$181,276,341	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$85,687,303	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$128,275,916	ExpenseAmt
Grant	$2,374,550	GrantAmt
Revenue	$459,235,385	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS 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 WITH THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS HEALTH REACHES OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN MORE THAN 350 FACILITIES, INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S. AND CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS, CHILE, POTOSI AND TAMAULIPAS IN MEXICO. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 13,500,000. IN FISCAL YEAR 2014 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 741,535 VISITS TO OUR EMERGENCY DEPARTMENTS; 36,214 INPATIENT SURGERY PROCEDURES; 76,977 OUTPATIENT SURGERY PROCEDURES; 149,714 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 3,059,240 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. IN ADDITION, MANY OF OUR HOSPITALS ARE ENGAGED IN RESEARCH AND CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$296,038,527	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$148,904,041	RevenueAmt
Desc	OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 11,339 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,141,637	ExpenseAmt
Grant	$2,809,741	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2014, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,023,500	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$974,938	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$428,479,580	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2270	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2490	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	MX	ForeignCountryCd
Foreign Country	CI	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KIM REYNOLDS	PersonNm
Phone	4692822103	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE DRIVE	AddressLine1
City	IRVING	City
State	TX	State
ZIP Code	75038	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD L CLARKE
CHAIRPERSON	1.0	0.0	Yes (X)	Yes (X)	$25,880
DENNIS N STINE
VICE CHAIRPERSON	1.0	0.0	Yes (X)	Yes (X)	$19,947
SISTER CELESTE TRAHAN CCVI
Director	1.0	0.0	Yes (X)
PHYLLIS COWLING
Director	1.0	0.0	Yes (X)		$1,080
FATHER CHARLES E BOUCHARD
Director	1.0	0.0	Yes (X)
KENNETH D WELLS MD
Director	1.0	0.0	Yes (X)		$17,647
PATRICIO DONOSO IBANEZ
Director	1.0	0.0	Yes (X)		$8,136
SISTER WALTER MAHER CCVI
Director	1.0	0.0	Yes (X)
SISTER HANNAH O'DONOGHUE CCVI
Director	1.0	0.0	Yes (X)
CHERYL ALSTON
Director	1.0	0.0	Yes (X)		$12,989
GEORGE BO-LINN MD
Director	1.0	0.0	Yes (X)		$9,768
J LYNN BRITTON
Director	1.0	0.0	Yes (X)		$12,213
CLARENCE R WILLIAMS
Director	1.0	0.0	Yes (X)		$8,663
MARICELA S MOORE
Director	1.0	0.0	Yes (X)		$8,445
ARTHUR M SOUTHAM MD
Director	1.0	0.0	Yes (X)		$881
ERNIE W SADAU
Ex Officio	38.0	2.0	Yes (X)	Yes (X)	$2,181,155	$0	$639,120
SISTER KATHLEEN COUGLIN CCVI
Director	1.0	0.0	Yes (X)
Randy Safady
Sr VP/ Chief Financial Officer	39.0	1.0		Yes (X)	$1,332,299	$0	$421,330
PATRICIA NOBLES
CORP SECRETARY	32.0	8.0		Yes (X)	$171,864	$0	$47,123
George S Conklin
SR VP Chief Infor Officer	39.0	1.0			$777,776	$0	$281,517	Yes (X)
John Gillean MD
SR VP Chief Medical Officer	39.0	1.0			$1,157,068		$347,453	Yes (X)
Gerard F Heeley
Sr VP Mission and Ethics	39.0	1.0			$590,576	$0	$238,558	Yes (X)
Mary T Lynch
Sr VP Chief Governance	40.0	0.0			$935,268	$0	$206,552	Yes (X)
Linda K McClung
SR VP/ops/corp stg mrkt svcs	39.0	1.0			$899,114	$0	$302,712	Yes (X)
Paul Generale
SR VP Senior Finance Officer	39.0	1.0			$811,900	$0	$102,108	Yes (X)
Jeffrey M Puckett
corp VP/Mng'd Care Bus Adv/Dev	39.0	1.0			$1,235,470		$340,834	Yes (X)
Eugene Woods
Sr VP Chief Operating Officer	39.0	1.0			$1,358,976	$0	$505,671	Yes (X)
ALEX J VALDEZ
VP, INTERNATIONAL	40.0	0.0			$578,105	$0	$203,982	Yes (X)
JOHN L ZIPPRICH
SR VP INT OP LGL	40.0	0.0			$529,542	$0	$46,921	Yes (X)
MARSHALL BOLYARD
EXECUTIVE DIRECTOR USFHP	39.0	1.0			$181,595	$0	$0	Yes (X)
PAMELA ROBERTSON
President-CEO CHRISTUS Spohn	1.0	39.0			$0	$957,849	$266,532		Yes (X)
PATRICK CARRIER
President-CEO CSRHS	1.0	39.0			$0	$847,179	$409,493		Yes (X)
STEPHEN WRIGHT
President-CEO LA Ministries	1.0	39.0			$0	$827,637	$242,379		Yes (X)
ALEJANDRO CANAVATI
Chief Executive Officer UC CHR	1.0	39.0			$820,144	$0	$112,810		Yes (X)
CHRISTOPHER KARAM
President-CEO ALT-Cont Care	1.0	39.0			$0	$666,769	$227,752		Yes (X)
JAY S HERRON
SVP Chief Financial Officer	0.0	0.0			$140,412	$0	$0			Yes (X)
PETER MADDOX
SVP Business, stgy & corp Dev	0.0	0.0			$222,045	$0	$139,053			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,048,958	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,299,434	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,081,900	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	321	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
CREST SERVICES INC
SUPPORT TECH SVC INC	COPPELL	TX	75019	Clinical & Tech SVCS	$36,095,787
PRICEWATERHOUSECOOPERS LLP
3109 W DR MLK JR BLVD	TAMPA	FL	33607	BUSINESS SVCS	$6,919,361
THE VIA GROUP INC
2610 TECHNOLOGY FOREST BOULEVARD	THE WOODLANDS	TX	77381	TECHNOLOGY SVCS	$5,862,661
MEDASSETS NET REVENUE SYSTEMS LLC
PO BOX 405652	ATLANTA	GA	303845652	REVENUE CYCLE SVCS	$5,543,067
PROTIVITI INC
5720 STONERIDGE DRIVE	PLEASANTON	CA	94588	BUSINESS SVCS	$4,761,600

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	140	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAPITATION REVENUE	621400	$144,713,489	$144,713,489
SYSTEM OFFICE FEES AND MGMT SERVICE	561000	$46,048,119	$38,340,344	$7,707,775
SERVICE FEE INCOME	541900	$160,917,554	$160,419,146	$498,408
MEANINGFUL USE INCENTIVE PAYMENTS	900099	$23,304,455	$23,304,455
PREMIUM REVENUE	900099	$158,110,658	$158,110,658

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,045,151	TotalRevenueColumnAmt
Related Or Exempt Func Income	$75,045,151	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$608,139,426	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,836,386	TotalRevenueColumnAmt
Exclusion	$21,836,386	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	$869,407	TotalRevenueColumnAmt
Exclusion	$869,407	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$154,557	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$154,557	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,557	TotalRevenueColumnAmt
Exclusion	$154,557	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$916,566,560	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$882,846,866	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$33,719,694	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,719,694	TotalRevenueColumnAmt
Exclusion	$33,719,694	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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$5,045,514	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,702,803	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,342,711	TotalRevenueColumnAmt
Exclusion	$3,342,711	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER OPERATING REVENUE	900099	$3,081,358	$3,081,358
SPA REVENUE	812900	$368,993		$368,993
FOOD SERVICE	722210	$54,139		$54,139

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,843,231	TotalRevenueColumnAmt
Exclusion	$1,843,231	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,347,721	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$673,409,902	TotalRevenueColumnAmt
