CHRISTUS HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH (EIN 76-0590551)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349303376
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T10:10:52-05:00	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	201 MAIN STREET SUITE 1100	AddressLine1
City	FORT WORTH	City
State	TX	State
ZIP Code	76102	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	760590551	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% KIM REYNOLDS	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	Randy Safady	Name
Title	cfo	Title
Date Signed	2014-05-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8173351900	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	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	Ernie Sadau	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	1654479614	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.christushealth.org	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	1828	TotalNbrEmployees
Total Nbr Volunteers	220	TotalNbrVolunteers
Total Gross UBI	2431219	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3016026	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	511829568	ProgramServiceRevenuePriorYear
Program Service Revenue CY	584899633	ProgramServiceRevenueCY
Investment Income Prior Year	20476970	InvestmentIncomePriorYear
Investment Income Current Year	49039925	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3576857	OtherRevenuePriorYear
Other Revenue Current Year	12902962	OtherRevenueCurrentYear
Total Revenue Prior Year	538899421	TotalRevenuePriorYear
Total Revenue Current Year	646842520	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5784122	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9122043	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	123111268	SalariesEtcPriorYear
Salaries Etc Current Year	115829611	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	402065144	OtherExpensePriorYear
Other Expenses Current Year	397373825	OtherExpensesCurrentYear
Total Expenses Prior Year	530960534	TotalExpensesPriorYear
Total Expenses Current Year	522325479	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7938887	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	124517041	RevenuesLessExpensesCY
Total Assets BOY	2840593115	TotalAssetsBOY
Total Assets EOY	2696321439	TotalAssetsEOY
Total Liabilities BOY	2765609486	TotalLiabilitiesBOY
Total Liabilities EOY	2515045098	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	74983629	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	181276341	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	150219286	Expense
Grants	0	Grants
Revenue	426770226	Revenue
Description	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS 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 WITH THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS HEALTH REACHES OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN MORE THAN 350 FACILITIES, INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, MISSOURI, GEORGIA, NEW MEXICO AND UTAH IN THE U.S. AND CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS POTOSI AND TAMAULIPAS IN MEXICO. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 13,335,199. IN FISCAL YEAR 2013 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 803,351 VISITS TO OUR EMERGENCY DEPARTMENTS; 48,335 INPATIENT SURGERY PROCEDURES; 91,716 OUTPATIENT SURGERY PROCEDURES; 182,974 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 2,220,858 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO rACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. IN ADDITION, MANY OF OUR HOSPITALS ARE ENGAGED IN RESEARCH AND CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	138983868	Expense
Grants	0	Grants
Revenue	158129407	Revenue
Description	OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH aSSOCIATION gUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR XXX MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	10226398	Expense
Grants	8105043	Grants
Revenue	0	Revenue
Description	COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2013, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1023500	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1017000	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	300453052	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	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	true	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	true	ForeignActivities
More Than5000 K To Organizations	true	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	true	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	4455	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1828	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	MX	NameOfForeignCountry
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
Excess Business Holdings	false	ExcessBusinessHoldings
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	true	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	false	InvestmentInJointVenture
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	KIM REYNOLDS	NamePerson
Telephone Number	4692822103	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Patricio Donoso
Director	1.0	0.0	X	0	0	0
Maricela Siewczynski Moore
Director	1.0	0.0	X	0	0	0
Arthur Milton Southam MD
Director	1.0	0.0	X	0	0	0
George W Bo-Linn MD
Director	1.0	0.0	X	0	0	0
Father Charles E Bouchard
Director	1.0	0.0	X	0	0	0
Cheryl D Alston
Director	1.0	0.0	X	0	0	0
Richard L Clarke
Director & Board Chair	1.0	0.0	X	0	0	0	X
Sister Kathleen Coughlin
Director	1.0	0.0	X	0	0	0
J Lynn Britton
Director	1.0	0.0	X	0	0	0
Phyllis A Cowling
Director	1.0	0.0	X	0	0	0
Sister Walter Maher
Director	1.0	0.0	X	0	0	0
SR Hannah Patricia O'Donoghue
Director	1.0	0.0	X	0	0	0
Dennis N Stine
Director	1.0	0.0	X	0	0	0
Sister Celeste Trahan
Director	1.0	0.0	X	0	0	0
Kenneth D Wells MD
Director	1.0	0.0	X	0	0	0
Clarence Williams
Director	1.0	0.0	X	0	0	0
Ernie W Sadau
President/CEO	38.0	2.0	X	1618826	0	339909	X
Randy Safady
Chief Financial Officer	39.0	1.0		1104118	0	230251	X
William L Pardue
Corp Secretary (term 10/31/12)	32.0	8.0		146813	0	18497	X
Patricia Nobles
Corporate Secretary	32.0	8.0		38279	0	3703	X
Mary D Silva
Deputy Corp Secr (term 1/4/13)	32.0	8.0		91342	0	1324	X
George S Conklin
SR VP Chief Infor Officer	39.0	1.0		702788	0	114965		X
John Gillean MD
SR VP Chief Medical Officer	39.0	1.0		906198	0	201016		X
Gerard F Heeley
Sr VP Mission and Ethics	39.0	1.0		425688	0	95956		X
Mary T Lynch
Sr VP/Chief Gover & Sponorship	40.0	0.0		824957	0	148309		X
Linda K McClung
SR VP/Chief Admin Officer	39.0	1.0		721259	0	159607		X
Paul Generale
SR VP Senior Finance Officer	39.0	1.0		738988	0	119333		X
Jeffrey M Puckett
SR VP/Chief Stgy, Bus Adv/Dev	39.0	1.0		816906	0	162070		X
Eugene Woods
Sr VP Chief Operating Officer	39.0	1.0		1048113	0	238722		X
Marshall Bolyard
Executive Director USFHP	39.0	1.0		378185	0	45396		X
Alex J Valdez
VP, International Advocacy	40.0			530051	0	129936		X
JOHN L ZIPPRICH
SR VP INT OP LGL	40.0	0.0		1396379	0	121119		X
Donna Mikulecky
Sys Sr Dir (term 12/31/2012)	20.0	20.0		307789	307790	72452			X
Frantz R Melio
CMO, Hospital Based Physician	40.0			487576	0	95584			X
Marty F Margetts
Vice President,Human Resources	40.0			524051	0	115792			X
Darrell R Dixon
System Med Dir/System Dir Prof	40.0	0.0		506589	0	115380			X
Shelton L Webster
VP/Chief Medical Info Officer	40.0			492578	0	107290			X
Jay S Herron
SVP Chief Financial Officer	0.0	0.0		531531	0	0				X
Peter Maddox
SR VP BUSINESS,STGY & CORP DEV	0.0	0.0		1054340	0	39537				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	15393344	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	307790	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2676148	TotalOtherCompensation
Number Individuals GT100 K	166	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
Alliant Insurance Services
1301 Dove Street Suite 200	NEWPORT	CA	92660	health insurance	16663659
Carefusion Solutions LLC
3750 Torrey View Court	SAN DIEGO	CA	92130	medical services	15005344
ATT
2952 N Stemmons	DALLAS	TX	75247	communication svcs	13872658
2707 NORTH LOOP W LTD
2707 NORTH LOOP WEST	HOUSTON	TX	77044	building lease svcs	7256251
American Express
2233 Pebble Beach	INGLESIDE	TX	78362	card services	7128037

