2011-05-13T21:34:38-05:00 2010-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2009-07-01 760590551 CHRISTUS HEALTH CHRI 2819363000 2707 North Loop West Houston TX 77008 JAY S HERRON 2011-05-06 7137501500 2009 2016-02-24 21:20:13Z Ernie Sadau 6363 N Highway 161 Suite 450 Irving TX 75038 465952746 false 0928 X www.christushealth.org X 1999 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH. 15 14 2135 254 1187546 -744051 353830 101308 360857103 381343348 -30673666 66945423 4267940 6491458 334805207 454881537 8898925 6101976 0 0 112228356 112591200 0 0 0 284670412 356699357 405797693 475392533 -70992486 -20510996 2396209601 2784239800 2279327985 2645087421 116881616 139152379 THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS false false 106310169 0 226730915 COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 TO STRENGTHEN THE 142-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 WITH THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS HEALTH 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 ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN MORE THAN 350 SERVICES AND FACILITIES, INCLUDING MORE THAN 50 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, MISSOURI, GEORGIA, NEW MEXICO AND UTAH IN THE U.S. AND CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS POTOSI AND TAMAULIPAS IN MEXICO. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 7,611,163. IN OUR FISCAL YEAR 2010 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 901,386 VISITS TO OUR EMERGENCY DEPARTMENTS; 69,139 INPATIENT SURGERY PROCEDURES; 91,413 OUTPATIENT SURGERY PROCEDURES; 147,439 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 2,760,040 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH 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, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR 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 OF 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 PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. IN ADDITION, MANY OF OUR HOSPITALS ARE ENGAGED IN RESEARCH AND CLINICAL TRIALS TO ADVANCE CARE AND CURE FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. 171411359 0 154315259 OTHER GOVERNMENT 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, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 12,210 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL, AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME. 4521828 4320343 0 COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY, HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2010, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH--AND IN SOME INSTANCES AUGMENT--GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. 1603133 1603133 0 283846489 true true false true false false false false false true false true false false true true true false false false false true false true true true false false false false false false false false false false false false false false true true false false true 1487 0 true 2135 true true true true CJ MX false false false false false false false false 15 14 true false false false true true true true true false false true true true true true true true true false X X Kim Reynolds 2819363630 2707 North Loop West Houston TX 77008 CHARLES E BOUCHARD OP 1.0 X 0 0 0 RICHARD L CLARKE 1.0 X 0 0 0 SISTER KATHLEEN COUGHLIN 1.0 X 0 0 0 PHYLLIS A COWLING 1.0 X 0 0 0 CATHERINE A DULLE 1.0 X X 0 0 0 CELINA GARZA RIDGE 1.0 X 0 0 0 ROBERT Z GUSSIN PHD 1.0 X 0 0 0 SISTER DEENAN HUBBARD 1.0 X 0 0 0 SISTER WALTER MAHER 1.0 X 0 0 0 PEDRO MARTIN 1.0 X 0 0 0 SISTER HANNAH PATRICIA O'DONOGHUE 1.0 X 0 0 0 MARY JO POTTER 1.0 X X 0 0 0 DENNIS N STINE 1.0 X 0 0 0 SISTER CELESTE TRAHAN 1.0 X 0 0 0 KENNETH D WELLS MD 1.0 X 0 0 0 THOMAS C ROYER MD 59.0 X X 2009710 0 155636 JAY S HERRON 52.0 X 513732 0 199063 WILLIAM L PARDUE 45.0 X 117256 0 17412 MARY D SILVA 1.0 X 0 0 0 DEBORAH L VARDELL 1.0 X 62749 0 15348 CYNTHIA G ZATORSKI 39.0 X 83702 0 12134 GEORGE S CONKLIN 85.0 X 344754 0 200151 JOHN GILLEAN MD 52.0 X 482060 0 182824 GERARD F HEELEY 56.0 X 256226 0 77183 MARY T LYNCH 65.0 X 666498 0 120003 PETER F MADDOX 58.0 X 373965 0 211025 LINDA K MCCLUNG 40.0 X 343654 0 123493 ERNIE W SADAU 63.0 X 762589 0 257086 JOHN L ZIPPRICH 55.0 X 430709 0 153444 JEFFREY M PUCKETT 60.0 X 401209 0 105123 MARSHALL BOLYARD 40.0 X 245942 0 60526 STEPHEN BARNABEE 40.0 X 237051 0 30704 DARRELL DIXON 69.0 X 387552 0 126278 DONNA MIKULECKY 26.0 X 143130 143130 88210 PATRICIA SAMPANES 40.0 X 247318 0 43388 SCOTT WEBER 40.0 X 235812 0 76949 8345618 143130 2255980 297 false true false CREST SERVICES INC 735 PLAZA BOULVARD SUITE 210 COPPELL TX 75019 MED EQUIP MAINT. 