CHRISTUS SPOHN HEALTH SYSTEM CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS SPOHN HEALTH SYSTEM CORPORATION (EIN 74-1109836)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-10
IRS object ID: 201311309349302761
Schema version: 2011v1.5
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-10T13:50:12-05:00	Timestamp
Tax Period End Date	2012-06-30	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	1401 MCKINNEY SUITE 1200	AddressLine1
City	HOUSTON	City
State	TX	State
ZIP Code	77010	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	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
City	Corpus Christi	City
State	TX	State
ZIP Code	78404	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Pamela L Brower	Name
Title	Region CFO	Title
Date Signed	2013-05-02	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7137501500	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	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	702112352	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	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	5776	TotalNbrEmployees
Total Nbr Volunteers	700	TotalNbrVolunteers
Total Gross UBI	36000	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8846162	ContributionsGrantsPriorYear
Contributions Grants Current Year	8850151	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	684279757	ProgramServiceRevenuePriorYear
Program Service Revenue CY	687132980	ProgramServiceRevenueCY
Investment Income Prior Year	4130	InvestmentIncomePriorYear
Investment Income Current Year	-80436	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5557401	OtherRevenuePriorYear
Other Revenue Current Year	5643187	OtherRevenueCurrentYear
Total Revenue Prior Year	698687450	TotalRevenuePriorYear
Total Revenue Current Year	701545882	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3949158	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3611189	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	305611632	SalariesEtcPriorYear
Salaries Etc Current Year	288667647	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	373040677	OtherExpensePriorYear
Other Expenses Current Year	375222202	OtherExpensesCurrentYear
Total Expenses Prior Year	682601467	TotalExpensesPriorYear
Total Expenses Current Year	667501038	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16085983	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	34044844	RevenuesLessExpensesCY
Total Assets BOY	881738535	TotalAssetsBOY
Total Assets EOY	910789197	TotalAssetsEOY
Total Liabilities BOY	277997402	TotalLiabilitiesBOY
Total Liabilities EOY	276726911	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	603741133	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	634062286	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	195289875	Expense
Grants	0	Grants
Revenue	291722227	Revenue
Description	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS SPOHN HEALTH SYSTEM IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 147-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 586,000 INDIVIDUALS. IN OUR 2012 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 184,714 VISITS TO OUR EMERGENCY DEPARTMENTS; 11,064 INPATIENT SURGERY PROCEDURES; 10,766 OUTPATIENT SURGERY PROCEDURES; 45,318 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 444,775 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 TWO MOBILE OUTREACH CLINICS. 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 OVER 1,000 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	119062816	Expense
Grants	0	Grants
Revenue	141129581	Revenue
Description	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" (2008), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF 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	285974785	Expense
Grants	0	Grants
Revenue	254281172	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	12286784	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	3611189	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	612614260	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	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	668	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	5776	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	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	OfficerOfficer	Other CompensationOtherCompensation	Reportable Comp From OrganizationReportableCompFromOrganization	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Elizabeth Chu Richter
Board Member	1.0	X
Sr Mary Margaret Bright
Board Member (term 12/31/11)	1.0	X
Rosalinda Sosa-Bonilla
Board Member	1.0	X	889
Al B Jones
Chairperson	1.0	X	889	X
Karen Urban
Board Member	1.0	X	889
Leon S Loeb
Board Member (Term 5/8/12)	1.0	X
Anna Marie Silvas
Board Member	1.0	X	889
Rosie Garcia MD
Board Member (Term 9/23/11)	1.0	X
Martin C Davis
Board Member	1.0	X	889
Ben A Donnell
Vice Chairperson	1.0	X	889	X
Robert Bosquez II
Board Member (Term 12/31/11)	1.0	X
Sr Rosanne Mary Popp
Board Member	1.0	X	73084		1751
Chandra Katragadda MD
Board Member (Term 4/27/12)	1.0	X	889			875
Nestor Praderio MD
Board Member (term 12/31/11)	1.0	X				72523
Pamela Robertson
President and CEO	40.0	X	63039	X	141276	523543
Anthony LaMantia
Board Member	1.0	X
Frank Brogan
Board Member (Eff 1/1/12)	1.0	X
Linda Walker