Related Or Exempt Func Income	$599,933,243	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,629,315	UnrelatedBusinessRevenueAmt
Exclusion	$64,847,344	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,159,229	TotalAmt
Program Services	$6,159,229	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

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	$19,313,360	TotalAmt
Program Services	$4,948,878	ProgramServicesAmt
Management And General	$14,364,482	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$181,228	TotalAmt
Program Services	$46,438	ProgramServicesAmt
Management And General	$134,790	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$127,758,487	TotalAmt
Program Services	$32,736,984	ProgramServicesAmt
Management And General	$95,021,503	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$33,581,946	TotalAmt
Program Services	$1,083,536	ProgramServicesAmt
Management And General	-$34,665,482	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$134,397,863	TotalAmt
Program Services	$122,137,996	ProgramServicesAmt
Management And General	$12,259,867	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,530,140	TotalAmt
Program Services	$2,570,518	ProgramServicesAmt
Management And General	$5,959,622	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,550,620	TotalAmt
Program Services	$223,689	ProgramServicesAmt
Management And General	$3,326,931	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	-$702,680	TotalAmt
Management And General	-$702,680	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,048,110	TotalAmt
Management And General	$1,048,110	ManagementAndGeneralAmt

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	$3,648,411	TotalAmt
Management And General	$3,648,411	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$246,293,322	TotalAmt
Program Services	$210,667,696	ProgramServicesAmt
Management And General	$35,625,626	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,585,634	TotalAmt
Program Services	$1,688	ProgramServicesAmt
Management And General	$2,583,946	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,771,223	TotalAmt
Program Services	$16,957,432	ProgramServicesAmt
Management And General	$4,813,791	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,430,170	TotalAmt
Program Services	$10,708,999	ProgramServicesAmt
Management And General	$8,721,171	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,713,162	TotalAmt
Program Services	$784,410	ProgramServicesAmt
Management And General	$5,928,752	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	$3,073,782	TotalAmt
Program Services	$220,715	ProgramServicesAmt
Management And General	$2,853,067	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$29,627,029	TotalAmt
Management And General	$29,627,029	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,655,467	TotalAmt
Program Services	$4,335,080	ProgramServicesAmt
Management And General	$5,320,387	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,725,864	TotalAmt
Program Services	$7,260,042	ProgramServicesAmt
Management And General	$465,822	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
SWAP FINANCING COST	$14,989,359	$14,989,359
FOREIGN INCOME TAX	$3,757,141	$3,757,141
DUES/MEMBERSHIPS/SUBSCRIP	$2,450,541	$2,068,839	$381,702
RECRUITMENT/PLACEMENT FEES	$2,221,983	$1,960,609	$261,374	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,446,846	TotalAmt
Program Services	$6,993,174	ProgramServicesAmt
Management And General	$453,672	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$648,044,345	TotalAmt
Program Services	$428,479,580	ProgramServicesAmt
Management And General	$219,564,765	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,703,843	BOYAmt
EOY	$98,769,800	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,620,547	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	$10,028,157	BOYAmt
EOY	$1,973,390	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	$915,381,902	BOYAmt
EOY	$767,763,402	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$801,466	BOYAmt
EOY	$970,215	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$48,874,861	BOYAmt
EOY	$42,323,736	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$137,896,785	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$60,287,685	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,511,395	BOYAmt
EOY	$77,609,100	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$988,700,512	BOYAmt
EOY	$650,167,226	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$395,670,563	BOYAmt
EOY	$386,780,503	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$97,144,443	BOYAmt
EOY	$72,839,853	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,943,296	BOYAmt
EOY	$31,943,296	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$101,940,454	BOYAmt
EOY	$181,104,931	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,696,321,439	BOYAmt
EOY	$2,312,245,452	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$218,537,661	BOYAmt
EOY	$183,475,592	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	$5,046,868	BOYAmt
EOY	$171,086	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,120,636,992	BOYAmt
EOY	$908,093,993	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,170,823,577	BOYAmt
EOY	$1,134,817,478	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,515,045,098	BOYAmt
EOY	$2,226,558,149	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$179,919,437	BOYAmt
EOY	$84,330,344	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$154,499	BOYAmt
EOY	$154,554	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,202,405	BOYAmt
EOY	$1,202,405	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$181,276,341	BOYAmt
EOY	$85,687,303	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,696,321,439	BOYAmt
EOY	$2,312,245,452	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,365,557	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$56,103,801	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$177,058,396	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$101,308	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$257,890	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,016,026	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$3,375,224	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$161,364,314	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$151,666,161	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$208,487,936	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$195,922,267	CurrentTaxYearMinus1YearAmt
Current Tax Year	$177,893,713	CurrentTaxYearAmt
Total	$895,334,391	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,294,072	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,434,502	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,736,260	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,936,597	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,045,514	CurrentTaxYearAmt
Total	$25,446,945	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$165,759,694	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$156,358,553	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$216,240,222	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$202,858,864	CurrentTaxYearMinus1YearAmt
Current Tax Year	$182,939,227	CurrentTaxYearAmt
