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CHRISTUS SPOHN HEALTH SYSTEM CORPORATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION (EIN 74-1109836)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349303771
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T13:29:51-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11401 MCKINNEY SUITE 1200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN741109836EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Christus Spohn Health System CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHRINameControl
Phone3618813400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Elizabeth StreetAddressLine1
CityCorpus ChristiCity
StateTXState
ZIP Code78404ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT MERRYMANName
TitleSVP & CFOTitle
Date Signed2011-05-05DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7137501500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonScott MerrymanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11714 Santa FeAddressLine1
CityCorpus ChristiCity
StateTXState
ZIP Code78404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts684576412GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.christusspohn.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1965YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSupporting the health care ministries of the Sponsoring Congregations in extending the healing ministry of Jesus Christ in conformity with the ethical and moral teachings of the Roman Catholic Church.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees5944TotalNbrEmployees
Total Nbr Volunteers700TotalNbrVolunteers
Total Gross UBI423285TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9992221ContributionsGrantsPriorYear
Contributions Grants Current Year4669408ContributionsGrantsCurrentYear
Program Service Revenue Prior Year691203159ProgramServiceRevenuePriorYear
Program Service Revenue CY673933494ProgramServiceRevenueCY
Investment Income Prior Year-171433InvestmentIncomePriorYear
Investment Income Current Year23533InvestmentIncomeCurrentYear
Other Revenue Prior Year5140870OtherRevenuePriorYear
Other Revenue Current Year5005850OtherRevenueCurrentYear
Total Revenue Prior Year706164817TotalRevenuePriorYear
Total Revenue Current Year683632285TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1537147GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY687774GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year293144449SalariesEtcPriorYear
Salaries Etc Current Year293914389SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4629TotalFundrsngExpCurrentYear
Other Expense Prior Year388307889OtherExpensePriorYear
Other Expenses Current Year360714196OtherExpensesCurrentYear
Total Expenses Prior Year682989485TotalExpensesPriorYear
Total Expenses Current Year655316359TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23175332RevenuesLessExpensesPriorYear
Revenues Less Expenses CY28315926RevenuesLessExpensesCY
Total Assets BOY852371606TotalAssetsBOY
Total Assets EOY879009285TotalAssetsEOY
Total Liabilities BOY284600101TotalLiabilitiesBOY
Total Liabilities EOY282124552TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY567771505NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY596884733NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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 asMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense518089574Expense
Grants0Grants
Revenue248761949Revenue
DescriptionCOMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS Spohn Health System is part of CHRISTUS Health, formed in 1999 to strengthen the 144-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 reaches 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 creating innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. CHRISTUS Spohn Health System responds to the health care needs through services provided at CHRISTUS Spohn Hospital Corpus Christi with three campuses -- the 557-bed Shoreline campus, the 341 bed Memorial campus, and the 158-bed South campus. Additionally, we serve our communities through CHRISTUS Spohn Hospital Kleberg with 100 beds in Kingsville, CHRISTUS Spohn Hospital Alice with 186 beds in Alice, and CHRISTUS Spohn Hospital Beeville in Beeville with 69 beds. Each of the facilities of CHRISTUS Spohn Health System share one objective -- which is to lead the way to a healthier community. The CHRISTUS Spohn Health System is located along the lower Texas coastal area (often called the Coastal Bend); its service area includes a 15-county area with a population of more than 586,000 individuals. In our 2010 fiscal year alone, we were privileged to serve hundreds of thousands of individuals in various ways including 177,183 visits to our emergency departments; 11,683 inpatient surgery procedures; 14,021 outpatient surgery procedures; 44,604 patients who were admitted to our hospitals for care and 470,270 patients who received outpatient care at our facilities. Touching the lives of the people around us is what makes CHRISTUS Spohn Health System stand apart. Allowing others to touch us gives us a vision for the medically needy in each of the communities we serve. Whether it is the life of a child expecting a future filled with miracles, the life of a man in need of a critical heart surgery, or the life of a woman about to give birth to her first child, CHRISTUS Spohn Health System's health care services work to provide the highest quality care regardless of an individual's ability to pay. By collaborating with communities, churches, businesses and other health care organizations, CHRISTUS Spohn Health System's various entities have strengthened their roles as major providers of comprehensive, accessible health care services. These partnerships with the community have been a blessing to CHRISTUS Spohn Health System in helping us learn how to better respond to those in need. Furthermore, investment in community services would not be possible without dedicated employees and volunteers. They help to build strong relationships between the hospitals and other health care ministries and the communities, nurturing CHRISTUS' mission to meet the needs and make a difference in the lives of others. Our employees work both inside and outside the walls of our health care facilities and are committed to reaching beyond the traditional hospital walls to help our communities maintain good health. Understanding the need to provide access to health care to as much of our publics as possible, CHRISTUS Health participates in government-sponsored health care programs, including Medicaid, Medicare, CHAMPUS, TRICARE and others. In addition, we provide specific programs to provide free or discounted services to those in need who do not have medical insurance or who do not participate in government-sponsored programs. CHRISTUS Spohn Health System 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. Each of the six hospitals of CHRISTUS Spohn Health System provides a 24-hour emergency room that is open to serve all those in need of emergent care, regardless of their ability to pay. CHRISTUS Spohn Health System also supports many local community health services, offering convenient locations for primary care through the CHRISTUS Spohn Family Health Centers, rural health clinics, and a mobile outreach clinic. In addition, CHRISTUS Spohn collaborates with the Federally Qualified Health Centers (FQHCs) in our region, as well as other not-for-profit health clinics in the area that are committed to creating greater access to primary care. As one example, CHRISTUS Spohn provided free lab services for over 1,200 patients seen by Mission of Mercy, a not-for-profit, free health clinic that utilizes the services of volunteer physicians and nurses and uses donated space in churches located throughout the region. As a not-for-profit organization and as part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the makeup of the area we serve, guides the CHRISTUS Spohn Health System. 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense18824829Expense