Board Member (Eff 1/1/12)	1.0	X
Brent Hagemeister MD
Board Member (Eff 1/1/12)	1.0	X
Stephen Kleberg
Board Member (Eff 1/1/12)	1.0	X
Sr Teresa Stanley
Board Member (Eff 1/1/12)	1.0	X
Laura E Martinez
Corporate Secretary	40.0			X	11357	50599
Pamela Brower
CFO (Eff 12/4/11)	39.0		12072	X	49041	183736
Scott Merryman
CFO (TRANSFER 9/19/11)	39.0		150388	X	71731	224792
Richard Davis
CMO/VP Med. Aff. (Term 7/1/11)	40.0		0		62121	813263	X
Mark Casanova
COO South (Eff 10/9/11)	40.0		14579		48600	183131	X
Maria E Chapa
COO (EFF 5/8/11)	39.0		22199		88249	304412	X
Steven Daniel
COO Alc/Rrl Fac Eff (10/9/11)	40.0		16337		76240	254085	X
Paul Gaden
COO SHORE/MEMRL (EFF 10/9/11)	40.0		18989		71623	250981	X
Francis Pommett Jr
COO SHORE/MEMRL (TERM 10/8/11)	40.0		24499		27693	396811	X
Raymundo Ramos Jr
COO BEEVILLE (EFF 3/27/11)	40.0		6851		41540	165924	X
Norman McBride
COO Kleberg	40.0		0		51397	162930	X
Charles T Volk
CMO (EFF 9/25/11)	39.0		0		18840	234290	X
Mary LaFrancois
VP Human Resources	40.0		13674		62194	220616		X
Julie Pina
Asst Administrator-Shoreline	40.0		12496		43143	185446		X
Brian Smith
VP Mission Integration	40.0		13495		45620	177881		X
Leslie Gembol
CNO SHORELINE (TERM 10/8/11)	40.0		13310		50079	288965		X
Madhup Gupta
CHIEF MEDICAL PHYSICIST	40.0		0		42752	220404		X
Bruce Holstien
Former President & CEO	0.0		0		1535	632834			X
Geronimo M Rodriguez
Former CNE/COO Beeville	0.0		344232		59707	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5548041	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	805467	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1066489	TotalOtherCompensation
Number Individuals GT100 K	328	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
FULTON CONTRUCTION CORP
PO Box 9486	CORPUS CHRISTI	TX	78469	CONSTRUCTION	4291285
ARAMARK MANAGEMENT SERVICES LP
25271 Network Place	CHICAGO	IL	60673	CAFETERIA MGMT	4161809
GULF SHORE ANESTHESIA ASSOC
1734 Santa Fe	CORPUS CHRISTI	TX	78404	ANESTHESIA SVCS	3760549
BARCOM COMMERCIAL
5826 Bear Lane	CORPUS CHRISTI	TX	78405	CONSTRUCTION	3697011
CORPUS CHRISTI CARDIOVASCULAR
613 Elizabeth St Suite 102	CORPUS CHRISTI	TX	78404	CATH LAB MANAGEMENT	3083905

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	165	NumberOfContractorsGT100K
Related Organizations	3337319	RelatedOrganizations
Government Grants	3868296	GovernmentGrants
All Other Contributions	1644536	AllOtherContributions
Total Contributions	8850151	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	677388135	677352271	35864
Rent Related to Exempt Function	531120	5605126	5605126
Program Related Investment Income	523999	1759450	1759450
Uncompensated Trauma Care	621990	1316131	1316131
Pharmacy	446110	312047	312047

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	752091	TotalRevenueColumn
Related Or Exempt Function Income	751955	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	136	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	687132980	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	25967	TotalRevenueColumn
Exclusion	$25,967	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	460067	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	566470	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-106403	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-106403	TotalRevenueColumn
Exclusion	-$106,403	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	3501454	$3,501,454
CHILDCARE	624410	451358	$451,358
VOLUNTEER SERVICES	453220	379958	$379,958

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1310417	TotalRevenueColumn
Exclusion	$1,310,417	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5643187	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	701545882	TotalRevenueColumn
Related Or Exempt Function Income	687096980	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	36000	UnrelatedBusinessRevenue
Exclusion	$5,562,751	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3440237	Total
Program Services	3440237	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	170952	Total
Program Services	170952	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	4565894	Total
Program Services	4164786	ProgramServices
Management And General	401108	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	634459	Total
Program Services	577260	ProgramServices
Management And General	57199	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	234163355	Total
Program Services	213593745	ProgramServices
Management And General	20569610	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13248145	Total
Program Services	12784504	ProgramServices
Management And General	463641	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	19438013	Total
Program Services	16475531	ProgramServices
Management And General	2962482	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16617781	Total
Program Services	15262413	ProgramServices
Management And General	1355368	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	95227	Total
Management And General	95227	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	358446	Total
Management And General	358446	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	57155967	Total
Program Services	40891735	ProgramServices
Management And General	16264232	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	452517	Total
