CHRISTUS HEALTH GULF COAST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH GULF COAST (EIN 76-0591592)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-13
IRS object ID: 201411339349305261
Schema version: 2012v2.3
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-13T15:50:44-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	760591592	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% BILL HECHT	InCareOfName
Name Control	CHRI	NameControl
Phone	4692822000	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM A HECHT	Name
Title	CFO	Title
Date Signed	2014-05-01	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Ellen Jones	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	246095176	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	1736	TotalNbrEmployees
Total Nbr Volunteers	170	TotalNbrVolunteers
Total Gross UBI	1487293	TotalGrossUBI
Contributions Grants Prior Year	3479023	ContributionsGrantsPriorYear
Contributions Grants Current Year	1934698	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	244991005	ProgramServiceRevenuePriorYear
Program Service Revenue CY	226370703	ProgramServiceRevenueCY
Investment Income Prior Year	150193	InvestmentIncomePriorYear
Investment Income Current Year	2928062	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2832315	OtherRevenuePriorYear
Other Revenue Current Year	2563130	OtherRevenueCurrentYear
Total Revenue Prior Year	251452536	TotalRevenuePriorYear
Total Revenue Current Year	233796593	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	51533427	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	38455945	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	87646226	SalariesEtcPriorYear
Salaries Etc Current Year	85173462	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	83381	TotalFundrsngExpCurrentYear
Other Expense Prior Year	114920620	OtherExpensePriorYear
Other Expenses Current Year	104176090	OtherExpensesCurrentYear
Total Expenses Prior Year	254100273	TotalExpensesPriorYear
Total Expenses Current Year	227805497	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2647737	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5991096	RevenuesLessExpensesCY
Total Assets BOY	314803779	TotalAssetsBOY
Total Assets EOY	320797374	TotalAssetsEOY
Total Liabilities BOY	110642960	TotalLiabilitiesBOY
Total Liabilities EOY	109456544	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	204160819	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	211340830	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	85298479	Expense
Grants	0	Grants
Revenue	151259526	Revenue
Description	COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH GULF COAST IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 148-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH GULF COAST RESPONDS TO THE HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. CATHERINE HOSPITAL, A 102-BED HOSPITAL IN KATY, TEXAS, CHRISTUS ST. JOHN HOSPITAL, A 178-BED HOSPITAL IN NASSAU BAY, TEXAS, AND VARIOUS CLINICS AND OUTREACH PROGRAMS. EACH OF THE FACILITIES OF CHRISTUS HEALTH GULF COAST SHARES ONE OBJECTIVE -- WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH GULF COAST SERVICES SEVERAL COUNTIES TO THE WEST AND SOUTHEAST OF HOUSTON. THIS AREA OF THE TEXAS GULF COAST COMPRISES A POPULATION OF MORE THAN 4.5 MILLION. IN OUR 2013 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS, INCLUDING 48,494 VISITS TO OUR EMERGENCY DEPARTMENT; 2,371 INPATIENT SURGERY PROCEDURES; 5,122 OUTPATIENT SURGERY PROCEDURES; 10,159 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE; AND 208,072 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH GULF COAST STAND APART. ALLOWING OTHERS TO TOUCH US GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS HEALTH GULF COAST'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH GULF COAST'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS HEALTH GULF COAST FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF THE PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE HAVE SPECIFIC PROGRAMS THAT PROVIDE DISCOUNTED SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH GULF COAST PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS ST. CATHERINE HOSPITAL IN KATY OFFERS A BROAD SPECTRUM OF ADULT AND PEDIATRIC MEDICAL AND SURGICAL CARE WITH THE LATEST TECHNOLOGY, INCLUDING AN URGENT CARE CENTER, BIRTHING SUITES, NEWBORN AND LEVEL II NEONATAL INTENSIVE CARE NURSERIES, INPATIENT AND OUTPATIENT SURGERY, DIAGNOSTIC IMAGING AND CARDIOLOGY SERVICES. CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY OFFERS COMPREHENSIVE MEDICAL SERVICES IN CARDIOLOGY, ONCOLOGY, INTENSIVE CARE, DIAGNOSTIC IMAGING, GYNECOLOGY, PEDIATRICS, ADVANCED LAPAROSCOPIC PROCEDURES, CANCER TREATMENT, CARDIOVASCULAR, SPORTS MEDICINE AND VASCULAR SPECIALTIES. CHRISTUS ST. CATHERINE HOSPITAL AND CHRISTUS ST. JOHN HOSPITAL EACH PROVIDE SERVICES IN 24-HOUR EMERGENCY DEPARTMENTS THAT ARE OPEN TO ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH GULF COAST ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING MOBILE CLINIC SERVICES, THE CHRISTUS LITERACY CENTER AND CHRISTUS OUR DAILY BREAD IN GALVESTON, AS WELL AS OTHER VARIOUS CLINICS FOR THE UNDERSERVED IN HOUSTON, KATY AND DICKINSON IN ADDITION TO SIXTEEN SCHOOL-BASED CLINICS. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA IT SERVES GUIDES CHRISTUS HEALTH GULF COAST. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	18050220	Expense
Grants	0	Grants
Revenue	17232446	Revenue
Description	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2008), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTHCARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. CHARITY CARE FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, CHRISTUS HEALTH GULF COAST PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH FACILITIES PROVIDE OTHER CHARITY CARE BY FUNDING OR OTHERWISE FINANCIALLY SUPPORTING HEALTH CARE SERVICES PROVIDED TO FINANCIALLY INDIGENT PATIENTS THROUGH OTHER NONPROFIT OR PUBLIC OUTPATIENT CLINICS, HOSPITALS OR HEALTH CARE ORGANIZATIONS. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS, NEW MEXICO AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	68372203	Expense
Grants	0	Grants
Revenue	59130254	Revenue
Description	OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE, DOD AND TRICARE. THE NON-REIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A "PER CASE" RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON A FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 11,502 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DEPARTMENT OF DEFENSE. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES, INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	21983966	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	38455945	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	193704868	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	345	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1736	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	BILL HECHT	NamePerson
Telephone Number	4098998191	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
John R Adams MD
Board member	1.0	0.0	X
Daniel Casso MD
Board member	1.0	0.0	X
Charles T Doyle
Board Member	1.0	0.0	X
Sister Mary Gerard Earls
Board member	1.0	0.0	X
Alton L Frailey
Board member	1.0	0.0	X
Robert L Hargrave
Board member	1.0	0.0	X
Gilbert A Herrera
Board member	1.0	0.0	X
Ann F Hodges