12779342 FORSYTHE SOLUTIONS GROUP INC 7770 FRONTAGE ROAD SKOKIE IL 60077 CONTRACT MAINTENANCE 10265872 MCKESSON INFORMATION SOLUTIONS LLC 5995 WINDWARD PKWY ALPHARETTA GA 30005 INFORMATION SYSTEMS 8654722 BROADLANE INC 13727 NOEL ROAD SUITE 1400 DALLAS TX 75240 PURCHASING AGENTS 8189874 MEDICAL INFORMATION TECHNOLOGY INC MEDITECH CIRCLE WESTWOOD MA 02090 CONTRACT MAINTENANCE 4014615 141 51419 49889 101308 CAPITATION REVENUE 621400 154315259 154315259 PREMIUM REVENUE 524298 24189255 24189255 SYSTEM OFFICE FEES AND MGMT SERVICES 561000 40558389 40558389 PROGRAM SERVICE RELATED INVEST. INCOME 900099 15502748 15502748 SERVICE FEE INCOME 541900 124138058 123840884 297174 22639639 22639639 381343348 64858678 64858678 0 938596 938596 73976 70792 3184 3184 5189 -2005 11266930 9180185 2086745 2086745 2086745 0 0 3408889 1820232 1588657 1588657 CYMETRIX REVENUE 900099 2899284 2899284 SPA 812900 467146 467146 FITNESS CENTER 713940 266563 266563 328028 151474 176554 3961021 454881537 381046174 1187546 72546509 5923476 5923476 0 178500 178500 0 7549545 3317063 4232482 0 86706315 38096381 48609934 13913649 5045 13908604 -1701007 -6839269 5138262 6122698 3052886 3069812 0 1123520 87700 1035820 2683027 7878 2675149 220 220 0 3523230 3523230 189645971 162223907 27422064 551134 109122 442012 47507561 41854545 5653016 0 0 17627677 13148108 4479569 3708584 1307257 2401327 0 945696 220018 725678 28340764 7860 28332904 0 10929981 3265909 7664072 9305017 8106769 1198248 Bond Refinancing Cost 4399064 4399064 SWAP Financing Cost 17883997 17883997 Miscellaneous Expenses 10663429 1924417 8739012 USFHP Profit 7515865 7515865 Other Tax 344620 332832 11788 475392533 283846489 191546044 0 0 329743024 254700919 336054681 8455749 9241049 1110414229 1026322008 904987 1074187 17567519 23051979 156432455 58037666 90548611 98394789 324054306 332352199 110695510 128555256 245869315 281439315 51124176 49041435 181874280 168969878 2396209601 2784239800 151662363 130727849 696246 501332 1207946976 1035495848 0 291354438 92197528 0 826824872 1187007954 2279327985 2645087421 X 111118904 134344680 1108733 431184 4653979 4376515 116881616 139152379 2396209601 2784239800 X false true true X true true X X X false false false CONG OF SISTERS OF CHARITY OF INCARNATE WORD SAN ANTONIO 742790137 01 true true true 141923244 CONG OF SISTERS OF CHARITY OF INCARNATE WORD HOUSTON 237152879 01 true true true 141923245 2 283846489 CHRISTUS HEALTH IS EXEMPT UNDER THE GROUP RULING ISSUED TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS WITH RESPECT TO THE FEDERAL TAX STATUS OF CATHOLIC ORGANIZATIONS LISTED IN THE 2010 EDITION OF THE OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH IS A SUPPORTING ORGANIZATION THAT IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF ITS 2 FOUNDING CONGREGATIONS, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO AND THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD HOUSTON. CHRISTUS HEALTH IS OPERATED, SUPERVISED AND CONTROLLED BY THE SUPPORTED CONGREGATIONS. CHRISTUS HEALTH IS INCLUDED IN THE GROUP RULING ISSUED TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS BY THE IRS, WHICH EXEMPTS THE FOLLOWING FROM INCOME TAX UNDER IRC SECTION 501(C)(3): THE AGENCIES AND INSTRUMENTALITIES AND EDUCATIONAL, CHARITABLE, AND RELIGIOUS INSTITUTIONS OPERATED, SUPERVISED OR CONTROLLED BY OR IN CONNECTION WITH THE ROMAN CATHOLIC CHURCH IN THE UNITED STATES, ITS TERRITORIES OR POSSESSIONS APPEARING IN THE OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AND IS THEREBY EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3) AND THEREFORE DOES NOT HAVE A DETERMINATION LETTER FROM THE IRS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 13652 false false true 50845 true 16085 true 659695 740277 false LOBBYING DESCRIPTION FORM 990, SCHEDULE C, PART II-B: HEALTH CARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. SCHEDULE C, PART II-B, LINE 1D: 2,572 EMAILS AND FAXES SENT ON BEHALF OF CHRISTUS HEALTH BY EMPLOYEES AS WELL AS VOLUNTEERS REGARDING - PUTTING CARE WITHIN REACH - SUPPORT HEALTH CARE REFORM - 9/18/10 - 660 - STRENGTHEN MEDICARE SYSTEM - 10/20/09 - 801 - HEALTH CARE REFORM VOTED - 11/1/09 - 154 - SENATE VOTES ON HEALTH CARE REFORM - 12/21/09 - 312 - FMAP - 6/8/10 - 318 SCHEDULE C, PART II-B, LINE 1G: DURING FY10, CHRISTUS ASSOCIATES ENGAGED IN THE FOLLOWING ACTIVITIES: DIRECT CONTACT WITH MEMBERS AND STAFF OF THE LOUISIANA STATE LEGISLATURE, LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS SECRETARY LEVINE AND STAFF, LOUISIANA GOVERNOR BOBBY JINDAL AND STAFF THROUGH EMAILS, PHONE CALLS AND MEETINGS ON ISSUES SUCH AS UPPER PAYMENT LIMITS, MEDICAID, REIMIBURSEMENT, CHILDREN'S HEALTH INSURANCE PROGRAM REGIONAL CONTRACTS, SCHOOL BASED HEALTH CLINICS, HEALTHCARE FOR THE UNINSURED, UNCOMPENSATED CARE, NETWORK ADEQUACY, PHYSICIAN ORDER FOR LIFE SUSTAINING TREATMENT; DIRECT CONTACT WITH MEMBERS AND STAFF OF THE TEXAS STATE LEGISLATURE, TEXAS HEALTH AND HUMAN SERVICES COMMISSION STAFF, TEXAS GOVERNOR PERRY STAFF THROUGH EMAILS, PHONE CALLS AND MEETINGS ON ISSUES SUCH AS: MEDICAID, FREW PROPOSALS, EMERGENCY PREPAREDNESS, MEDICAID OBESITY PILOT, HEALTH INFORMATION EXCHANGE AND ARRA GRANTS, MEDICAL SCHOOL FUNDING, MEDICAID HEALTH HOME PILOT; DIRECT CONTACT WITH MEMBERS OF THE TEXAS CONGRESSIONAL DELEGATION THROUGH EMAILS, PHONE CALLS