CHRISTUS SPOHN HEALTH SYSTEM CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS SPOHN HEALTH SYSTEM CORPORATION (EIN 74-1109836)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-12
IRS object ID: 201421329349303612
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-12T16:08:01-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	741109836	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Christus Spohn Health System Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% PAMELA BROWER	InCareOfName
Name Control	CHRI	NameControl
Phone	3618813400	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 Elizabeth Street	AddressLine1
Address Line2	Suite	AddressLine2
City	Corpus Christi	City
State	TX	State
ZIP Code	78404	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAMELA BROWER	Name
Title	TREASURER	Title
Date Signed	2014-05-10	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	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	PAM ROBERTSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	600 ELIZABETH STREET	AddressLine1
City	Corpus Christi	City
State	TX	State
ZIP Code	78404	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	761162659	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.christusspohn.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1965	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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	5880	TotalNbrEmployees
Total Nbr Volunteers	700	TotalNbrVolunteers
Total Gross UBI	43235	TotalGrossUBI
Contributions Grants Prior Year	8850151	ContributionsGrantsPriorYear
Contributions Grants Current Year	9314392	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	687132980	ProgramServiceRevenuePriorYear
Program Service Revenue CY	745702445	ProgramServiceRevenueCY
Investment Income Prior Year	-80436	InvestmentIncomePriorYear
Investment Income Current Year	-129243	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5643187	OtherRevenuePriorYear
Other Revenue Current Year	6111726	OtherRevenueCurrentYear
Total Revenue Prior Year	701545882	TotalRevenuePriorYear
Total Revenue Current Year	760999320	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3611189	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2475087	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	288667647	SalariesEtcPriorYear
Salaries Etc Current Year	288867521	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	28277	TotalFundrsngExpCurrentYear
Other Expense Prior Year	375222202	OtherExpensePriorYear
Other Expenses Current Year	437944855	OtherExpensesCurrentYear
Total Expenses Prior Year	667501038	TotalExpensesPriorYear
Total Expenses Current Year	729287463	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	34044844	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	31711857	RevenuesLessExpensesCY
Total Assets BOY	910789197	TotalAssetsBOY
Total Assets EOY	932568991	TotalAssetsEOY
Total Liabilities BOY	276726911	TotalLiabilitiesBOY
Total Liabilities EOY	267338354	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	634062286	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	665230637	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	200853027	Expense
Grants	0	Grants
Revenue	278287769	Revenue
Description	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS SPOHN HEALTH SYSTEM IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 148-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS 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 AN ADVOCATE IN CREATING 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 SPOHN HEALTH SYSTEM CORPORATION RESPONDS TO THE COMMUNITIES' HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI WITH THREE CAMPUSES -- THE 557-BED SHORELINE CAMPUS, THE 341 BED MEMORIAL CAMPUS, AND THE 158-BED SOUTH CAMPUS. ADDITIONALLY, WE SERVE OUR COMMUNITIES THROUGH CHRISTUS SPOHN HOSPITAL KLEBERG WITH 96 BEDS IN KINGSVILLE, CHRISTUS SPOHN HOSPITAL ALICE WITH 135 BEDS IN ALICE, AND CHRISTUS SPOHN HOSPITAL BEEVILLE IN BEEVILLE WITH 69 BEDS. EACH OF THE FACILITIES OF CHRISTUS SPOHN HEALTH SYSTEM CORPORATION SHARES ONE OBJECTIVE - TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION IS LOCATED ALONG THE LOWER TEXAS COASTAL AREA (OFTEN CALLED THE COASTAL BEND), AND ITS SERVICE AREA INCLUDES A 15-COUNTY AREA WITH A POPULATION OF MORE THAN 598,000 INDIVIDUALS. IN OUR 2013 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING OVER 178,000 VISITS TO OUR EMERGENCY DEPARTMENTS; OVER 11,000 INPATIENT SURGERY PROCEDURES; OVER 11,000 OUTPATIENT SURGERY PROCEDURES; OVER 46,000 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND OVER 437,000 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS SPOHN HEALTH SYSTEM CORPORATION STAND APART. ALLOWING OTHERS TO TOUCH US GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION'S HEALTH CARE SERVICES WORK TO PROVIDE THE HIGHEST QUALITY CARE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING TO CHRISTUS SPOHN HEALTH SYSTEM CORPORATION BY HELPING US LEARN HOW TO BETTER RESPOND TO THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO IMPROVE ACCESS TO HEALTH CARE TO AS MUCH OF OUR POPULATION AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE PROVIDE SPECIFIC PROGRAMS TO PROVIDE FREE OR DISCOUNTED SERVICES TO THOSE IN NEED WHO DO NOT HAVE THIRD PARTY COVERAGE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. EACH OF THE SIX CAMPUSES OF CHRISTUS SPOHN HEALTH SYSTEM PROVIDES A 24-HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, OFFERING CONVENIENT LOCATIONS FOR PRIMARY CARE THROUGH THE CHRISTUS SPOHN FAMILY HEALTH CENTERS, RURAL HEALTH CLINICS, AND A MOBILE OUTREACH CLINIC. IN ADDITION, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION COLLABORATES WITH THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN OUR REGION, AS WELL AS OTHER NOT-FOR-PROFIT HEALTH CLINICS IN THE AREA THAT ARE COMMITTED TO CREATING GREATER ACCESS TO PRIMARY CARE. AS ONE EXAMPLE, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDED FREE LAB TESTS FOR PATIENTS SEEN BY MISSION OF MERCY, A NOT-FOR-PROFIT FREE HEALTH CLINIC THAT UTILIZES THE SERVICES OF VOLUNTEER PHYSICIANS AND NURSES AND USES DONATED SPACE IN CHURCHES, COMMUNITY CENTERS AND OTHER LOCATIONS THROUGHOUT THE REGION. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES THE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	118737029	Expense
Grants	0	Grants
Revenue	206336371	Revenue
Description	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" (2012), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. THIS FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS DEFINED AS SERVICES PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO CHARGE, IF ANY, IS ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO DISCOUNTS CARE FOR THOSE WHOSE MEDICAL EXPENSES WOULD DEPLETE THEIR FINANCIAL RESOURCES. IF A BILL, AFTER ALL PAYMENTS, IS STILL IN EXCESS OF 25% OF THE FAMILY'S ANNUAL GROSS INCOME, THE REMAINING BILL IS DISCOUNTED. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	278096030	Expense
Grants	0	Grants
Revenue	261078305	Revenue
Description	OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE. THE NON-REIMBURSED COST OF THESE SERVICES IS REPORTED TO THE STATE OF TEXAS, BUT IS NOT INCLUDED IN FEDERAL REPORTS SINCE CHRISTUS HEALTH FOLLOWS 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 CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED PER THE MEDICARE FEE SCHEDULE.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	8403312	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	2475087	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	606089398	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	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	650	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	5880	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	PAMELA BROWER	NamePerson
Telephone Number	3618813432	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1714 SANTA FE	AddressLine1
City	Corpus Christi	City
State	TX	State
ZIP Code	78404	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Rosalinda Sosa-Bonilla EdD
Director	1.0	0.0	X
Richard Bowers
Director	1.0	0.0	X
Frank Brogan
Director	1.0	0.0	X
Martin C Davis
Director	1.0	0.0	X
Ben Donnell
Director	1.0	0.0	X
Brent Hagemeister MD
Director	1.0	0.0	X
Al Jones
Director	1.0	0.0	X
Stephen Tio Kleberg
Director	1.0	0.0	X
Anthony LaMantia
Director	1.0	0.0	X
J Douglas Pappas MD
Director (terminated 12/31/13)	1.0	0.0	X
Sister Rosanne Popp MD
Director	1.0	0.0	X
Elizabeth Chu Richter
Director	1.0	0.0	X
Pamela S Robertson
Director, President, CEO	40.0	0.0	X	X	758607	0	159968
Anna Marie Silvas
Director	1.0	0.0	X
Karen Urban
Director (term 12/31/12)	1.0	0.0	X
Sister Teresa Stanley
Director	1.0	0.0	X
Linda B Walker
Director	1.0	0.0	X
Pam Brower
CFO & Treasurer (eff 1/1/13)	40.0	0.0		X	334924	0	77592
Laura Martinez
Corporate Secretary	40.0	0.0		X	51948	0	7112
Charles T Volk
VP, Medical Affairs & CMO	39.0	1.0			419615	0	111013	X
Mark W Casanova
VP/COO CHRISTUS Spohn Hospital	40.0	0.0			276149	0	60127	X
Maria E Chapa
Executive VP/COO	40.0	0.0			465985	0	110219	X
Steven G Daniel
Sr. VP/COO ALice/rural fac	40.0	0.0			325418	0	82341	X
Paul A Gaden
VP/COO Shoreline & MEMORIAL	40.0	0.0			416805	0	97852	X
Raymundo Ramos Jr
VP/COO, BEEVILLE	40.0	0.0			229778	0	50232	X
James A Cato
CNE (eff. 12/12/11)	40.0	0.0			336818	0	80089	X
Margaret Colleen McHugh
VP, Compliance, Risk Mgmt	40.0	0.0			355892	0	63119		X
Mary A Lafrancois
VP Human Resources	40.0	0.0			270437	0	63999		X
Julie A Pina
CNO SHORELINE	40.0	0.0			254638	0	49972		X
Mary Sylvia Roberts
FORMER CNO MEMORIAL	0.0	0.0			241417	0	44618		X
Brian P Smith
VP Mission	40.0	0.0			237816	0	38528		X
SCOTT MERRYMAN
FORMER CFO	0.0	0.0			0	479765	82856			X
Norman L McBride
Former VP/COO KLEEBERG	0.0	0.0			329246	0	54400			X
RICHARD C DAVIS
FORMER VP, MEDICAL AFFAIRS/CFO	0.0	0.0			173714		0			X
FRANCIS A POMMETT JR
FORMER VP/COO SHORELINE	0.0	0.0			262714		15011			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5741921	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	479765	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1249048	TotalOtherCompensation
Number Individuals GT100 K	314	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
ARAMARK MANAGEMENT SERVICES LP
25271 NETWORK PLACE	CHICAGO	IL	60673	CAFETERIA MANAGEMENT	5191994
GULF SHORE ANESTHESIA ASSOC
1734 SANTA FE	CORPUS CHRISTI	TX	78404	ANESTHESIA SVCS	4314680
CCH CV
613 ELIZABETH ST SUITE 102	CORPUS CHRISTI	TX	78404	CATH LAB MANAGEMENT	3450339
CLINICAL PARTNERS CORPUS
7032 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	ANESTHESIA SVCS	3276321
DIALYSIS MANAGEMENT CORP
PO BOX 749959	LOS ANGELES	CA	900749959	DIALYSIS SVCS	2227530