Total	$924,156,560	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$924,156,560	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,618,261	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,322,724	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,625,801	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,128,748	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,860,349	CurrentTaxYearAmt
Total	$93,555,883	TotalAmt

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,618,261	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,322,724	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,625,801	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,128,748	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,860,349	CurrentTaxYearAmt
Total	$93,555,883	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

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

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,075,838	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$140,525	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$171,489	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,309,554	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,924,589	CurrentTaxYearAmt
Total	$14,621,995	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$185,453,793	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$173,821,802	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$234,037,512	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$228,297,166	CurrentTaxYearMinus1YearAmt
Current Tax Year	$210,724,165	CurrentTaxYearAmt
Total	$1,032,334,438	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.89521	PublicSupportCY509Pct
Public Support PY509	0.89303	PublicSupportPY509Pct
Investment Income CY	0.09063	InvestmentIncomeCYPct
Investment Income PY	0.09627	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$7,500	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$201,181	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$839,429	OtherActivitiesAmt
Total Lobbying Expenditures	$1,048,110	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Lobbying Description	FormAndLineReferenceDesc
Explanation	Part 1(b): Paid staff and management - with approximately five paid staff members for the CHRISTUS Health system that serve the Advocacy and Public and Policy department. The department represents the organization before state and federal legislative bodies and regulatory agencies. Part 1(d): Mailings to members and legislators through system-wide action alert for issues related to: Federal Emergency Funding for Humanitarian Crisis on Texas Border, 9/5/2013 Medicare Dependent Hospital (MDH) Program And The Low-Volume Hospital (LVH) Payment Adjustment The American Taxpayer Relief Act of 2012 HR8 (989 letters and faxes sent) 11/12/2013 DSH Cuts (H.R. 1920/S. 1555) (601 letters and faxes sent). A total of 1590 emails and faxes sent on behalf of CHRISTUS Health by employees as well as volunteers. 1 minute per letter/email. Part 1(g): Direct contact with legislators, their staffs, government officials and legislative bodies for issues related to: emails, letters and direct contact to members of congressional and state lawmakers in TX, LA, NM to discuss: draft report language in the House Armed Services Committee report on the National Defense Authorization Act for FY 2015, Disproportionate Share Hospital Funding, 1115 Waiver Medicaid Proposals, Medicare Dependent Hospital Designation, Medicaid Managed Care, Health Information Technology, Affordable Care Act and Navigator Rules, Federal Emergency Preparedness, Liquidity Coverage Ratio: Liquidity Risk Measurement, Standards, and Monitoring, Pharmaceutical 340B Safety-Net Hospital Program, School Based Health Clinics, Medicaid Expansion under the ACA, Union Negotiations, Military Health, State Hospital Reforms, VA Unreimbursed Claims, Services Related to Ethical and Religious Directives, and Non subscription as an alternative to Texas' Workers Compensation system. Total Hours - 456 executive/director Level, 40 Hours Associate Hours. Total Hours 18 Director. Part 1(i): Other Activity includes: Annual fee to CapWiz to administer action alert server hosting fee. Lobbying fees as portion to dues for trade associations including: American Hospital Association , Arkansas Hospital Association, Catholic Health Association, Children's Hospital Association of Texas, Louisiana Assisted Living Association, Louisiana Hospital Association, Louisiana Nursing Home Association, New Mexico Association, Texas Association Home Care, Texas Association Health Plans, Texas Alliance Patient Access Association, Texas Hospital Association, US Family Health Plan. In addition, paid lobbyists and consultants to support the issues described above. A PERCENTAGE OF THE DUES THAT CHRISTUS HEALTH PAYS TO TRADE ASSOCIATIONS IS ALLOCATED FOR PURPOSES OF LOBBYING ACTIVITIES. THIS AMOUNT IS THE AGGREGATE OF THE PERCENTAGE AND AMOUNT OF LOBBYING ACTIVITIES CONDUCTED THROUGH OUR TRADE ASSOCIATIONS ON BEHALF OF CHRISTUS HEALTH.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,044,530	OtherCostOrOtherBasisAmt
Book Value	$25,044,530	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,190,815	OtherCostOrOtherBasisAmt
Depreciation	$21,072,476	DepreciationAmt
Book Value	$65,118,339	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,243,184	OtherCostOrOtherBasisAmt
Depreciation	$14,765,499	DepreciationAmt
Book Value	$6,477,685	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,418,256	OtherCostOrOtherBasisAmt
Depreciation	$24,449,710	DepreciationAmt
Book Value	-$19,031,454	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$77,609,100	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$386,419,456	F
MINERAL INTEREST	$361,047	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$386,780,503	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED ASSETS	$35,590,064
SVH RESTRICTED CAPITAL ACCOUNT	$32,111,105
SECURITY LENDING COLLATERAL	$1,987,433
SECURITIES PLEDGED TO OTHERS	$1,846,074
DEPOSITS	$1,376,583
NET AMORT BOND ISSUE COSTS	-$4,068,013
BOND ISSUE COSTS	$16,043,837
CURRENT PTN ALATU PENSION FUND	$986
DUE FROM RELATED ORGS	$96,216,862

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$181,104,931	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$256	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
CMS DUE RELATED ENTITIES	$952,192,493
PAYABLE TO CCVI	$3,394,338
LT SELF FUNDING LIABILITY	$68,778,004
CAPITAL LEASE LIABILITY	$8,695
LT PENSION LIABILITY	$104,209,982
SECURITY LENDING AGREEMENT	$1,988,663
OTHER TAXES PAYABLE	$545,597
COLLECTIONS PAYABLE	$3,699,450

Field	Value	IRS element (for citing)
Total Liability	$1,134,817,478	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS	FORM 990, PART X, LINE 1 AND 2 OTHER LIABILITIES, FORM 990, PART X, LINE 25 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
ENDOWMENT FUNDS	FORM 990, SCHEDULE D, PART V CHRISTUS HEALTH HAS A 50% INTEREST IN BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES SHOW ENDOWMENTS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS. THEREFORE, CHRISTUS HEALTH REPORTS 50% OF SUCH ENDOWMENTS ON ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HOWEVER, SUCH ENDOWMENTS ARE NOT REPORTED ON THE CHRISTUS HEALTH FORM 990, SCHEDULE D, PART V BECAUSE CHRISTUS HEALTH DOES NOT HAVE A CONTROLLING INTEREST OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES, AND THEREFORE IT IS NOT A RELATED ORGANIZATION PER THE IRS FORM 990 INSTRUCTIONS.