AND MEETINGS ON HEALTHCARE REFORM AND FMAP MEDICAID EXTENSION; DIRECT CONTACT WITH MEMBERS OF THE NEW MEXICO STATE LEGISLATORS THROUGH EMAILS, PHONE CALLS AND MEETINGS ON THE ISSUE OF SOLE COMMUNITY PROVIDER FUNDING; MEETINGS WITH MEMBERS OF THE UNITED STATES LEGISLATURE, THE DHS CHIEF MEDICAL OFFICE, THE ASST. SECT OF HEALTH AFFAIRS, THE HHS OFFICE OF EMERGENCY PREPAREDNESS, HOMELAND SECURITY STAFF, THE PERUVIAN EMBASSY, THE U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT, THE U.S. DEPARTMENT OF COMMERCE/INTERNATIONAL TRADE ADMINISTRATION, AND THE DIRECTOR OF CARIBBEAN INITIATIVE IN REGARD TO DISASTER PREPAREDNESS, HEALTH CARE REFORM, HEALTH INFORMATION TECHNOLOGY, ADOPTION, MEDICAL DIPLOMACY, AND PHYSICIAN ISSUES. SCHEDULE C, PART II-B, LINE 1H: DURING FY10, A CHRISTUS HEALTH ASSOCIATE ENGAGED IN THE FOLLOWING ACTIVITIES: PARTICIPATED IN NATIONAL HIT WEEK BY DEMONSTRATING HEALTH IN THE DIRKSEN SENATE BUILDING; ATTENDED FOUR THSA BOARD MEETINGS IN AUSTIN TEXAS; SPEAKER AT THE ORTIQUE SYMPOSIUM AT SOUTHERN U LAW SCHOOL SPEAKING ABOUT HEALTH IT IN ARRA; ATTENDED HIMSS NATIONAL CONFERENCE IN ATLANTA MARCH, 2010; MET WITH DIRECTOR OF THE CMS INNOVATION CENTER WITH MEMBERS OF THE CONTINUA ALLIANCE TO DISCUSS REMOTE MONITORING AND OTHER HEALTH INFORMATION TECHNOLOGIES; HELD THREE MEETINGS IN WASHINGTON DC WITH MEMBERS OF THE FCC AND USAC STAFF; AND PROVIDED TESTIMONY TO THE MEANINGFUL USE WORKGROUP OF THE HITSPI POLICY COMMITTEE, A COMMITTEE APPOINTED BY ONC FOR DEVELOPING THE MEANINGFUL USE REGULATIONS. SCHEDULE C, PART II-B, LINE 1I: OTHER LOBBYING ACTIVITIES INCLUDE FEES PAID TO ADVOCACY AND PUBLIC POLICY CONSULTANTS DEDUCATED TO LOBBYING FOR SUCH TOPICS AS HEALTHCARE REIMBURSEMENT ISSUES AND EARMARKS. CHRISTUS HEALTH DID NOT SUBSTANTIALLY LOBBYING DURING FISCAL YEAR ENDING 6-30-10. OTHER ACTIVITIES REPORTS THE PORTION OF FY 2010 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $659,695. 25362384 25362384 43988494 7208588 36779906 12429485 3648494 8780991 69588434 45423518 24164916 5063658 1757066 3306592 98394789 Investment in Subsidiaries 281439315 F 281439315 Security Lending Collateral 49137396 Securities Pledged to Creditor 48656147 Net Amort Bond Issue Costs 20689240 Due from Related Organizations 30763822 Executive Benefit Programs 18973712 Deposits 749561 168969878 0 CMS DUE RELATED ENTITIES- PART XIV 875066210 Collections Payable 3996076 Payable to CCVI 1022912 Pension Liability 217147594 Security Lending Agreement 49565916 Other Long Term Liabilities 40209246 1187007954 CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS FORM 990, PART X, LINES 1 AND 2 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V CHRISTUS HEALTH HAS A 50% INTEREST IN BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES SHOW ENDOWMENTS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS. THEREFORE, CHRISTUS HEALTH REPORTS 50% OF SUCH ENDOWMENTS ON ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HOWEVER, SUCH ENDOWMENTS ARE NOT REPORTED ON THE CHRISTUS HEALTH FORM 990, SCHEDULE D, PART V BECAUSE CHRISTUS HEALTH DOES NOT HAVE A CONTROLLING INTEREST OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES, AND THEREFORE IT IS NOT A RELATED ORGANIZATION PER THE IRS FORM 990 INSTRUCTIONS. UNCERTAIN TAX POSITIONS UNDER FIN 48/ASC 740 FORM 990, SCHEDULE D, PART X PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2010 AND 2009. true Central America and the Caribbean 0 0 Program Services MED RELIEF EARTHQUAKE 279283 Central America and the Caribbean 0 0 Program Services INVESTMENTS 19500000 North America 0 0 Program Services EDUCATION & CONSULTING 211741 North America 0 0 Grantmaking 178500 Central America and the Caribbean 0 0 Program Services SELF INSURANCE FUNDING 23036599 North America 0 0 Program Services Program/Buss Develop 31771 South America 0 0 Program Services Program/Buss Develop 15923 Central America and the Caribbean 0 0 Program Services Program/Buss Develop 1909 Europe (Including Iceland and Greenland) 0 0 Program Services Program/Buss Develop 146 0 0 43255872 North America alcohol and drug rehabilitation program 38500 WIRE TRANSFR North America Community Benefit 140000 WIRE TRANSFR 2 0 ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US FORM 990, SCHEDULE F, PART I, QUESTION 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO.0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. ORGANIZATIONS CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. true BAPTIST ST ANTHONY HEALTH SYSTEMS 1600 WALLACE BLVD AMARILLO TX 79106 750800669 501(c)(3) 18407 Program support for lower paid associates to increase education level and earning potential through GED, ESL, and mentoring. TEXAS A&M UNIVERSITY SYS HEALTH SCIENCE CTR TAMU-1266 COLLEGE STATION TX 77843 742907553 501(c)(3) 50000 Care management evaluation program CHRISTUS HEALTH SOUTHEAST TEXAS 3010 HARRISON STREET BEAUMONT TX 77702 760591590 501(c)(3) 37015 Salary support for Masters-Prepared nurse who serves as Nurse Recruiter and also spends .3 FTE as a Lamar Instructor. CHRISTUS HEALTH SOUTHEAST TEXAS 3010 HARRISON STREET BEAUMONT TX 77702 760591590 501(c)(3) 7500 Nightingale Experience - High school students spend one afternoon and one night on the Lamar campus and subsequent days at St. E and St. Mary to experience work of nurses. CHRISTUS HEALTH SOUTHEAST TEXAS 3010 HARRISON STREET BEAUMONT TX 77702 760591590 501(c)(3) 15500 Nursing Career Development - Assist with funding for Associates to further their nursing education. CHRISTUS HEALTH SOUTHEAST TEXAS 3010 HARRISON STREET BEAUMONT TX 77702 760591590 501(c)(3) 18600 Nursing Career Development - Assist with funding for Associates to further their nursing education. CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 501(c)(3) 8990 School at Work - 8 modules to increase entry level associates skills and knowledge of the health care industry, increase self confidence and self esteem to encourage them to further education. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 RYAN STREET LAKE CHARLES LA 70601 720411322 501(c)(3) 27200 Faculty Teaching Assistants - Funding for 2 teaching assistants to assist local faculty with increasing the number of students accepted to the LVN transition to RN program. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 19506 Nursing Career Development - Assist with funding for Associates to further their nursing education. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 30128 Associate Development - Provide 8 associates with tuition, etc to earn a degree in Radiology, Respiratory, Lab, Nursing LVN or RN, or PT. Students must agree to work for St. Michaels for at least 3 years. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 7543 School at Work - 8 modules to increase entry level associates skills and knowledge of the health care industry, increase self confidence and self esteem to encourage them to further education. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 12252 Faculty Teaching Assistants - Funding for 2 teaching assistants to assist local faculty with increasing the number of students accepted to the LVN transition to RN program. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 5528 Masters of Nursing - Partially fund a faculty position at Texas A&M for a Masters of Nursing program in Administration and Education. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 5323 Certified Nursing Assistant program CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 13000 Provide tuition and supplement salary for 2 associates enrolled in Medical Technician or Medical Technologist programs. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 36079 Health Science Technology Partnership - Spohn partners with 7 school districts to explore careers in health care as well as begin completion of certifications while still ih high school. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 8833 T.E.C.H. Camp - Program support for targeted 11 - 13 year olds who exhibit an interest in health careers. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 19000 Associate Academy - Comprehensive program to provide GED classes, attend college classes, specialty certifications, or imporve personal knowledge and life skills. CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 501(c)(3) 7500 Part-Time Nursing Mentor - Salary support for 2 part-time Master's prepared nurses on a PRN basis to assist new nurses in making the transition from new graduate to nurse practicing independently. CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 501(c)(3) 8512 Part-Time Mentor CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 501(c)(3) 25000 Adjunct Faculty for Nursing School - Faculty salary support(1) to LSU to allow for at least 20 additional students in clinicals annually. U OF A FOUNDATION 300 EAST 6TH STREET TEXARKANA AR 71854 716056774 501(c)(3) 37850 Salary support for a nurse practitioner and a medical assistant to provide primary care services to the uninsured population of Texarkana. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 46500 Care Partners SABINE VALLEY REGIONAL MHMR 1C OAKLAWN TEXARKANA TX 75501 751724017 501(c)(3) 45750 Operational support for weekend psychiatric crisis response program for emergency departments. SE TX REGIONAL PLANNING COMMISSION 2210 EASTEX FWY BEAUMONT TX 77703 741675043 501(c)(3) 100000 Operational support for comprehensive care management program for high risk, chronically ill and uninsured individuals in the Hardin, Jefferson, and Orange counties. SAN ANTONIO CHRISTIAN DENTAL CLINIC 112 AUDITORIUM CIRCLE SAN ANTONIO TX 78205 741675043 501(c)(3) 40000 Operational and salary support related to the expansion of SACDC Dental Services to a new dental clinic built at the Haven for Hope homeless transformational campus. BREATH OF LIFE CHILDREN'S CENTER 21715 KINGSLAND BLVD KATY TX 77450 760626159 501(c)(3) 40000 Program support for pediatric primary health care center in Katy, TX. SALVATION ARMY PO BOX 2507 CORPUS