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      <MissionDescription>THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS</MissionDescription>
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      <Description>COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH NORTHERN LOUISIANA IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 146-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND OF LOCAL AND GLOBAL COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH NORTHERN LOUISIANA RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS SCHUMPERT HEALTH SYSTEM, A 611-BED INTEGRATED HEALTH SYSTEM WITH A TERTIARY HOSPITAL LOCATED IN DOWNTOWN SHREVEPORT AND A GENERAL ACUTE CARE HOSPITAL IN SOUTHEAST SHREVEPORT. THE SYSTEM ALSO INCLUDES THE 80-BED CHRISTUS SCHUMPERT SUTTON CHILDREN'S MEDICAL CENTER FOR SPECIALIZED CHILDREN'S CARE. EACH OF THE FACILITIES OF CHRISTUS HEALTH NORTHERN LOUISIANA SHARES ONE OBJECTIVE -- WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH NORTHERN LOUISIANA IS LOCATED IN SHREVEPORT, LOUISIANA, WHICH IS IN THE NORTHWESTERN CORNER OF THE STATE. ITS SERVICE AREA EXTENDS TO NORTHEAST TEXAS AND SOUTHERN ARKANSAS, WHICH INCLUDES A POPULATION OF MORE THAN 1.1 MILLION INDIVIDUALS. IN FISCAL YEAR 2011, WE SERVED HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 59,568 VISITS TO OUR EMERGENCY DEPARTMENT, 3,940 INPATIENT SURGERY PROCEDURES, 6,547 OUTPATIENT SURGERY PROCEDURES, 14,433 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 141,876 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH NORTHERN LOUISIANA STAND APART. INTERACTING WITH COMMUNITY ORGANIZATIONS, INDIVIDUAL PATIENTS, AND CLIENTS 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 HEALTH NORTHERN LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH NORTHERN LOUISIANA'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS HAVE ASSISTED CHRISTUS HEALTH NORTHERN LOUISIANA TO FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS HEALTH'S MISSION TO MEET THE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. CHRISTUS ASSOCIATES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MANY PEOPLE AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, CHRISTUS HEALTH NORTHERN LOUISIANA OFFERS SPECIFIC PROGRAMS WHICH PROVIDE DISCOUNT SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH NORTHERN LOUISIANA ALSO CONTRACTS WITH A COMPANY TO SCREEN INDIVIDUALS FOR GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICAID AND LACHIP. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH NORTHERN LOUISIANA OFFERS A BROAD SPECTRUM OF ADULT AND PEDIATRIC MEDICAL AND SURGICAL CARE SERVICES WITH THE LATEST TECHNOLOGY. THESE SERVICES INCLUDE COMPREHENSIVE CANCER TREATMENT, PEDIATRIC SERVICES INCLUDING INTENSIVE CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, INPATIENT AND OUTPATIENT DIAGNOSTIC AND SURGERY SERVICES, WELLNESS CENTERS, AND AMBULANCE TRANSPORTATION SERVING RURAL COMMUNITIES AROUND SHREVEPORT. BOTH HOSPITALS OF CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDE A 24-HOUR EMERGENCY ROOM THAT SERVES ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH NORTHERN LOUISIANA ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING THE CARA CENTER FOR SUSPECTED VICTIMS OF CHILD ABUSE AND/OR NEGLECT AND VARIOUS HEALTH SPECIALTY PROGRAMS IN COLLABORATION WITH THE LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER, SUCH AS GRADUATE MEDICAL EDUCATION AND ALLIED HEALTH EDUCATION. CHRISTUS HEALTH NORTHERN LOUISIANA OPERATES THREE SCHOOL-BASED HEALTH CENTERS. THE FIRST CENTER OPENED AT LINWOOD MIDDLE SCHOOL IN 1996; THE SECOND CENTER OPENED IN AUGUST, 1998 AT ATKINS ELEMENTARY; AND THE THIRD FACILITY BEGAN OPERATIONS IN SEPTEMBER, 2007 AT WOODLAWN HIGH SCHOOL. SINCE THEIR INCEPTION, THESE CENTERS HAVE HAD APPROXIMATELY 78,900 STUDENT VISITS. SERVICES OFFERED INCLUDE TREATMENT FOR MINOR ILLNESSES/INJURIES; ROUTINE PHYSICAL AND/OR ATHLETIC EXAMINATIONS; IMMUNIZATIONS; SCREENING TESTS FOR HEARING, VISION, SCOLIOSIS, ETC.; REFERRAL AND FOLLOW-UP FOR ACUTE AND CHRONIC ILLNESSES (EX. DIABETES, ASTHMA); AND MENTAL HEALTH SERVICES, SUCH AS CRISIS, INDIVIDUAL, FAMILY AND/OR GROUP COUNSELING. THE OPERATION OF THE SCHOOL-BASED HEALTH CENTERS IS ENHANCED BY COLLABORATIVE PARTNERSHIPS WITH THE NORTHWESTERN STATE UNIVERSITY SCHOOL OF NURSING AND THE PEDIATRIC MEDICAL RESIDENCY PROGRAM AT LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GUIDES CHRISTUS HEALTH NORTHERN LOUISIANA. CHRISTUS HEALTH NORTHERN LOUISIANA IS PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO PROVIDE CARE WITHIN OUR LOCAL COMMUNITIES. ALL QUALIFIED PHYSICIANS ARE GRANTED PRIVILEGES TO SERVE WITHIN CHRISTUS SCHUMPERT HOSPITALS AFTER UNDERGOING A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.</Description>
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        <Description>COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," (2008), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. CHARITY CARE FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH ITS MISSION, VALUES AND VISION, CHRISTUS HEALTH PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO HIS OR HER INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.</Description>
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        <Description>OTHER GOVERNMENT SPONSORED PROGRAMS IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON ITS FEE SCHEDULE.</Description>
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        <Title>Director (Term 4/27/11)</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <NamePerson>John W Dean</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
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        <NamePerson>Stephanie D Edmiston</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jerry M France</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William H Gallmann MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
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      <Form990PartVIISectionA>
        <NamePerson>Shannan L Hicks</NamePerson>
        <Title>Director (Term 3/18/11)</Title>
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        <NamePerson>Sister Rosita Hyland</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Bernard S Johnson</NamePerson>
        <Title>Chairperson</Title>
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        <NamePerson>Roxann P Johnson</NamePerson>
        <Title>Director (Term 12/31/10)</Title>
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        <NamePerson>Walter R Lamb</NamePerson>
        <Title>Director (Effective 1/1/11)</Title>
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        <NamePerson>Charles D Knight Jr MD</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Thomas E McElroy</NamePerson>
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        <NamePerson>Sister Miriam T Miller</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Arthur L Walker</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Susan A Wood</NamePerson>
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        <NamePerson>Mark F Brown MD</NamePerson>
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        <NamePerson>Stephen F Wright</NamePerson>
        <Title>President/CEO</Title>
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        <NamePerson>Frank Canova Jr</NamePerson>
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        <NamePerson>Kim M Kelsch</NamePerson>
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        <OtherCompensation>14247</OtherCompensation>
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        <NamePerson>William Lunn MD</NamePerson>
        <Title>Chief Operating Officer</Title>
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        <NamePerson>Diedre Barfield MD</NamePerson>
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        <NamePerson>Jason Rounds</NamePerson>
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        <NamePerson>Carolyn Moore</NamePerson>
