CHRISTUS HEALTH GULF COAST: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH GULF COAST (EIN 76-0591592)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201141339349305814
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T20:12:02-04:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	760591592	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Christus Health Gulf Coast	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHRI	NameControl
Phone	7136818877	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 922037	AddressLine1
City	Houston	City
State	TX	State
ZIP Code	77292	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Bill Hecht	Name
Title	CFO	Title
Date Signed	2011-05-04	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7137501500	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Ellen Jones	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 922037	AddressLine1
City	Houston	City
State	TX	State
ZIP Code	77027	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	294244586	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1903	TotalNbrEmployees
Total Nbr Volunteers	166	TotalNbrVolunteers
Total Gross UBI	1826337	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3856300	ContributionsGrantsPriorYear
Contributions Grants Current Year	10096150	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	249517263	ProgramServiceRevenuePriorYear
Program Service Revenue CY	275282175	ProgramServiceRevenueCY
Investment Income Prior Year	1568820	InvestmentIncomePriorYear
Investment Income Current Year	216613	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9587003	OtherRevenuePriorYear
Other Revenue Current Year	8592819	OtherRevenueCurrentYear
Total Revenue Prior Year	264529386	TotalRevenuePriorYear
Total Revenue Current Year	294187757	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	111030	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	46612573	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	88253035	SalariesEtcPriorYear
Salaries Etc Current Year	90407494	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	45500	TotalFundrsngExpCurrentYear
Other Expense Prior Year	160243630	OtherExpensePriorYear
Other Expenses Current Year	118688993	OtherExpensesCurrentYear
Total Expenses Prior Year	248607695	TotalExpensesPriorYear
Total Expenses Current Year	255709060	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15921691	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	38478697	RevenuesLessExpensesCY
Total Assets BOY	284174596	TotalAssetsBOY
Total Assets EOY	316964698	TotalAssetsEOY
Total Liabilities BOY	138187958	TotalLiabilitiesBOY
Total Liabilities EOY	131961894	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	145986638	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	185002804	NetAssetsOrFundBalancesEOY
Mission Description	The Corporation is organized and shall be operated exclusively for charitable, scientific, educational and religious purposes of advancing, promoting and supporting the health care ministries of the Sponsoring Congregations which operate and are controlled in conformity with the ethical and moral teachings of the Roman Catholic Church, and promoting efficient governance and management, cooperative planning and the sharing of resources among such health care ministries. Without limiting the generality of the foregoing, the Corporation's mission shall be to extend the healing ministry of Jesus Christ, and consistent therewith, shall operate according to the doctrines, resolutions, decrees and ethical principles of the Sponsoring Congregations, and the Ethical and Religious Directors for Catholic Health Care Services as promulgated or amended from time to time by the United States Conference of Catholic Bishops. It is also a purpose of the Corporation to aid, lend financial support and as	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	157698686	Expense
Grants	0	Grants
Revenue	177843696	Revenue
Description	COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS Health Gulf Coast is part of CHRISTUS Health, 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 on the mission "to extend the healing ministry of Jesus Christ," CHRISTUS is challenged to reach out to, and beyond, the more than 60 communities we serve to help those in need. The vision of CHRISTUS as a Catholic, faith-based ministry, is to be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. CHRISTUS Health Gulf Coast responds to the health care needs through services provided at CHRISTUS St. Catherine Hospital in Katy, Texas, a 102-bed hospital, and CHRISTUS St. John Hospital in Nassau Bay, Texas 178-bed hospital and various clinics and outreach programs. Each of the facilities of CHRISTUS Health Gulf Coast shares one objective -- which is to lead the way to a healthier community. CHRISTUS Health Gulf Coast services several counties to the west and southeast of Houston. This area of the Texas Gulf Coast comprises a population of more than 5.4 million. In our 2010 Fiscal Year alone, we were privileged to serve hundreds of thousands of individuals in various ways including 59,515 visits to our Emergency Department; 3,238 inpatient surgery procedures, 5,716 outpatient surgery procedures; 12,566 patients who were admitted to our hospitals for care and 194,022 patients who received outpatient care at our facilities. Touching the lives of the people around us is what makes CHRISTUS Health Gulf Coast 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 Health Gulf Coast's health care services work to provide the best care possible regardless of an individual's ability to pay. By collaborating with communities, churches, businesses and other health care organizations, CHRISTUS Health Gulf Coast'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 by helping CHRISTUS Health Gulf Coast further care for those in need. Furthermore, investment in community services would not be possible without dedicated employees and volunteers. They help to build strong relationships between the hospitals and other health care ministries and the communities, nurturing CHRISTUS' 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 other. In addition, we provide specific programs to provide discounted services to those in need who do not have medical insurance or who do not participate in government-sponsored programs. CHRISTUS Health Gulf Coast provides a full range of inpatient and outpatient services to the people from the communities it serves. It conducts its activities and serves its health care purpose without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. CHRISTUS