UNCERTAIN TAX POSITIONS UNDER ASC 740	FORM 990, SCHEDULE D, PART X, Line 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2014 AND 2013.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (10 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
North America	Program Services	Program/Bus Develop	$16,931
Europe (Including Iceland and Greenland)	Program Services	Program/Bus Develop	$48,341
Central America and the Caribbean	Program Services	Program/Bus Develop	$9,306
South America	Program Services	Program/Bus Develop	$419,187
North America	Program Services	INVESTMENTS - CAP CONT	$3,500,000
Central America and the Caribbean	Program Services	Investments-Book Value	$216,654,036
Central America and the Caribbean	Program Services	Investments	$30,000,000
Central America and the Caribbean	Program Services	Self Insurance Funding	$28,540,453
Central America and the Caribbean	Program Services	Investment-Book Value	$119,393,760
South America	Program Services	INVESTMENTS - CAP CONT	$81,000,001

Field	Value	IRS element (for citing)
Subtotal Spent	$479,582,015	SubtotalSpentAmt
Total Spent	$479,582,015	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Organization's Procedures for Monitoring Use of Grant Funds Outside the US	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE F, PART I, QUESTION 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. ORGANIZATIONS CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION, OR THE FOREIGN EQUIVALENT, AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (31 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Catholic Charities East Texas
2780 Eastex FRWY	Beaumont	TX	77703	741900345	501(c)(3)	$34,500	To provide service, quality and outreach for the poor, devalued and in need of help in East Texas.
Catholic Charities of Corpus Christi Inc
1322 Comanche St	Corpus Christi	TX	78401	742330464	501(c)(3)	$35,000	To provide service to people in need and to address social ills that undermine the diginity of the person.
Catholic Charities Of Dallas Inc
9461 LBJ FRWY Ste 128	Dallas	TX	75243	752745221	501(c)(3)	$112,500	Support both mission and education in Catholic Social Teaching, advocating for the voiceless & promoting awareness of social concerns.
Martin Luther King Health Center
827 Margaret Pl Ste 201	Shreveport	LA	71101	721079721	501(c)(3)	$65,964	Community clinic that provides high-quality comprehensive health services and for uninsured, underserved, and low-income community members in a cost effective manner by establishing collaborative partnership with local universities.
Catholic Foundation
5310 Harvest Hill ste 248	DALLAS	TX	75230	751106620	501(c)(3)	$100,000
CHRISTUS Foundation for HealthCare
PO Box 1919	HOUSTON	TX	77251	756074210	501(c)(3)	$100,000	Health services and health education are offered on school campuses to improve student health and school attendance.
Christus Santa Rosa Volunteer Svcs
333 N Santa Rosa St	San Antonio	TX	78207		501(c)(3)	$8,527	Contribution to Volunteers
The Arc of San Antonio
13430 West Avenue	San Antonio	TX	78216	741200110	501(c)(3)	$25,000	Level 2 day activity classroom for individuals with severe autism and/org other intellectual and development disabilities.
Community Renewal International Inc
1700 Buckner St Ste 240	Shreveport	LA	71134	742330464	501(c)(3)	$10,000	Uniting individuals, faith groups, businesses, civic groups and others as caring partners building a stronger city.
Corpus Christi Hope House Inc
658 Robinson Street	Corpus Christi	TX	78404	742480299	501(c)(3)	$17,000	Salary and Operational Support for Medical and self-sustained resources
Daughters Of Charity Service
7607 Somerset Rd	San Antonio	TX	75209	746106876	501(c)(3)	$30,000	La Mission Family Health Care
Faith Family Clinic
8711 Village Dr Ste 305	San Antonio	TX	78217	263791828	501(c)(3)	$40,000	To provide health and wellness services to the working uninsured and under-insured residents of our community.
Family Counseling Service
3833 South Staples Ste S203	Corpus Christi	TX	78411	741321308	501(c)(3)	$16,000	Family Counseling Services
Las Cumbres Community Services Inc
805 Early Street Ste B102	Santa Fe	NM	87505	237144268	501(c)(3)	$95,000	Provides integrated services for children and adults facing social, emotional and developmental challenges.
San Antonio Christian Dental Clinic Inc
1 Haven for Hope Way Bldg 1 400	San Antonio	TX	78207	742428161	501(c)(3)	$30,000	SACDC Dental Services at the Haven for Hope homeless transformational campus
Samaritan Counseling Center of Southeast TX
7980 Anchor Dr Bldg 500	Port Arthur	TX	77642	760068922	501(c)(3)	$25,000	Samaritan Counseling Center of Southeast Texas providing professional counseling services and educational programs to uninsured and underinsured people.
Metabolic Syndrome
5323 Harry Hines Blvd	Dallas	TX	75390	756002868	501(c)(3)	$48,000	Research for human nutrition as a precursor of both cardiovascular disease and diabetes.
Mission Of Mercy Inc
719 S Shoreline BlvdSte 103	Corpus Christi	TX	78401	810566980	501(c)(3)	$25,000	Mission of Mercy
New Braunfels Christian Ministries
169 South Hickory Ave	New Braunfels	TX	78130	262221231	501(c)(3)	$40,000	Operational support for a new clinic providing free medical care to uninsured in Comal County
New Mexico Suicide Intervention
1720 Llano St	santa fe	NM	87505	850427990	501(c)(3)	$15,000	To reduce the risk of youth suicide in Santa Fe county & Northern New Mexico.
Next Step Of Central Louisiana
308 East Shamrock St	pineville	LA	71360	204322440	501(C)(3)	$40,000	Teen dating violence prevention & Awareness program.
Project Mend Inc
5727 IH10 WEST	SAN ANTONIO	TX	78201	742647324	501(C)(3)	$50,000	Project Mend
Runnin W J Ranch Therapeutic Center
4802 South Kings Highway	Texarkana	TX	75501	752897949	501(C)(3)	$8,064	Providing therapeutic riding clases.
SA2020
112 East Pecan Street Ste 1100	San Antonio	TX	78205	455409693	501(C)(3)	$60,000	Marketing to educate the public on the Marketplace Exchange.
Seton Home
1115 Mission Rd	San Antonio	TX	78210	742247996	501(C)(3)	$20,000	Provides a nurturing environment for homeless teens who are pregnant and/or parenting that provides education and support services. Requested funds medical services manager that coordinates health related services.
Umbrella Project
7647 East Edgemont Ave	Scottsdale	AR	85257	133582462	501(C)(3)	$56,868	Offers tools for self-expression and empowers children through global exhibitions of the hand-painted umbrellas.
United Way of Santa Fe County
4400 Cerrillos Rd Suite A	Santa Fe	NM	87501	350163601	501(C)(3)	$25,000	A home or clinic based, educational, home visitation program designed to improve the health and wellness status of first-time families to ensure a child's positive health, social, and emotional development
Visitation House Ministries
945 W Huisache	San Antonio	TX	78201	742447137	501(C)(3)	$10,000	Sponsorship for the Sister of Charity of the Incarnate Word
Womens Shelter Of South Texas
813 Buford Street	Corpus Christi	TX	78404	741943398	501(C)(3)	$16,000	To provide services to adult and child victims of domestic & sexual violence.