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        <NamePerson>Louise Wiggins</NamePerson>
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        <NamePerson>Ricky L Owers MD</NamePerson>
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        <NamePerson>Samuel B Edelman MD</NamePerson>
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        <NamePerson>Joe Stephen Jones MD</NamePerson>
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        <NamePerson>Donald L Sorrells Jr MD</NamePerson>
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        <NamePerson>Steven Boniol MD</NamePerson>
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        <ProgramServices>3670</ProgramServices>
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      <BenefitsToMembers>
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        <ProgramServices>8516949</ProgramServices>
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      <FeesForServicesManagement>
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        <ProgramServices>872993</ProgramServices>
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        <ManagementAndGeneral>44738</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
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      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
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        <Fundraising>10348</Fundraising>
      </FeesForServicesOther>
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        <ProgramServices>2119</ProgramServices>
        <ManagementAndGeneral>610863</ManagementAndGeneral>
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        <ProgramServices>62763925</ProgramServices>
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      <InformationTechnology>
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        <ProgramServices>9002782</ProgramServices>
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        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>4929922</Total>
        <ProgramServices>4758556</ProgramServices>
        <ManagementAndGeneral>171366</ManagementAndGeneral>
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        <Total>185948</Total>
        <ProgramServices>108778</ProgramServices>
        <ManagementAndGeneral>76309</ManagementAndGeneral>
        <Fundraising>861</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>1380115</Total>
        <ProgramServices>1355712</ProgramServices>
        <ManagementAndGeneral>24403</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>5725530</Total>
        <ProgramServices>5725530</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>22118929</Total>
        <ProgramServices>22118929</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>4231991</Total>
        <ProgramServices>4230641</ProgramServices>
        <ManagementAndGeneral>1350</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROVISION FOR UNCOLLECT. ACCT.</Description>
        <Total>5188086</Total>
        <ProgramServices>5184961</ProgramServices>
        <ManagementAndGeneral>3125</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Sales Tax</Description>
        <Total>2490805</Total>
        <ProgramServices>2490805</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Recruitment/Placement Fees</Description>
        <Total>339503</Total>
        <ProgramServices>93938</ProgramServices>
        <ManagementAndGeneral>245565</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Awards &amp; Gifts-Non Employee</Description>
        <Total>103890</Total>
        <ProgramServices>837</ProgramServices>
        <ManagementAndGeneral>103053</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; MEMBERSHIPS</Description>
        <Total>93439</Total>
        <ProgramServices>46189</ProgramServices>
        <ManagementAndGeneral>47250</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>155824</Total>
        <ManagementAndGeneral>113091</ManagementAndGeneral>
        <Fundraising>42733</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>249843340</Total>
        <ProgramServices>225949753</ProgramServices>
        <ManagementAndGeneral>23738239</ManagementAndGeneral>
        <Fundraising>155348</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>15966141</BOY>
        <EOY>22275538</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>277012</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>33991432</BOY>
        <EOY>27232278</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>644914</BOY>
        <EOY>511706</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>11511120</BOY>
        <EOY>10576715</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2057411</BOY>
        <EOY>2119081</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>512395586</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>346939069</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>179740819</BOY>
        <EOY>165456517</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>355185</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsProgramRelated>
        <BOY>20524</BOY>
        <EOY>14524</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>24438318</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>125696</BOY>
        <EOY>1427334</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>268773387</BOY>
        <EOY>229968878</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>15856101</BOY>
        <EOY>18994353</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>139938</BOY>
        <EOY>179120</EOY>
      </DeferredRevenue>
      <UnsecuredNotesLoansPayable>
        <BOY>1938068</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>92295704</BOY>
        <EOY>90841583</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>110229811</BOY>
        <EOY>110015056</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>158327971</BOY>
        <EOY>119737276</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>215605</BOY>
        <EOY>216546</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>158543576</BOY>
        <EOY>119953822</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>268773387</BOY>
        <EOY>229968878</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-15768651</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-22821103</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>765</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>765</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>OTHER ACTIVITIES REPORTS THE PORTION OF FY 2011 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $765. CHRISTUS HEALTH NORTHERN LOUISIANA DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR 6-30-2011.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>24602398</OtherCostOrOtherBasis>
        <BookValue>24602398</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>192447491</OtherCostOrOtherBasis>
        <Depreciation>105000725</Depreciation>
        <BookValue>87446766</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>10332362</OtherCostOrOtherBasis>
        <Depreciation>7695670</Depreciation>
        <BookValue>2636692</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>282366206</OtherCostOrOtherBasis>
        <Depreciation>233752943</Depreciation>
        <BookValue>48613263</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2647129</OtherCostOrOtherBasis>
        <Depreciation>489731</Depreciation>
        <BookValue>2157398</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>165456517</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO RELATED ORGANIZATIONS</Description>
        <Amount>4729889</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO CHRISTUS HEALTH BOND FUND</Description>
        <Amount>84536537</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>FIN 45 PHYSICIAN INCOME GUARANTEES</Description>
        <Amount>273000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASES</Description>