Program Services	201	ProgramServices
Management And General	452316	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	39431421	Total
Program Services	32425774	ProgramServices
Management And General	7005647	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	25697821	Total
Program Services	25697821	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10947483	Total
Program Services	9542057	ProgramServices
Management And General	1405426	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1629689	Total
Program Services	1165928	ProgramServices
Management And General	463761	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	27704	Total
Program Services	7265	ProgramServices
Management And General	20439	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9100460	Total
Program Services	9096177	ProgramServices
Management And General	4283	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	32788596	Total
Program Services	31344833	ProgramServices
Management And General	1443763	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12439459	Total
Program Services	12434929	ProgramServices
Management And General	4530	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies Expense	128347927	128144672	203255
PROV. FOR UNCOLLECTIBLE ACCTS	54479869	54475842	4027
Recruitment/Placement Fees	1823155	621983	1201172
Dues and Membership	309472	243086	66386

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	136989	Total
Program Services	52529	ProgramServices
Management And General	84460	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	667501038	Total
Program Services	612614260	ProgramServices
Management And General	54886778	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	446732404	BOY
EOY	482883360	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	78804316	BOY
EOY	58056179	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	1059010	BOY
EOY	707022	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	20001132	BOY
EOY	21419055	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	336565	BOY
EOY	476863	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	739682535	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	467591831	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	273807263	BOY
EOY	272090704	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	14935297	BOY
EOY	17498170	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1370037	BOY
EOY	585000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	44692511	BOY
EOY	57072844	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	881738535	BOY
EOY	910789197	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	51185179	BOY
EOY	44989337	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	130625	BOY
EOY	2793815	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	226681598	BOY
EOY	228943759	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	277997402	BOY
EOY	276726911	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	603573628	BOY
EOY	634009182	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	167505	BOY
EOY	53104	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	603741133	BOY
EOY	634062286	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	881738535	BOY
EOY	910789197	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	34044844	ReconcilationRevenueExpenses
Reconcilation Other Changes	-3723691	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$39,147	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$15,141	OtherActivitiesAmount
Total Lobbying Expenditures IIB	54288	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 2012 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $15,141. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-12.	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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23591882	OtherCostOrOtherBasis
Book Value	23591882	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	394448435	OtherCostOrOtherBasis
Depreciation	222025578	Depreciation
Book Value	172422857	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18217497	OtherCostOrOtherBasis
Depreciation	10185201	Depreciation
Book Value	8032296	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	300762551	OtherCostOrOtherBasis
Depreciation	234905895	Depreciation
Book Value	65856656	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2662170	OtherCostOrOtherBasis
Depreciation	475157	Depreciation
Book Value	2187013	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	272090704	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Due from Related Organizations	Description
Book Value	57072844	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	57072844	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Due to Christus Bond Fund	$174,867,034
Capital Lease	$54,076,725

Field	Value	IRS element (for citing)
Total Of Amounts	228943759	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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. Form 990, Schedule D, Part X Some beginning balances were reclassified from Form 990, Part X, Line 24 to Part X, Line 25 for presentation purposes only.
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, 2012 and 2011.

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	41477295	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	41477295	NetCommunityBenefitExpense