Board member	1.0	0.0	X
Ellen M Jones
President/CEO/Board Member	16.0	24.0	X	X	272485	408728	172485
Lance E LaCour
Board member	1.0	0.0	X
Georgia Meyer
Board member	1.0	0.0	X
Sister Eilish Ryan ThD
Board member	1.0	0.0	X
Daniel F Shank
Board member	1.0	0.0	X
Manish Wani MD
Board Member (term 12/2012)	1.0	0.0	X
Brian J Stevens
Board member	1.0	0.0	X
Randeep M Suneja MD
Board member	1.0	0.0	X
George R Willy
Board member	1.0	0.0	X
Fernando Romero MD
BOARD MEMBER	1.0	0.0	X
William A Hecht
Chief Financial Officer	16.0	24.0		X	169249	253874	100274
Diana L Smith
Corporate Secretary	40.0	0.0		X	46246	0	32543
Gene Wright
INTERIM CEO	40.0	0.0		X	138043	0	0
Tom Permetti
COO & Admin-St. John Hospital	24.0	16.0			248688	165793	104742	X
Nancy Pittman
CNE/COO-St. John Hospital	40.0	0.0			176932	0	44960	X
Harold Gottlieb
VP Medical Affairs/CMO	40.0	0.0			380361	0	80450	X
Alfred L Cave III
PRESIDENT/SYS DIR PHILANTHROPY	28.0	12.0			160001	68571	9946	X
Sharon Brown
DIRECTOR OF PHARMACY	40.0	0.0			134309	0	32487		X
Heather D Boler
VP BUSINESS DEV AND MARKETING	16.0	24.0			87353	131029	42733		X
Charles M Foster
VP HUMAN RESOURCES	24.0	16.0			166986	111323	42750		X
DAVID M WITT
FINANCIAL OFFICER, ST. JOHN	40.0	0.0			161276		19026		X
BARBARA A LAZOR
CNO, ST. CATHERINE HOSPITAL	40.0	0.0			210164		44600		X
John H McCabe
Admin-SCH	40.0	0.0			298046	0	20047			X
PATRICK B CARRIER
FORMER PRESIDENT/CEO	0.0	0.0			0	631456	155604			X
PEARL R MOHNKERN
FORMER VP HUMAN RESOURCES	0.0	0.0			0	243142	9722			X
MICHAEL E SULLIVAN
FORMER VP MISSION & ORG ETHICS	0.0	0.0			0	201484	51962			X
NANCY L BROCK
FORMER FINANCIAL OFFICER	0.0	0.0			212636		18787			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2862775	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2215400	TotalReportableCompFrmRltdOrgs
Total Other Compensation	983118	TotalOtherCompensation
Number Individuals GT100 K	35	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Hospital Housekeeping Systems Ltd
PO Box 826	SAN ANTONIO	TX	782930826	housekeeping svcs.	1282756
Texas Textiles Services
PO Box 4346	HOUSTON	TX	772104346	Laundry Services	737743
M Modal Services LTD
PO Box 102467	ATLANTA	GA	30368	transcription svcs.	414847
CPNS Staffing
PO Box 27246	HOUSTON	TX	772277246	Contract Labor	369744
Insight Health Partners LLC
695 Central Ave Suite 15010	ST PETERSBURG	FL	33701	Consulting	350704

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	18	NumberOfContractorsGT100K
Related Organizations	1743501	RelatedOrganizations
Government Grants	181697	GovernmentGrants
All Other Contributions	9500	AllOtherContributions
Noncash Contributions	18210	NoncashContributions
Total Contributions	1934698	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	621990	223854053	223618283	235770
RENT RELATED TO EXEMPT FUNCTION	531120	2304775	2304775
WELLNESS CENTER	713940	114347	114347
PHYSICIAN INTEREST INCOME	900099	59796	59796
COMMUNITY HEALTH	900099	20902	20902

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16830	TotalRevenueColumn
Related Or Exempt Function Income	16830	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	226370703	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	25900	TotalRevenueColumn
Exclusion	$25,900	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	15200745	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	12298583	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	2902162	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2902162	TotalRevenueColumn
Exclusion	$2,902,162	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MD ANDERSON RENTAL	900002	1251523	1251523
FOOD SERVICE	722513	688351		$688,351
ATHLETIC TRAINING REVENUE	900099	300000		$300,000

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	323256	TotalRevenueColumn
Exclusion	$323,256	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2563130	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	233796593	TotalRevenueColumn
Related Or Exempt Function Income	226134933	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1487293	UnrelatedBusinessRevenue
Exclusion	$4,239,669	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	38410320	Total
Program Services	38410320	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	45625	Total
Program Services	45625	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1602950	Total
Program Services	1386745	ProgramServices
Management And General	215449	ManagementAndGeneral
Fundraising	756	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	66935901	Total
Program Services	57907617	ProgramServices
Management And General	8996705	ManagementAndGeneral
Fundraising	31579	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4069721	Total
Program Services	3945966	ProgramServices
Management And General	123755	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7564958	Total
Program Services	6063230	ProgramServices
Management And General	1501728	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4999932	Total
Program Services	4329056	ProgramServices
Management And General	622943	ManagementAndGeneral
Fundraising	47933	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	38210	Total
Program Services	38210	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	246498	Total
Management And General	246498	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	35	Total
Management And General	35	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13928356	Total
Program Services	7396507	ProgramServices
Management And General	6531849	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1282609	Total
Program Services	64299	ProgramServices
Management And General	1216745	ManagementAndGeneral
Fundraising	1565	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	15514501	Total
Program Services	10659902	ProgramServices
Management And General	4853505	ManagementAndGeneral
Fundraising	1094	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7023137	Total
Management And General	7023137	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6889078	Total
Program Services	5729803	ProgramServices
Management And General	1159275	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	218017	Total
Program Services	61718	ProgramServices
Management And General	155870	ManagementAndGeneral
Fundraising	429	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	382611	Total
Program Services	76701	ProgramServices
Management And General	305885	ManagementAndGeneral
Fundraising	25	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	3902500	Total
Program Services	3902500	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11575793	Total
Program Services	10870507	ProgramServices
Management And General	705286	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2446850	Total
Program Services	2423321	ProgramServices
Management And General	23529	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	24094842	24060781	34061
PROVISION FOR UNCOLLECT ACCT	16175090	16175090
DUES & MEMBERSHIPS	209532	37438	172094
RECRUITMENT	197976	69077	128899

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	50455	Total
Program Services	50455	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	227805497	Total
Program Services	193704868	ProgramServices
Management And General	34017248	ManagementAndGeneral
Fundraising	83381	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	116274549	BOY
EOY	119424967	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	10690898	BOY
EOY	36149276	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2525797	BOY