Grants0Grants
Revenue166848975Revenue
DescriptionCOMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS adheres to the Catholic Health Association's "A Guide for Planning and Reporting Community Benefit" (2008), and complies with the State of Texas requirements for reporting. Community benefit, reported as unpaid costs, includes both Charity Care and Community Services. To the limits of its resources, CHRISTUS Health is an institution of purely public charity; thus, the most tangible expression of CHRISTUS Health's charitable purpose is the provision of health care services to those persons who are unable to pay. This falls into two categories: Charity Care and Unpaid Government Indigent Care. In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Spohn Health System provides Charity Care services in a manner that respects the dignity of the patients and their families. Charity Care is defined as services provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to charge, if any, is 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 Guidelines (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. CHRISTUS Spohn also discounts care for those whose medical expenses would deplete their financial resources. If a bill, after all payments, is still in excess of 25% of the family's annual gross income, the remaining bill is discounted. No patient is refused necessary medical care due to inability to pay. CHRISTUS Health is an active participant in the States of Texas and Louisiana Medicaid Programs. Those programs seek to provide payment for health care services to individuals who meet certain financial and other requirements. Financial requirements include evaluation of both assets and income.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense38358540Expense
Grants0Grants
Revenue257969074Revenue
DescriptionOTHER GOVERNMENT SPONSORED SERVICES In addition to the provision of Charity Care and other community services, CHRISTUS Health provides services to persons covered under government-sponsored programs, including Medicare and TRICARE. The non-reimbursed cost of these services is reported to the State of Texas, but is not included in federal reports since CHRISTUS Health follows Catholic Health Association guidelines. CHRISTUS Health provides services to persons covered under the federal Medicare Program, and in fact, this is the largest single payor classification of patients served by this health system. The payment rate for inpatient services is on a case rate, calculated based on the diagnostic-related group (DRG) into which the patient is categorized. Outpatient services are reimbursed per the Medicare fee schedule.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp12991743TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt687774TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense588264686TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096557NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5944NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonScott MerrymanNamePerson
Telephone Number3618813225TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11714 Santa FeAddressLine1
CityCorpus ChristiCity
StateTXState
ZIP Code78404ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Robert Bosquez II RPh
Board Member1.0X000
Dr Rosalinda Sosa-Bonilla EdD
Board Member1.0X000
Sr Mary Margaret Bright
Board Member1.0X000
Martin C Davis
Board Member1.0X000
Rosie Garcia RN PhD
Board Member1.0X000
Ben A Donnell
Vice Chair1.0X000
Al B Jones
Board Chair1.0X000X
Chandra S Katragadda MD
Board Member1.0X000
Leon S Loeb
Board Member1.0X000
Joe A McComb
Board Member1.0X000
Sr Rosanne Popp MD
Board Member (Eff. 1/1/10)1.0X01515414880
Anna Marie Silvas
Board Member1.0X000
Elizabeth Chu Richter
Board Member1.0X000
Josefina Torres MD
Board Member1.0X000
Karen O'Connor Urban
Board Member1.0X000
Bruce Holstein
President/CEO70.0X5543570149265X
Pablo A Vegas
Board Member (Term 6/10)1.0X000
Patrick J Birmingham
Board Member (Term 10/2/09)1.0X000
Harold Charles Kaffie
Board Member (Term 12/31/09)1.0X000
Noe Lira MD
Board Member (Term 12/31/09)1.0X000
Sr Hannah O'Donoghue
Board Member (Term 12/31/09)1.0X000
Sandra Salinas
Corprt Secetary (Eff. 8/16/09)40.05408506241X
Valeeda Dohmann
Corprt Secetary (Term 8/14/09)40.04306303818X
Scott Merryman
CFO62.0285135080815X
Maria E Chapa
COO - Memorial40.0230991066863X
Steven Daniel
COO - South40.0241092073109X
Norman McBride
COO - Kleberg40.0182875037675X
Geronimo M Rodriguez
COO - Beeville/CNE Spohn Rgn40.0185696049483X
Paul Trevino
Regional COO (Trsf 9/1/09)55.027956696873114683X
Richard Davis
Regional CMO/VP Medical Affrs40.0276791089749X
Pamela Saunders Robertson
Chief Admin Ofcr - Spohn Rgn40.0316363092636X
William W McDonald
COO-Shoreline (Term 5/16/09)40.0420045051211X
Frederick Day
VP Development40.0179685062046X
Mary LaFrancois
VP Human Resources40.0173751054823X
Dorris Y Russell
Nurse Practitioner48.0175782044244X
Rose Mary Fries
Nurse Practitioner45.0174962034229X
Lorraine Arline Antoni
Nurse Practitioner48.0170800030397X
Stephen Paulter
COO - Kleberg (Term 10/26/08)0.01233060932X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4068345TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs248414TotalReportableCompFrmRltdOrgs
Total Other Compensation1047099TotalOtherCompensation
Number Individuals GT100 K248NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cardinal Health
21377 Network PlaceCHICAGOIL60673Mngmnt Fee/Phrmctcls12437092
Reliant Energy Solutions
PO Box 120954DALLASTX75312Electrical Provider8605922
Sodexo Inc Affiliates
PO Box 536922ATLANTAGA30353Cafeteria Management5658453
Corpus Christi Cardiovascular CTR
613 ElizabethCORPUS CHRISTITX78404Cath Lab Management5448400
B E Beecroft CO Inc
PO Box 2643CORPUS CHRISTITX78403Construction3350704
FieldValueIRS element (for citing)
Number Of Contractors GT100 K183NumberOfContractorsGT100K
Related Organizations3315553RelatedOrganizations
Government Grants522258GovernmentGrants
All Other Contributions831597AllOtherContributions
Total Contributions4669408TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Service Revenue621110660884581660531085353496
Rent Related to Exempt Function53112047316534731653
Program Related Investment Income90009925568322556832
Correctional Health62431028133992813399
Uncompensated Trauma Care62111014844531484453

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1462576TotalRevenueColumn
Related Or Exempt Function Income1462576RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue673933494TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column158868TotalRevenueColumn
Exclusion$158,868ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real44848Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real24879Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real19969Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column19969TotalRevenueColumn
Unrelated Business Revenue19969UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other783913Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other919248Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-135335Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-135335TotalRevenueColumn
Exclusion-$135,335ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Cafeteria7223203851968990$3,850,978
Purchase Discounts900099180396$180,396
Volunteer Services453220318674$318,674