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	285	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
CAPITATION REVENUE	621400	157588990	157588990
SYSTEM OFFICE FEES AND MGMT SERVICE	561000	40746368	39374868	1371500
SERVICE FEE INCOME	541900	151636680	151138272	498408
EQUITY IN UNCONCOL SUBS	900099	105623520	105623520
MEANINGFUL USE INCENTIVE PAYMENTS	900099	21993150	21993150

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	107310925	TotalRevenueColumn
Related Or Exempt Function Income	107310925	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	584899633	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	17695527	TotalRevenueColumn
Exclusion	$17,695,527	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	1337465	TotalRevenueColumn
Exclusion	$1,337,465	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	95756	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	36113	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	59643	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	59643	TotalRevenueColumn
Exclusion	$59,643	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1036643771	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1005289429	Securities
Other	9944	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	31354342	Securities
Other	-9944	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	31344398	TotalRevenueColumn
Exclusion	$31,344,398	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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	6936597	GrossSalesOfInventory
Cost Of Goods Sold	2301608	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4634989	TotalRevenueColumn
Exclusion	$4,634,989	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue
SPA REVENUE	812900	431283	431283
FITNESS CENTER	713940	85620	85620
SERVICE EATING	722210	44408	44408

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6309554	TotalRevenueColumn
Exclusion	$6,309,554	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6870865	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	646842520	TotalRevenueColumn
Related Or Exempt Function Income	583029725	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2431219	UnrelatedBusinessRevenue
Exclusion	$61,381,576	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9074043	Total
Program Services	9074043	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	48000	Total
Program Services	48000	ProgramServices

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	14603343	Total
Program Services	5060511	ProgramServices
Management And General	9542832	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	1049465	Total
Program Services	363672	ProgramServices
Management And General	685793	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	113904614	Total
Program Services	39471516	ProgramServices
Management And General	74433098	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	-16922037	Total
Program Services	1420367	ProgramServices
Management And General	-18342404	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	-4822496	Total
Program Services	-21546453	ProgramServices
Management And General	16723957	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8016722	Total
Program Services	3046442	ProgramServices
Management And General	4970280	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4118076	Total
Program Services	260586	ProgramServices
Management And General	3857490	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2612946	Total
Management And General	2612946	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	1031655	Total
Management And General	1031655	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	3635456	Total
Management And General	3635456	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	248386578	Total
Program Services	212065996	ProgramServices
Management And General	36320582	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1373232	Total
Program Services	6780	ProgramServices
Management And General	1366452	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	22700328	Total
Program Services	21482690	ProgramServices
Management And General	1217638	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	24475709	Total
Program Services	11569405	ProgramServices
Management And General	12906304	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	7020364	Total
Program Services	1497099	ProgramServices
Management And General	5523265	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2873649	Total
Program Services	398985	ProgramServices
Management And General	2474664	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	31610827	Total
Management And General	31610827	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16512990	Total
Program Services	5514990	ProgramServices
Management And General	10998000	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10277397	Total
Program Services	9244216	ProgramServices
Management And General	1033181	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
SWAP FINANCING COST	15338456	15338456
DUES/MEMBERSHIPS/SUBSCRIP	2785526	2323420	462106
RECRUITMENT/PLACEMENT FEES	1191770	1045539	146231
BAD DEBT EXPENSE	44605		44605

