CHRISTUS CONTINUING CARE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS CONTINUING CARE (EIN 74-2898615)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201231369349300703
Schema version: 2010v3.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T02:59:22-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1401 MCKINNEY SUITE 1200	AddressLine1
City	HOUSTON	City
State	TX	State
ZIP Code	77010	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	742898615	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS CONTINUING CARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHRI	NameControl
Phone	7132772300	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 W LOOP SOUTH SUITE 1100A	AddressLine1
City	HOUSTON	City
State	TX	State
ZIP Code	77027	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Paul Veillon	Name
Title	Chief Financial Officer	Title
Date Signed	2012-05-03	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7137501500	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Chris Karam	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2600 St Michael Drive	AddressLine1
City	Texarkana	City
State	TX	State
ZIP Code	75503	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	104237470	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.christushomecare.org; www.dubuis.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING NON-PROFIT HEALTH CARE SERVICES, INCLUDING HOME HEALTH AND HOSPICE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	3196	TotalNbrEmployees
Total Nbr Volunteers	207	TotalNbrVolunteers
Total Gross UBI	2564679	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1563190	ContributionsGrantsPriorYear
Contributions Grants Current Year	1731060	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	91232698	ProgramServiceRevenuePriorYear
Program Service Revenue CY	97673668	ProgramServiceRevenueCY
Investment Income Prior Year	-1393	InvestmentIncomePriorYear
Investment Income Current Year	477641	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6247455	OtherRevenuePriorYear
Other Revenue Current Year	4303978	OtherRevenueCurrentYear
Total Revenue Prior Year	99041950	TotalRevenuePriorYear
Total Revenue Current Year	104186347	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	10695	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	6550	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	71908470	SalariesEtcPriorYear
Salaries Etc Current Year	72571907	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	34544540	OtherExpensePriorYear
Other Expenses Current Year	33340878	OtherExpensesCurrentYear
Total Expenses Prior Year	106463705	TotalExpensesPriorYear
Total Expenses Current Year	105919335	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-7421755	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1732988	RevenuesLessExpensesCY
Total Assets BOY	24255902	TotalAssetsBOY
Total Assets EOY	22068920	TotalAssetsEOY
Total Liabilities BOY	29225416	TotalLiabilitiesBOY
Total Liabilities EOY	29914614	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-4969514	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-7845694	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	91024949	Expense
Grants	6550	Grants
Revenue	97673668	Revenue
Description	CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING HEALTH CARE AND HOSPICE SERVICES. THE MISSION OF CHRISTUS CONTINUING CARE IS TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE MISSION IS FULFILLED THROUGH COMMUNITY PROGRAMS AND QUALITY HOME CARE THAT CONSIDERS PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF THE PATIENTS SERVED. CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF CHRISTUS CONTINUING CARE. IN ORDER TO CONTINUE TO IMPROVE AND ENHANCE THE HOME CARE AND HOSPICE SERVICES PROVIDED TO PATIENTS, CHRISTUS CONTINUING CARE HAS CONSOLIDATED THE HOME CARE AND HOSPICE SERVICES IN SEVERAL CHRISTUS HEALTH REGIONS. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, CHRISTUS CONTINUING CARE PROVIDED HOME HEALTH VISITS, 118,751 HOSPICE DAYS and 36,134 LONG-TERM ACUTE CARE DAYS. CHRISTUS Continuing Care 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, more than 60 communities we serve to help those in need. The vision of CHRISTUS Health as a Catholic, faith-based ministry is to be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love.	Description
Total Program Service Expense	91024949	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	237	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3196	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	PAUL VEILLON CFO	NamePerson
Telephone Number	7132772300	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1700 W LOOP SOUTH SUITE 1100A	AddressLine1
City	Houston	City
State	TX	State
ZIP Code	77027	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
David W Strong
Board Member - Chairperson	1.0	X	0	0	0
Sister Brigid Marie Clarke
Board Member	1.0	X	0	0	0
Rebecca A Croes
Board Member	1.0	X	0	0	0
Lynn W Hamby
Board Member	1.0	X	0	0	0
Erwin C Tschoepe III
Board Member	1.0	X	0	0	0
Sister Miriam Therese Miller
Board Member (Eff 10/14/10)	1.0	X	0	0	0
Arnie R Cisneros
Board Member (Eff 1/1/11)	1.0	X	0	0	0
Gregory C Pulido
Board Member (Eff 1/1/11)	1.0	X	0	0	0
Bill J Chen
Board Member (Eff 1/1/11)	1.0	X	0	0	0
Christopher Karam
President/CEO	16.0	X	137094	374204	132536	X
Paul Veillon
CFO	40.0		231582	0	60952	X
William L Pardue
Corporate Secretary	5.0		0	140756	18724	X
M Erick Smith
Assistant Corporate Secretary	37.0		54090	4849	19374	X
Mary Silva
Deputy Corporate Secretary	5.0		0	59948	4226	X
Tracey Richard
COO -Christus Dubuis Hlth Sys	40.0		167734	0	32265		X
Mike Sullivan
VP Mission	20.0		120057	120057	72808			X
Pearl Mohnkern
VP HR (Term 1/1/11)	40.0		159362	34694	45224			X
Jan Hamilton Crawford
Regional Administrator	40.0		198435	0	24765			X
Keith Rogers
Regional Administrator	40.0		164100	0	21028			X
Tom Permetti
VP Strategy (Term 5/30/10)	0.0		36805	388131	117389			X
Pamela Steding
Fmr Pres/CEO CHC (Trm 7/11/09)	0.0		191700	0	0				X
Ellen Smith
CEO -CDHS (Trm 8/28/09)	0.0		248976	0	7378				X
Patrick Carrier
Fmr President/CEO(Term 2/27/10	0.0		57848	587055	173075				X
Linda McClung
Fmr Bd Mbr/Int CEO/Pres(8/09)	0.0		0	478784	133976				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1767783	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2188478	TotalReportableCompFrmRltdOrgs
Total Other Compensation	863720	TotalOtherCompensation
Number Individuals GT100 K	66	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
St Joseph Regional Health Center
2801 Franciscan Drive	Bryan	TX	77802	Ancillary Services	1185714
St Joseph Medical Center
1919 Labranch St	Houston	TX	77002	Ancillary Services	857915
Achieve Medical Staffing LLC
PO Box 159	Dry Prong	LA	71423	Contract Labor	707927
Paris Regional Medical Center
PO Box 9070	Paris	TX	75461	Ancillary Services	549061
Pulse Medical Staffing
PO Box 200834	Houston	TX	77216	Contract Labor	281379

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	14	NumberOfContractorsGT100K
Related Organizations	70035	RelatedOrganizations
All Other Contributions	1661025	AllOtherContributions
Total Contributions	1731060	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Revenue	621610	98094819	98094819
Program Related Investment Income	900099	-426130	-426130
Medical Screening Revenue	621610	4052	4052
Vaccine Revenue	621610	927	927

Field	Value	IRS element (for citing)
Total Program Service Revenue	97673668	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10031	TotalRevenueColumn