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column634843TotalRevenueColumn
Unrelated Business Revenue48830UnrelatedBusinessRevenue
Exclusion$586,013ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4985881TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column683632285TotalRevenueColumn
Related Or Exempt Function Income673579998RelatedOrExemptFunctionIncome
Unrelated Business Revenue423285UnrelatedBusinessRevenue
Exclusion$4,959,594ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total604440Total
Program Services604440ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total83334Total
Program Services83334ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3632300Total
Program Services3249773ProgramServices
Management And General382527ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total235447895Total
Program Services210652265ProgramServices
Management And General24795630ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12726078Total
Program Services12292105ProgramServices
Management And General433973ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25752712Total
Program Services22992951ProgramServices
Management And General2759761ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16355404Total
Program Services14804970ProgramServices
Management And General1550434ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total146646Total
Program Services24000ProgramServices
Management And General122646ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8041765Total
Program Services15ProgramServices
Management And General8041750ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total59601060Total
Program Services44546365ProgramServices
Management And General15054222ManagementAndGeneral
Fundraising473Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total619817Total
Program Services1329ProgramServices
Management And General618488ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total168831677Total
Program Services161216429ProgramServices
Management And General7611219ManagementAndGeneral
Fundraising4029Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19562261Total
Program Services19562261ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11897481Total
Program Services10338163ProgramServices
Management And General1559318ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1677854Total
Program Services1232120ProgramServices
Management And General445734ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4097Total
Management And General4097ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total11390725Total
Program Services11388317ProgramServices
Management And General2408ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total36072524Total
Program Services34340653ProgramServices
Management And General1731871ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total13251780Total
Program Services13238072ProgramServices
Management And General13708ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PRVN FOR UNCOLLECTIBLE ACCTS2701151326746824264689
RECRUITMENT/PLACEMENT FEES16190495080671110982
DUES & MEMBERSHIPS36231827173790581
SPONSORSHIP FEES8103281032
INCIDENTS/RISK MGMT59225303619

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total536675Total
Program Services165193ProgramServices
Management And General371355ManagementAndGeneral
Fundraising127Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total655316359Total
Program Services588264686ProgramServices
Management And General67047044ManagementAndGeneral
Fundraising4629Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY406387904BOY
EOY455415744EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY68423807BOY
EOY64170737EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY46543716BOY
EOY45051391EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16965984BOY
EOY19168323EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY887466BOY
EOY1025551EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis689476734LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec425900434LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY282235318BOY
EOY263576300EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY194333BOY
EOY130281EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY17175791BOY
EOY16641085EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY9063212BOY
EOY8529683EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4494075BOY
EOY5300190EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY852371606BOY
EOY879009285EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY48726878BOY
EOY52732726EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY273337BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY60540118BOY
EOY58597856EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY175059768BOY
EOY170793970EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY284600101BOY
EOY282124552EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY567577172BOY
EOY596754452EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY194333BOY
EOY130281EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY567771505BOY
EOY596884733EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY852371606BOY
EOY879009285EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$13,061OtherActivitiesAmount
Total Lobbying Expenditures IIB13061TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying DescriptionIdentifier
ExplanationForm 990, Schedule C, Part II-B, Line 1I OTHER ACTIVITIES REPORTS THE PORTION OF FY 2010 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $13,061. CHRISTUS Spohn Health System Corporation did not substantially lobby during the fiscal year 6-30-10.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis23340931OtherCostOrOtherBasis
Book Value23340931BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis273068904OtherCostOrOtherBasis
Depreciation140120078Depreciation
Book Value132948826BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis278137544OtherCostOrOtherBasis
Depreciation217511917Depreciation
Book Value60625627BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis114929355OtherCostOrOtherBasis
Depreciation68268439Depreciation
Book Value46660916BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings263576300TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Related Organizations$2,502,589
DUE TO CHRISTUS HEALTH BOND FUND$168,291,381
FieldValueIRS element (for citing)
Total Of Amounts170793970TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Cash - Non-Bearing InterestForm 990, Part X, Line 1Christus 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 FIN 48/ASC 740Form 990, Schedule D, Part X, Line 2Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2010 and 2009.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense47409932TotalCommunityBenefitExpense
Net Community Benefit Expense47409932NetCommunityBenefitExpense
Percent Of Total Expense0.07540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense91822467TotalCommunityBenefitExpense
Direct Offsetting Revenue134718183DirectOffsettingRevenue
Net Community Benefit Expense-42895716NetCommunityBenefitExpense
Percent Of Total Expense0.06830PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense5659126TotalCommunityBenefitExpense
Direct Offsetting Revenue620619DirectOffsettingRevenue
Net Community Benefit Expense5038507NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense144891525TotalCommunityBenefitExpense
Direct Offsetting Revenue135338802DirectOffsettingRevenue
Net Community Benefit Expense9552723NetCommunityBenefitExpense
Percent Of Total Expense0.01510PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served14628PersonsServed
Total Community Benefit Expense3690605TotalCommunityBenefitExpense
