2012-05-15T03:11:53-05:00 2011-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2010-07-01 741109665 Christus Santa Rosa Health Care Corporation CHRI 2107042011 333 N Santa Rosa Street San Antonio TX 78207 Shawn Barnett 2012-05-07 7137501500 2010 2016-02-24 21:20:13Z SEE SCHEDULE O Pat Carrier 333 N Santa Rosa Street San Antonio TX 78207 633019253 false 0928 X www.christussantarosa.org X 1985 TX Supporting the health care ministries of the Sponsoring Congregations in extending the healing ministry of Jesus Christ in conformity with the ethical and moral teachings of the Roman Catholic Church. 15 14 4917 768 49529 16204 5307561 5498312 567077693 618357725 262137 493186 5047833 8669026 577695224 633018249 21234502 23433024 0 0 234097674 247259967 0 0 694543 342159373 351476864 597491549 622169855 -19796325 10848394 518025398 552110370 313023909 331080121 205001489 221030249 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS false false 145615115 0 251331075 COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, FOUNDED IN 1869 BY THE SISTERS OF CHARITY OF THE INCARNATE WORD, IS THE ONLY CATHOLIC FAITH-BASED, NON-PROFIT HEALTH CARE SYSTEM IN SAN ANTONIO AND NEW BRAUNFELS. WITH 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. ONE OF THE TOP HEALTH CARE ORGANIZATIONS IN SOUTH TEXAS, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION HAS FIVE HOSPITAL CAMPUSES: -CHRISTUS SANTA ROSA HOSPITAL, LOCATED IN DOWNTOWN SAN ANTONIO; -CHRISTUS SANTA ROSA MEDICAL CENTER, LOCATED IN THE SOUTH TEXAS MEDICAL CENTER; -CHRISTUS SANTA ROSA CHILDREN'S HOSPITAL, AN ACADEMIC TEACHING FACILITY AFFILIATED WITH THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO; -CHRISTUS SANTA ROSA NEW BRAUNFELS, FORMERLY MCKENNA HOSPITAL, WAS ACQUIRED IN FEBRUARY 2008 AND IS LOCATED IN NEW BRAUNFELS, TEXAS; -CHRISTUS SANTA ROSA - WESTOVER HILLS IN THE WESTOVER HILLS AREA OF SAN ANTONIO. EACH OF THE FACILITIES OF CHRISTUS SANTA ROSA SHARES ONE OBJECTIVE -- WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS HEADQUARTERED IN SAN ANTONIO, TEXAS, IN THE SOUTH CENTRAL AREA OF THE STATE. ITS SERVICE TO THE SOUTHERN AND WESTERN BORDERS OF TEXAS AND INTO THE CENTRAL TEXAS HILL COUNTRY AREA COVERS A POPULATION OF MORE THAN 3.5 MILLION INDIVIDUALS. IN FISCAL YEAR 2011 ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 203,681 VISITS TO OUR EMERGENCY DEPARTMENT; 8,556 INPATIENT SURGERY PROCEDURES; 40,480 OUTPATIENT SURGERY VISITS; 32,343 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 415,307 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS SANTA ROSA HEALTH CARE CORPORATIONSTAND APART. ALLOWING OTHERS TO TOUCH US GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS SANTA ROSA'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 SANTA ROSA HEALTH CARE CORPORATION'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS SANTA ROSA EXTEND SERVICES TO THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS, OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES WHICH NURTURE CHRISTUS' MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. OUR EMPLOYEES WORK BOTH INSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND IN THE COMMUNITY 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 THE PUBLIC AS POSSIBLE, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER 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 SANTA ROSA HEALTH CARE CORPORATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES, INCLUDING FOUR AMBULATORY SURGICAL CENTERS THAT OFFER AN ARRAY OF SERVICES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION OFFERS SERVICES SUCH AS: COMPREHENSIVE PEDIATRIC CARE, INCLUDING A NEONATAL INTENSIVE CARE UNIT, A 45-BED, LEVEL III C NURSERY PROVIDING BOTH INTENSIVE AND INTERMEDIATE CARE TO CRITICALLY ILL INFANTS REQUIRING MEDICAL AND/OR SURGICAL INTERVENTIONS SUCH AS THE NEONATAL ECMO PROGRAM THAT PROVIDES VENO-VENOUS OR VENO-ARTERIAL EXTRACORPOREAL LIFE SUPPORT FOR UP TO TWO INFANTS IN THE NICU; THE TITANIUM RIB IMPLANT PROGRAM; THE CHRISTUS TRANSPLANT INSTITUTE (CTI); AND A WOUND CARE AND HYPERBARIC CENTER. IN ADDITION, WE OFFER THE FOLLOWING: CARDIAC CARE THAT IS NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) AND ACCREDITED AS A CHEST PAIN CENTER WITH PERCUTANEOUS CORONARY INTERVENTION (PCI) DESIGNATION FROM THE SOCIETY OF CHEST PAIN CENTERS (SCPC); A COMPREHENSIVE CANCER PROGRAM; COMPLETE OBSTETRICAL AND NEWBORN SERVICES; SURGICAL UNITS; A DIABETES CARE PROGRAM; AND STATE-OF-THE-ART MEDICAL CARE FOR CHILDREN WITH AN ARRAY OF SPECIALTY SERVICES AND ORTHOPEDIC SERVICES. WE ALSO OFFER REHABILITATION TREATMENT FOR THOSE WHO HAVE EXPERIENCED A STROKE, A SPINAL CORD INJURY, CLOSED HEAD INJURIES AND MORE. EACH CAMPUS OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION PROVIDES A 24-HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. 