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	181	NumberOfContractorsGT100K
Related Organizations	7786428	RelatedOrganizations
Government Grants	469897	GovernmentGrants
All Other Contributions	1058067	AllOtherContributions
Noncash Contributions	286201	NoncashContributions
Total Contributions	9314392	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	621990	726870579	726827344	43235
CORPORATE SYSTEM OFFICE REVENUE	900099	9000000	9000000
RENT RELATED TO EXEMPT FUNCTION	531120	5153671	5153671
PHARMACY	446110	2291324	2291324
EQUITY IN UNCONSOLIDATED SUBS	900099	2095539	2095539

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	291332	TotalRevenueColumn
Related Or Exempt Function Income	291332	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	745702445	TotalProgramServiceRevenue

Investment Income InvestmentIncome

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

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Rental Income Or Loss RentalIncomeOrLoss

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	34096	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	163339	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-129243	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-129243	TotalRevenueColumn
Exclusion	-$129,243	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
FOOD SERVICES	722320	3477510	$3,477,510
PURCHASE DISCOUNTS & CREDIT BALANCE	900099	444898	$444,898
OTHER OPERATING REVENUE	900099	2189318	$2,189,318

Field	Value	IRS element (for citing)
Total Other Revenue	6111726	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	760999320	TotalRevenueColumn
Related Or Exempt Function Income	745659210	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	43235	UnrelatedBusinessRevenue
Exclusion	$5,982,483	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2073243	Total
Program Services	2073243	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	401844	Total
Program Services	401844	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6459901	Total
Program Services	5864770	ProgramServices
Management And General	595131	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	225961160	Total
Program Services	205144036	ProgramServices
Management And General	20817124	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13287634	Total
Program Services	12774816	ProgramServices
Management And General	512818	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27043907	Total
Program Services	24408493	ProgramServices
Management And General	2635414	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16114919	Total
Program Services	14789931	ProgramServices
Management And General	1297063	ManagementAndGeneral
Fundraising	27925	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	87720	Total
Management And General	87720	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2325202	Total
Program Services	6408	ProgramServices
Management And General	2318794	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	121336195	Total
Program Services	37189148	ProgramServices
Management And General	84147047	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	522408	Total
Program Services	246	ProgramServices
Management And General	522162	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	40790148	Total
Program Services	33687179	ProgramServices
Management And General	7102877	ManagementAndGeneral
Fundraising	92	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	25250398	Total
Program Services	25250398	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8686485	Total
Program Services	8686485	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	1092757	Total
Program Services	820563	ProgramServices
Management And General	272049	ManagementAndGeneral
Fundraising	145	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	101190	Total
Program Services	89544	ProgramServices
Management And General	11646	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7898020	Total
Program Services	7895916	ProgramServices
Management And General	2104	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	32733039	Total
Program Services	31725214	ProgramServices
Management And General	1007825	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12329285	Total
Program Services	12328379	ProgramServices
Management And General	906	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROV. FOR UNCOLLECTIBLE ACCT	58975212	58975212
MEDICAL SUPPLIES	122932203	122707879	224324
RECRUITMENT/PLACEMENT FEE	1847620	407786	1439834
DUES AND MEMBERSHIP	458765	367755	91010

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	578208	Total
Program Services	494153	ProgramServices
Management And General	83940	ManagementAndGeneral
Fundraising	115	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	729287463	Total
Program Services	606089398	ProgramServices
Management And General	123169788	ManagementAndGeneral
Fundraising	28277	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	482883360	BOY
EOY	394383426	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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

Pledges And Grants Receivable PledgesAndGrantsReceivable

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

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	58056179	BOY
EOY	164751896	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	707022	BOY
EOY	601353	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	21419055	BOY
EOY	20954799	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	476863	BOY
EOY	128237	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	733528962	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	462164177	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	272090704	BOY
EOY	271364785	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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

Investments Other Securities InvestmentsOtherSecurities

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

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	17498170	BOY
EOY	17494422	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	585000	BOY
EOY	828211	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	57072844	BOY
EOY	62061862	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	910789197	BOY
EOY	932568991	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	44989337	BOY
EOY	40917377	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	2793815	BOY
EOY	3873570	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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

Escrow Account Liability EscrowAccountLiability

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

Loans From Officers Directors LoansFromOfficersDirectors

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

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	228943759	BOY
EOY	222547407	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	276726911	BOY
EOY	267338354	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	634009182	BOY
EOY	665186360	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	53104	BOY
EOY	44277	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	634062286	BOY
EOY	665230637	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	910789197	BOY
EOY	932568991	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	31711857	ReconcilationRevenueExpenses
Reconcilation Prior Adjustment	-5430	ReconcilationPriorAdjustment
Reconcilation Other Changes	-538076	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$166	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$38,573	OtherActivitiesAmount
Total Lobbying Expenditures IIB	38739	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, LINE 1G	ReturnReference
Explanation	HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS SPOHN HEALTH SYSTEM CORPORATION BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION HAD DIRECT CONTACT WITH UNITED STATES CONGRESSMEN AND MEMBERS OF THE TEXAS STATE LEGISLATURE AND THEIR STAFF THROUGH EMAILS, TELEPHONE CALLS AND MEETINGS ON ISSUES SUCH AS HEALTHCARE FOR THE UNINSURED, HEALTHCARE REFORM, HEALTHCARE COSTS AND ACCESS, AND DISPROPORTIONATE SHARE HOSPITALS, MEDICAID UPPER PAY LIMITS, DELIVERY SYSTEM REFORM INCENTIVE PAYMENTS AND 1115 HEALTHCARE TRANSFORMATION WAIVER. THE REPORTED EXPENSES ASSOCIATED WITH THESE ACTIVITIES INCLUDE STAFF COMPENSATION AND RELATED ALLOCABLE OVERHEAD. FORM 990, SCHEDULE C, PART II-B, LINE 1I "OTHER ACTIVITIES" REPORTS THE PORTION OF FY 2013 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $38,573. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PAID DUES TO THOT OF $38,573. CHRISTUS ADVOCACY DAY IN AUSTIN - MARCH 5, 2013 - PAM ROBERTSON MET WITH ABEL HERRERO, RYAN GUILLIEN, JM LOZANO, CHUY HINOJOSA, TODD HUNTER, SPEAKER OF THE HOUSE STRAUSSE. MARCH 7, 2013 - PAM ROBERTSON MET WITH GJERSET & LORENZO ATTORNEYS AND ATTENDED THE THOT MEETING. PAM HAD A TOTAL OF 510 MINUTES SPENT ON THESE ACTIVITIES. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-13.	Explanation

