2013-05-10T13:50:12-05:00 2012-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2011-07-01 741109836 Christus Spohn Health System Corporation % PAMELA BROWER CHRI 3618813400 600 Elizabeth Street Corpus Christi TX 78404 Pamela L Brower 2013-05-02 7137501500 2011 2016-02-25 16:41:14Z SEE SCHEDULE O PAM ROBERTSON 600 ELIZABETH STREET Corpus Christi TX 78404 702112352 false 0928 X www.christusspohn.org X 1965 TX 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. 15 13 5776 700 36000 0 8846162 8850151 684279757 687132980 4130 -80436 5557401 5643187 698687450 701545882 3949158 3611189 0 0 305611632 288667647 0 0 0 373040677 375222202 682601467 667501038 16085983 34044844 881738535 910789197 277997402 276726911 603741133 634062286 X 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 false false 195289875 0 291722227 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. 119062816 0 141129581 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. 285974785 0 254281172 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. 12286784 3611189 0 612614260 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true true true false false false false false true false false false false false false false true true true false false true 668 0 true 5776 true true true false false false false false false false false false X 15 13 false false false false true true true true true false false true true true true true true true true true true X PAMELA BROWER 3618813432 1714 SANTA FE Corpus Christi TX 78404 X Elizabeth Chu Richter 1.0 X Sr Mary Margaret Bright 1.0 X Rosalinda Sosa-Bonilla 1.0 X 889 Al B Jones 1.0 X X 889 Karen Urban 1.0 X 889 Leon S Loeb 1.0 X Anna Marie Silvas 1.0 X 889 Rosie Garcia MD 1.0 X Martin C Davis 1.0 X 889 Ben A Donnell 1.0 X X 889 Robert Bosquez II 1.0 X Sr Rosanne Mary Popp 1.0 X 73084 1751 Chandra Katragadda MD 1.0 X 875 889 Nestor Praderio MD 1.0 X 72523 Pamela Robertson 40.0 X X 523543 63039 141276 Anthony LaMantia 1.0 X Frank Brogan 1.0 X Linda Walker 1.0 X Brent Hagemeister MD 1.0 X Stephen Kleberg 1.0 X Sr Teresa Stanley 1.0 X Laura E Martinez 40.0 X 50599 11357 Pamela Brower 39.0 X 183736 12072 49041 Scott Merryman 39.0 X 224792 150388 71731 Richard Davis 40.0 X 813263 0 62121 Mark Casanova 40.0 X 183131 14579 48600 Maria E Chapa 39.0 X 304412 22199 88249 Steven Daniel 40.0 X 254085 16337 76240 Paul Gaden 40.0 X 250981 18989 71623 Francis Pommett Jr 40.0 X 396811 24499 27693 Raymundo Ramos Jr 40.0 X 165924 6851 41540 Norman McBride 40.0 X 162930 0 51397 Charles T Volk 39.0 X 234290 0 18840 Mary LaFrancois 40.0 X 220616 13674 62194 Julie Pina 40.0 X 185446 12496 43143 Brian Smith 40.0 X 177881 13495 45620 Leslie Gembol 40.0 X 288965 13310 50079 Madhup Gupta 40.0 X 220404 0 42752 Bruce Holstien 0.0 X 632834 0 1535 Geronimo M Rodriguez 0.0 X 0 344232 59707 5548041 805467 1066489 328 true true false 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 165 3337319 3868296 1644536 8850151 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 752091 751955 136 687132980 25967 25967 0 0 460067 566470 -106403 -106403 -106403 0 0 0 Food Services 722320 3501454 3501454 CHILDCARE 624410 451358 451358 VOLUNTEER SERVICES 453220 379958 379958 1310417 1310417 5643187 701545882 687096980 36000 5562751 3440237 3440237 170952 170952 0 0 4565894 4164786 401108 634459 577260 57199 234163355 213593745 20569610 13248145 12784504 463641 19438013 16475531 2962482 16617781 15262413 1355368 95227 95227 358446 358446 0 0 0 0 57155967 40891735 16264232 452517 201 452316 39431421 32425774 7005647 25697821 25697821 0 10947483 9542057 1405426 1629689 1165928 463761 0 27704 7265 20439 9100460 9096177 4283 0 32788596 31344833 1443763 12439459 12434929 4530 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 136989 52529 84460 667501038 612614260 54886778 0 446732404 482883360 0 0 0 0 78804316 58056179 0 0 0 0 1059010 707022 20001132 21419055 336565 476863 739682535 467591831 273807263 272090704 0 0 0 0 14935297 17498170 1370037 585000 44692511 57072844 881738535 910789197 51185179 44989337 0 0 130625 2793815 0 0 0 0 0 0 0 0 0 0 226681598 228943759 277997402 276726911 X 603573628 634009182 167505 53104 0 0 603741133 634062286 881738535 910789197 X 34044844 -3723691 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 39147 false true 15141 54288 false Lobbying Description Form 990, Schedule C, Part II-B, LINE 1G 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. 23591882 23591882 394448435 222025578 172422857 18217497 10185201 8032296 300762551 234905895 65856656 2662170 475157 2187013 272090704 Due from Related Organizations 57072844 57072844 0 Due to Christus Bond Fund 174867034 Capital Lease 54076725 228943759 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. true true X true X true X true true false true true 41477295 0 41477295 0.06760 77160716 108316329 -31155613 0.00000 36245732 32813116 3432616 0.00560 154883743 141129445 13754298 0.02240 63 54262 2374291 199185 2175106 0.00350 20 3906 7391030 2373695 5017335 0.00820 0 0 0 0 0.00000 0 0 0 0 0.00000 24 11484 1670181 0 1670181 0.00270 107 69652 11435502 2572880 8862622 0.01440 107 69652 166319245 143702325 22616920 0.03680 6 59727 59727 0.00010 6 59727 59727 0.00010 true 54479869 2064787 155069124 160471116 -5401992 X true true 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 6 1 CHRISTUS Spohn Hospital Shoreline

