2013-05-13T12:14:53-05:00 2012-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2011-07-01 742898615 CHRISTUS CONTINUING CARE % MICHAEL MURPHY CHRI 4692822000 919 Hidden Ridge Drive Irving TX 75038 Michael Murray 2013-05-02 7137501500 2011 2016-02-24 21:20:13Z X SEE SCHEDULE O Chris Karam 2600 St Michael Drive Texarkana TX 75503 101231648 false 0928 X www.christushomecare.org; www.dubuis.org X 1998 TX CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING NON-PROFIT HEALTH CARE SERVICES, INCLUDING HOME HEALTH AND HOSPICE SERVICES. 8 7 2974 142 2791484 473969 1731060 1825764 97673668 90977673 477641 218922 4303978 5243033 104186347 98265392 6550 14075 0 0 72571907 64703458 0 0 0 33340878 33628921 105919335 98346454 -1732988 -81062 22068920 15981665 29914614 24539287 -7845694 -8557622 X THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. false false 83922549 14075 90977673 CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING HEALTH CARE AND HOSPICE SERVICES. THE MISSION OF CHRISTUS CONTINUING CARE IS TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE MISSION IS FULFILLED THROUGH COMMUNITY PROGRAMS AND QUALITY HOME CARE THAT CONSIDERS PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF THE PATIENTS SERVED. CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF CHRISTUS CONTINUING CARE. IN ORDER TO CONTINUE TO IMPROVE AND ENHANCE THE HOME CARE AND HOSPICE SERVICES PROVIDED TO PATIENTS, CHRISTUS CONTINUING CARE HAS CONSOLIDATED THE HOME CARE AND HOSPICE SERVICES IN SEVERAL CHRISTUS HEALTH REGIONS. DURING THE FISCAL YEAR ENDING JUNE 30, 2012, CHRISTUS CONTINUING CARE PROVIDED 105,467 HOME HEALTH VISITS, 117,764 HOSPICE PATIENT DAYS, 935,429 BILLABLE HOURS OF COMMUNITY BASED PROGRAMS, AND 31,802 LONG-TERM ACUTE CARE PATIENT DAYS. CHRISTUS CONTINUING CARE 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, 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 COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. 83922549 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 270 0 true 2974 true true true false false false false false false false false false X 8 7 false false false false true true true true true false false true true true true true true true true false X MICHAEL MURPHY 4692822299 919 HIDDEN RIDGE DRIVE IRVING TX 75038 X David W Strong 1.0 X X 0 0 0 Sister Brigid Marie Clarke 1.0 X 0 0 0 Rebecca A Croes 1.0 X 0 0 0 Lynn W Hamby 1.0 X 0 0 0 Erwin C Tschoepe III 1.0 X 0 0 0 Sister Miriam Therese Miller 1.0 X 0 0 0 Arnie R Cisneros 1.0 X 0 0 0 Gregory C Pulido 1.0 X 0 0 0 Bill J Chen 1.0 X 0 0 0 Christopher Karam 13.0 X X 163216 389578 122176 Paul Veillon 40.0 X 229257 22043 52015 William L Pardue 5.0 X 0 149098 19605 M Erick Smith 5.0 X 32985 36540 17934 Mary Silva 5.0 X 0 88240 6537 Marie Marquez 40.0 X 10064 0 1153 Tracey Richard 40.0 X 168831 19780 35533 Mike Sullivan 11.0 X 56623 174183 57684 Pearl Mohnkern 0.0 X 13826 226640 30671 Jan Hamilton Crawford 40.0 X 196223 0 22700 Pamela Kennedy 40.0 X 62418 125456 51018 Maresa Henry 40.0 X 194419 0 24008 Patrick Carrier 0.0 X 0 640524 150839 Linda McClung Term 82809 0.0 X 0 509166 125207 Tom Permetti X 0 493499 109494 1127862 2874747 826574 86 true true false Christus Health Southeast Texas 2830 Calder Street BEAUMONT TX 77726 Ancillary Services 3102826 Christus Health Central Louisiana 3330 Masonic Drive ALEXANDRIA LA 71301 Ancillary Services 1289585 St Joseph Regional Health Center 2801 FRANCISCAN DRIVE BRYAN TX 77802 Ancillary Services 898121 Paris Regional Medical Center PO Box 9070 PARIS TX 75461 Ancillary Services 672706 Achieve Medical Staffing LLC PO Box 159 DRY PRONG LA 71423 Contract Labor 660175 24 172593 1653171 1825764 NET PATIENT SERVICE REVENUE 621610 91850661 91850661 PROGRAM RELATED INVESTMENT INCOME 900099 -872988 -872988 90977673 2179 2179 0 0 3182999 2966256 216743 216743 216743 0 0 0 MANAGEMENT FEE REVENUE 561000 5073571 2771484 2302087 LIFELINE 623990 20000 20000 SALARY REIMBURSEMENT 900099 123613 123613 25849 25849 5243033 98265392 90977673 2791484 2670471 14075 14075 0 0 0 469446 410524 58922 0 54004171 47225846 6778325 2442086 2125944 316142 4094595 3603373 491222 3693160 3198085 495075 0 7531 4338 3193 0 0 0 0 11541536 10920709 620827 223101 178687 44414 2945577 2708077 237500 2981265 21197 2960068 0 5111944 4496494 615450 1588446 1394017 194429 0 136984 51984 85000 16718 5547 11171 0 1819476 879358 940118 619631 158917 460714 MEDICAL SUPPLIES 6065278 6059012 6266 BAD DEBT EXPENSE 207760 207760 FEDERAL INCOME TAX 67105 67105 LICENSE FEES 86152 79976 6176 210417 178629 31788 98346454 83922549 14423905 0 494082 27938 0 0 0 0 13399728 11164195 0 0 0 0 1004638 23601 427940 361980 386284 186886 19069179 16694515 4206744 2374664 107912 104636 0 0 1620656 747669 400235 319000 20701 671096 22068920 15981665 9970046 10458762 0 0 11019460 8926117 0 0 0 0 0 0 70000 64167 0 0 8855108 5090241 29914614 24539287 X -8362866 -8930295 390400 354607 126772 18066 -7845694 -8557622 22068920 15981665 X -81062 -630866 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8773 8773 false Lobbying Description Form 990, Schedule C, Part II-B, LINE 1I OTHER ACTIVITIES REPORTS THE PORTION OF FY 2012 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $8,773. CHRISTUS CONTINUING CARE DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-2012. 113712 0 113712 3615724 3020931 594793 15299040 13673584 1625456 40703 0 40703 2374664 0 CASH MANAGEMENT SYSTEM ALLOCATION 4538821 CAPITALIZED LEASE LIABILITY 26904 PAYROLL DISBURSING LIABILITY 524516 5090241 Cash Non-Bearing Interest Form 990, Part X, Line 1 Christus Health System maintains a centralized cash management system. This cash management system (CMS) includes a concentration account wherein deposits and disbursements for related Christus exempt organizations flow through this account and over to the managed investment accounts. Each participating organization reports a balance in the CMS reflective of its cumulative cash activity. Cash Balances for each Christus organization are reported on Form 990 in accordance with financial statement reporting. CMS ownership is maintained by Christus Health (EIN 76-0590551) and all associated investment income is properly reported on the Christus Health Form 990. Uncertain Tax Positions Under ASC 740 Form 990, Schedule D, Part X, Line 2 Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2012 and 2011. true true X true X true X true true true false true true 1818432 1818432 0.01850 16947127 16987532 -40406 0.00000 18765559 16987532 1778026 0.01810 11 1902 24249 24249 0.00020 5 937 18641 18641 0.00020 6 258 17492 330 17162 0.00020 22 3097 60382 330 60052 0.00060 22 3097 18825941 16987862 1838078 0.01870 2 8161 8161 0.00010 2 8161 8161 0.00010 true 207760 83297 53679618 49372592 4307026 X true true 7 1 Mercy Continuing Care Hosp of St Louis