Schedule D IRS990ScheduleD

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23485512	OtherCostOrOtherBasis
Book Value	23485512	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	403736512	OtherCostOrOtherBasis
Depreciation	241042825	Depreciation
Book Value	162693687	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15531810	OtherCostOrOtherBasis
Depreciation	10885591	Depreciation
Book Value	4646219	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	287812526	OtherCostOrOtherBasis
Depreciation	209583126	Depreciation
Book Value	78229400	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2962602	OtherCostOrOtherBasis
Depreciation	652635	Depreciation
Book Value	2309967	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	271364785	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	DUE FROM RELATED ORGANIZATION	Description
Book Value	62061862	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	62061862	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
DUE TO CHRISTUS BOND FUND	$170,260,588
CAPITAL LEASE	$49,939,531
DUE TO RELATED ORGANIZATION	$2,294,726
SALES TAX PAYABLE	$52,562

Field	Value	IRS element (for citing)
Total Of Amounts	222547407	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

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

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81259894	TotalCommunityBenefitExpense
Net Community Benefit Expense	81259894	NetCommunityBenefitExpense
Percent Of Total Expense	0.12140	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	86408430	TotalCommunityBenefitExpense
Direct Offsetting Revenue	169973105	DirectOffsettingRevenue
Net Community Benefit Expense	-83564675	NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40638982	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36363266	DirectOffsettingRevenue
Net Community Benefit Expense	4275716	NetCommunityBenefitExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	208307306	TotalCommunityBenefitExpense
Direct Offsetting Revenue	206336371	DirectOffsettingRevenue
Net Community Benefit Expense	1970935	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	50	NumberOfActivitiesOrPrograms
Persons Served	8459	PersonsServed
Total Community Benefit Expense	2750586	TotalCommunityBenefitExpense
Direct Offsetting Revenue	102827	DirectOffsettingRevenue
Net Community Benefit Expense	2647759	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	3373	PersonsServed
Total Community Benefit Expense	7250418	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2003658	DirectOffsettingRevenue
Net Community Benefit Expense	5246760	NetCommunityBenefitExpense
Percent Of Total Expense	0.00780	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	9967	PersonsServed
Total Community Benefit Expense	442477	TotalCommunityBenefitExpense
Net Community Benefit Expense	442477	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	76	NumberOfActivitiesOrPrograms
Persons Served	21799	PersonsServed
Total Community Benefit Expense	10443481	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2106485	DirectOffsettingRevenue
Net Community Benefit Expense	8336996	NetCommunityBenefitExpense
Percent Of Total Expense	0.01250	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	76	NumberOfActivitiesOrPrograms
Persons Served	21799	PersonsServed
Total Community Benefit Expense	218750787	TotalCommunityBenefitExpense
Direct Offsetting Revenue	208442856	DirectOffsettingRevenue
Net Community Benefit Expense	10307931	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	66316	TotalCommunityBuildingExpense
Net Community Building Expense	66316	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	66316	TotalCommunityBuildingExpense
Net Community Building Expense	66316	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$58,975,212	BadDebtExpenseAmount
Amount Attributable To	2235137	AmountAttributableTo
Amount Reimbursed By Medicare	141397168	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	136732619	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4664549	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Corpus CH Cardio Ctr
Cardiac Cath Lab	0.50000	0.50000
Coastal Bend PET Sca
Diagnostic Testing Facility	0.49500	0.50500
Corpus Ch Surgicare
Ambulatory Surgery Center	0.28240	0.23670
Shoreline Surgery Ct
Ambulatory Surgery Center	0.25750	0.40500

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	6	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther	Research FacilityResearchFacility
CHRISTUS SPOHN HOSPITAL SHORELINE
1	600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	X	X	X	REHABILITATION CLINIC
CHRISTUS SPOHN HOSPITAL MEMORIAL
2	2606 HOSPITAL BLVD	CORPUS CHRISTI	TX	78405	X	X	X	OP PHYSICIAN CLINICS ADOLESCENT PSYCHTRY UNIT	X
CHRISTUS SPOHN HOSPITAL SOUTH
3	5950 SARATOGA BLVD	CORPUS CHRISTI	TX	78414	X	X	X
CHRISTUS SPOHN HOSPITAL ALICE
4	2500 MAIN STREET	ALICE	TX	78332	X	X	X	OP PHYSICIAN CLINICS REHAB CLINIC
CHRISTUS SPOHN HOSPITAL KLEBERG
5	1311 EAST GENERAL CAVAZOS BLVD	KINGSVILLE	TX	78363	X	X	X	OUTPATIENT PHYSICAL THERAPY
CHRISTUS SPOHN HOSPITAL BEEVILLE
6	1500 EAST HOUSTON HIGHWAY	BEEVILLE	TX	78102	X	X	X	OP PHYSICIAN CLINICS

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (6 entries)