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 SANTA ROSA. 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 MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. THE PHYSICIANS ASSIST OUR CONTINUOUS EFFORTS TO IMPROVE SERVICE TO OUR PATIENTS, QUALITY OF CARE, AND HOSPITAL EFFICIENCY. 155996421 0 172012332 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 SANTA ROSA HEALTH CARE CORPORATION IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF 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 SANTA ROSA HEALTH CARE CORPORATION 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 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 BASED ON THE INABILITY TO PAY. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS AN ACTIVE PARTICIPANT IN THE STATE OF TEXAS MEDICAID PROGRAMS AND WORKS WITH OTHER STATE MEDICAID PROGRAMS TO ENSURE PATIENTS HAVE FULL ACCESS TO THEIR BENEFITS. 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. 204529378 0 198487073 OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE. THE COSTS NOT REIMBURSED FOR THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS. THEY ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION 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 HOSPITAL. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. MEDICARE REIMBURSES OUTPATIENT SERVICES BASED ON ITS FEE SCHEDULE. 49297500 23433024 0 555438414 true true false true 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 true false false false false false true true true false false true 535 0 true 4917 true true true false false false false false false false false false X 15 14 true false false false true true true true true false false true true true true true true true true true true X TONY LOBASSO 2107044624 333 N SANTA ROSA STREET San Antonio TX 78207 X Charles E Amato 1.0 X 0 0 0 Diana Burns-Banks MD 1.0 X 0 0 0 Patrick B Carrier 39.0 X X 515367 129537 173075 Sister Germaine Corbin CCVI 1.0 X 0 0 0 Larry J Benson 1.0 X 0 0 0 Randall W Day MD 1.0 X 0 0 0 Leonel Gomez 1.0 X 0 0 0 Raymond R Hannigan 1.0 X X 0 0 0 Sstr Elizabeth Ann Hayes CCVI 1.0 X 0 0 0 Fernando C Reyes 1.0 X 0 0 0 Josue Robles Jr 1.0 X 0 0 0 Pastor Ray Burton Still 1.0 X 0 0 0 Dr Yolanda M Santos 1.0 X 0 0 0 Clarence Williams 1.0 X X 0 0 0 Maria P Pierce MD 1.0 X 0 0 0 Esparanza Andrade 1.0 X 0 0 0 J Michael Belz 1.0 X 0 0 0 Elaine M Mendoza 1.0 X X 0 0 0 William Pack 40.0 X 357380 0 97388 Margaret Eckhardt 40.0 X 62286 0 7063 Tony Lobasso 40.0 X 176469 0 31474 Jeff Bourgeois 40.0 X 298857 0 79666 Jim Wesson 40.0 X 249460 0 86610 Cary Fox 40.0 X 375796 0 91982 Marcella Doderer 40.0 X 255349 0 28303 James Martin 36.0 X 323854 0 108122 Geronimo M Rodriguez 40.0 X 267006 0 61512 Michael McBride 40.0 X 293041 0 64776 Katherine Bullard RN 40.0 X 222841 0 75160 Fernando Fleites 40.0 X 212336 0 75858 Rosario Perez 40.0 X 178646 0 36347 Guy Louis Gros 40.0 X 177588 0 31281 Aslam Kaleel 40.0 X 174042 0 46497 Roxanne Roecker Jenkins 40.0 X 177564 0 15936 Don Beeler 0.0 X 1519718 0 40541 Ernie Sadau 0.0 X 0 1148709 279324 5837600 1278246 1430915 158 true true false CYMETRIX CORPORATION 2875 Michelle Drive Suite 250 IRVINE CA 92606 MANAGEMENT SERVICES 6122113 RADCARE OF TEXAS PA 1717 Main Street Suite 5200 DALLAS TX 75201 PHYSICIAN SERVICES 2590857 WOUND CARE SPECIALISTS OF AMERICA 3106 50th Street Suite 400 LUBBOCK TX 79413 PHYSICIAN SERVICES 2380240 STAR ANESTHESIA PA 45 NE Loop 410 Suite 900 SAN ANTONIO TX 78216 ANESTHESIA SERVICES 2227279 TEJAS ANESTHESIA PA INC 4242 Medical Dr Suite 3100 SAN ANTONIO TX 78229 ANESTHESIA SERVICES 1980000 70 739299 3186545 1478664 93804 5498312 Net Patient Service Revenue 621110 616689862 616655665 34197 Rent Related to Exempt Purpose 531120 1443367 1443367 Program Related Investment Income 900099 224496 224496 618357725 463405 463405 0 0 30785 1004 29781 29781 29781 0 0 0 Dietary Service Revenue 722210 3488087 3472755 15332 Management Fee Revenue 541610 2849589 2849589 REIMB PAY FROM SRCHF 900099 695442 695442 1635908 1635908 8669026 633018249 621796283 49529 5674125 23433024 23433024 0 0 0 3729973 3366171 354731 9071 0 199767609 180283343 18998451 485815 9949698 9535204 414494 19266710 17193835 2034690 38185 14545977 13227767 1287807 30403 1266279 1266279 881101 5390 875711 0 15897 8 15889 0 0 60184138 38176167 21964771 43200 899142 115123 781643 2376 157111549 146839185 10223849 48515 18248971 18248971 0 9354074 8596964 720469 36641 644795 430412 214064 319 0 80524 421244 -340720 15532260 15493133 39127 0 38456302 35069204 3387098 5291796 5289497 2299 PROV. FOR UNCOLLECTIBLE ACCTS 35403344 35076529 326815 Organ Acquisition 4299445 4299445 Recruitment/Placement Fees 2197589 29949 2167640 DUES & MEMBERSHIPS 619886 246346 373540 SPONSORSHIP FEES 546010 863 545147 443762 60640 383104 18 622169855 555438414 66036898 694543 8359917 45271149 