CHRISTI TX 78403 580660607 501(c)(3) 10000 Project Bridge - matching funds to support transitional housing for homeless families CHRISTUS FOUNDATION FOR HEALTH CARE PO BOX 1919 HOUSTON TX 77251 756074210 501(c)(3) 100000 Operational support for clinic that provides affordable health services to low-income and uninsured families in community. SE TX REGIONAL PLANNING COMMISSION 2210 EASTEX FWY BEAUMONT TX 77703 741675043 501(c)(3) 50000 Salary support for Care Navigator. UBI CARITAS 4400 HIGHLAND AVENUE BEAUMONT TX 77705 780558225 501(c)(3) 62500 Expansion operational support for clinic that provides primary care. TEXAS A&M UNIVERSITY SYS HEALTH SCIENCE CTR TAMU-1266 COLLEGE STATION TX 77843 742907553 501(c)(3) 118351 Care management evaluation program CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 501(c)(3) 40000 Salary support for medical director and other program related services. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 47000 Program support to expand the Care Management System in Alice, Texas to increase access and implement a fever management program in the Spohn Alice Emergency Department. EL CENTRO DEL BARRIO 2300 W COMMERCE S 300 SAN ANTONIO TX 78207 741787031 501(c)(3) 40000 Salary support for FQHC to continue to provide healthcare sevices to uninsured/underinsured residents of Bexar county. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 RYAN STREET LAKE CHARLES LA 70601 720411322 501(c)(3) 50000 Care partners program CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH HOUSTON TX 77008 750422435 501(c)(3) 45000 Program support for a rural primary health care center in South Texas - Santa Rosa Clinic. EAST TEXAS HEALTH ACCESS NETWORK 117 W HOUSTON STREET JASPER TX 75951 200091803 501(c)(3) 80000 Salary support for care management of uninsured, low-income individuals. NEIGHBOR FOR NEIGHBOR 505 EAST 36TH STREET NORTH TULSA OK 74106 730776404 501(c)(3) 42000 Interim maintenance and management of diabetes and hypertension until an appropriate referral can be made. CATHOLIC RELIEF SERVICES 209 WEST FAYETTE ST BALTIMORE MD 21298 135563422 501(c)(3) 50000 Emergency relief and long term care recovery work for Haiti CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 37000 Program support for care management of uninsured, low-income individuals NEW BRAUNFELS CHRISTIAN MINISTRIES 2154 LOOP 337N NEW BRAUNFELS TX 78130 742252462 501(c)(3) 50000 Operational support for a new clinic providing free medical care to uninsured in Comal County. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 50000 Program and salary support for a Mental Health Case Worker and Community Mental Health Technician. U OF A FOUNDATION 300 EAST 6TH STREET TEXARKANA AR 71854 716056774 501(c)(3) 45000 Community Clinic that provide primary care services to the uninsured population of Texarkana. COMMUNITY ACTION CORP OF SOUTH TEXAS 204 E FIRST STREET ALICE TX 78332 741679824 501(c)(3) 36560 Salary and program support for collaboration to improve the health of low-income and uninsured populations. AMISTAD COMMUNITY HEALTH CENTER INC 1533 BROWNLEE BLVD CORPUS CHRISTI TX 78404 203008507 501(c)(3) 30000 Salary support for community based health center to provide sliding scale pediatric services CHRISTUS SANTA ROSA HEALTHCARE CORP 333 N SANTA ROSA SAN ANTONIO TX 78207 741109665 501(c)(3) 42264 Operational support for care management program that assist uninsured low-income individuals with acquisition of primary health care services and community resources. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 501(c)(3) 37827 Clinical Geriatric Neurology or Orthopedics - Continued educational seminars for therapists. CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 501(c)(3) 37500 Salary support for care management of uninsured, low-income individuals. CHRISTUS FOUNDATION FOR HEALTH CARE PO BOX 1919 HOUSTON TX 77251 756074210 501(c)(3) 50000 Salary support for health services and health education offered on school campuses to improve student health and school attendance HOLY CROSS MINISTRIES 860 EAST 4500 SOUTH SALT LAKE CITY UT 84107 870359324 501(c)(3) 20000 Operational support for care management program that assist uninsured low-income individuals with acquisition of primary health care services and community resources. CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 501(c)(3) 39552 Salary support for navigator to facilitate access to community promary healthc are services and resources for the uninsured/underinsured patients who access hospital emergency rooms. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 44280 Operational support for care management program that assist uninsured low-income individuals with acquisition of primary health care services and community resources. CATHOLIC CHARITIES OF SE TEXAS PO BOX 829 BEAUMONT TX 77704 741900345 501(c)(3) 30550 Salary support for a housing case manager for low and moderate-income families effected by hurricanes Rita and Katrina. COMMUNITY ACTION CORP OF SOUTH TEXAS 204 E FIRST STREET ALICE TX 78332 741679824 501(c)(3) 40000 Operation and salary support for collaboration to improve the health of low-income and uninsured populations in Brooks, Jim Wells, and Kleberg counties through innovative programs, training and capacity building NATIONAL CHILD LABOR 1501 BROADWAY STE 1908 NEW YORK NY 10036 135562999 501(c)(3) 50000 School Based Health Centers CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 36000 Operational and salary support for collaboration to improve the health of low-income and uninsured populations in Brooks, Jim Wells, and Kleberg counties through innovative programs, training, and capacity building. MARTIN LUTHER KING HEALTH CENTER INC 1233 SPRAGUE ST SHREVEPORT LA 71101 721079721 501(c)(3) 50000 Program support for care management of uninsured, low-income individuals GRAND PRAIRIE WELLNESS CENTER 1710 SMALL STREET GRAND PRAIRIE TX 75050 752877107 501(c)(3) 15000 Salary support for primary care health center. GRACE-GRAPEVINE RELIEF AND COMMUNITY EXCH PO BOX 412 GRAPEVINE TX 76099 752197502 501(c)(3) 15000 Salary support for clinic in northeast Tarrant County that provides healthcare services to the underinsured and uninsured CHRISTUS SPOHN HEALTH SYSTEM DEVELOPMENT FND 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741906005 501(c)(3) 7500 Award sponsor -fight cancer CANCER RESEARCH AND PREVENTION FOUNDATION POBOX 12361 AUSTIN TX 78711 521429544 501(c)(3) 10000 Champion Award presented to Senator Jane Nelson- Sponorship cancer prevention THE FRIENDS OF STEHLIN FOUNDATION 10301 STELLA LINK HOUSTON TX 77025 742200613 501(c)(3) 10000 Sponsorship supporting cancer research. CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 8592 Donation to support volunteer services CATHOLIC MEDICAL MISSION BOARD 1725 I STREET NW STE 413 WASHINGTON DC 20006 135602319 501(c)(3) 116000 Donation to help the Peruvian people in the catchment area of services CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 10000 Platinum Sponsorship - 2010 Designated Project HAL SUTTON FOUNDATION 212 TEXAS ST STE 100 SHREVEPORT LA 71101 741490697 501(c)(3) 15000 Gold Sponorship - benefiiting Sutton's Children Hospital CHRISTUS HEALTH UTAH 451 BISHOP FED LN SALT LAKE CITY UT 84115 870231682 501(c)(3) 10000 Patron level donation that supports the Hope Benefit -Charity Care program ST JOSEPH COMMUNITY FOUNDATION 2800 LAMAR AVE CAP 1 2 FLR PARIS TX 75460 421619230 501(c)(3) 15000 Sponsorship for Heart of Paris Gala 2010 to support healthcare services in Paris, Tx. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION 333 N SANTA ROSE ST SAN ANTONIO TX 78207 741109665 501(c)(3) 12015 Support Santa Rosa auxiliary CONGREGATION OF THE SISTERS OF CHARITY-HOUSTON 6510 LAWNDALE HOUSTON TX 77023 237152879 501(c)(3) 2097426 Support mission CONGREGATION OF THE SISTERS OF CHARITY-SAN ANT 4503 BROADWAY SAN ANTONIO TX 78209 741676917 501(c)(3) 1037532 Support mission CHRISTUS HEALTH FOUNDATION OF SOUTHEAST TEXAS 2830 CALDER BEAUMONT TX 77702 760136274 501(c)(3) 15000 Renovation NICU St Elizabeth and Pediatric Unit St Mary Purchase fetal monitoring system Japser Memorial CHRISTUS FOUNDATION FOR HEALTH CARE PO BOX 1919 HOUSTON TX 77251 756074210 501(c)(3) 10000 Supporting children's health programs CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 90000 health care program support CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 7355 support hospital volunteer services CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 32547 support hospital volunteer services CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 14506 support hospital volunteer services CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 15093 support hospital volunteer services- Kleberg CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH ST CORPUS CHRISTI TX 78404 741109836 501(c)(3) 15126 health care program support ST VINCENT HOSPITAL PO BOX 2107 SANTA FE NM 87504 850106941 501(c)(3) 72941 health care program support 55 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I, PART I, QUESTION 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS 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. X X true true X X X X X false true false false false false false false false THOMAS C ROYER MD 1106893 0 0 0 902817 0 129862 0 25774 0 2165346 0 0 0 GEORGE S CONKLIN 344363 0 0 0 391 0 178546 0 21605 0 544905 0 0 0 JOHN GILLEAN MD 453972 0 0 0 28088 0 155540 0 27284 0 664884 0 0 0 GERARD F HEELEY 247226 0 0 0 9000 0 67687 0 9496 0 333409 0 0 0 JAY S HERRON 504541 0 0 0 9191 0 179344 0 19719 0 712795 0 0 0 MARY T LYNCH 324489 0 0 0 342009 0 108721 0 11282 0 786501 0 0 0 PETER F MADDOX 362260 0 0 0 11705 0 187686 0 23339 0 584990 0 0 0 LINDA K MCCLUNG 322608 0 0 0 21046 0 97521 0 25972 0 467147 0 0 0 ERNIE W SADAU 696687 0 0 0 65902 0 231323 0 25763 0 1019675 0 0 0 JOHN L ZIPPRICH 421509 0 0 0 9200 0 145540 0 7904 0 584153 0 0 0 JEFFREY M PUCKETT 372708 0 0 0 28501 0 87012 0 18111 0 506332 0 0 0 MARSHALL