Percent Of Total Expense	0.06760	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77160716	TotalCommunityBenefitExpense
Direct Offsetting Revenue	108316329	DirectOffsettingRevenue
Net Community Benefit Expense	-31155613	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36245732	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32813116	DirectOffsettingRevenue
Net Community Benefit Expense	3432616	NetCommunityBenefitExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	154883743	TotalCommunityBenefitExpense
Direct Offsetting Revenue	141129445	DirectOffsettingRevenue
Net Community Benefit Expense	13754298	NetCommunityBenefitExpense
Percent Of Total Expense	0.02240	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	63	NumberOfActivitiesOrPrograms
Persons Served	54262	PersonsServed
Total Community Benefit Expense	2374291	TotalCommunityBenefitExpense
Direct Offsetting Revenue	199185	DirectOffsettingRevenue
Net Community Benefit Expense	2175106	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	3906	PersonsServed
Total Community Benefit Expense	7391030	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2373695	DirectOffsettingRevenue
Net Community Benefit Expense	5017335	NetCommunityBenefitExpense
Percent Of Total Expense	0.00820	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	11484	PersonsServed
Total Community Benefit Expense	1670181	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1670181	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	107	NumberOfActivitiesOrPrograms
Persons Served	69652	PersonsServed
Total Community Benefit Expense	11435502	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2572880	DirectOffsettingRevenue
Net Community Benefit Expense	8862622	NetCommunityBenefitExpense
Percent Of Total Expense	0.01440	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	107	NumberOfActivitiesOrPrograms
Persons Served	69652	PersonsServed
Total Community Benefit Expense	166319245	TotalCommunityBenefitExpense
Direct Offsetting Revenue	143702325	DirectOffsettingRevenue
Net Community Benefit Expense	22616920	NetCommunityBenefitExpense
Percent Of Total Expense	0.03680	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	59727	TotalCommunityBuildingExpense
Net Community Building Expense	59727	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	59727	TotalCommunityBuildingExpense
Net Community Building Expense	59727	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$54,479,869	BadDebtExpenseAmount
Amount Attributable To	2064787	AmountAttributableTo
Amount Reimbursed By Medicare	155069124	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	160471116	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-5401992	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	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	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	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
CHRISTUS Spohn Hospital Shoreline
1	true	true	200.	true	true	X	X	X	X	X	true	true	X	X	X	false	false	true	X	false	false
Christus Spohn Hospital Memorial
2	true	true	200.	true	true	X	X	X	X	X	true	true	X	X	X	false	false	true	X	false	false
Christus Spohn Hospital South
3	true	true	200.	true	true	X	X	X	X	X	true	true	X	X	X	false	false	true	X	false	false
Christus Spohn Hospital Alice
4	true	true	200.	true	true	X	X	X	X	X	true	true	X	X	X	false	false	true	X	false	false
Christus Spohn Hospital Kleberg
5	true	true	200.	true	true	X	X	X	X	X	true	true	X	X	X	false	false	true	X	false	false
CHRISTUS Spohn Hospital Beeville
6	true	true	200.	true	true	X	X	X	X	X	true	true	X	X	X	false	false	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 $667,501,038. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $54,479,869. THIS LEAVES A TOTAL EXPENSE OF $613,021,169 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 21.49% 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 $1,600,000 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2012. 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 $144,531 WERE DONATED 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 WERE USED TO INTRODUCE COMMUNITY HEALTH WORKERS AND A CARE MANAGEMENT PROGRAM CALLED "CARE PARTNERS," AIMED AT CHRONIC DISEASE MANAGEMENT FOR UNDERSERVED PATIENTS IN CHRISTUS SPOHN FAMILY HEALTH CENTERS AND CLINICS. THIS PROGRAM HAS PROVEN TO BE INSTRUMENTAL IN REDUCING THE NUMBER OF PREVENTABLE HOSPITALIZATIONS FOR OUR PATIENTS. THE CHRISTUS FUND GRANTS ALSO SUPPORT OTHER EQUALLY WORTHY CAUSES. 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 $20,731 FROM THE FUND AND USED SUCH RESOURCES TO BENEFIT THE COMMUNITY BY SPONSORING RESEARCH AND EDUCATIONAL PROJECTS. INDIGENT FUNDING EXPENSE OF $1,255,240 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 2012, 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. 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, 2012, 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 26.21% 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 PREVIOUS FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2012. