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      <Description>COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 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 IS CHALLENGED TO REACH 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 THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND OF LOCAL AND GLOBAL COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH SERVICES PROVIDED AT CHRISTUS ST. PATRICK HOSPITAL, A 266 LICENSED BED ACUTE CARE FACILITY, DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY AND EMBRACING THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF EACH PATIENT. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, LOCATED IN LAKE CHARLES, LOUISIANA IN THE SOUTHWESTERN PART OF THE STATE, HAS A SERVICE AREA THAT INCLUDES PARISHES ALONG THE SOUTHERN COAST OF LOUISIANA INTO THE SOUTH CENTRAL PORTIONS OF THE STATE, WHICH INCLUDES A POPULATION OF MORE THAN 262,796 INDIVIDUALS. IN OUR 2012 FISCAL YEAR ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 25,219 VISITS TO OUR EMERGENCY DEPARTMENT, 1,580 INPATIENT SURGERY PROCEDURES, 2,798 OUTPATIENT SURGERY PROCEDURES, 7,445 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 69,683 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 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 IN NEED OF LIFE-SAVING BREAST CANCER TREATMENT, CHRISTUS HEALTH SOUTHWESTERN LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH SOUTHWESTERN LOUISIANA'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS HEALTH SOUTHWESTERN LOUISIANA FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE PROVIDE SPECIFIC PROGRAMS TO PROVIDE DISCOUNTED SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS COMMUNITIES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS ST. PATRICK HOSPITAL OFFERS THE AREA'S LEADING HEART PROGRAM, PROVIDING NON-INVASIVE DIAGNOSTIC SERVICES; INTERVENTIONAL CATHETERIZATION PROCEDURES SUCH AS ANGIOPLASTY, DRUG-COATED STENTS AND PACEMAKER IMPLANTATION; HEART AND LUNG SURGERY; CARDIOVASCULAR REHABILITATION; AND RESEARCH PROGRAMS. THE HOSPITAL'S CANCER CENTER PROVIDES MULTIDISCIPLINARY CANCER CARE, INCLUDING RADIATION THERAPY, CANCER SURGERY, CHEMOTHERAPY, OUTPATIENT TREATMENT, RESEARCH, EDUCATION AND SUPPORT. IN ADDITION, THE HOSPITAL OFFERS INNOVATIVE SURGERY PROCEDURES INCLUDING HEARTBURN SURGERY, NEUROSURGERY, ORTHOPEDIC SURGERY AND SINUS SURGERY, AS WELL AS SPECIALIZED PROGRAMS IN GEROPSYCHIATRY, REHABILITATION, JOINT REPLACEMENT AND A FULL RANGE OF OUTPATIENT DIAGNOSTIC AND SURGICAL SERVICES. CHRISTUS ST. PATRICK HOSPITAL ALSO 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 ST. PATRICK HOSPITAL ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING FIVE SCHOOL-BASED CLINICS. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GUIDES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. WE HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS HAVE UNDERGONE A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.</Description>
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        <Description>OTHER GOVERNMENT-SPONSORED PROGRAMS IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE NON-REIMBURSED COSTS OF THESE SERVICES ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A 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. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 12,210 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL, AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.</Description>
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        <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 HEALTH SOUTHWESTERN LOUISIANA PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY 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. 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>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Michael G Eason CFP CFM</NamePerson>
        <Title>Chairperson (Effective 1/1/12)</Title>
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        <Officer>X</Officer>
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        <OtherCompensation>0</OtherCompensation>
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        <NamePerson>Leslie H Harless</NamePerson>
        <Title>Board Member</Title>
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        <ReportableCompFromRelatedOrgs>815</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
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        <NamePerson>Ronald S Johns</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
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        <NamePerson>Ricardo M McCall MD</NamePerson>
        <Title>Board Member</Title>
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        <NamePerson>James D Serra</NamePerson>
        <Title>Board Member</Title>
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        <NamePerson>Russell J Stutes Jr</NamePerson>
        <Title>Chair(Term 12/31/11)/Brd membr</Title>
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        <NamePerson>Adrian L Wallace</NamePerson>
        <Title>Board Member</Title>
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        <NamePerson>Sister Nora Marie Walsh</NamePerson>
        <Title>Board Member</Title>
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        <NamePerson>Stephen F Wright</NamePerson>
        <Title>President/CEO</Title>
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        <NamePerson>Daryl Burckel</NamePerson>
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        <NamePerson>Deborah F White</NamePerson>
        <Title>CFO (Term 9/18/11)</Title>
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        <OtherCompensation>70484</OtherCompensation>
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        <NamePerson>Lila H Hicks</NamePerson>
        <Title>Secretary</Title>
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        <NamePerson>Scott Merryman</NamePerson>
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        <NamePerson>Bernard Leger</NamePerson>
        <Title>Administrator (Term 7/1/11)</Title>
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        <NamePerson>David Engleking</NamePerson>
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        <NamePerson>Nancy Hellyer</NamePerson>
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        <NamePerson>Kenneth C Marchand</NamePerson>
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        <NamePerson>Douglas T Castille</NamePerson>
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        <NamePerson>Dianne Teal</NamePerson>
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        <NamePerson>Karen Stubblefield</NamePerson>
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        <NamePerson>Ellen Jones</NamePerson>
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        <ProgramServices>6150801</ProgramServices>
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      <TravelEntrtnmntPublicOfficials>
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        <ManagementAndGeneral>82869</ManagementAndGeneral>
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        <ProgramServices>2340634</ProgramServices>
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        <ProgramServices>7824281</ProgramServices>
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        <ProgramServices>4668306</ProgramServices>
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      <OtherExpenses>
        <Description>SALES &amp; USE TAX</Description>
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        <ProgramServices>1676236</ProgramServices>
        <ManagementAndGeneral>48986</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Recruitment/Placement Fees</Description>
        <Total>178324</Total>
        <ProgramServices>8580</ProgramServices>
        <ManagementAndGeneral>169744</ManagementAndGeneral>
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        <Total>211661</Total>
        <ProgramServices>50451</ProgramServices>
        <ManagementAndGeneral>-12630</ManagementAndGeneral>
        <Fundraising>173840</Fundraising>
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      <TotalFunctionalExpenses>