EOY	2794324	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4379878	BOY
EOY	4108579	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	661418	BOY
EOY	540329	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	289611674	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	148728291	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	158770633	BOY
EOY	140883383	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	8875000	BOY
EOY	8875000	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1359285	BOY
EOY	751809	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11266321	BOY
EOY	7269707	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	314803779	BOY
EOY	320797374	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	16775801	BOY
EOY	16292730	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1392317	BOY
EOY	2231824	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	92474842	BOY
EOY	90931990	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	110642960	BOY
EOY	109456544	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	204146621	BOY
EOY	211340597	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14198	BOY
EOY	233	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	204160819	BOY
EOY	211340830	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	314803779	BOY
EOY	320797374	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5991096	ReconcilationRevenueExpenses
Reconcilation Donated Services	1319148	ReconcilationDonatedServices
Reconcilation Other Changes	-130233	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$2,463	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$6,511	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$4,820	OtherActivitiesAmount
Total Lobbying Expenditures IIB	13794	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING DESCRIPTION	Identifier
Return Reference	FORM 990, SCHEDULE C, PART II-B	ReturnReference
Explanation	AS CONGRESS LOOKS TO FUTURE BUDGET AGREEMENTS THAT ARE EXPECTED TO OUTLINE SPENDING CUTS, CHRISTUS HEALTH GULF COAST AND OTHER HEALTH IS EXPRESSING CONCERN OVER A PROPOSAL TO CAP TOTAL PAYMENT UNDER MEDICARE FOR NONEMERGENCY DEPARTMENT EVALUATION AND MANAGEMENT (E/M) SERVICES AT THE RATE PAID TO PHYSICIANS FOR PROVIDING THE SERVICES IN THEIR OFFICES. UNDER THE PROPOSAL, WHEN THE VISIT OCCURS IN A HOSPITAL OUTPATIENT DEPARTMENT, THE PHYSICIAN WOULD RECEIVE THE STANDARD AMOUNT FOR THE SERVICE IN A HOSPITAL SETTING AND THE HOSPITAL WOULD RECEIVE THE DIFFERENCE BETWEEN THE PHYSICIAN PAYMENT IN THE OFFICE MINUS THE PHYSICIAN PAYMENT IN THE HOSPITAL. THIS WOULD REDUCE THE HOSPITAL PAYMENT BY AT LEAST 71 PERCENT FOR 10 OF THE MOST COMMON OUTPATIENT HOSPITAL SERVICES. CHRISTUS HEALTH GULF COAST WROTE TO MEMBERS OF CONGRESS ASKING THEM TO OPPOSE INCLUSION OF THE CUTS IN FUTURE LEGISLATION. CHRISTUS HEALTH GULF COAST RECENTLY REACHED OUT TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) TO ADDRESS ISSUES CONCERNING PROPOSED CHANGES TO THE PROGRAM. CHRISTUS HEALTH GULF COAST IS EXPRESSING SUPPORT FOR THE PROPOSED MEDICAID EXPANSION UNDER THE AFFORDABLE CARE ACT AND FOR PRESERVATION OF THE MAINTENANCE-OF-EFFORT REQUIREMENTS, AS WELL AS OPPOSITION TO PROPOSALS TO BLOCK-GRANT THE PROGRAM AND REDUCE ITS FUNDING. CHRISTUS HEALTH GULF COAST ALSO EXPRESSED CONCERN ABOUT PROPOSALS THAT WOULD RESULT IN COST-SHIFTING, SUCH AS EFFORTS TO LIMIT THE ABILITY OF STATES TO USE PROVIDER TAXES TO FUND THEIR MEDICAID PROGRAMS AND TO REDUCE FEDERAL SPENDING BY LOWERING FEDERAL MATCHING RATES. CHRISTUS HEALTH GULF COAST IS REACHING OUT TO FEDERAL OFFICIALS TO WORK TOGETHER IN URGING STATE LEADERS TO EMBRACE THE EXPANSION AND IMPROVEMENTS IN THE MEDICAID PROGRAM AS A VITAL PART OF EXPANDING HEALTH COVERAGE TO VULNERABLE POPULATIONS. CHRISTUS HEALTH GULF COAST HAS BEEN AN ACTIVE PARTICIPANT IN THE SOUTHEAST TEXAS REGION 3 1115 WAIVER PROGRAM AND HAS SUBMITTED 14 DSRIP INITIATIVES FOR REVIEW AND CONSIDERATION. ON JAN. 28, A BIPARTISAN GROUP OF SENATORS ANNOUNCED THAT THEY HAD AGREED ON A SET OF BROAD PRINCIPLES FOR A FUTURE COMPREHENSIVE IMMIGRATION REFORM BILL, WHICH INCLUDES A PATH TO CITIZENSHIP FOR CURRENTLY UNDOCUMENTED WORKERS IN THE U.S. THE ANNOUNCEMENT WAS FOLLOWED BY REMARKS FROM PRESIDENT OBAMA URGING THE SENATE TO MOVE QUICKLY ON PRODUCING A BILL, AND OUTLINING THE PRESIDENT'S OWN PRINCIPLES FOR COMPREHENSIVE REFORM. BOTH ANNOUNCEMENTS WERE WELCOMED BY THE U.S. CONFERENCE OF CATHOLIC BISHOPS AND ITS CATHOLIC COALITION PARTNERS IN JUSTICE FOR IMMIGRANTS, WHO HAVE LONG CHAMPIONED COMPREHENSIVE REFORM TO MEMBERS OF CONGRESS. CHRISTUS HEALTH GULF COAST ALSO SUPPORTS IMMIGRATION REFORM EFFORTS AS A VITAL STEP TOWARD PUTTING IMMIGRANTS ON A PATH TO CITIZENSHIP AND FUTURE ELIGIBILITY FOR FEDERAL HEALTH CARE PROGRAMS. CHRISTUS HEALTH GULF COAST HAS WRITTEN TO SEN. BOB CASEY (D-PA.) IN SUPPORT OF S. 143, "THE HEALTH CARE PROVIDER AND HOSPITAL CONSCIENCE PROTECTION" ACT. THE BILL WOULD PROVIDE PROTECTIONS FOR INDIVIDUAL AND INSTITUTIONAL HEALTH CARE PROVIDERS' CONSCIENCE RIGHTS BY CODIFYING THEM PERMANENTLY INTO LAW, RATHER THAN BEING ANNUALLY RENEWED THROUGH A RIDER ON THE LABOR-HHS APPROPRIATIONS LEGISLATION. THE LEGISLATION ALSO WOULD PROVIDE ADDITIONAL REMEDIES FOR VIOLATIONS OF PROVIDER CONSCIENCE PROTECTIONS. IN ADDITION TO SUCH EFFORTS, CHRISTUS HEALTH GULF COAST ALSO CONTINUES TO URGE LAWMAKERS IN BOTH THE HOUSE AND SENATE TO CONTINUE TO PROVIDE CONSCIENCE PROTECTIONS AND RESTRICT ABORTION FUNDING AS PART OF THE ANNUAL APPROPRIATIONS PROCESS. CHRISTUS HEALTH GULF COAST PARTICIPATED IN THE SYSTEM ADVOCACY DAY HELD IN AT THE STATE CAPITAL ON MARCH 5-6, 2013. LEGISLATIVE PRIORITIES SHARED WITH STATE LEGISLATURE INCLUDED: PATIENT PROTECTION & AFFORDABLE CARE ACT OF 2010, 1115 WAIVER, MEDICAID DISPROPORTIONATE SHARE AND NEONATAL INTENSIVE CARE UNITS (NCU) STANDARDS. SITE VISITS INCLUDED: SEN. ROBERT NICHOLS, SEN. GLEN HEGAR, REP. ALLAN RITTER, REP. JAMES WHITE, SEN. LARRY TAYLOR, REP. HUBERT VO, REP JOHN DAVIS AND SEN. JOAN HUFFMAN. HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH GULF COAST BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. FORM 990, SCHEDULE C, PART II-B, LINE 1D CHRISTUS HEALTH GULF COAST HAD DIRECT CONTACT AND EMAIL CORRESPONDENCE WITH MEMBERS OF THE U.S. CONGRESS AND THE TEXAS LEGISLATURE, INCLUDING THEIR RESPECTIVE STAFFS. TOPICS INCLUDED: MEDICARE FUNDING; PERMANENT FIX TO PHYSICIAN FEE SCHEDULE UNDER MEDICARE; DISPROPORTIONATE SHARE HOSPITAL FUNDING ALLOTMENT; MEDICAID FUNDING; AND REDUCTIONS IN PROGRAMS FOR THE ELDERLY, LOW-INCOME FAMILIES, AND VULNERABLE POPULATIONS. THE REPORTED EXPENSES ASSOCIATED WITH THESE ACTIVITIES INCLUDE STAFF COMPENSATION AND RELATED ALLOCABLE OVERHEAD. FORM 990, SCHEDULE C, PART II-B, LINE 1I "OTHER ACTIVITIES" REPORTS THE PORTION OF FY 2013 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $4,820. CHRISTUS HEALTH GULF COAST DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR 6-30-13.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23508638	OtherCostOrOtherBasis
Book Value	23508638	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	175289188	OtherCostOrOtherBasis
Depreciation	78607388	Depreciation
Book Value	96681800	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4310448	OtherCostOrOtherBasis
Depreciation	2723764	Depreciation
Book Value	1586684	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	84742531	OtherCostOrOtherBasis