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 3.79% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2012 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 ($35,744,190) 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 10 DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE RESPONSE: THE HOSPITAL FACILITY PROVIDES DISCOUNTED CARE TO ALL UNINSURED PATIENTS. IN ORDER TO DETERMINE DISCOUNTS FOR UNINSURED PATIENTS, THE FACILITY UTILIZES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES AND OTHER CRITERIA APPLIED TO A UNIFORM FEE SCHEDULE. THE FACILITY HAS IMPLEMENTED A 3 TIER UNINSURED FEE SCHEDULE WHEREIN INDIVIDUALS BETWEEN 201-300% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; INDIVIDUALS BETWEEN 301%-400% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; AND INDIVIDUALS ABOVE 401% OF THE FEDERAL POVERTY LEVEL RECEIVE NO ADDITIONAL DISCOUNT OFF OF THE UNINSURED DISCOUNTED PRICE. THERE IS NO FEDERAL POVERTY LIMIT FOR THE UNINSURED POPULATION TO RECEIVE DISCOUNTED CARE BECAUSE ALL CHARGES BY THE FACILITY ARE BASED ON THE UNINSURED DISCOUNTED PRICE. THE UNINSURED DISCOUNTED PRICE IS BASED ON THE FY 2009 MANAGED CARE AVERAGE REIMBURSEMENT RATE, EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. PART V, SECTION B, LINE 13 & 13G HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY THE HOSPITAL FACILITY'S COMPLETE FINANCIAL ASSISTANCE POLICY IS NOT POSTED IN THE FACILITY'S EMERGENCY ROOMS, WAITING ROOMS OR ADMISSIONS OFFICES; HOWEVER, A NOTICE THAT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE BUSINESS OFFICE AND ONLINE IS POSTED IN THE FACILITY'S EMERGENCY ROOMS, WAITING ROOMS AND ADMISSION OFFICES. PART V, SECTION B, LINE 14 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE ORGANIZATION DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NON-PAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 15 OR 16 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11.
PART V, SECTION B, LINE 19D	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 2010, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT OF THE 15-COUNTY SERVICE AREA KNOWN AS THE COASTAL BEND. THE PARTICIPANTS INCLUDED CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, DRISCOLL CHILDREN'S HOSPITAL, DRISCOLL CHILDREN'S HEALTH PLAN, CORPUS CHRISTI MEDICAL CENTER, NUECES COUNTY MEDICAL SOCIETY, UNITED WAY OF THE COASTAL BEND, 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. THE "TASK FORCE" IS COMPRISED OF THE ORIGINAL GROUP WHO CONDUCTED THE 2010 NEEDS ASSESSMENT AS WELL AS THE FOLLOWING ORGANIZATIONS: THE NUECES COUNTY MEDICAL SOCIETY, NUECES COUNTY/CORPUS CHRISTI HEALTH DEPARTMENT, SAN PATRICIO HEALTH DEPARTMENT, DELMAR COLLEGE, CORPUS CHRISTI INDEPENDENT SCHOOL DISTRICT, NUECES COUNTY SOCIAL WORKERS ASSOCIATION, THE SIX FEDERALLY QUALIFIED HEALTH CENTERS IN THE REGION, COASTAL BEND RURAL HEALTH PARTNERSHIP, AND THE MISSION OF MERCY. THIS TASK FORCE ENSURES THAT THE CHRISTUS SPOHN COMMUNITY BENEFIT PLAN ACCURATELY REFLECTS THE NEEDS OF THE COMMUNITY, DEVELOPS ACTION PLANS 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 602,000 INDIVIDUALS. OVERALL, POPULATION GROWTH IS FLAT IN THE REGION WITH THE EXCEPTION OF ARANSAS 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 61% HISPANICS, 33% CAUCASIAN, 4% AFRICAN AMERICAN, 1% AMERICAN INDIAN, AND 1% ASIAN. APPROXIMATELY 20% OF PERSONS IN THE REGION LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, WITH THE MEDIAN HOUSEHOLD INCOME IN THE REGION BEING APPROXIMATELY $40,500. 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 96 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 TWO IMAGING CENTERS- PORTLAND IMAGING CENTER, LTD. AND COASTAL BEND P.E.T. SCAN, LTD. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO PARTIALLY OWNS 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 FY2012, CHRISTUS SPOHN WAS PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS, INCLUDING 184,714 VISITS TO ITS EMERGENCY DEPARTMENTS, 11,064 SURGERY PROCEDURES WITHIN ITS HOSPITALS, 10,766 OUTPATIENT SURGERY PROCEDURES, 45,318 PATIENTS WHO WERE ADMITTED TO ITS HOSPITALS FOR CARE, AND 444,775 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 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 FIVE PRIMARY CARE PHYSICIANS AND FOUR 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 HEALTH DISTRICT (NCHD). (2) IMPLEMENTATION OF THE COMMUNITY HEALTH WORKER (CHW) AND CARE MANAGEMENT CONCEPT AT ALL SPOHN FAMILY HEALTH CENTERS TO HELP PATIENTS WITH CHRONIC ILLNESS PREVENT OVER-UTILIZATION OF THE EMERGENCY DEPARTMENT AND AVOID PREVENTABLE HOSPITALIZATIONS. (3) THE MOBILE UNIT DELIVERS OB/GYN CARE TO THE REGION'S UNINSURED WOMEN INCLUDING MAMMOGRAMS AND PRE-NATAL CARE. IN FY2012, 1,238 PATIENTS WERE SERVED AT AN UNREIMBURSED EXPENSE OF $360,201 TO CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. THIS PREVENTATIVE AND WELLNESS CARE HELPS WITH EARLY DETECTION OF CONDITIONS THAT OTHERWISE MIGHT RESULT IN MORE SERIOUS HEALTH ISSUES THAT COULD REQUIRE LENGTHIER HOSPITALIZATIONS IN THE FUTURE. (4) THE HECTOR P. GARCIA AND THE CHRISTUS MEDICAL GROUP FACULTY PRACTICE CLINICS ARE LOCATED ONSITE AT CHRISTUS SPOHN HOSPITAL 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 CARE FOR THOSE WHO WOULD NOT NORMALLY 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. THE CHRISTUS SPOHN WOMEN'S CLINIC- BEEVILLE PROVIDES OB/GYN 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 SYTEM CORPORATION ACTIVELY