        <Total>128669817</Total>
        <ProgramServices>117535634</ProgramServices>
        <ManagementAndGeneral>10619504</ManagementAndGeneral>
        <Fundraising>514679</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>58059751</BOY>
        <EOY>47768237</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>14283667</BOY>
        <EOY>14206221</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
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        <EOY>466033</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>3883815</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>447434</BOY>
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      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>246887546</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>196016807</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>50870739</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>112100</BOY>
        <EOY>3787100</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
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        <EOY>1679108</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>76250</BOY>
        <EOY>84576</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>133426596</BOY>
        <EOY>123010301</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>10436797</BOY>
        <EOY>8376597</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>655723</BOY>
        <EOY>374482</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
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        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
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        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>51754725</BOY>
        <EOY>45530217</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>62847245</BOY>
        <EOY>54281296</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>69062595</BOY>
        <EOY>66890319</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1516756</BOY>
        <EOY>1838686</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>70579351</BOY>
        <EOY>68729005</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>133426596</BOY>
        <EOY>123010301</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-1894623</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>44277</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>828</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>828</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Lobbying Description</Identifier>
        <ReturnReference>FORM 990, SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>"OTHER ACTIVITIES" REPORTS THE PORTION OF FY 2012 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $828. CHRISTUS Health Southwestern Louisiana did not substantially lobby during the fiscal year 6-30-12.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
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        <BeginningOfYearBalance>1166942</BeginningOfYearBalance>
        <Contributions>167664</Contributions>
        <EndOfYearBalance>1334606</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>941776</BeginningOfYearBalance>
        <Contributions>225166</Contributions>
        <EndOfYearBalance>1166942</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years />
      <CurrentYearMinus3Years />
      <BoardDesignatedEOYBalance>1.00000</BoardDesignatedEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
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        <BookValue>6160126</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>106764468</OtherCostOrOtherBasis>
        <Depreciation>79189210</Depreciation>
        <BookValue>27575258</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1341000</OtherCostOrOtherBasis>
        <Depreciation>980464</Depreciation>
        <BookValue>360536</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>131372276</OtherCostOrOtherBasis>
        <Depreciation>115714115</Depreciation>
        <BookValue>15658161</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1249676</OtherCostOrOtherBasis>
        <Depreciation>133018</Depreciation>
        <BookValue>1116658</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>50870739</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to Christus Bond Fund</Description>
        <Amount>39463965</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Related Organizations</Description>
        <Amount>5163341</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CIP</Description>
        <Amount>156973</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Rent Deposit</Description>
        <Amount>501</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>FIN 45 PHYSICIAN INCOME GUARANTEE</Description>
        <Amount>745437</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>45530217</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Cash - Non-Bearing Interest</Identifier>
        <ReturnReference>Form 990, Part X, Line 1</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Intended Use of Organization's Endowment Funds</Identifier>
        <ReturnReference>Form 990, Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>The endowment funds are being used for possible future capital improvements.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Uncertain Tax Positions Under ASC 740</Identifier>
        <ReturnReference>Form 990, Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2012 and 2011.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <EventsInformation>
        <NameOfEvent1>Run with Nuns</NameOfEvent1>
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        <CharitableContributionsEvent1>23388</CharitableContributionsEvent1>
        <GrossRevenueEvent1>5219</GrossRevenueEvent1>
        <FoodAndBeverageEvent1>1002</FoodAndBeverageEvent1>
        <OtherDirectExpensesEvent1>19245</OtherDirectExpensesEvent1>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>28607</GrossReceiptsTotal>
        <CharitableContributionsTotal>23388</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>5219</GrossRevenueTotalEvents>
        <FoodAndBeverageTotalEvents>1002</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>19245</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>20247</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-15028</NetIncomeSummary>
      </EventsInformation>
      <GamingInformation>
        <GrossRevenueOtherGaming>17648</GrossRevenueOtherGaming>
        <CashPrizesOtherGaming>2012</CashPrizesOtherGaming>
        <OtherDirectExpensesOtherGaming>18000</OtherDirectExpensesOtherGaming>
        <VolunteerLaborOtherGaming>true</VolunteerLaborOtherGaming>
        <VolunteerLaborPrcntOtherGaming>0.50000</VolunteerLaborPrcntOtherGaming>
        <GrossRevenueTotalGaming>17648</GrossRevenueTotalGaming>
        <CashPrizesTotalGaming>2012</CashPrizesTotalGaming>
        <OtherDirectExpensesTotalGaming>18000</OtherDirectExpensesTotalGaming>
        <DirectExpenseSummaryGaming>20012</DirectExpenseSummaryGaming>
        <NetGamingIncomeSummary>-2364</NetGamingIncomeSummary>
      </GamingInformation>
      <StatesWhereGamingConducted>LA</StatesWhereGamingConducted>
      <Licensed>false</Licensed>
      <ExplanationIfNo>Exempt organizations are not required to obtain a license to operate raffles.</ExplanationIfNo>
      <LicenseSuspendedEtc>false</LicenseSuspendedEtc>
      <GamingWithNonmembers>false</GamingWithNonmembers>
      <MemberOfOtherEntity>false</MemberOfOtherEntity>
      <PercentageOfGamingOthrFacility>1.00000</PercentageOfGamingOthrFacility>
      <NameOfGamingRecKeeperPerson>Charles O'Connor</NameOfGamingRecKeeperPerson>
      <AddressOfGamingRecKeeperUS>
        <AddressLine1>524 Dr Michael DeBakey Drive</AddressLine1>
        <City>Lake Charles</City>
        <State>LA</State>
        <ZIPCode>70601</ZIPCode>
      </AddressOfGamingRecKeeperUS>
      <ContractWith3rdPartyForGamRev>false</ContractWith3rdPartyForGamRev>
      <CharitableDistribRequired>true</CharitableDistribRequired>