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CORPUS CHRISTI SURGICARE LTD
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	OUTPATIENT SURGERY CENTER
SHORELINE SURGERY CENTER LLP
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	OUTPATIENT SURGERY CENTER
COASTAL BEND PET SCAN LTD
3226 REID DRIVE	CORPUS CHRISTI	TX	78404	RADIOLOGY, IMAGING AND X-RAY CLINIC
PORTLAND IMAGING CENTER LTD
1201 NEWHALL	BEEVILLE	TX	78102	RADIOLOGY, IMAGING AND X-RAY CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 5	BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. PART I, LINE 7B UNREIMBURSED MEDICAID CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $729,287,463. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $58,975,212. THIS LEAVES A TOTAL EXPENSE OF $670,312,251 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 32.63% WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS CHRISTUS SPOHN HEALTH SYSTEM CORPORATION MADE OVER $145,644 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2013. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH, THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $209,035 WERE DISTRIBUTED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS SPOHN HEALTH SYSTEM CORPORATION SERVES. THE CHRISTUS FUND GRANTS SUPPORT WORTHY CAUSES THAT BUILD COLLABORATION AND IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). CHRISTUS HEALTH HAS ALSO ESTABLISHED AN EDUCATION AND RESEARCH FUND. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION RECEIVED $209,035 FROM THE FUND AND USED SUCH RESOURCES TO BENEFIT THE COMMUNITY BY SPONSORING RESEARCH AND EDUCATIONAL PROJECTS. INDIGENT FUNDING EXPENSE OF $401,844 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2013, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE TO INCLUDE EXPANDING THE CURRENT ENROLLMENT PROGRAM FOR INDIGENT AND MEDICAID RECIPIENTS TO OFFER LOW INSURANCE PRODUCTS FOR THOSE INELIGIBLE FOR MEDICAID/CHIP. THE INDIGENT CARE HEALTH PROGRAM IS A LIMITED BENEFIT PLAN, ADMINISTERED BY CHRISTUS SPOHN HEALTH SYSTEM IN WHICH CERTAINLY MEDICAL SERVICES ARE COVERED FOR ELIGIBLE COUNTY RECIPIENTS. ELIGIBILITY ENTITLES QUALIFIED RESIDENTS WITHIN NUECES COUNTY TO RECEIVE HEALTH CARE SERVICES WHILE RESIDING WITH THE COUNTY INCLUDING MAJOR MEDICAL EXPENSES, HOSPITALIZATION AND SURGERIES, AND ROUTINE MEDICAL EXPENSES, OFFICE VISITS, ANNUAL EXAMS AND DURABLE MEDICAL EQUIPMENT, ALL SUBJECT TO CO-PAYMENTS. CHRISTUS SPOHN COMMUNITY OUTREACH REMAINS A COMMITTED PARTNER WITH PHYSICIANS AND RECIPIENTS OF CARE TO PROVIDE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE, AND WE ARE A COLLABORATIVE PARTNER COORDINATING CARE WITH OUR PHYSICIANS, FAMILY HEALTH CENTERS, AND HOSPITALS SEEKING SOLUTIONS TO IMPROVE THE HEALTH OF THOSE IN OUR COMMUNITY. PART III, SECTION A, LINE 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
PART III, SECTION A, LINE 3	ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE	UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. IN ORDER TO ASSESS THE BAD DEBT ACCOUNTS THAT WOULD LIKELY QUALIFY FOR CHARITY CARE, THE FOLLOWING CRITERIA WERE ESTABLISHED BASED ON AN ANALYSIS OF HISTORICAL DATA OF CHRISTUS HEALTH AND ITS RELATED ORGANIZATIONS: 1. PARO SCORE OF LESS THAN OR EQUAL TO 586, WHICH IS A PREDICTOR DEFINING THE LIKELY SOCIOECONOMIC CONDITIONS FOR THE PATIENT; 2. ESTIMATED FEDERAL POVERTY LEVEL OF LESS THAN OR EQUAL TO 226%, WHICH IS BASED ON ESTIMATED HOUSEHOLD SIZE AND HOUSEHOLD ESTIMATED INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2013, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 28.25% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2013. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 3.79% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2013 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; PROVISIONS FOR BAD DEBT; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." PART III, SECTION B, LINE 8 EXTENT TO WHICH SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT COSTING METHODOLOGY THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF ($XXX) IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. PART III, SECTION C, LINE 9 COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. PART V, SECTION B, LINE 3 INPUT FROM PERSONS REPRESENTING THE COMMUNITY CHRISTUS SPOHN HEALTH SYSTEM, IN COLLABORATION WITH ALL REGIONAL HOSPITALS IN THE COASTAL BEND AREA, AND FACILITATED BY FACULTY AT TAMU-CC, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE FINDINGS OF THE ASSESSMENT GUIDE OUTREACH EFFORTS AND OPPORTUNITIES FOR INTENTIONAL COLLABORATION WITH COMMUNITY STAKEHOLDERS SEEKING TO IMPROVE HEALTH STATUS, ESPECIALLY FOR THOSE WHO ARE UNDERSERVED IN THE COASTAL BEND REGION. THE TASK FORCE THAT INITIATED THE FIRST NEEDS ASSESSMENT PROCESS ALMOST A DECADE AGO CONTINUES TO WORK TOGETHER BOTH TO CONDUCT THE TRI-ANNUAL UPDATES AS WELL AS TO ADDRESS SPECIFIC UNMET NEEDS. ONE SIGNIFICANT DEVELOPMENT HAS BEEN THE ESTABLISHMENT AND MAINTENANCE OF A WEBSITE (HTTP://COASTALBENDHEALTHFINDER.COM/) TO ADDRESS BOTH HEALTH LITERACY AND NAVIGATION OF AN INCREASINGLY COMPLICATED HEALTHCARE DELIVERY SYSTEM. THE TASK FORCE WILL CONTINUE TO FUNCTION IN THIS CAPACITY AND COLLABORATE ON IMPACTFUL PROGRAMMING WHENEVER POSSIBLE. PART V, SECTION B, LINE 4 CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT OF THE 19-COUNTY SERVICE AREA LARGELY CONSTITUTING THE COASTAL BEND REGION OF TEXAS. THE PARTICIPANTS INCLUDED CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, DRISCOLL CHILDREN'S HOSPITAL, DRISCOLL CHILDREN'S HEALTH PLAN, CORPUS CHRISTI MEDICAL CENTER, CITIZENS MEDICAL CENTER, CORPUS CHRISTI INDEPENDENT SCHOOL DISTRICT, NUECES COUNTY HEALTH DEPARTMENT, NUECES COUNTY MEDICAL SOCIETY, UNITED WAY OF THE COASTAL BEND, FQHC RURAL COMMUNITY ACTION CORPORATION OF SOUTH TEXAS, DELMAR COLLEGE, DUBUIS HEALTH SYSTEM, SAN PATRICIO COUNTY HEALTH DEPARTMENT, AND TEXAS A&M UNIVERSITY AT CORPUS CHRISTI. AN ONGOING COASTAL BEND COMMUNITY HEALTH TASK FORCE WAS FORMED BY THE PARTICIPANTS OF THE 2010 COMMUNITY NEEDS ASSESSMENT TO ADDRESS THE ONGOING HEALTH NEEDS OF THE REGION. IN 2012, THE TASK FORCE WAS EXPANDED TO BEGIN WORK ON THE 2013 COASTAL BEND COMMUNITY NEEDS ASSESSMENT AND CONTINUES TO ENSURE THAT THE CHRISTUS SPOHN COMMUNITY BENEFIT PLAN ACCURATELY REFLECTS THE NEEDS OF THE COMMUNITY, DEVELOPS ACTION PLANS IN COLLABORATION WITH KEY STAKEHOLDERS TO ADDRESS THOSE NEEDS, AND IS COMMUNITY OWNED. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION BOARD MEMBERS REVIEWED AND APPROVED THE ACTION PLANS DEVELOPED BY THE TASK FORCE. THE TASK FORCE IS COMMITTED TO CONTINUED WORK RELATED TO THE COMMUNITY HEALTH NEEDS OF THE COASTAL BEND REGION FOR THE LONG TERM. P