PARTICIPATES IN A JAIL DIVERSION PROGRAM IN CONJUNCTION WITH NUECES COUNTY THROUGH BEHAVIORAL MEDICINE SERVICES. (11) CHRISTUS SPOHN HEALTH SYTEM CORPORATION CONTINUES INITIATIVES WITH THE COASTAL BEND RURAL HEALTH PARTNERSHIP AND MENTAL HEALTH PROVIDERS TO HELP KEEP PSYCHIATRIC PATIENTS OUT OF THE EMERGENCY DEPARTMENT. (12) 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 OB MOBILE CLINIC 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 CHRITUS SPOHN HEALTH SYSTEM CORPORATION MOBILE UNIT. (13) DIABETES EDUCATION IS PROVIDED THROUGH DIABETES SELF MANAGEMENT TRAINING (DSMT) CLASSES. THESE CLASSES ARE OFFERED AT THE THREE RURAL HOSPITALS (CHRISTUS SPOHN HOSPITAL ALICE, KLEBERG AND BEEVILLE) AND THE CHRISTUS SPOHN ROBSTOWN FAMILY HEALTH CENTER. DIABETES SUPPORT GROUPS CURRENTLY MEET AT THESE FOUR LOCATIONS. REGIONAL EDUCATION IS COORDINATED THROUGH THE COASTAL BEND DIABETES COMMUNITY COALITION AND DIABETES HEALTH FAIRS. THE THREE CHRISTUS SPOHN CORPUS CHRISTI HOSPITALS CONTRACT WITH 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.
(14) THROUGH THE FIRST FRIDAY PROGRAM, CHRISTUS SPOHN HEALTH SYSTEM		CORPORATION PERFORMED OVER 1,300 FREE MAMMOGRAMS IN FISCAL YEAR 2012 TO ASSIST PERSONS WHO WOULD NOT ORDINARILY HAVE ACCESS TO MAMMOGRAMS FOR EARLY DIAGNOSIS OF BREAST CANCER. (15) THE CHRISTUS SPOHN CAREVAN IS A MOBILE VAN DESIGNED TO PROVIDE PUBLIC HEALTH EDUCATION AND MEDICAL SCREENINGS TO THE UNDERSERVED AND BROADER COMMUNITY. THE CAREVAN PLACES A SPECIAL EMPHASIS ON RURAL TOWNS IN THE REGION THAT HAVE LIMITED ACCESS TO HEALTH RESOURCES. IN FY2012, THE CAREVAN SERVED OVER 1,800 CLIENTS WITH 558 CHOLESTEROL SCREENINGS AND 128 SCREENINGS FOR DIABETES. THE CAREVAN ALSO SERVES AS A REFERRAL SOURCE TO THE 6 FQHC IN THE REGION AND THE 5 CHRISTUS SPOHN FAMILY HEALTH CENTERS. "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 $7,391,000 IN HEALTH PROFESSIONS EDUCATION DURING FY2012, 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 2012, 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 A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT: TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 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 Fdn
600 Elizabeth Street	Suite 203	Corpus Christi	TX	78404	741906005	501(c)(3)	2131425	FIGHT CARDIOVASCULAR DISEASE AND STROKES
Bexar County Clinical Services Inc
2801 Via Fortuna Ste 500		Austin	TX	78746	870781228	501(C)(3)	1255240	SERVICES TO PEOPLE IN NEED AND ADDRESS SOCIAL ILLS
American Heart Association
500 N Shoreline Blvd		Corpus Christi	TX	78401	135613797	501(c)(3)	11500	PROMOTE RECOVERY FROM ADDICTION
American Diabetes Association
500 N Shoreline Blvd		Corpus Christi	TX	78401	131623888	501(c)(3)	10500	ART ENRICHMENT TO THE COMMUNITY
American Cancer Society
4101 South Alameda Street	Suite 600	Corpus Christi	TX	78411	131788491	501(c)(3)	9000	PROGRAM SUPPORT & PURCHASE CAPITAL ITEMS
Its Your Life Foundation
POBox 60183		Corpus Christi	TX	78466	262968061	501(c)(3)	6000	SUPPORT CANCER RESEARCH
TX A&M Univ Coastal Bend Health Edu Ctr
6300 Ocean Drive Unit 5861	NRC Suite 3500	Corpus Christi	TX	78412	742907553	Govt	12500	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	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	296	NumberOfRecipients
Amount Of Non Cash Assistance	170952	AmountOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	MED DEVICES HOMECARE	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 (19 entries)

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 Robertson
468090	0	0	63039	55453	0	135451	0	5825	0	664819	63039	46253	0
Richard Davis
244714	0	0	0	568549	0	55439	0	6682	0	875384	0	420990	0
Pamela Brower
179000	0	4127	12072	609	0	41682	0	7359	0	232777	12072	0	0
Mark Casanova
182092	0	0	14579	1039	0	29726	0	18874	0	231731	14579	0	0
Maria E Chapa
286463	0	0	22199	17949	0	74275	0	13974	0	392661	22199	0	0
Steven Daniel
225262	0	0	16337	28823	0	48521	0	27719	0	330325	16337	28823	0
Paul Gaden
250481	0	0	18989	500	0	48395	0	23228	0	322604	18989	0	0
Mary LaFrancois
192530	0	0	13674	28086	0	39764	0	22430	0	282810	13674	22974	0
Scott Merryman
218892	73979	0	48300	5900	28109	39738	21834	7710	2449	272240	174671	0	0
Julie Pina
185446	0	0	12496	0	0	42098	0	1045	0	228589	12496	0	0
Francis Pommett Jr
255982	0	0	24499	140829	0	4900	0	22793	0	424504	24499	67993	0
Raymundo Ramos Jr
155902	0	4538	6851	5484	0	36154	0	5386	0	207464	6851	0	0
Brian Smith
166822	0	0	13495	11059	0	36501	0	9119	0	223501	13495	3359	0
Norman McBride
161935	0	0	0	995	0	36889	0	14508	0	214327	0	0	0
Leslie Gembol
168032	0	0	13310	120933	0	35230	0	14849	0	339044	13310	83568	0
Bruce Holstien
29739	0	0	0	603095	0	967	0	568	0	634369	0	284465	0
Madhup Gupta
220404	0	0	0	0	0	18149	0	24603	0	263156	0	0	0
Geronimo M Rodriguez
0	242371	0	34779	0	67082	0	51393	0	8314	0	403939	0	30435
Charles T Volk