St. Catherine Hospital in Katy offers a broad spectrum of adult and pediatric medical and surgical care with the latest in technology, including an urgent care center, birthing suites, newborn and Level II neonatal intensive care nurseries, inpatient and outpatient surgery, diagnostic imaging and cardiology services. CHRISTUS St. John Hospital in Nassau Bay offers comprehensive medical services in cardiology, oncology, intensive care, diagnostic imaging, gynecology, pediatrics, advanced laparoscopic procedures, cancer treatment, cardiovascular, sports medicine and vascular specialties. CHRISTUS St. Catherine Hospital and CHRISTUS St. John Hospital each provide services in 24-hour Emergency Departments that are open to all those in need of emergent care, regardless of their ability to pay. CHRISTUS Health Gulf Coast also supports many local community health services, including mobile clinic services, the CHRISTUS Literacy Center and Our Daily Bread in Galveston, clinics for the underserved in Houston and Dickinson, and two eight school-based clinics. As a not-for-profit organization and as part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the area they serve guides CHRISTUS Health Gulf Coast. 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 process.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2399377	Expense
Grants	0	Grants
Revenue	27072327	Revenue
Description	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS adheres to the Catholic Health Association's A Guide for Planning and Reporting Community Benefit (2008), and complies with the State of Texas requirements for reporting. Community Benefit, reported as unpaid costs, includes both Charity Care and Community Services. To the limits of its resources, CHRISTUS Health is an institution of purely public charity; thus, the most tangible expression of CHRISTUS Health's charitable purpose is the provision of healthcare services to those persons who are unable to pay. Charity Care falls into two categories: Charity Care and Unpaid Government Indigent Care. In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Health provides Charity Care services in a manner that respects the dignity of the patients and their families. Charity Care is provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to be charged, if any, is made according to a patient's ability to pay as determined by the established eligibility criteria. For uninsured patient's 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. No patient is refused necessary medical care due to inability to pay. CHRISTUS Health facilities provide other Charity Care by funding or otherwise financially supporting health care services provided to financially indigent patients through other nonprofit or public outpatient clinics, hospitals or health care organizations. 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

Field	Value	IRS element (for citing)
Expense	12207346	Expense
Grants	0	Grants
Revenue	70202172	Revenue
Description	OTHER GOVERNMENT SPONSORED SERVICES In addition to the provision of Charity Care and other community services CHRISTUS Health provides services to persons covered under government-sponsored programs, including Medicare, DOD and TRICARE. The non-reimbursed 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 a fee schedule. CHRISTUS Health dba US Family Health Plan also provides the uniform medical benefit for 9,976 military family members under contract with the Department of Defense. 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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	48311159	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	46612573	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	220616568	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	321	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1903	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Ellen Jones	NamePerson
Telephone Number	7132772000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1700 W Loop 610 S	AddressLine1
City	Houston	City
State	TX	State
ZIP Code	77027	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Bill J Chen PhD
Board Member	1.0	X	0	0	0
Sister Francesca Kearns
Board Member	1.0	X	0	0	0
Dan Shank
Board Member	1.0	X	0	0	0
E W Bill Wright III
Board Member	1.0	X	0	0	0
Chuck Doyle
Board Member	1.0	X	0	0	0
Robert L Hargrave
Board Member	1.0	X	0	0	0
George Willy
Board Member	1.0	X	0	0	0
Brian Stevens
Board Member	1.0	X	0	0	0
Rick Adams MD
Board Member	1.0	X	0	0	0
Dr Manish Wani
Board Member	1.0	X	0	0	0
Dr Kevin Winfield
Board Member	1.0	X	0	0	0
Sister M Gerard Earls
Board Member	1.0	X	0	0	0
Ellen Jones
President/CEO (Eff. 2/28/10)	22.0	X	0	534762	212005	X
Patrick Carrier
President/CEO (Term 2/27/10)	36.0	X	383566	53743	203470	X
Sister Carol Ann Jokerst
Board Chairperson	1.0	X	0	0	0	X
Gilbert Herrera
Vice Chairperson	1.0	X	0	0	0	X
Nancy Brock
SEE SCHEDULE 0	40.0		94560	0	22767	X
Rada Korczynski
Corp Secretary (Term 11/9/09)	40.0		80169	0	21801	X
Erick Smith
Corp Secretary (Eff. 11/9/09)	12.0		1889	49770	18094	X
Bill Hecht
CFO (Effective 5/9/10)	26.0		0	357963	102728	X
John H McCabe
Admin-St. Catherine Hospital	40.0		176476	0	55005		X
Tom Permitti
COO/Admin (Effective 5/8/10)	45.0		254454	7481	130695		X
Nancy Pittman
CNE/COO-St. John Hospital	40.0		160262	0	43767		X
Harold Gottlieb
VP Med Affairs & Regional CMO	53.0		305226	0	80831		X
Charles Foster
VP HR (Effective 5/10/10)	40.0		0	198012	92650			X
Heather Boler
VP Business Dev& Marketing	40.0		0	170370	62568			X
Michael Sullivan
VP Mission & Org Ethics	30.0		50074	157844	65914			X
David Witt
CFO-St. John Hospital	40.0		133291	0	38521			X
Karen Wilson
Staff Nurse RN	64.0		161141	0	24175			X
Bradkley K Mitchell
CFO	0.0		217432	0	6202				X
William Whiddon
CFO/COO-St.Catherine(Term 5/8)	0.0		141062	0	11119				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2159602	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1529945	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1192312	TotalOtherCompensation
Number Individuals GT100 K	32	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Cotton Commercial USA Inc
14345 NORTHWEST FRWY	HOUSTON	TX	77040	Cleaning Services	9456024
DE HARVEY BUILDERS
P O BOX 42008	HOUSTON	TX	77242	Contractor Services	7874814
KATY CARDIOVASCULAR SVCS LP
10000 MEMORIAL STE 540	HOUSTON	TX	77024	Medical Services	7599363
TRITON CONSTRUCTION CO INC
PO BOX 840694	HOUSTON	TX	77284	Contractor Services	2066493
HOSPITAL HOUSEKEEPING SYS LTD
PO BOX 826	HOUSTON	TX	78293	Housekeeping service	1556851

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	32	NumberOfContractorsGT100K