      <AmountDistributed>-2364</AmountDistributed>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>3427461</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3427461</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02760</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>8779651</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4692869</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4086782</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03300</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>12207112</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4692869</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7514243</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06060</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>21</NumberOfActivitiesOrPrograms>
        <PersonsServed>29405</PersonsServed>
        <TotalCommunityBenefitExpense>1164003</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>489310</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>674693</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00540</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>255</PersonsServed>
        <TotalCommunityBenefitExpense>10970</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10970</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
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        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>7</NumberOfActivitiesOrPrograms>
        <PersonsServed>1900</PersonsServed>
        <TotalCommunityBenefitExpense>1163533</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>1163533</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00940</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>30</NumberOfActivitiesOrPrograms>
        <PersonsServed>31560</PersonsServed>
        <TotalCommunityBenefitExpense>2338506</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>1849196</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01490</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <PersonsServed>31560</PersonsServed>
        <TotalCommunityBenefitExpense>14545618</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5182179</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9363439</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07550</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
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        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>25794</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>25794</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
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        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
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        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>989</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>989</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>2000</PersonsServed>
        <TotalCommunityBuildingExpense>3628</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>3628</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
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        <PersonsServed>1200</PersonsServed>
        <TotalCommunityBuildingExpense>12893</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>12893</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
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        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>13</NumberOfActivitiesOrPrograms>
        <PersonsServed>3200</PersonsServed>
        <TotalCommunityBuildingExpense>43304</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>43304</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4641529</BadDebtExpenseAmount>
      <AmountAttributableTo>175914</AmountAttributableTo>
      <AmountReimbursedByMedicare>51100218</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>58187979</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-7087761</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>South Ryan MRI LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Medical screening and testing</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.49000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>LA PETCT IMAGING LC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Medical screening and testing</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.24500</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.25500</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>COLONNADE ENDO CTR</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Surgical center</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.70000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.29100</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Christus St Patrick Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>524 Dr Michael DeBakey Drive</AddressLine1>
          <City>Lake Charles</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Christus St Patrick Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>3</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>South Ryan MRI LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>650 Dr Michael DeBakey Drive</AddressLine1>
            <City>Lake Charles</City>
            <State>LA</State>
            <ZIPCode>70601</ZIPCode>
          </Address>
          <FacilityType>Medical Screening Facility</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Louisiana PETCT Imaging of Lake Charles</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>920 Pierremont Road Suite 411</AddressLine1>
            <City>Shreveport</City>
            <State>LA</State>
            <ZIPCode>71106</ZIPCode>
          </Address>
          <FacilityType>Medical Screening Facility</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Colonnade Endoscopy Center LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>555 Dr Michael Debakey Drive</AddressLine1>
            <City>Lake Charles</City>
            <State>LA</State>
            <ZIPCode>70601</ZIPCode>
          </Address>
          <FacilityType>endoscopy facility</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 5</Identifier>
        <ReturnReference>Budgeted Charity Care</ReturnReference>
        <Explanation>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 7, column (f) Percent of Total Expense TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $128,669,817. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $4,641,529. THIS LEAVES A TOTAL EXPENSE OF $124,028,288 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 11.73% 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 HEALTH SOUTHWESTERN LOUISIANA MADE OVER $1,100,000 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 $62,419 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH SOUTHWESTERN LOUISIANA SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). Indigent Funding Expense of $493,000 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <ReturnReference>COMMUNITY BUILDING ACTIVITIES</ReturnReference>
        <Explanation>THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUE IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY DRIVEN INITIATIVES, PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT, BY PROVIDING FINANCING AT BELOW MARKET INTEREST RATES TO NONPROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS THE LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2012 WAS $0. THE FOREGONE INTEREST FOR CHRISTUS HEALTH SOUTHWESTERN LOUISIANA IN FISCAL YEAR ENDING JUNE 30, 2012 WAS $14,199. 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. THESE ARE SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES THAT ARE IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE. THE COMMUNITY PRIORITIES FOR THE AREA INCLUDE, BUT ARE NOT LIMITED TO: GROWTH OF THE COMMUNITY BY INCREASING THE WELLNESS OF THE POPULATION; KEEPING THE COMMUNITY FREE OF DISEASES AND CONTROLLABLE HEALTH CONDITIONS; ASSISTING THE COMMUNITY WITH RESOURCES THAT ARE AVAILABLE TO HELP WITH COMMUNITY MEMBERS' DAY-TO-DAY CARE AND HEALTH NEEDS; PROVIDE HEALTH SCREENINGS AND RESOURCE INFORMATION FOR SELF CARE; EMPOWER THE COMMUNITY TO BECOME MORE AWARE OF ITS MEMBERS' HEALTH NEEDS AND EXPECTED OUTCOMES; AND PROMOTE AVOIDABLE INJURY FOR THE FIVE PARISHES SERVED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III, Section A, Line 1</Identifier>
        <ReturnReference>Bad Debt Reporting in Accordance with HFMA Statement 15</ReturnReference>