Exclusion	$10,031	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	518733	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	51123	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	467610	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	467610	TotalRevenueColumn
Exclusion	$467,610	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MANAGEMENT REVENUE	561000	4222435	2515597	$1,706,838
LIFELINE	623990	56082	49082	$7,000
MEDICAL RECORDS	900099	5581		$5,581

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19880	TotalRevenueColumn
Exclusion	$19,880	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4303978	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	104186347	TotalRevenueColumn
Related Or Exempt Function Income	97673668	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2564679	UnrelatedBusinessRevenue
Exclusion	$2,216,940	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	6550	Total
Program Services	6550	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	631055	Total
Program Services	172056	ProgramServices
Management And General	458999	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	59933908	Total
Program Services	53425103	ProgramServices
Management And General	6508805	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2495542	Total
Program Services	2071789	ProgramServices
Management And General	423753	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5551970	Total
Program Services	4596408	ProgramServices
Management And General	955562	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3959432	Total
Program Services	3559805	ProgramServices
Management And General	399627	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8528	Total
Program Services	1784	ProgramServices
Management And General	6744	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	314	Total
Management And General	314	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1976395	Total
Program Services	1212701	ProgramServices
Management And General	763694	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	170686	Total
Program Services	170686	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7723330	Total
Program Services	7479806	ProgramServices
Management And General	243524	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3098894	Total
Program Services	112018	ProgramServices
Management And General	2986876	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4945896	Total
Program Services	4421530	ProgramServices
Management And General	524366	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1679019	Total
Program Services	1476328	ProgramServices
Management And General	202691	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	78698	Total
Program Services	22784	ProgramServices
Management And General	55914	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	11705	Total
Program Services	4990	ProgramServices
Management And General	6715	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1511895	Total
Program Services	543936	ProgramServices
Management And General	967959	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	372165	Total
Program Services	163005	ProgramServices
Management And General	209160	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased services	9911710	9816232	95478
EQUIPMENT RENTAL	2128923	2065213	63710
BAD DEBT EXPENSE	-653729	-653729
MEMBERSHIP DUES	119840	109089	10751
INCOME TAX	-66911	134	-67045

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	323520	Total
Program Services	246731	ProgramServices
Management And General	76789	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	105919335	Total
Program Services	91024949	ProgramServices
Management And General	14894386	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	222673	BOY
EOY	494082	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	14421395	BOY
EOY	13399728	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	628988	BOY
EOY	1004638	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	396017	BOY
EOY	427940	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	410519	BOY
EOY	386284	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	20192289	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	15985545	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5543761	BOY
EOY	4206744	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	409153	BOY
EOY	107912	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1549583	BOY
EOY	1620656	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	673813	BOY
EOY	400235	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	20701	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	24255902	BOY
EOY	22068920	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9570230	BOY
EOY	9970046	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	12574091	BOY
EOY	11019460	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	70000	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	73516	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7007579	BOY
EOY	8855108	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	29225416	BOY
EOY	29914614	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-5841377	BOY
EOY	-8362866	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	745091	BOY
EOY	390400	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	126772	BOY
EOY	126772	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-4969514	BOY
EOY	-7845694	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	24255902	BOY
EOY	22068920	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-1732988	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1143192	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$6,687	OtherActivitiesAmount
Total Lobbying Expenditures IIB	6687	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Lobbying Description	Identifier
Return Reference	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 $6,687. CHRISTUS CONTINUING CARE DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-2011.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Land		Land
Buildings		Buildings

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4123194	OtherCostOrOtherBasis
Depreciation	2809537	Depreciation
Book Value	1313657	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16069095	OtherCostOrOtherBasis
Depreciation	13176008	Depreciation
Book Value	2893087	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	4206744	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INVESTMENT IN SUBSIDIARIES	Description
Book Value	1620656	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	1620656	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Due to Related Organizations	$1,170,738
Due to Christus Health Bond Fund	$70,000
Liabilities Held for Sale	$1,363,261
Cash Management System Allocation	$6,249,855
Capitalized Lease Liability	$1,254

Field	Value	IRS element (for citing)
Total Of Amounts	8855108	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Cash Non-Bearing Interest	Form 990, Part X, Line 1	Christus Health System maintains a centralized cash management system. This cash management system (CMS) includes a concentration account wherein deposits and disbursements for related Christus exempt organizations flow through this account and over to the managed investment accounts. Each participating organization reports a balance in the CMS reflective of its cumulative cash activity. Cash Balances for each Christus organization are reported on Form 990 in accordance with financial statement reporting. CMS ownership is maintained by Christus Health (EIN 76-0590551) and all associated investment income is properly reported on the Christus Health Form 990.