Direct Offsetting Revenue319310DirectOffsettingRevenue
Net Community Benefit Expense3371295NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served2855PersonsServed
Total Community Benefit Expense11590350TotalCommunityBenefitExpense
Direct Offsetting Revenue3155305DirectOffsettingRevenue
Net Community Benefit Expense8435045NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Benefit Expense121837TotalCommunityBenefitExpense
Net Community Benefit Expense121837NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served16933PersonsServed
Total Community Benefit Expense855121TotalCommunityBenefitExpense
Direct Offsetting Revenue2141DirectOffsettingRevenue
Net Community Benefit Expense852980NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs112NumberOfActivitiesOrPrograms
Persons Served34416PersonsServed
Total Community Benefit Expense16257913TotalCommunityBenefitExpense
Direct Offsetting Revenue3476756DirectOffsettingRevenue
Net Community Benefit Expense12781157NetCommunityBenefitExpense
Percent Of Total Expense0.02040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs112NumberOfActivitiesOrPrograms
Persons Served34416PersonsServed
Total Community Benefit Expense161149438TotalCommunityBenefitExpense
Direct Offsetting Revenue138815558DirectOffsettingRevenue
Net Community Benefit Expense22333880NetCommunityBenefitExpense
Percent Of Total Expense0.03550PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense5423TotalCommunityBuildingExpense
Net Community Building Expense5423NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense66710TotalCommunityBuildingExpense
Net Community Building Expense66710NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Total Community Building Expense56258TotalCommunityBuildingExpense
Net Community Building Expense56258NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Total Community Building Expense128391TotalCommunityBuildingExpense
Net Community Building Expense128391NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$5,444,131BadDebtExpenseAmount
Amount Attributable To4568AmountAttributableTo
Amount Reimbursed By Medicare166630060AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare170074726CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3444666MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
Corpus Ch Cardio Ctr
Cardiac Cath Lab0.500000.46360
Coastal Bend PET Sca
Diagnostic Testing Facility0.495000.50500
Corpus Ch Surgicare
Ambulatory Surgery Center0.300220.20680
Shoreline Surgery Ct
Ambulatory Surgery Center0.260100.44500

Form990 Schedule H Part V Form990ScheduleHPartV (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOtherResearch FacilityResearchFacility
CHRISTUS Spohn Hospital Shoreline
600 Elizabeth StreetCorpus ChristiTX78404XXXREHABILITATION CLINIC
Christus Spohn Hospital Memorial
2606 Hospital BlvdCorpus ChristiTX78405XXXOP PHYSICIAN CLINICS ADOLESCENT PSYCHTRY UNITX
Christus Spohn Hospital South
5950 Saratoga BlvdCorpus ChristiTX78414XXX
Christus Spohn Hospital Kleberg
1311 East General Cavazos BlvdKingsvilleTX78363XXXOutpatient Physical Therapy
Christus Spohn Hospital Beeville
1500 East Houston HighwayBeevilleTX78102XXXOP PHYSICIAN CLINICS
CHRISTUS Spohn Hospital Alice
2500 Main StreetAliceTX78332XXXOP PHYSICIAN CLINICS REHAB CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaN/AIncomeBasedCriteria
Annual Community Benefit ExplnA 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 which includes 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.AnnualCommunityBenefitExpln
Costing Method UsedLine 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 7c: 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 7g: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7i: Actual expense of the contributionsCostingMethodUsed
Subsidized Health Services ExplnReported at Schedule H, Part I, Line 7 g, Subsidized health services, is the unreimbursed patient account balances at cost, where the patient's income is greater than 200% and less than 400% of the Federal Poverty Level (FPL). The reported amount is calculated using the cost-to-charge ratio determined at Schedule H, Worksheet 2. These accounts do not qualify as charity care as defined by our charity care guidelines as the patients are above 200% FPL. The patient account balances were multiplied by the cost to charge ratio computed using Schedule H, worksheet 2.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnOur total expense from Form 990, Part IX, line 25, column (A) is $655,316,359. The bad debt expense included in this amount was $26,897,881. This leaves a total expense of $628,418,478 for purposes of calculating line 7, column (f). Description of Gross Charity Care as % 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 25.64% which exceeds the amount reported on Part I, Line 7k column (f) which is computed using net community benefit expense.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe footnote to the CHRISTUS Health consolidated financial statements says, "The preparation of financial statements in conformity with generally accepted accounting principles in the United States requires management of the system to make assumptions, estimates, and adjustments 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 includes 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; 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.BadDebtFootnote
Shortfall As Community BenefitThe shortfall on Part III, Line 7 is not counted as a community benefit. The amount on Schedule H, Part III, Line 6 is determined by calculating Medicare Allowable costs using Worksheet A of the Medicare Cost Report. Worksheet A of the Medicare cost Report requires the organization to remove non-allowable expenses from total expenses via the Adjustments to Expenses worksheets within the Medicare Cost Report. The amount reported on Schedule H, Part III, Line 6 does not take into account all costs incurred by the filing organization associated with the filing organization's provision of services to Medicare patients. Schedule H, Part III, Line 7 would equal a shortfall of $(31,949,213) if total expenses ALLOCABLE TO MEDICARE SERVICES were substituted on Schedule H, Part III, Line 6.ShortfallAsCommunityBenefit
Debt Collection PolicyCollection 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 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.DebtCollectionPolicy
Number Of Facility Type ExplnN/ANumberOfFacilityTypeExpln
General ExplanationThe organization budgets charity care for internal financial purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. Unreimbursed Medicaid PART I, LINE 7B CHRISTUS Spohn Health System Corporation reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities. Cash and In-Kind Contributions to Community Groups PART I, LINE 7I CHRISTUS Spohn Health System Corporation made over $789,000 in cash and in kind contributions. The aforementioned amount is determined in accordance with reporting rules for Schedule H, Worksheet 8. As such this amount differs from grants reported at Form 990, Schedule I, Grants and Other Assistance to Organizations, Governments, and Individuals and Part IX, Lines 1 through 3 Grants and Other Assistance. CHRISTUS Health established the CHRISTUS Fund, a grant fund to provide resources to nonprofit agencies and groups whose vision, mission, and goals are consistent with CHRISTUS Health's mission, values and philosophy of a healthy community. CHRISTUS Fund grants totaling $422,340 benefitted the community that CHRISTUS Spohn Health System Corporation serves. The grant dollars were used by CHRISTUS Spohn to support programs that promote the health of the community. The CHRISTUS Fund grants used directly by CHRISTUS Spohn were used to introduce Community Health Workers and a care management program called "CARE Partners," aimed at chronic disease management for underserved patients in CHRISTUS Spohn family health centers and clinics. This program has proven to be instrumental in reducing the number of preventable hospitalizations for our patients. The CHRISTUS Fund grant amount also includes grants made by CHRISTUS Health to nonprofit organizations located in the communities served by the Spohn region, as well as grants made by CHRISTUS Spohn Health System Corporation to other nonprofit organizations. All grants made to outside organizations through the CHRISTUS Fund are made to nonprofit organizations that support the health of the community. CHRISTUS Health has also established an Education and Research Fund. CHRISTUS Spohn Health System Corporation received $44,913 from the fund and used such resources to benefit the community by providing research and educational projects sponsored by the CHRISTUS Spohn Region.GeneralExplanation