Congregation of the Sisters of Charity-SA
4503 Broadway	San Antonio	TX	78209	741676917	501(C)(3)	$1,106,376	SUPPORT MISSION
Villa de Matel
6510 Lawndale	Houston	TX	77023	237152879	501(C)(3)	$2,243,112	SUPPORT MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	31	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERNIE W SADAU
Ex Officio	$1,266,475	$0	$649,200	$0	$265,480	$0	$608,986	$0	$30,134	$0	$2,820,275	$0	$146,419	$0
George S Conklin
SR VP Chief Infor Officer	$468,270	$0	$189,001	$0	$120,505	$0	$260,538	$0	$20,979	$0	$1,059,293	$0	$0	$0
John Gillean MD
SR VP Chief Medical Officer	$705,104		$281,251		$170,713		$297,563		$49,890		$1,504,521		$74,323
Gerard F Heeley
Sr VP Mission and Ethics	$383,618	$0	$153,001	$0	$53,957	$0	$228,642	$0	$9,916	$0	$829,134	$0	$0	$0
Mary T Lynch
Sr VP Chief Governance	$515,696	$0	$196,201	$0	$223,371	$0	$187,539	$0	$19,013	$0	$1,141,820	$0	$47,859	$0
Linda K McClung
SR VP/ops/corp stg mrkt svcs	$602,765	$0	$225,001	$0	$71,348	$0	$266,491	$0	$36,221	$0	$1,201,826	$0	$44,257	$0
Paul Generale
SR VP Senior Finance Officer	$482,295	$0	$263,750	$0	$65,855	$0	$72,512	$0	$29,596	$0	$914,008	$0	$0	$0
Jeffrey M Puckett
corp VP/Mng'd Care Bus Adv/Dev	$774,320		$265,501		$195,649		$309,787		$31,047		$1,576,304		$55,718
Randy Safady
Sr VP/ Chief Financial Officer	$798,474	$0	$424,918	$0	$108,907	$0	$387,609	$0	$33,721	$0	$1,753,629	$0	$0	$0
Eugene Woods
Sr VP Chief Operating Officer	$920,461	$0	$404,601	$0	$33,914	$0	$472,640	$0	$33,031	$0	$1,864,647	$0	$0	$0
PATRICIA NOBLES
CORP SECRETARY	$135,951	$0	$24,469	$0	$11,444	$0	$23,368	$0	$23,755	$0	$218,987	$0	$0	$0
ALEX J VALDEZ
VP, INTERNATIONAL	$427,831	$0	$65,497	$0	$84,777	$0	$186,580	$0	$17,402	$0	$782,087	$0	$84,777	$0
JOHN L ZIPPRICH
SR VP INT OP LGL	$82,094	$0	$0	$0	$447,448	$0	$46,921	$0	$0	$0	$576,463	$0	$0	$0
PAMELA ROBERTSON
President-CEO CHRISTUS Spohn	$0	$540,332	$0	$240,177	$0	$177,340	$0	$252,385	$0	$14,147	$0	$1,224,381	$0	$76,400
PATRICK CARRIER
President-CEO CSRHS	$0	$548,478	$0	$141,690	$0	$157,011	$0	$390,919	$0	$18,574	$0	$1,256,672	$0	$0
STEPHEN WRIGHT
President-CEO LA Ministries	$0	$526,954	$0	$70,951	$0	$229,732	$0	$209,745	$0	$32,634	$0	$1,070,016	$0	$64,151
ALEJANDRO CANAVATI
Chief Executive Officer UC CHR	$528,238	$0	$143,272	$0	$148,634	$0	$91,045	$0	$21,765	$0	$932,954	$0	$0	$0
CHRISTOPHER KARAM
President-CEO ALT-Cont Care	$0	$453,715	$0	$134,297	$0	$78,757	$0	$195,118	$0	$32,634	$0	$894,521	$0	$39,837
JAY S HERRON
SVP Chief Financial Officer	$70,926	$0	$0	$0	$69,486	$0	$0	$0	$0	$0	$140,412	$0	$0	$0
PETER MADDOX
SVP Business, stgy & corp Dev	$0	$0	$0	$0	$222,045	$0	$139,053	$0	$0	$0	$361,098	$0	$0	$0
MARSHALL BOLYARD
EXECUTIVE DIRECTOR USFHP	$90,633	$0	$0	$0	$90,962	$0	$0	$0	$0	$0	$181,595	$0	$81,189	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL COMPENSATION INFORMATION	FormAndLineReferenceDesc
Explanation	FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. FIRST CLASS TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. Severance payment or change of control payment Form 990, schedule j, part i, question 4a under the severance plan, all or a portion of the base salary of a participating executive will continue to be paid to the executive for a limited period of time if the executive's employment with christus and its affiliates is involuntarily terminated. Jay herron received $69,486 in severance payment during calendar year 2013. Peter maddox received $222,045 in severance payment during calendar year 2013. John zipprich received $447,448 in severance payment during calendar year 2013. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THe PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR YEAR 990 ERNIE SADAU RECEIVED $146,419 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. John Gillean received $74,323 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Mary T. Lynch received $47,859 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Linda K. McClung received $44,257 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Jeffrey M. Puckett received $55,718 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Stephen Wright received $64,151 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Christopher Karam received $39,837 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. MARSHALL BOLYARD RECEIVED $81,189 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PAMELA ROBERTSON RECEIVED $76,400 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. ALEX VALDEZ RECEIVED $84,777 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2013. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FORM 990, SCHEDULE J, PART II, COLUMN (F) THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY HEALTH FACILITIES DEV CORP
A	521284201	41315RFV1	2005-11-08	$320,620,000	SEE SCHEDULE O	Yes (true)	false	false
HARRIS COUNTY HEALTH FACILITIES DEV CORP
B	521284201	41315RHY3	2010-12-09	$96,654,505	SEE SCHEDULE O	Yes (true)	false	false
COASTAL BEND HEALTH FACILITIES DEV CORP
C	742352502	19042FAB2	2005-11-08	$61,300,000	SEE SCHEDULE O	Yes (true)	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
D	720895871	546398E87	2009-12-03	$56,725,518	SEE SCHEDULE O	Yes (true)	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$176,495,000	$10,150,000	$320,967,402	$0	$0	$0	$1,687,415	$4,733,000	$0	$3,624,407	$310,922,580	$0	2009	false	Yes (true)	Yes (true)	Yes (true)
B	$23,635,000	$29,185,000	$96,654,505	$0	$0	$0	$0	$0	$4,505	$0	$96,650,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$8,375,000	$600,000	$62,856,640	$0	$0	$0	$337,093	$914,000	$393,273	$18,182,274	$43,030,000	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
D	$44,465,000	$9,860,000	$56,725,518	$0	$0	$0	$0	$0	$518	$0	$56,725,000	$0		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	false	false
0
B	false	Yes (true)	false	false	false	false	false	0	Yes (true)	false
0
C	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	false
0
D	false	Yes (true)	false	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SEE SCHEDULE O	FormAndLineReferenceDesc