PART V, SECTION B, LINE 20D	DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE	INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL FACILITY USED THE AVERAGE MANAGED CARE REIMBURSEMENT RATE FROM THE FISCAL YEAR ENDING 6-30-09 IN ORDER TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE PATIENTS. THE AVERAGE MANAGED CARE RATE IS THE AVERAGE REIMBURSEMENT RECEIVED FOR SPECIFIC CATEGORIES OF SERVICES FROM THE COLLECTIVE GROUP OF PRIVATE INSURERS THAT REIMBURSE ALL HOSPITAL FACILITIES WITHIN THE CHRISTUS HEALTH SYSTEM EXCEPT ST. VINCENT HOSPITAL AND CHRISTUS CONTINUING CARE. PART VI, LINE 2 NEEDS ASSESSMENT IN 2013, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT OF THE 19-COUNTY SERVICE AREA LARGELY CONSTITUTING THE COASTAL BEND REGION OF TEXAS. THE PARTICIPANTS INCLUDED CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, DRISCOLL CHILDREN'S HOSPITAL, DRISCOLL CHILDREN'S HEALTH PLAN, CORPUS CHRISTI MEDICAL CENTER, CITIZENS MEDICAL CENTER, CORPUS CHRISTI INDEPENDENT SCHOOL DISTRICT, NUECES COUNTY HEALTH DEPARTMENT, NUECES COUNTY MEDICAL SOCIETY, UNITED WAY OF THE COASTAL BEND, FQHC RURAL COMMUNITY ACTION CORPORATION OF SOUTH TEXAS, DELMAR COLLEGE, DUBUIS HEALTH SYSTEM, SAN PATRICIO COUNTY HEALTH DEPARTMENT AND TEXAS A&M UNIVERSITY AT CORPUS CHRISTI. AN ONGOING COASTAL BEND COMMUNITY HEALTH TASK FORCE WAS FORMED BY THE PARTICIPANTS OF THE 2010 COMMUNITY NEEDS ASSESSMENT TO ADDRESS THE ONGOING HEALTH NEEDS OF THE REGION. IN 2012, THE TASK FORCE WAS EXPANDED TO BEGIN WORK ON THE 2013 COASTAL BEND COMMUNITY NEEDS ASSESSMENT AND CONTINUES TO ENSURE THAT THE CHRISTUS SPOHN COMMUNITY BENEFIT PLAN ACCURATELY REFLECTS THE NEEDS OF THE COMMUNITY, DEVELOPS ACTION PLANS IN COLLABORATION WITH KEY STAKEHOLDERS TO ADDRESS THOSE NEEDS, AND IS COMMUNITY OWNED. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION BOARD MEMBERS REVIEWED AND APPROVED THE ACTION PLANS DEVELOPED BY THE TASK FORCE. THE TASK FORCE IS COMMITTED TO CONTINUED WORK RELATED TO THE COMMUNITY HEALTH NEEDS OF THE COASTAL BEND REGION FOR THE LONG-TERM. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4 COMMUNITY INFORMATION CHRISTUS SPOHN HEALTH SYSTEM CORPORATION IS LOCATED ALONG THE LOWER TEXAS COASTAL AREA (OFTEN CALLED THE COASTAL BEND), AND ITS SERVICE AREA INCLUDES A 14-COUNTY AREA WITH A POPULATION OF MORE THAN 598,733 INDIVIDUALS. OVERALL, POPULATION GROWTH IS FLAT IN THE REGION WITH THE EXCEPTION OF ARKANSAS COUNTY AND THE 78414 ZIP CODE, WHERE CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI -SOUTH IS LOCATED. THE POPULATION BY AGE IS ALLOCATED AS FOLLOWS: 0-18 (24.5%); 19-64 (59.7%); 65+ (15.8%). POPULATION DECLINES ARE EXPECTED TO CONTINUE IN THE RURAL AREAS. FLAT GROWTH IS EXPECTED IN THE PEDIATRIC AGE RANGE AND THE POPULATION UNDER 45 YEARS OF AGE, WITH THE LARGEST GROWTH IN THE POPULATION OF 65 YEARS OF AGE OR OLDER. THE REGION IS COMPRISED OF 60% HISPANICS, 35% CAUCASIAN, 4% AFRICAN AMERICAN, AND 1% ASIAN PACIFIC ISLANDER. APPROXIMATELY 20% OF PERSONS IN THE REGION LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, IF ACCURATE, WE NEED TO CHANGE THE CHIP, TOO WITH THE MEDIAN HOUSEHOLD INCOME IN THE REGION BEING APPROXIMATELY $35,050 NEARLY 50 PERCENT OF THE POPULATION IS ON MEDICAID OR UNINSURED. LOOKING AT THE REGION'S DEMOGRAPHICS AND THE "HEALTHY PEOPLE 2010 HEALTH STATUS INDICATORS" RELATIVE TO OTHER COUNTIES ACROSS THE COUNTRY, THE FOLLOWING HEALTH INDICATORS APPEAR "UNFAVORABLE" RELATIVE TO PEER COUNTIES: PREMATURE BIRTH WEIGHTS, BIRTHS BY UNMARRIED TEENS, HISPANIC INFANT MORTALITY IN RURAL AREAS, OBESITY, DIABETES, STROKE, CORONARY HEART DISEASE, COLON CANCER, AND BREAST CANCER. IN ADDITION TO THE SIX FACILITIES THAT COMPRISE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, THERE ARE FIVE OTHER HOSPITALS IN THE REGION: CORPUS CHRISTI MEDICAL CENTER'S THREE CAMPUSES (BAY AREA HOSPITAL, HEART HOSPITAL AND DOCTOR'S REGIONAL HOSPITAL) WHICH ARE FOR-PROFIT ENTITIES OWNED BY HCA; DRISCOLL CHILDREN'S HOSPITAL, A NONPROFIT HOSPITAL; AND COASTAL BEND SURGICAL HOSPITAL, A FOR-PROFIT SURGICAL HOSPITAL.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH	CHRISTUS SPOHN HEALTH SYSTEM CORPORATION INCLUDES CHRISTUS SPOHN HOSPITAL-CORPUS CHRISTI WITH THREE CAMPUSES: THE 557-BED SHORELINE CAMPUS, THE 341-BED MEMORIAL CAMPUS, AND THE 158-BED SOUTH CAMPUS. ADDITIONALLY, WE SERVE OUR COMMUNITIES THROUGH CHRISTUS SPOHN HOSPITAL KLEBERG WITH 100 BEDS IN KINGSVILLE, CHRISTUS SPOHN HOSPITAL ALICE WITH 135 BEDS IN ALICE, AND CHRISTUS SPOHN HOSPITAL BEEVILLE IN BEEVILLE WITH 69 BEDS. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, INCLUDING THOSE AMONG VULNERABLE AND UNDERSERVED POPULATIONS. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION'S OTHER HEALTH CARE FACILITIES INCLUDE INVESTMENTS IN TWO AMBULATORY SURGERY CENTERS- CORPUS CHRISTI SURGICARE, LTD. AND SHORELINE SURGERY CENTER, L.L.P., AS WELL AS, INVESTMENTS IN COASTAL BEND P.E.T. SCAN, LTD. AND CORPUS CHRISTI CARDIOVASCULAR CENTER, LLC. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTHCARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. EACH OF THE SIX CAMPUSES OF CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES A 24 HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FY 2013, CHRISTUS SPOHN WAS PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS, INCLUDING OVER 178,000 VISITS TO ITS EMERGENCY DEPARTMENTS, OVER 11,000 INPATIENT SURGERY PROCEDURES, OVER 11,000 OUTPATIENT SURGERY PROCEDURES, OVER 46,000 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND OVER 437,000 PATIENTS WHO RECEIVED OUTPATIENT CARE AT ITS FACILITIES. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, OFFERING CONVENIENT LOCATIONS FOR PRIMARY CARE THROUGH THE CHRISTUS SPOHN FAMILY HEALTH CENTERS AND A CAREVAN MOBILE OUTREACH CLINIC. IN ADDITION, CHRISTUS SPOHN COLLABORATES WITH THE SIX FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S) IN ITS REGION, AS WELL AS, OTHER NONPROFIT HEALTH CLINICS IN THE AREA THAT ARE COMMITTED TO CREATING GREATER ACCESS TO PRIMARY CARE. ACTIVITIES UNDERTAKEN BY CHRISTUS SPOHN HEALTH SYSTEM CORPORATION TO IMPROVE ACCESS TO HEALTH SERVICES, ENHANCE PUBLIC HEALTH AND ADVANCE KNOWLEDGE INCLUDE: (1) AGREEMENTS WITH SIX PRIMARY CARE PHYSICIANS AND FIVE MID-LEVEL PROVIDERS IN THE FOUR CHRISTUS SPOHN FAMILY HEALTH CENTERS. CHRISTUS SPOHN AIDS IN THE RECRUITING OF PHYSICIANS WHO ULTIMATELY CONTRACT WITH CHRISTUS PROVIDER NETWORK, WHICH IN TURN CONTRACTS WITH CHRISTUS SPOHN HEALTH SYSTEM CORPORATION TO PROVIDE THE PHYSICIAN SERVICES IN THE CHRISTUS SPOHN FAMILY HEALTH CENTERS. MOST OF THE CLIENTS WHO RECEIVE PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT ARE UNINSURED OR RECEIVE COVERAGE FROM MEDICAID/CHIP/NUECES COUNTY HOSPITAL DISTRICT (NCHD). (2) IMPLEMENTATION OF THE COMMUNITY HEALTH WORKER (CHW) AND CARE MANAGEMENT CONCEPT AT ALL CHRISTUS SPOHN FAMILY HEALTH CENTERS. ESTABLISHED A WORKING NETWORK TO PROVIDE CONTINUITY OF CARE FOR THE INDIGENT AND UNDERSERVED FROM PRIMARY CARE SERVICES TO IN-PATIENT AND AMBULATORY SERVICES. THIS PROGRAM ASSISTS PATIENTS IN MANAGING THEIR CHRONIC ILLNESS, PREVENTING OVER-UTILIZATION OF THE EMERGENCY DEPARTMENT AND AVOIDING PREVENTABLE HOSPITALIZATIONS THUS REDUCING THE OVERALL COST OF CARE FOR THE COMMUNITY. (3) THE CHRISTUS SPOHN CAREVAN IS A MOBILE CLINIC THAT DELIVERS OB AND WOMEN'S SERVICES TO THE REGION'S UNINSURED WOMEN INCLUDING PRE-NATAL CARE, PAP SMEARS, LABORATORY AND ULTRA-SOUND TESTING, ANNUAL EXAMS, AND REFERRALS FOR FREE MAMMOGRAMS AND PRE-NATAL CARE. THIS PREVENTATIVE AND WELLNESS CARE HELPS WITH EARLY DETECTION THAT OTHERWISE MIGHT RESULT IN MORE SERIOUS HEALTH ISSUES REQUIRING HOSPITALIZATION IN THE FUTURE. THE CAREVAN ALSO PROVIDES HEALTH SCREENING, IMMUNIZATIONS, HEALTH EDUCATION AND COUNSELING TO VULNERABLE AND UNDERSERVED POPULATIONS IN THE COMMUNITY. IN ADDITION, A COMMUNITY HEALTH WORKER IS ON BOARD THE CAREVAN TO ASSIST PATIENTS IN NEED OF PRIMARY CARE TO FIND A MEDICAL HOME IN THE CHRISTUS SPOHN FAMILY HEALTH CENTERS OR AREA FQHC'S. IN FY 2013 THE CAREVAN HAD OVER 3000 ENCOUNTERS WITH WOMEN AND OTHER VULNERABLE POPULATIONS (4) THE HECTOR P. GARCIA AND THE CHRISTUS MEDICAL GROUP FACULTY PRACTICE CLINICS ARE CONVENIENTLY LOCATED AT PHYSICIANS PLAZA WEST, 2601 HOSPITAL BLVD, SUITES 112 AND 117, WITHIN WALKING DISTANCE FROM CHRISTUS SPOHN HOSPITAL AND CORPUS CHRISTI MEMORIAL. AN AVERAGE OF 125 TO 150 PATIENTS ARE SEEN ON A DAILY BASIS. MOST OF THESE PATIENTS HAVE MEDICAID COVERAGE OR LACK INSURANCE. (5) SPECIALTY CLINICS ARE LOCATED ON THE SEVENTH FLOOR AT CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI MEMORIAL. THESE CLINICS EXIST FOR FOLLOW UP CARE AND SPECIALTY CARE. PHYSICIANS/PROVIDERS OFFER A CENTRALIZED AREA FOR EASY ACCESS TO CARDIOVASCULAR, NEUROLOGY, NEPHROLOGY, ORTHOPEDIC, AND PLASTIC SURGERY CARE. ALSO, CONTRACTS WITH OFF CAMPUS PROVIDERS INSURE OTHER SPECIALTY MEDICAL SERVICES ARE AVAILABLE FOR THOSE VULNERABLE PEOPLE WHO WOULD NORMALLY NOT BE ABLE TO ACCESS SPECIALTY CARE OUTSIDE OF THIS TYPE OF CONTROLLED SETTING. (6) THE REVAMPING OF THE NUECES COUNTY HEALTH DEPARTMENT'S (NCHD) INDIGENT CARE PROGRAM HAS PROVIDED A REORGANIZATION OF SERVICES, ONE KEY GOAL OF WHICH IS TO ROUTE ELIGIBLE PARTICIPANTS TO THE APPROPRIATE SETTINGS. THE FOLLOWING PROGRAMS ARE INCLUDED: (A) UM/CM PLAN; (B) PRE-APPROVAL OF SERVICES WITH VERIFICATION OF MEDICAL NECESSITY AND A TIE-IN TO THE CARE MANAGEMENT PROGRAM; (C) AN EMPANELMENT OF CLIENTS INTO A MEDICAL HOME CONCEPT; (D) TARGET OF POPULATIONS, I.E., DIABETIC PATIENTS WITH A1C'S GREATER THAN 10, INTO FULL SERVICE TRACK; (E) WEEKLY MULTIDISCIPLINARY DIABETIC CLINIC TO MEET TARGET POPULATION'S NEED; (F) PHARMACEUTICAL CASE MANAGEMENT; (G) PREFERRED PROVIDER LIST WITH CM/UM MANAGEMENT; AND (H) MEDICAL DIRECTOR FOR INDIGENT CARE PLAN. (7) CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI MEMORIAL IS THE DESIGNATED CONTRACT PROVIDER WITH NUECES COUNTY MHMR. IT PROVIDES PSYCHIATRIC ONSITE TRIAGE AS PART OF ITS CONTRACTUAL RELATIONSHIPS WITH MHMR. THIS PREVENTS PATIENTS FROM VISITING THE EMERGENCY DEPARTMENT AS A FIRST RESORT. (8) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION HAS RURAL CLINICS IN BEEVILLE AND FREER PROVIDING SERVICES TO THE COMMUNITY WITH AN EMPHASIS ON THE UNINSURED AND UNDER INSURED POPULATION IN THE AREA. THE CHRISTUS SPOHN FAMILY HEALTH CENTER-FREER PROVIDES PRIMARY CARE TO THIS UNDERSERVED AND RURAL COMMUNITY. THE NURSE PRACTITIONERS, NURSES, AND OFFICE STAFF IN THESE CLINICS ARE EMPLOYED BY CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. (9) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION HOSPITALS IN ALICE, BEEVILLE, AND KLEBERG COLLABORATE WITH THE COMMUNITY ACTION CORPORATION OF SOUTH TEXAS' FQHC IN THEIR RESPECTIVE AREAS. THESE CLINICS PROVIDE PRIMARY CARE TO UNINSURED AND UNDER INSURED PATIENTS. THIS PREVENTS PATIENTS FROM UTILIZING THE HOSPITAL EMERGENCY DEPARTMENTS AS THEIR MEDICAL HOME. (10) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CONTINUES INITIATIVES WITH THE COASTAL BEND RURAL HEALTH PARTNERSHIP AND MENTAL HEALTH PROVIDERS TO HELP KEEP PSYCHIATRIC PATIENTS OUT OF THE EMERGENCY DEPARTMENT. (11) IN CONJUNCTION WITH MISSION OF MERCY, A NATIONAL NONPROFIT ORGANIZATION, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES FREE PRIMARY CARE TO UNINSURED PATIENTS. THEIR FIVE LOCATIONS (CORPUS CHRISTI AND RURAL AREAS) ARE OPEN ONE DAY PER WEEK, ALTERNATING WEEKS, AND ARE STAFFED BY VOLUNTEER PHYSICIANS AND NURSES. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PROVIDES LAB WORK, DIABETES EDUCATION, AND FLU VACCINATIONS TO PATIENTS AT NO CHARGE. IN ADDITION, THE CHRISTUS SPOHN CAREVAN REFERS UNINSURED PATIENTS WHO NEED PRIMARY CARE TO MISSION OF MERCY. LIKEWISE, MISSION OF MERCY REFERS WOMEN NEEDING A MAMMOGRAM OR PRE-NATAL CARE TO THE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CAREVAN MOBILE UNIT. (12) DIABETES EDUCATION IS PROVIDED THROUGH DIABETES SELF MANAGEMENT TRAINING (DSMT) CLASSES. THESE CLASSES ARE OFFERED AT THE THREE COMMUNITY HOSPITALS (CHRISTUS SPOHN HOSPITAL ALICE, KLEBERG AND BEEVILLE). DIABETES SUPPORT GROUPS CURRENTLY MEET AT SEVERAL LOCATIONS. REGIONAL EDUCATION IS COORDINATED THROUGH THE COASTAL BEND DIABETES COMMUNITY COALITION AND DIABETES HEALTH FAIRS. THE THREE CHRISTUS SPOHN CORPUS CHRISTI HOSPITALS REFER TO THE COASTAL BEND HEALTH EDUCATION CENTER (CBHEC) TO PROVIDE OUTPATIENT EDUCATION FOR DIABETIC PATIENTS INCLUDING COOKING AND NUTRITION CLASSES. ALL SIX CHRISTUS SPOHN CAMPUSES NOW HOLD THE AMERICAN DIABETES ASSOCIATION ACCREDITATION FOR DIABETES EDUCATION. (13) IN PARTNERSHIP WITH THE FIRST FRIDAY PROGRAM, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PERFORMED OVER 1,000 FREE MAMMOGRAMS IN FISCAL YEAR 2013 TO ASSIST PERSONS WHO WOULD NOT ORDINARILY HAV
"COMMUNITY SERVICES FOR A BROADER COMMUNITY" IS ALSO A PART OF CHRISTUS		SPOHN HEALTH SYSTEM CORPORATION'S OVERALL COMMUNITY BENEFIT. THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS (GRADUATE MEDICAL EDUCATION, NURSING STUDENTS, ALLIED HEALTH PROFESSIONALS, PHARMACISTS, ETC). HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS SPOHN HEALTH CARE CORPORATION PROVIDED OVER $7,250,418 IN HEALTH PROFESSIONS EDUCATION DURING FY 2013, INCLUDING CLINICAL EXPERIENCES AND OTHER EDUCATION FOR PHYSICIANS AND NURSES. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. THE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, DIABETES, HEART DISEASE, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, SUPPORT FOR THOSE SUFFERING FROM HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. AS A NONPROFIT ORGANIZATION AND AS A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2013, CHRISTUS HEALTH ADVOCATED FOR IMPROVEMENT IN PUBLIC POLICIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CHRISTUS SPOHN HEALTH SYSTEM CORPORATION IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, MISSOURI, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. PART VI, LINE 7 COMMUNITY BENEFIT REPORT CHRISTUS SPOHN IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES AND WILL CONTINUE TO COLLABORATE WITH OTHER HOSPITALS AND PROVIDERS IN THE REGION, WHENEVER POSSIBLE, TO ADDRESS THOSE NEEDS NOT SPECIFICALLY TARGETED BY OUR SYSTEM'S COMMUNITY BENEFIT PLAN. THE IDENTIFIED NEED TO ADDRESS THE EPIDEMIC OF OBESITY WHICH IMPACTS COMMUNITIES ACROSS OUR REGION, AS WELL AS OUR NATION, IS ACTUALLY BEYOND THE SCOPE OF HEALTHCARE PROVIDERS. WHILE WE ARE CONFIDENT THAT OUR EFFORTS TO IMPROVE MANAGEMENT OF CHRONIC ILLNESSES THAT ARE CO-MORBIDITIES ASSOCIATED WITH OBESITY IS A MEANINGFUL CONTRIBUTION, ADDRESSING THIS LEGITIMATE HEALTH ISSUE THAT IMPACTS A GROWING NUMBER OF PERSONS IN OUR COMMUNITY WILL REQUIRE A BROAD SPECTRUM APPROACH OF WHICH HEALTHCARE IS ONLY ONE SEGMENT. FOR THIS REASON WE CANNOT CLAIM TO BE ADDRESSING THIS ISSUE IN A DIRECT WAY, BUT WILL CONTINUE TO PROVIDE THE CHRONIC DISEASE MANAGEMENT AS A CONTRIBUTION TO THIS LARGER PHENOMENON. MISCELLANEOUS COMMUNITY ENGAGEMENT COMMUNITY SERVICES FOR A BROADER COMMUNITY IS ALSO A PART OF CHRISTUS SPOHN HEALTH SYSTEM CORPORATION'S OVERALL COMMUNITY BENEFIT. THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS (GRADUATE MEDICAL EDUCATION, NURSING STUDENTS, ALLIED HEALTH PROFESSIONALS, PHARMACISTS, ETC). HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS SPOHN HEALTH CARE CORPORATION PROVIDED OVER $206,691 IN HEALTH PROFESSIONS EDUCATION DURING FY 2013, INCLUDING CLINICAL EXPERIENCES AND OTHER EDUCATION FOR PHYSICIANS AND NURSES. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. THE CHRISTUS SPOHN HEALTH SYSTEM CORPORATION MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, DIABETES, HEART DISEASE, SUPPORT FOR THOSE SUFFERING FROM HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. AS A NONPROFIT ORGANIZATION AND AS A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2013, CHRISTUS HEALTH ADVOCATED FOR IMPROVEMENT IN PUBLIC POLICIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. STATE FILING OF COMMUNITY BENEFIT REPORT: TX PART VI, LINE 8 FACILITY REPORTING GROUP THE NARRATIVE INFORMATION PROVIDED FOR THE APPLICABLE LINE IN PART VI, LINE 1 APPLIES TO ALL HOSPITAL FACILITIES UNDER THIS LEGAL ENTITY.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
CHRISTUS Spohn Health System Development FND
600 Elizabeth St	Suite 203	Corpus Christi	TX	78404	741906005	501(c)(3)	1811413	PRGRM SUPPORT/PURCH. CAP. ASSET/EQUIPMENT
City of Corpus Christi
1201 Leopard St		Corpus Christi	TX	78401	746000574	GOVT	198712	Donated F/5 Defibrillators
American Diabetes Association
500 N Shoreline Blvd	Suite 600	Corpus Christi	TX	78401	131623888	501(c)(3)	11500	Support Diabetes Research/Red Strider Sponsor/Walk This Way Sponsor/Bronze Sponsor
American Heart Association
500 N Shoreline Blvd		Corpus Christi	TX	78401	135613797	501(c)(3)	11000	Support Cardio Disease and Stroke Research
It's Your Life Foundation
PO Box 60183		Corpus Christi	TX	78466	262968061	501(c)(3)	7500	Project Knights -I Care 4 U movie (ICU movie on family education)
American Cancer Society
4101 S Alameda St		Corpus Christi	TX	78411	131788491	501(c)(3)	9000	Support Cancer Research