Uncertain Tax Positions Under ASC 740	Form 990, Schedule D, Part X, Line 2	Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2011 and 2010.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1819338	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1819338	NetCommunityBenefitExpense
Percent Of Total Expense	0.01710	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11411854	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18058846	DirectOffsettingRevenue
Net Community Benefit Expense	-6646991	NetCommunityBenefitExpense
Percent Of Total Expense	0.06240	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13231192	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18058846	DirectOffsettingRevenue
Net Community Benefit Expense	-4827653	NetCommunityBenefitExpense
Percent Of Total Expense	0.04530	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	2389	PersonsServed
Total Community Benefit Expense	18286	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	18286	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	393	PersonsServed
Total Community Benefit Expense	15124	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	15124	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	290	PersonsServed
Total Community Benefit Expense	21494	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	21494	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	3072	PersonsServed
Total Community Benefit Expense	54904	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	54904	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	3072	PersonsServed
Total Community Benefit Expense	13286096	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18058846	DirectOffsettingRevenue
Net Community Benefit Expense	-4772749	NetCommunityBenefitExpense
Percent Of Total Expense	0.04490	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	4238	TotalCommunityBuildingExpense
Net Community Building Expense	4238	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	12	PersonsServed
Total Community Building Expense	335	TotalCommunityBuildingExpense
Net Community Building Expense	335	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	12	PersonsServed
Total Community Building Expense	4573	TotalCommunityBuildingExpense
Net Community Building Expense	4573	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	-$339,939	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	59657826	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	60166355	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-508529	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	7	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	OtherOther
Mercy Continuing Care Hosp of St Louis
1	13190 South Outer 40 Road Level 1	St Louis	MO	63017	X	LONG-TERM ACUTE CARE FACILITY
Dubuis Hospital of Beaumont
2	2830 Calder Ave 4th Floor	Beaumont	TX	77702	X	LONG-TERM ACUTE CARE FACILITY
Dubuis Hospital of Alexandria
3	3330 Masonic Drive 4th Floor	Alexandria	LA	71301	X	LONG-TERM ACUTE CARE FACILITY
Dubuis Hospital of Bryan
4	1600 St Joseph Dr 2nd Floor	Bryan	TX	77802	X	LONG-TERM ACUTE CARE FACILITY
Dubuis Hospital of Port Arthur
5	3600 Gates Blvd 3rd Floor	Port Arthur	TX	77643	X	LONG-TERM ACUTE CARE FACILITY
Dubuis Hospital of Paris
6	865 Deshong Dr 5th Floor	Paris	TX	75462	X	LONG-TERM ACUTE CARE FACILITY
Dubuis Hospital of Houston
7	1919 Labranch 7GWS	Houston	TX	77002	X	LONG-TERM ACUTE CARE FACILITY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)

Hospital Facility NumberHospitalFacilityNumber
Mercy Continuing Care Hosp of St Louis
1
Dubuis Hospital of Beaumont
2
Dubuis Hospital of Alexandria
3
Dubuis Hospital of Bryan
4
Dubuis Hospital of Port Arthur
5
Dubuis Hospital of Paris
6
Dubuis Hospital of Houston
7

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	8	NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CHRISTUS VNA HOSPICE&PALLIATIVE CARE- SA
4241 WOODCOCK DRIVE STE A-100	SAN ANTONIO	TX	78228	HOSPICE OUTPATIENT
CHRISTUS HOSP&PALL C ST FRANCES CABRINI
ALEXANDRIA 4801 JACKSON ST EXT	ALEXANDRIA	LA	71303	HOSPICE OUTPATIENT
CHRISTUS VNA HOSPICE & PALLIATIVE CARE-
HOUSTON 2707 NORTH LOOP WEST STE	HOUSTON	TX	77008	HOSPICE OUTPATIENT
GRACE HOME SHREVEPORT
1035 MARGARET PLACE	SHREVEPORT	LA	71101	HOSPICE INPATIENT
CHRISTUS HOSPICE AND PALLIATIVE CARE-
SCHUMPERT 1700 BUCKNER SQUARE STE	SHREVEPORT	LA	71101	HOSPICE OUTPATIENT
CHRISTUS HOSPICE AND PALLIATIVE CARE-
SPOHN 6200 SARATOGA BOULEVARD	CORPUS CHRISTI	TX	78414	HOSPICE OUTPATIENT
GRACE HOME ALEXANDRIA
3330 MASONIC DRIVE 3RD FLOOR	ALEXANDRIA	LA	71301	HOSPICE INPATIENT
CHRISTUS SISTER MARY HOSPICE CENTER
5131 MEDICAL DRIVE STE 310	SAN ANTONIO	TX	78229	HOSPICE INPATIENT

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 5	Budgeted Charity Care	The organization budgets charity care for internal financial review purposes only. The provision of charity care is not limited to amounts established for budgetary purposes.
Part I, Line 6a	Annual Community Benefit Report	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Part I, Line 7b	Unreimbursed Medicaid	Christus Continuing Care reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities.
Part I, Line 7, column (f)	Percent of Total Expense	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $105,919,335. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS ($653,730). THIS LEAVES A TOTAL EXPENSE OF $106,573,065 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Part I, Line 7, Column (f)	Description of Gross Charity Care as Percentage of Total Costs	The organization's total community benefit expense as reported on Part I, Line 7k, Column (c) as a percentage of total expense is 12.47%, which exceeds the amount reported on Part I, Line 7k Column (f) which is computed using net community benefit expense.
Part I, Line 7		Line 7a: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7b: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7e: Actual expenses less any direct offsetting revenue Line 7f: Actual expenses less any direct offsetting revenue Line 7i: Actual expense of the contributions
Part II	COMMUNITY BUILDING ACTIVITIES	The CHRISTUS Health Advocacy department works in partnership with local, state and federal policy makers to ensure activities and programs are in place that will enhance public health through improved access to health services and advancing general knowledge. During FY 2011, CHRISTUS Health advocated for improving public policies, working to establish, and in some instances augment, grassroots advocacy and greater access to healthcare services for the constituents we serve. Advocacy efforts focus on the needs of children and seniors, as well as other vulnerable populations, to promote programs such as health screenings and education for early detection of cancer and heart disease, and immunizations.
Part III, Section A, Line 1	Bad Debt Reporting in Accordance with HFMA Statement 15	CHRISTUS Continuing Care 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 service, and an offsetting allowance for voluntary free care is recorded. Accordingly, all accounts receivable from the uninsured have been fully reserved in the allowance for voluntary free care. The filing organization recorded a negative bad debt expense of $(653,730) during fiscal year 2011. This negative bad debt is a result of a significant reduction in accounts receivable aging and other improvements in revenue cycle process. This process began in November 2011 and continued throughout the remainder of the fiscal year ending 6/30/11.