63442997 63775426 18459508 20695858 16456446 17263824 1479697 942153 699727148 369492298 333122254 330234850 1255041 1010416 -47258 -833488 51863721 48590552 23633075 25159630 518025398 552110370 42847275 52103094 586860 198295 269589774 278778732 313023909 331080121 X 203790182 220019970 1211307 1010279 205001489 221030249 518025398 552110370 X 10848394 5180366 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true true 668 true 4797 true 2212 false true 7241 true 11471 true 25312 51700 false Lobbying Description Form 990, Schedule C, Part II-B HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS SANTA ROSA HEALTH CARE CORPORATION BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. THE REPORTED EXPENSES ASSOCIATED WITH THESE ACTIVITIES INCLUDE STAFF COMPENSATION AND RELATED ALLOCABLE OVERHEAD. PART II-B, LINE 1C, "MEDIA ADVERTISEMENTS"- PRINT ADVERTISEMENT ON STATE BUDGET CUTS TO HOSPITALS. PART II-B, LINE 1D, "MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC"- THE ORGANIZATION USES E-MAILS, LETTERS, AND NEWSLETTERS TO PROMOTE ADVOCACY ACTION ON STATE BUDGET BY ASSOCIATES, VOLUNTEERS, AND PHYSICIANS. E-MAIL COMMUNICATIONS WERE SENT TO CONGRESSIONAL STAFF WITH RESPECT TO FUNDING AND REAUTHORIZATION OF CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM AND ON HEALTH CARE REFORM CHANGES. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S CEO, ASSOCIATES AND VOLUNTEERS SENT LETTERS/E-MAILS/POSTCARDS TO STATE LEGISLATIVE MEMBERS AND TEXAS LEADERSHIP ON BUDGET AND HOSPITAL CUTS. PART II-B, LINE 1E, "PUBLICATIONS, OR PUBLISHED OR BROADCAST STATEMENTS" - CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S CEO, EXEC. VP, AND GOVERNMENT RELATIONS OFFICER PARTICIPATED IN A NEW BRAUNFELS RADIO TALK SHOW ON STATE BUDGET CUTS TO HEALTH CARE. PART II-B, LINE 1G, "DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODY"-AT THE FEDERAL LEVEL, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S EMPLOYEES MADE PERSONAL VISITS WITH TEXAS CONGRESSIONAL MEMBERS TO DISCUSS HEALTH CARE REFORM, MEDICAID, MEDICARE, AND PEDIATRIC MEDICAL/PHYSICIAN ISSUES. PHONE COMMUNICATIONS OCCURRED WITH CONGRESSIONAL STAFF WITH RESPECT TO FUNDING AND REAUTHORIZATION OF CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM AND HEALTH CARE REFORM CHANGES. AT THE STATE LEVEL, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S EMPLOYEES AND VOLUNTEERS MADE PERSONAL VISITS WITH MEMBERS OF THE TEXAS LEGISLATURE AND LEADERSHIP REGARDING LEGISLATION RELATED TO THE TEXAS BUDGET, MEDICAID, MEDICAID MANAGED CARE, ADVANCE DIRECTIVES, DNR'S, PHI, UPL, CHILD SAFETY, DISCHARGE PLANNING, CHILD ABUSE AND NEGLECT, NICU, QUALITY, PAY FOR PERFORMANCE, NEWBORN SCREENINGS, WORKPLACE SAFETY, HEALTH CARE COMPACT, IMMUNIZATIONS, PHYSICIAN EMPLOYMENT, DRIVER RESPONSIBILITY PROGRAM, TEXAS MEDICAL BOARD COMPLAINT PROCESS, HEALTH INSURANCE EXCHANGE, TRAUMA, MEDICAL HOMES, AND HOSPITAL LIENS. THESE LEGISLATIVE MATTERS ENCOMPASSED STATE BILLS: SB 1, 7, 8, 23, 44, 47, 56, 156, 192, 223, 229, 270, 295, 328, 434, 510, 620, 622, 773, 796, 798, 848, 894, 1048, 1050, 1154, 1177, 1206, 1289, 1454, 1503,1632, 1661,1818, 1878. HB 1,13, 118, 273, 300, 411, 574, 577, 588, 608, 1013, 1089, 1099, 1192, 1225, 1393, 1534, 1645, 1951, 1983, 2176, 2245, 2478, 2483, 2515, 2546, 2576, 2636, 2858, 2903, 3279, 3336, 3490, 3520. PART II-B, LINE 1H, "RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR ANY OTHER SIMILAR MEANS" - THE ORGANIZATION USES PRESENTATIONS AT INTERNAL MEETINGS TO PROMOTE ADVOCACY ON LEGISLATION RELATED TO HEALTH CARE REFORM AND STATE BUDGETARY MATTERS AS WELL AS THE STATE BILLS MENTIONED IN THE RESPONSE FOR PART II-B, LINE 1G. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION LED THE EFFORT FOR A LOCAL PRESS CONFERENCE ON THE IMPACT OF PROPOSED STATE BUDGET CUTS WHERE THE CHRISTUS SANTA ROSA HEALTH CARE CORPORATION CEO SPOKE AND ASSOCIATES WERE IN ATTENDANCE. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION DIRECTOR OF ETHICS TESTIFIED ON PROPOSED LEGISLATION ON ADVANCE DIRECTIVES - HB3520. CHRISTUS SANTA ROSA ASSOCIATES ATTENDED A RALLY/DEMONSTRATION IN AUSTIN ON STATE BUDGET CUTS. THE ORGANIZATION SPONSORED TRANSPORTATION TO AUSTIN FOR COMMUNITY VOLUNTEERS IN ATTENDANCE AT THE RALLY. PART II-B, LINE 1I, "OTHER ACTIVITIES" - REPORTS THE PORTION OF FY 2011 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $25,312. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR 6-30-11. 16782245 16782245 364591729 210524917 154066812 4928522 4928522 292541565 156628933 135912632 20883087 2338448 18544639 330234850 0 Due to Christus Bond Fund 265013975 Long Term Capital Lease Liability 12856089 PHYSICIAN INCOME GUARANTEES 908668 278778732 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. 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333 N Santa Rosa Street San Antonio TX 78207