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1384261	Total
Program Services	821265	ProgramServices
Management And General	562996	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	522325479	Total
Program Services	300453052	ProgramServices
Management And General	221872427	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	86024881	BOY
EOY	2703843	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	88340000	BOY
EOY	10620547	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	9461334	BOY
EOY	10028157	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	949394947	BOY
EOY	915381902	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	915785	BOY
EOY	801466	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	35009296	BOY
EOY	48874861	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	155308733	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	62797338	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	89613536	BOY
EOY	92511395	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	856407788	BOY
EOY	988700512	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	197147318	BOY
EOY	395670563	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	300754320	BOY
EOY	97144443	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	49041435	BOY
EOY	31943296	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	178482475	BOY
EOY	101940454	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2840593115	BOY
EOY	2696321439	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	171659695	BOY
EOY	218537661	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	235332	BOY
EOY	5046868	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1205106732	BOY
EOY	1120636992	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	1388607727	BOY
EOY	1170823577	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2765609486	BOY
EOY	2515045098	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	67374665	BOY
EOY	179919437	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	153543	BOY
EOY	154499	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7455421	BOY
EOY	1202405	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	74983629	BOY
EOY	181276341	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2840593115	BOY
EOY	2696321439	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	124517041	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	50356683	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-68581012	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)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	353830	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	101308	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	257890	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3016026	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	3729054	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	157584471	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	161364314	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	151666161	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	208487936	CurrentTaxYearMinus1Year
Current Tax Year	195922267	CurrentTaxYear
Total	875025149	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2754000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4294072	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4434502	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4736260	CurrentTaxYearMinus1Year
Current Tax Year	6936597	CurrentTaxYear
Total	23155431	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	160692301	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	165759694	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	156358553	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	216240222	CurrentTaxYearMinus1Year
Current Tax Year	202858864	CurrentTaxYear
Total	901909634	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	901909634	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26526540	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16618261	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17322724	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	17625801	CurrentTaxYearMinus1Year
Current Tax Year	19128748	CurrentTaxYear
Total	97222074	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26526540	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16618261	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17322724	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	17625801	CurrentTaxYearMinus1Year
Current Tax Year	19128748	CurrentTaxYear
Total	97222074	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1109700	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3075838	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	140525	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	171489	CurrentTaxYearMinus1Year
Current Tax Year	6309554	CurrentTaxYear
Total	10807106	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	188328541	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	185453793	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	173821802	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	234037512	CurrentTaxYearMinus1Year
Current Tax Year	228297166	CurrentTaxYear
Total	1009938814	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.89303	PublicSupportPercentage509
Prior Year Support Percentage	0.00000	PriorYearSupportPercentage
Investment Income Percentage	0.09627	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$10,000	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$51,474	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$970,181	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1031655	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, Lines 1a and 1b	ReturnReference
Explanation	THE ORGANIZATION HELD LOUISIANA ADVOCACY DAY WHERE CHRISTUS HEALTH EXECUTIVES, BOARD MEMBERS AND ASSOCIATES MET WITH LEGISLATORS TO DISCUSS ISSUES SUCH AS PROTECTING FUNDING OR SCHOOL BASED HEALTH CENTERS, HB1-MEDICAID STATE BUDGET, SB763-LOUISIANA WORKERS COMPENSATION, SB629-TRANSPARENCY IN COORDINATED CARE NETWORKS AND HB1203-EXEMPT PRESCRIPTION DRUGS FROM LOCAL SALES & USE TAX. MEMBERS OF THE ORGANIZATION MET WITH TEXAS HOUSE APPROPRIATION COMMITTEE MEMBERS, GOVERNOR RICK PERRY AND HIS STAFF TO DISCUSS HEALTHCARE REFORMS EMPHASIZING HOME/COMMUNITY BASED CARE, PERMITTING DIRECT EMPLOYMENT OF PHYSICIANS, EXPANDING ADVANCE PRACTICE NURSING AND DRAWING NEW EFFICIENCIES FOR HEALTH INFORMATION TECHNOLOGY TO ACHIEVE MEDICAID COST SAVINGS. FORM 990, SCHEDULE C, PART II-B, LINE 1D A TOTAL OF 2089 EMAILS AND FAXES SENT ON BEHALF OF CHRISTUS HEALTH BY EMPLOYEES AS WELL AS VOLUNTEERS. 3/4/2013 (HR3590) SUPPORT MEDICAID EXPANSION IN LOUISIANA: 3 4/16/2013 (HR3590) SUPPORT MEDICAID EXPANSION IN TEXAS: 1485 9/5/2013 (HR1787/S842) URGE CONGRESS TO EXTEND MDH PROGRAM AND LVH ADJUSTMENT HR1787/S842 1 MINUTE PER EMAIL $5,000 ANNUAL FEE TO CAPWIZ $5,000 WEBSITE SERVER HOST FEE ANNUAL FORM 990, SCHEDULE C, PART II-B, LINE 1G DELISI 75% OF 210,000.00 OF ANNUAL FEE UTILIZED FOR LOBBYING TEXAS HOSPITAL ASSOCIATION 24.6 OF $382,742.00 OF ANNUAL DUES UTILIZED FOR LOBBYING PATTON BOGGS 75% OF $420,000.00 OF ANNUAL FEE UTILIZED FOR LOBBYING PABLO SEDILLO 35% OF $30,000.00 OF ANNUAL FEE UTILIZED FOR LOBBYING NEW MEXICO HOSPITAL ASSOCIATION 11.7% OF $100,909.00 OF ANNUAL DUES UTILIZED FOR LOBBYING MCGUIRE WOODS 75% OF $27,500.00 OF ANNUAL FEE UTILIZED FOR LOBBYING DON GILBERT 20% OF $12,085.00 OF ANNUAL FEE UILIZED FOR LOBBYING COURSON NICKEL 90% OF $90,000.00 OF ANNUAL FEE UTILIZED FOR LOBBYING *CATHOLIC HEALTH ASSOCIATION 3.31% OF $575,484,000.22 OF ANNUAL DUES UTILIZED FOR LOBBYING HAD DIRECT CONTACT WITH MEMBERS AND STAFF OF THE LOUISIANA STATE LEGISLATURE, DEPARTMENT OF HEALTH AND HOSPITALS, LOUISIANA GOVERNOR BOBBY JINDAL STAFF THROUGH EMAILS, PHONE CALLS AND MEETINGS ON ISSUES SUCH AS MEDICAID EXPANSION, REIMBURSEMENT(HB 1), SCHOOL BASED HEALTH CLINICS(HB 1), HOSPITAL PROVIDER FEE (HB 532), UNCOMPENSATED CARE, MEDICAID MANAGED CARE, LSU CHARITY CARE SYSTEM PRIVATIZATION (HB 1). HAD DIRECT CONTACT WITH MEMBERS AND STAFF OF THE TEXAS STATE LEGISLATURE, TEXAS HEALTH AND HUMAN SERVICES COMMISSION STAFF, TEXAS GOVERNOR PERRY STAFF THROUGH EMAILS, PHONE CALLS AND MEETINGS ON ISSUES SUCH AS: MEDICAID EXPANSION(SB 7), 1115 TRANSFORMATION WAIVER, MEDICAID MANAGED CARE(SB 7), MEDICAID DISPROPORTIOANTE SHARE FUNDING(SB 1), STATE BUDGET AND MEDICAID COST CONTAINMENT POLICY(SB 1), ADVANCED DIRECTIVES ACT, NICU REGIONALIZTION(HB 15) AND HOSPITAL DISTRICT LEGISLATION (SB 1863). HAD DIRECT CONTACT WITH MEMBERS OF THE NEW MEXICO STATE LEGISLATORS THROUGH EMAILS, PHONE CALLS AND MEETINGS ON THE ISSUE OF SOLE COMMUNITY PROVIDER FUNDING AND MEDICAID WAIVERS. HAD DIRECT CONTACT WITH MEMBERS OF THE TEXAS, LOUISIANA, NEW MEXICO CONGRESSIONAL DELEGATION THROUGH EMAILS, PHONE CALLS AND MEETINGS ON HEALTHCARE REFORM, CMS INNOVATIONS, MEDICARE DEPENDENT HOSPITAL (H.R. 1787/S842) AND RURAL HOSPITAL ACCESS ACT OF 2013, MEDICARE DSH(H.R. 1920/ S1555), IPPS MEDICARE RULE AND THE MEDICARE AUDIT IMPROVEMENT ACT OF 2013. (HR 1250/S1012). $18,392 AMERICAN HOSPITAL ASSOCIATION 23.98 % OF $342,942.00 OF ANNUAL DUES UTILIZED FOR LOBBYING FORM 990, SCHEDULE C, PART II-B, LINE 1I "OTHER ACTIVITIES" INCLUDES THE FOLLOWING ITEMS: (1) THE PORTION OF FY 2012 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE HOSPITAL AND PROFESSIONAL ASSOCIATION. (2) THE FEE PAID TO ADVOCACY AND PUBLIC POLICY CONSULTANTS APPORTIONED TO LOBBYING FOR SUCH TOPICS AS HEALTHCARE REIMBURSEMENT ISSUES AND HEALTHCARE REFORMS. (3) THE WEBSITE DESIGN AND MAINTENANCE COST OF THE CHRISTUS ADVOCACY WEBSITE TOTALING: $970,181	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	24955829	OtherCostOrOtherBasis
Book Value	24955829	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	87852269	OtherCostOrOtherBasis
Depreciation	28338229	Depreciation
Book Value	59514040	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18922898	OtherCostOrOtherBasis
Depreciation	12299502	Depreciation
Book Value	6623396	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20918217	OtherCostOrOtherBasis
Depreciation	20918217	Depreciation
Book Value	0	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2659520	OtherCostOrOtherBasis
Depreciation	1241390	Depreciation
Book Value	1418130	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	92511395	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
HEDGE FUNDS	394700822	F
MINERAL INTEREST	969741	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	395670563	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
CMS DUE RELATED ENTITIES	$1,025,936,763
PAYABLE TO CCVI	$502,042
LT SELF FUNDING LIABILITY	$58,136,055
CAPITAL LEASE LIABILITY	$6,956
LT PENSION LIABILITY	$75,434,622
SECURITY LENDING AGREEMENT	$9,210,459
DUE TO RELATED ORGANIZATIONS	-$70,605,690
OTHER LONG TERM OBLIGATIONS	$70,708,585
COLLECTIONS PAYABLE	$1,493,785