Part III, Section A, Line 2	Bad Debt Expense (At Cost)	The organization uses Form 990, Schedule H, Worksheet A to determine the bad debt expense at cost reported at Schedule H, Part III, Section A, Line 2 using the cost-to-charge ratio calculated at Form 990, Schedule H, worksheet 2, Line 11. The organization's total bad debt expense (total of all hospital facilities) is in accordance with the organization's financial statements, which is computed as bad debt net of contractual allowance, payments received and recoveries of bad debt previously written off.
ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE	TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY	Part III, Section A, Line 3 TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE ORGANIZATION REVIEWS PATIENT FILES THAT WERE INITIALLY DEEMED AS INCOMPLETE TO DETERMINE WHETHER A PATIENT WOULD BE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. TO THE EXTENT THE FILE HAS SUFFICIENT DOCUMENTATION INDICATING FINANCIAL AND/OR MEDICAL INDIGENCE, THE BAD DEBT ASSOCIATED WITH SUCH PATIENT ACCOUNT COULD BE DEEMED CHARITY CARE. THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS DETERMINED USING THE COST-TO-CHARGE RATIO CALCULATED ON FORM 990, SCHEDULE H, WORKSHEET 2. IN ADDITION TO SCREENING PATIENTS TO DETERMINE THE APPLICABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE AT THE TIME OF ADMISSION AND DISCHARGE, CHRISTUS CONTINUING CARE FOLLOWS A POLICY AND SUPPORTING PROCEDURES FOR REVIEWING ALL ACTIVE SELF-PAY PATIENT RECEIVABLES. THE SCREENING PROCEDURES SUBSEQUENT TO DISCHARGE TO DETERMINE CHARITY CARE AND DISCOUNT APPLICABILITY INCLUDE REQUESTING THE REFERRING HOSPITAL'S RECORDS OF PATIENTS WHO SUBMITTED CHARITY CARE APPLICATIONS OR OTHER FINANCIAL INFORMATION, MAKING CONTACT WITH PATIENTS THROUGH MAILED NOTICE FOLLOWED BY PHONE CALL, USING A FINANCIAL ASSISTANCE QUESTIONNAIRE, AND VIEWING CREDIT REPORTS.
Part III, Section A, Line 4	Bad Debt Expense Footnote	The footnote to the CHRISTUS Health consolidated financial statements says, "The preparation of the accompanying consolidated financial statements in conformity with accounting principles generally accepted in the United States requires management of the system to make assumptions, estimates, and judgments that affect the amounts reported in the financial statements, including the notes thereto, and related disclosures of commitments and contingencies, if any. The system considers critical accounting policies to be those that require more significant judgments and estimates in the preparation of its financial statements, including the following: recognition of net patient revenues, which include contractual allowances; provisions for bad debt; reserves for losses and expenses related to health care professional and general liabilities; determination of fair values of certain financial instruments; determination of fair value of certain goodwill and long-lived assets; and risks and assumptions for measurement of pension and retiree medical liabilities. Management relies on historical experience and on other assumptions believed to be reasonable under the circumstances in making its judgment and estimates. Actual results could differ materially from these estimates." In order to determine the bad debt expense at cost (Schedule H, Part III, Section A, Line 2), the organization's total bad debt expense (total of all hospital facilities) in accordance with the organization's financial statements was multiplied by the cost-to-charge ratio.
Part III, Section B, Line 8	Extent to which shortfall should be treated as community benefit	Costing Methodology The shortfall on Part III, Line 7 is not counted as a community benefit. The amount on Schedule H, Part III, Line 6 is determined by calculating Medicare Allowable Costs using worksheet A of the Medicare Cost Report. Worksheet A of the Medicare Cost Report requires the organization to remove non-allowable expenses from total expenses via the adjustments to expense 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 ($16,412,169) if total expenses allocable to Medicare services were substituted on Schedule H, Part III, Line 6.
Part III, Section B, Line 9b	Collection Policy	The filing organization does not outsource patient balances to a third party debt collection agency. All collections are done by in-house collectors using collection letters. Patients are not subject to harassment or legal action due to their incapacity to pay. Patients that are unable to pay are provided charity care information. Upon admission, patients who have no insurance coverage and no ability to pay will be given consideration for charity care. Every effort will be made to obtain the appropriate financial documentation to determine the ability to pay for services. Patients receive private letters/bills each month indicating their balance due. Patients who have not made payments for a 30-day period will receive a letter requesting payment. Patients who are unable to pay their balance will be considered for charity care if appropriate. Collection efforts will continue for 120 days with the patient/guarantor receiving at least three letters requesting payment within said 120 day period. Accounts that are not deemed eligible for charity care or medical indigence will be written off as bad debt following the 120 day collection period.
Part VI, Line 2	NEEDS ASSESSMENT	CHRISTUS Continuing Care has developed a Community Benefit Plan based upon prioritization of the Community Health Needs Assessment. The needs assessment was developed based on information provided by the Houston Community Needs Assessment and the Consolidated Metropolitan Statistical Area (CMSA) report. CHRISTUS Continuing Care strives to ensure best practices and standards of care are met. CHRISTUS Continuing Care provides care to patients who require acute care over an extended period of time. Our staff provides specialty care that is tailored to the individual needs of every patient, resulting in excellent clinical outcomes.
Part VI, Line 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	CHRISTUS Continuing Care makes every effort to educate patients on its Charity and Discount Policy and about their eligibility for assistance under federal, state, or local government programs during the registration process. In addition, a public notice regarding the charity care policy and information on financial assistance are also posted at the facilities. The information on financial assistance includes explanations on the availability of financial assistance, who qualifies, and how to apply for financial assistance. After the registration process, patients that are unable to pay are provided charity care information. In keeping with the Mission, Vision and Core Values of CHRISTUS Health, CHRISTUS Continuing Care provides Charity Care services in a manner that respects the dignity of the patients and their families. Charity Care is offered with the resources available and meets the legal requirements for serving financially and/or medically indigent patients. The determination as to the amount charged, if any, is made in accordance with the patient's ability to pay as determined by the eligibility criteria established within procedural guidelines and in accordance with applicable laws and regulations.