Related Organizations	10056901	RelatedOrganizations
Government Grants	39249	GovernmentGrants
Noncash Contributions	36787	NoncashContributions
Total Contributions	10096150	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Service Revenue	621990	273471832	273307916	163916
Rent related to Exempt Function	531120	1100698	1100698
Interest on Physician notes receivable	900099	290009	290009
Community Health	713940	137292	137228	64
Wellness Center	713940	275000	275000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7344	TotalRevenueColumn
Related Or Exempt Function Income	7344	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	275282175	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	54	TotalRevenueColumn
Exclusion	$54	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4450	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	4450	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4450	TotalRevenueColumn
Exclusion	$4,450	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	273388	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	56829	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	216559	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	216559	TotalRevenueColumn
Exclusion	$216,559	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
INS PMT & FEMA REIMB- HURRICANE IKE	900099	6158283	$6,158,283
MD ANDERSON RENTAL	900002	1662357		1662357
Food services	722210	579237	$579,237

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	188492	TotalRevenueColumn
Exclusion	$188,492	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	8588369	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	294187757	TotalRevenueColumn
Related Or Exempt Function Income	275118195	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1826337	UnrelatedBusinessRevenue
Exclusion	$7,147,075	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	46568405	Total
Program Services	46568405	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	44168	Total
Program Services	44168	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1718843	Total
Program Services	1489560	ProgramServices
Management And General	229283	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	72541505	Total
Program Services	62864908	ProgramServices
Management And General	9676597	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3584426	Total
Program Services	3491628	ProgramServices
Management And General	92798	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7344347	Total
Program Services	5856234	ProgramServices
Management And General	1487927	ManagementAndGeneral
Fundraising	186	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5218373	Total
Program Services	4611617	ProgramServices
Management And General	566694	ManagementAndGeneral
Fundraising	40062	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3136	Total
Program Services	3136	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	253911	Total
Management And General	253911	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11463	Total
Program Services	11463	ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12143322	Total
Program Services	4277087	ProgramServices
Management And General	7865129	ManagementAndGeneral
Fundraising	1106	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	544701	Total
Program Services	35950	ProgramServices
Management And General	508751	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	49142085	Total
Program Services	45525059	ProgramServices
Management And General	3615869	ManagementAndGeneral
Fundraising	1157	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6623435	Total
Management And General	6623435	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7514583	Total
Program Services	5833050	ProgramServices
Management And General	1681533	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	76416	Total
Program Services	30318	ProgramServices
Management And General	44003	ManagementAndGeneral
Fundraising	2095	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	146325	Total
Program Services	82277	ProgramServices
Management And General	63154	ManagementAndGeneral
Fundraising	894	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4797665	Total
Program Services	4797665	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18915271	Total
Program Services	17133078	ProgramServices
Management And General	1782193	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3920392	Total
Program Services	3829724	ProgramServices
Management And General	90668	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR UNCOLLECT ACCTS	14241898	13999458	242440
SALES TAX	36743	37724	-981
DUES & MEMBERSHIPS	162907	33245	129662
SUBSCRIPTIONS	42479	19767	22712
FEDERAL INCOME TAX	4436	4436

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	107825	Total
Program Services	36611	ProgramServices
Management And General	71214	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	255709060	Total
Program Services	220616568	ProgramServices
Management And General	35046992	ManagementAndGeneral
Fundraising	45500	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	20603786	BOY
EOY	88005512	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	48091088	BOY
EOY	24813111	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	8320211	BOY
EOY	5785123	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5838763	BOY
EOY	5050449	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	944642	BOY
EOY	916139	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	305777094	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	127160474	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	195952224	BOY
EOY	178616620	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	45298	BOY
EOY	8875000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4378584	BOY
EOY	4902744	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	284174596	BOY
EOY	316964698	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18046458	BOY
EOY	16280432	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	390573	BOY
EOY	1153331	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	40921077	BOY
EOY	37571435	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	78829850	BOY
EOY	76956696	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	138187958	BOY
EOY	131961894	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	143628917	BOY
EOY	182702712	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2357721	BOY
EOY	2300092	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	145986638	BOY
EOY	185002804	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	284174596	BOY