        <Amount>1302157</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>90841583</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>CASH - NON-BEARING INTEREST</Identifier>
        <ReturnReference>FORM 990, PART X, LINE 1</ReturnReference>
        <Explanation>CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS UNDER ASC 740</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2011 AND 2010.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>4351279</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4351279</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01780</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>41016411</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28460685</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12555726</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05140</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>45367690</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28460685</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>16907005</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06920</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>12</NumberOfActivitiesOrPrograms>
        <PersonsServed>4984</PersonsServed>
        <TotalCommunityBenefitExpense>316202</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>316202</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00130</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>48</PersonsServed>
        <TotalCommunityBenefitExpense>179312</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>53184</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>126128</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <Research>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>84</PersonsServed>
        <TotalCommunityBenefitExpense>49098</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>49098</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>22</NumberOfActivitiesOrPrograms>
        <PersonsServed>35169</PersonsServed>
        <TotalCommunityBenefitExpense>1020099</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1020099</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00420</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>37</NumberOfActivitiesOrPrograms>
        <PersonsServed>40285</PersonsServed>
        <TotalCommunityBenefitExpense>1564711</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>53184</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1511527</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>37</NumberOfActivitiesOrPrograms>
        <PersonsServed>40285</PersonsServed>
        <TotalCommunityBenefitExpense>46932401</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28513869</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>18418532</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07540</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>10789</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>10789</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>6</PersonsServed>
        <TotalCommunityBuildingExpense>21001</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>21001</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>600</PersonsServed>
        <TotalCommunityBuildingExpense>22420</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>22420</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>606</PersonsServed>
        <TotalCommunityBuildingExpense>54210</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>54210</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1415770</BadDebtExpenseAmount>
      <AmountAttributableTo>424731</AmountAttributableTo>
      <AmountReimbursedByMedicare>66253733</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>64306541</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>1947192</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Omega Diagnostics</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Pathology Services</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.40000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.46670</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Bossier Spec Hosp</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Hospital</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.06750</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.92030</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>CHRISTUS Schumpert Health System</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>One Saint Mary Place</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71101</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>CHRISTUS Schumpert Highland</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1453 East Bert Kouns Loop</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71105</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CHRISTUS Schumpert Health System</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CHRISTUS Schumpert Highland</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>2</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Omega Diagnostics LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>PO Box 37589</AddressLine1>
            <City>Shreveport</City>
            <State>LA</State>
            <ZIPCode>71133</ZIPCode>
          </Address>
          <FacilityType>Pathology Clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Bossier Specialty Hospital LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>PO Box 53045</AddressLine1>
            <City>Shreveport</City>
            <State>LA</State>
            <ZIPCode>71135</ZIPCode>
          </Address>
          <FacilityType>Short Term Acute Care</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Budgeted Charity Care</Identifier>
        <ReturnReference>Part I, Line 5</ReturnReference>
        <Explanation>The organization budgets charity care for internal financial review purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. Annual Community Benefit Report Part I, Line 6a 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. Percent of Total Expense Part I, Line 7, column (f) OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $249,843,340. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $5,595,930. THIS LEAVES A TOTAL EXPENSE OF $244,247,410 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Description of Gross Charity Care as Percentage of Total Costs Part I, Line 7, Column (f) The organization's total community benefit expense as reported on Part I, Line 7k, Column (c) as a percentage of total expense is 19.22%, which exceeds the amount reported on Part I, Line 7k Column (f) which is computed using net community benefit expense. CASH AND IN-KIND CONTRIBUTIONS PART I, LINE 7I CHRISTUS HEALTH NORTHERN LOUISIANA MADE OVER $1,020,000 IN CASH AND IN KIND CONTRIBUTIONS DURING THE FISCAL YEAR ENDING 6/30/11. 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 NOT FOR PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $50,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH NORTHERN LOUISIANA. THE GRANT DOLLARS WERE USED BY CHRISTUS HEALTH NORTHERN LOUISIANA TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH NORTHERN LOUISIANA SERVES, SUCH AS THE PROVISION OF SUPPORT TO A FREE CLINIC AND PHARMACY THAT PROVIDES HEALTHCARE SERVICES TO THE UNINSURED. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT USE THE GRANT MONEY TO SUPPORT THE HEALTH OF THE COMMUNITY. Indigent Funding Expense of $278,000 is included in Schedule H, Part I, Line 7(i). Part I, Line 7 Line 7a: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7b: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7e: Actual expenses less any direct offsetting revenue Line 7f: Actual expenses less any direct offsetting revenue Line 7i: Actual expense of the contributions Community Building Activities Part II AMOUNTS REPORTED AT SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES, INCLUDE PHYSICAL IMPROVEMENTS AND HOUSING, COMMUNITY SUPPORT AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. 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 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 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. REPORTED AT SCHEDULE H, PART II, LINE 3 "COMMUNITY SUPPORT" IS THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME), WHICH IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2011 WAS $1,748,055. THE FOREGONE INTEREST FOR CHRISTUS HEALTH NORTHERN LOUISIANA IN FISCAL YEAR ENDING JUNE 30, 2011 WAS $31,417. 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. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN, INCLUDING SCHOOL-BASED HEALTH CENTERS AND SENIORS, AS WELL AS OTHER VULNERABLE POPULATIONS. THE EFFORTS ARE PROMOTING PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AND IMMUNIZATIONS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Bad Debt Reporting in Accordance with HFMA Statement 15</Identifier>