Part VI, Line 4	COMMUNITY INFORMATION	CHRISTUS Continuing Care service areas in Texas include Long Term Acute Care facilities located in Bryan, Beaumont, Houston, Paris and Port Arthur. Home health and hospice service areas in Texas include Corpus Christi, Coppell, Houston, Nassau Bay, New Braunfels, San Antonio, and Texarkana. The organization's service area in Louisiana includes a Long Term Acute Care facility in Alexandria and home health and hospice services in Alexandria, Jennings, Lake Charles, and Shreveport. The patient service areas also include managed Long Term Acute Care locations in Arkansas, Georgia, Iowa and Missouri, as well as home health and hospice services in Salt Lake City, UT. Texarkana, Texas is located in Bowie County. The median household income was $ 40,634 for Bowie County, as of 2009, which is lower than the median household income in the state. Bowie County is at 37.5 percent of the Federal Poverty Level. CHRISTUS Continuing Care's Alexandria, Louisiana service area includes Rapides Parish and nine surrounding civil parishes. More than one-fifth of the population has income at or below the federal poverty income level as defined by the federal government. All of the parishes in central Louisiana have been designated as Health Professional Shortage Areas (HPSA). The area has a large population of persons over 71 years of age. The organization's Shreveport, Louisiana service area includes the northwestern corner of Louisiana. The Shreveport service area, consistent with national trends, is anticipating its largest growth in population of persons ages 65 and older. The service area's poverty rate is 20.7 percent, which is just slightly higher than the state poverty rate, and 57 percent of households in the service area are at or below 200 percent of the Federal Poverty Level. CHRISTUS Continuing Care's Beaumont and Port Arthur facilities service Southeast Texas, roughly a nine county service area. The nine county area includes a higher percentage of senior citizens compared to state and national benchmarks. Approximately 52% of Households are at or below 200% of the federal poverty level in this nine county area. The health care payor mix is 15 percent Medicaid and 20 percent Medicare. CHRISTUS Continuing Care's Houston Long Term Acute Care unit is located in St. Joseph Medical Center in downtown Houston. This service area includes a large percentage of individuals at or below 200% of federal poverty level and who are uninsured.
Part VI, Line 5	Promotion of Community Health	CHRISTUS Continuing Care responds to the health care needs of the communities it serves by providing long-term acute care, home health and home hospice services that are delivered by interdisciplinary teams of health care professionals. The organization operates six long-term acute care hospitals focusing on ventilator dependency, wound care and rehabilitation, and such facilities are located in Alexandria, LA; Beaumont, TX; Bryan, TX; Houston, TX; Paris, TX; and Port Arthur, TX. CHRISTUS continuing Care manages four Long Term Acute Care facilities for other health systems located in Arkansas, Georgia, Iowa and Missouri. In addition the organization provides home health and hospice services in Corpus Christi, TX; Dallas, TX; Houston, TX; Nassau Bay, TX; New Braunfels, TX; San Antonio, TX; Texarkana, TX; Alexandria, LA; Jennings, LA; Lake Charles, LA; Shreveport, LA; and Salt Lake City, UT. CHRISTUS home health agencies are accredited by the Community Health Accreditation Program (CHAP), Texas agencies are licensed and certified by the Texas Department of Aging and Disability Services (DADS,) and Louisiana agencies are licensed and certified by the Louisiana Department of Health and Hospitals. CHRISTUS Continuing Care is accredited by the Joint Commission on Accreditation of Health Care Organizations and certified by Medicare and Medicaid. The compassion of the CHRISTUS Continuing Care staff reaches far beyond the walls of our facilities. Each year, our employees volunteer hundreds of hours and raise thousands of dollars for the betterment of the communities we serve. As we move toward the future, we at CHRISTUS Continuing Care are forever mindful of our past. For it is the tradition of Bishop Dubuis and the Sisters that empowers us to continue this healing ministry, and it is their legacy of justice, compassion and trust that, in partnership with God, helps us create our unique environment.
Part VI, Line 6	Affiliated health care system description	CHRISTUS Continuing Care is part of CHRISTUS Health, an international, Catholic, faith based, nonprofit health system comprised of almost 350 services and facilities including more than 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 Continuing Care, develops five-year and ten-year strategic plans that help set the yearly operational plans and budgets. Regional strategic goals are set in collaboration with CHRISTUS Health and include metrics that will be used to measure community benefit, clinical outcomes, patient satisfaction, and Associate engagement. CHRISTUS Health provides updated market, demographics, and health indicator data on an annual basis. The data supplied from CHRISTUS Health along with the system wide strategic initiatives are consistent with the community needs assessment of the region. CHRISTUS Continuing Care, in turn, partners with other nonprofit groups (churches, health care providers, and government agencies) to create collaborations where health needs can be addressed and the general health of individuals and the community is improved.