General ExplanationCHRISTUS 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 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.GeneralExplanation
General ExplanationThe 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 attributable to patient charges (total of all hospital facilities) is in accordance with the organization's financial statements. Bad debt expense is net of: (1) contractual allowances, (2) payments received and (3) recoveries of bad debt previously written off.GeneralExplanation
General ExplanationPART III, SECTION A, LINE 3 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, the following criteria were used to determine the inclusion of a patient account: (1) The accounts had no patient payments noted; (2) The accounts are all true self-pay where the individual lacks insurance coverage; (3) The patients/ guarantors are unemployed for the most part; (4) The accounts have limited contact information with repeated return mail and a possible phone number or no phone number with an address; (5) The accounts in the BRONZE category of the organization's scoring model indicates that the accounts have little to no contact information and score very low on the collectability/probability scale. The BRONZE section usually represents only 5 percent of all monies recovered. 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 Health 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 reviewing the attending hospital's records including patient submitted charity care applications or other financial information, making contact with patients through mailed notice followed by phone call, using a financial assistance questionnaire, using software that provides household/income data statistics and credit reports. As a result of the aforementioned steps, the amount reported as bad debt expense at cost attributable to patients who are eligible under the organization's charity care policy is relatively small.GeneralExplanation
General ExplanationA 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, nonprofit hospitals are required to file the ASCBS form and annual report of the Community Benefits Plan with the Texas Department of State Health Services (DSHS). The 2009 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.GeneralExplanation
Needs AssessmentPart VI, Line 2 In 2004, the 12 counties of the Coastal Bend region participated in a Community Needs Assessment. The participants included CHRISTUS Spohn Healthcare System, Coastal Bend Council of Governments/Area Agency on Aging, Nueces County MHMR, Workforce 1, Nueces County Community Action Agency, Driscoll Children's Hospital, Coastal Bend Community Foundation, Coastal Plain MHMR, Accessible Communities, Corpus Christi Medical Center, and United Way of the Coastal Bend. A new community needs assessment was conducted during the third and fourth quarters of FY 2010. A Community Benefit Planning Committee initiated by Spohn Health System was formed and is comprised of physicians, associates, and community members to ensure that the CHRISTUS Spohn community benefit plan accurately reflects the needs of the community and is community owned. CHRISTUS Spohn Board members will review and approve the plan. The group has committed to continued work related to the community health needs assessment in the Spohn region for the long-term. This includes regular meetings of this group of community stakeholders.NeedsAssessment
Patient Education AssistancePart VI, Line 3 CHRISTUS Spohn 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 hospital, including but not limited to the emergency room waiting area, and the admissions office waiting area 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.PatientEducationAssistance
Community InformationPart VI, Line 4 The CHRISTUS Spohn Health System Corporation is located along the lower Texas coastal area (often called the Coastal Bend), and its service area includes a 15-county area with a population of more than 586,000 individuals. Overall, population growth is flat in the region with the exception of Aransas County and the 78414 zip code, where CHRISTUS Spohn Hospital Corpus Christi -South is located. The population by age is allocated as follows: 0-14 (21%); 15-17 (4.6%); 18-24 (10.8%); 25-34 (13.2%); 35-54 (26.1%); 55-64 (10.8%); 65+ (12.8%). Population declines are expected to continue in the rural areas. Flat growth is expected in pediatric and the population under 45 years of age, with strongest growth in the population of 65 years of age or older. The region is made of 60 percent Hispanics, 35 percent Caucasian, 4 percent African American, and 1 percent Asian Pacific Islanders. Approximately 55 percent of households live at or below the federal poverty level, with the median household income in the region being $45,000. Nearly 50 percent of the population is Medicaid or uninsured. Looking at the region's demographics and the "Healthy People 2010 Health Status Indicators" relative to other counties across the country, the following health indicators appear "unfavorable" relative to peer counties: Premature birth weights, Births to unmarried teens, Hispanic infant mortality in rural areas, Obesity, Diabetes, Stroke, Coronary heart disease, Colon Cancer, and breast cancer. In addition to the six facilities that comprise the CHRISTUS Spohn Health System Corporation, there are four other hospitals in the region: Corpus Christi Medical Center's three campuses (Bay Area Hospital, Heart Hospital and Doctor's Regional Hospital) which are for-profit entities owned by HCA; and Driscoll Children's Hospital, a nonprofit hospital. Additionally, Coastal Bend Surgical Hospital, a new for-profit surgical hospital opened in Corpus Christi in December of 2009.CommunityInformation
Community Building ActivitiesPart VI, Line 5 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 for affordable housing and economic development by providing financing at below market interest rates to nonprofit organizations at terms not exceeding more than five years. Though outstanding loan balances vary throughout the year, the outstanding loan balance at the end of Fiscal Year 2010 was $2,531,934. The income earned at the market rate less our loan rate (foregone income) is considered a community benefit for reporting purposes. The foregone interest for CHRISTUS Spohn in fiscal year ending June 30, 2010 was $72,133. CHRISTUS Spohn Health System Corporation has partnered with various local agencies including ACCION of Texas and Nueces County Community Action Agency. The Nueces County community Action Agency is a nonprofit organization that provides low income housing those improving the quality of life for those underserviced populations that have chronic conditions. The Nueces County Community Action Agency also provides programs related to education, health, disabilities, mental health, nutrition, and family services which were all identified as community needs for vulnerable populations. 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. During FY 2010, 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. Some of the main Community Building Activities are improving access to health services, enhancing public health, and advancing knowledge to include expanding the current enrollment program for indigent and Medicaid recipients to offer low insurance products for those ineligible for Medicaid/CHIP.CommunityBuildingActivities