        <Explanation>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. These amounts were not reported as bad debt. The amount reported on Schedule H, Part III, Line 3 is the difference between the presumptive charity care benchmark established in the previous fiscal year ending June 30, 2011 and the aggregate of individual accounts for which the organization granted presumptive eligibility in the fiscal year ending June 30, 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 ($13,863,778) if total expenses allocable to Medicare services were substituted on Schedule H, Part III, Line 6. Part III, Section C, Line 9b 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V, Section B, Line 10</Identifier>
        <ReturnReference>Determination of eligibility for discounted care</ReturnReference>
        <Explanation>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, Lines 13 &amp; 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 THE ORGANIZATION'S COMMUNITY HEALTH PLAN WAS DEVELOPED BASED ON A NEEDS ASSESSMENT DONE IN COLLABORATION WITH LOCAL SCHOOL DISTRICTS, CHURCHES, REGIONAL PUBLIC HEALTH DEPARTMENTS, STATE LEGISLATORS, PHYSICIANS, UNITED WAY, PRIVATE BUSINESS PERSONS, LOCAL POLICE AND FIRE DEPARTMENTS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA CONTINUES TO IDENTIFY THE COMMUNITY'S NEEDS IN TWO WAYS: ACCESS TO HEALTH CARE SERVICES AND EARLY SCREENINGS AND DETECTION SERVICES. THE COMMUNITY NEEDS ASSESSMENT IDENTIFIED SEVEN (7) PRIORITIES FOR THE FUTURE: 1. BETTER ACCESS TO HEALTHCARE FOR UNINSURED AND UNDERSINSURED IN OUTLYING PARISHES. 2. ADDRESSING THE NEEDS OF THOSE WITH BEHAVIORAL HEALTH DISORDERS, ESPECIALLY DEPRESSIVE DISORDERS. 3. EDUCATION AND TREATMENT OF DIABETES. 4. ADDRESSING ACCESS TO CARE AND TREATMENT OF INDIVIDUALS WITH END-STAGE RENAL DISEASE. 5. ADDRESSING HIGHER THAN STATE AND NATIONAL AVERAGE OF PERSONS THAT ARE OVERWEIGHT OR OBESE. 6. ADDRESSING HIGHER THAN ADVERAGE USE OF TOBACCO PRODUCTS. 7. ADDRESSING LOWER THAN STATE AND NATIONAL AVERAGE OF PERSONS THAT REPORT RECEIVING THE SEASONAL FLU VACCINE. THE ASSESSMENT IDENTIFIED THAT THERE IS A DISPARITY OF ACCESS TO CARE IN THE NORTH LAKE CHARLES AREA AS WELL AS THE ALLEN AND BEAUREGARD PARISHES. THE NORTH LAKE CHARLES AREA IS WHERE ALL OF THE SCHOOL-BASED CLINICS ARE PRESENT, AND CHRISTUS HEALTH SOUTHWESTERN LOUISIANA IS WORKING TO HAVE A GREATER PRESENCE IN ALLEN AND BEAUREGARD PARISHES DESPITE THE LOW POPULATIONS IN THOSE AREAS. Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS Health Southwestern Louisiana 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 A FIVE-PARISH REGION (ALLEN, BEAUREGARD, CAMERON, CALCASIEU, AND JEFF DAVIS) WITH A POPULATION OF NEARLY 300,000 IS SERVED BY CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE THIS REGION: THE FIVE-PARISH AREA IS PREDOMINANTLY A CAUCASIAN POPULATION, WITH AN AFRICAN-AMERICAN POPULATION THAT IS HIGHER THAN THE NATIONAL AVERAGE. THE REGION HAS HIGH POVERTY RATES AS COMPARED TO THE STATE AND NATION, DUE TO A COMBINATION OF LOW WAGE PER JOB AND HIGH UNEMPLOYMENT. THE REGION AND STATE HAVE A HIGHER RATE OF UNINSURED PERSONS THAN THE NATION. RECENTLY, MORE LOUISIANA FAMILIES ARE RECEIVING HEALTH CARE COVERAGE BECAUSE OF THE EXPANSION OF THE LA CHIP PROGRAM. COMPARED TO THE NATION, THE FIVE-PARISH AREA HAS HIGH RATES OF ORAL CAVITY, MELANOMA, PROSTATE, BREAST AND UTERINE CANCERS, DIABETES, HYPERTENSION, STDS (SEXUALLY TRANSMITTED DISEASES) AND TUBERCULOSIS. Part VI, Line 5 Promotion of Community Health CHRISTUS HEALTH SOUTHWESTERN LOUISIANA COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY TO QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, PARTICULARLY THE VULNERABLE AND UNDERSERVED POPULATIONS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH SERVICES PROVIDED AT CHRISTUS ST. PATRICK HOSPITAL, A 266-BED LICENSED ACUTE CARE FACILITY, DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY, AS WELL AS EMBRACING THE PHYSICAL, SPIRITUAL, AND EMOTIONAL NEEDS OF EACH PATIENT. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 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. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA ALSO ADDED A FOCUS ON COMMUNITY HEALTH WORKERS WHO OFFER ASSISTANCE WITH COORDINATION OF BASIC HEALTH CARE SERVICES AND HEALTH CARE ACCESS FOR UNINSURED ADULTS (AGES 19 TO 64) WHO ARE NOT ELIGIBLE FOR GOVERNMENT SPONSORED OR EMPLOYEE SPONSORED HEALTH INSURANCE, HAVE LIMITED HOUSEHOLD INCOME AND SUFFER FROM CHRONIC ILLNESSES. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA PROVIDES A 24 HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF ABILITY TO PAY. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA OFFERS THE AREA'S LEADING HEART PROGRAM, PROVIDING NON INVASIVE DIAGNOSTIC SERVICES, INTERVENTIONAL CATHETERIZATION PROCEDURES, MULTIDISCIPLINARY CANCER CARE, INNOVATIVE SURGERY PROCEDURES, SPECIALIZED GEROPSYCHIATRY, REHABILITATION, AND JOINT REPLACEMENT. ONE OF THE GREATEST EXPENSES IS COMMUNITY HEALTH IMPROVEMENT SE</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Chamber for SWLA Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 3110</AddressLine1>
          <City>Lake Charles</City>
          <State>LA</State>
          <ZIPCode>70602</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721015934</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Reg Workforce Progession &amp; Development; Business Recruitment Program</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Calcasieu Parish School Board</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 3090</AddressLine1>
          <City>Lake Charles</City>
          <State>LA</State>
          <ZIPCode>70602</ZIPCode>
        </AddressUS>
        <IRCSection>Gov't Entity</IRCSection>
        <AmountOfNonCashAssistance>40825</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>HlthTeacher Software</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>Program Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Multimedia Ministries</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>117 Summer Lane</AddressLine1>
          <City>Lake Charles</City>
          <State>LA</State>
          <ZIPCode>70607</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721211080</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>Self Esteem program</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Trinity Baptist Church</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1800 Country Club Road</AddressLine1>
          <City>Lake Charles</City>
          <State>LA</State>
          <ZIPCode>706055202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>726001406</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfNonCashAssistance>31498</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>RX &amp; Med Supplies</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>Foreign Healing Mission Trip</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Louisiana Clinical Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2801 Via Fortuna Ste 500</AddressLine1>
          <City>Austin</City>
          <State>TX</State>
          <ZIPCode>78746</ZIPCode>
        </AddressUS>
        <EINOfRecipient>272869360</EINOfRecipient>
        <AmountOfCashGrant>343000</AmountOfCashGrant>
        <PurposeOfGrant>Indigent Funding</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Southern Louisiana Clinical Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2801 Via Fortuna Ste 500</AddressLine1>
          <City>Austin</City>
          <State>TX</State>
          <ZIPCode>78746</ZIPCode>
        </AddressUS>
        <EINOfRecipient>274193861</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Indigent Funding</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Eastern Louisiana Clinical Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2801 Via Fortuna Ste 500</AddressLine1>
          <City>Austin</City>
          <State>TX</State>
          <ZIPCode>78746</ZIPCode>
        </AddressUS>
        <EINOfRecipient>441779607</EINOfRecipient>
        <AmountOfCashGrant>80000</AmountOfCashGrant>
        <PurposeOfGrant>Indigent Funding</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Louisiana Children's Medical Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>200 Henry Clay Avenue</AddressLine1>