Depreciation	66654135	Depreciation
Book Value	18088396	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1760869	OtherCostOrOtherBasis
Depreciation	743004	Depreciation
Book Value	1017865	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	140883383	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
DUE TO CHRISTUS HEALTH BND FND	$50,757,024
CORPORATE ADVANCES	$29,906,689
DUE TO RELATED ORGS	$10,235,428
SALES TAX PAYABLE	$32,849

Field	Value	IRS element (for citing)
Total Of Amounts	90931990	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CASH NON-BEARING INTEREST	FORM 990, PART X, LINE 1	CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
UNCERTAIN TAX POSITIONS UNDER ASC 740	FORM 990, SCHEDULE D, PART X, LINE 2	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2013 AND 2012.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6519498	TotalCommunityBenefitExpense
Net Community Benefit Expense	6519498	NetCommunityBenefitExpense
Percent Of Total Expense	0.03080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16431863	TotalCommunityBenefitExpense
Direct Offsetting Revenue	59207523	DirectOffsettingRevenue
Net Community Benefit Expense	-42775660	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22951361	TotalCommunityBenefitExpense
Direct Offsetting Revenue	59207523	DirectOffsettingRevenue
Net Community Benefit Expense	-36256162	NetCommunityBenefitExpense
Percent Of Total Expense	0.17130	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	86354	PersonsServed
Total Community Benefit Expense	3474166	TotalCommunityBenefitExpense
Net Community Benefit Expense	3474166	NetCommunityBenefitExpense
Percent Of Total Expense	0.01640	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	283	PersonsServed
Total Community Benefit Expense	43000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1175	DirectOffsettingRevenue
Net Community Benefit Expense	41825	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	138	PersonsServed
Total Community Benefit Expense	217938	TotalCommunityBenefitExpense
Net Community Benefit Expense	217938	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	62	NumberOfActivitiesOrPrograms
Persons Served	58051	PersonsServed
Total Community Benefit Expense	17779124	TotalCommunityBenefitExpense
Net Community Benefit Expense	17779124	NetCommunityBenefitExpense
Percent Of Total Expense	0.08400	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	127	NumberOfActivitiesOrPrograms
Persons Served	144826	PersonsServed
Total Community Benefit Expense	21514228	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1175	DirectOffsettingRevenue
Net Community Benefit Expense	21513053	NetCommunityBenefitExpense
Percent Of Total Expense	0.10160	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	127	NumberOfActivitiesOrPrograms
Persons Served	144826	PersonsServed
Total Community Benefit Expense	44465589	TotalCommunityBenefitExpense
Direct Offsetting Revenue	59208698	DirectOffsettingRevenue
Net Community Benefit Expense	-14743109	NetCommunityBenefitExpense
Percent Of Total Expense	0.06970	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1	PersonsServed
Total Community Building Expense	217	TotalCommunityBuildingExpense
Net Community Building Expense	217	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	2024	TotalCommunityBuildingExpense
Net Community Building Expense	2024	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	4020	PersonsServed
Total Community Building Expense	4054	TotalCommunityBuildingExpense
Net Community Building Expense	4054	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1295	PersonsServed
Total Community Building Expense	11738	TotalCommunityBuildingExpense
Net Community Building Expense	11738	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	13446	PersonsServed
Total Community Building Expense	436248	TotalCommunityBuildingExpense
Net Community Building Expense	436248	NetCommunityBuildingExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	16449	TotalCommunityBuildingExpense
Net Community Building Expense	16449	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	5	PersonsServed
Total Community Building Expense	183	TotalCommunityBuildingExpense
Net Community Building Expense	183	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	18767	PersonsServed
Total Community Building Expense	470913	TotalCommunityBuildingExpense
Net Community Building Expense	470913	NetCommunityBuildingExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$16,175,090	BadDebtExpenseAmount
Amount Attributable To	613036	AmountAttributableTo
Amount Reimbursed By Medicare	29283753	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	32454168	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3170415	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
CHRISTUS ST JOHN HOSPITAL
1	18300 ST JOHN DRIVE	NASSAU BAY	TX	77058	X	X	X
CHRISTUS ST CATHERINE HOSPITAL
2	701 S FRY ROAD	KATY	TX	77450	X	X	X	URGENT CARE CENTER

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
CHRISTUS ST JOHN HOSPITAL
1	true	X	X	X	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	X	true	false	true	true	200.	true	400.	true	X	X	X	X	true	true	X	X	X	false	false	X	true	X	false	false
CHRISTUS ST CATHERINE HOSPITAL
2	true	X	X	X	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	X	true	false	true	true	200.	true	400.	true	X	X	X	X	true	true	X	X	X	false	false	X	true	X	false	false

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 5	BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. PART I, LINE 7B UNREIMBURSED MEDICAID CHRISTUS HEALTH GULF COAST REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $227,805,497. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $16,175,090. THIS LEAVES A TOTAL EXPENSE OF $211,630,407 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 21.01%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS CHRISTUS GULF COAST MADE OVER $17,779,124 IN CASH AND IN KIND CONTRIBUTIONS DURING FY 2013. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH THE REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH, THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $83,750 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH GULF COAST. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH GULF COAST SERVES. THE CHRISTUS FUND GRANTS WERE USED TO FUND VARIOUS CLINICS AND HEALTH PROGRAMS THAT SERVE UNDERSERVED YOUTH AND ADULTS. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). INDIGENT FUNDING EXPENSE OF $16,431,863 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