EOY	316964698	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$11,122	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$401	OtherActivitiesAmount
Total Lobbying Expenditures IIB	11523	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Lobbying Description	Identifier
Return Reference	Schedule C, Part II-B	ReturnReference
Explanation	HEALTH CARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH GULF COAST 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. CHRISTUS HEALTH GULF COAST HAD DIRECT CONTACT THROUGH LETTERS AND EMAILS WITH ITS RESPECTIVE SENATORS OR MEMBERS OF THEIR STAFF AND OTHER GOVERNMENT OFFICIALS ON SUCH ISSUES AS the Patient Protection and Affordable Care Act, the Medicare Physicians Fairness Act of 2009, DHDS Proposed Rules Concerning Emergency Room Staffing, the Access to Affordable Health Care for America Act, Health Care Reform, the Toxic Substance Control Act (TSCA), the Electronic Health Record Incentive Program, the American Jobs and Closing Tax Loopholes Act, and Extension of Enhanced Federal Medicaid Payments. The reported expenses associated with these activities include staff compensation and related allocable overhead. FORM 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 $401. CHRISTUS Health Gulf Coast did not substantially lobby during the fiscal year 6-30-10.	Explanation

Schedule D IRS990ScheduleD

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31082234	OtherCostOrOtherBasis
Book Value	31082234	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	175210554	OtherCostOrOtherBasis
Depreciation	62414204	Depreciation
Book Value	112796350	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4051427	OtherCostOrOtherBasis
Depreciation	2029296	Depreciation
Book Value	2022131	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	89235825	OtherCostOrOtherBasis
Depreciation	62314686	Depreciation
Book Value	26921139	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	4492051	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	1705003	OtherCostOrOtherBasis
Depreciation	402288	Depreciation
Book Value	5794766	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	178616620	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Due to CHRISTUS Health Bond Fund	$73,317,125
Corporate Advances	$3,613,647
Security Deposits	$25,924

Field	Value	IRS element (for citing)
Total Of Amounts	76956696	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Cash Non-Bearing Interest	Form 990, Part X, Line 1	Christus Health System maintains a centralized cash management system. This cash management system (CMS) includes a concentration account wherein deposits and disbursements for related Christus exempt organizations flow through this account and over to the managed investment accounts. Each participating organization reports a balance in the CMS reflective of its cumulative cash activity. Cash Balances for each Christus organization are reported on Form 990 in accordance with financial statement reporting. CMS ownership is maintained by Christus Health (EIN 76-0590551) and all associated investment income is properly reported on the Christus Health Form 990.
Uncertain Tax Positions Under FIN 48 / ASC 740	Form 990, Schedule D, Part X, Line 2	Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2009 and 2010.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8072852	TotalCommunityBenefitExpense
Net Community Benefit Expense	8072852	NetCommunityBenefitExpense
Percent Of Total Expense	0.03340	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16775596	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27072326	DirectOffsettingRevenue
Net Community Benefit Expense	-10296730	NetCommunityBenefitExpense
Percent Of Total Expense	0.04260	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24848448	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27072326	DirectOffsettingRevenue
Net Community Benefit Expense	-2223878	NetCommunityBenefitExpense
Percent Of Total Expense	0.00920	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	67	NumberOfActivitiesOrPrograms
Persons Served	24284	PersonsServed
Total Community Benefit Expense	561554	TotalCommunityBenefitExpense
Net Community Benefit Expense	561554	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	479	PersonsServed
Total Community Benefit Expense	824973	TotalCommunityBenefitExpense
Net Community Benefit Expense	824973	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	27959	TotalCommunityBenefitExpense
Net Community Benefit Expense	27959	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	67	NumberOfActivitiesOrPrograms
Persons Served	96342	PersonsServed
Total Community Benefit Expense	48458786	TotalCommunityBenefitExpense
Net Community Benefit Expense	48458786	NetCommunityBenefitExpense
Percent Of Total Expense	0.20050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	152	NumberOfActivitiesOrPrograms
Persons Served	121105	PersonsServed
Total Community Benefit Expense	49873272	TotalCommunityBenefitExpense
Net Community Benefit Expense	49873272	NetCommunityBenefitExpense
Percent Of Total Expense	0.20630	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	152	NumberOfActivitiesOrPrograms
Persons Served	121105	PersonsServed
Total Community Benefit Expense	74721720	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27072326	DirectOffsettingRevenue
Net Community Benefit Expense	47649394	NetCommunityBenefitExpense
Percent Of Total Expense	0.19710	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	30963	TotalCommunityBuildingExpense
Net Community Building Expense	30963	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1137	TotalCommunityBuildingExpense
Net Community Building Expense	1137	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	3352	TotalCommunityBuildingExpense
Net Community Building Expense	3352	NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	130	TotalCommunityBuildingExpense
Net Community Building Expense	130	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	260	TotalCommunityBuildingExpense
Net Community Building Expense	260	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	18316	TotalCommunityBuildingExpense
Net Community Building Expense	18316	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	54158	TotalCommunityBuildingExpense
Net Community Building Expense	54158	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,369,886	BadDebtExpenseAmount
Amount Attributable To	8985	AmountAttributableTo
Amount Reimbursed By Medicare	41373405	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	45020194	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3646789	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Katy St Cath Srgy C