Field	Value	IRS element (for citing)
Total Of Amounts	1170823577	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS	FORM 990, PART X, LINE 1 AND 2	OTHER LIABILITIES, FORM 990, PART X, LINE 25 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
ENDOWMENT FUNDS	FORM 990, SCHEDULE D, PART V	CHRISTUS HEALTH HAS A 50% INTEREST IN BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES SHOW ENDOWMENTS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS. THEREFORE, CHRISTUS HEALTH REPORTS 50% OF SUCH ENDOWMENTS ON ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HOWEVER, SUCH ENDOWMENTS ARE NOT REPORTED ON THE CHRISTUS HEALTH FORM 990, SCHEDULE D, PART V BECAUSE CHRISTUS HEALTH DOES NOT HAVE A CONTROLLING INTEREST OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES, AND THEREFORE IT IS NOT A RELATED ORGANIZATION PER THE IRS FORM 990 INSTRUCTIONS.
UNCERTAIN TAX POSITIONS UNDER ASC 740	FORM 990, SCHEDULE D, PART X, Line 2	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2013 AND 2012.

Schedule F IRS990ScheduleF

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

Accts Actvs Out US Table AcctsActvsOutUSTable (10 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
North America	Program Services	Program/Bus Develop	26386
Europe (Including Iceland and Greenland)	Program Services	Program/Bus Develop	74099
East Asia and the Pacific	Program Services	Program/Bus Develop	49
Central America and the Caribbean	Program Services	Program/Bus Develop	3878
South America	Program Services	Program/Bus Develop	227737
North America	Program Services	Investments - Cap Cont	10500000
Central America and the Caribbean	Program Services	Investments-Book Value	189987698
Central America and the Caribbean	Program Services	Investments	56500000
Central America and the Caribbean	Program Services	self insurance funding	32303416
Central America and the Caribbean	Program Services	Investments-Book Value	113524808

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	403148071	SubtotalAmountSpent
Total Amount Spent	403148071	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	North America	Region
Purpose Of Grant	Donation/Fundraiser	PurposeOfGrant
Amount Of Cash Grant	48000	AmountOfCashGrant
Method Of Valuation	fmv	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Organization's Procedures for Monitoring Use of Grant Funds Outside the US	Identifier
Return Reference	FORM 990, SCHEDULE F, PART I, QUESTION 2	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. ORGANIZATIONS CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION, OR THE FOREIGN EQUIVALENT, AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST. CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.	Explanation

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
United Way of Santa Fe County
4400 Cerrillos Rd Suite A	Santa Fe	NM	87501	850163601	501(c)(3)	50000
Catholic Charities of Southeast Texas
2780 Eastex Freeway	Beaumont	TX	77703	741900345	501(c)(3)	35000	SEE PART IV
Pastoral Counseling Center
1533 S St Francis Dr STE E	Santa Fe	NM	87505	850411553	501(c)(3)	24000	Donation for Lyceum
New Braunfels Christian Ministries
1195 W San Antonio St	New Braunfels	TX	78130	262221231	501(c)(3)	40000	Donation to become member of The Cardinal's Circle
Martin Luther King Health Center
827 Margaret Pl Ste 201	Shreveport	LA	71101	721079721	501(c)(3)	45000	see part iv
Any Baby Can Inc
217 Howard Street	San Antonio	TX	78212	742684333	501(c)(3)	20000
Villa Therese Catholic Clinic
219 Cathedral Place	Santa Fe	NM	87501	850229019	501(c)(3)	48000	see part iv
El Centro Del Barrio Inc
3750 Commercial Ave	San Antonio	TX	78221	741787031	501(c)(3)	75000	see part iv
Seton Home
1115 Mission Rd	San Antonio	TX	78210	742247996	501(c)(3)	40000	Donation to the Good Health 18th annual TMA Foundation Gala
The Arc of San Antonio
13430 West Avenue	San Antonio	TX	78216	741200110	501(c)(3)	50000
Catholic Charities of Corpus Christi Inc
1322 Comanche St	Corpus Christi	TX	78401	742330464	501(c)(3)	40000	See Part IV
Citizens Promoting Medical Excellence
405 North Adams	Beeville	TX	78102	742531617	501(c)(3)	25000	Donation/Annual Spring Luncheon
Breath of Life Children's Center Inc
21715 Kingsland Blvd Suite 103	Katy	TX	77450	760626159	501(c)(3)	18750	see part iv
Kristi Samaritan Ctr for Counseling Education
17555 El Camino Real	Houston	TX	77058	760173176	501(c)(3)	15000	Program Support
Mary McLeod Bethune Day Nursery Inc
900 Kinney Avenue	Corpus Christi	TX	78401	741238426	501(c)(3)	8000	see part iv
San Antonio Christian Dental Clinic Inc
1 Haven for Hope Way Bldg 1 400	San Antonio	TX	78207	742428161	501(c)(3)	60000	see part iv
Samaritan Counseling Center of Southeast TX
3747 Doctors Drive	Port Arthur	TX	77642	760068922	501(c)(3)	50000	See Part IV
CHRISTUS Foundation for HealthCare
1919 La Branch	Houston	TX	77251	756074210	501(c)(3)	50000	Donation/New Roof
Calcasieu Parish School Board
1724 Kirkman Street	Lake Charles	LA	70601	726000235	501(c)(3)	13135	see part iv
CHRISTUS HEALTH FOUNDATION OF SOUTHEAST TX
2830 Calder	Beaumont	TX	77702	760136274	501(c)(3)	10000
Christus Health Ark-La-Tex
2600 ST MICHAEL DRIVE	Texarkana	TX	75503	752796815	501(c)(3)	176346	program support
Christus Health Gulf Coast
919 Hidden Ridge Drive	Irving	TX	75038	760591592	501(C)(3)	389032	program support
CONGREGATION OF THE SISTERS OF CHARITY-SA
4503 BROADWAY	SAN ANTONIO	TX	78209	741676917	501(C)(3)	1047504	community charity care
Villa De Matel
6510 LAWNDALE	HOUSTON	TX	77023	237152879	501(C)(3)	2173364	collaboration with other healthcare providers
CHRISTUS SPOHN HEALTH SYS DEVELOPMENT FND
600 ELIZABETH ST	CORPUS CHRISTI	TX	78404	741906005	501(C)(3)	63500
ST VINCENT HOSPITAL
PO BOX 2107	SANTA FE	NM	87504	850106941	501(C)(3)	4507412