228050	0	0	0	6240	0	18779	0	61	0	253130	0	0	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. NESTOR H. PRADERIO, M.D. RECEIVED A 1099 ISSUED TO PSYCHIATRIC CONSULTING SERVICES IN THE AMOUNT OF $72,523. THIS PAYMENT IS FOR SERVICES AS A MEDICAL DIRECTOR AS WELL AS CONSULTING SERVICES PROVIDED TO THE FILING ORGANIZATION. HE RECEIVED NO COMPENSATION FOR SERVING AS A DIRECTOR. CHANDRA S. KATRAGADDA, M.D. RECEIVED $875 FOR CREDENTIALING COMMITTEE MEETINGS. SHE RECEIVED NO COMPENSATION FOR SERVING AS A DIRECTOR. THE RELATED COMPENSATION REPORTED TO THE FOLLOWING PERSONS WAS FOR IPADS PROVIDED TO SUCH PERSONS BY CHRISTUS HEALTH AS A REQUISITE FOR SERVING AS A BOARD MEMBER OF THE FILING ENTITY: ROSALINDA SOSA-BONILLA, MARTIN DAVIS, BEN A. DONNELL, AL B. JONES, CHANDRA KATRAGADDA, MD, ANNA MARIE SILVAS AND KAREN URBAN. 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. BRUCE HOLSTIEN RECEIVED $318,630 AS SEVERANCE PAYMENT DURING CALENDAR YEAR 2011. LESLIE GEMBOL RECEIVED $37,365 AS SEVERANCE PAYMENT DURING CALENDAR YEAR 2011. FRANCIS POMMETT, JR. RECEIVED $66,941 AS SEVERANCE PAYMENT DURING CALENDAR YEAR 2011. RICHARD DAVIS RECEIVED $147,384 AS SEVERANCE PAYMENT DURING CALENDAR YEAR 2011. 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 STEVEN DANIEL RECEIVED $28,823 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. RICHARD DAVIS RECEIVED $420,990 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. BRUCE HOLSTIEN RECEIVED $284,465 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARY LAFRANCOIS RECEIVED $22,974 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FRANCES A. POMMETT, JR. RECEIVED $67,993 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PAMELA S. ROBERTSON RECEIVED $46,253 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. GERONIMO M. RODRIGUEZ RECEIVED $30,435 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. LESLIE GEMBOL RECEIVED $83,568 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. BRIAN SMITH RECEIVED $3,359 DURING CALENDAR YEAR 2011 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 2011. FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II SUPPLEMENTAL COMPENSATION INFORMATION 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, LESLIE GEMBOL, AND GERONIMO M. RODRIGUEZ. 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

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	PSYCHIATRIC CONSULTING SERVICES	NamePerson

Field	Value	IRS element (for citing)
Relationship	NESTOR PRADERIO BRD MBR	Relationship
Amount Of Transaction	180923	AmountOfTransaction
Description Of Transaction	SEE SUPPLEMENTAL INFORMATION	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	Identifier
Return Reference	FORM 990, SCHEDULE L, PART IV	ReturnReference
Explanation	FEES OF $54,400 PAID TO PSYCHIATRIC CONSULTING SERVICES FOR PHYSICIAN SERVICES. FEES OF $126,523 PAID TO PSYCHIATRIC CONSULTING SERVICES FOR MEDICAL DIRECTOR FEES PROVIDED BY DR. PRADERIO. DR. PRADERIO IS OWNER OF PSYCHIATRIC CONSULTING SERVICES.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DOING BUSINESS AS	FORM 990, PART I, LINE C	NAMES: 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. FY2012 SAW THE INTRODUCTION OF THE NEW CHRISTUS SPOHN CARE VAN, A MOBILE VAN DESIGNED TO PROVIDE PUBLIC HEALTH EDUCATION AND SCREENINGS TO THE BROADER COMMUNITY. THE CAREVAN PLACES A SPECIAL FOCUS ON SMALLER TOWNS IN THE REGION THAT HAVE LIMITED ACCESS TO HEALTH RESOURCES. IN FY2012 THE CHRISTUS SPOHN CAREVAN SERVED OVER 1,800 CLIENTS WITH 558 CHOLESTEROL SCREENINGS AND 127 SCREENINGS FOR DIABETES. THE CAREVAN ALSO SERVES AS A REFERRAL RESOURCE TO PRIMARY PHYSICIANS AND CLINICS IN THE REGION. 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 FY2012, 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 FY2012, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION CONTINUED ITS PARTNERSHIP OF HEALTH AND SOCIAL SERVICE PROVIDERS CALLED THE COASTAL BEND HEALTH TASK FORCE. ITS GOAL IS TO STRATEGICALLY ADDRESS THE COMMUNITY NEEDS IDENTIFIED THROUGH THE 2010 COASTAL BEND COMMUNITY NEEDS ASSESSMENT. ONE OF THE FINDINGS OF THE NEEDS ASSESSMENT WAS A LACK OF AWARENESS IN THE COMMUNITY OF EXISTING HEALTH RESOURCES. IN FY2011, THE TASK FORCE ESTABLISHED A WEB-BASED COMMUNITY HEALTH RESOURCE TO LINK RESIDENTS TO HEALTH RESOURCES OFFERED IN THE REGION (WWW.COASTALBENDHEALTHFINDER.COM). THE DATA-BASE HAS ALSO BEEN SHARED WITH THE UNITED WAY'S 3-1-1 PROGRAM WHICH IS ACCESSED BY PHONE. THROUGH THE FIRST FRIDAY PROGRAM, CHRISTUS SPOHN HEALTH SYSTEM CORPORATION PERFORMED OVER 1,300 FREE MAMMOGRAMS IN FY2012 TO ASSIST PERSONS WHO WOULD NOT ORDINARILY HAVE ACCESS TO MAMMOGRAMS FOR EARLY DETECTION OF BREAST CANCER. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION ALSO PROVIDED 133 FREE MELANOMA SCREENINGS TO THE COMMUNITY IN FY2012. TOTAL OTHER PROGRAM EXPENSES - $7,526,219 GRANTS AND ALLOCATIONS - $ 2,184,997 REVENUE - $ 0 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 HEATH 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 TO THE HOMELESS SHELTERS, TRANSPORTATION SERVICES, AND A VARIETY OF OTHER SOCIAL SERVICES. ANOTHER EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES, PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2012 WAS $0. 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 FY2012, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE SPOHN REGION WAS $144,531. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. A LARGE PERCENTAGE OF THE GRANTS WERE USED FOR COMMUNITY HEALTH WORKERS AND A CARE MANAGEMENT PROGRAM (CARE PARTNERS) AIMED AT CHRONIC DISEASE MANAGEMENT FOR UNDERSERVED PATIENTS IN OUR FAMILY HEALTH CENTERS AND CLINICS. EARLY RESULTS ARE PROMISING, SHOWING FEWER VISITS TO THE EMERGENCY DEPARTMENT AND A DECREASE IN PREVENTABLE HOSPITALIZATIONS FOR THESE PATIENTS. THIS MODEL IS HELPING CREATE A "MEDICAL HOME" FOR PATIENTS THAT TRADITIONALLY HAVE RELIED ON THE EMERGENCY DEPARTMENT FOR PRIMARY AND ROUTINE CARE. TOTAL OTHER PROGRAM EXPENSES - $4,760,565 GRANTS AND ALLOCATIONS - $1,426,192 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 VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2013 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. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A AVERAGE HOURS PER WEEK LISTED ON FORM 990, PART VII, SECTION A ARE THE AVERAGE HOURS DEVOTED TO THE RESPECTIVE PERSON'S POSITION WHILE SERVING THE ORGANIZATION. EFFECTIVE 11/29/10, GERONIMO M. RODRIGUEZ DEVOTES AN AVERAGE OF 40 HOURS PER WEEK TO CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF THE FILING ENTITY. EFFECTIVE 11/29/10, GERONIMO BECAME THE CHIEF NURSE EXECUTIVE/CHIEF OPERATING OFFICER OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. SISTER ROSANNE POPP, MD DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS STEHLIN FOUNDATION FOR CANCER RESEARCH, A RELATED ORGANIZATION OF THE FILING ENTITY. SISTER ROSANNE IS A BOARD MEMBER OF CHRISTUS STEHLIN FOUNDATION FOR CANCER RESEARCH. SISTER ROSANNE DEVOTES AN AVERAGE OF 38 HOURS PER WEEK TO C.H. WILKINSON PHYSICIAN NETWORK, A RELATED ORGANIZATION OF THE FILING ENTITY. SISTER ROSANNE IS AN EMPLOYEE AND BOARD MEMBER OF C.H. WILKINSON PHYSICIAN NETWORK. THROUGH 9/18/11, SCOTT MERRYMAN DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS HEALTH PLAN, A RELATED ORGANIZATION OF THE FILING ENTITY. SCOTT WAS THE TREASURER OF CHRISTUS HEALTH PLAN. EFFECTIVE 9/19/11, SCOTT DEVOTES AN AVERAGE OF 16 HOURS PER WEEK TO CHRISTUS HEALTH NORTHERN LOUISIANA LOUISIANA, A RELATED ORGANIZATION OF THE FILING ENTITY. SCOTT IS THE CFO OF CHRISTUS HEALTH NORTHERN LOUISIANA. EFFECTIVE 9/19/11, SCOTT DEVOTES AN AVERAGE OF 8 HOURS PER WEEK TO CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, A RELATED ORGANIZATION OF THE FILING ENTITY. SCOTT IS THE CFO OF CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. EFFECTIVE 9/19/11, SCOTT DEVOTES AN AVERAGE OF 15 HOURS PER WEEK TO CHRISTUS HEALTH CENTRAL LOUISIANA, A RELATED ORGANIZATION OF THE FILING ENTITY. SCOTT IS THE CFO OF CHRISTUS HEALTH CENTRAL LOUISIANA. EFFECTIVE 9/19/11, SCOTT DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO ST. FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA, A RELATED ORGANIZATION OF THE FILING ENTITY. SCOTT IS THE CFO/TREASURER OF ST. FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA. BEN A. DONNELL DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS HEALTH PLAN, A RELATED ORGANIZATION OF THE FILING ENTITY. BEN IS A DIRECTOR OF CHRISTUS HEALTH PLAN. MARIA E. CHAPA DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS HEALTH PLAN, A RELATED ORGANIZATION OF THE FILING ENTITY. MARIA IS A DIRECTOR OF CHRISTUS HEALTH PLAN. EFFECTIVE 12/4/11, PAMELA BROWER DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS HEALTH PLAN, A RELATED ORGANIZATION OF THE FILING ENTITY. PAMELA IS THE TREASURER AND A DIRECTOR OF CHRISTUS HEALTH PLAN. KAREN URBAN DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FOUNDATION, A RELATED ORGANIZATION OF THE FILING ENTITY. KAREN IS A DIRECTOR OF CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FOUNDATION. CHARLES VOLK DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FOUNDATION, A RELATED ORGANIZATION OF THE FILING ENTITY. CHARLES IS A DIRECTOR OF CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FOUNDATION. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 PENSION LIABILITY/EXPENSE = $12,753,708 PENSION FUNDING = ($12,408,393) REALLOCATION OF BOND DEBT = $20,000 MISC CHANGE IN FUND BALANCE = ($1,591) AMORTIZED GRANT REVENUE BOOKED TO REVENUE = $23,636 CONTRIBUTION REVENUE BOOKED TO DEFERRED REVENUE = ($3,664,172) IN-KIND DONATION EXPENSE = ($446,879) TOTAL = ($3,723,691)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 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)	11 - TYPE I	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

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	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	402998	1336877	1.00000
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	Rental	TX	CSPHSC	C CORP	1243397	15593673	1.00000
CHRISTUS Muguerza SAPI de CV
					HLTHCARE SVC		CH	C corp				HIDALGO PTE 2525	COL. OBISPADO, MONTERREY	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C CORP									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
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	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
B	2580812	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
N	366639	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
A(IV)	15411	ACCRUAL
CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FDN
C	3187900	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
A(IV)	1257141	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
L	2350184	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
P	78842	ACCRUAL
SPOHN INVESTMENT CORPORATION
A(I)	438	ACCRUAL
CHRISTUS HEALTH LIABILITY RETENTION TRUST
O	643067	ACCRUAL
CHRISTUS HEALTH LIABILITY RETENTION TRUST
P	306139	ACCRUAL