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,260,000	$2,750,000	$44,539,565	$4,181,961	$0	$0	$775,238	$575,366	$0	$0	$39,040,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$33,540,000	$27,635,000	$231,972,279	$15,918,141	$0	$0	$0	$0	$4,138	$0	$216,050,000	$0	Yes (true)	false	false	Yes (true)
C	$13,970,000	$23,455,000	$186,243,372	$17,628,439	$0	$0	$3,029,908	$2,510,025	$0	$0	$163,075,000	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$106,480,000	$0	$268,560,701	$0	$0	$0	$1,638,896	$235,297	$0	$0	$266,686,508	$0	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	false	false	false	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	0.00090	0.00090	false	false	false	Yes (true)	Yes (true)	0.00000
C	false	false	false	false	0.00000	0.00000	false	false	false	Yes (true)		0.00000
D	false	Yes (true)	Yes (true)	false	0.00060	0.00060	false	false	false	Yes (true)	Yes (true)	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	false
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	Yes (true)	false
0
C	false	false	false	Yes (true)	false	false	false	0	Yes (true)	false
Citibank NA
D	Yes (true)				Yes (true)	Yes (true)	false	0	Yes (true)	false	39.7	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	043833551	BondIssuerEIN
CUSIP	87638TEA7	CUSIPNum
Bond Issued	2009-12-03	BondIssuedDt
Issue Price	$73,865,293	IssuePriceAmt
Purpose	SEE SCHEDULE O	PurposeDesc
Defeased	Yes (true)	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,310,000	RetiredAmt
Bond Defeased	$20,960,000	BondDefeasedAmt
Total Proceeds	$73,865,293	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$73,865,293	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	EMERALD ASSURANCE CAYMAN LTD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V, TRANSACTION 1	RelationshipDescriptionTxt
Transaction	$28,540,453	TransactionAmt
Transaction	SEE PART V, TRANSACTION 1	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	TRANSACTION 1: PART IV, LINE 1, COLUMN B & D SELF INSURANCE FUNDING OF EMERALD ASSURANCE CAYMAN, LTD ERNIE SADAU IS AN OFFICER OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD. EUGENE WOODS IS A KEY EMPLOYEE OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Page 1, Item C	Doing Business As: Christus Health Operates Under the Following Names: CHRISTUS St. Joseph Village onlinepaydirect CHRISTUS Health TechSource CHRISTUS Innovations Institute CHRISTUS Healthy Living Spa TLRA US Family Health Plan Uniformed Services Family Health Plan CHRISTUS Health System TechSource USFHP Marketplace Solutions CHRISTUS St. Michael Simulation Center DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2014 WAS $152,380. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. AS OF JUNE 30, 2014, THE OUTSTANDING LOAN BALANCES WERE IN THE FOLLOWING REGIONS: OUTSIDE THE CHRISTUS HEALTH SERVICE AREAS: $1,000,000 IN CHRISTUS HEALTH GULF COAST REGION: $1,107,368 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $542,269 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $800,000 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $ 161,174 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $ 1,000,000 TOTAL CDI LOANS OUTSTANDING AS OF JUNE 30, 2014: $4,610,811 CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2014, GRANT FUNDS WERE DISTRIBUTED TO NON-PROFIT AGENCIES IN THE FOLLOWING REGIONS: IN CHRISTUS HEALTH ARK-LA-TEX REGION: $8,064 IN CHRISTUS HEALTH CENTRAL LOUISIANA REGION: $40,000 IN CHRISTUS HEALTH GULF COAST REGION: $100,000 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $75,964 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $422,410 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $99,500 IN CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REGION: $94,000 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $135,000 TOTAL CHRISTUS FUND $974,938 PROGRAM SERVICE EXPENSE = $1,023,500 GRANTS = $974,938 PROGRAM SERVICE REVENUE = $0 PROGRAM SERVICE REVENUE = $0
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, QUESTION 2 Officers Ernie Sadau and Randy Safady, and Key Employees John Gillean, MD and Eugene Woods have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd. Key employees John Zipprich and Peter Maddox had a business relationship as each serves as a director of CHRISTUS Mugerza, S.A. DE C.V.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, QUESTION 6 CHRISTUS HEALTH HAS FOUR (4) CORPORATE MEMBERS, CONSISTING OF TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TX, AND TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO. TOGETHER THOSE FOUR SISTERS COMPRISE THE CORPORATE MEMBERS AND COLLECTIVELY THEY EXERCISE THE POWERS RESERVED TO THE MEMBERS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, QUESTION 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO AND CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, QUESTION 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, QUESTION 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 2014 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, QUESTION 12C A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, QUESTIONS 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, QUESTION 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2014.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 Pension Funding - $25,041,874 Pension Liability/Expense - ($45,912,027) Transfer of Net Assets between Entities - ($539,666) Equity Adjustment consol Subs - ($49,409,184) Sponsorship Fees - ($3,458,232) Grupo Muguerza Equity Adjustment - $21,604,593 Pension Amortization - $1,934,347 Other - $696,514 Transfer of Restricted Donations - ($36,417) Extraordinary Loss on Early Extinguishment of debt - $11,046,583 Prepaid Adjustment - ($3,434) St Catherine Note - ($27,703,747) Christus Health Plan-New Mexico-T-note Collateral - ($319,598) Christus Health Strategic Growth - ($110,000,000) Rounding - ($2) TOTAL - ($177,058,396)
SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS	FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). FORM 990, SCHEDULE K, PART I, PAGE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $347,402 C. LINE 3. INVESTMENT EARNINGS = $1,556,640 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $157,195 B. LINE 3. INVESTMENT EARNINGS = $317,641 C. LINE 3. INVESTMENT EARNINGS = $701,144 D. LINE 3. INVESTMENT EARNINGS = $701 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 20, 2009. C. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 20, 2009. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. C. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. LINE 7. CHRISTUS HEALTH HAS THE APPROPRIATE PROCESSES IN PLACE TO ADHERE TO AND MONITOR THE REQUIREMENTS UNDER IRC SECTION 148. CHRISTUS HEALTH IS CURRENTLY IN THE PROCESS OF FORMALLY ADOPTING WRITTEN PROCEDURES. FORM 990, SCHEDULE K, PART V THE ANSWER "YES" REFERS TO THE ORGANIZATION'S WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF REGULATIONS SECTIONS 1.141-12 AND 1.145-2 ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIR & MAINTENANCE SERVICES TOTAL FEES:88957408
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:84754587
FORM 990 PART IX LINE 11G	DESCRIPTION:CAPITATION EXPENSES TOTAL FEES:21265634
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCOMPANY OVERHEAD ALLOC. TOTAL FEES:3302746
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING & CONSULTING SVCS. TOTAL FEES:31880548
FORM 990 PART IX LINE 11G	DESCRIPTION:INFORMATION TECH. SERVICES TOTAL FEES:645000
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:227934
FORM 990 PART IX LINE 11G	DESCRIPTION:FUND ADMINISTRATIVE COSTS TOTAL FEES:8460655
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCO. PROF. & SYSTEM FEES TOTAL FEES:405185
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:2733414
FORM 990 PART IX LINE 11G	DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1463620
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:2196591

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 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 SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
Christus Spohn Health System Corporation
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 Calder Street	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS Continuing Care
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE	PARIS	TX	75460	421619230	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTHSTE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	CH	Yes (true)
ST FRANCES CABRINI HPL FDN OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HTH SVCS	LA	501(C)(3)	7	CNLA	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HTH SVCS	TX	501(C)(3)	7	GULF COAST	Yes (true)
CHRISTUS SCHUMPERT HEALTH SYSTEM FD
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HTH SVCS	LA	501(C)(3)	7	NOLA	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HTH SVCS	TX	501(C)(3)	7	SPOHN HS	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST OF TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	SETX	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	CSRHCC	Yes (true)
SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HLTHCARE SVCS	TX	501(C)(3)	9	CSRHCC	Yes (true)
CHRISTUS Health Liab Retention Trust
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760259623	SELF INS TRST	TX	501(C)(3)	11-Type I	CH	Yes (true)
SANTA ROSA GENERAL HOSPITAL AUXILIARY
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741278312	SUPP HTH SVCS	TX	501(C)(3)	3	CSRHCC	Yes (true)
THE FRIENDS OF THE STEHLIN FOUNDATION
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	742200613	SUPP CCR RSRH	TX	501(C)(3)	9	CSFCR	Yes (true)
CHRISTUS HEALTH PLAN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(C)(3)	9	CSHSC	Yes (true)
ST FRANCES CABRINI HOSPITAL AUXILIARY
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HTH SVCS	LA	501(C)(3)	9	CNLA	Yes (true)
Christus Santa Rosa Med Ctr Auxiliary
2827 Babock Road	San Antonio	TX	78229	731655493	SUPP HTH SVCS	TX	501(C)(3)	9	CSRHCC	Yes (true)
CHRISTUS Health Strategic Growth
919 hidden ridge drive	irving	TX	75038	462798043	supp hth svcs	TX	501(c)(3)	11-type I	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)
Christus Health Latin America
919 hidden ridge drive	irving	TX	75038	462816604	spt hlth svcs	TX	501(C)(3)	11-type 1	CH Stra Grth	Yes (true)
Christus International
919 hidden drive	irving	TX	75038	462811167	spt hlth svcs	TX	501(C)(3)	11-type 1	CH Stra Grth	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
LOUISIANA ATHLETIC CLUB LLC
1140 COLLEGE DRIVE	PINEVILLE	LA	71359	721461793	HEALTH CLUB	LA	CNLA
HEART CENTER OF CENTRAL LOUISIANA LP
2108 Texas Avenue	Alexandria	LA	71301	721325012	HLTHCARE SVCS	LA	CNLA
WEST HOUSTON REAL ESTATE DEVELOPMNT LLC
1700 WEST LOOP SOUTH	HOUSTON	TX	77027	262330994	HLTHCARE SVCS	TX	Gulf Coast
SOUTHEAST TEXAS PAIN MANAGEMENT LLC
PO BOX 5405	BEAUMONT	TX	77726	261678856	PAIN MGT HTH	TX	SETX
ST ELIZABETH REHAB PARTNERS
2830 CALDER STREET	BEAUMONT	TX	777021809	205657181	HLTHCARE SVCS	TX	H VENTURES-SETX
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SVCS	LA	OCCUPATIONAL HS
MCKENNA LEASING GP LLC
600 NORTH UNION AVE	NEW BRAUNFELS	TX	78130	741191729	INVESTMENT	TX	CSRHCC
MCKENNA EQUIPMENT LEASING LP
600 NORTH UNION AVE	NEW BRAUNFELS	TX	78130	204177842	MED EQUIP LEA	TX	CSRHCC
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HLTHCARE SVCS	TX	CSRHCC
CSR Outpatient Surgery New Braunfels
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HLTHCARE SVCS	TX	CSRHCC
CSR Surgery Center LLP
15305 Dallas Pkwy Ste 1600 LB 28	Addison	TX	75001	200424958	HLTHCARE SVCS	TX	CSRHCC
CHRISTUS Santa Rosa Physicians
333 Santa Rosa	San Antonio	TX	78207	412092141	HLTHCARE SVCS	TX	CSRHCC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	755042911	752562459	HLTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
AK INTEGRATED COMM HLTH NTWK
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	760480684	HLTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
HOUSTON METROPOLITAN HLTH NTWK