          <City>New Orleans</City>
          <State>LA</State>
          <ZIPCode>70118</ZIPCode>
        </AddressUS>
        <EINOfRecipient>943480131</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>59000</AmountOfCashGrant>
        <PurposeOfGrant>Indigent Funding</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Dubuis Health System Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1700 West Loop South Suite 1100A</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721270964</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10276</AmountOfCashGrant>
        <PurposeOfGrant>Long Term Acute Care Support</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>6</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>3</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Form 990, Schedule I, Part I, Line 2</Identifier>
        <ReturnReference>Description of Organization's Procedures for Monitoring the Use of Grants</ReturnReference>
        <Explanation>The Organization follows CHRISTUS Health Management Directive No. 0006, "Contributions/Donations to Other Organizations". Before any donation is made, two criteria are addressed: (1) Organization Test and (2) IRS Test. The organization test ensures that donations are exclusively for charitable, scientific, educational, and religious purposes, and in furtherance of our purpose of supporting the healing ministry of Jesus Christ and advancing, promoting, and supporting the healthcare ministries of the Sponsoring Congregations. Contributions can be made to support CHRISTUS System members and to other qualifying tax-exempt organizations, particularly those designed to support and benefit the poor and underserved. The organization considered for donations must be an IRS Section 501(c)(3) organization and documentation to that effect obtained. To satisfy the IRS test contributions given must be dedicated to achieving charitable purposes not for personal benefit but for public benefit. Contributions are prohibited to organizations that contribute to political campaigns, candidates for office, or conduct more than incidental lobbying. Documentation must support how the donation meets organizational purposes and furtherance of mission. Donations should be modest in scope. The filing organization provides indigent funding grants to the counties in which it serves 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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <TravelForCompanions>X</TravelForCompanions>
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Yang-Tze Broussard MD</NamePerson>
        <BaseCompensationFilingOrg>5925</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>372670</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>815</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>1346</NontaxableBenefitsRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen F Wright</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>46382</CompReportPrior990RelatedOrgs>
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        <NamePerson>Deborah F White</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Kenneth C Marchand</NamePerson>
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        <NamePerson>Douglas T Castille</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>74060</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Scott Merryman</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Dianne Teal</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Karen Stubblefield</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Shelly Welch</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>8150</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nancy Hellyer</NamePerson>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>William Hecht</NamePerson>
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        <CompReportPrior990RelatedOrgs>19203</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ellen Jones</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>523547</CompBasedOnRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>56047</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Form 990, Part VII, Question 1A and Schedule J, Part II</ReturnReference>
        <Explanation>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. Yang-Tze Broussard, MD received $5,925 for on-call physician services. He received no compensation for services as a director. $815 of 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: Yang-Tze Broussard, MD, Robert Chandler, Michael Eason, Leslie Harless, Ronald Johns, Ricardo McCall, MD, James Serra, Russell J. Stutes, Jr. and Adrian Wallace. Companion Travel Form 990, Schedule J, Part I, Line 1a TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS and directors RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. Tax Indemnification and Gross Up Payments Form 990, Schedule J, Part I, Questions 1-2 Nancy Hellyer received $2,805 in tax assistance for relocation during Calendar Year 2011.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Related Org determining CEO/Executive Director's compensation</Identifier>
        <ReturnReference>Form 990, Schedule J, Part I, Question 3</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Severance Payments</Identifier>
        <ReturnReference>Form 990, Schedule J, Part I, Question 4a</ReturnReference>
        <Explanation>Shelly Welch received $36,950 in severance payment during Calendar Year 2011. Karen Stubblefield received $24,256 in severance payment during Calendar Year 2011. Bernard Leger received $112,080 in severance payment during Calendar Year 2011. Supplemental Nonqualified Retirement Plan Form 990, Schedule J, Part I, Question 4B Deferred compensation includes Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan, and Pension Restoration Plan. Estimated pension benefits were calculated based on the provisions of the current Pension Restoration Plan at 6% of pensionable earnings which are over the IRS legislative compensation limit. Some Associates are grandfathered under an earlier legacy pension plan. If a participant has protected pension benefits under such legacy plans, his/her percentage is zero under the Supplemental Executive Retirement and Retention Plan, as the protected benefit is already equal to or better than current market.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan payments</Identifier>
        <ReturnReference>Form 990, Schedule J, Part I, Question 4b and Form 990, Schedule J,</ReturnReference>
        <Explanation>PART II, COLUMN (F), COMPENSATION REPORTED AS Deferred in Prior Form 990 Stephen Wright received $46,382 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Bernard Leger received $74,060 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Ellen Jones received $56,047 during Calendar Year 2011 under a supplemental nonqualified retirement plan. William Hecht received $19,203 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Shelly Welch received $8,150 during Calendar Year 2011 under a supplemental nonqualified retirement plan.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Form 990, Schedule J, Part II</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Form 990, Part VII, Section A and Schedule J, Part II</Identifier>
        <ReturnReference>Supplemental Compensation Information</ReturnReference>
        <Explanation>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: Stephen Wright, Scott Merryman, Debbie White, William Hecht and Ellen Jones. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Deferred Compensation</Identifier>
        <ReturnReference>Form 990, Schedule J, Part II, Column C</ReturnReference>