Other InformationPart VI, Line 6 CHRISTUS Spohn Health System includes CHRISTUS Spohn Hospital Corpus Christi with three campuses -- the 557-bed Shoreline campus, the 341 bed Memorial campus, and the 158-bed South campus. Additionally, we serve our communities through CHRISTUS Spohn Hospital Kleberg with 100 beds in Kingsville, CHRISTUS Spohn Hospital Alice with 186 beds in Alice, and CHRISTUS Spohn Hospital Beeville in Beeville with 69 beds. CHRISTUS Spohn collaborates with communities, churches, businesses, and other health care organizations to facilitate and strengthen accessibility of quality comprehensive health care services for all, including those among vulnerable and underserved populations. CHRISTUS Spohn Health System other health care facilities include indirect partial ownership in two ambulatory surgery centers- Corus Part VI, Line 6 Christi Surgicare, Ltd. and Shoreline Surgery Center, L.L.P. and two imaging centers- Portland Imaging Center, Ltd. and Coastal Bend P.E.T. Scan, Ltd. CHRISTUS Spohn Health System Corporation provides a full range of inpatient and outpatient services to the people from the communities it serves. It conducts its activities and serves its healthcare purpose without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. Each of the six hospitals of CHRISTUS Spohn Health System Corporation provides a 24 hour emergency room that is open to serve all those in need of emergent care, regardless of their ability to pay. In FY2010, CHRISTUS Spohn was privileged to serve hundreds of thousands of individuals in various ways, including 177,183 visits to its Emergency Departments, 11,683 surgery procedures within its hospitals, 14,021 outpatient surgery procedures, 44,604 patients who were admitted to its hospitals for care and 470,270 patients who receive outpatient care at its facilities. CHRISTUS Spohn Health System Corporation also supports many local community health services, offering convenient locations for primary care through the CHRISTUS Spohn Family Health Centers and a mobile outreach clinic. In addition, CHRISTUS Spohn collaborates with the four Federally Qualified Health Centers (FQHC's) in our region, as well as other nonprofit health clinics in the area that are committed to creating greater access to primary care. Activities undertaken by the organization to improve access to health services, enhance public health and advance knowledge include: (1) Employment of four primary care physicians and three mid level providers in the four CHRISTUS Spohn Family Health Centers. Recruitment effort continues to add 2 physicians to further increase capacity. Many of the clients seen are uninsured or on Medicaid/CHIP who receive primary care and chronic disease management. (2) Development and implementation of the Community Health Worker (CHW) and CARE management concept at all Corpus Spohn Family Health Centers to help patients with chronic illness prevent over-utilization of the Emergency Department and avoid preventable hospitalizations. (3) The mobile unit delivers OB/GYN care to the region's uninsured women including mammograms and pre natal care. In FY2010, 1,261 patients were served at an unreimbursed expense of $1,033,018 to the CHRISTUS Spohn Health System Corporation. This preventative and wellness care helps with early detection of conditions that otherwise might result in a more serious health issue that could require lengthier hospitalizations in the future. (4) The Hector P. Garcia and the CHRISTUS Medical Group faculty practice clinics are located onsite at CHRISTUS Spohn Hospital Corpus Christi Memorial. An average of 125 to 150 patients are seen there on a daily basis. Most of these patients have Medicaid coverage or lack insurance. (5) Specialty clinics are located on the seventh floor at CHRISTUS Spohn Hospital - Memorial. These clinics exist for follow up care and specialty care. Physician/providers offer a centralized area for easy access to care for those who would not normally be able to access specialty care outside of this type of controlled setting. (6) The revamping of Nueces County Health Department (NCHD) indigent care program has provided a reorganization of services in which one key goal is to route eligible participants to the appropriate settings. The following programs are included: (a) UM/CM plan; (b) Pre approval of services with verification of medical necessity and a tie in into the CARE management program; (c) An empanelment of clients into a Medical Home concept; (d) Target of populations, i.e., diabetic patients with A1C's greater than 10, into full service track; (e) Weekly multidisciplinary diabetic clinic to meet target population's need; (f) Pharmaceutical Case Management,; (g) Preferred provider list with CM/UM management; (h) Medical Director for Indigent Care Plan. (7) CHRISTUS Spohn Hospital Memorial is the designated contract provider with Nueces County MHMR. It provides psychiatric onsite triage as part of its contractual relationships with MHMR. This prevents patients from visiting the Emergency Department as a first resort. (8) Employed a CHW specifically for Behavioral Medicine. This helped to keep patients out of the Emergency Department and Psychiatric unit. This program was a finalist for a CHRISTUS Touchstone Award recognizing best practices across CHRISTUS Health. (9) CHRISTUS Spohn Health System Corporation Hospitals Alice, Beeville, and Kleberg collaborate with the Community Action Corporation of South Texas' FQHC's in their respective areas. These clinics provide primary care to uninsured and under insured patients. This keeps patients from utilizing the hospital emergency departments as their medical home. (10) Actively participates in Jail Diversion Program with Nueces County through Behavioral Medicine Services. (11) Continued initiatives with the Coastal Bend Rural Health Partnership and mental health providers to help keep psychiatric patients out of the Emergency Department. (12) Partner with Mission of Mercy, a national nonprofit organization, which provides free primary care to uninsured patients. Their five locations (Corpus Christi and rural areas) are open one day a week, alternating weeks, and are staffed by volunteer physicians and nurses. CHRISTUS Spohn Health System Corporation provides all the lab work and offers diabetes education to patients at no charge. In addition, its OB Mobile Clinic refers uninsured patients who need primary care to Mission of Mercy. Likewise, Mission of Mercy refers women needing a mammogram or pre natal care to the CSHS mobile unit. (13) Diabetes education is provided through Diabetes Self Management Training (DSMT) classes. These classes are offered at a new Diabetes Center established on the campus of the CHRISTUS Spohn Hospital Memorial campus, as well as SAH, SBH, SKH and the CHRISTUS Spohn Robstown Family Health Center. Classes began at CHRISTUS Spohn Hospital Corpus Christi- Shoreline on Oct 7, 2009. Diabetes support groups currently meet at SMH, SAH, SBH and the Robstown FHC. Regional education is coordinated through the Coastal Bend Diabetes Community Coalition and Diabetes Health Fairs. All six campuses now hold the American Diabetes Association Accreditation for Diabetes Education. (14) Through the First Friday Program, CHRISTUS Spohn performed over 1500 free mammograms in fiscal year 2010 to assist persons who would not ordinarily have access to mammograms for early diagnosis of breast cancer. In fiscal year 2010, CHRISTUS Spohn provided free prostate cancer screenings to 79 men in the community and 133 free melanoma screenings. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" is also a part of CHRISTUS Spohn's overall community benefit. The greatest share of these expenses is for educating health professionals (Graduate Medical Education, nursing students, allied health professionals, pharmacists, etc). Helping to prepare future health care professionals is a distinguishing characteristic of nonprofit health care and constitutes a significant community benefit. CHRISTUS Spohn provided more than $8,435,000 in health professions education during FY2010 to include clinical experiences and other education for physicians and nurses. CHRISTUS Health also used cash donations as a vehicle to help our communities. The system 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 Spohn reinvests all surplus funds back into the communities we serve through expanded health services, new technologies, and better facilities. As a nonprofit 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 Spohn Health System CorOtherInformation
Affiliated Health Care SystemPart VI, Line 7 CHRISTUS Spohn 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 in six provinces of Mexico. A common mission, core values and vision unite the allied health system. Each region, including CHRISTUS Spohn, develops five-year and 10-year strategic plans that helps set the yearly operational plans and budgets. Regional strategic goals are set in collaboration with CHRISTUS Health including metrics that will be used to measure community benefit, clinical outcomes, patient satisfaction and Associate engagement. CHRISTUS Health provides updated market, demographics, and health indicator data on an annual basis. In addition, the CHRISTUS Spohn region works closely with the CHRISTUS Community Health Council to meet system wide initiatives for addressing community needs. Currently, these initiatives include increasing access to primary care, avoiding Emergency Department visits, preventable hospitalizations, a case management program for patients of our clinics who have chronic illness, diabetes education, and creating affordable senior housing opportunities in the region. Part VI, Line 7 The data supplied from CHRISTUS Health along with the system wide strategic initiatives are consistent with the community needs assessment of the region. CHRISTUS Spohn Health System Corporation, in turn, partners with other nonprofit groups (churches, health care providers, and government agencies) to create collaborations where health needs can be addressed and the general health of individuals and the community is improved.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAddress Line2AddressUS/AddressLine2Purpose Of GrantPurposeOfGrant
CHRISTUS Spohn Health System Development Fnd
600 Elizabeth StreetCorpus ChristiTX78404741906005501(c)(3)382770
American Cancer Society Inc
250 Williams Street NWAtlantaGA30303131788491501(c)(3)10500
Roman Catholic Diocese of Corpus Christi
620 LipanCorpus ChristiTX78401746089686501(c)(3)11000Suite 600Program support
Diocesan Telecommunications Corp
1200 Lantana StreetCorpus ChristiTX784071112742346116501(c)(3)13500Program support
Coastal Bend Community Foundation
600 LeopardCorpus ChristiTX78473742190039501(c)(3)100000Suite 1716
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantAssistance to individualsTypeOfGrant
Number Of Recipients99NumberOfRecipients
Amount Of Non Cash Assistance83334AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistanceMedical Dvces/EquipDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceForm 990, Schedule IReturnReference
ExplanationThe 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 Tests. 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 tests 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

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Sr Rosanne Popp MD
0147565023503741064704233015642100
Bruce Holstein
5353740001898301313810178840703622000
Scott Merryman
2658060001932907136509450036595000
Maria E Chapa
23089800093055577011286029785400
Steven Daniel
21856600022526046533026576031420100
Norman McBride
117247044000021628031145065300220550000
Geronimo M Rodriguez
17234000013356042353071300235179000
Paul Trevino
2372728973100422947142702302433513714640436351012761200
Richard Davis
262707000140840788530108960366540000
Pamela Saunders Robertson
3094130006950087700049360408999000
William W McDonald
157652000262393044749064620471256000
Frederick Day
17968500000450590169870241731000
Mary LaFrancois
173726000250356620191610228574000
Dorris Y Russell
17051100052710121590320850220026000
Rose Mary Fries
17496200000156230186060209191000
Lorraine Arline Antoni
160800010000000131320172650201197000
Stephen Paulter
00001233060932000124238000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceForm 990, Part VII, Line 1a and Schedule J, Part IIReturnReference
ExplanationDirectors 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. Tax indemnification & gross up payments Form 990, Schedule J, Part I, Line 1-2 Doris Russell received a stipend of $5,270.97 for housing, travel and meals. This amount is included in her reportable compensation. Pamela Robertson received $58 in tax assistance for relocation. Norman McBride received $3,593 in tax assistance for relocation. Related Org determining CEO/Executive Director's compensation Form 990, Schedule J, Part I, Line 3 The filing organization's CEO/executive director is an employee of CHRISTUS Health, a related organization. As a result, compensation is established at the CHRISTUS Health level and the filing organization does not have a role in implementing the methods used to establish compensation or in determining CEO/executive director compensation. CHRISTUS Health uses an Executive Compensation Committee to establish and approve the compensation of the filing organization's CEO/executive director. This committee uses an independent compensation consultant who performs bi-annual compensation survey. 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. Severance Payment Form 990, Schedule J, Part I, Line 4a Under the severance plan, all or a portion of the base salary of a participating executive will continue to be paid to the executive for a limited period of time if the executive's employment with CHRISTUS and its affiliates is involuntarily terminated. William McDonald received $148,475 in severance payment during Calendar Year 2009. Stephen Paulter received $123,306 in severance payments during Calendar Year 2009. Payment from a supplemental nonqualified retirement plan Form 990, Schedule J, Part I, Line 4b William McDonald was paid $31,869 during Calendar Year 2009 under a supplemental nonqualified retirement plan. 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. COMPENSATION FOR WILLIAM MCDONALD INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN AND PENSION RESTORATION PLAN EARNED AND PAID IN 2009 UNDER TERMS OF THE AFOREMENTIONED PLANS. COMPENSATION FOR THE FOLLOWING PEOPLE INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT VESTED AND DUE IN 2009 UNDER TERMS OF THE PLAN: Bruce Holstein, Steven Daniel, Geronimo Rodriguez, Richard Davis, Paul Trevino and Scott Merryman. 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 2009. 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonWilliam KaffieNamePerson