        <ReturnReference>Part III, Section A, Line 1</ReturnReference>
        <Explanation>CHRISTUS Health follows in principle Healthcare Financial Management Association Statement No. 15. The system has adopted an uncompensated care policy where revenue from services provided to the uninsured is recognized at the time of payment, rather than at the time of service. This policy is the result of a lack of reasonable assurance of collection for services provided to the uninsured due to the system's historically low collection rate. Management has estimated that the difference between recording revenue from the uninsured on a cash basis, rather than the accrual basis, is immaterial. Accordingly, all accounts receivable from the uninsured have been fully reserved in the allowance for uncompensated care. Bad Debt Expense (At Cost) Part III, Section A, Line 2 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. Estimate of Bad Debt Expense Attributable to Patients Eligible Under Organization's Charity Care Policy Part III, Section A, Line 3 CHRISTUS Health Northern Louisiana recognizes that some patients are unable to or unwilling to ask for financial assistance due to barriers to applying for assistance such as education level and literacy, documentation limitations and fear of the application process. 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. Bad Debt Expense Footnote Part III, Section A, Line 4 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. Extent to which shortfall should be treated as community benefit Costing Methodology Part III, Section B, Line 8 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 ($17,785,198) if total expenses allocable to Medicare services were substituted on Schedule H, Part III, Line 6. Collection Policy Part III, Section B, Line 9b 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>CHRISTUS HEALTH NORTHERN LOUISIANA COLLABORATED WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AGENCIES, LOCAL COLLEGES AND UNIVERSITIES, STATE INDIGENT PROGRAMS, THE COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA, LOCAL PHARMACIES, THE NORTH LOUISIANA AREA HEALTH EDUCATION CENTER, AND VARIOUS OTHER ORGANIZATIONS TO ESTABLISH A HEALTHY COMMUNITIES IMPACT COUNCIL TO DETERMINE THE COMMUNITY HEALTH NEEDS OF NORTHERN LOUISIANA. THE HEALTHY COMMUNITIES IMPACT COUNCIL IDENTIFIED THE GAPS IN SERVICES ACROSS MULTIPLE COMMUNITIES TO INCLUDE: INADEQUATE HEALTH LITERACY; INADEQUATE HEALTH LITERATURE DISSEMINATION MECHANISMS TO AT-RISK POPULATIONS; AND AN INADEQUATE AMOUNT OF PRIMARY MEDICAL AND MENTAL HEALTH CARE PROVIDERS TO RURAL COMMUNITIES. THE RESULTS OF THE NEEDS ASSESSMENT WERE PRIORITIZED AND EFFECTIVE PLANS AND STRATEGIES TO ADDRESS THOSE NEEDS WERE DESIGNED. THE COMMUNITY HEALTH NEEDS WERE INCORPORATED INTO THE STRATEGIC GOALS OF CHRISTUS HEALTH NORTHERN LOUISIANA. Patient education of eligibility for assistance Part VI, Line 3 CHRISTUS HEALTH NORTHERN LOUISIANA makes every effort to educate patients on its Charity and Discount Policy and about their eligibility for assistance under federal, state, or local government programs during registration, pre registration (for scheduled tests and surgeries), post registration (during their hospitalization) and following discharge (telephone or written inquiry) in languages appropriate for the population being served. Patients are given information and forms by a financial counselor who helps them complete the forms during their inpatient and outpatient visits. Patients are asked to bring or mail supporting documentation to determine income, assets and household expenses. The Business Office reviews the application based on the information provided by the patient. If the patient qualifies for charity care or a discount, a new bill is generated. Patients who do not provide the required documentation are considered ineligible and are billed accordingly. If the documentation is provided at a later time, the patient may then be determined to be eligible for charity care or a discount. Documentation is retained by the billing office for seven years. A public notice regarding the charity care policy is posted in prominent places throughout the hospitals, including but not limited to the emergency room waiting areas and the admissions office waiting areas, as required by both the State of Texas Community Benefit Standard (which addresses the duties and responsibilities of nonprofit hospitals) and CHRISTUS Health Community Benefit Guidelines #050. In addition, a public notice regarding the charity care policy and information on financial assistance are also posted on the CHRISTUS HEALTH website. The information on financial assistance includes explanations on the availability of financial assistance, who qualifies, and how to apply for financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI, LINE 4</ReturnReference>
        <Explanation>CHRISTUS HEALTH NORTHERN LOUISIANA IS LOCATED IN SHREVEPORT, LOUISIANA, WHICH IS IN THE NORTHWESTERN CORNER OF THE STATE. ITS SERVICE AREA EXTENDS TO NORTHEAST TEXAS AND SOUTHERN ARKANSAS, WHICH INCLUDES A POPULATION OF MORE THAN 1.1 MILLION PEOPLE. THE POPULATION IN THE ORGANIZATION'S SERVICE AREA, CONSISTENT WITH NATIONAL TRENDS, IS ANTICIPATING ITS LARGEST GROWTH IN ITS POPULATION OF PERSONS AGE 65 AND OLDER. THE SERVICE AREA'S POVERTY RATE IS 22.8 PERCENT, WHICH IS JUST SLIGHTLY HIGHER THAN THE STATE POVERTY RATE. THE UNEMPLOYMENT RATE IS UP SLIGHTLY FROM LAST YEAR AT 11.7 PERCENT, AND 57 PERCENT OF HOUSEHOLDS IN THE SERVICE AREA ARE AT/BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Promotion of Community Health</Identifier>
        <ReturnReference>PART VI, LINE 5</ReturnReference>
        <Explanation>CHRISTUS HEALTH NORTHERN LOUISIANA RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS SCHUMPERT HEALTH SYSTEM, A 611-BED INTEGRATED HEALTH SYSTEM WITH A TERTIARY HOSPITAL LOCATED IN DOWNTOWN SHREVEPORT AND A GENERAL ACUTE CARE HOSPITAL IN SOUTHEAST SHREVEPORT. CHRISTUS HIGHLAND MEDICAL CENTER IS A 160-BED ACUTE CARE HOSPITAL THAT INCLUDES BIRTHING SUITES, MEDICAL AND SURGICAL CARE, A REHABILITATION UNIT, SKILLED NURSING, COMPREHENSIVE CORONARY CARE, ORTHOPEDICS AND EMERGENCY SERVICES. THE SYSTEM ALSO INCLUDES THE 80-BED CHRISTUS SCHUMPERT SUTTON CHILDREN'S MEDICAL CENTER FOR SPECIALIZED CHILDREN'S CARE. EACH OF THE FACILITIES OF CHRISTUS HEALTH NORTHERN LOUISIANA SHARE ONE OBJECTIVE, WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. BOTH HOSPITALS IN THE CHRISTUS HEALTH NORTHERN LOUISIANA REGION PROVIDE A 24 HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH NORTHERN LOUISIANA HAS PART OWNERSHIP IN ONE SHORT-TERM ACUTE CARE FACILITY - BOSSIER SPECIALTY HOSPITAL L.L.C. AND ONE DIAGNOSTIC SERVICE PROVIDER - OMEGA DIAGNOSTICS, L.L.C. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH NORTHERN LOUISIANA WORKS TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH NORTHERN LOUISIANA HAS STRENGTHENED ITS ROLE AS A MAJOR PROVIDER OF COMPREHENSIVE ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS HAVE SERVED TO ASSIST CHRISTUS HEALTH NORTHERN LOUISIANA TO CARE FOR THOSE IN NEED AND FOCUS ON ADDRESSING THE NEED FOR ACCESS TO HEALTH SERVICES, IN ADDITION TO ASSURING HEALTH IMPROVEMENT THROUGH HEALTH PROMOTION AND DISEASE PREVENTION. CHRISTUS HEALTH IS DEEPLY COMMITTED TO PROACTIVELY IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES AND PARTICULARLY THE LARGE NUMBERS OF UNINSURED AND UNDERINSURED PEOPLE. EVIDENCE FROM HUNDREDS OF COMMUNITIES AROUND THE COUNTRY DEMONSTRATES THE EFFECTIVENESS OF ENGAGING THE ENTIRE COMMUNITY IN EFFORTS TO EXPAND ACCESS TO HEALTH CARE. THEREFORE, CHRISTUS HEALTH STRIVES TO COLLABORATE WITH COMMUNITY PARTNERS. BY WORKING WITH AND/OR INITIATING COMMUNITY LED PARTNERSHIPS IN ALL THE COMMUNITIES SERVED BY CHRISTUS HEALTH, WE CAN ACHIEVE MEASURABLE AND SUSTAINABLE IMPROVEMENT IN OUR WELL BEING. CHRISTUS HEALTH NORTHERN LOUISIANA SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING THE CARA CENTER FOR VICTIMS OF CHILD ABUSE AND/OR NEGLECT AND VARIOUS SPECIALTY HEALTH PROGRAMS IN COLLABORATION WITH THE LOCAL UNIVERSITY HEALTH SCIENCE CENTER. CHRISTUS HEALTH NORTHERN LOUISIANA ALSO OPERATES THREE SCHOOL-BASED HEALTH CENTERS. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" IS ALSO A PART OF CHRISTUS HEALTH NORTHERN LOUISIANA'S OVERALL COMMUNITY BENEFIT. CHRISTUS HEALTH NORTHERN LOUISIANA USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, DIABETES, HEART DISEASE, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, THOSE SUFFERING FROM HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. CHRISTUS HEALTH NORTHERN LOUISIANA OPERATES THREE SCHOOL BASED HEALTH CENTERS WHICH PROVIDE SERVICES INCLUDING TREATMENT FOR MINOR ILLNESSES/INJURIES, ROUTINE PHYSICALS, ATHLETIC EXAMINATIONS, IMMUNIZATIONS, SCREENINGS FOR HEARING, VISION, SCOLIOSIS, REFERRALS AND FOLLOW UP FOR ACUTE AND CHRONIC ILLNESSES TO INCLUDE DIABETES AND ASTHMA, AND MENTAL HEALTH SERVICES SUCH AS COUNSELING FOR CRISIS FOR INDIVIDUALS AND FAMILIES. MORE THAN 2,500 STUDENTS (ELEMENTARY, MIDDLE AND HIGH SCHOOLS) ARE SERVED DURING THE SCHOOL YEAR. CHRISTUS HEALTH'S HEALTHY COMMUNITIES MODEL INCORPORATES THESE KEY PRINCIPLES: (1) COMMUNITY OWNERSHIP: SUCCESSFUL INITIATIVES BRING TOGETHER BUSINESS, GOVERNMENT, NONPROFIT, HEALTHCARE, FAITH COMMUNITIES AND CITIZEN LEADERS TO ADDRESS COMMUNITY ISSUES. EVERYONE SHOULD FEEL EMPOWERED. (2) WELL BEING OF THE COMMUNITY: THE UNIVERSAL DEFINITION OF HEALTH AND WHOLENESS EMBRACES THE PHYSICAL, EMOTIONAL, MENTAL AND SPIRITUAL DIMENSIONS OF LIFE. (3) GOALS AND MEASURES: USE BENCHMARKS AND MEASURE PROGRESS AND OUTCOMES. (4) PARTNERSHIPS AND COLLABORATIONS: BUILDING CAPACITY USING EXISTING COMMUNITY ASSETS HELPS TO MAGNIFY THE RESOURCES AVAILABLE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES IN WHICH CHRISTUS HEALTH NORTHERN LOUISIANA PARTICIPATES TO IMPROVE ACCESS TO HEALTH SERVICES, ENHANCES PUBLIC HEALTH, AND ADVANCE KNOWLEDGE INCLUDE: (1) PARTICIPATION IN REGION IV HEALTHCARE CONSORTIUM AND SERVE AS A CO-SPONSOR OF THE HEALTHY COMMUNITIES COMMITTEE (PARTNERSHIP WITH UNITED WAY). (2) PROMOTE HEALTHY LIVING TO STUDENTS AND FACULTY MEMBERS IN LOCAL SCHOOL DISTRICTS (PROJECT 5210 FOR OBESE CHILDREN PROGRAM IN THREE SCHOOLS TO PROVIDE FREE NUTRITIONAL EDUCATION AND SUPPORT.) (3) DEVELOP PARTNERSHIPS AND OPPORTUNITIES FOR COLLABORATION WITH NONPROFIT AND RELIGIOUS ORGANIZATIONS, PARISH AND CIVIC OFFICES, INDUSTRIES AND BUSINESSES, PRIVATE AND PUBLIC SCHOOL SYSTEMS, HEALTH CARE PROVIDERS, AND SOCIAL SERVICE AGENCIES IN THE PROMOTION OF HEALTHY LIFESTYLES AND THE EXPLORATION OF HEALTH NEEDS WITHIN THE COMMUNITY (I.E. UNITED WAY HEALTHY COMMUNITIES COMMITTEE). (4) PROMOTE AWARENESS AND UNDERSTANDING OF LACHIP, THEREBY INCREASING THE ENROLLMENT OF ALL ELIGIBLE CHILDREN IN CADDO PARISH (A PARTNERSHIP BETWEEN CHRISTUS HEALTH NORTHERN LOUISIANA AND THE DEPARTMENT OF HEALTH AND HUMAN SERVICES). (5) PROVIDE SUPPORT TO THE COMMUNITY HEALTH WORKER PROGRAM, A PARTNERSHIP BETWEEN CHRISTUS HEALTH AND THE MARTIN LUTHER KING HEALTH CLINIC, IN THE PROMOTION OF SELF-CARE MANAGEMENT OF HIGH RISK PATIENTS. (6) CONTINUE OPERATION OF OUR CHRISTUS SCHUMPERT ADULT DAY CARE WHICH ASSISTS LOW INCOME SENIORS AND DISABLED ADULTS AS WELL AS OFFERS PROGRESSIVE OPPORTUNITIES TO ALLOW THESE INDIVIDUALS TO AGE AT HOME, LIVE INDEPENDENTLY, AND DIRECT ALL ASPECTS OF THEIR LIVES AS MUCH AS POSSIBLE. (7) PROMOTE COLLABORATION AMONG LOCAL CHILD ABUSE AGENCIES BY HOUSING THESE GROUPS IN A SINGLE DWELLING (CARA CENTER and Gingerbread House). PARTNERSHIP BETWEEN CHRISTUS SCHUMPERT AND LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER IN OPERATING THE CARA CENTER, WHICH PROVIDES MEDICAL EXAMINATIONS FOR SUSPECTED CASES OF CHILD ABUSE AND NEGLECT. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. AS A NOT FOR PROFIT ORGANIZATION AND AS A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES CHRISTUS HEALTH NORTHERN LOUISIANA. 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 HEALTH NORTHERN LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Affiliated health care system</Identifier>
        <ReturnReference>Part VI, Line 6</ReturnReference>
        <Explanation>CHRISTUS HEALTH NORTHERN LOUISIANA 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 HEALTH NORTHERN LOUISIANA, 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 HEALTH NORTHERN LOUISIANA, 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>State Filing of Community Benefit Report</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>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. Christus Health's nonprofit hospitals located in Texas file a community benefit report in the state of Texas. The Annual Statement of Community Benefits Standard (ASCBS) form and annual report of the community benefits plan are filed with the Texas Department of State Health Services (DSHS) as required by the Health and Safety Code, Sections 311.045 and 311.046. The 2011 ASCBS form is expanded to collect the information on charity care policies and community benefits in a standardized format. State Filing of Community Benefit Report TX,</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LSU Health Sciences Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1501 Kings Hwy</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71103</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721402222</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>34000</AmountOfCashGrant>
        <PurposeOfGrant>Colorectal Screening Research</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>745 Olive Street</AddressLine1>
          <AddressLine2>Suite 111</AddressLine2>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>23000</AmountOfCashGrant>
        <PurposeOfGrant>Healthy Heart support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Diocese of Shreveport</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3500 Fairfield Avenue</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721077807</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>5800</AmountOfCashGrant>
        <PurposeOfGrant>Diocesion Stewardship Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Hal Sutton Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>212 Texas Street</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71101</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721490697</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>Chidlrens Health Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LSU Health Sciences Center Shreveport</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 33932</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71130</ZIPCode>
        </AddressUS>
        <EINOfRecipient>720702002</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>140000</AmountOfCashGrant>
        <PurposeOfGrant>Trauma surgery support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Cancer Society</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>920 Pierremont Road</AddressLine1>
          <AddressLine2>Suite 300</AddressLine2>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71106</ZIPCode>
        </AddressUS>
        <EINOfRecipient>640329009</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>12496</AmountOfCashGrant>