        <Explanation>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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KPLC-TV</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>349590</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>COLONNADE ENDOSCOPY CENTER LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>3780000</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RUSSELL J STUTES CONSTRUCTION CO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>118800</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS WITH INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>1) DESCRIPTION OF SERVICES: TELEVISION ADVERTISING AND PRODUCTION SERVICES PROVIDED TO CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. JAMES SERRA IS A BOARD MEMBER OF CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. JAMES SERRA IS THE VP/GENERAL MANAGER OF KPLC-TV. 2) Description of Services: Purchase of 70% ownership interest and cumulative investment by Christus Health Southwestern Louisiana. Ricardo McCall, MD is a board member of Christus Health Southwestern Louisiana. Ricardo McCall, MD owns greater than 5% of Colonnade Endoscopy Center, LLC. 3) Description of Services: Construction services provided to Christus Health Southwestern Louisiana. Russell J. Stutes, Jr. is a board member of Christus Health Southwestern Louisiana. The father of Russell J. Stutes, Jr. is the owner of Russell J. Stutes Construction Company, LLC.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Doing Business As</Identifier>
        <ReturnReference>Form 990, Page 1, Item C</ReturnReference>
        <Explanation>Christus Health Southwestern Louisiana operates under the following names: CHRISTUS St. Patrick Foundation CHRISTUS St. Patrick Hospital Heartburn Center CHRISTUS Village-Lake Charles CHRISTUS St. Patrick Women's Health Network CHRISTUS St. Patrick Women's Health Center CHRISTUS St. Patrick Sports Health CHRISTUS St. Patrick South Lake Charles CHRISTUS St. Patrick Center for Advanced Wound Care Southwest Regional Tumor Registry CHRISTUS St. Patrick Short Stay Surgery Center Gigi's Fitness Center</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Other Program Services</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d</ReturnReference>
        <Explanation>COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. AN EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUE 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 LOST AT THE MARKET RATE LESS OUR LOAN RATE (FORGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THERE WAS NO OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2012. THE FOREGONE INTEREST FOR CHRISTUS HEALTH SOUTHWEST LOUISIANA IN FY2012 WAS $14,198. 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 SOUTHWESTERN LOUISIANA REGION WAS $62,419. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. TOTAL OTHER PROGRAM EXPENSES - $1,081,042 GRANTS AND ALLOCATIONS - $494,151 REVENUE - $ 0 DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY MOST OF THESE EXPENSES ARE FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA TAKES AN ACTIVE ROLE IN EDUCATING THE PUBLIC. THE HOSPITAL PROVIDES REGULARLY SCHEDULED COMMUNITY HEALTH EDUCATION, SUCH AS SEMINARS AND SCREENINGS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA ALSO SUPPORTS THE COMMUNITY THROUGH PARTICIPATION WITH VARIOUS AGENCIES. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, THE FIGHT AGAINST HIV/AIDS, 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 HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. TOTAL OTHER PROGRAM EXPENSES - $183,308 GRANTS AND ALLOCATIONS - $117,850 REVENUE - $ 0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Officer, director, trustee, Key employee family or business relationships</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2</ReturnReference>
        <Explanation>Stephen Wright, Debbie White, Scott Merryman and Lila Hicks have a business relationship. Each person served as an officer of Occupational Health Services, Inc. Stephen Wright, Scott Merryman and Keith DeSonier, MD have a business relationship. Each person serves as an officer or director of Southwestern Louisiana Physician Hospital Organization, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Classes of Members or Stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Question 6</ReturnReference>
        <Explanation>CHRISTUS Health is the sole corporate member of the filing organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Classes of Persons and the Nature of Their Rights</Identifier>
        <ReturnReference>Form 990, Part VI, Question 7a</ReturnReference>
        <Explanation>Christus Health, the sole corporate member of the filing organization, has the power to appoint all members of the filing organization's governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Descr Classes of Persons, Decisions Requiring Appr &amp; Type of Voting Rights</Identifier>
        <ReturnReference>Form 990, Part VI, Question 7b</ReturnReference>
        <Explanation>Christus Health's Board of Directors has the following powers: approve, change and/or interpret the filing organization's philosophy, mission and vision; approve the adoption or amendment of the filing organization's articles of incorporation and bylaws; appoint and remove members of the filing organization's board of directors; appoint and remove the filing organization's chair of the board of directors and vice chairperson of board of directors; approve incurrence of debt that exceeds $5 million per incurrence or $25 million annually; approve any merger, consolidation, acquisition, dissolution or liquidation by the filing organization; approve the implementation of system-wide policies for the filing organization; approve system-wide consolidated budget and performance indicators for the filing organization; approve the independent audit reports of the filing organization; approve capital projects greater than $10 million for the filing organization; approve any transaction by the filing organization the effect of which is to create a new legal entity or joint venture, any transaction involving a system participant or local entity which creates a new legal entity or joint venture, or changes in business purpose or relationship of any local entity; and approve and authorize actions reserved in organization documents or similar governance documents. The Christus Health CEO has the following powers: power to appoint and remove the President of the filing organization; approve the sale, lease, mortgage, transfer, easement or encumbrance of the filing organization's real property designated as non-Designated Ministry Property under $5 million but more than $1 million; approve the incurrence of debt up to a $5 million cap or $25 million annually by the filing organization; approve strategic plans of the filing organization; approve the filing organization's budget; set the threshold of capital projects less than $10 million by the filing organization; and approve management directives for the filing organization. The Christus Health Members are the Congregation of Sisters of Charity of the Incarnate Word, Houston, Texas and the Congregation of Sisters of Charity of the Incarnate Word (of San Antonio). The Christus Health Members have the following powers: approve the adoption and amendment of articles of incorporation and bylaws of the filing organization if the change is related to reserved powers of members; approve the sale, lease, mortgage, transfer, easement or encumbrance of real property in excess of a $5 million threshold dollar amount required by canon law for the filing organization; approve the sale, lease, mortgage, transfer, easement, or encumbrance of real property designated as Designated Ministry Property by the filing organization, but not in excess of $5 million; approve the change of ownership, management or control, (except in the ordinary course of business office and space leases) the fundamental use by change in license that would significantly change a facility, or the elimination of OB, Ped, Psych or emergency services on real property provided in connection with Designated Ministry Property owned by the filing organization; and approve the merger, consolidation, acquisition, dissolution or liquidation of the filing organization if it owns Designated Ministry Property.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Describe the Process used by Management &amp;/or Governing Body to Review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Process to Monitor Transactions for Conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compensation Determination Process</Identifier>
        <ReturnReference>Form 990, Part VI, Lines 15a &amp; 15b</ReturnReference>