Part VI, Line 7	Community Benefit Report	A community benefit report is filed for the State of Texas in the form of the Annual Statement of Community Benefits Standard (ASCBS) form as required by the Health and Safety Code, Sections 311.045 and 311.046. The Code requires nonprofit hospitals to file the ASCBS form and annual report of the Community Benefits Plan with the Texas Department of State Health Services (DSHS). The 2011 ASCBS form is expanded to collect the information on charity care policies and community benefits in a standardized format. All CHRISTUS Health entities including facilities located in states that do not require annual community benefit reporting (i.e., Louisiana, and New Mexico), follow the same reporting rules as outlined in the Catholic Health Association Guide to Planning and Reporting Community Benefit, copyright 2008. Total community benefit for CHRISTUS Health is also reported in the annual report prepared and distributed by the system office. All states which organization files a community benefit report: TX.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	FORM 990, SCHEDULE I	Identifier
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Christopher Karam
100888	275178	10426	28457	25780	70569	29694	81052	5843	15947	172631	471203	0	0
Paul Veillon
211070	0	3529	0	16983	0	47653	0	13299	0	292534	0	0	0
William L Pardue
0	128216	0	12540	0	0	0	8749	0	9975	0	159480	0	0
Tracey Richard
167734	0	0	0	0	0	17807	0	14458	0	199999	0	0	0
Mike Sullivan
84176	84176	8061	8061	27820	27820	30890	30890	5514	5514	156461	156461	0	0
Pearl Mohnkern
142917	31114	5074	1105	11371	2475	27884	6070	9255	2015	196501	42779	0	0
Jan Hamilton Crawford
159553	0	36079	0	2803	0	20473	0	4292	0	223200	0	0	0
Keith Rogers
140422	0	21214	0	2464	0	16736	0	4292	0	185128	0	0	0
Tom Permetti
25353	267365	3527	37194	7925	83572	7533	79443	2634	27779	46972	495353	0	0
Pamela Steding
0	0	0	0	191700	0	0	0	0	0	191700	0	0	0
Ellen Smith
0	0	0	0	248976	0	7378	0	0	0	256354	0	0	0
Patrick Carrier
41595	422115	5125	52007	11128	112933	13938	141445	1587	16105	73373	744605	0	0
Linda McClung
0	318748	0	62875	0	97161	0	107164	0	26812	0	612760	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Supplemental Compensation Information	FORM 990, SCHEDULE J, PART I, LINE 1A	Christopher Karam received $5 as meals for his spouse in Calendar Year 2010. This amount was included in Christopher's taxable wages. Paul Veillon received $277 for spa services in Calendar Year 2010. This amount was included in Paul's taxable wages.
Process to Establish Compensation of the organization's CEO	Form 990 Schedule J, Part I, Line 3	The filing organization's CEO/executive director is an employee of CHRISTUS Health, a related organization. As a result, compensation is established at the CHRISTUS Health level and the filing organization does not have a role in implementing the methods used to establish compensation or in determining CEO/executive director compensation. CHRISTUS Health uses an Executive Compensation Committee to establish and approve the compensation of the filing organization's CEO/executive director. This committee uses an independent compensation consultant who performs bi-annual compensation survey.
Severance or Change of Control Payment	Form 990 Schedule J, Part I, Line 4a	Pamela Steding received $191,700 in severance payment during Calendar Year 2010. Ellen Smith received $248,976 in severance payment during Calendar Year 2010.
Supplemental Nonqualified Retirement Plan	Form 990 Schedule J, Part I, Line 4b	Deferred compensation includes Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan, and Pension Restoration Plan. Estimated pension benefits were calculated based on the provisions of the current Pension Restoration Plan at 6% of pensionable earnings which are over the IRS legislative compensation limit. Some Associates are grandfathered under an earlier legacy pension plan. If a participant has protected pension benefits under such legacy plans, his/her percentage is zero under the Supplemental Executive Retirement and Retention Plan, as the protected benefit is already equal to or better than current market. Supplemental Nonqualified Retirement Plan Payments Form 990, Schedule J, Part I, Line 4B Patrick Carrier received $70,728 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Christopher Karam received $56,812 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Tom Permetti received $59,259 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Mike Sullivan received $35,362 during Calendar Year 2010 under a supplemental nonqualified retirement plan.
Supplemental Compensation Information	Form 990, Part VII, Question 1a and Schedule J, Part II	Directors and Ex-Officio Directors provide their services as members of the Board without compensation or benefits. Any compensation and benefits disclosed for such persons is earned in the respective individual's role as an officer or employee of the organization, not for the individual's role as a board member or director. Officers, key employees and highest paid employees are full-time employees. Board members spend time as needed for board meetings and functions. M. Erick Smith dedicates an average of 5 hours per week to his position as Christus Continuing Care's Corporate Secretary. M. Erick Smith is also the Executive Adminstrative Assistant for Christus Continuing Care, and he dedicates an average of 32 hours per week to such position.
Supplemental Compensation Information	Form 990, Schedule J, Part II	W-2 compensation may include payments related to compensation deferred in prior years. Deferred Compensation may include deferrals of current year compensation under Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan and Pension Restoration Plan.
Supplemental Compensation Information	Form 990, Schedule J, Part II, Column B(II)	Bonus and incentive compensation may include amounts that were deferred in a prior year but paid out in calendar year 2010.
Deferred Compensation	Form 990, Schedule J, Part II, Column C	Deferred compensation includes Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan, Employer contribution to 403(b) Matched Savings Plan, Pension Restoration Plan and Estimated Pension Benefits under CHRISTUS Health Cash Balance Plan. Estimated pension benefits were calculated based on the provisions of the current Cash Balance Plan at 6% of pensionable earnings. Some associates are grandfathered under an earlier pension plan. These grandfathered participants, based on computation at the time of their retirement, will receive the larger of the retirement benefit computed under the Cash Balance Plan compared to the previous pension plan. Due to the complexity of calculating an accurate benefit cost for grandfathered participants, the Form 990 reports as pension benefits their annual estimated Cash Balance Plan accrual.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Doing business as	Form 990, PAGE 1, ITEM C	CHRISTUS CONTINUING CARE OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Dubuis Hospital of Alexandria CHRISTUS HomeCare Santa Rosa CHRISTUS HomeCare Schumpert CHRISTUS HomeCare Spohn CHRISTUS HomeCare St. John CHRISTUS HomeCare St. Joseph CHRISTUS HomeCare St. Patrick CHRISTUS Hospice and Palliative Care Santa Rosa CHRISTUS Hospice and Palliative Care Spohn CHRISTUS Hospice and Palliative Care St. Joseph CHRISTUS Hospice and Palliative Care St. Patrick CHRISTUS Sister Mary Hospice Center CHRISTUS Visiting Nurse Association CHRISTUS Visiting Nurse Association Community Care San Antonio CHRISTUS Visiting Nurse Association of Houston CHRISTUS VNA Hospice and Palliative Care CHRISTUS VNA Hospice and Palliative Care San Antonio Description of Classes of Members or Stockholders Form 990, Part VI, Question 6 CHRISTUS Health is the sole corporate member of the filing organization.