Outpatient Surgery Center	0.67220	0.03430	0.24940
St Cath Mngmt LLC
Surgery Center	0.67880	0.03470	0.24290

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
CHRISTUS St John Hospital
18300 St John Drive	Nassau Bay	TX	77058	X	X	X
CHRISTUS St Catherine Hospital
701 S Fry Road	Katy	TX	77450	X	X	X	Urgent Care Center

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Annual Community Benefit Expln	A report of community benefit is included in a written Annual Report for CHRISTUS Health, the organization's parent company. CHRISTUS Health is a Catholic, international, faith based, nonprofit health system formed in 1999 with a mission "to extend the healing ministry of Jesus Christ." The annual community benefit report summarizes activities and programs conducted during the past year to improve health including proactive community health services. However, the Annual Report is only a snapshot of how the organization distinguishes itself in its vision to be a leader, a partner, and an advocate in creating innovative health and wellness solutions that improve the lives of individuals and communities.	AnnualCommunityBenefitExpln
Costing Method Used	Part VI, Line 1, 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 30.91% which exceeds the amount reported on Part I, Line 7k column (f) which is computed using net community benefit expense. Part I, Line 7: Line 7a: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7b: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7e: Actual expenses less any direct offsetting revenue Line 7f: Actual expenses less any direct offsetting revenue Line 7g: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7i: Actual expense of the contributions	CostingMethodUsed
Subsidized Health Services Expln	Reported at Schedule H, Part I, Line 7 g Subsidized health services are the unreimbursed patient account balances at cost with patient income of 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 the organization's charity care guidelines because the patients' income is 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 Expln	THE total expense from Form 990, Part IX, line 25, column (A) IS $255,709,060. The bad debt expense included in this amount IS $14,000,357. This leAVES a total expense of $241,708,703 for purposes of calculating line 7, column (f).	PercentOfTotalExpenseExpln
Bad Debt Footnote	The 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 Benefit	The shortfall on Part III, Line 7 is not counted as a community benefit. The amount on Schedule H, Part III, Line 6 is determined by calculating Medicare Allowable costs using Worksheet A of the Medicare Cost Report. Worksheet A of the Medicare cost Report requires the organization to remove non-allowable expenses from total expenses via the Adjustments to Expenses worksheets within the Medicare Cost Report. The amount reported on Schedule H, Part III, Line 6 does not take into account all costs incurred by the fiLing organization associated with the filing organization's provision of services to Medicare patients. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $(11,506,470) IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6.	ShortfallAsCommunityBenefit
Debt Collection Policy	Collection activity occurs for a minimum of 60 days on self-pay accounts before the presumptive charity process is completed if no contact with the patient/guarantor is made. If the 60-day period expires and no contact with the patient/guarantor is made or there is insufficient information to document eligibility for charity care, a presumption of eligibility may be made based on statistical data and other reliable assumptions. Accounts with a balance of less than $2,000 are screened for charity care qualification based on systematic screening criteria unless patient contact is made. Accounts with a balance of $2,000 or greater are manually reviewed to determine if any potential eligibility programs are applicable based upon front-end screening tool documentation and a review of the 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
General Explanation	The organization budgets charity care for internal financial purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. Cash and In-Kind Contributions to Community Groups Part I, Line 7i CHRISTUS Gulf Coast made over $48,000,000 in cash and in kind contributions. The aforementioned amount is determined in accordance with the 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 over $229,552 benefitted the communities that CHRISTUS Health Gulf Coast serves. The grant dollars were used by CHRISTUS Health Gulf Coast to support programs that promote the health of the communities. The CHRISTUS Fund grants were used directly by CHRISTUS Health Gulf Coast to fund various clinics and health programs that serve underserved youth and adults. The CHRISTUS Fund grant amount also includes grants made by CHRISTUS Health to nonprofit organizations located in the communities served by the Gulf Coast region, as well as grants made by CHRISTUS Health Gulf Coast 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 Health Gulf Coast received $15,359 from the fund and used such resources to benefit the community by providing research and educational programs sponsored by the region. Indigent Funding Expense to nonprofit organizations of $46,447,299 is included in Schedule H, Part I, Line 7(i).	GeneralExplanation
General Explanation	CHRISTUS Health follows in principle Healthcare Financial Management Association Statement No. 15. The system has adopted an uncompensated care policy in which 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 service provided to the uninsured due to the system's historically low collection rate. Management has estimated that the difference between recording revenue from the uninsured on a cash basis, rather than the accrual basis, is immaterial. Accordingly, all accounts receivable from the uninsured have been fully reserved in the allowance for uncompensated care.	GeneralExplanation