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	26	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I, Part I, Question 2	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
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 (21 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
Ernie W Sadau
President/CEO	1020052	0	411500	0	187274	0	318174	0	21735	0	1958735	0	106776	0
George S Conklin
SR VP Chief Infor Officer	394616	0	136715	0	171457	0	94960	0	20005	0	817753	0	37513	0
John Gillean MD
SR VP Chief Medical Officer	598301	0	213276	0	94621	0	168720	0	32296	0	1107214	0	48716	0
Gerard F Heeley
Sr VP Mission and Ethics	307399	0	102363	0	15926	0	87184	0	8772	0	521644	0	0	0
Mary T Lynch
Sr VP/Chief Gover & Sponorship	422200	0	151298	0	251459	0	134727	0	13582	0	973266	0	0	0
Linda K McClung
SR VP/Chief Admin Officer	464742	0	167412	0	89105	0	129860	0	29747	0	880866	0	38909	0
Paul Generale
SR VP Senior Finance Officer	384313	0	167590	0	187085	0	98809	0	20524	0	858321	0	25575	0
Jeffrey M Puckett
SR VP/Chief Stgy, Bus Adv/Dev	534917	0	182287	0	99702	0	140347	0	21723	0	978976	0	62657	0
Randy Safady
Chief Financial Officer	657882	0	348172	0	98064	0	203254	0	26997	0	1334369	0	0	0
Eugene Woods
Sr VP Chief Operating Officer	765294	0	273431	0	9388	0	213920	0	24802	0	1286835	0	0	0
William L Pardue
Corp Secretary (term 10/31/12)	122402	0	24411	0	0	0	9475	0	9022	0	165310	0	0	0
Marshall Bolyard
Executive Director USFHP	235812	0	63076	0	79297	0	44241	0	1155	0	423581	0	60320	0
Donna Mikulecky
Sys Sr Dir (term 12/31/2012)	126020	126020	27016	27016	154753	154754	35134	35134	1092	1092	344015	344016	127636	127636
Frantz R Melio
CMO, Hospital Based Physician	375260	0	89479	0	22837	0	63448	0	32136	0	583160	0	0	0
Marty F Margetts
Vice President,Human Resources	350877	0	95337	0	77837	0	107885	0	7907	0	639843	0	0	0
Darrell R Dixon
System Med Dir/System Dir Prof	306660	0	95391	0	104538	0	82056	0	33324	0	621969	0	42513	0
Shelton L Webster
VP/Chief Medical Info Officer	358607	0	110162	0	23809	0	97551	0	9739	0	599868	0	0	0
Peter Maddox
SR VP BUSINESS,STGY & CORP DEV	83633	0	67372	0	903335	0	38681	0	856	0	1093877	0	524804	0
Jay S Herron
SVP Chief Financial Officer	0	0	0	0	531531	0	0	0	0	0	531531	0	0	0
Alex J Valdez
VP, International Advocacy	408064	0	90604	0	31383	0	117955	0	11981	0	659987	0	0	0
JOHN L ZIPPRICH
SR VP INT OP LGL	415376	0	164058	0	816945	0	116064	0	5055	0	1517498	0	323904	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Explanation	FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS oF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTIONS 1-2 ***OPEN ITEM FIRST CLASS TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, QUESTION 3 CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT FORM 990, SCHEDULE J, PART I, QUESTION 4A UNDER THE SEVERANCE PLAN, ALL OR A PORTION OF THE BASE SALARY OF A PARTICIPATING EXECUTIVE WILL CONTINUE TO BE PAID TO THE EXECUTIVE FOR A LIMITED PERIOD OF TIME IF THE EXECUTIVE'S EMPLOYMENT WITH CHRISTUS AND ITS AFFILIATES IS INVOLUNTARILY TERMINATED. JAY HERRON RECEIVED $529,984 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. PETER MADDOX RECEIVED $368,150 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. JOHN ZIPPRICH RECEIVED $132,690 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. PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR YEAR 990 ERNIE SADAU RECEIVED $106,776 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. GEORGE CONKLIN RECEIVED $37,513 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. JOHN GILLEAN RECEIVED $48,716 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. LINDA MCCLUNG RECEIVED $38,909 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PAUL GENERALE RECEIVED $25,575 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. JEFFREY PUCKETT RECEIVED $62,657 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. MARSHALL BOLYARD RECEIVED $60,320 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. DONNA MIKULECKY RECEIVED $255,272 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. DARRELL DIXON RECEIVED $42,513 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PETER MADDOX RECEIVED $524,804 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. JOHN ZIPPRICH RECEIVED $323,904 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2012. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN (B)(II) THE BONUS AND INCENTIVE COMPENSATION IS A RESULT OF A CHANGE IN POSITION AND REQUIRED RELOCATION. THE AMOUNT ON SCHEDULE J, PART II, COLUMN (B)(II) INCLUDES TAX ASSISTANCE OF $153,378 AND A TRANSFER/SIGN-ON BONUS OF $27,500. THE RELOCATION PORTION OF THE BONUS IS CONTINGENT ON CONTINUOUS EMPLOYMENT WITH CHRISTUS THROUGH 5-1-18 OR THE AMOUNT IS SUBJECT TO REPAYMENT. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FORM 990, SCHEDULE J, PART II, COLUMN (F) THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HARRIS COUNTY HEALTH FACILITIES DEV CORP
A	521284201	41315RFV1	2005-11-08	320620000	SEE SCHEDULE O	false	false	false
HARRIS COUNTY HEALTH FACILITIES DEV CORP
B	521284201	41315RHY3	2010-12-09	96654505	SEE SCHEDULE O	false	false	false
COASTAL BEND HEALTH FACILITIES DEV CORP
C	742352502	19042FAB2	2005-11-08	61300000	SEE SCHEDULE O	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
D	720895871	546398E87	2009-12-03	56725518	SEE SCHEDULE O	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	170820000	320967402	1687415	4733000	0	3624407	310922580	2009	false	true	true	true
B	9715000	96654505	0	0	4505	0	96650000		true	false	true	true
C	6200000	62856640	337093	914000	393273	18182274	43030000	2009	true	false	true	true
D	33940000	56725518	0	0	518	0	56725000		true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts
A	false	false	false	false	false	false	false	true
B	false	false	true	false	false	false	false	true	true
C	false	false	false	false	false	false	false	true	true
D	false	false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
0
A	false	false	false	true	true	false	false	0	false	false
0
B	false	true	false	false	false	false	false	0	true	false
0
C	false	false	false	true	true	false	false	0	true	false
0
D	false	true	false	false	false	false	false	0	false	false