X X X X 2 Christus Santa Rosa Hospital City Centre

333 N Santa Rosa Street San Antonio TX 78207

X X X 3 Christus Santa Rosa New Braunfels

600 N Union Avenue New Braunfels TX 78130

X X X 4 Christus Santa Rosa Medical Center

2827 Babcock Rd San Antonio TX 78229

X X X 5 Christus Santa Rosa Westover Hills

10539 State Hwy 151 San Antonio TX 78251

X X X 6 CHRISTUS SANTA ROSA REHAB HOSP

2827 BABCOCK RD SAN ANTONIO TX 78229

X X X REHABILITATION HOSPITAL Christus Santa Rosa Children's Hospital 1 Christus Santa Rosa Hospital City Centre 2 Christus Santa Rosa New Braunfels 3 Christus Santa Rosa Medical Center 4 Christus Santa Rosa Westover Hills 5 CHRISTUS SANTA ROSA REHAB HOSP 6 4 CHRISTUS SR PHYS AMB SURG CENTER SA

333 N SANTA ROSA SAN ANTONIO TX 78207

SURGERY CENTER CHRISTUS SR OUTPATIENT SURG - NEW BRAUN

333 N SANTA ROSA SAN ANTONIO TX 78207

SURGERY CENTER CHRISTUS SANTA ROSA SURGERY CENTER LLP

333 N SANTA ROSA SAN ANTONIO TX 78207

OUTPATIENT SURGERY CENTER NEW BRAUNFELS SURGICAL CENTER LLC

333 N SANTA ROSA SAN ANTONIO TX 78207

SURGERY CENTER 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 SANTA ROSA HEALTH CARE CORPORATION REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $622,169,855. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $35,076,529. THIS LEAVES A TOTAL EXPENSE OF $587,093,326 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I, LINE 7, COLUMN (F) DESCRIPTION OF GROSS CHARITY CARE 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 37.64%, 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 SANTA ROSA HEALTH CARE CORPORATION MADE OVER $21,400,000 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2011. 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 $263,564 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS SANTA ROSA HEALTH CARE CORPORATION SERVES, INCLUDING DENTAL SERVICES TO THE INDIGENT AS WELL AS OTHER EQUALLY WORTHY CAUSES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. INDIGENT FUNDING EXPENSE OF $22,837,808 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH 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 OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE FOREGONE INTEREST FOR THE CHRISTUS SANTA ROSA REGION IN FISCAL YEAR ENDING JUNE 30, 2011 WAS $12,515. IN AN EFFORT TO MEET AND ADDRESS THE IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION PROVIDES ACCESS TO HEALTH CARE SERVICES THROUGH PROGRAMS AND LOCAL COMMUNITY PARTNERS AND SERVICE ORGANIZATIONS. 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. 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 BAD DEBT EXPENSE (AT COST) THE ORGANIZATION USES FORM 990, SCHEDULE H, WORKSHEET A TO DETERMINE THE BAD DEBT EXPENSE AT COST REPORTED AT SCHEDULE H, PART III, SECTION A, LINE 2 USING THE COST-TO-CHARGE RATIO CALCULATED AT FORM 990, SCHEDULE H, WORKSHEET 2, LINE 11. 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 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE TO OR UNWILLING TO ASK FOR FINANCIAL ASSISTANCE DUE TO BARRIERS TO APPLYING FOR ASSISTANCE SUCH AS EDUCATIONAL LEVEL AND LITERACY, DOCUMENTATION LIMITATIONS AND FEAR OF THE APPLICATION PROCESSES. IN ORDER 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 BUT HAVE NOT QUALIFIED, 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 CLASSIFY PATIENT BAD DEBT ACCOUNTS AS ACCOUNTS THAT WOULD 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 ESTIMATED HOUSEHOLD INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. 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." IN ORDER TO DETERMINE THE BAD DEBT EXPENSE AT COST (SCHEDULE H, PART III, SECTION A, LINE 2), THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS WAS MULTIPLIED BY THE COST-TO-CHARGE RATIO. 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 ($33,892,020) IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. PART III, SECTION B, LINE 9B COLLECTION POLICY COLLECTION ACTIVITY OCCURS FOR A MINIMUM OF 60 DAYS ON SELF-PAY ACCOUNTS BEFORE THE PRESUMPTIVE CHARITY PROCESS IS COMPLETED IF NO CONTACT WITH THE PATIENT/GUARANTOR IS MADE. IF THE 60-DAY PERIOD EXPIRES AND NO CONTACT WITH THE PATIENT/GUARANTOR IS MADE OR THERE IS INSUFFICIENT INFORMATION TO DOCUMENT ELIGIBILITY FOR CHARITY CARE, A PRESUMPTION OF ELIGIBILITY MAY BE MADE BASED ON STATISTICAL DATA AND OTHER RELIABLE ASSUMPTIONS. ACCOUNTS WITH A BALANCE OF LESS THAN $2,000 ARE SCREENED FOR CHARITY CARE QUALIFICATION BASED ON SYSTEMATIC SCREENING CRITERIA UNLESS PATIENT CONTACT IS MADE. ACCOUNTS WITH A BALANCE OF $2,000 OR GREATER ARE MANUALLY REVIEWED TO DETERMINE IF ANY POTENTIAL ELIGIBILITY PROGRAMS ARE APPLICABLE BASED UPON FRONT-END SCREENING TOOL DOCUMENTATION AND A REVIEW OF DIAGNOSES AND SERVICES PROVIDED. IF A PATIENT COMPLETES A FINANCIAL AID APPLICATION AND QUALIFIES FOR CHARITY CARE OR FALLS UNDER A CHARITY CARE ACCOUNT BASED ON THE PRESUMPTIVE CHARITY TEST, ALL DEBT COLLECTION ACTIVITIES CEASE. ACCOUNTS THAT ARE NOT DEEMED ELIGIBLE FOR CHARITY CARE OR MEDICAL INDIGENCE WILL CONTINUE THE COLLECTION CYCLE UNTIL THEY ARE WRITTEN OFF AS BAD DEBT. PART VI, LINE 2 NEEDS ASSESSMENT THE CHRISTUS SANTA ROSA HEALTH CARE CORPORATION FY2011 COMMUNITY BENEFITS PLAN IS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") CONDUCTED BY THE BEXAR COUNTY COMMUNITY HEALTH COLLABORATIVE ("HEALTH COLLABORATIVE") IN FY2010. RESULTS WERE SHARED WITH THE CITY AND COUNTY OFFICIALS IN FEBRUARY OF 2011. IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE HEALTH