General Explanation	The organization uses Form 990, Schedule H, Worksheet A to determine the bad debt expense at cost reported at Schedule H, Part III, Section A, Line 2 using the cost-to-charge ratio calculated at Form 990, Schedule H, worksheet 2, Line 11. The organization's total bad debt expense 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. Estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under organization's charity care policy Part 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 return 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. Unreimbursed Medicaid Part I, Line 7b CHRISTUS Health Gulf Coast reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities. States where the organization, or a related organization, filed a CBR community benefit report Part VI, Line 8 A community benefit report is filed for the State of Texas in the form of the Annual Statement of Community Benefits Standard (ASCBS) form as required by the Health and Safety Code, Sections 311.045 and 311.046, nonprofit hospitals are required to file (1) 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 Assessment	Part VI, Line 2 CHRISTUS St. John Hospital developed the 2010 Community Benefit Plan based on the Greater Houston 2008 Healthy Needs Assessment. The objectives for FY 2010 are proposed to meet the identified needs in the communities we serve. Each community in the region had a significant population growth and increased needs. The highest projected increase in residents is the Hispanic population. Health Care Priorities Include Primary Care Access, Geographic Disparities, Under/Uninsured/Working, Poor, Teen Births, Prenatal Care, Childhood Immunizations, Access to Information/Referrals, Cardiovascular Disease, Diabetes, Respiratory Cancer and other Chronic Diseases, Senior Population, 45 to 64 Year Old Population Group, and Mental Health Service. An additional area of focus overlapping many of these priorities is the already high and increasing percentage of Consolidated Metropolitan Statistical Area (CMSA) residents of Hispanic descent. Barriers to Access Health Care Include Limited access, Inability to pay for services, Lack of transportation, Language barriers and cultural differences, Socioeconomic Factors Impacting Access to Healthcare, Lack of employment opportunities, increase in the number of residents with median income of < $25,000, and Diminished health coverage.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3 CHRISTUS Gulf Coast 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 the State of Texas Community Benefit Standards (which addresses the duties and responsibilities of nonprofit hospitals), and CHRISTUS Health Community Benefit Guidelines #050. In addition, a public notice regarding the charity policy is 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 Information	Part VI, Line 4 CHRISTUS Health Gulf Coast responds to the health care needs through services provided at CHRISTUS St. Catherine Hospital in Katy, Texas, a 102-bed hospital, CHRISTUS St. John Hospital in Nassau Bay, Texas a 178-bed hospital and various clinics and outreach programs. CHRISTUS Health Gulf Coast services several counties to the west and southeast of Houston. The organization's service area comprises a population of 854,674. In the organization's service area 28.7 percent of households are at or below 200 percent poverty limit and 17.7 percent are uninsured. There is a noted increase in senior residents (i.e., 65 to 74 years of age) in the communities served by CHRISTUS Gulf Coast thus impacting the inpatient and outpatient demand for health care services, particularly with chronic health problems including heart disease, diabetes, cancer, and respiratory diseases. The service area's population consists of 26.5 percent Hispanic.	CommunityInformation
Community Building Activities	Part 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. 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 Gulf Coast Region in fiscal year ending June 30, 2010 was over $33,652. Though outstanding loan balances vary throughout the year, the outstanding loan balance at the end of Fiscal Year 2010 was $616,569. Included as Physical Improvements to Housing at Schedule H, Part II, Line 1 are some of the aforementioned loans made for low income housing to include "New Hope Housing", an Economically Linked Deposit (ELD) benefitting the ongoing operation of a 133 unit permanent housing, single room occupancy project helping the formerly homeless and those at risk of homelessness; the Tejano Center for Community Concerns Affordable housing for families earning less than 80% of the median area income and low income housing in Acres Home. CHRISTUS also provided financing of the Women's Home, a multi-unit apartment complex for women who have graduated from a drug rehabilitation program. Economic Development-Gulf Coast demonstrates its commitment to the economic development of the communities served through various micro-financing loan programs to include Accion Texas serving low and moderate income for development of small businesses. These individuals would not be able to obtain traditional financing. These small businesses are in underserved communities. Community Support -Gulf Coast shows its commitment to the community by its involvement in literacy and mentoring programs of primary school students. Environmental Improvements-Gulf Coast participates in programs in conjunction with the local Chamber of Commerce for community improvement. 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.	CommunityBuildingActivities
Other Information	Part VI, Line 6 CHRISTUS Gulf Coast consists of two community hospitals, including CHRISTUS St. Catherine Hospital in Katy, Texas, a 102-bed hospital and CHRISTUS St. John Hospital in Nassau Bay, Texas, a 178-bed hospital. CHRISTUS St. Catherine Hospital in Katy, offers a broad spectrum of adult and pediatric medical and surgical care with the latest in technology, including an urgent care center, birthing suites, newborn and Level II neonatal intensive care nurseries, inpatient and outpatient surgery, diagnostic imaging and cardiology services. CHRISTUS St. John Hospital in Nassau Bay offers comprehensive medical services in cardiology, oncology, intensive care, diagnostic imaging, gynecology, pediatrics, advanced laparoscopic procedures, cancer treatment and cardiovascular, sports medicine and vascular specialties. Each of the facilities of CHRISTUS Health Gulf Coast shares one objective -- to lead the way to a healthier community. CHRISTUS Health Gulf Coast other health care facilities include part ownership in Galveston County Clinical Services, Inc. providing physician health care services to Medicaid patients and one ambulatory surgery center-Katy St Catherine Surgery Center, L.P. In our 2010 Fiscal Year alone, we were privileged to serve hundreds of thousands of individuals in various ways including 59,515 visits to our Emergency Department; 3,238 inpatient surgery procedures, 5,716 outpatient surgery procedures; 12,566 patients who were admitted to our hospitals for care and 194,022 patients who received outpatient care