13190 South Outer 40 Road Level 1 St Louis MO 63017

X LONG-TERM ACUTE CARE FACILITY 2 Dubuis Hospital of Beaumont

2830 Calder Ave 4th Floor Beaumont TX 77702

X LONG-TERM ACUTE CARE FACILITY 3 Dubuis Hospital of Alexandria

3330 Masonic Drive 4th Floor Alexandria LA 71301

X LONG-TERM ACUTE CARE FACILITY 4 Dubuis Hospital of Bryan

1600 St Joseph Dr 2nd Floor Bryan TX 77802

X LONG-TERM ACUTE CARE FACILITY 5 Dubuis Hospital of Port Arthur

3600 Gates Blvd 3rd Floor Port Arthur TX 77643

X LONG-TERM ACUTE CARE FACILITY 6 Dubuis Hospital of Paris

865 Deshong Dr 5th Floor Paris TX 75462

X LONG-TERM ACUTE CARE FACILITY 7 Dubuis Hospital of Houston

1919 Labranch 7GWS Houston TX 77002

X LONG-TERM ACUTE CARE FACILITY Mercy Continuing Care Hosp of St Louis 1 true true 200. true true X X X X X X true true X X false false false X X false false Dubuis Hospital of Beaumont 2 true true 200. true true X X X X X true true X X X false false true X false false Dubuis Hospital of Alexandria 3 true true 200. true true X X X X X true true X X X false false true X false false Dubuis Hospital of Bryan 4 true true 200. true true X X X X X true true X X X false false true X false false Dubuis Hospital of Port Arthur 5 true true 200. true true X X X X X true true X X X false false true X false false Dubuis Hospital of Paris 6 true true 200. true true X X X X X true true X X X false false true X false false Dubuis Hospital of Houston 7 true true 200. true true X X X X X true true X X X false false true X false false 9 CHRISTUS VNA HOSPICE&PALLIATIVE CARE- SA