COLLABORATIVE, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION SUPPORTED THE 2008 COMAL COUNTY ASSESSMENT- SOCIAL AND ENVIRONMENTAL DETERMINATES OF WELL-BEING. THE COMMUNITY HEALTH PRIORITIES SET FORTH BY CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ARE BASED ON REVIEW AND ANALYSIS OF THESE REPORTS AND ANALYSIS OF HEALTH ISSUES IDENTIFIED AT EACH SANTA ROSA HOSPITAL. THE COMMUNITY IS DEFINED AS RESIDENTS OF BEXAR COUNTY AND COMAL COUNTY. WITHIN BEXAR COUNTY, THE SAMHD IDENTIFIED 10 ZIP CODES WHICH ARE CONSIDERED AREAS OF HIGH RISK AND UNRESOLVED ONGOING PUBLIC HEALTH PROBLEMS. COMMUNITY DELIVERY WILL CONTINUE TO FOCUS ON THE UNINSURED WITH ADDED EMPHASIS ON CHRONIC ILLNESS. SERVICES ARE BASED ON BEST PRACTICES DEVELOPMENT AND IMPLEMENTATION BASED ON COMMUNITY HEALTH SERVICES. THE HEALTH COLLABORATIVE IS A CONSORTIUM OF ORGANIZATIONS JOINED TOGETHER TO PRIORITIZE AND ADDRESS SIGNIFICANT COMMUNITY HEALTH ISSUES. MEMBERS OF THE HEALTH COLLABORATIVE INCLUDE CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, BAPTIST HEALTH SYSTEM, METHODIST HEALTHCARE SYSTEM, UNIVERSITY HEALTH SYSTEM, COMMUNITY FIRST HEALTH PLANS, METHODIST HEALTHCARE MINISTRIES, SAMHD, AND THE YMCA OF GREATER SAN ANTONIO. THE HEALTH COLLABORATIVE TOGETHER WITH OTHER PARTNERS COMMISSIONED THE BEXAR COUNTY CHNA IN 1998, 2002 AND 2006. THE 2006 HEALTH COLLABORATIVE CHNA WAS CONDUCTED AND IS BEING RELEASED IN A 3-PHASE FORMAT. PHASE I OF THE ASSESSMENT RELIES ON TRADITIONAL PUBLIC HEALTH SOURCES TO CONSTRUCT OUTCOME INDICATORS OF COMMUNITY HEALTH. THESE FINDINGS ARE LABELED AS HEALTH OUTCOMES. PHASE 2 RELIES ON THE BEXAR COUNTY COMPONENT OF THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) ADMINISTERED BY THE CENTERS FOR DISEASE CONTROL (CDC) AND OTHER SOURCES OF INFORMATION THAT PERTAIN TO THE COUNTY. INDICATORS OF BEHAVIORS THAT PROMOTE GOOD HEALTH OUTCOMES AND THAT ELEVATE THE RISK OF POOR HEALTH OUTCOMES ARE INCLUDED IN PHASE 2 AND ARE LABELED AS HEALTH BEHAVIORS. IN ADDITION TO THE DATA COLLECTION, CHRISTUS SANTA ROSA HEALTH CORPORATION PARTICIPATED IN 12 COMMUNITY FOCUS GROUP MEETINGS AND TWO NEIGHBORHOOD MEETINGS TO ALLOW RESIDENTS TO PROVIDE INSIGHT INTO THEIR COMMUNITIES. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS SANTA ROSA HEALTH CARE CORPORATION MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4 COMMUNITY INFORMATION CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS HEADQUARTERED IN SAN ANTONIO, TEXAS, IN THE SOUTH CENTRAL AREA OF THE STATE. IT HAS FIVE HOSPITAL CAMPUSES. IT SERVICES THE SOUTHWESTERN BORDER OF TEXAS AND INTO THE CENTRAL TEXAS HILL COUNTRY. THE AREA COMPRISES A POPULATION OF MORE THAN 2.6 MILLION INDIVIDUALS. THE POPULATION CONSISTS OF 61.5% HISPANIC AND 28.5% CAUCASIAN. THE MEDIAN INCOME FOR THE CITY OF SAN ANTONIO IN 2000 WAS $36,214, AND THE MEDIAN INCOME IN 2009 WAS $42,523. HIGH SCHOOL GRADUATES REPRESENT 27% OF THE POPULATION. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CHRISTUS SANTA ROSA HEALTH CARE CORPORATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. ONE OF THE TOP HEALTH CARE ORGANIZATIONS IN SOUTH TEXAS, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION HAS FIVE HOSPITAL CAMPUSES: (1) CHRISTUS SANTA ROSA HOSPITAL, LOCATED IN DOWNTOWN SAN ANTONIO (THIS IS CALLED CHRISTUS SANTA ROSA CITY CENTRE IN ACCORDANCE WITH OUR BRANDING); (2) CHRISTUS SANTA ROSA MEDICAL CENTER, LOCATED IN THE SOUTH TEXAS MEDICAL CENTER; (3) CHRISTUS SANTA ROSA CHILDREN'S HOSPITAL, A FACILITY AFFILIATED WITH THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO; (4) CHRISTUS SANTA ROSA NEW BRAUNFELS, FORMERLY MCKENNA HOSPITAL, ACQUIRED IN FEBRUARY 2008 AND LOCATED IN NEW BRAUNFELS, TEXAS; AND (5) CHRISTUS SANTA ROSA -WESTOVER HILLS IN THE WESTOVER HILLS AREA OF SAN ANTONIO. CHRISTUS SANTA ROSA REHABILITATION HOSPITAL IS LOCATED AT THE CHRISTUS SANTA ROSA MEDICAL CENTER. EACH OF THE FACILITIES OF CHRISTUS SANTA ROSA SHARES ONE OBJECTIVE -- TO LEAD THE WAY TO A HEALTHIER COMMUNITY. EACH OF THE SIX HOSPITALS OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION PROVIDES A 24 HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION WORKS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, PARTICULARLY THE VULNERABLE AND UNDERSERVED POPULATIONS. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S OTHER HEALTH FACILITIES INCLUDE CHRISTUS SANTA ROSA FAMILY HEALTH CENTER, A CLINICAL OUTPATIENT CARE ORGANIZATION WITH A UNIQUE COMBINATION OF ACADEMIC AND PATIENT CARE EXPERIENCES. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION HAS PART OWNERSHIP IN BEXAR COUNTY CLINICAL SERVICES, INC. WHICH PROVIDES PHYSICIAN HEALTH CARE SERVICES TO MEDICAID PATIENTS. IN ADDITION, THE ORGANIZATION OWNS PARTIAL INTEREST IN 4 OUTPATIENT SURGERY CENTERS-NEW BRAUNFELS SURGICAL CENTER, LLC, CHRISTUS SANTA ROSA SURGERY CENTER, L.L.P., CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTERS-SAN ANTONIO, LLC, AND CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER-NEW BRAUNFELS, LP. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS ALSO A PARTNER OF MCKENNA EQUIPMENT LEASING, LP, WHICH PROVIDES MEDICAL EQUIPMENT LEASING SERVICES. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, OFFERING CONVENIENT LOCATIONS FOR PRIMARY CARE THROUGH FAMILY HEALTH CLINICS AND MOBILE OUTREACH CLINICS. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ALSO OFFERS COMPREHENSIVE PEDIATRIC CARE, INCLUDING A RENOVATED NEONATAL INTENSIVE CARE UNIT PROVIDING THE LATEST IN MEDICAL TECHNOLOGY AND THE FIRST TITANIUM RIB IMPLANTS; THE CHRISTUS TRANSPLANT INSTITUTE (CTI); AND A WOUND CARE AND HYPERBARIC CENTER. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION COLLABORATES WITH COMMUNITIES, CHURCHES, AND OTHER HEALTH CARE ORGANIZATIONS TO PROVIDE COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES AND PROACTIVE HEALTH CARE PROGRAMS. THE HEALTH COLLABORATIVE'S (AS DEFINED IN SCHEDULE H, PART VI, QUESTION 2) EXISTING PRIORITIES OF FITNESS AND NUTRITION, AS THEY RELATE TO DIABETES AND OBESITY, WILL CONTINUE TO BE ADDRESSED THROUGH THE FIT CITY/FIT SCHOOLS CAMPAIGN, BY COORDINATING THE YOUTH DEPRESSION ADVISORY COMMITTEE AND COORDINATING A HEALTH LITERACY AND ACCESS INITIATIVE. THE CHRISTUS SANTA ROSA'S COMMUNITY BENEFIT PLAN ("THE PLAN") SUPPORTS THE INITIATIVES OF THE HEALTH COLLABORATIVE. THE PLAN FOCUSES ON COMMUNITY INITIATIVES THAT CAN IMPACT FAMILY MEMBERS OF ALL AGES WITH DIABETES, HEART DISEASE, OBESITY AND CANCER. THESE INITIATIVES ARE PROVIDED THROUGH A PEDIATRIC MOBILE CLINIC, SCHOOL-BASED HEALTH CENTERS, COMMUNITY HEALTH WORKER PROGRAMS AND DIABETES EDUCATION PROGRAMS. THE PLAN INCLUDES THE WORK PERFORMED AT THE CENTER FOR MIRACLES WHICH IS DEDICATED TO PROVIDING FREE SERVICES FOR ABUSED/NEGLECTED CHILDREN AND THEIR AFFECTED FAMILY MEMBERS. OTHER EFFORTS ARE TO PROVIDE APPLICATION ASSISTANCE TO MEDICAID/CHIP PATIENTS TO ENSURE HEALTH CARE OPPORTUNITIES FOR WOMEN AND CHILDREN. WIC SERVICES PROVIDE NUTRITION/BREASTFEEDING EDUCATION AND FOOD VOUCHERS TO HELP DECREASE THE INCIDENCE OF LOW BIRTH WEIGHT INFANTS AND IMPROVE INFANT MORTALITY RATES IN BEXAR COUNTY. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ALSO PROVIDES SERVICES FOR THE BROADER COMMUNITY AS A PART OF ITS OVERALL COMMUNITY BENEFIT. THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS (I.E., GRADUATE MEDICAL EDUCATION, NURSING STUDENTS, ALLIED HEALTH PROFESSIONS, PHARMACISTS, ETC.) HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION HAD NET EXPENSES OF OVER $4.2 MILLION IN HEALTH PROFESSIONS EDUCATION DURING FY2011 THAT INCLUDED STUDENT INTERNSHIPS, CLINICAL EXPERIENCE AND OTHER EDUCATION FOR PHYSICIANS, NURSES, PHYSICAL THERAPISTS AND OTHER HEALTH PROFESSIONS STUDENTS. AS A NONPROFIT 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 SANTA ROSA HEALTH CORPORATION. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION HAS AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK TO PROVIDE CARE TO OUR COMMUNITIES. ALL MEDICAL STAFF MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 50 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 SIX PROVINCES OF MEXICO. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. IN ADDITION, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION WORKS CLOSELY WITH THE CHRISTUS COMMUNITY HEALTH COUNCIL TO MEET SYSTEM WIDE INITIATIVES FOR ADDRESSING COMMUNITY NEEDS. CURRENTLY THESE INITIATIVES INCLUDE INCREASING ACCESS TO PRIMARY CARE, AVOIDING EMERGENCY DEPARTMENT VISITS AND PREVENTABLE HOSPITALIZATIONS, A CASE MANAGEMENT PROGRAM FOR PATIENTS OF OUR CLINICS WHO HAVE CHRONIC ILLNESS, DIABETES EDUCATION, AND CREATING AFFORDABLE SENIOR HOUSING OPPORTUNITIES IN THE REGION. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. PART VI, LINE 7 COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2011 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. ALL STATES WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: TEXAS true Centro Del Barrio 3750 Commercial Ave Suite 400 San Antonio TX 78207 741787031 501(c)(3) 550000 MEDICAL CLINICS United Way PO Box 898 San Antonio TX 78293 741272381 501(c)(3) 9000 SPONSOR EXEC PROGRAM EVENT Friends of Santa Rosa Foundation 343 W Houston Suite 505 San Antonio TX 78205 742723391 501(c)(3) 12500 BENEFIT CHILDRENS HOSPITAL Bexar County Clinical Services Inc 2801 Via Fortuna Ste 500 Austin TX 78746 870781228 21053951 INDIGENT FUNDING Baptist Health System 111 Dallas Street San Antonio TX 78205 760714523 1756281 INDIGENT FUNDING Nix Health System 414 Navarro Street San Antonio TX 78205 200869609 27576 INDIGENT FUNDING 3 3 Form 990, Schedule I 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. 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. X X true true true true false false false false false false false Patrick B Carrier 370569 93142 45656 11476 99142 24919 124172 31211 14138 3554 653677 164302 0 0 William Pack 283496 0 7098 0 66786 0 76951 0 20437 0 454768 0 0 0 Jeff Bourgeois 257110 0 6307 0 35440 0 74121 0 5545 0 378523 0 0 0 Jim Wesson 243366 0 6094 0 0 0 69418 0 17192 0 336070 0 0 0 Cary Fox 284972 0 7205 0 83619 0 81849 0 10133 0 467778 0 0 0 Marcella Doderer 212880 0 5221 0 37248 0 27012 0 1291 0 283652 0 0 0 James Martin 286130 0 6947 0 30777 0 89033 0 19089 0 431976 0 0 0 Geronimo M Rodriguez 193478 0 22766 0 50762 0 54123 0 7389 0 328518 0 0 0 Fernando Fleites 194930 0 4067 0 13339 0 59211 0 16647 0 288194 0 0 0 Don Beeler 164345 0 23053 0 1332320 0 39668 0 873 0 1560259 0 0 0 Ernie Sadau 0 750630 0 193450 0 204629 0 255512 0 23812 0 1428033 0 0 Michael McBride 251617 0 6603 0 34821 0 50941 0 13835 0 357817 0 0 0 Katherine Bullard RN 187164 0 4670 0 31007 0 64944 0 10216 0 298001 0 0 0 Rosario Perez 140061 0 3369 0 35216 0 31358 0 4989 0 214993 0 0 0 Tony Lobasso 176410 0 59 0 0 0 14418 0 17056 0 207943 0 0 0 Guy Louis Gros 177529 0 59 0 0 0 16565 0 14716 0 208869 0 0 0 Aslam Kaleel 169533 0 4509 0 0 0 41328 0 5169 0 220539 0 0 0 Roxanne Roecker Jenkins 177447 0 25 0 92 0 13590 0 2346 0 193500 0 0 0 Supplemental Compensation Information FORM 990, PART VII, LINE 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART I, LINES 1-2 GUY GROS RECEIVED A $224 GYM BENEFIT. PER POLICY, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION CONTRIBUTES A SET AMOUNT TO PAY FOR A GYM MEMBERSHIP. THIS BENEFIT IS OFFERED TO ALL ASSOCIATES. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART I, LINES 1-2 GERONIMO M. RODRIGUEZ RECEIVED $1,917 IN TAX ASSISTANCE FOR RELOCATION. RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SEVERANCE PAYMENT FORM 990, SCHEDULE J, PART I, QUESTION 4A UNDER THE SEVERANCE PLAN, ALL OR A PORTION OF THE BASE SALARY OF A PARTICIPATING EXECUTIVE WILL CONTINUE TO BE PAID TO THE EXECUTIVE FOR A LIMITED PERIOD OF TIME IF THE EXECUTIVE'S EMPLOYMENT WITH CHRISTUS AND ITS AFFILIATES IS INVOLUNTARILY TERMINATED. DON BEELER RECEIVED $463,772 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2010. 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. RECEIPT OF PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, LINE 4B DON A. BEELER RECEIVED $479,504 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. JEFF BOURGEOIS RECEIVED $35,440 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. KATHERINE BULLARD RECEIVED $23,807 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PATRICK CARRIER RECEIVED $70,728 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARCELLA DODERER RECEIVED $20,271 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FERNANDO FLEITES RECEIVED $13,339 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CARY FOX RECEIVED $61,409 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MICHAEL MCBRIDE RECEIVED $30,021 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. WILLIAM PACK RECEIVED $37,186 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. ROSARIO PEREZ RECEIVED $16,858 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. GERONIMO RODRIGUEZ RECEIVED $22,367 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II, COLUMN (B)(III), ROW 10 OTHER COMPENSATION FOR DON BEELER INCLUDES A PAYMENT FROM A DEFERRED COMPENSATION PLAN WITH AMERICAN HOSPITAL ASSOCIATION, WHICH HE PARTICIPATED IN AS AN ASSOCIATE OF INCARNATE WORLD HEALTH SYSTEM (A CO-SPONSOR OF CHRISTUS HEALTH). 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. BONUS AND INCENTIVE COMPENSATION 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 2010. 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. SOUTH TEXAS HEALTH ALLIANCE SEE PART V, TRANSACTION 1 2500000 LOAN TO SO. TEX. HEALTH ALL. false SOUTH TEXAS HEALTH ALLIANCE SEE PART V, TRANSACTION 2 400327 ON CALL SVCS FROM S. TEX. H.A. false CH SANTA ROSA PHYS AMBULATORY CNTRS SEE PART V, TRANSACTION 3 -6224252 SEE PART V, TRANSACTION 3 false CH SANTA ROSA PHYS AMBULATORY CNTRS SEE PART V, TRANSACTION 4 1793665 SEE PART V, TRANSACTION 4 false CH SANTA ROSA OUTPTNT SURG - NEW BR SEE PART V, TRANSACTION 5 9601293 SEE PART V, TRANSACTION 5 false CH SANTA ROSA OUTPTNT SURG - NEW BR SEE PART V, TRANSACTION 6 517810 SEE PART V, TRANSACTION 6 false DESCRIPTION OF RELATIONSHIPS AND TRANSACTIONS SCHEDULE L, PART IV TRANSACTIONS 1 & 2: PART IV, LINE 1, COLUMN B WILLIAM PACK - OFFICER CHRISTUS SANTA ROSA HEALTH CARE CORPORATION AND OFFICER SOUTH TEXAS HEALTH ALLIANCE. DR. JAMES MARTIN - KEY EMPLOYEE CHRISTUS SANTA ROSA HEALTH CARE CORPORATION AND OFFICER SOUTH TEXAS HEALTH ALLIANCE. TRANSACTION 3: PART IV, LINE 3, COLUMN B & COLUMN D DUE TO CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S (CSRHCC) 52.05% OWNERSHIP IN CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER-SAN ANTONIO, LLC, PAT CARRIER, CSRHCC PRESIDENT AND CARY FOX, CSRHCC KEY EMPLOYEE, ARE ON THE MANAGING BOARD OF CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER-SAN ANTONIO, LLC. MR. CARRIER'S AND MR. FOX'S ROLES ON THE MANAGING BOARD ARE SOLELY RELATED TO CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S OWNERSHIP. THE AMOUNT LISTED IN COLUMN C OF CSRHCC'S SCHEDULE K-1 FOR THE LLC'S YEAR ENDING 12/31/2010 IS ($6,224,252). THIS AMOUNT REPRESENTS THE CUMULATIVE INVESTMENT SINCE THE LLC'S INCEPTION. TRANSACTION 4: PART IV, LINE 4, COLUMN D CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER-SAN ANTONIO, LLC. REIMBURSED CHRISTUS SANTA ROSA HEALTH CARE CORPORATION FOR SERVICES RENDERED IN AMOUNT OF $1,793,665. TRANSACTION 5: PART IV, LINE 5, COLUMN B & COLUMN D DUE TO CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S (CSRHCC) 69.597% OWNERSHIP IN CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER-NEW BRAUNFELS, LP, WILLIAM PACK, CSRHCC CFO, AND CARY FOX, CSRHCC KEY EMPLOYEE, ARE ON THE MANAGING BOARD OF CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER-NEW BRAUNFELS, LP. MR. PACK'S AND MR. FOX'S ROLES ON THE MANAGING BOARD ARE SOLELY RELATED TO CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S OWNERSHIP. THE AMOUNT LISTED IN COLUMN C OF CSRHCC SCHEDULE K-1 FOR THE LLC'S YEAR ENDING 12/31/2010 IS $9,601,293. THIS AMOUNT REPRESENTS THE CUMULATIVE INVESTMENT SINCE THE LP'S INCEPTION. TRANSACTION 6: PART IV, LINE 6, COLUMN D CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER-NEW BRAUNFELS, LP REIMBURSED CHRISTUS SANTA ROSA HEALTH CARE CORPORATION FOR SERVICES RENDERED IN AMOUNT OF $517,810. DOING BUSINESS AS FORM 990, PAGE 1, ITEM C CHRISTUS HEALTH SANTA ROSA HEALTH CARE CORPORATION OPERATES UNDER THE FOLLOWING NAMES: ALAMO DIAGNOSTICS IMAGING CENTER CENTER FOR ROBOTIC SURGERY CHRISTUS CHILDREN'S KIDNEY CENTER CHRISTUS SANTA ROSA CENTER FOR ROBOTIC SURGERY CHRISTUS SANTA