        <PurposeOfGrant>Cancer research support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>March of Dimes Birth Defects Fndn</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3000 Weslayan</AddressLine1>
          <AddressLine2>Suite 100</AddressLine2>
          <City>Houston</City>
          <State>LA</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>5800</AmountOfCashGrant>
        <PurposeOfGrant>Support of birth defect research and education</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Globus Relief</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1775 West 1500 South</AddressLine1>
          <City>Salt Lake City</City>
          <State>UT</State>
          <ZIPCode>84104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841369453</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfNonCashAssistance>25786</AmountOfNonCashAssistance>
        <MethodOfValuation>Cost</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Medical Supplies</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>Support to improve delivery of healthcare throughout the world</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Susan G Komen for the Cure</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 4269</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71134</ZIPCode>
        </AddressUS>
        <EINOfRecipient>751835298</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>Breast cancer research</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>National Kidney Foundation of LA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>8200 Hampson Street</AddressLine1>
          <AddressLine2>Suite 425</AddressLine2>
          <City>New Orleans</City>
          <State>LA</State>
          <ZIPCode>70118</ZIPCode>
        </AddressUS>
        <EINOfRecipient>720649707</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>9000</AmountOfCashGrant>
        <PurposeOfGrant>Support of kidney research and education</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Schumpert Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>One St Mary Place</AddressLine1>
          <City>Shreveport</City>
          <State>LA</State>
          <ZIPCode>71101</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721219280</EINOfRecipient>
        <IRCSection>501C(3)</IRCSection>
        <AmountOfCashGrant>3300</AmountOfCashGrant>
        <AmountOfNonCashAssistance>2850</AmountOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
        <DescriptionOfNonCashAssistance>food supplies</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>Support hospital medical and outreach programs</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Southern Louisiana Clinical Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2801 Via Fortuna</AddressLine1>
          <AddressLine2>Suite 500</AddressLine2>
          <City>Austin</City>
          <State>TX</State>
          <ZIPCode>78746</ZIPCode>
        </AddressUS>
        <EINOfRecipient>274193861</EINOfRecipient>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>Indigent Funding</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Louisiana Clinical Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2801 Via Fortuna</AddressLine1>
          <AddressLine2>Suite 500</AddressLine2>
          <City>Austin</City>
          <State>TX</State>
          <ZIPCode>78746</ZIPCode>
        </AddressUS>
        <EINOfRecipient>272869360</EINOfRecipient>
        <AmountOfCashGrant>203000</AmountOfCashGrant>
        <PurposeOfGrant>Indigent Funding</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>11</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>2</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Description of Organization's Procedures for Monitoring the Use of Grants</Identifier>
        <ReturnReference>Form 990, Schedule I</ReturnReference>
        <Explanation>THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. The filing organization provides indigent funding grants to the counties in which Christus Health System Hospitals serve via grants paid to other hospitals and healthcare organizations located within such counties. This charitable donation helps relieve the additional expense of healthcare for the indigent population within our communities that the filing organization may not directly serve in one of its hospitals. This is a result of our mission to extend the healing ministry of Jesus Christ, especially to the poor and underserved.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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      <InitialContractException>false</InitialContractException>
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        <NamePerson>Mark F Brown MD</NamePerson>
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        <NamePerson>Stephen F Wright</NamePerson>
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        <NamePerson>Carolyn Moore</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART VII, LINE 1A AND SCHEDULE J, PART II</ReturnReference>
        <Explanation>DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. Mark F. Brown, MD received compensation for his physician services at Christus Health Northern Louisiana. HE RECEIVED NO COMPENSATION FOR SERVING AS A DIRECTOR. Charles D. Knight, Jr., M.D. received compensation for on call physician services at Christus Health Northern Louisiana. He received no compensation for serving as a director.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, QUESTIONS 1 &amp; 2</ReturnReference>
        <Explanation>WELLNESS MEMBERSHIPS ARE OFFERED TO BOARD MEMBERS IN RECOGNITION FOR SERVICE ON THE BOARD. Bernard S. Johnson and Arthur L. Walker received $576 in wellness memberships during Calendar Year 2010.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>TAX INDEMNIFICATION AND GROSS-UP PAYMENTS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, QUESTIONS 1 &amp; 2</ReturnReference>
        <Explanation>FRANK CANOVA, JR. RECEIVED $1,584 IN TAX ASSISTANCE FOR RELOCATION. William Lunn, M.D. received $3,318 in tax assistance for relocation.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, QUESTION 3</ReturnReference>
        <Explanation>THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENT</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, QUESTION 4A</ReturnReference>
        <Explanation>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. CAROLYN MOORE RECEIVED $249,642 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2010. LOUISE WIGGINS RECEIVED $87,141 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2010. CHARLES PAINE, MD RECEIVED $378,768 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2010. RUSSELL J. TOUCHET, II RECEIVED $176,549 IN SEVERANCE PAYMENT DURING CALENDAR YEAR 2010.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, QUESTION 4B</ReturnReference>
        <Explanation>DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, QUESTION 4B</ReturnReference>
        <Explanation>STEPHEN WRIGHT WAS PAID $85,150 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. JASON ROUNDS WAS PAID $16,913 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CAROLYN MOORE WAS PAID $157,538 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. LOUISE WIGGINS WAS PAID $49,691 DURING CALENDAR YEAR 2010 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART II</ReturnReference>
        <Explanation>W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>DEFERRED COMPENSATION</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART II, COLUMN C</ReturnReference>
        <Explanation>DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART II, COLUMN B(II)</ReturnReference>
        <Explanation>BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2010.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>OMEGA DIAGNOSTICS LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>129029</AmountOfTransaction>
        <DescriptionOfTransaction>LEASES TO OMEGA DIAG LLC</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>OMEGA DIAGNOSTICS LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>9025630</AmountOfTransaction>