at our facilities. CHRISTUS Health Gulf Coast 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, ability to pay, or national origin. Rooted in our mission and tradition, the founders and sponsors of CHRISTUS Health and those who co-minister with them seek new and innovative ways of delivering quality health care that is both affordable and accessible to all. Today, more than ever, we must aim to improve the total health status of the community through programs that place our services where they are needed most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. CHRISTUS Associates and physicians continue the tradition of caring established by the Sisters of Charity of the Incarnate Word and seek to restore the whole person back to a place of complete physical, mental and spiritual wellness. CHRISTUS Gulf Coast collaborates with communities, churches, businesses, and other health care organizations to facilitate and strengthen accessibility of quality comprehensive health care services for all, particularly the vulnerable and underserved populations. In an effort to meet and address the identified healthcare needs in the communities we serve, CHRISTUS Health Gulf Coast joins with many local community partners and service organizations some of which include: American Cancer Society, the American Heart Association, the Archdiocese of Galveston-Houston, Breath of Life Clinic, Christ Clinic and local faith communities, the Dominican Sisters of the Sacred Heart, University of Texas Medical Branch (UTMB) at Galveston Regional Maternal and Child Program, Dickinson Independent School District, DePelchin Children's Center, community representatives, school administrators, parents, and community volunteers in the following programs: (1) The CHRISTUS Literacy Center: This a collaborative initiative between CHRISTUS Health Gulf Coast, the Archdiocese of Galveston/Houston and the Dominican Sisters of the Sacred Heart. Through in-kind volunteers, The Literacy Center provides assistance in improving the reading and writing skills of individuals who are not proficient in English, so they may enhance their pronunciation, and vocabulary skills. An introduction to basic computer skills is integrated within the curriculum. These combined offerings increase the ability of the students to mainstream within the local community and enhance opportunities for employment and improved communication. (2) CHRISTUS Our Daily Bread: This is a ministry of CHRISTUS Health Gulf Coast. It is a multi-service center which serves as a respite for the homeless and those who are chemically dependent and/or experiencing mental/psychiatric disorders. The center serves approximately 2,800 clients per month, providing meals, clothing, hygiene, counseling and referral services. Our Daily Bread serves all clients with respect and dignity in a matter befitting one of God's own. (3) The CHRISTUS Community Health Ministries Healthy Living Mobile Unit: we will continue to focus on the health needs of the uninsured and underinsured in the community by increasing access to care through collaboration and networking with other agencies. Some of the services provided include: (A) Health Assessments: Through our health assessment screening we focus on chronic diseases, such as cardiovascular disease, diabetes and obesity, educating our patients and assisting them in finding a medical home base. We will focus on our senior sites working with the ACES program. We will continue to attend health fairs at schools and churches. We collaborate with the Archdiocese of Galveston- Houston by reaching out to as many of the churches as possible in the outlying counties that do not have access to care so they can participate in the projects to provide health screenings. (B) Vaccine Administration: We continue to meet the needs of our seniors by providing influenza vaccines, attempting to administer 5000 immunizations annually. We provided 300 blankets to needy seniors and distributed 500 Healthy Living Gift packs containing educational and resource materials that promoted healthy living and addressed psychological needs after the holiday season. We collaborate with the City of Houston and the State of Texas on a Vaccine for Children's Program that administers immunizations in the community at schools, health fairs and apartment complexes in needy areas. (4) Susuan G. Komen Breast Cancer Awareness and Screening: We collaborate with The Susan Komen Breast Cancer Foundation and the Rose and Y Me organizations to compliment our Breast Awareness Clinics, distributing 500 breast awareness packets with educational and resource materials during the month of October. (5) Minority Health Disparities: We collaborate with M.D. Anderson Center for Research on Minority Health Disparities for the Medicare navigation program to help diagnose cancer patients acting as a mentor and navigator for health care access. (6) Diabetes Education: We continue to collaborate with the Texas Cooperative Extension Diabetes Education Program, "Do Well Be Well with Diabetes", presenting diabetes and exercise education at senior sites and community centers. (7) Access to Care: We continue to collaborate with Katy Community Clinics and CHRISTUS St. John Hospital, providing health screening assessments to assist patients who need to establish a medical home base clinic. (8) We collaborate with CHRISTUS St. John Hospital and the CHRISTUS Foundation for HealthCare to access the needs of a school base nurse practitioner in the Katy ISD at Sundown Elementary School in an underserved area. (9) Expand our services to rural areas and counties for the uninsured and underserved by collaborating with Medicare/Chip Health Care Providers (United Healthcare and Community Health Care) to enroll children into the system. (10) Cancer Education and Prevention: The organization will expand program services focusing on cancer education and prevention in partnership with MD Anderson. As part of this plan seminars and screenings will be offered to the local community with a focus on cancer detection, prevention and education. (11) Congregational Health Ministries: The organization will continue to assist in the development of parish nurse/health ministry programs at local churches. This is an ecumenical program which will provide information related to good health and serves as a resource to their respective congregations. Educational programs related to good health and resource information will be presented to the nurse coordinators to meet the needs of the congregations. Grant money assists in supporting this program. Service anticipated through this program include the administration of approximately 3000 flu shots, attempting to reach those most at risk and collaborating with CHRISTUS VNA. The churches will offer health screenings, health fairs, educational programs related to chronic disease, prevention, spiritual support and serving as a resource to the congregation. With the exception of one church, all coordinators are volunteers and plan their individual programs based on resources of money and the number of people who can assist with planned	OtherInformation