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Indigent Assistance	TypeOfGrant
Number Of Recipients	267	NumberOfRecipients
Amount Of Non Cash Assistance	401844	AmountOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	HOMECARE, DME	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Description of Organization's Procedures for Monitoring the Use of Grants	Identifier
Return Reference	FORM 990, SCHEDULE I, PART I, LINE 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. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH CHRISTUS HEALTH SYSTEM AFFILIATES SERVE VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Pamela S Robertson
Director, President, CEO	501127	0	172818	0	84662	0	153625	0	6343	0	918575	0	75661	0
Pam Brower
CFO & Treasurer (eff 1/1/13)	248849	0	58182	0	27893	0	69198	0	8394	0	412516	0	19772	0
Charles T Volk
VP, Medical Affairs & CMO	321926	0	70044	0	27645	0	102595	0	8418	0	530628	0	0	0
Mark W Casanova
VP/COO CHRISTUS Spohn Hospital	203059	0	56773	0	16317	0	40375	0	19752	0	336276	0	15817	0
Maria E Chapa
Executive VP/COO	335494	0	98765	0	31726	0	94627	0	15592	0	576204	0	6508	0
Steven G Daniel
Sr. VP/COO ALice/rural fac	233379	0	67961	0	24078	0	53662	0	28679	0	407759	0	22897	0
Paul A Gaden
VP/COO Shoreline & MEMORIAL	313269	0	89967	0	13569	0	74077	0	23775	0	514657	0	0	0
Raymundo Ramos Jr
VP/COO, BEEVILLE	164774	0	48386	0	16618	0	44459	0	5773	0	280010	0	0	0
Norman L McBride
Former VP/COO KLEEBERG	143189	0	50110	0	135947	0	38624	0	15776	0	383646	0	61329	0
James A Cato
CNE (eff. 12/12/11)	274975	0	40766	0	21077	0	74883	0	5206	0	416907	0	0	0
Margaret Colleen McHugh
VP, Compliance, Risk Mgmt	207379	0	51791	0	96722	0	55638	0	7481	0	419011	0	49119	0
Mary A Lafrancois
VP Human Resources	199439	0	51054	0	19944	0	40468	0	23531	0	334436	0	15340	0
Julie A Pina
CNO SHORELINE	202165	0	52473	0	0	0	48449	0	1523	0	304610	0	0	0
Mary Sylvia Roberts
FORMER CNO MEMORIAL	158442	0	47256	0	35719	0	38382	0	6236	0	286035	0	26156	0
Brian P Smith
VP Mission	163724	0	52075	0	22017	0	29247	0	9281	0	276344	0	15416	0
SCOTT MERRYMAN
FORMER CFO	0	300010	0	89425	0	90330	0	72686	0	10170	0	562621	0	50196
RICHARD C DAVIS
FORMER VP, MEDICAL AFFAIRS/CFO	0		0		173714		0		0		173714		0
FRANCIS A POMMETT JR
FORMER VP/COO SHORELINE	0		0		262714		15011		0		277725		0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Return Reference	SCHEDULE J, PART I, LINE 1A, COMPANION TRAVEL	ReturnReference
Explanation	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. FORM 990, PART VII, LINE 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SEVERANCE PAYMENT FORM 990, SCHEDULE J, PART I, LINE 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. NORMAN L. MCBRIDE RECEIVED $35,756 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. RICHARD C. DAVIS RECEIVED $168,672 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. FRANCIS A. POMMETT JR. RECEIVED $252,462 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, LINE 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 PAMELA S. ROBERTSON RECEIVED $75,661 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PAM BROWER RECEIVED $19,772 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARK W. CASANOVA RECEIVED $15,817 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARIA E. CHAPA RECEIVED $6,508 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. STEVEN G. DANIEL RECEIVED $22,897 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NORMAN L. MCBRIDE RECEIVED $61,329 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARGARET COLLEEN HCHUGH RECEIVED $49,119 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARY A. LAFRANCOIS RECEIVED $15,340 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARY SYLVIA ROBERTS RECEIVED $26,156 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. BRIAN P. SMITH RECEIVED $15,416 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SCOTT MERRYMAN RECEIVED $50,196 DURING CALENDAR YEAR 2012 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2012. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: PAMELA ROBERTSON, PAMELA BROWER, MARK CASANOVA, MARIA E. CHAPA, STEVEN DANIEL, PAUL GADEN, MARY LAFRANCOIS, SCOTT MERRYMAN, JULIE PINA, FRANCIS POMMETT, JR., RAYMUNDA RAMOS, JR., BRIAN SMITH, AND LESLIE GEMBOL. 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.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
PSYCHIATRIC CONSULTING SERVICES
NESTOR PRADERIO BRD MBR	270000	SEE SUPPLEMENTAL INFORMATION	false
vinson Elkins law firm
CHARLES VOLK, OFFICER	739049	see supplemental information	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	Identifier
Return Reference	FORM 990, SCHEDULE L, PART IV	ReturnReference
Explanation	FEES OF $270,000 PAID TO PSYCHIATRIC CONSULTING SERVICES FOR MEDICAL DIECTOR FEES PROVIDED BY DR. PRADERIO. DR. PRADERIO IS OWNER OF PSYCHIATRIC CONSULTING SERVICES. VINSON & ELKINS LAW FIRMS WAS PAID $739,049 FOR SERVICES. CHARLES VOLK'S BROTHER IS A PARTNER AT VINSON & ELKINS LAW FIRM.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	EQUIP, SPLS, RENT, SVCS	Description
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	286201	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DOING BUSINESS AS	FORM 990, PART I, LINE C	CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI CHRISTUS SPOHN HOSPITAL ALICE LAVIANA PLAZA CHRISTUS SPOHN FAMILY HEALTH CENTER BROOKS COUNTY CHRISTUS SPOHN LIVING WELL CENTER CHRISTUS SPOHN HEART INSTITUTE CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - MEMORIAL CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - SHORELINE CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI - SOUTH CHRISTUS SPOHN HEALTH SYSTEM CHRISTUS SPOHN HOSPITAL ALICE CHRISTUS SPOHN HOSPITAL BEEVILLE CHRISTUS SPOHN HOSPITAL KLEBURG DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR A 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. IN 2013, THE CHRISTUS SPOHN CAREVAN MOBILE CLINIC DELIVERED OB AND WOMEN'S SERVICES TO THE REGION'S UNINSURED WOMEN INCLUDING PRE-NATAL CARE, PAP SMEARS, LABORATORY AND ULTRA-SOUND TESTING, ANNUAL EXAMS, AND REFERRALS FOR FREE MAMMOGRAMS AND PRE-NATAL CARE. THIS PREVENTATIVE AND WELLNESS CARE HELPS WITH EARLY DETECTION THAT OTHERWISE MIGHT RESULT IN MORE SERIOUS HEALTH ISSUES REQUIRING HOSPITALIZATION IN THE FUTURE. THE CAREVAN ALSO PROVIDES HEALTH SCREENING, IMMUNIZATIONS, HEALTH EDUCATION AND COUNSELING TO VULNERABLE AND UNDERSERVED POPULATIONS IN THE COMMUNITY. IN ADDITION, PATIENT NAVIGATORS ASSIST PATIENTS IN NEED OF PRIMARY CARE BY FACILITATING INTEGRATION TO THE CHRISTUS SPOHN FAMILY HEALTH CENTERS AND PRIMARY CARE PROVIDER CLINICS INCLUDING AREA FQHC'S. IN FY 2013 THE CAREVAN HAD OVER 3000 ENCOUNTERS WITH WOMEN AND OTHER VULNERABLE MEMBERS OF THE COMMUNITY. CHRISTUS HEALTH ALSO USED CASH DONATIONS 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, DIABETES, HEART DISEASE, HIV/AIDS, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2013, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. IN FY 2013, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CONTINUED ITS PARTNERSHIP with HEALTH AND SOCIAL SERVICE PROVIDERS CALLED THE COASTAL BEND HEALTH TASK FORCE. ITS GOAL IS TO STRATEGICALLY ADDRESS THE COMMUNITY NEEDS IDENTIFIED THROUGH THE 2013 COASTAL BEND COMMUNITY NEEDS ASSESSMENT. CHRISTUS SPOHN HEALTH SYSTEM'S IMPLEMENTATION PLAN BEGINS WITH ADDRESSING THE SURVEYED HEALTH NEEDS OF THE COMMUNITY. THE OVERARCHING CONCERNS IDENTIFIED IN THE ASSESSMENT FOCUS UPON EXPANSION OF PRIMARY CARE, CHRONIC DISEASE MANAGEMENT, BETTER ACCESS TO BEHAVIORAL HEALTHCARE SERVICES. PROVIDING MORE ACCESSIBLE VENUES OF CARE SHOULD REDUCE INAPPROPRIATE USE OF THE EMERGENCY DEPARTMENT AND AVOIDABLE HOSPITALIZATIONS. ONGOING COLLABORATION AMONG TASK FORCE MEMBERS AND OTHER HEALTH RELATED STAKEHOLDERS IN THE COMMUNITY WILL CREATE AVENUES TO IMPROVE OVERALL HEALTH LITERACY. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CONTINUES TO SUPPORT THE COASTAL BEND HEALTH TASK FORCE'S WEB BASED HEALTH INFORMATION CLEARINGHOUSE, WHICH AMONG OTHER RESOURCES, PROVIDES A LINK TO THE CURRENT NEEDS ASSESSMENT. www.coastalbendhealthfinder.com IN PARTNERSHIP WITH THE FIRST FRIDAY PROGRAM, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PERFORMED OVER 1,000 FREE MAMMOGRAMS IN FY 2013 TO ASSIST PERSONS WHO WOULD NOT ORDINARILY HAVE ACCESS TO MAMMOGRAMS FOR EARLY DETECTION OF BREAST CANCER. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO PROVIDED 164 FREE MELANOMA SCREENINGS WITH 80 ABNORMAL RESULTS AND 80 PHYSICIAN REFERRALS FOR A TOTAL OF $23,944 TO THE COMMUNITY IN FY 2013. TOTAL OTHER PROGRAM EXPENSES - $5,580,667 GRANTS AND ALLOCATIONS - $2,052,442 REVENUE - $0 PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS FOR HOMELESS SHELTERS, TRANSPORTATION SERVICES, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY2013, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE SPOHN REGION WAS $209,035. TOTAL OTHER PROGRAM EXPENSES - $2,822,645 GRANTS AND ALLOCATIONS - $422,645 REVENUE - $0
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 6	CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. DESCR. THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2014 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, LINE 19	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 PENSION LIABILITY EXPENSE $12,753,709 PENSION FUNDING ($13,572,551) TRANSFER OF NET ASSETS BETWEEN ENTITIES $16,716 EQUITY ADJUSTMENT UNCONCOL SUBS ($694) QUARTERLY RETAIL PAYOUTS $264,469 TEMPORARY RESTRICTED CONTRIBUTIONS ($8,826) TRANSFER OF RESTRICTED NET ASSETS $9,100 ROUNDING $1 ------------- TOTAL ($538,076)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (21 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 Health
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760590551	SUPT HLTH SVC	TX	501(c)(3)	9	NA	false
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 WEST LOOP SOUTH STE 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 I	CH	true
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE 2ND F	PARIS	TX	75460	421619230	SUPT HLTH SVC	TX	501(c)(3)	11 - Type I	CH	true
CHRISTUS STEHLIN FDN FOR CANCER RESEARCH
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	741622404	CANCER RSCH	TX	501(c)(3)	9	CH	true
DUBUIS HEALTH SYSTEM INC
1700 W LOOP SOUTH STE 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	SUPT HLTH SVC	TX	501(c)(3)	11 - Type I	CH	true
CHRISTUS SPOHN HLTH SYSTEM DEVELOP FDTN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPT HLTH SVC	TX	501(c)(3)	7	Spohn HS Crp	true
Christus Health Liability Retention Trst
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760259623	Self Ins.Trst	TX	501(c)(3)	11 - Type I	CH	true
CHRISTUS HEALTH PLAN
600 ELIZABTH ST	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(c)(3)	9	SPOHN HS CRP	true
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPT HLTH SVC	TX	501(C)(3)	11 - TYPE I	CH	true
CHRISTUS HEALTH INTERNATIONAL
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462811167	SUPT HLTH SVC	TX	501(C)(3)	11 - TYPE I	CH	true
CHRISTUS HEALTH LATIN AMERICA
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462816604	SUPT HLTH SVC	TX	501(C)(3)	11 - TYPE I	CH	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HLTH PLAN ADM	TX	CSPHSC	C CORP	304045	1314675	1.00000	true
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	Rental	TX	CSPHSC	C CORP	641252	15752840	1.00000	true
CHRISTUS Muguerza SAPI de CV
					HLTHCARE SVC		CH	C corp				false	HIDALGO PTE 2525	COL. OBISPADO, MONTERREY	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C CORP				false						CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	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	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
A(I)	5137	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
B	500341	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
O	421838	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
P	73366	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
A(I)	1306842	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
M	2587839	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
P	67601	ACCRUAL
CHRISTUS HEALTH LIABILITY RETENTION TRUST
Q	302833	ACCRUAL
SPOHN HEALTH NETWORK
A(I)	32	ACCRUAL
SPOHN INVESTMENT CORPORATION
A(I)	19190	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FND
S	989939	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FND
C	7778428	ACCRUAL
DUBUIS HEALTH SYSTEM
J	712837	ACCRUAL
SPOHN INVESTMENT CORPORATION
A(IV)	24000	ACCRUAL
SPOHN INVESTMENT CORPORATION
Q	242527	ACCRUAL
SPOHN HEALTH NETWORK
O	280987	ACCRUAL
SPOHN HEALTH NETWORK
Q	532704	ACCRUAL
CHRISTUS HEALTH PLAN
M	2410239	ACCRUAL