Description of Classes of Persons and the Nature of Their Rights	Form 990, Part VI, Question 7a	Christus Health, the sole corporate member of the filing organization, has the power to appoint all members of the filing organization's governing body.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights	Form 990, Part VI, Question 7b	THE POWERS RESERVED FOR CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER, ARE: TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION, AND VISION OF CHRISTUS CONTINUING CARE (THE "CORPORATION"), AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, OR THE PRESIDENT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPROVE THE INCURRING, INCLUDING THROUGH THE GUARANTEE OF THE DEBT OF ANOTHER, RENEWING OR FORGIVENESS OF ANY INDEBTEDNESS BY THE CORPORATION, IN EXCESS OF $10,000 WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE CAPITAL AND OPERATIONAL BUDGETS OF THE CORPORATION AND ANY FINANCIAL REVIEW OF THE BOOKS AND RECORDS OF THE CORPORATION, INCLUDING AUDIT OR SOME LESSER FINANCIAL REVIEW OF THE BOOKS AS DEEMED NECESSARY BY THE MEMBER; TO APPROVE THE STRATEGIC PLANS OF THE CORPORATION; TO APPROVE ANY GIFT OF PROPERTY (OTHER THAN CASH, MARKETABLE SECURITIES, OR BONDS) TO THE CORPORATION AND THE APPROVAL OF ANY RESTRICTIONS IMPOSED AS A CONDITION OF ACCEPTING SUCH GIFT; TO APPROVE ANY LOAN, GIFT, GRANT, OR CONTRIBUTION TO A QUALIFYING TAX-EXEMPT ORGANIZATION OR ANY OTHER ORGANIZATION; TO APPROVE ANY CHANGE OF THE PRINCIPAL OFFICE OF THE CORPORATION; ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION, PROVIDED THAT SUCH CORPORATION OR LOCAL ENTITY DOES NOT OWN DESIGNATED MINISTRY PROPERTY; AND ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION, THE EFFECT OF WHICH IS (A) TO CREATE A NEW LOCAL ENTITY, (B) ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, OR (C) ANY CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY APPROVED UNDER (A) OR LEGAL ENTITY OR JOINT VENTURE APPROVED UNDER (B). The powers reserved to the Member and the Members of CHRISTUS in the event that either (1) CHRISTUS has designated the Corporation or a local entity controlled by the Corporation as a System Participant, or (2) the Corporation or a legal entity controlled by the Corporation owns designated ministry property: The sale, lease, mortgage, transfer, or encumbrance of real property of the Corporation or any local entity controlled by the Corporation when the amount involved is in excess of a threshold amount as required by canon law; any course of action proposed by the Corporation or a local entity controlled by the Corporation that owns designated ministry property, the effect of which would be to change: (a) ownership, management or control of designated ministry property, except ordinary course of business office and space leases, (b) the fundamental use of designated ministry property by obtaining, modifying, or relinquishing a type of health facility license that would significantly change the nature of the facility, or (c) if these services are applicable to the Corporation or a local entity controlled by the Corporation, the elimination of obstetrical, pediatric, psychological or emergency services provided in connection with designated ministry property; any merger, consolidation, acquisition, liquidation, or dissolution of the Corporation or any local entity controlled by the corporation that owns designated ministry property; and policies applicable and any amendment, modification or restatement thereof, with or without prior action or recommendation of the Board of Directors of the Corporation.
Describe the Process used by Management &/or Governing Body to Review 990	Form 990, Part VI, Question 11B	The Form 990 is prepared and reviewed by the organization's external independent accountants. The CHRISTUS Health Accounting department works with an external accounting firm in preparation and review of the Form 990. The filing organization's CFO, or other designee, reviews the Form 990. The final Form 990 that will be filed with the IRS is posted to a secure internet portal for all members of the Board of Directors to view. Review of the final Form 990 occurs prior to filing with the IRS in the Spring 2012 via a web portal polling tool by the respective CHRISTUS Organization's board, based on a set of suggested review processes developed by CHRISTUS Health.
Description of Process to Monitor Transactions for Conflicts of Interest	Form 990, Part VI, Question 12c	At the end of each calendar year, the CHRISTUS Continuing Care Corporate Secretary distributes a conflict of interest questionnaire to all of the organization's Board and Committee members for completion prior to the 1st of January in the next year. The Corporate Secretary thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. The organization's Board of Directors is responsible for enforcement of the conflict of interest policy of the organization.
Compensation Determination Process	Form 990, Part VI, Questions 15a & 15b	The Executive Compensation Committee of CHRISTUS Health determines the compensation of the CEO (or Executive Director, as applicable), officers and key employees of Christus Health and certain other officers and one key employee of the filing organization. The Executive Compensation Committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The Executive Compensation Committee of the CHRISTUS Health Board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. develops the merit increase recommendations for all Designated System Executives based on market comparability. 2. recommends the changes in the Compensation Structure (grades) based on the market changes. 3. completes a review and evaluation of newly created positions to recommend a grade placement to the Committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other Designated System Executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the Committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the Executive Compensation Committee makes final compensation decisions. Additionally, the Executive Compensation Committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the Committee are documented and formalized in the Committee minutes and maintained on record. Compensation of Ellen Smith, Erick Smith, and Tracey Richard through (7/18/10) was established under policies maintained by Dubuis Health System, Inc. and was not reviewed or approved by the CHRISTUS Continuing Care Board of Directors or the Executive Compensation Committee of CHRISTUS Health (with the exception of Tracy Richard whose compensation was determined by the Executive Compensation Committee of CHRISTUS Health effective 7/18/10.) The compensation of these individuals was not approved by the filing organization because they are former employees of Dubuis Health System, Inc. and their compensation was determined by that organization. CHRISTUS Continuing Care purchased a portion of Dubuis Health System, Inc. effective 7/1/09 and such persons became employed by CHRISTUS Continuing Care with no change in their compensation.
Public Disclosure of 1023 and Forms 990 & 990-T	Form 990, Part VI, Question 18	CHRISTUS Health and most of its affiliated entities do not have Forms 1023 because of their inclusion in the IRS Group Ruling with the United States Conference of Catholic Bishops, which covers the organization listed in the Annual Official Catholic Directory. CHRISTUS Health's website displays the IRS Group Ruling and relevant Annual Official Catholic Directory pages for the organizations related to CHRISTUS Health. Forms 990 and 990-T are made available upon request.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Question 19	The Consolidated Audited Financial Statements of CHRISTUS Health are made available to the public via the Christus Health website. The organization's governing documents and conflict of interest policy are not made available to the public.