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	See Schedule O	Identifier
Return Reference	0	ReturnReference

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
LOUISIANA PUBLIC FACILITIES AUTHORITY
A	720895871	546398ZM3	2008-11-25	44382370	SEE SCHEDULE O	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
B	720895871	546398C71	2009-08-12	231654638	SEE SCHEDULE O	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
C	043833551	87638TDB6	2008-11-25	185542228	SEE SCHEDULE O	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
D	043833551	87638TDF7	2008-12-19	268560000	SEE SCHEDULE O	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	3835000	44516460	4125856	775238	575366	0	39040000	true	false	true	true
B	15525000	231883365	15829227	0	0	4138	216050000	true	false	false	true
C	10195000	186140922	17525989	3029908	2510025	0	163075000	true	false	true	true
D	75240000	268560701	0	1638896	235297	0	266686508	true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts
A	false	false	false	false	false	false	false	true
B	false	false	false	false	false	false	false	true
C	false	false	false	false	false	false	false	true
D	false	false	true	false	false	false	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
0
A	false	true	false	false	false	false	false	0	false	false
0
B	false	true	false	false	true	false	false	0	true	false
0
C	false	true	false	false	false	false	false	0	true	false
CITIBANK NA
D	true				true	true	false	0	true	false	39.7	false	false

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Issuer EIN	043833551	IssuerEIN
CUSIP Number	87638TEA7	CUSIPNumber
Date Issued	2009-12-03	DateIssued
Issue Price	73865293	IssuePrice
Description Of Purpose	SEE SCHEDULE O	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	6605000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	73865293	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	0	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	73865293	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Prcntge Bond Financed Prop	0.00000	PrcntgeBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