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760427193	HLTHCARE SVCS	TX	CH Gulf Coast	C-Corp	Yes (true)
SCH MGMNT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MGT JOINT VEN	LA	NOLA	C-Corp	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HLTH PLAN ADM	TX	Spohn HSC	C-Corp	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	Spohn HSC	C-Corp	Yes (true)
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SVCS	TX	CH SETX	C-Corp	Yes (true)
HEALTH VENTURES OF SE TEXAS
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760397263	BUILDING RENT	TX	CH SETX	C-Corp	Yes (true)
OCCUPATIONAL HEALTH SVCS INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SVCS	LA	CH SWLA	C-Corp	Yes (true)
SOUTHWESTERN LOUISIANA PHO
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HLTHCARE SVCS	LA	CH SWLA	C-Corp	Yes (true)
SOUTH RYAN DEVELOPMENT CORP
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BLDG	LA	CH SWLA	C-Corp	Yes (true)
MCKENNA PROF BLDG OWNERS ASSOC
598 N UNION ST SUITE 210	NEW BRAUNFELS	TX	78130	742742934	BUILDING ASSO	TX	CSRHCC	C-Corp	Yes (true)
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480	SAN ANTONIO	TX	78201	742782184	health svcs	TX	CSRHCC	C-Corp	Yes (true)
CHRISTUS Muguerza SAPI de CV
					HLTHCARE SVCS		CH	C-Corp	Yes (true)	Hidalgo PTE 2525	Col. Obispado, Monterrey	N.L.	MX	64060	MX	$10,149,232	$121,563,533	0.75196
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C-Corp	Yes (true)	PO BOX 1051	GRAND CAYMAN		CJ	KY1-1102	CJ	$37,627,914	$220,272,525	1.00000
SUPERCAMPTO INC
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	760534968	MEDICAL RSCH	TX	STEHLIN FND	C-CORP	Yes (true)
ROMLAC INC
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	741674943	REAL ESTATE I	TX	STEHLIN FND	C-CORP	Yes (true)
CHRISTUS LOUISIANA HEALTH PLAN
3330 Masonic Drive	Alexandria	LA	71301	452515179	HLTH PLAN ADM	LA	CH CNLA	C-CORP	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (74 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHWilkinson Physician Network
m	$172,292	ACCRUAL
CHWilkinson Physician Network
q	$671,007	ACCRUAL
CHWilkinson Physician Network
l	$1,113,374	ACCRUAL
CHRISTUS Continuing Care
j	$451,177	ACCRUAL
CHRISTUS Continuing Care
m	$1,094,185	ACCRUAL
CHRISTUS Continuing Care
q	$8,890,616	ACCRUAL
CHRISTUS Health Ark-La-Tex
p	$130,728	ACCRUAL
CHRISTUS Health Ark-La-Tex
m	$393,281	ACCRUAL
CHRISTUS Health Ark-La-Tex
l	$2,925,238	ACCRUAL
CHRISTUS Health Ark-La-Tex
A(I)	$4,397,897	ACCRUAL
CHRISTUS Health Ark-La-Tex
r	$5,236,673	ACCRUAL
CHRISTUS Health Ark-La-Tex
s	$8,595,351	ACCRUAL
CHRISTUS Health Ark-La-Tex
q	$17,087,338	ACCRUAL
CHRISTUS Health Central Louisiana
r	$1,647,615	ACCRUAL
CHRISTUS Health Central Louisiana
l	$3,595,154	ACCRUAL
CHRISTUS Health Central Louisiana
n	$5,459,928	ACCRUAL
CHRISTUS Health Central Louisiana
s	$5,816,796	ACCRUAL
CHRISTUS Health Central Louisiana
A(I)	$7,063,361	ACCRUAL
CHRISTUS Health Central Louisiana
q	$92,051,153	ACCRUAL
CHRISTUS Health Gulf Coast
j	$182,809	ACCRUAL
CHRISTUS Health Gulf Coast
A(I)	$1,463,501	ACCRUAL
CHRISTUS Health Gulf Coast
l	$1,732,001	ACCRUAL
CHRISTUS Health Gulf Coast
r	$2,087,183	ACCRUAL
CHRISTUS Health Gulf Coast
m	$6,423,174	ACCRUAL
CHRISTUS Health Gulf Coast
q	$10,022,844	ACCRUAL
CHRISTUS Health Gulf Coast
s	$50,757,024	ACCRUAL
CHRISTUS Health Northern Louisiana
b	$75,139	ACCRUAL
CHRISTUS Health Northern Louisiana
l	$2,614,326	ACCRUAL
CHRISTUS Health Northern Louisiana
A(I)	$4,853,479	ACCRUAL
CHRISTUS Health Northern Louisiana
s	$41,228,003	ACCRUAL
CHRISTUS Health Northern Louisiana
r	$68,218,889	ACCRUAL
CHRISTUS Health Northern Louisiana
q	$125,070,678	ACCRUAL
CHRISTUS Health Plan
o	$74,846	ACCRUAL
CHRISTUS Health Southeast Texas
p	$71,667	ACCRUAL
CHRISTUS Health Southeast Texas
g	$4,313,936	ACCRUAL
CHRISTUS Health Southeast Texas
A(I)	$4,506,801	ACCRUAL
CHRISTUS Health Southeast Texas
r	$5,064,166	ACCRUAL
CHRISTUS Health Southeast Texas
s	$5,426,525	ACCRUAL
CHRISTUS Health Southeast Texas
l	$6,023,826	ACCRUAL
CHRISTUS Health Southeast Texas
m	$6,668,072	ACCRUAL
CHRISTUS Health Southeast Texas
q	$7,642,069	ACCRUAL
CHRISTUS Health Southwestern Louisiana
k	$85,967	ACCRUAL
CHRISTUS Health Southwestern Louisiana
r	$1,261,489	ACCRUAL
CHRISTUS Health Southwestern Louisiana
l	$1,961,966	ACCRUAL
CHRISTUS Health Southwestern Louisiana
A(I)	$2,483,898	ACCRUAL
CHRISTUS Health Southwestern Louisiana
s	$9,801,092	ACCRUAL
CHRISTUS Health Southwestern Louisiana
q	$11,982,922	ACCRUAL
CHRISTUS Santa Rosa Family Health Center
q	$587,436	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
b	$89,292	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
p	$101,881	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
k	$325,620	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
l	$8,437,364	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
A(I)	$15,230,757	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
r	$28,568,928	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
s	$47,866,820	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
q	$48,774,231	ACCRUAL
CHRISTUS Santa Rosa Outpatient Surgery Ctr-NB
q	$87,386	ACCRUAL
CHRISTUS Spohn Health System Corporation
p	$375,715	ACCRUAL
CHRISTUS Spohn Health System Corporation
l	$8,226,060	ACCRUAL
CHRISTUS Spohn Health System Corporation
A(I)	$10,416,837	ACCRUAL
CHRISTUS Spohn Health System Corporation
s	$11,316,760	ACCRUAL
CHRISTUS Spohn Health System Corporation
r	$12,000,000	ACCRUAL
CHRISTUS Spohn Health System Corporation
q	$52,231,147	ACCRUAL
Emerald Assurance Co
p	$26,549,165	ACCRUAL
Spohn Investment Corporation
q	$61,742	ACCRUAL
St Elizabeth Rehab Partners LLP
q	$83,772	ACCRUAL
St Vincent Hospital
b	$690,540	ACCRUAL
St Vincent Hospital
q	$7,540,143	ACCRUAL
St Vincent Hospital
l	$9,554,256	ACCRUAL
Christus Health Gulf Coast
q	$37,016,288	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$109,938,742	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
Q	$92,051,153	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Q	$255,281,003	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Q	$40,425,355	ACCRUAL