4241 WOODCOCK DRIVE STE A-100 SAN ANTONIO TX 78228

hospice outpatient CHRISTUS HOSP&PALL C ST FRANCES CABRINI

4801 JACKSON ST EXT STE B ALEXANDRIA LA 71303

HOSPICE OUTPATIENT GRACE HOME SHREVEPORT

1035 MARGARET PLACE SHREVEPORT LA 71101

HOSPICE inpatient CHRISTUS VNA HOSPICE & PALLIATIVE CARE

2707 N LOOP WEST STE 7307 HOUSTON TX 77008

HOSpice outpatient CHRISTUS HOMECARE - LAKE CHARLES

444 LAKE STREET LAKE CHARLES LA 70605

hospice outpatient GRACE HOME ALEXANDRIA

3330 MASONIC DRIVE 3RD FLOOR ALEXANDRIA LA 71301

HOSPICE inpatient CHRISTUS SISTER MARY HOSPICE CENTER

5131 MEDICAL DRIVE STE 310 SAN ANTONIO TX 78229

hospice inpatient CHRISTUS HOSPICE & PALLIATIVE CARE -

SCHUMPERT 1700 BUCKNER SQUARE STE SHREVEPORT LA 71101

HOSPICE OUTPATIENT CHRISTUS HOSPICE & PALLIATIVE CARE -

SPOHN 6200 SARATOGA BLVD CORPUS CHRISTI TX 78414

HOSPICE OUTPATIENT Part I, Line 5 Budgeted Charity Care The organization budgets charity care for internal financial review purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. Part I, Line 6a Annual Community Benefit Report A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. Part I, Line 7b Unreimbursed Medicaid Christus Continuing Care reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities. Part I, Line 7, column (f) Percent of Total Expense TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $98,346,454. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $207,760. THIS LEAVES A TOTAL EXPENSE OF $98,138,694 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 19.18%, 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 CONTINUING CARE MADE OVER $17,400 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. Part I, Line 7 Line 7a: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7b: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7e: Actual expenses less any direct offsetting revenue Line 7f: Actual expenses less any direct offsetting revenue Line 7i: Actual expense of the contributions Part II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT WORKS IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH THROUGH IMPROVED ACCESS TO HEALTH SERVICES AND ADVANCED GENERAL KNOWLEDGE. DURING THE FY 2012, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES BY WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN AND SENIORS, AS WELL AS OTHER VULNERABLE POPULATIONS, TO PROMOTE PROGRAMS SUCH AS HEALTH SCREENINGS, EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE, AND IMMUNIZATIONS. Part III, Section A, Line 1 Bad Debt Reporting in Accordance with HFMA Statement 15 CHRISTUS Health follows in principle Healthcare Financial Management Association Statement No. 15. The system has adopted an uncompensated care policy where revenue from services provided to the uninsured is recognized at the time of payment, rather than at the time of service. This policy is the result of a lack of reasonable assurance of collection for services provided to the uninsured due to the system's historically low collection rate. Management has estimated that the difference between recording revenue from the uninsured on a cash basis, rather than the accrual basis, is immaterial. Accordingly, all accounts receivable from the uninsured have been fully reserved in the allowance for uncompensated care. Part III, Section A, Line 2 Methodology Used in determining Bad Debt The organization's total bad debt expense (total of all hospital facilities) is in accordance with the organization's financial statements, which is computed as bad debt net of contractual allowance, payments received and recoveries of bad debt previously written off. Part III, Section A, Line 3 ESTIMATED OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE ORGANIZATION REVIEWS PATIENT FILES THAT WERE INITIALLY DEEMED AS INCOMPLETE TO DETERMINE WHETHER A PATIENT WOULD BE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. TO THE EXTENT THE FILE HAS SUFFICIENT DOCUMENTATION INDICATING FINANCIAL AND/OR MEDICAL INDIGENCE, THE BAD DEBT ASSOCIATED WITH SUCH PATIENT ACCOUNT COULD BE DEEMED CHARITY CARE. IN ADDITION TO SCREENING PATIENTS TO DETERMINE THE APPLICABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE AT THE TIME OF ADMISSION AND DISCHARGE, CHRISTUS CONTINUING CARE FOLLOWS A POLICY AND SUPPORTING PROCEDURES FOR REVIEWING ALL ACTIVE SELF-PAY PATIENT RECEIVABLES. THE SCREENING PROCEDURES SUBSEQUENT TO DISCHARGE TO DETERMINE CHARITY CARE AND DISCOUNT APPLICABILITY INCLUDE REQUESTING THE REFERRING HOSPITAL'S RECORDS OF PATIENTS WHO SUBMITTED CHARITY CARE APPLICATIONS OR OTHER FINANCIAL INFORMATION, MAKING CONTACT WITH PATIENTS THROUGH MAILED NOTICE FOLLOWED BY PHONE CALL, USING A FINANCIAL ASSISTANCE QUESTIONNAIRE, AND VIEWING CREDIT REPORTS. 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 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 ($15,251,309) 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. Part V, Section B, Line 10 Determination of eligibility for discounted care The organization's policy includes provisions for discounted care to 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 2011 managed care average reimbursement rate. Part V, Section B, Line 11(h) (MERCY CONTINUING CARE HOSPITAL OF ST. LOUIS) Basis for Determining charges to patients The criteria factors for calculating charges to patients qualified for financial assistance includes family size, employment status and future earning capacity and the amount and frequency of hospital/medical bills. Part V, Section B, Lines 13 & 13g How the hospital facility publicizes the financial assistance policy The organization's only operations are Long Term Acute Care services (LTAC) that comprise a floor within an existing hospital(s). As LTAC facility does not provide on-demand emergency medical services/elective treatments, the admissions process is an advance screening and clinical assessment during which both medical and financial information is discussed. If there is no insurance coverage financial assistance is discussed and determined. 