FieldValueIRS element (for citing)
RelationshipDirectorRelationship
Amount Of Transaction20534AmountOfTransaction
Description Of Transactionson is spohn employeeDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4dCOMMUNITY SERVICES FOR A 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, DIABETES, HEART DISEASE, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY2010, 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. THROUGH THE FIRST FRIDAY PROGRAM, CHRISTUS SPOHN PERFORMED OVER 1500 FREE MAMMOGRAMS IN FY2010 TO ASSIST PERSONS WHO WOULD NOT ORDINARILY HAVE ACCESS TO MAMMOGRAMS FOR EARLY DETECTION OF BREAST CANCER. IN FY2010, CHRISTUS SPOHN PROVIDED FREE PROSTATE CANCER SCREENINGS TO 79 MEN IN THE COMMUNITY AND 133 FREE MELANOMA SCREENINGS. TOTAL OTHER PROGRAM EXPENSES - $9,412,135 GRANTS AND ALLOCATIONS - $604,440 REVENUE - $0 DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDESERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEATH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS, AND A VARIETY OF OTHER SOCIAL SERVICES. SOME OTHER EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE 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 EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS SPOHN HEALTH SYSTEM. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2010 WAS $2,531,934. THE FOREGONE INTEREST FOR CHRISTUS SPOHN IN FY2010 WAS $72,133. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY2010, THE TOTAL GRANT MONEY DISTRIBUTED TO THE SPOHN REGION WAS $422,340. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS SPOHN HEALTH SYSTEM. A LARGE PERCENTAGE OF THE GRANTS WERE USED TO FOR COMMUNITY HEALTH WORKERS AND A CARE MANAGEMENT PROGRAM (CARE PARTNERS) AIMED AT CHRONIC DISEASE MANAGEMENT FOR UNDERSERVED PATIENTS IN OUR FAMILY HEALTH CENTERS AND CLINICS. EARLY RESULTS ARE PROMISING, SHOWING FEWER VISITS TO THE EMERGENCY DEPARTMENT AND A DECREASE IN PREVENTABLE HOSPITALIZATIONS FOR THESE PATIENTS. THIS MODEL IS HELPING CREATE A "MEDICAL HOME" FOR PATIENTS THAT TRADITIONALLY HAVE RELIED ON THE EMERGENCY DEPARTMENT FOR PRIMARY AND ROUTINE CARE. TOTAL OTHER PROGRAM EXPENSES - $3,579,608 GRANTS AND ALLOCATIONS - $83,334 REVENUE - $0
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD 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. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11 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 2011 VIA EITHER MEETING, CONFERENCE CALL OR WEB PORTAL POLLING TOOL BY THE AUDIT AND/OR FINANCE SUBCOMMITTEES OF THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS SPOHN HEALTH SYSTEM CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. 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. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CHRISTUS HEALTH CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE 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 PUBLICFORM 990, PART VI, LINE 19THE 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. Effective 9/1/09, Paul Trevino devoted an average of 55 hours per week to CHRISTUS Health Southeast Texas, a related entity of the filing organization. Paul is an Administrator at CHRISTUS Health Southeast Texas. SISTER ROSANNE POPP DEVOTED AN AVERAGE OF 41 HOURS PER WEEK TO CH WILKINSON PHYSICIAN NETWORK, A RELATED ORGANIZATION OF THE FILING ENTITY. SISTER ROSANNE DEVOTED AN AVERAGE OF 1 HOUR PER WEEK AS A BOARD MEMBER AND 40 HOURS PER WEEK AS A PHYSICIAN AT C.H. WILKINSON PHYSICIAN NETWORK. SISTER ROSANNE DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS HEALTH UTAH, A RELATED ORGANIZATION OF THE FILING ENTITY. SISTER ROSANNE IS A BOARD MEMBER OF CHRISTUS HEALTH UTAH. FINALLY, SISTER ROSANNE DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS STEHLIN FOUNDATION FOR CANCER RESEARCH, A RELATED ORGANIZATION OF THE FILING ENTITY. SISTER ROSANNE IS A BOARD MEMBER OF CHRISTUS STEHLIN FOUNDATION FOR CANCER RESEARCH. DOING BUSINESS AS FORM 990, PAGE 1, ITEM C CHRISTUS SPOHN HEALTH SYSTEM CORPORATION OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS SPOHN HOSPITAL ALICE CHRISTUS SPOHN HOSPITAL KLEBERG CHRISTUS SPOHN HOSPITAL BEEVILLE CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI CHRISTUS SPOHN HOSPITAL ALICE LAVIANA PLAZA SUPPLEMENTAL INFORMATION SCH L AND PT VI, SECTION A, LINE 1B BOARD MEMBER WILLIAM KAFFIE WAS NOT A BOARD MEMBER AS OF THE ORGANIZATION'S TAX YEAR END WHICH DETERMINES INDEPENDENCE AT FORM 990, PART VI, SECTION A, LINE 1B EVEN THOUGH HE HAS A DISCLOSURE AT SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVETEXARKANATX75503752796815HLTHCARE SVCTX501(C)(3)3NA
CHRISTUS HEALTH CENTRAL LOUISIANA
524 Dr Michael Debakey DriveALEXANDRIALA71301720408984HLTHCARE SVCLA501(C)(3)3NA
CHRISTUS HEALTH GULF COAST
PO BOX 922037HOUSTONTX77292760591592HLTHCARE SVCTX501(C)(3)3NA
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACESHREVEPORTLA71101720408982HLTHCARE SVCLA501(C)(3)3NA
CHRISTUS Health
2707 NORTH LOOP WESTHOUSTONTX77008760590551SUPT HLTH SVCTX501(C)(3)11 - TYPE INA
CHRISTUS HEALTH SOUTHEAST TEXAS
3010 HARRISON STREETBEAUMONTTX77702760591590HLTHCARE SVCTX501(C)(3)3NA
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DRLAKE CHARLESLA70601720411322HLTHCARE SVCLA501(C)(3)3NA
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREETSAN ANTONIOTX78207741109665HLTHCARE SVCTX501(C)(3)3NA
CHRISTUS HEALTH UTAH
451 BISHOP FEDERAL LANESALT LAKE CITYUT84115870231682HLTHCARE SVCUT501(C)(3)9NA
CHRISTUS CONTINUING CARE
1700 WEST LOOP SOUTH STE 1100AHOUSTONTX77027742898615HLTHCARE SVCTX501(C)(3)3NA
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400BHOUSTONTX77027760422435HLTHCARE SVCTX501(C)(3)11 - Type INA
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE 2ND FPARISTX75460421619230SUPT HLTH SVCTX501(C)(3)11 - Type INA
CHRISTUS ST JOSEPH'S HEALTH SYSTEM
2707 NORTH LOOP WESTHOUSTONTX77008750800674HLTHCARE SVCTX501(C)(3)3NA
CHRISTUS STEHLIN FDN FOR CANCER RESEARCH
10301 STELLA LINK SUITE AHOUSTONTX77025741622404HLTHCARE SVCTX501(C)(3)9NA
DUBUIS HEALTH SYSTEM INC
10333 RICHMOND AVE SUITE 300HOUSTONTX77042721270964HLTHCARE SVCTX501(C)(3)3NA
CHRISTUS HEALTH FOUNDATION
2707 NORTH LOOP WESTHOUSTONTX77008611500100SUPT HLTH SVCTX501(C)(3)11 - Type INA
CHRISTUS SPOHN HLTH SYSTEM DEVELOP FDTN
600 ELIZABETH STREETCORPUS CHRISTITX78404741906005SUPT HLTH SVCTX501(C)(3)7Spohn HS Crp
Christus Health Liability Retention Trst
2707 North Loop WestHoustonTX77008760259623Self Ins.TrstTX501(C)(3)11 - Type INA

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountryAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCode
SPOHN HEALTH NETWORK
600 ELIZABETH STREETCORPUS CHRISTITX78404742616328HLTH PLAN ADMTXNAC corp42696612164331.00000
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREETCORPUS CHRISTITX78404742322574RentalsTXNAC corp144793816779851.00000
CHRISTUS Muguerza SAPI de CV
HLTHCARE SVCNAC corpMX
EMERALD ASSURANCE CAYMAN LTD
980407545INSURANCENAC CORPCJPO BOX 1051GRAND CAYMANCAYMAN ISLANDSCJKY-1-1102
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CH Wilkinson Physician Network
I211502
CH Wilkinson Physician Network
L8743115
CHRISTUS Health Liability Retention Trust
O559299
CHRISTUS Health Liability Retention Trust
P480851
CHRISTUS Spohn Health System Dvlpmnt Fndtn
B382770
CHRISTUS Spohn Health System Dvlpmnt Fndtn
C2910504
Dubuis Health System Inc
I511284
Dubuis Health System Inc
K1225964
CHRISTUS Santa Rosa Health Care Corporation
Q569009
Spohn Investment Corporation
J63323
Spohn Investment Corporation
A24000
Spohn Investment Corporation
P1020608
Spohn Health Network
P170901
Spohn Health Network
N298045
Spohn Health Network
A19766