Hours worked for Related Organization	Form 990, Part VII, Section A	Average hours per week listed on Form 990, Part VII, Section A are the average hours devoted to the respective person's position while serving the organization. Linda McClung devotes an average of 38 hours per week to Christus Health, a related organization of the filing entity. Linda is the Senior Vice President of Operations/Corporate Communications/Strategic Marketing Services. Effective 2/1/11, Linda devotes an average of 1 hour per week to Christus Health Utah, a related organization of the filing organization. Linda is the Chairperson of Christus Health Utah. Through 12/31/10, Linda devoted an average of 1 hour per week to St. Joseph Community Foundation, a related organization of the filing entity. Linda was a director of St. Joseph Community Foundation. Christopher Karam devotes an average of 24 hours per week to CHRISTUS Health Ark-La-Tex, a related entity of the filing organization. Christopher is the President/CEO of CHRISTUS Health Ark-La-Tex. Effective 2/28/10, Patrick Carrier devotes an average of 40 hours per week to Christus Santa Rosa Health Care Corporation, a related organization of the filing entity. Patrick is the CEO/President of Christus Santa Rosa Health Care Corporation. William L. Pardue devotes an average of 31 hours per week to Christus Health, a related organization of the filing entity. William is the Corporate Secretary of Christus Health. William devotes an average of 1 hour per week to CHRISTUS Stehlin Foundation for Cancer Research, a related entity of the filing organization. William is the Corporate Secretary of CHRISTUS Stehlin Foundation for Cancer Research. William devotes an average of 1 hour per week to Christus Health Plan, a related organization of the filing entity. William is the Corporate Secretary of Christus Health Plan. Effective 2/1/11, William devotes an average of 1 hour per week to Christus Health Utah, a related organization of the filing entity. William is the Corporate Secretary of Christus Health Utah. William devotes an average of 1 hour per week to Christus Health Foundation, a related organization of the filing entity. William is the Corporate Secretary of Christus Health Foundation. Tom Permetti devotes an average of 24 hours per week to Christus Health Gulf Coast, a related organization of the filing entity. Tom is the Regional Chief Operating Officer and Administrator of Christus Health Gulf Coast. Tom devotes an average of 16 hours per week to Christus Health Southeast Texas, a related organization of the filing entity. Tom is the Regional Chief Operating Officer and Administrator of Christus Health Southeast Texas. Mike Sullivan devotes an average of 20 hours per week to CHRISTUS Health Gulf Coast, a related organization of the filing entity. Mike is the Vice President of Mission and Organizational Ethics for CHRISTUS Health Gulf Coast. Through 11/12/10, M. Erick Smith devoted 3 hours per week to Christus Health Gulf Coast, a related organization of the filing entity. Erick was the Corporate Secretary of Christus Health Gulf Coast. Effective 1/1/11, Pearl Mohnkern devotes an average of 40 hours per week to St. Vincent Hospital, a related organization of the filing entity. Pearl is the Vice President of Human Resources of St. Vincent Hospital. Mary Silva devotes an average of 34 hours per week to Christus Health, a related organization of the filing entity. Mary is the Deputy Corporate Secretary of Christus Health. Effective 9/1/10 Mary devotes an average of 1 hour per week to Christus Health Foundation, a related organization of the filing entity. Mary is the deputy corporate secretary of Christus Health Foundation.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	Pension Liability/Expense = $2,861,912 Pension Funding = ($3,529,488) Transfer out of Temporarily Restricted Net Assets = ($1,500,303) Write down of Goodwill = ($261,204) Transfer of Restricted Donations = $1,285,913 Rounding Adjustment = ($22) Total = ($1,143,192)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	3	CH
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(C)(3)	3	CH
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 Calder Street	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVCS	TX	501(C)(3)	3	CH
CHRISTUS HEALTH UTAH
2707 North Loop West	HOUSTON	TX	77008	870231682	HLTHCARE SVCS	UT	501(C)(3)	9	CH
CHRISTUS HEALTH
2707 NORTH LOOP WEST	HOUSTON	TX	77008	760590551	SUPT HLTH SVC	TX	501(C)(3)	11 - TYPE I	NA
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	11 - Type I	CH
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE	PARIS	TX	75460	421619230	SUPT HLTH SVC	TX	501(C)(3)	11 - TYPE I	CH
CHRISTUS STEHLIN FDN FOR CANCER RESEARCH
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	741622404	CANCER RESRCH	TX	501(C)(3)	9	CH
DUBUIS HEALTH SYSTEM INC
1700 W LOOP SOUTH STE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	CH
CHRISTUS HEALTH FOUNDATION
2707 NORTH LOOP WEST	HOUSTON	TX	77008	611500100	SUPT HLTH SVC	TX	501(C)(3)	11 - TYPE I	CH
CHRISTUS Health Liability Retention Trst
2707 North Loop West	Houston	TX	77008	760259623	Self Ins Trst	TX	501(C)(3)	11 - Type I	CH

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
CHRISTUS AT HOME INC
1700 W LOOP SOUTH 1100A	HOUSTON	TX	77027	611563879	HLTHCARE SERV	TX	NA	C corp	0	0	0.00000
CHRISTUS Muguerza SAPI de CV
					HLTHCARE SERV		CH	C corp				Hidalgo PTE 2525	Col. Obispado, Monterrey	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C CORP				PO BOX 1051	GRAND CAYMAN		CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
CHRISTUS HEALTH CENTRAL LOUISIANA
l	1188066
CHRISTUS HEALTH CENTRAL LOUISIANA
j	597804
CHRISTUS HEALTH SOUTHEAST TEXAS
l	2846994
CHRISTUS HEALTH SOUTHEAST TEXAS
j	1370174
CHRISTUS PHYSICIAN NETWORK
l	315695
CHRISTUS HEALTH CENTRAL LOUISIANA
O	374086
CHRISTUS HEALTH SOUTHEAST TEXAS
O	184289