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 18 (MERCY CONTINUING CARE HOSPITAL OF ST. LOUIS) Written Policy Relating to Emergency Medical Care As a long-term acute care facility ("LTAC"), the facility does not provide emergency medical services to members of the public on a walk-in basis. A notice stating that the LTAC does not provide emergency room services to the public, but rather that emergency room services are provided to the public by the hospital facility in which the LTAC is located, is posted on the first floor of the building in which the LTAC sits. Part V, Section B, Line 19 Determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. LTAC facilities do not provide emergency medical care; charges to Financial Assistance Policy eligible patients are based on the average managed care reimbursement rates for the fiscal year ending June 30, 2011. The average managed care rate is the average reimbursement received for LTAC services from the collective group of private insurers contracted with CHRISTUS Continuing Care. Part VI, Line 2 NEEDS ASSESSMENT CHRISTUS CONTINUING CARE HAS DEVELOPED A COMMUNITY BENEFIT PLAN BASED UPON PRIORITIZATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS ASSESSMENT WAS DEVELOPED BASED ON INFORMATION PROVIDED BY THE HOUSTON COMMUNITY NEEDS ASSESSMENT AND THE CONSOLIDATED METROPOLITAN STATISTICAL AREA (CMSA) REPORT. CHRISTUS CONTINUING CARE STRIVES TO ENSURE BEST PRACTICES AND STANDARDS OF CARE ARE MET. CHRISTUS CONTINUING CARE PROVIDES CARE TO PATIENTS WHO REQUIRE ACUTE CARE OVER AN EXTENDED PERIOD OF TIME. OUR STAFF PROVIDES SPECIALTY CARE THAT IS TAILORED TO THE INDIVIDUAL NEEDS OF EVERY PATIENT, RESULTING IN EXCELLENT CLINICAL OUTCOMES. Part VI, Line 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS CONTINUING CARE 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 THE REGISTRATION PROCESS. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED AT THE FACILITIES. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. AFTER THE REGISTRATION PROCESS, PATIENTS THAT ARE UNABLE TO PAY ARE PROVIDED CHARITY CARE INFORMATION. IN KEEPING WITH THE MISSION, VISION AND CORE VALUES OF CHRISTUS HEALTH, CHRISTUS CONTINUING CARE PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS OFFERED WITH THE RESOURCES AVAILABLE AND MEETS THE LEGAL REQUIREMENTS FOR SERVING FINANCIALLY AND/OR MEDICALLY INDIGENT PATIENTS. THE DETERMINATION AS TO THE AMOUNT CHARGED, IF ANY, IS MADE IN ACCORDANCE WITH THE PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ELIGIBILITY CRITERIA ESTABLISHED WITHIN PROCEDURAL GUIDELINES AND IN ACCORDANCE WITH APPLICABLE LAWS AND REGULATIONS. Part VI, Line 4 COMMUNITY INFORMATION CHRISTUS CONTINUING CARE SERVICES AREAS IN TEXAS INCLUDE LONG TERM ACUTE CARE FACILITIES LOCATED IN BRYAN, BEAUMONT, PARIS, HOUSTON AND PORT ARTHUR. HOME HEALTH AND HOSPICE SERVICE AREAS IN TEXAS INCLUDE CORPUS CHRISTI, COPPELL, HOUSTON, NEW BRAUNFELS, TEXARKANA AND SAN ANTONIO. THE ORGANIZATION'S SERVICE AREA IN LOUISIANA INCLUDES A LONG TERM ACUTE CARE FACILITY IN ALEXANDRIA AND HOME HEALTH AND HOSPICE SERVICES IN ALEXANDRIA, LAKE CHARLES, AND SHREVEPORT. THE PATIENT SERVICE AREAS ALSO INCLUDE MANAGED LONG TERM ACUTE CARE LOCATIONS IN TEXAS, LOUISIANA, ARKANSAS, GEORGIA, AND IOWA. CHRISTUS CONTINUING CARE ALSO JOINTLY OWNS A LONG TERM ACUTE CARE FACILITY IN MISSOURI, WHICH IS MANAGED BY THE PARTNER OWNER. CHRISTUS CONTINUING CARE'S ALEXANDRIA, LOUISIANA SERVICE AREA INCLUDES RAPIDES PARISH AND NINE SURROUNDING CIVIL PARISHES. MORE THAN ONE-FIFTH OF THE POPULATION IN THE SERVICE AREA HAS INCOME AT OR BELOW THE FEDERAL POVERTY INCOME LEVEL AS DEFINED BY THE FEDERAL GOVERNMENT, AND THE AREA HAS A POPULATION OF 14% OF PERSONS AGES 65 YEARS AND OVER. ALL OF THE PARISHES IN CENTRAL LOUISIANA HAVE BEEN DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). THE ORGANIZATION'S SHREVEPORT, LOUISIANA SERVICE AREA INCLUDES THE NORTHWESTERN CORNER OF LOUISIANA. THE SHREVEPORT SERVICE AREA, CONSISTENT WITH NATIONAL TRENDS, IS ANTICIPATING ITS LARGEST GROWTH IN POPULATION OF PERSONS AGES 65 AND OLDER, AND PERSONS FALLS IN SUCH AGE RANGE MAKE UP 13.2% OF THE POPULATION. THE SERVICE AREA'S POVERTY RATE IS 22%, WHICH IS HIGHER THAN THE STATE POVERTY RATE OF 18.4%. LAKE CHARLES, LOUISIANA'S SERVICE AREA IS COMPOSED OF A FIVE-PARISH REGION (ALLEN, BEAUREGARD, CAMERON, CALCASIEU, AND JEFF DAVIS) WITH A POPULATION OF NEARLY 300,000. THE POPULATION IS MADE UP OF APPROXIMATELY 13.2% OF INDIVIDUALS AGES 65 YEARS AND OLDER, AND 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. CHRISTUS CONTINUING CARE'S BEAUMONT AND PORT ARTHUR FACILITIES SERVICE SOUTHEAST TEXAS, ROUGHLY A NINE COUNTY SERVICE AREA. THE NINE COUNTY AREA INCLUDES A POPULATION OF APPROXIMATLEY 12.8 % OF PERSONS AGES 65 AND ABOVE. APPROXIMATELY 18% OF HOUSEHOLDS ARE AT OR BELOW THE FEDERAL POVERTY LEVEL IN THIS NINE COUNTY AREA. THE BRYAN, TEXAS FACILITY SERVES BRAZOS COUNTY, WHERE THE POPULATION IS COMPOSED OF 9.1% OF PERSONS AGES 65 AND OLDER, AND WHERE 28.4% OF INDIVIUDALS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. THE PARIS, TEXAS FACIILTY SERVES LAMAR COUNTY, WHERE THE POPULATION IS COMPOSED OF 16.6% OF PERSONS AGES 65 AND OLDER, AND WHERE 24.3% OF INDIVIDUALS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. HOUSTON, TEXAS IS THE FOURTH LARGEST CITY IN THE UNITED STATES, AND IT IS THE LARGEST CITY IN THE STATE OF TEXAS. IN THE CITY OF HOUSTON, PERSONS AGES 65 YEARS AND OVER COMPOSE 9% OF THE POPULATION, AND 21.5% OF INDIVIDUALS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. CHRISTUS CONTINUING CARE'S CORPUS CHRISTI, TEXAS SERVICE AREA IS LOCATED ALONG THE LOWER TEXAS COASTAL AREA (OFTEN CALLED THE COASTAL BEND), AND ITS SERVICE AREA INCLUDES A 14-COUNTY AREA WITH A POPULATION OF MORE THAN 602,000 INDIVIDUALS. APPROXIMATELY 15.8% OF THE POPULATION IS COMPOSED OF PERSONS AGES 65 AND OVER, AND THE LARGEST GROWTH IN THIS AGE GROUP. APPROXIMATELY 20% OF PERSONS IN THE REGION LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, WITH THE MEDIAN HOUSEHOLD INCOME IN THE REGION BEING APPROXIMATELY $40,500. NEARLY 50 PERCENT OF THE POPULATION IS ON MEDICAID OR UNINSURED. THE COPPELL, TEXAS SERVICE AREA IS LOCATED IN NORTH TEXAS JUST OUTSIDE OF DALLAS, TEXAS, WHICH IS THE NINTH LARGEST CITY IN THE UNITED STATES. THE POPULATION IN THE CITY OF DALLAS IS COMPOSED OF APPROXIMATELY 8.8% OF INDIVIDUALS AGES 65 AND OLDER, AND 23% OF THE POPULATION LIVES AT OR BELOW THE FEDERAL POVERTY LEVEL. THE NEW BRAUNFELS, TEXAS SERVICE AREA IS LOCATED JUST OUTSIDE OF SAN ANTONIO, TEXAS, WHICH IS THE SEVENTH LARGEST CITY IN THE UNITED STATES AND THE SECOND LARGEST CITY IN THE STATE OF TEXAS. THE POPULATION IN THE CITY OF SAN ANTONIO IS COMPOSED OF APPROXIMATELY 10.4% OF INDIVIDUALS