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

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

Name Of GIC Provider NameOfGICProvider

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

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

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

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

Field	Value	IRS element (for citing)
Relationship	SEE PART V, TRANSACTION 1	Relationship
Amount Of Transaction	32303416	AmountOfTransaction
Description Of Transaction	SEE PART V, TRANSACTION 1	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	TRANSACTION 1: PART IV, LINE 1, COLUMN B & D SELF INSURANCE FUNDING OF EMERALD ASSURANCE CAYMAN, LTD ERNIE SADAU IS AN OFFICER OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD. EUGENE WOODS IS A KEY EMPLOYEE OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Doing Business As	Form 990, Page 1, Item C	Christus Health Operates Under the Following Names: CHRISTUS St. Joseph Village onlinepaydirect CHRISTUS Health TechSource CHRISTUS Innovations Institute CHRISTUS Healthy Living Spa TLRA US Family Health Plan Uniformed Services Family Health Plan CHRISTUS Health System TechSource USFHP Marketplace Solutions CHRISTUS St. Michael Simulation Center RECLASS OF PRIOR YEAR INFORMATION FORM 990, PART I, LINES 9 AND 10 FYE 6/30/2012 INTER-COMPANY REIMBURSEMENT FROM AFFILIATES FOR BOND INTEREST PAID TO BOND HOLDERS WAS RECLASSED FROM INVESTMENT INCOME TO PROGRAM REVENUE CONSISTENT WITH CURRENT YEAR PRESENTATION. DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2013 WAS $176,430. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. AS OF JUNE 30, 2013, THE OUTSTANDING LOAN BALANCES WERE IN THE FOLLOWING REGIONS: OUTSIDE THE CHRISTUS HEALTH SERVICE AREAS: $973,818 IN CHRISTUS HEALTH GULF COAST REGION: $1,082,228 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $1,647,167 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $96,797 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $ 953,169 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $ 973,818 TOTAL CDI LOANS OUTSTANDING AS OF JUNE 30, 2013: $5,727,000 CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2013, GRANT FUNDS WERE DISTRIBUTED TO NON-PROFIT AGENCIES IN THE FOLLOWING REGIONS: IN CHRISTUS HEALTH ARK-LA-TEX REGION: $75,627 IN CHRISTUS HEALTH CENTRAL LOUISIANA REGION: $65,000 IN CHRISTUS HEALTH GULF COAST REGION: $83,750 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $66,559 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $170,000 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $190,597 IN CHRISTUS HEALTH SOUTHWESTERN LOUISIANA REGION: $59,135 IN CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REGION: $209,035 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $97,000 TOTAL CHRISTUS FUND $1,017,000 PROGRAM SERVICE EXPENSE = $1,023,500 GRANTS = $1,017,000 PROGRAM SERVICE REVENUE = $0
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, QUESTION 2	Officers Ernie Sadau and Randy Safady, and Key Employees John Gillean, MD and Eugene Woods have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd. Board member Celina Garza Ridge and key employees John Zipprich and Peter Maddox had a business relationship as each serves as a director of CHRISTUS Mugerza, S.A. DE C.V.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, QUESTION 6	CHRISTUS HEALTH HAS FOUR (4) CORPORATE MEMBERS, CONSISTING OF TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TX, AND TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO. TOGETHER THOSE FOUR SISTERS COMPRISE THE CORPORATE MEMBERS AND COLLECTIVELY THEY EXERCISE THE POWERS RESERVED TO THE MEMBERS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, QUESTION 7A	THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO AND CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, QUESTION 7B	THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, QUESTION 11B	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2014 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, QUESTION 12C	A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, QUESTIONS 15A & 15B	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, QUESTION 18	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, QUESTION 19	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2013.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9	Pension Funding - $54,776,610 Pension Liability/Expense - ($51,494,558) Transfer of Net Assets between Entities - ($106,067,714) Unrealized Gains-Unconsolidated Subs Securities (FASB #124) - ($515,480) Equity Adjustment consol Subs - ($49,373,178) Grupo Muguerza Equity Adjustment - ($6,410,973) Partnership Distributions - $312,500 Pension Amortization - $76,565,487 Minimum Pension Liability - $18,575,168 FEMA Contributed Capital - ($718,229) Temporary Restricted Contributions - $905 Other - $29 Permanently Restricted Contribs - ($4,264,339) Transfer of Restricted Donations - $32,760 TOTAL - ($68,581,012)
SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS	Form 990, Schedule K, PART I, PAGE 1	SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). FORM 990, SCHEDULE K, PART I, PAGE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $347,402 C. LINE 3. INVESTMENT EARNINGS= $1,556,640 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS=$134,090 B. LINE 3. INVESTMENT EARNINGS = $228,727 C. LINE 3. INVESTMENT EARNINGS = $598,694 D. LINE 3. INVESTMENT EARNINGS= $701 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 2C REBATE COMPUTATION PERFORMED AUGUST 20, 2009. C. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 20, 2009. LINE 7. CHRISTUS HEALTH HAS THE APPROPRIATE PROCESSES IN PLACE TO ADHERE TO AND MONITOR THE REQUIREMENTS UNDER IRC SECTION 148. CHRISTUS HEALTH IS CURRENTLY IN THE PROCESS OF FORMALLY ADOPTING WRITTEN PROCEDURES. FORM 990, SCHEDULE K, PART V THE ANSWER YES REFERS TO THE ORGANIZATIONS WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF REGULATIONS SECTIONS 1.141-12 AND 1.145-2 ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. REGULATIONS. THE ANSWER YES REFERS TO THE ORGANIZATIONS WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF REGULATIONS SECTIONS 1.141-12 AND 1.145-2 ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 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 SVCS	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(C)(3)	3	CH	true
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	true
Christus Spohn Health System Corporation
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 Calder Street	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	true
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVCS	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH UTAH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	870231682	HLTHCARE SVCS	UT	501(C)(3)	9	CH	true
CHRISTUS Continuing Care
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	true
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	11-TYPE 1	CH	true
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE	PARIS	TX	75460	421619230	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	CH	true
CHRISTUS STEHLIN FDN FOR CANCER RESEARCH
10301 Stella Link Suite A	HOUSTON	TX	77025	741622404	CANCER RESCH	TX	501(C)(3)	9	CH	true
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTHSTE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	CH	true
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	CH	true
ST FRANCES CABRINI HPL FDN OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HTH SVCS	LA	501(C)(3)	7	CNLA	true
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HTH SVCS	TX	501(C)(3)	7	GULF COAST	true
CHRISTUS SCHUMPERT HEALTH SYSTEM FD
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HTH SVCS	LA	501(C)(3)	7	NOLA	true
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HTH SVCS	TX	501(C)(3)	7	SPOHN HS	true
CHRISTUS HEALTH FDN OF SOUTHEAST OF TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	SETX	true
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HTH SVCS	TX	501(C)(3)	11-TYPE 1	CSRHCC	true
SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HLTHCARE SVCS	TX	501(C)(3)	9	CSRHCC	true
CHRISTUS Health Liab Retention Trust
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760259623	SELF INS TRST	TX	501(C)(3)	11-Type I	CH	true
SANTA ROSA GENERAL HOSPITAL AUXILIARY
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741278312	SUPP HTH SVCS	TX	501(C)(3)	3	CSRHCC	true
THE FRIENDS OF THE STEHLIN FOUNDATION
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	742200613	SUPP CCR RSRH	TX	501(C)(3)	9	CSFCR	true
CHRISTUS HEALTH PLAN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(C)(3)	9	CSHSC	true
ST FRANCES CABRINI HOSPITAL AUXILIARY
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HTH SVCS	LA	501(C)(3)	9	CNLA	true
Christus Santa Rosa Med Ctr Auxiliary
2827 Babock Road	San Antonio	TX	78229	731655493	SUPP HTH SVCS	TX	501(C)(3)	9	CSRHCC	true
CHRISTUS Health Strategic Growth
919 hidden ridge drive	irving	TX	75038	462798043	supp hth svcs	TX	501(c)(3)	11-type I	CH	true
CHRISTUS HEALTH LATIN AMERICA
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462816604	SPT HLTH SVCS	TX	501(C)(3)	11-TYPE I	CH	true
CHRISTUS HEALTH INTERNATIONAL
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462811167	SPT HLTH SVCS	TX	501(c)(3)	11-TYPE I	CH	true

Form990 Schedule R Part III Form990ScheduleRPartIII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1
LOUISIANA ATHLETIC CLUB LLC
1140 COLLEGE DRIVE	PINEVILLE	LA	71359	721461793	HEALTH CLUB	LA	CNLA
HEART CENTER OF CENTRAL LOUISIANA LP
2108 Texas Avenue	Alexandria	LA	71301	721325012	HLTHCARE SVCS	LA	CNLA
WEST HOUSTON REAL ESTATE DEVELOPMNT LLC
1700 WEST LOOP SOUTH	HOUSTON	TX	77027	262330994	HLTHCARE SVCS	TX	Gulf Coast
SOUTHEAST TEXAS PAIN MANAGEMENT LLC
PO BOX 5405	BEAUMONT	TX	77726	261678856	PAIN MGT HTH	TX	SETX
ST ELIZABETH REHAB PARTNERS
2830 CALDER STREET	BEAUMONT	TX	777021809	205657181	HLTHCARE SVCS	TX	H VENTURES-SETX
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SVCS	LA	OCCUPATIONAL HS
MCKENNA LEASING GP LLC
600 NORTH UNION AVE	NEW BRAUNFELS	TX	78130	741191729	INVESTMENT	TX	CSRHCC
MCKENNA EQUIPMENT LEASING LP
600 NORTH UNION AVE	NEW BRAUNFELS	TX	78130	204177842	MED EQUIP LEA	TX	CSRHCC
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HLTHCARE SVCS	TX	CSRHCC
CSR Outpatient Surgery New Braunfels
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HLTHCARE SVCS	TX	CSRHCC
CSR Surgery Center LLP
15305 Dallas Pkwy Ste 1600 LB 28	Addison	TX	75001	200424958	HLTHCARE SVCS	TX	CSRHCC
CHRISTUS Santa Rosa Physicians
333 Santa Rosa	San Antonio	TX	78207	412092141	HLTHCARE SVCS	TX	CSRHCC