        <Explanation>The Executive Compensation Committee of CHRISTUS Health determines the compensation of the CEO (or Executive Director, as applicable), officers and key employees of Christus Health and certain other officers and key employees of related organizations, including Christus Health Southwestern Louisiana. The Executive Compensation Committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The Executive Compensation Committee of the CHRISTUS Health Board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. develops the merit increase recommendations for all Designated System Executives based on market comparability. 2. recommends the changes in the Compensation Structure (grades) based on the market changes. 3. completes a review and evaluation of newly created positions to recommend a grade placement to the Committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other Designated System Executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the Committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the Executive Compensation Committee makes final compensation decisions. Additionally, the Executive Compensation Committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the Committee are documented and formalized in the Committee minutes and maintained on record. The filing organization determines the compensation of the Secretary by use of an independent and external consultant. The consultant helps determine pay rates for the associates of the filing organization, taking into account market data and shift differential. The compensation rates are approved by the filing organization. Based on the aforementioned procedure, the Secretary's compensation is not reviewed by a compensation committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Disclosure of 1023 and Forms 990 &amp; 990-T</Identifier>
        <ReturnReference>Form 990, Part VI, Question 18</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Hours worked for related organization</Identifier>
        <ReturnReference>Form 990, Part VII, Section A</ReturnReference>
        <Explanation>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. Stephen Wright devotes an average of 1 hour per week to St. Frances Cabrini Foundation of Alexandria, a related organization of the filing entity. Stephen is the President/CEO of St. Frances Cabrini Foundation of Alexandria. Stephen Wright devotes an average of 1 hour per week to Schumpert Foundation, a related organization of the filing entity. Stephen is a board member of Schumpert Foundation. Stephen Wright devotes an average of 15 hours per week to Christus Health Northern Louisiana, a related organization of the filing entity. Stephen is the President/CEO of Christus Health Northern Louisiana. Stephen Wright devotes an average of 15 hours per week to Christus Health Central Louisiana, a related organization of the filing entity. Stephen is the President/CEO of Christus Health Central Louisiana. Through 9/18/11, Debbie White devoted an average of 1 hour per week to St. Frances Cabrini Hospital Foundation of Alexandria, a related organization of the filing entity. Debbie was the CFO of St. Frances Cabrini Hospital Foundation of Alexandria. Through 9/18/11, Debbie White devoted an average of 23 hours per week to the Christus Health Central Louisiana, a related organization of the filing entity. Debbie was the CFO of Christus Health Central Louisiana. Through 9/18/11, Debbie White devoted an average of 1 hour per week to Christus Health Utah, a related organization of the filing entity. Debbie was the CFO of Christus Health Utah. David Engleking devotes an average of 4 hours per week to C.H. Wilkinson Physician Network, a related organization of the filing entity. David is a Board Member of C.H. Wilkinson Physician Network. Ellen Jones, former officer and board member, devotes an average of 23 hours per week to CHRISTUS Health Southeast Texas, a related organization of the filing entity. Ellen is President/CEO of CHRISTUS Health Southeast Texas. Ellen Jones devotes an average of 15 hours per week to CHRISTUS Health Gulf Coast, a related organization of the filing entity. Ellen is President/CEO of CHRISTUS Health Gulf Coast. Ellen Jones devotes an average of 2 hours per week to Christus Foundation for Healthcare, a related organization of the filing entity. Ellen is a director of Christus Foundation for Healthcare. William Hecht, former officer, devotes an average of 24 hours per week to CHRISTUS Health Southeast Texas, a related organization of the filing entity. William is CFO of CHRISTUS Health Southeast Texas. William Hecht devotes an average of 16 hours per week to CHRISTUS Health Gulf Coast, a related organization of the filing entity. William is CFO of CHRISTUS Health Gulf Coast. Through 9/18/11, Scott Merryman devoted an average of 39 hours per week to Christus Spohn Health System Corporation, a related organization of the filing entity. Scott was the CFO of Christus Spohn Health System Corporation. 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 and a director of Christus. Effective 6/16/11, Nancy Hellyer devotes an average of 16 hours per week to Christus Health Northern Louisiana, a related organization of the filing entity. Nancy is the Chief Administrative Officer of Christus Health Northern Louisiana. Effective 6/16/11, Nancy Hellyer devotes an average of 16 hours per week to Christus Health Central Louisiana, a related organization of the filing entity. Nancy is the Chief Administrative Officer of Christus Health Central Louisiana. Yang-Tze Broussard, MD devotes an average of 39 hours per week to C.H. Wilkinson Physician Network, a related organization of the filing entity. Dr. Broussard is a physician employed by C.H. Wilkinson Physician Network. Effective 9/19/11, Scott Merryman 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 of St. Frances Cabrini Hospital Foundation of Alexandria. Effective 9/19/11, Scott Merryman devotes an average of 15 hours per week to Christus Health Central Louisiana, a related organization of the filing entity. Scott is the CEO of Christus Health Central Louisiana. Effective 9/19/11, Scott Merryman devotes an average of 16 hours per week to Christus Health Northern Louisiana, a related organization of the filing entity. Scott is the CFO of Christus Health Northern Louisiana.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Pension Liability/Expense = 2,164,019 Pension Funding = (2,139,072) Transfer of Restricted Donations booked to Revenue = 19,330 Total = 44,277</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH ARK-LA-TEX</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2600 ST MICHAEL DRIVE</AddressLine1>
          <City>TEXARKANA</City>
          <State>TX</State>
          <ZIPCode>75503</ZIPCode>
        </AddressUS>
        <EIN>752796815</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS CONTINUING CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 W LOOP SOUTH SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EIN>742898615</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 WEST LOOP SOUTH STE 400B</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EIN>760422435</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH COMMUNITY FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2800 LAMAR AVE CAPITAL ONE</AddressLine1>
          <City>PARIS</City>
          <State>TX</State>
          <ZIPCode>75460</ZIPCode>
        </AddressUS>
        <EIN>421619230</EIN>
        <PrimaryActivities>SUPT HLTH SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS STEHLIN FDN FOR CANCER RESEARCH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10301 STELLA LINK SUITE A</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77025</ZIPCode>
        </AddressUS>
        <EIN>741622404</EIN>
        <PrimaryActivities>CANCER RESRCH</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DUBUIS HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 West Loop South Ste 1100A</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EIN>721270964</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>919 Hidden Ridge Drive</AddressLine1>
          <City>Irving</City>
          <State>TX</State>
          <ZIPCode>75038</ZIPCode>
        </AddressUS>