AGES 65 AND OLDER, AND 19.2% OF THE POPULATION LIVES AT OR BELOW THE FEDERAL POVERTY LEVEL. THE ORGANIZATION'S TEXARKANA, TEXAS SERVICE AREA SERVES AND SERVICES NORTHEAST TEXAS, NORTHWEST LOUISIANA, SOUTHWEST ARKANSAS, AND SOUTHEAST OKLAHOMA, WHICH COVERS A POPULATION OF APPROXIMATELY 338,000 PERSONS. TEXARKANA, TEXAS AND TEXARKANA, ARKANSAS ARE THE LARGEST CITIES IN THE REGION, MAKING UP APPROXIMATELY 50 PERCENT OF THE TOTAL POPULATION. THEY ARE LOCATED IN BOWIE AND MILLER COUNTIES, RESPECTIVELY. BOTH COUNTIES FALL BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME, AND HAVE AN APPROXIMATE POPULATION OF 14.2% OF PERSONS AGES 65 AND OLDER. Part VI, Line 5 Promotion of Community Health CHRISTUS CONTINUING CARE RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY PROVIDING LONG-TERM ACUTE CARE, HOME HEALTH AND HOME HOSPICE SERVICES THAT ARE DELIVERED BY INTERDISCIPLINARY TEAMS OF HEALTH CARE PROFESSIONALS. THE ORGANIZATION OWNS FIVE LONG-TERM ACUTE CARE HOSPITALS FOCUSING ON VENTILATOR DEPENDENCY, WOUND CARE AND REHABILITATION, AND SUCH FACILITIES ARE LOCATED IN ALEXANDRIA, LA; BEAUMONT, TX; BRYAN, TX; PARIS, TX; AND PORT ARTHUR, TX. CHRISTUS CONTINUING CARE ALso JOINTLY OWNS A LONG TERM ACUTE CARE FACILITY IN ST. LOUIS, MO. CHRISTUS CONTINUING CARE MANAGES NINE LONG TERM ACUTE CARE FACILITIES FOR OTHER HEALTH SYSTEMS LOCATED IN ARKANSAS, GEORGIA, IOWA, LOUISIANA, MISSOURI, AND TEXAS. IN ADDITION THE ORGANIZATION PROVIDES HOME HEALTH AND HOSPICE SERVICES IN CORPUS CHRISTI, TX; HOUSTON, TX; NEW BRAUNFELS, TX; SAN ANTONIO, TX; COPPELL, TX; TEXARKANA, TX; ALEXANDRIA, LA; LAKE CHARLES, LA; AND SHREVEPORT, LA. CHRISTUS HOME HEALTH AGENCIES ARE ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP), TEXAS AGENCIES ARE LICENSED AND CERTIFIED BY THE TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES (DADS,) AND LOUISIANA AGENCIES ARE LICENSED AND CERTIFIED BY THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS. CHRISTUS CONTINUING CARE IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS AND CERTIFIED BY MEDICARE AND MEDICAID. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2012, CHRISTUS HEALTH ADVOCATED FOR IMPROVEMENT IN PUBLIC POLCIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. AS A NOT FOR PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES CHRISTUS CONTINUING CARE. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS CONTINUING CARE ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. THE COMPASSION OF THE CHRISTUS CONTINUING CARE STAFF REACHES FAR BEYOND THE WALLS OF OUR FACILITIES. EACH YEAR, OUR EMPLOYEES VOLUNTEER HUNDREDS OF HOURS AND RAISE THOUSANDS OF DOLLARS FOR THE BETTERMENT OF THE COMMUNITIES WE SERVE. AS WE MOVE TOWARD THE FUTURE, WE AT CHRISTUS CONTINUING CARE ARE FOREVER MINDFUL OF OUR PAST. FOR IT IS THE TRADITION OF BISHOP DUBUIS AND THE SISTERS THAT EMPOWERS US TO CONTINUE THIS HEALING MINISTRY, AND IT IS THEIR LEGACY OF JUSTICE, COMPASSION AND TRUST THAT, IN PARTNERSHIP WITH GOD, HELPS US CREATE OUR UNIQUE ENVIRONMENT. Part VI, Line 6 Affiliated health care system CHRISTUS Continuing Care is part of CHRISTUS Health, an international, Catholic, faith based, nonprofit health system comprised of almost 350 services and facilities including more than 60 hospitals and long term care facilities, 175 clinics and outpatient centers, and other community health ministries and community development ventures. CHRISTUS services can be found in: Arkansas, Georgia, Iowa, Louisiana, Missouri, New Mexico, Texas, and in six provinces of Mexico. A common mission, core values, and vision unite the health system. Each region, including CHRISTUS Continuing Care, develops five-year and ten-year strategic plans that help set the yearly operational plans and budgets. Regional strategic goals are set in collaboration with CHRISTUS Health and include metrics that will be used to measure community benefit, clinical outcomes, patient satisfaction, and Associate engagement. CHRISTUS Health provides updated market, demographics, and health indicator data on an annual basis. The data supplied from CHRISTUS Health along with the system wide strategic initiatives are consistent with the community needs assessment of the region. CHRISTUS Continuing Care, in turn, partners with other nonprofit groups (churches, health care providers, and government agencies) to create collaborations where health needs can be addressed and the general health of individuals and the community is improved. Part VI, Line 7 Community Benefit Report A community benefit report is filed for the State of Texas in the form of the Annual Statement of Community Benefits Standard (ASCBS) form as required by the Health and Safety Code, Sections 311.045 and 311.046. The Code requires nonprofit hospitals to file the ASCBS form and annual report of the Community Benefits Plan with the Texas Department of State Health Services (DSHS). The 2012 ASCBS form is expanded to collect the information on charity care policies and community benefits in a standardized format. All CHRISTUS Health entities including facilities located in states that do not require annual community benefit reporting (i.e., Louisiana, and New Mexico), follow the same reporting rules as outlined in the Catholic Health Association Guide to Planning and Reporting Community Benefit, copyright 2008. Total community benefit for CHRISTUS Health is also reported in the annual report prepared and distributed by the system office. State Filing of Community Benefit Report: TX true X FORM 990, SCHEDULE I, PART I, Line 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS 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. X true true false true false false false false false false false Christopher Karam 163077 236587 0 83314 139 69677 31523 67929 0 22724 194739 480231 0 22171 Paul Veillon 211055 0 0 22043 18202 0 37928 0 14087 0 281272 22043 0 0 William L Pardue 0 130790 0 17460 0 848 0 9471 0 10134 0 168703 0 0 Tracey Richard 160865 0 0 19780 7966 0 18741 0 16792 0 204364 19780 0 0 Mike Sullivan 56623 115689 0 37956 0 20538 12340 34441 0 10903 68963 219527 0 0 Pearl Mohnkern 13826 169873 0 15017 0 41750 1360 20574 618 8119 15804 255333 0 0 Jan Hamilton Crawford 163842 0 32381 0 0 0 19337 0 3363 0 218923 0 0 0 Tom Permetti 0 315465 0 103545 0 74489 0 82906 0 26588 0 602993 0 41903 Pamela Kennedy 62418 102316 0 21360 0 1780 11200 24551 0 15267 73618 165274 