PART II	COMMUNITY BUILDING ACTIVITIES:	THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY DRIVEN INITIATIVES, PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW MARKET INTEREST RATES TO NONPROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE FOREGONE INTEREST FOR CHRISTUS HEALTH GULF COAST IN FISCAL YEAR ENDING JUNE 30, 2013 WAS $30,146. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2013 WAS $1,122,032. INCLUDED AS PHYSICAL IMPROVEMENTS TO HOUSING AT SCHEDULE H, PART II, LINE 1 ARE SOME OF THE AFOREMENTIONED LOANS MADE FOR LOW INCOME HOUSING TO INCLUDE "NEW HOPE HOUSING", AN ECONOMICALLY LINKED DEPOSIT (ELD) BENEFITTING THE ONGOING OPERATION OF A 133 UNIT PERMANENT HOUSING, SINGLE ROOM OCCUPANCY PROJECT HELPING THE FORMERLY HOMELESS AND THOSE AT RISK OF HOMELESSNESS; THE TEJANO CENTER FOR COMMUNITY CONCERNS WHICH OFFERS AFFORDABLE HOUSING FOR FAMILIES EARNING LESS THAN 80% OF THE MEDIAN AREA INCOME; AND ACRES HOME, WHICH OFFERS LOW INCOME HOUSING. CHRISTUS ALSO PROVIDED FINANCING OF THE WOMEN'S HOME, A MULTI-UNIT APARTMENT COMPLEX FOR WOMEN WHO HAVE GRADUATED FROM A DRUG REHABILITATION PROGRAM. CHRISTUS HEALTH GULF COAST DEMONSTRATES ITS COMMITMENT TO THE ECONOMIC DEVELOPMENT OF THE COMMUNITIES SERVED THROUGH VARIOUS MICRO-FINANCING LOAN PROGRAMS TO INCLUDE ACCION TEXAS WHICH AIDS IN THE DEVELOPMENT OF SMALL BUSINESSES FOR THOSE WITH LOW AND MODERATE INCOME. THESE INDIVIDUALS WOULD NOT BE ABLE TO OBTAIN TRADITIONAL FINANCING. THESE SMALL BUSINESSES ARE IN UNDERSERVED COMMUNITIES. CHRISTUS HEALTH GULF COAST SHOWS ITS COMMITMENT TO THE COMMUNITY BY ITS INVOLVEMENT IN LITERACY AND MENTORING IN PROGRAMS SUCH AS ENGLISH AS A SECONDARY LANGUAGE (ESL) FOR ADULT STUDENTS. CHRISTUS HEALTH GULF COAST ALSO PARTICIPATES IN PROGRAMS IN CONJUNCTION WITH THE LOCAL CHAMBER OF COMMERCE FOR COMMUNITY IMPROVEMENT. THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2013, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. PART III, SECTION A, LINE 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. PART III, SECTION A, LINE 3 ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. IN ORDER TO ASSESS THE BAD DEBT ACCOUNTS THAT WOULD LIKELY QUALIFY FOR CHARITY CARE, THE FOLLOWING CRITERIA WERE ESTABLISHED BASED ON AN ANALYSIS OF HISTORICAL DATA OF CHRISTUS HEALTH AND ITS RELATED ORGANIZATIONS: 1. PARO SCORE OF LESS THAN OR EQUAL TO 586, WHICH IS A PREDICTOR DEFINING THE LIKELY SOCIOECONOMIC CONDITIONS FOR THE PATIENT; 2. ESTIMATED FEDERAL POVERTY LEVEL OF LESS THAN OR EQUAL TO 226%, WHICH IS BASED ON ESTIMATED HOUSEHOLD SIZE AND HOUSEHOLD ESTIMATED INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2013, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 30% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THESE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE PREVIOUS FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2013. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 3.79% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2013 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; PROVISIONS FOR BAD DEBT; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." PART III, SECTION B, LINE 8 EXTENT TO WHICH SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT COSTING METHODOLOGY THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHED
PART VI, LINE 2	NEEDS ASSESSMENT	THE ORGANIZATION DEVELOPED THE 2013 COMMUNITY BENEFIT PLAN AND HEALTHY NEEDS ASSESSMENT. THE OBJECTIVES FOR FY 2013 ARE PROPOSED TO MEET THE IDENTIFIED NEEDS IN THE COMMUNITIES WE SERVE. EACH COMMUNITY IN THE REGION HAD A SIGNIFICANT POPULATION GROWTH AND INCREASED NEEDS. THE HIGHEST PROJECTED INCREASE IN RESIDENTS IS THE HISPANIC POPULATION. HEALTH CARE PRIORITIES INCLUDE PRIMARY CARE ACCESS, GEOGRAPHIC DISPARITIES, UNDER/UNINSURED WORKING, POOR, TEEN BIRTHS, PRENATAL CARE, CHILDHOOD IMMUNIZATIONS, ACCESS TO INFORMATION/REFERRALS, CARDIOVASCULAR DISEASE, DIABETES, RESPIRATORY CANCER AND OTHER CHRONIC DISEASES, SENIOR POPULATION, 45 TO 64 YEAR OLD POPULATION GROUP, AND MENTAL HEALTH SERVICE. AN ADDITIONAL AREA OF FOCUS OVERLAPPING MANY OF THESE PRIORITIES IS THE ALREADY HIGH AND INCREASING PERCENTAGE OF CONSOLIDATED METROPOLITAN STATISTICAL AREA (CMSA) RESIDENTS OF HISPANIC DESCENT. BARRIERS TO ACCESS TO HEALTH CARE INCLUDE LIMITED ACCESS, INABILITY TO PAY FOR SERVICES, LACK OF TRANSPORTATION, LANGUAGE BARRIERS AND CULTURAL DIFFERENCES, SOCIOECONOMIC FACTORS IMPACTING ACCESS TO HEALTHCARE, LACK OF EMPLOYMENT OPPORTUNITIES, WITH 42 PERCENT OF FAMILIES EARNING LESS THAN $50,000 WHICH TRANSLATE TO OVER 400,000 FAMILIES AND DIMINISHED HEALTH COVERAGE. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS HEALTH GULF COAST MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4	COMMUNITY INFORMATION	CHRISTUS HEALTH GULF COAST RESPONDS TO THE HEALTH CARE NEEDS OF ITS SERVICE AREA THROUGH SERVICES PROVIDED AT CHRISTUS ST. CATHERINE HOSPITAL IN KATY, TEXAS, WHICH IS A 102-BED HOSPITAL, CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY, TEXAS, WHICH IS A 178-BED HOSPITAL, AND VARIOUS CLINICS AND OUTREACH PROGRAMS. CHRISTUS HEALTH GULF COAST SERVICES SEVERAL COUNTIES TO THE WEST AND SOUTHEAST OF HOUSTON. THE ORGANIZATION'S SERVICE AREA COMPRISES A POPULATION OF 4.5 MILLION. IN THE ORGANIZATION'S SERVICE AREA, 17.3% PERCENT OF HOUSEHOLDS ARE AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL AND 29.9% PERCENT ARE UNINSURED. THERE IS A NOTED INCREASE IN SENIOR RESIDENTS (I.E., 65 TO 74 YEARS OF AGE) IN THE COMMUNITIES SERVED BY CHRISTUS HEALTH GULF COAST THUS IMPACTING THE INPATIENT AND OUTPATIENT DEMAND FOR HEALTH CARE SERVICES, PARTICULARLY THOSE PATIENTS WITH CHRONIC HEALTH PROBLEMS INCLUDING HEART DISEASE, DIABETES, CANCER, AND RESPIRATORY DISEASES. THE SERVICE AREA'S POPULATION IS 40 PERCENT HISPANIC.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH	CHRISTUS HEALTH GULF COAST CONSISTS OF TWO COMMUNITY HOSPITALS, INCLUDING CHRISTUS ST. CATHERINE HOSPITAL IN KATY, TEXAS, WHICH IS A 102-BED HOSPITAL AND CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY, TEXAS, WHICH IS A 178-BED HOSPITAL. CHRISTUS ST. CATHERINE HOSPITAL IN KATY OFFERS A BROAD SPECTRUM OF ADULT AND PEDIATRIC MEDICAL AND SURGICAL CARE WITH THE LATEST IN TECHNOLOGY INCLUDING AN URGENT CARE CENTER, BIRTHING SUITES, NEWBORN AND LEVEL II NEONATAL INTENSIVE CARE NURSERIES, INPATIENT AND OUTPATIENT SURGERY, DIAGNOSTIC IMAGING AND CARDIOLOGY SERVICES. CHRISTUS ST. JOHN HOSPITAL IN NASSAU BAY OFFERS COMPREHENSIVE MEDICAL SERVICES IN CARDIOLOGY, ONCOLOGY, INTENSIVE CARE, DIAGNOSTIC IMAGING, GYNECOLOGY, PEDIATRICS, ADVANCED LAPAROSCOPIC PROCEDURES, CANCER TREATMENT, CARDIOVASCULAR, SPORTS MEDICINE AND VASCULAR SPECIALTIES. EACH OF THE FACILITIES OF CHRISTUS HEALTH GULF COAST SHARES ONE OBJECTIVE -- TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH GULF COAST'S OTHER HEALTH CARE OPERATIONS INCLUDE PART OWNERSHIP IN GALVESTON COUNTY CLINICAL SERVICES, INC. AND INDIGENT CARE SERVICES OF HARRIS COUNTY. BOTH PROVIDE PHYSICIAN HEALTH CARE SERVICES TO MEDICAID PATIENTS. IN OUR 2013 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS, INCLUDING 48,494 VISITS TO OUR EMERGENCY DEPARTMENT; 2,371 INPATIENT SURGERY PROCEDURES; 5,122 OUTPATIENT SURGERY PROCEDURES; 10,159 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE; AND 208,072 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. CHRISTUS HEALTH GULF COAST PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE, ABILITY TO PAY, OR NATIONAL ORIGIN. ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. CHRISTUS ASSOCIATES AND PHYSICIANS CONTINUE THE TRADITION OF CARING ESTABLISHED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD AND SEEK TO RESTORE THE WHOLE PERSON BACK TO A PLACE OF COMPLETE PHYSICAL, MENTAL AND SPIRITUAL WELLNESS. CHRISTUS HEALTH GULF COAST COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, PARTICULARLY THE VULNERABLE AND UNDERSERVED POPULATIONS. IN AN EFFORT TO MEET AND ADDRESS THE IDENTIFIED HEALTHCARE NEEDS IN THE COMMUNITIES WE SERVE, CHRISTUS HEALTH GULF COAST JOINS WITH MANY LOCAL COMMUNITY PARTNERS AND SERVICE ORGANIZATIONS, SOME OF WHICH INCLUDE THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, THE ARCHDIOCESE OF GALVESTON-HOUSTON, BREATH OF LIFE CLINIC, CHRIST CLINIC AND LOCAL FAITH COMMUNITIES, THE DOMINICAN SISTERS OF THE SACRED HEART, UNIVERSITY OF TEXAS MEDICAL BRANCH (UTMB) AT GALVESTON, REGIONAL MATERNAL AND CHILD PROGRAM, DICKINSON INDEPENDENT SCHOOL DISTRICT, THE ARCHDIOCESE OF GALVESTON-HOUSTON SCHOOL SYSTEM, DEPELCHIN CHILDREN'S CENTER, COMMUNITY REPRESENTATIVES, SCHOOL ADMINISTRATORS, PARENTS, AND COMMUNITY VOLUNTEERS. THESE LOCAL COMMUNITY PARTNERS AND ORGANIZATIONS PARTAKE IN THE FOLLOWING PROGRAMS: (1) THE CHRISTUS LITERACY CENTER: A COLLABORATIVE INITIATIVE BETWEEN CHRISTUS HEALTH GULF COAST, THE ARCHDIOCESE OF GALVESTON-HOUSTON AND THE DOMINICAN SISTERS OF THE SACRED HEART. THROUGH IN-KIND VOLUNTEERS, THE LITERACY CENTER PROVIDES ASSISTANCE IN IMPROVING THE READING AND WRITING SKILLS OF INDIVIDUALS WHO ARE NOT PROFICIENT IN ENGLISH, SO THEY MAY ENHANCE THEIR PRONUNCIATION AND VOCABULARY SKILLS. AN INTRODUCTION TO BASIC COMPUTER SKILLS IS INTEGRATED WITHIN THE CURRICULUM. THESE COMBINED OFFERINGS INCREASE THE ABILITY OF THE STUDENTS TO BECOME MORE COMFORTABLE IN THE LOCAL COMMUNITY, AND THEY ENHANCE OPPORTUNITIES FOR EMPLOYMENT AND IMPROVED COMMUNICATION. (2) CHRISTUS OUR DAILY BREAD: A MINISTRY OF CHRISTUS HEALTH GULF COAST. IT IS A MULTI-SERVICE CENTER WHICH SERVES AS A RESPITE FOR THE HOMELESS AND THOSE WHO ARE CHEMICALLY DEPENDENT AND/OR EXPERIENCING MENTAL/PSYCHIATRIC DISORDERS. THE CENTER SERVES APPROXIMATELY 2,800 CLIENTS PER MONTH, PROVIDING MEALS, CLOTHING, HYGIENE, COUNSELING AND REFERRAL SERVICES. OUR DAILY BREAD SERVES ALL CLIENTS WITH RESPECT AND DIGNITY IN A MANNER BEFITTING ONE OF GOD'S OWN. (3) THE CHRISTUS HEALTHY LIVING MOBILE UNIT: WE WILL CONTINUE TO FOCUS ON THE HEALTH NEEDS OF THE UNINSURED AND UNDERINSURED IN THE COMMUNITY BY INCREASING ACCESS TO CARE THROUGH COLLABORATION AND NETWORKING WITH OTHER AGENCIES. SOME OF THE SERVICES PROVIDED INCLUDE: (A) HEALTH ASSESSMENTS: THROUGH OUR HEALTH ASSESSMENT SCREENING WE FOCUS ON CHRONIC DISEASES, SUCH AS CARDIOVASCULAR DISEASE, DIABETES AND OBESITY, EDUCATING OUR PATIENTS AND ASSISTING THEM IN FINDING A MEDICAL HOME BASE. WE WILL FOCUS ON OUR SENIOR SITES WORKING WITH THE ACES PROGRAM. WE WILL CONTINUE TO ATTEND HEALTH FAIRS AT SCHOOLS AND CHURCHES. WE COLLABORATE WITH THE ARCHDIOCESE OF GALVESTON-HOUSTON BY REACHING OUT TO AS MANY OF THE CHURCHES AS POSSIBLE IN THE OUTLYING COUNTIES THAT DO NOT HAVE ACCESS TO CARE SO THEY CAN PARTICIPATE IN THE PROJECTS TO PROVIDE HEALTH SCREENINGS. (B) VACCINE ADMINISTRATION: WE CONTINUE TO MEET THE NEEDS OF OUR SENIORS BY PROVIDING INFLUENZA VACCINES, ATTEMPTING TO ADMINISTER 5,000 IMMUNIZATIONS ANNUALLY. WE PROVIDED 300 BLANKETS TO NEEDY SENIORS AND DISTRIBUTED 500 HEALTHY LIVING GIFT PACKS CONTAINING EDUCATIONAL AND RESOURCE MATERIALS THAT PROMOTE HEALTHY LIVING AND ADDRESS PSYCHOLOGICAL NEEDS. WE COLLABORATE WITH THE CITY OF HOUSTON AND THE STATE OF TEXAS ON A VACCINE FOR CHILDREN PROGRAM THAT ADMINISTERS IMMUNIZATIONS IN THE COMMUNITY AT SCHOOLS, HEALTH FAIRS AND APARTMENT COMPLEXES IN NEEDY AREAS. (4) SUSAN G. KOMEN BREAST CANCER AWARENESS AND SCREENING: COLLABORATION WITH THE SUSAN G. KOMEN BREAST CANCER FOUNDATION AND THE ROSE AND Y ME ORGANIZATION TO COMPLEMENT OUR BREAST CANCER AWARENESS CLINICS, DISTRIBUTING 500 BREAST CANCER AWARENESS PACKETS WITH EDUCATIONAL AND RESOURCE MATERIALS DURING THE MONTH OF OCTOBER. (5) MINORITY HEALTH DISPARITIES: COLLABORATION WITH MD ANDERSON CANCER CENTER FOR RESEARCH ON MINORITY HEALTH DISPARITIES FOR THE MEDICARE NAVIGATION PROGRAM TO HELP DIAGNOSE CANCER PATIENTS. WE ACT AS A MENTOR AND NAVIGATOR FOR HEALTH CARE ACCESS. (6) DIABETES EDUCATION: WE CONTINUE TO COLLABORATE WITH THE TEXAS COOPERATIVE EXTENSION DIABETES EDUCATION PROGRAM THROUGH ITS "DO WELL BE WELL WITH DIABETES" PROGRAM WHICH PRESENTS DIABETES AND EXERCISE EDUCATION AT SENIOR SITES AND COMMUNITY CENTERS. (7) ACCESS TO CARE: WE CONTINUE TO COLLABORATE WITH KATY COMMUNITY CLINICS AND CHRISTUS ST. JOHN HOSPITAL BY PROVIDING HEALTH SCREENING ASSESSMENTS TO ASSIST PATIENTS WHO NEED TO ESTABLISH A MEDICAL HOME BASE CLINIC. (8) CHRISTUS ST. JOHN HOSPITAL COLLABORATES WITH CHRISTUS FOUNDATION FOR HEALTHCARE TO ASSESS THE NEEDS OF SCHOOL BASE NURSE PRACTITIONERS IN THE DICKINSON ISD AND THE ARCHDIOCESE OF GALVESTON-HOUSTON SCHOOLS. CURRENTLY THERE ARE 16 SCHOOL-BASED HEALTH CARE CENTERS SPONSORED BY CHRISTUS HEALTH GULF COAST. (9) EXPAND OUR SERVICES TO RURAL AREAS AND COUNTIES FOR THE UNINSURED AND UNDERSERVED BY COLLABORATING WITH MEDICARE/CHIP HEALTH CARE PROVIDERS (UNITED HEALTHCARE AND COMMUNITY HEALTH CARE) TO ENROLL CHILDREN INTO THE SYSTEM. (10) CANCER EDUCATION AND PREVENTION: THE ORGANIZATION WILL EXPAND PROGRAM SERVICES FOCUSING ON CANCER EDUCATION AND PREVENTION IN PARTNERSHIP WITH MD ANDERSON CANCER CENTER. AS PART OF THIS PLAN, SEMINARS AND SCREENINGS WILL BE OFFERED TO THE LOCAL COMMUNITY WITH A FOCUS ON CANCER DETECTION, PREVENTION AND EDUCATION. (11) CONGREGATIONAL HEALTH MINISTRIES: THE ORGANIZATION WILL CONTINUE TO ASSIST IN THE DEVELOPMENT OF PARISH NURSE/HEALTH MINISTRY PROGRAMS AT LOCAL CHURCHES. THIS IS AN ECUMENICAL PROGRAM WHICH WILL PROVIDE INFORMATION RELATED TO GOOD HEALTH AND SERVE AS A RESOURCE IN RESPECTIVE CONGREGATIONS. EDUCATIONAL PROGRAMS RELATED TO GOOD HEALTH AND INFORMATION WILL BE PRESENTED TO THE NURSE COORDINATORS TO MEET THE NEEDS OF THE CONGREGATIONS. GRANT MONEY ASSISTS IN SUPPORTING THIS PROGRAM. SERVICES ANTICIPATED THROUGH THIS PROGRAM INCLUDE THE ADMINISTRATION OF OVER 8,000 FLU SHOTS IN AN ATTEMPT TO REACH THOSE MOST AT RISK AND COLLABORATING WITH CHRISTUS VNA. THE CHURCHES WILL OFFER HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL PROGRAMS RELATED TO CHRONIC DISEASE AND ITS PREVENTION, SPIRITUAL SUPPORT AND SERVING AS A RESOURCE TO THE CONGREGATION. W
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM	CHRISTUS HEALTH GULF COAST IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, MISSOURI, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH GULF COAST, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH GULF COAST, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. PART VI, LINE 7 COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT TX PART VI, LINE 8 THE NARRATIVE INFORMATION PROVIDED FOR THE APPLICABLE LINES IN PART VI, LINE 1 APPLIES TO ALL HOSPITAL FACILITIES UNDER THIS LEGAL ENTITY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
City of Alvin
216 West Sealy Street	ALVIN	TX	77511	746000033	501(c)(3)	5375	Donation towards purchase of 5 MedixSafe M1 Narcotics Cabinets
Interfaith Carepartners Inc
701 North Post Oak Road Suite 330	Houston	TX	77024	760253480	501(c)(3)	7500	Underwrite Quarterly Caregivers Conferences
Katy Area Chamber of Commerce
23501 Cinco Ranch Blvd Suite B206	KATY	TX	77494	742028745	501(c)(3)	15000	Sponsorship of Rice Harvest Festival
League City Chamber of Commerce
1101 West Main Street Suite R	League City	TX	77573	760281320	501(c)(3)	5860	Kick Off By The Creek Sponsorship, Patriots Luncheon Sponsorships, Building Fund and Other Luncheon Sponsorships
Christ Clinic
5504 First Street	KATY	TX	77492	352179708	501(c)(3)	60000	Help fund salaries of Clinic Manager and Nurse Practitioner
Texas Right To Life Educational Fund
9800 centre parkway suite 200	houston	TX	77036	237373806	501(c)(3)	10000	Right To Life Educational Fund on College Campuses
CHRISTUS Foundation for Healthcare
P O Box 1919	houston	TX	77251	746074210	501(c)(3)	12500	Donation to 8th & 9th Spring Luncheon Fundraisers, Nun Run and Reindeer Run