BOLYARD 193756 0 40589 0 11597 0 59462 0 1064 0 306468 0 0 0 STEPHEN BARNABEE 214976 0 0 0 22075 0 22884 0 7820 0 267755 0 0 0 DARRELL DIXON 277599 0 0 0 109953 0 85866 0 40412 0 513830 0 0 0 DONNA MIKULECKY 120202 120202 22828 22828 100 100 42440 42440 1665 1665 187235 187235 0 0 PATRICIA SAMPANES 206623 0 0 0 40695 0 25099 0 18289 0 290706 0 0 0 SCOTT WEBER 229827 0 0 0 5985 0 62238 0 14711 0 312761 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. QUESTIONS REGARDING COMPENSATION FORM 990, SCHEDULE J, PART I, QUESTIONS 1-2 DARRELL DIXON RECEIVED $3,009 IN TAX ASSISTANCE FOR RELOCATION. THOMAS ROYER, MD RECEIVED $350 FOR TRAVEL FOR COMPANIONS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, QUESTION 3 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. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4 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. RECEIVE PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B THOMAS ROYER, MD WAS PAID $139,077 DURING CALENDAR YEAR 2009 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARY LYNCH WAS PAID $99,539 DURING CALENDAR YEAR 2009 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MARSHALL BOLYARD WAS PAID $11,579 DURING CALENDAR YEAR 2009 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. DARRELL DIXON WAS PAID $74,387 DURING CALENDAR YEAR 2009 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PATRICIA SAMPANES WAS PAID $13,185 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 DR THOMAS ROYER 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 MARY LYNCH INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT and SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN EARNED AND PAID IN 2009 UNDER TERMS OF THE AFOREMENTIONED PLANS. COMPENSATION FOR MARSHALL BOLYARD INCLUDES PAYMENTS FROM SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN EARNED AND PAID IN 2009 UNDER TERMS OF THE AFOREMENTIONED PLAN. COMPENSATION FOR DARRELL DIXON INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT and SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN EARNED AND PAID IN 2009 UNDER TERMS OF THE AFOREMENTIONED PLANS. COMPENSATION FOR PATRICIA SAMPANES 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: John Gillean, MD, Linda McClung, Ernie Sadau, Jeffrey Puckett, Stephen Barnabee and Scott Weber. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION INCLUDES 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. HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RFV1 2005-11-08 320620000 See Schedule O false false HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RFX7 2007-09-17 96650000 See Schedule O false false COASTAL BEND HEALTH FACILITIES DEVELOP CORP 742352502 19042FAB2 2005-11-08 61300000 See Schedule O false false LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398E87 2009-12-03 56725518 See Schedule O false false LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398ZM3 2008-11-25 44382370 See Schedule O false false 320639924 0 0 0 6416252 0 3624407 2009 false true false true 106785694 0 0 0 0 0 0 true false false true 62856640 0 0 0 1285000 0 18182274 true false false true 56736658 0 0 0 0 0 0 true false true true 44434994 4037473 0 0 1350604 0 0 true false false true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true true CITIBANK NA 31.7 false false false false true false false true true false true true CITIBANK NA 31.7 false true false false false false false false true false false false false false true DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES - UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY 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 EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2010 WAS $234,816. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. AS OF JUNE 30, 2010, THE OUTSTANDING LOAN BALANCES WERE IN THE FOLLOWING REGIONS: OUTSIDE THE CHRISTUS HEALTH SERVICE AREAS: $1,500,000 IN CHRISTUS HEALTH CENTRAL LOUISIANA REGION: $110,914 IN CHRISTUS HEALTH GULF COAST REGION: $616,569 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $ 803,531 IN CHRISTUS HEALTH SANTA ROSA HEALTH SYSTEM REGION: $891,281 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $693,202 IN CHRISTUS HEALTH SOUTHWESTERN LOUISIANA REGION: $500,000 IN CHRISTUS HEALTH SPOHN HEALTH SYSTEM REGION: $ 2,531,934 TOTAL CDI LOANS OUTSTANDING AS OF JUNE 30, 2010 $7,647,431 CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2010, GRANT FUNDS WERE DISTRIBUTED TO NON-PROFIT AGENCIES IN THE FOLLOWING REGIONS: IN CHRISTUS HEALTH ARK-LA-TEX REGION: $166,427 IN CHRISTUS HEALTH CENTRAL LOUISIANA REGION: $77,500 IN CHRISTUS HEALTH GULF COAST REGION: $179,552 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $50,000 IN CHRISTUS SANTA ROSA HEALTH SYSTEM REGION: $172,264 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $373,050 IN CHRISTUS HEALTH SOUTHWESTERN LOUISIANA REGION: $50,000 IN CHRISTUS SPOHN HEALTH SYSTEM REGION: $422,340 IN CHRISTUS HEALTH SPONSOR/RELATED REGION: $42,000 IN CHRISTUS HEALTH SYSTEM-WIDE INITIATIVE $50,000 IN CHRISTUS HEALTH UTAH REGION: $20,000 TOTAL CHRISTUS FUND $1,603,133 PROGRAM SERVICE EXPENSE = $1,603,133 GRANTS = $1,603,133 PROGRAM SERVICE REVENUE = $0 DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 JOHN GILLEAN, MD., ERNIE SADAU, JOHN ZIPPRICH, THOMAS ROYER, MD. AND MARY LYNCH SERVE AS BOARD MEMBERS FOR EMERALD ASSURANCE CAYMAN, LTD. JOHN ZIPPRICH AND PETER MADDOX SERVE AS BOARD MEMBERS FOR CHRISTUS MUGUERZA S.A. DE C.E. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CHRISTUS HEALTH HAS FOUR (4) CORPORATE MEMBERS, CONSISTING OF TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TX, AND TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO. TOGETHER THOSE FOUR SISTERS COMPRISE THE CORPORATE MEMBERS AND COLLECTIVELY THEY EXERCISE THE POWERS RESERVED TO THE MEMBERS. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO AND CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 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 A 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, QUESTION 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, QUESTIONS 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. 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 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. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, QUESTION 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A SEVERAL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE FILING ORGANIZATION DEVOTE TIME TO RELATED ORGANIZATIONS AS OFFICERS OR DIRECTORS. NAME: HRS AT RELATED ORG: THOMAS ROYER, MD 1 CHRISTUS STEHLIN FOUNDATION 1 EMERALD ASSURANCE CAYMAN, LTD GEORGE CONKLIN 1 CHRISTUS STEHLIN FOUNDATION 1 CHRISTUS HEALTH FOUNDATION JOHN GILLEAN, MD 1 ST. JOSEPH HEALTH SYSTEM 1 CHRISTUS STEHLIN FOUNDATION 1 EMERALD ASSURANCE CAYMAN, LTD JAY HERRON 1 ST. JOSEPH HEALTH SYSTEM 1 CHRISTUS HEALTH LIAB RETENTION TRUST PETER MADDOX 2 ST. VINCENT HOSPITAL LINDA MCCLUNG 1 ST. JOSEPH HEALTH SYSTEM 1 CHRISTUS CONTINUING CARE ERNIE SADAU 2 ST. VINCENT WILLIAM L. PARDUE 5 CHRISTUS CONTINUING CARE 1 CHRISTUS STEHLIN FOUNDATION CYNTHIA ZATORSKI 1 CHRISTUS HEALTH FOUNDATION DARRELL DIXON 1 CHRISTUS HEALTH WILKINSON PHYSICIAN NETWORK DONNA MIKULECKY 26 CHRISTUS HEALTH WILKINSON PHYSICIAN NETWORK SISTER WALTER MAHER 1 CHRISTUS HEALTH NORTHERN LOUISIANA JOHN ZIPPRICH 1 EMERALD ASSURANCE CAYMAN, LTD 1 CHRISTUS MUGUERZA S.A. DE C.E. MARY LYNCH 1 EMERALD ASSURANCE CAYMAN, LTD Form 990, Part VII, Section A Effective 4/12/10 Mary Silva became an employee of CHRISTUS Health. Therefore no compensation is reported for calendar year 2009. Calendar 2009 compensation reported on Part VII for Deb Vardell is for services as executive assistant at CHRISTUS Health. Functional Expense, Line 9, Other Employee benefits Form 990, Part IX Reported in other employee benefits is the Employee Health care premiums collected netted with health care claims expense. Premiums collected exceeded health care claims paid for fiscal year end 6-30-2010. SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (C) CUSIP #: 41315RFS8, 41315RFT6, 41315RFU3, 41315RFV1 (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (D) SEPTEMBER 17, 2007. NOVEMBER 8, 2005 WAS ERRONEOUSLY REPORTED FOR 2008. (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). E. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007). B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 5. BOND ISSUANCE COSTS = $1,633,252 CREDIT ENHANCEMENTS = $4,783,000 B. LINE 5. BOND ISSUANCE COSTS = $538,945 CREDIT ENHANCEMENTS = $2,350,000 C. LINE 5. BOND ISSUANCE COSTS = $371,000 CREDIT ENHANCEMENTS = $914,000 D. LINE 5. BOND ISSUANCE COSTS = $1,060,000 CREDIT ENHANCEMENTS = $4,595,000 E. LINE 5. BOND ISSUANCE COSTS = $775,238 CREDIT ENHANCEMENTS = $575,366 FORM 990, SCHEDULE K PART II, PAGE 2 A. LINE 4. UNPSENT 'TRANSFERRED PROCEEDS' OF 2007C ($6,305,785) ARE NOT REQUIRED TO BE REPORTED A. LINE 5. BOND ISSUANCE COSTS = $0 CREDIT ENHANCEMENTS = $0 B. LINE 5. BOND ISSUANCE COSTS = $3,029,908 CREDIT ENHANCEMENTS = $2,510,025 C. LINE 4. UNPSENT 'TRANSFERRED PROCEEDS' OF 2007B ($48,866,086) ARE NOT REQUIRED TO BE REPORTED C. LINE 5. BOND ISSUANCE COSTS = $1,638,195 CREDIT ENHANCEMENTS = $235,297 D. LINE 5. BOND ISSUANCE COSTS = $0 CREDIT ENHANCEMENTS = $0 CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(c)3 3 N/A CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(c)3 3 N/A CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(c)3 3 N/A CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(c)3 3 N/A Christus Spohn Health System Corporation 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(c)3 3 N/A CHRISTUS HEALTH SOUTHEAST TEXAS 3010 HARRISON STREET BEAUMONT TX 77702 760591590 HLTHCARE SVCS TX 501(c)3 3 N/A CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(c)3 3 N/A CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(c)3 3 N/A CHRISTUS HEALTH UTAH 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