0 0 Maresa Henry 119082 0 45949 0 29388 0 18712 0 5296 0 218427 0 0 0 Patrick Carrier 0 494757 0 126027 0 19740 0 132587 0 18252 0 791363 0 0 Linda McClung Term 82809 0 372646 0 90697 0 45823 0 96876 0 28331 0 634373 0 34773 Companion Travel Form 990, Schedule J, Part I, Line 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. Process to Establish Compensation of the organization's CEO Form 990, Schedule J, Part I, Line 3 The filing organization's CEO/executive director is an employee of CHRISTUS Health, a related organization. As a result, compensation is established at the CHRISTUS Health level and the filing organization does not have a role in implementing the methods used to establish compensation or in determining CEO/executive director compensation. CHRISTUS Health uses an Executive Compensation Committee to establish and approve the compensation of the filing organization's CEO/executive director. This committee uses an independent compensation consultant who performs bi-annual compensation survey. Supplemental Nonqualified Retirement Plan Form 990 Schedule J, Part I, Line 4b Deferred compensation includes Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan, and Pension Restoration Plan. Estimated pension benefits were calculated based on the provisions of the current Pension Restoration Plan at 6% of pensionable earnings which are over the IRS legislative compensation limit. Some Associates are grandfathered under an earlier legacy pension plan. If a participant has protected pension benefits under such legacy plans, his/her percentage is zero under the Supplemental Executive Retirement and Retention Plan, as the protected benefit is already equal to or better than current market. Supplemental Nonqualified Retirement Plan Payments Form 990, Schedule J, Part I, Line 4B and FORM 990, SCHEDULE J, PART II, COLUMN(F) COMPENSATION REPORTED AS DEFERRED IN PRIOR Form 990 Christopher Karam received $22,171 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Tom Permetti received $41,903 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Linda McClung received $34,773 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Supplemental Compensation Information Form 990, Part VII, Question 1a and Schedule J, Part II Directors and Ex-Officio Directors provide their services as members of the Board without compensation or benefits. Any compensation and benefits disclosed for such persons is earned in the respective individual's role as an officer or employee of the organization, not for the individual's role as a board member or director. Officers, key employees and highest paid employees are full-time employees. Board members spend time as needed for board meetings and functions. Through 7/16/11, M. Erick Smith devoted an average of 5 hours per week to his position as Christus Continuing Care's Assistant Corporate Secretary. Through 7/16/11, M. Erick Smith was also the Executive Adminstrative Assistant for Christus Continuing Care, and he dedicated an average of 35 hours per week to such position. Supplemental Compensation Information Form 990, Part VII, Section A and Schedule J, Part II The Bonus and Incentive Compensation reported as related compensation was paid to the following persons by Christus Health, a related organization of the filing entity: Paul Veillon, Tracey Richard, Chris Karam, Michael Sullivan, Pearl Mohnkern, Pamela Kennedy, Linda McClung, Tom Permetti and Pat Carrier. Supplemental Compensation Information Form 990, Schedule J, Part II W-2 compensation may include payments related to compensation deferred in prior years. Deferred Compensation may include deferrals of current year compensation under Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan and Pension Restoration Plan. Supplemental Compensation Information Form 990, Schedule J, Part II, Column B(II) Bonus and incentive compensation may include amounts that were deferred in a prior year but paid out in calendar year 2011. Deferred Compensation Form 990, Schedule J, Part II, Column C Deferred compensation includes Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan, Employer contribution to 403(b) Matched Savings Plan, Pension Restoration Plan and Estimated Pension Benefits under CHRISTUS Health Cash Balance Plan. Estimated pension benefits were calculated based on the provisions of the current Cash Balance Plan at 6% of pensionable earnings. Some associates are grandfathered under an earlier pension plan. These grandfathered participants, based on computation at the time of their retirement, will receive the larger of the retirement benefit computed under the Cash Balance Plan compared to the previous pension plan. Due to the complexity of calculating an accurate benefit cost for grandfathered participants, the Form 990 reports as pension benefits their annual estimated Cash Balance Plan accrual. Doing business as Form 990, PAGE 1, ITEM C CHRISTUS CONTINUING CARE OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Visiting Nurse Association of Houston CHRISTUS Visiting Nurse Association Community Care San Antonio CHRISTUS VNA Hospice and Palliative Care San Antonio CHRISTUS HomeCare Spohn CHRISTUS Hospice and Palliative Care Spohn CHRISTUS VNA HomeCare San Antonio CHRISTUS HomeCare St. Michael CHRISTUS HomeCare Pharmacy CHRISTUS VNA Hospice and Palliative Care of Houston CHRISTUS Dubuis Health System CHRISTUS DUBUIS Hospital of Houston CHRISTUS DUBUIS Hospital of Beaumont CHRISTUS DUBUIS Hospital of Port Arthur CHRISTUS HomeCare CHRISTUS DUBUIS Hospital of Bryan DUBUIS Hospital of Paris CHRISTUS At Home CHRISTUS Sister Mary Hospice Center CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA CHRISTUS HOSPICE AND PALLIATIVE CARE - SCHUMPERT Description of Classes of Members or Stockholders Form 990, Part VI, Question 6 CHRISTUS Health is the sole corporate member of the filing organization. Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a Christus Health, the sole corporate member of the filing organization, has the power to appoint all members of the filing organization's governing body. Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Form 990, Part VI, Question 7b THE POWERS RESERVED FOR CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER, ARE: TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION, AND VISION OF CHRISTUS CONTINUING CARE (THE "CORPORATION"), AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, OR THE PRESIDENT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPROVE THE INCURRING, INCLUDING THROUGH THE GUARANTEE OF THE DEBT OF ANOTHER, RENEWING OR FORGIVENESS OF ANY INDEBTEDNESS BY THE CORPORATION, IN EXCESS OF $10,000 WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE CAPITAL AND OPERATIONAL BUDGETS OF THE CORPORATION AND ANY FINANCIAL REVIEW OF THE BOOKS AND RECORDS OF THE CORPORATION, INCLUDING AUDIT OR SOME LESSER FINANCIAL REVIEW OF THE BOOKS AS DEEMED NECESSARY BY THE MEMBER; TO APPROVE THE STRATEGIC PLANS OF THE CORPORATION; TO APPROVE ANY GIFT OF PROPERTY (OTHER THAN CASH, MARKETABLE SECURITIES, OR BONDS) TO THE CORPORATION AND THE APPROVAL OF ANY RESTRICTIONS IMPOSED AS A CONDITION OF ACCEPTING SUCH GIFT; TO APPROVE ANY LOAN, GIFT, GRANT, OR CONTRIBUTION TO A QUALIFYING TAX-EXEMPT ORGANIZATION OR ANY OTHER ORGANIZATION; TO APPROVE ANY CHANGE OF THE PRINCIPAL OFFICE OF THE CORPORATION; ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION, PROVIDED THAT SUCH CORPORATION OR LOCAL ENTITY DOES NOT OWN DESIGNATED MINISTRY PROPERTY; AND ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION, THE EFFECT OF WHICH IS (A) TO CREATE A NEW LOCAL ENTITY, (B) ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, OR (C) ANY CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY APPROVED UNDER (A) OR LEGAL ENTITY OR JOINT VENTURE APPROVED UNDER (B). The powers reserved to the Member and the Members of CHRISTUS in the event that either (1) CHRISTUS has designated the Corporation or a local entity controlled by the Corporation as a System Participant, or (2) the Corporation or a legal entity controlled by the Corporation owns designated ministry property: The sale, lease, mortgage, transfer, or encumbrance of real property of the Corporation or any local entity controlled by the Corporation when the amount involved is in excess of a threshold amount as required by canon law; any course of action proposed by the Corporation or a local entity controlled by the Corporation that owns designated ministry property, the effect of which would be to change: (a) ownership, management or control of designated ministry property, except ordinary course of business office and space leases, (b) the fundamental use of designated ministry property by obtaining, modifying, or relinquishing a type of health facility license that would significantly change the nature of the facility, or (c) if these services are applicable to the Corporation or a local entity controlled by the Corporation, the elimination of obstetrical, pediatric, psychological or emergency services provided in connection with designated ministry property; any merger, consolidation, acquisition, liquidation, or dissolution of the Corporation or any local entity controlled by the corporation that owns designated ministry property; and policies applicable and any amendment, modification or restatement thereof, with or without prior action or recommendation of the Board of Directors of the Corporation. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11B The Form 990 is prepared and reviewed by the organization's external independent accountants. The CHRISTUS Health Accounting department works with an external accounting firm in preparation and review of the Form 990. The filing organization's CFO, or other designee, reviews the Form 990. The final Form 990 that will be filed with the IRS is posted to a secure internet portal for all members of the Board of Directors to view. Review of the final Form 990 occurs prior to filing with the IRS in the Spring of 2013 via a web portal polling tool by the respective CHRISTUS Organization's board, based on a set of suggested review processes developed by CHRISTUS Health. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c At the end of each calendar year, the CHRISTUS Continuing Care Corporate Secretary distributes a conflict of interest questionnaire to all of the organization's Board and Committee members for completion prior to the 1st of January in the next year. The Corporate Secretary thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. The organization's Board of Directors is responsible for enforcement of the conflict of interest policy of the organization. Compensation Determination Process Form 990, Part VI, Questions 15a & 15b The Executive Compensation Committee of CHRISTUS Health determines the compensation of the CEO (or Executive Director, as applicable), officers and key employees of Christus Health and certain other officers and one key employee of the filing organization. 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. Compensation of Erick Smith was established under policies maintained by Dubuis Health System, Inc. and was not reviewed or approved by the CHRISTUS Continuing Care Board of Directors or the Executive Compensation Committee of CHRISTUS Health. The compensation of Erick Smith was not approved by the filing organization because he was a former employee of Dubuis Health System, Inc. and his compensation was determined by that organization. CHRISTUS Continuing Care purchased a portion of Dubuis Health System, Inc. effective 7/1/09, and Erick Smith became employed by CHRISTUS Continuing Care with no change in his compensation. Effective 12/7/11, the filing organization determined the compensation of the Assistant Corporate 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. Based on the aforementioned procedure, the Assistant Corporate Secretary's compensation is not reviewed by a compensation committee. Public Disclosure of 1023 and Forms 990 & 990-T Form 990, Part VI, Question 18 CHRISTUS Health and most of its affiliated entities do not have Forms 1023 because of their inclusion in the IRS Group Ruling with the United States Conference of Catholic Bishops, which covers the organization listed in the Annual Official Catholic Directory. CHRISTUS Health's website displays the IRS Group Ruling and relevant Annual Official Catholic Directory pages for the organizations related to CHRISTUS Health. Forms 990 and 990-T are made available upon request. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 The Consolidated Audited Financial Statements of CHRISTUS Health are made available to the public via the Christus Health website. The organization's governing documents and conflict of interest policy are not made available to the public. Hours worked for Related Organization Form 990, Part VII, Section A Average hours per week listed on Form 990, Part VII, Section A are the average hours devoted to the respective person's position while serving the organization. Linda McClung devotes an average of 39 hours per week to Christus Health, a related organization of the filing entity. Linda is the Senior Vice President of Operations/Corporate Communications/Strategic Marketing Services. Linda McClung devotes an average of 1 hour per week to Christus Health Utah, a related organization of the filing organization. Linda is the President/Chairperson of Christus Health Utah. Christopher Karam devotes an average of 27 hours per week to CHRISTUS Health Ark-La-Tex, a related entity of the filing organization. Christopher is the President/CEO of CHRISTUS Health Ark-La-Tex. Patrick Carrier devotes an average of 40 hours per week to Christus Santa Rosa Health Care Corporation, a related organization of the filing entity. Patrick is the CEO/President of Christus Santa Rosa Health Care Corporation. William Pardue devotes an average of 32 hours per week to Christus Health, a related organization of the filing entity. William is the Corporate Secretary of Christus Health. William Pardue devotes an average of 1 hour per week to CHRISTUS Stehlin Foundation for Cancer Research, a related entity of the filing organization. William is the Corporate Secretary of CHRISTUS Stehlin Foundation for Cancer Research. William Pardue devotes an average of 1 hour per week to Christus Health Plan, a related organization of the filing entity. William is the Corporate Secretary of Christus Health Plan. William Pardue devotes an average of 1 hour per week to Christus Health Utah, a related organization of the filing entity. William is the Corporate Secretary of Christus Health Utah. Tom Permetti devotes an average of 24 hours per week to Christus Health Gulf Coast, a related organization of the filing entity. Tom is the Regional Chief Operating Officer and Administrator of Christus Health Gulf Coast. Tom Permetti devotes an average of 16 hours per week to Christus Health Southeast Texas, a related organization of the filing entity. Tom is the Regional Chief Operating Officer and Administrator of Christus Health Southeast Texas. Michael Sullivan devotes an average of 29 hours per week to CHRISTUS Health Gulf Coast, a related organization of the filing entity. Mike is the Vice President of Mission and Organizational Ethics for CHRISTUS Health Gulf Coast. Through 1/1/11, Pearl Mohnkern served as the Vice President of Human Resources of Christus Continuing Care; therefore, the average hours per week devoted to her position with the filing organization are 0 because her termination date is the first day of the calendar year ending within the filing organization's fiscal year. Pearl Mohnkern devotes an average of 40 hours per week to St. Vincent Hospital, a related organization of the filing entity. Pearl is the Vice President of Human Resources of St. Vincent Hospital. Effective 7/17/11, M. Erick Smith devotes an average of 40 hours per week to Dubuis Health System, Inc., a related organization of the filing organization. M. Erick Smith is the System Director of Innovation and Development for Dubuis Health System, Inc. Mary Silva devotes an average of 32 hours per week to Christus Health, a related organization of the filing entity. Mary is the Deputy Corporate Secretary of Christus Health. Mary Silva devotes an average of 1 hour per week to Christus Health Foundation, a related organization of the filing entity. Mary is the deputy corporate secretary of Christus Health Foundation. Mary Silva devotes an average of 1 hour per week to Christus Health Plan, a related organization of the filing entity. Mary is the deputy corporate secretary of Christus Health Plan. Through 12/31/11, Mary devoted an average of 1 hour per week to Christus Health Southeast Texas, a related organization of the filing entity. Mary was the Assistant Corporate Secretary of Christus Health Southeast Texas. Other changes in net assets or fund balances Form 990, Part XI, Line 5 Pension Liability/Expense = 2,874,812 Pension Funding = (2,934,755) Unrealized Loss = (2,645) Transfer of Temporarily Restricted Net Assets= (1,479,700) Transfer of Restricted Donations = 828,796 Miscellaneous = -2 Adjustment to A/R booked to Revenue = 82,628 TOTAL - (630,866) CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 Calder Street BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH UTAH 919 hidden ridge drive irving TX 75038 870231682 HLTHCARE SVCS UT 501(c)(3) 9 CH true CHRISTUS HEALTH 919 Hidden Ridge Drive Irving TX 75038 760590551 SUPT HLTH SVC TX 501(c)(3) 11 - TYPE I NA false CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(c)(3) 11 - Type I CH true ST JOSEPH COMMUNITY FOUNDATION 2800 LAMAR AVE CAPITAL ONE PARIS TX 75460 421619230 SUPT HLTH SVC TX 501(c)(3) 11 - TYPE I CH true CHRISTUS STEHLIN FDN FOR CANCER RESEARCH 10301 STELLA LINK SUITE A HOUSTON TX 77025 741622404 CANCER RESRCH TX 501(c)(3) 9 CH true DUBUIS HEALTH SYSTEM INC 1700 W LOOP SOUTH STE 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH FOUNDATION 919 Hidden Ridge Drive Irving TX 75038 611500100 SUPT HLTH SVC TX 501(c)(3) 11 - TYPE I CH true CHRISTUS Health Liability Retention Trst 919 Hidden Ridge Drive Irving TX 75038 760259623 Self Ins Trst TX 501(c)(3) 11 - Type I CH true CHRISTUS Muguerza SAPI de CV Hidalgo PTE 2525 Col. Obispado, Monterrey N.L. MX 64060 HLTHCARE SERV MX CH C corp EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN CJ KY1-1102 980407545 INSURANCE CJ CH C CORP false false false false false false false false false true true true false true true true false false CHRISTUS HEALTH CENTRAL LOUISIANA l 1374549 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA j 747898 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS l 2923065 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS j 1209463 ACCURAL CH WILKINSON PHYSICIAN NETWORK L 418985 ACCRUAL CHRISTUS HEALTH ARK-LA-TEX N 56131 ACCRUAL CHRISTUS HEALTH NORTHERN LOUISIANA L 117571 ACCRUAL CHRISTUS HEALTH NORTHERN LOUISIANA N 79969 ACCRUAL CHRISTUS HEALTH NORTHERN LOUISIANA O 135471 ACCRUAL CHRISTUS HEALTH SOUTHWESTERN LOUISIANA L 54368 ACCRUAL CHRISTUS SANTA ROSA HEALTH CARE CORP O 188366 ACCRUAL CHRISTUS SANTA ROSA HEALTH CARE CORP P 186194 ACCRUAL