catholic charities of archdiocese galv-hou
2615 Fannin Street	houston	TX	77002	741109733	501(c)(3)	165797	In-kind Rent in Moran Clinic Building
Read Center
2615 Fannin Street	houston	TX	77002	760373703	501(c)(3)	51009	In-kind Rent in Moran Clinic Building
San Jose Clinic
2615 Fannin Street	houston	TX	77002	760151362	501(c)(3)	1086904	In-kind Rent in Moran Clinic Building
CHRISTUS Foundation for Healthcare
P O Box 1919	houston	TX	77251	746074210	501(c)(3)	140286	In-kind Rent in Moran Clinic Building

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	10	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	INDIGENT ASSISTANCE	TypeOfGrant
Number Of Recipients	3518	NumberOfRecipients
Amount Of Cash Grant	45625	AmountOfCashGrant
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	MEALS/RX/TRANS/HOUSE	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	Identifier
Return Reference	FORM 990, SCHEDULE I	ReturnReference
Explanation	THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH CHRISTUS HEALTH AFFILIATED HOSPITALS SERVE VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN CHRISTUS HEALTH'S COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ellen M Jones
President/CEO/Board Member	215354	323032	46238	69356	10893	16340	59891	89837	9103	13654	341479	512219	10710	16064
William A Hecht
Chief Financial Officer	128556	192835	17073	25610	23620	35429	34382	51572	5728	8592	209359	314038	13014	19522
John H McCabe
Admin-SCH	76472	0	0	0	221574	0	15400	0	4647	0	318093	0	70649	0
Tom Permetti
COO & Admin-St. John Hospital	195325	130217	20476	13651	32887	21925	46339	30893	16506	11004	311533	207690	21078	14052
Nancy Pittman
CNE/COO-St. John Hospital	170012	0	6461	0	459	0	39253	0	5707	0	221892	0	0	0
Harold Gottlieb
VP Medical Affairs/CMO	307270	0	14345	0	58746	0	62789	0	17661	0	460811	0	0	0
Thao T Tran
DIRECTOR OF PHARMACY	133486	0	4420	0	13204	0	0	0	19292	0	170402	0	0	0
Phong Nguyen
PHARMACIST	122198	0	0	0	16613	0	0	0	20710	0	159521	0	0	0
Sharon Brown
DIRECTOR OF PHARMACY	134309	0	0	0	0	0	0	0	32487	0	166796	0	0	0
Heather D Boler
VP BUSINESS DEV AND MARKETING	78230	117345	8939	13409	184	275	8087	12131	9006	13509	104446	156669	0	0
Alfred L Cave III
PRESIDENT/SYS DIR PHILANTHROPY	140164	60070	10251	4393	9586	4108	0	0	6962	2984	166963	71555	0	0
Charles M Foster
VP HUMAN RESOURCES	132104	88069	14639	9759	20243	13495	10955	7303	14695	9797	192636	128423	12746	8498
PATRICK B CARRIER
FORMER PRESIDENT/CEO	0	504767	0	126689	0	0	0	136843	0	18761	0	787060	0	0
PEARL R MOHNKERN
FORMER VP HUMAN RESOURCES	0	191443	0	20489	0	31210	0	0	0	9722	0	252864	0	0
MICHAEL E SULLIVAN
FORMER VP MISSION & ORG ETHICS	0	175720	0	8156	0	17608	0	39855	0	12107	0	253446	0	0
DAVID M WITT
FINANCIAL OFFICER, ST. JOHN	153651		4176		3449		13835		5191		180302		0
BARBARA A LAZOR
CNO, ST. CATHERINE HOSPITAL	148554		5678		55932		35947		8653		254764		4928
NANCY L BROCK
FORMER FINANCIAL OFFICER	129947		0		82689		13882		4905		231423		18471

Form990 Schedule J Part III Form990ScheduleJPartIII (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. COMPANION TRAVEL 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.
EXPLANATION OF RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMP	FORM 990, SCHEDULE J, PART I, QUESTION 3	THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. 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. JOHN MCCABE RECEIVED $134,436 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. NANCY BROOK RECEIVED $45,710 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2012.
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.
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. JOHN MCCABE RECEIVED $134,436 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. NANCY BROCK RECEIVED $45,710 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. 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.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS	FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J,	PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990: ELLEN M. JONES RECEIVED $26,774 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. WILLIAM A. HECHT RECEIVED $32,536 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. JOHN H. MCCABE RECEIVED $70,649 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THOMAS PERMETTI RECEIVED $35,130 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CHARLES M. FOSTER RECEIVED $21,244 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. BARBARA A. LAZOR RECEIVED $4,928 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NANCY L. BROCK RECEIVED $18,471 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED 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.
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, SCHEDULE J, PART II	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2012.
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, SECTION A & SCHEDULE J, PART II	THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: ELLEN JONES, WILLIAM HECHT, HEATHER BOLER, TOM PERMETTI, CHARLES FOSTER, NANCY PITTMAN, HAROLD GOTTLIEB, NANCY BROCK, MICHAEL SULLIVAN, AND PATRICK CARRIER.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DOING BUSINESS AS	FORM 990, PAGE 1, ITEM C	CHRISTUS HEALTH GULF COAST OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS ST. CATHERINE HOSPITAL CHRISTUS ST. JOHN HOSPITAL CHRISTUS OUR DAILY BREAD CHRISTUS ST. JOHN CONCUSSION CENTER AND NEUROCOGNITIVE INSTITUTE CHRISTUS ST. JOHN LABORATORY AND IMAGING SERVICES
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D	COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM CHARITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. THE POINT OF LIGHT CLINIC HAS BEEN IN OPERATION SINCE 1990 TO PROVIDE ACUTE CARE AND EPISODIC HEALTHCARE SERVICES TO THOSE WHO ARE UNINSURED AND UNDERINSURED WITHIN THE SECONDARY MARKET OF CHRISTUS ST. JOHN HOSPITAL. IN THE FISCAL YEAR ENDING 6/30/13, THE POINT OF LIGHT CLINIC PROVIDED CARE TO 5,029 PATIENTS. HEALTHY LIVING MOBILE CLINIC, A COLLABORATIVE MOBILE HEALTH PROGRAM DELIVERING PRIMARY AND PREVENTIVE CARE (INCLUDING IMMUNIZATIONS), WHICH TARGETS THE ELDERLY, WOMEN, AND CHILDREN PROVIDED 19,054 PATIENT VISITS. PARISH HEALTH MINISTRY PROVIDES A CONTINUUM OF CARE, ESPECIALLY FOR THE UNDERSERVED POPULATIONS, THROUGH AN ONGOING PARTNERSHIP WITH ASSOCIATED CATHOLIC CHARITIES IN COLLABORATION WITH THE DIOCESE OF GALVESTON-HOUSTON. WEE SEE PROGRAM OFFERS EYE EXAMINATIONS AND CORRECTIVE GLASSES TO CHILDREN WHO ARE FINANCIALLY OR MEDICALLY INDIGENT. PARISH NURSE/HEALTH MINISTRY PROGRAM OFFERS ASSISTANCE IN STARTING CHURCH BASED PROGRAMS WITH A FOCUS ON WELLNESS AND HEALTHY LIVING. THE GABRIEL PROJECT IS A PARISH-BASED CRISIS PREGNANCY PROGRAM FOR THE DIOCESE OF GALVESTON-HOUSTON. THE PARISH PLACES THE "SIGN OF LIFE" ON THE PARISH GROUNDS, WHICH INVITES ANY PREGNANT WOMAN TO SEEK ALL THE HELP SHE NEEDS FROM THE PARISH AND ITS ASSOCIATED SERVICES. THE MOTHER ATTENDS THE GABRIEL PROJECT AT THE PARISH WHERE SHE LIVES. THE VIP PROGRAM IS DESIGNED TO MEET SOME OF THE NEEDS OF SENIOR ADULTS. THE FOCUS IS ON IMPROVED HEALTH AND HEALTH EDUCATION. LOW IMPACT AEROBIC AND CHAIR EXERCISES ARE OFFERED AT NO COST TO THE PARTICIPANTS. HEALTH EDUCATION PROGRAMS ARE OFFERED SIX TIMES PER YEAR. THE PROGRAM COORDINATOR HOSTS THE AARP DEFENSIVE DRIVING COURSE EVERY OTHER MONTH. OTHER PROGRAMS OF INTEREST WILL BE OFFERED BASED ON INPUT OF THE MEMBERS. THE BREATH OF LIFE