600 Elizabeth Street Corpus Christi TX 78404

X X X REHABILITATION CLINIC 2 Christus Spohn Hospital Memorial

2606 Hospital Blvd Corpus Christi TX 78405

X X X X OP PHYSICIAN CLINICS ADOLESCENT PSYCHTRY UNIT 3 Christus Spohn Hospital South

5950 Saratoga Blvd Corpus Christi TX 78414

X X X 4 Christus Spohn Hospital Alice

2500 Main Street Alice TX 78332

X X X OP PHYSICIAN CLINICS REHAB CLINIC 5 Christus Spohn Hospital Kleberg

1311 EAST GENERAL CAVAZOS BLVD Kingsville TX 78363

X X X OUTPATIENT PHYSICAL THERAPY 6 CHRISTUS Spohn Hospital Beeville

1500 East Houston Highway Beeville TX 78102

X X X OP PHYSICIAN CLINICS 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 4 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 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 true 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 6 1 Indigent Assistance 296 170952 FMV MED DEVICES HOMECARE Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I, Part I, Line 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. 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. X true true true true false false false false false false false 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 Supplemental Compensation Information Schedule J, Part I, Line 1a, Companion Travel 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. PSYCHIATRIC CONSULTING SERVICES NESTOR PRADERIO BRD MBR 180923 SEE SUPPLEMENTAL INFORMATION false BUSINESS TRANSACTIONS WITH INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV 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. 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) 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 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 HIDALGO PTE 2525 COL. OBISPADO, MONTERREY N.L. MX 64060 HLTHCARE SVC MX CH C corp EMERALD ASSURANCE CAYMAN LTD 980407545 INSURANCE CJ CH C CORP true true true false false false false false false true true true false true true true true false 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