        <DescriptionOfTransaction>LAB SERVICES TO NOLA</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>DESCRPTION OF ACTIVITY</Identifier>
        <ReturnReference>PART IV, LINE 1, COLUMN B</ReturnReference>
        <Explanation>STEPHEN WRIGHT, OFFICER OF CHRISTUS HEALTH NORTHERN LOUISIANA AND BOARD MEMBER OF SCH MANAGEMENT SOLUTIONS, INC., IS A MEMBER OF THE MANAGEMENT COMMITTEE OF OMEGA DIAGNOSTICS, LLC. SCH MANAGEMENT SOLUTIONS, INC. OWNS 40% OF OMEGA DIAGNOSTICS, LLC. FRANK CANOVA, OFFICER OF CHRISTUS HEALTH NORTHERN LOUISIANA AND BOARD MEMBER OF SCH MANAGEMENT SOLUTIONS, INC., IS A MEMBER OF THE MANAGEMENT COMMITTEE OF OMEGA DIAGNOSTICS, LLC. SCH MANAGEMENT SOLUTIONS, INC. OWNS 40% OF OMEGA DIAGNOSTICS, LLC.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>DESCRIPTION OF ACTIVITY</Identifier>
        <ReturnReference>PART IV, LINE 2, COLUMN B</ReturnReference>
        <Explanation>STEPHEN WRIGHT, OFFICER OF CHRISTUS HEALTH NORTHERN LOUISIANA AND BOARD MEMBER OF SCH MANAGEMENT SOLUTIONS, INC., IS A MEMBER OF THE MANAGEMENT COMMITTEE OF OMEGA DIAGNOSTICS, LLC. SCH MANAGEMENT SOLUTIONS, INC. OWNS 40% OF OMEGA DIAGNOSTICS, LLC. FRANK CANOVA, OFFICER OF CHRISTUS HEALTH NORTHERN LOUISIANA AND BOARD MEMBER OF SCH MANAGEMENT SOLUTIONS, INC., IS A MEMBER OF THE MANAGEMENT COMMITTEE OF OMEGA DIAGNOSTICS, LLC. SCH MANAGEMENT SOLUTIONS, INC. OWNS 40% OF OMEGA DIAGNOSTICS, LLC.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DOING BUSINESS AS</Identifier>
        <ReturnReference>FORM 990, PAGE 1, ITEM C</ReturnReference>
        <Explanation>Christus Health Northern Louisiana is doing business as: CHRISTUS BOSSIER CHRISTUS HIGHLAND CHRISTUS SCHUMPERT CHRISTUS SCHUMPERT BOSSIER CHRISTUS SCHUMPERT BREAST CENTER CHRISTUS SCHUMPERT FIRST CARE BOSSIER CHRISTUS SCHUMPERT FIRST CARE SHREVEPORT CHRISTUS SCHUMPERT HEALTH SYSTEM CHRISTUS SCHUMPERT HIGHLAND CHRISTUS SCHUMPERT HOSPITAL PHYSICIANS CHRISTUS SCHUMPERT OCCUPATIONAL HEALTH SYSTEM CHRISTUS SCHUMPERT SCHOOL BASED HEALTH CENTER CHRISTUS SCHUMPERT SPECIALTY FOR MEN AND WOMEN CHRISTUS SCHUMPERT WOMEN'S HEALTH CRNA-SCHUMPERT MEDICAL CENTER GRACE HOME SCHUMPERT CLINIC ARCADIA SCHUMPERT HOME HEALTH AGENCY SCHUMPERT HOSPICE SCHUMPERT INTERNAL MEDICINE SPECIALISTS SCHUMPERT MEDICAL CENTER SCHUMPERT PATHOLOGIST'S LABORATORY SMC CLINICS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEATH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, CHRISTUS HEALTH STRIVES TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE SERVICES WHERE THEY ARE NEEDED THE 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 INCLUDING COMMUNITY CLINICS, EDUCATION AND WELLNESS FOR TEEN MOMS, MEALS ON WHEELS, TRANSPORTATION SERVICES AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH NORTHERN LOUISIANA OPENS ITS DOORS TO VARIOUS COMMUNITY ORGANIZATIONS, GROUPS, CLUBS, STATE AGENCIES, AND SUPPORT GROUPS WHICH NEED MEETING AND/OR OFFICE SPACE. THIS SERVICE IS PROVIDED AT NO COST TO THESE COMMUNITY, NON-PROFIT ORGANIZATIONS OR STATE AGENCIES. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES NEEDED OFFICE SPACE AT LITTLE TO NO EXPENSE TO VARIOUS NON-PROFIT ORGANIZATIONS. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES MEALS FOR RESIDENTS OF RUTHERFORD HOUSE, A LOCAL RESIDENTIAL, REHABILITATIVE JUVENILE PROGRAM AND THE SHREVEPORT/BOSSIER RESCUE MISSION, A HOMELESS AND/OR DISPLACED SHELTER/HOUSING PROGRAM LOCATED IN SHREVEPORT, LOUISIANA. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME LOST FROM THE DIFFERENCE IN 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 HEALTH NORTHERN LOUISIANA. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2011 WAS $1,748,055. THE FOREGONE INTEREST FOR CHRISTUS HEALTH NORTHERN LOUISIANA IN FY2011 WAS $31,417. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY2011, THE TOTAL GRANT MONEY DISTRIBUTED TO THE NORTHERN LOUISIANA REGION WAS $50,000. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH NORTHERN LOUISIANA. PROGRAM SERVICE EXPENSES = $594,784 GRANTS = $281,670 PROGRAM SERVICE REVENUE = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, THE FIGHT AGAINST HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY2011, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. PROGRAM SERVICE EXPENSES = $955,334 GRANTS = $299,882 PROGRAM SERVICE REVENUE = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 2</ReturnReference>
        <Explanation>DIRECTORS SUSAN WOOD AND JOHN DEAN HAVE A FAMILY RELATIONSHIP. Directors Susan Wood and Charles D. Knight, Jr., M.D. have a family relationship. OFFICER/DIRECTOR STEPHEN WRIGHT AND OFFICER FRANK CANOVA HAVE BUSINESS RELATIONSHIPS AS BOTH SERVE AS OFFICERS OF SCH MANAGEMENT SOLUTIONS, INC., A WHOLLY OWNED SUBSIDIARY OF CHRISTUS HEALTH NORTHERN LOUISIANA AND BOTH SERVE AS MEMBERS OF THE MANAGEMENT COMMITTEE OF OMEGA DIAGNOSTICS, LLC., WHICH IS 40% OWNED BY SCH MANAGEMENT SOLUTIONS, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 6</ReturnReference>
        <Explanation>CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7A</ReturnReference>
        <Explanation>CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR &amp; TYPE OF VOTING RIGHTS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7B</ReturnReference>
        <Explanation>CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 12C</ReturnReference>
        <Explanation>AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION DETERMINATION PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTIONS 15A &amp; 15B</ReturnReference>
        <Explanation>THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO, OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH NORTHERN LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PUBLIC DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 18</ReturnReference>
        <Explanation>CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 19</ReturnReference>
        <Explanation>THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS WORKED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>Average hours per week listed on Form 990, Part VII, Section A are the average hours devoted to the respective person's position while serving the organization. Stephen Wright devotes an average of 1 hour per week to Schumpert Foundation, a related organization of the filing entity. Stephen is a board member of Schumpert Foundation. Stephen Wright devotes an average of 1 hour per week to St. Frances Cabrini Hospital Foundation of Alexandria, a related organization of the filing entity. Stephen is the President/CEO of St. Frances Cabrini Hospital Foundation of Alexandria. Stephen Wright devotes an average of 15 hours per week to Christus Health Central Louisiana, a related organization of the filing entity. Stephen is the President/CEO of Christus Health Central Louisiana. Stephen Wright devotes an average of 8 hours per week to Christus Health Southwestern Louisiana, a related organization of the filing entity. Stephen is the President/CEO of Christus Health Southwestern Louisiana. Donald Sorrells, Jr. MD devotes an average of 1 hour per week to Schumpert Foundation, a related organization of the filing entity. Dr. Sorrells is a board member of Schumpert Foundation. Steven Boniol, MD devotes an average of 1 hour per week to Schumpert Foundation, a related organization of the filing entity. Dr. Boniol is a board member of Schumpert Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Transfer of Restricted Donations = $180,441 Unrealized Gain = $89,658 Pension Liability/Expense = $4,581,027 Pension Funding = ($5,012,557) Transfer into Unrestricted Net Assets= $75,000 Transfer out of Temporarily Restricted Net Assets = ($254,641) Goodwill Impairment = ($22,480,031) Total = ($22,821,103)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>CHRISTUS HEALTH ARK-LA-TEX</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2600 ST MICHAEL DRIVE</AddressLine1>
          <City>TEXARKANA</City>
          <State>TX</State>