ROSA CHILDREN'S HOSPITAL CHRISTUS SANTA ROSA EMERGENCY CENTER CHRISTUS SANTA ROSA HEALTH SYSTEM CHRISTUS SANTA ROSA HEALTHCARE CHRISTUS SANTA ROSA HOSPITAL CHRISTUS SANTA ROSA HOSPITAL - ALAMO HEIGHTS CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS CHRISTUS SANTA ROSA HOSPITAL - WESTOVER HILLS CHRISTUS SANTA ROSA HOSPITAL-CITY CENTRE CHRISTUS SANTA ROSA HOSPITAL-MEDICAL CENTER CHRISTUS SANTA ROSA IMAGING CENTER - ALAMO HEIGHTS CHRISTUS SANTA ROSA MEDICAL CENTER CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER ALAMO HEIGHTS CHRISTUS SANTA ROSA REHABILITATION HOSPITAL CHRISTUS SANTA ROSA REHABILITATION SERVICES CHRISTUS SANTA ROSA THORACIC INSTITUTE CHRISTUS TRANSPLANT INSTITUTE CHRISTUS WEIGHT LOSS INSTITUTE - WESTOVER HILLS ROBOTIC SURGERY CENTER OF SAN ANTONIO SAN ANTONIO CENTER FOR ROBOTIC SURGERY SOUTH TEXAS CENTER FOR ROBOTIC SURGERY SOUTH TEXAS INSTITUTE FOR ROBOTIC SURGERY TEXAS INSTITUTE FOR ROBOTIC SURGERY THE ROBOTIC SURGERY CENTER OF SOUTH TEXAS DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS, OUTREACH PROGRAMS FOR CHILDREN AND SENIORS, HEALTH EDUCATION, AIR AMBULANCE AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION'S COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS HEALTH COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED THE FUNDING OF THE CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT IS LOST FROM THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2011 WAS $441,875. THE FOREGONE INTEREST FOR CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IN FY2011 WAS $12,515. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE MISSION, VISION 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 FY 2011, THE TOTAL GRANT MONEY DISTRIBUTED TO THE CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION WAS $263,564. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. SEVERAL CHRISTUS REGIONS PROVIDE INDIGENT FUNDING DONATIONS OR "GRANTS" TO AID THE COUNTIES IN WHICH THEY, OR ANOTHER CHRISTUS REGION, SERVE. SUCH GRANTS MAY BE PAID TO THE COUNTY DIRECTLY OR VIA ANOTHER HOSPITAL OR HEALTHCARE ORGANIZATION IN THE AREA. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT CHRISTUS MAY NOT DIRECTLY SERVE IN ONE OF OUR HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. TOTAL OTHER PROGRAM EXPENSES - $44,159,791 GRANTS AND ALLOCATIONS - $22,837,808 REVENUE - $0 DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS USED 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 SANTA ROSA HEALTH CARE CORPORATION 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 INCREASE ACCESS TO HEALTH CARE, SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, HEART DISEASE, DIABETES, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY2011, CHRISTUS SANTA ROSA ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. TOTAL OTHER PROGRAM EXPENSES - $5,137,709 GRANTS AND ALLOCATIONS - $595,216 REVENUE - $0 BUSINESS OR FAMILY RELATIONSHIPS FORM 990, PART VI, LINE 2 OFFICER WILLIAM PACK AND KEY EMPLOYEE DR. JAMES MARTIN HAVE A BUSINESS RELATIONSHIP BECAUSE THEY BOTH SERVE AS OFFICERS ON THE BOARD OF SOUTH TEXAS HOSPITAL ALLIANCE. OFFICER PAT CARRIER AND KEY EMPLOYEE CARY FOX HAVE A BUSINESS RELATIONSHIP BECAUSE THEY BOTH SERVE AS MEMBERS OF THE MANAGING BOARD OF CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER-SAN ANTONIO, LLC. OFFICER WILLIAM PACK AND KEY EMPLOYEE CARY FOX HAVE A BUSINESS RELATIONSHIP BECAUSE THEY BOTH SERVE AS MEMBERS OF THE MANAGING BOARD OF CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER-NEW BRAUNFELS, LP. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DESCR CLASSES OF PERSONS, DECS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD 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. DESC THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2012 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS INCLUDING CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A AVERAGE HOURS PER WEEK LISTED ON FORM 990, PART VII, SECTION A ARE THE AVERAGE HOURS DEVOTED TO THE RESPECTIVE PERSON'S POSITION WHILE SERVING THE ORGANIZATION. CARY FOX DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO THE FRIENDS OF SANTA ROSA FOUNDATION, WHICH IS A RELATED ORGANIZATION OF THE FILING ENTITY. CARY WAS A BOARD MEMBER OF THE FRIENDS OF SANTA ROSA FOUNDATION. JAMES MARTIN, MD DEVOTES AN AVERAGE OF 4 HOURS PER WEEK TO SANTA ROSA FAMILY HEALTH CENTER, A RELATED ENTITY OF THE FILING ORGANIZATION. DR. MARTIN IS THE PRESIDENT/CHAIRPERSON OF SANTA ROSA FAMILY HEALTH CENTER. SISTER GERMAINE CORBIN, CCVI DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO FRIENDS OF SANTA ROSA FOUNDATION, A RELATED ENTITY OF THE FILING ORGANIZATION. SISTER GERMAINE IS A DIRECTOR OF FRIENDS OF SANTA ROSA FOUNDATION. THROUGH 11/29/10, GERONIMO RODRIGUEZ DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO CHRISTUS SPOHN HEALTH SYSTEM CORPORATION, A RELATED ENTITY OF THE FILING ORGANIZATION. GERONIMO RODRIGUEZ WAS THE CHIEF NURSE EXECUTIVE/CHIEF OPERATING OFFICER AT CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 PENSION LIABILITY/EXPENSE = $9,500,056; PENSION FUNDING = $(8,202,800); ACQUISITIONS = $4,174,884; CLEAR OUT BALANCES = $24,826; MISCELLANEOUS CASH ADJUSTMENT TO UNRESTRICTED NET ASSETS = ($21,698); TRANSFER OUT OF TEMPORARILY RESTRICTED NET ASSETS = ($324,641); NONCASH RECLASS ADJUSTMENTS = $11,297; TRANSFER INTO REVENUE ACCOUNT = $18,443; ROUNDING ADJUSTMENT = ($1); TOTAL = $5,180,366. 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