        <EIN>611500100</EIN>
        <PrimaryActivities>SUPT HLTH SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3330 MASONIC DRIVE</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>LA</State>
          <ZIPCode>71301</ZIPCode>
        </AddressUS>
        <EIN>720408984</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH GULF COAST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 922037</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77292</ZIPCode>
        </AddressUS>
        <EIN>760591592</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH NORTHERN LOUISIANA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE SAINT MARY PLACE</AddressLine1>
          <City>SHREVEPORT</City>
          <State>LA</State>
          <ZIPCode>71101</ZIPCode>
        </AddressUS>
        <EIN>720408982</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS SPOHN HEALTH SYSTEM CORP</BusinessNameLine1>
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          <AddressLine1>600 ELIZABETH STREET</AddressLine1>
          <City>CORPUS CHRISTI</City>
          <State>TX</State>
          <ZIPCode>78404</ZIPCode>
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        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>CHRISTUS HEALTH SOUTHEAST TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2830 Calder Street</AddressLine1>
          <City>BEAUMONT</City>
          <State>TX</State>
          <ZIPCode>77726</ZIPCode>
        </AddressUS>
        <EIN>760591590</EIN>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHRISTUS Health</BusinessNameLine1>
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          <AddressLine1>919 Hidden Ridge Drive</AddressLine1>
          <City>Irving</City>
          <State>TX</State>
          <ZIPCode>75038</ZIPCode>
        </AddressUS>
        <EIN>760590551</EIN>
        <PrimaryActivities>SUPT HLTH SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS SANTA ROSA HEALTH CARE CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>333 N SANTA ROSA STREET</AddressLine1>
          <City>SAN ANTONIO</City>
          <State>TX</State>
          <ZIPCode>78207</ZIPCode>
        </AddressUS>
        <EIN>741109665</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHRISTUS HEALTH UTAH</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>919 Hidden Ridge Drive</AddressLine1>
          <City>Irving</City>
          <State>TX</State>
          <ZIPCode>75038</ZIPCode>
        </AddressUS>
        <EIN>870231682</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>UT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS Health Liability Retention TrST</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>919 Hidden Ridge Drive</AddressLine1>
          <City>Irving</City>
          <State>TX</State>
          <ZIPCode>75038</ZIPCode>
        </AddressUS>
        <EIN>760259623</EIN>
        <PrimaryActivities>SELF INS TRST</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTH RYAN MRI LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>650 DR MICHAEL DEBAKEY</AddressLine1>
          <City>LAKE CHARLES</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
        </AddressUS>
        <EIN>743103662</EIN>
        <PrimaryActivity>imaging services</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>OCCUP HLTH SVCS</BusinessNameLine1>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Colonnade Endoscopy Ctr LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>555 Dr Michael Debakey Drive</AddressLine1>
          <City>lake charles</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
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        <EIN>721493410</EIN>
        <PrimaryActivity>surgical center</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
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          <BusinessNameLine1>SWLA</BusinessNameLine1>
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        <ShareOfEOYAssets>18623</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
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          <BusinessNameLine1>OCCUPATIONAL HEALTH SERVICES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>524 DR MICHAEL DEBAKEY DRIVE</AddressLine1>
          <City>LAKE CHARLES</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
        </AddressUS>
        <EIN>721217389</EIN>
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        <LegalDomicileState>LA</LegalDomicileState>
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        <TypeOfEntity>C Corp</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Southwestern Louisiana PHO</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>524 DR MICHAEL DEBAKEY DRIVE</AddressLine1>
          <City>LAKE CHARLES</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
        </AddressUS>
        <EIN>721274256</EIN>
        <PrimaryActivity>Health Services</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SWLA</BusinessNameLine1>
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        <TypeOfEntity>C Corp</TypeOfEntity>
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        <ShareOfEOYAssets>531280</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTH RYAN DEVELOPMENT CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>524 DR MICHAEL DEBAKEY DRIVE</AddressLine1>
          <City>LAKE CHARLES</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
        </AddressUS>
        <EIN>721183790</EIN>
        <PrimaryActivity>Leasing Buildings</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SWLA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>23311</ShareOfTotalIncome>
        <ShareOfEOYAssets>2413712</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHRISTUS Muguerza SAPI de CV</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>Hidalgo PTE 2525</AddressLine1>
          <City>Col. Obispado, Monterrey</City>
          <ProvinceOrState>N.L.</ProvinceOrState>
          <Country>MX</Country>
          <PostalCode>64060</PostalCode>
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        <PrimaryActivity>HEALTHCARE SRVCS</PrimaryActivity>
        <LegalDomicileForeignCountry>MX</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Emerald Assurance Cayman Ltd</BusinessNameLine1>
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        <AddressForeign>
          <AddressLine1>PO BOX 1051</AddressLine1>
          <City>GRAND CAYMAN</City>
          <ProvinceOrState>CAYMAN ISLANDS</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
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        <EIN>980407545</EIN>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
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      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
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      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
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        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A(IV)</TransactionType>
        <AmountInvolved>65687</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1>
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        <TransactionType>L</TransactionType>
        <AmountInvolved>419361</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOUTH RYAN MRI LLC</BusinessNameLine1>
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        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOUTH RYAN MRI LLC</BusinessNameLine1>
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        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOUTH RYAN MRI LLC</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
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        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHRISTUS CONTINUING CARE</BusinessNameLine1>
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        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CHRISTUS CONTINUING CARE</BusinessNameLine1>
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        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CHRISTUS DUBUIS HEALTH SYSTEM</BusinessNameLine1>
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        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>