          <ZIPCode>75503</ZIPCode>
        </AddressUS>
        <EIN>752796815</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS CONTINUING CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 W LOOP SOUTH SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EIN>742898615</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 WEST LOOP SOUTH STE 400B</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EIN>760422435</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH COMMUNITY FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2800 LAMAR AVE CAPITAL ONE 2ND F</AddressLine1>
          <City>PARIS</City>
          <State>TX</State>
          <ZIPCode>75460</ZIPCode>
        </AddressUS>
        <EIN>421619230</EIN>
        <PrimaryActivities>Supt Hlth Svc</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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          <BusinessNameLine1>CHRISTUS STEHLIN FND FOR CANCER RESEARCH</BusinessNameLine1>
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          <AddressLine1>10301 Stella Link Suite A</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77025</ZIPCode>
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        <EIN>741622404</EIN>
        <PrimaryActivities>CANCER RESRCH</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>CH</BusinessNameLine1>
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          <BusinessNameLine1>DUBUIS HEALTH SYSTEM INC</BusinessNameLine1>
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          <AddressLine1>1700 West Loop South Ste 1100A</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
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        <EIN>721270964</EIN>
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        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
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          <AddressLine1>2707 NORTH LOOP WEST</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77008</ZIPCode>
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        <EIN>611500100</EIN>
        <PrimaryActivities>Supt Hlth Svc</PrimaryActivities>
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          <BusinessNameLine1>CH</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHRISTUS SCHUMPERT HEALTH SYSTEM FND</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>ONE ST MARY PLACE</AddressLine1>
          <City>SHREVEPORT</City>
          <State>LA</State>
          <ZIPCode>71101</ZIPCode>
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        <EIN>721219280</EIN>
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        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
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          <BusinessNameLine1>CH North LA</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
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          <AddressLine1>3330 MASONIC DRIVE</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>LA</State>
          <ZIPCode>71301</ZIPCode>
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        <EIN>720408984</EIN>
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          <BusinessNameLine1>CH</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH GULF COAST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 922037</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77292</ZIPCode>
        </AddressUS>
        <EIN>760591592</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHRISTUS HEALTH</BusinessNameLine1>
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          <AddressLine1>2707 NORTH LOOP WEST</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77008</ZIPCode>
        </AddressUS>
        <EIN>760590551</EIN>
        <PrimaryActivities>Supt Hlth Svc</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-Type 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Christus Spohn Health System Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>600 ELIZABETH STREET</AddressLine1>
          <City>CORPUS CHRISTI</City>
          <State>TX</State>
          <ZIPCode>78404</ZIPCode>
        </AddressUS>
        <EIN>741109836</EIN>
        <PrimaryActivities>HLTHCARE SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH SOUTHEAST TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2830 Calder Street</AddressLine1>
          <City>BEAUMONT</City>
          <State>TX</State>
          <ZIPCode>77726</ZIPCode>
        </AddressUS>
        <EIN>760591590</EIN>
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          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>CHRISTUS HEALTH SOUTHWESTERN LOUISIANA</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>524 DR MICHAEL DEBAKEY DRIVE</AddressLine1>
          <City>LAKE CHARLES</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
        </AddressUS>
        <EIN>720411322</EIN>
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        <LegalDomicileState>LA</LegalDomicileState>
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          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS SANTA ROSA HEALTH CARE CORP</BusinessNameLine1>
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          <AddressLine1>333 N SANTA ROSA STREET</AddressLine1>
          <City>SAN ANTONIO</City>
          <State>TX</State>
          <ZIPCode>78207</ZIPCode>
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          <BusinessNameLine1>CH</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHRISTUS HEALTH UTAH</BusinessNameLine1>
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          <AddressLine1>2707 North Loop West</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77008</ZIPCode>
        </AddressUS>
        <EIN>870231682</EIN>
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        <LegalDomicileState>UT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHRISTUS Health Liability Retention TrST</BusinessNameLine1>
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          <AddressLine1>2707 North Loop West</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77008</ZIPCode>
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        <LegalDomicileState>TX</LegalDomicileState>
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          <AddressLine1>ONE ST MARY PLACE</AddressLine1>
          <City>SHREVEPORT</City>
          <State>LA</State>
          <ZIPCode>71101</ZIPCode>
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        <PrimaryActivity>MGMT HOSP JV</PrimaryActivity>
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        <TypeOfEntity>C CORP</TypeOfEntity>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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          <BusinessNameLine1>EMERALD ASSURANCE CAYMAN LTD</BusinessNameLine1>
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        <AddressForeign>
          <AddressLine1>PO BOX 1051</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
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        <EIN>980407545</EIN>
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        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-CORP</TypeOfEntity>
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      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>CHRISTUS SCHUMPERT HEALTH SYSTEM FOUNDATION</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1148084</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>3452973</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>683012</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHRISTUS HEALTH SOUTHWESTERN LOUISIANA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>74236</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>193637</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>200959</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHRISTUS HEALTH LIABILITY RETENTION TRUST</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>70225</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>