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	755042911	752562459	HLTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	true
AK INTEGRATED COMM HLTH NTWK
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	760480684	HLTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	true
HOUSTON METROPOLITAN HLTH NTWK
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760427193	HLTHCARE SVCS	TX	CH Gulf Coast	C-Corp	true
SCH MGMNT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MGT JOINT VEN	LA	NOLA	C-Corp	true
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HLTH PLAN ADM	TX	Spohn HSC	C-Corp	true
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	Spohn HSC	C-Corp	true
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SVCS	TX	CH SETX	C-Corp	true
HEALTH VENTURES OF SE TEXAS
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760397263	BUILDING RENT	TX	CH SETX	C-Corp	true
OCCUPATIONAL HEALTH SVCS INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SVCS	LA	CH SWLA	C-Corp	true
SOUTHWESTERN LOUISIANA PHO
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HLTHCARE SVCS	LA	CH SWLA	C-Corp	true
SOUTH RYAN DEVELOPMENT CORP
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BLDG	LA	CH SWLA	C-Corp	true
MCKENNA PROF BLDG OWNERS ASSOC
598 N UNION ST SUITE 210	NEW BRAUNFELS	TX	78130	742742934	BUILDING ASSO	TX	CSRHCC	C-Corp	true
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480	SAN ANTONIO	TX	78201	742782184	health svcs	TX	CSRHCC	C-Corp	true
CHRISTUS Muguerza SAPI de CV
					HLTHCARE SVCS		CH	C-Corp	true	Hidalgo PTE 2525	Col. Obispado, Monterrey	N.L.	MX	64060	MX	305485871	97853925	0.64600
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C-Corp	true	PO BOX 1051	GRAND CAYMAN		CJ	KY1-1102	CJ	33948431	213984028	1.00000
SUPERCAMPTO INC
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	760534968	MEDICAL RSCH	TX	STEHLIN FND	C-CORP	true
ROMLAC INC
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	741674943	REAL ESTATE I	TX	STEHLIN FND	C-CORP	true
CHRISTUS LOUISIANA HEALTH PLAN
3330 Masonic Drive	Alexandria	LA	71301	452515179	HLTH PLAN ADM	LA	CH CNLA	C-CORP	true

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
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	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 (66 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CH WILKINSON PHYSICIAN NETWORK
A(I)	272511	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
l	1363317	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
p	5252423	ACCRUAL
CHRISTUS CONTINUING CARE
A(I)	615741	ACCRUAL
CHRISTUS CONTINUING CARE
b	1369510	ACCRUAL
CHRISTUS CONTINUING CARE
P	8655449	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
b	176346	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
l	3164270	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
p	32760176	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
l	4678797	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
p	36170099	ACCRUAL
CHRISTUS HEALTH GULF COAST
A(I)	1099536	ACCRUAL
CHRISTUS HEALTH GULF COAST
m	12231985	ACCRUAL
CHRISTUS HEALTH GULF COAST
p	26087251	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
l	2402994	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
P	31259359	ACCRUAL
CHRISTUS HEALTH PLAN
o	50945	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
m	2657114	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
p	53707584	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
a(i)	85967	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
l	1334512	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
p	19219653	ACCRUAL
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
P	557313	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
a(i)	325620	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
l	8721954	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
p	82402948	ACCRUAL
CHRISTUS SANTA ROSA OUTPATIENT SURG CTR-NB
P	86316	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
a(i)	2495426	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
l	8793599	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
p	88837333	ACCRUAL
EMERALD ASSURANCE CAYMAN LTD
q	25856528	ACCRUAL
SPOHN INVESTMENT CORPORATION
p	66514	accrual
ST ELIZABETH REHAB PARTNERS LLP
p	89779	accrual
St Vincent Hospital
b	1129606	accrual
St Vincent Hospital
l	9973231	accrual
St Vincent Hospital
o	170200	accrual
St Vincent Hospital
p	7367881	accrual
Christus Health Southeast Texas
a(i)	13181	accrual
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
B	63500	ACCRUAL
St Vincent Hospital
B	4507412	ACCRUAL
CHRISTUS HEALTH ARK-LA-TEX
q	3807459	accrual
CHRISTUS HEALTH ARK-LA-TEX
r	2793736	accrual
CHRISTUS HEALTH ARK-LA-TEX
s	4938640	accrual
CHRISTUS HEALTH CENTRAL LOUISIANA
o	2761121	accrual
CHRISTUS HEALTH CENTRAL LOUISIANA
r	1575999	accrual
Christus Health Gulf Coast
g	413354	accrual
Christus Health Gulf Coast
q	10417073	accrual
Christus Health Gulf Coast
r	2711494	accrual
Christus Health Northern Louisiana
q	2571711	accrual
Christus Health Northern Louisiana
r	504947	accrual
Christus Health Southeast Texas
b	110803	accrual
Christus Health Southeast Texas
g	3664453	accrual
Christus Health Southeast Texas
q	5037598	accrual
Christus Health Southeast Texas
r	5755324	accrual
Christus Health Southwestern Louisiana
q	1942351	accrual
Christus Health Southwestern Louisiana
r	1258337	accrual
Christus Santa Rosa Health Care Corporation
q	5302885	accrual
Christus Santa Rosa Health Care Corporation
r	16741925	accrual
Christus Santa Rosa Health Care Corporation
s	3110064	accrual
Christus Health Plan
q	3829142	accrual
CHRISTUS HEALTH SOUTHEAST TEXAS
S	2385637	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
S	4487105	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
S	4606446	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
S	5366992	ACCRUAL
CHRISTUS HEALTH GULF COAST
S	8081545	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
S	8104496	ACCRUAL