CHILDREN'S CENTER CLINIC ADMINISTERS HEALTHCARE TO VULNERABLE CHILDREN IN THE WEST HOUSTON AND KATY AREAS. CURRENTLY, THE BREATH OF LIFE CHILDREN'S CENTER CLINIC SERVES CHILDREN AND THEIR FAMILIES THROUGH ITS TWO DIVISIONS: PREVENTION AND ACUTE SICK CARE SERVICES. COLLABORATIVE PARTNERS INCLUDE THE AMERICAN CANCER SOCIETY, THE ARCHDIOCESE OF GALVESTON-HOUSTON, AND LOCAL CHURCH MEMBERS. CHRISTUS LITERACY CENTER IS A COLLABORATIVE INITIATIVE ESTABLISHED AMONG CHRISTUS HEALTH GULF COAST, THE ARCHDIOCESE OF GALVESTON-HOUSTON AND THE DOMINICAN SISTERS OF THE SACRED HEART. THE LITERACY CENTER PROVIDES ENGLISH AS A SECONDARY LANGUAGE (ESL) CLASSES WHICH ENHANCE LANGUAGE AND WRITING SKILLS TO AID INDIVIDUALS WHO ARE NOT PROFICIENT IN ENGLISH. THE CLASSES HELP ATTENDEES ENHANCE PRONUNCIATION, VOCABULARY, READING, AND WRITING SKILLS. THE CENTER PROVIDED 35 LITERACY CLASSES. CHRISTUS OUR DAILY BREAD IS A MINISTRY OF CHRISTUS HEALTH GULF COAST WHICH SERVES AS A RESPITE FOR THE HOMELESS AND THOSE WHO ARE CHEMICALLY DEPENDENT AND/OR EXPERIENCE MENTAL/PSYCHIATRIC DISORDERS. THE CENTER SERVES APPROXIMATELY 2,500 CLIENTS PER MONTH BY PROVIDING MEALS, CLOTHING, HYGIENE, COUNSELING AND REFERRALS SERVICES. OUR DAILY BREAD SERVES ALL CLIENTS WITH RESPECT AND DIGNITY IN A MATTER BEFITTING ONE OF GOD'S VERY OWN. ONE EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY THE LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COSTS OF THIS PROGRAM ARE NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH GULF COAST. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2013 WAS $1,122,032. THE FOREGONE INTEREST FOR CHRISTUS HEALTH GULF COAST IN FY 2013 WAS $30,146. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY 2013, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE GULF COAST REGION WAS $179,041. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH GULF COAST. TOTAL PROGRAM SERVICE EXPENSE = $ 21,542,937 GRANTS = $ 38,111,481 TOTAL PROGRAM SERVICE REVENUE = $ 0 DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS SPENT EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USES CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MAKE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, CLEFT LIP AND PALATE REPAIR, HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2013, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. PROGRAM SERVICE EXPENSE = $ 441,029 GRANTS = $ 344,464 PROGRAM SERVICE REVENUE = $ 0
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 6	CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION.
DESCRIPTIONS OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, LINE 7A	CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER FORM 990, PART VI, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
PROCESS USED TO REVIEW FORM 990	FORM 990, PART VI, LINE 11B	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2014 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST	FORM 990, PART VI, LINE 12C	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, LINES 15A & 15B	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS INCLUDING CHRISTUS HEALTH GULF COAST. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, LINE 18	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY AND FIN STMTS TO PUBLIC	FORM 990, PART VI, LINE 19	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9	PENSION FUNDING - ($ 4,285,141) PENSION LIABILITY/EXPENSE - $ 4,026,615 CONTRIBUTIONS - ($ 124,745) DONATION-CONFERENCE - ($ 1,000) FUNDING TO GRANTS/LOANS - $ 111,780 RESTRICTED DONATIONS - $ 142,257 ------------ TOTAL - ($ 130,233)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVC	TX	501(C)(3)	3	CH	true
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100A	HOUSTON	TX	77027	742898615	HLTHCARE SVC	TX	501(C)(3)	3	CH	true
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVC	TX	501(C)(3)	11-TYPE 1	CH	true
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE 2ND F	PARIS	TX	75460	421619230	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	true
CHRISTUS STEHLIN FND FOR CANCER RESEARCH
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	741622404	CANCER RSCH	TX	501(C)(3)	9	CH	true
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTH STE 1100A	HOUSTON	TX	77027	721270964	Hlthcare Svc	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH FOUNDATION
919 Hidden Ridge Drive	Irving	TX	75038	611500100	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	true
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVC	LA	501(C)(3)	3	CH	true
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVC	LA	501(C)(3)	3	CH	true
CHRISTUS SPOHN HEALTH SYSTEM CORP
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVC	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HLTHCARE SVC	TX	501(C)(3)	3	CH	true
CHRISTUS Health
919 Hidden Ridge Drive	Irving	TX	75038	760590551	SUPT HLTH SVC	TX	501(C)(3)	9	NA	false
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVC	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH UTAH
919 Hidden Ridge Drive	Irving	TX	75038	870231682	HLTHCARE SVC	UT	501(C)(3)	9	CH	true
CHRISTUS Health Southwestern Louisiana
524 Dr Michael Debakey Drive	Lake Charles	LA	70601	720411322	HLTHCARE SVC	LA	501(C)(3)	3	CH	true
Christus Health Liability Retention Trst
919 Hidden Ridge Drive	Irving	TX	75038	760259623	SELF INS TRST	TX	501(C)(3)	11-TYPE 1	CH	true
Christus Foundation for Healthcare
PO Box 1919	Houston	TX	77251	746074210	SUPT HLTH SVC	TX	501(C)(3)	7	GULF COAST	true
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	true
CHRISTUS HEALTH LATIN AMERICA
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462816604	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	true
CHRISTUS HEALTH INTERNATIONAL
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462811167	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	262330994	EIN
Primary Activity	HEALTHCARE SRvcs	PrimaryActivity
Legal Domicile State	TX	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	INVESTMENT	PredominantIncomeType
Share Of Total Income	169	ShareOfTotalIncome
Share Of EOY Assets	8880339	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.73959	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
HOUSTON METROPOLITAN HEALTH NETWORK
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760427193	HEALTHCARE SVcs	TX	GULF COAST	C Corp	127159	253148	1.00000	true
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SVcs		CH	C Corp				false	Hidalgo PTE 2525	Col. Obispado, Monterrey	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C CORP				false	PO BOX 1051	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHRISTUS FOUNDATION FOR HEALTHCARE
A(I)	124848	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
B	142848	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
C	61934	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
O	772154	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
P	81918	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
A(I)	5707	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
M	1397861	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
O	693228	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
P	485160	ACCRUAL
HOUSTON METROPOLITAN HEALTH NETWORK
O	96378	ACCRUAL
CHRISTUS CONTINUING CARE
L	251017	ACCRUAL
WEST HOUSTON REAL ESTATE DEVELOPMENT LLC
A(I)	25878	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
H	139319	ACCRUAL
CHRISTUS FOUNDATION FOR HEALTHCARE
Q	112505	ACCRUAL