Affiliated Health Care System	Part VI, Line 7 CHRISTUS Gulf Coast 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 health system. Each region, including CHRISTUS Gulf Coast, develops five-year and 10-year strategic plans that help 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 Gulf Coast works closely with the CHRISTUS Community Health council to meet system wide initiatives for addressing community needs. Currently these initiatives include increasing access to primary care, avoiding Emergency Department visits and preventable hospitalizations, a case management program for patients of our clinics who have chronic illness, diabetes education, and creating affordable senior housing opportunities in the region. The data supplied from CHRISTUS Health along with the system wide strategic initiatives are consistent with the community needs assessment of the region. CHRISTUS Gulf Coast, 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. CHRISTUS Health Gulf Coast strives to collaborate with community partners. By working with and/or initiating community led partnerships in all the communities served by CHRISTUS Health Gulf Coast, we can achieve measurable, sustainable improvement in well being. CHRISTUS Health Gulf Coast's Healthy Communities Model incorporates these key principles: (1) Community Ownership: Successful initiatives bring together business, government, nonprofit, healthcare, faith communities and citizen leaders to address community issues. Everyone should feel empowered. (2) Well being of the Community: The universal definition of health and wholeness embraces the physical, emotional, mental and spiritual dimensions of life. (3) Goals and Measures: Use benchmarks and measure progress and outcomes. (4) Partnerships and Collaborations: Building capacity using the already existing community assets helps to magnify the resources available.	AffiliatedHealthCareSystem
Reports Filed With States	TX	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Texas Right to Life Educational Fund
6776 SW Frwy SUITE 430	Houston	TX	77074	237373806	501(c)(3)	10000	Celebration of Life Sponsorship
Christ Clinic
5504 First Street	Katy	TX	77492	352179708	501(c)(3)	60000	Fund Nurse Practitioner Salary
CHRISTUS Foundation for Healthcare
PO BOX 1920	Houston	TX	772511920	746074211	501(c)(3)	15000	Purchase of Equipment for Hospital
MEMORIAL HERMANN HEALTH SYSTEM
7737 SW FWY SUITE 200	HOUSTON	TX	77074	741152597	501(C)(3)	45342358	INDIGENT FUNDING FOR HARRIS COUNTY
GOLDEN PLAINS COMMUNITY HOSPITAL
200 SMCGEE	BORGER	TX	79007	260328929		1104941	INDIGENT FUNDING FOR HUTCHINSON COUNTY

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Indigent Assistance	TypeOfGrant
Number Of Recipients	3965	NumberOfRecipients
Amount Of Non Cash Assistance	44168	AmountOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	TRSP/RX/VISITS/SUPPL	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	The Organization follows CHRISTUS Health Management Directive No. 0006, "Contributions/Donations to Other Organizations". Before any donation is made, two criteria are addressed: (1) Organization Test and (2) IRS 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. The filing organization provides indigent funding grants to the counties in which it serves via grants paid to other hospitals AND HEALTHCARE ORGANIZATIONS located within such counties. This charitable donation helps relieve the additional expense of healthcare for the indigent population within our communities that the filing organization may not directly serve in one of its hospitals. This is a result of our mission to extend the healing ministry of Jesus Christ, especially to the poor and underserved.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ellen Jones
0	427741	0	52920	0	54101	0	188108	0	23897	0	746767	0	0
Patrick Carrier
375766	53743	0	0	7800	0	164354	23028	13710	2378	561630	79149	0	0
Bill Hecht
0	269671	0	24978	0	63314	0	78776	0	23952	0	460691	0	0
John H McCabe
176476	0	0	0	0	0	44419	0	10586	0	231481	0	0	0
Tom Permitti
234795	7481	0	0	19659	0	95655	2812	30880	1348	380989	11641	0	0
Nancy Pittman
160025	0	0	0	237	0	39157	0	4610	0	204029	0	0	0
Harold Gottlieb
294710	0	0	0	10516	0	65031	0	15800	0	386057	0	0	0
Charles Foster
0	183156	0	14656	0	200	0	72645	0	20005	0	290662	0	0
Heather Boler
0	157162	0	13208	0	0	0	40776	0	21792	0	232938	0	0
Michael Sullivan
36335	126645	0	15000	13739	16199	13220	41672	2446	8576	65740	208092	0	0
David Witt
133254	0	0	0	37	0	11168	0	27353	0	171812	0	0	0
Karen Wilson
156665	0	0	0	4476	0	14939	0	9236	0	185316	0	0	0
Bradkley K Mitchell
0	0	0	0	217432	0	6202	0	0	0	223634	0	0	0
William Whiddon
61229	0	0	0	79833	0	5405	0	5714	0	152181	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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. Sisters' compensation is paid to the religious congregation and not the individual. Officers, key employees and highest paid employees are full-time employees. Board members spend time as needed for board meetings and functions. Prior to 11/9/2009, Erick Smith received compensation for services as Executive Assistant to the CEO. During this period, he served as Corporate Secretary of the filing organization and two related organizations and received no compensation for such services. After 11/9/2009, his compensation was attributable to his services as Corporate Secretary of the filing organization and two related organizations.
Explanation of Related Org determining CEO/Executive Directors comp	Form 990, Schedule J, Part I, Question 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.
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.
Supplemental Nonqualified Retirement Plan	Form 990, Schedule J, Part I, Question 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 or change-of-control payment	Form 990, Schedule J, Part I, Question 4a	Under the severance plan, all or a portion of the base salary of a participating executive will continue to be paid to the executive for a limited period of time if the executive's employment with CHRISTUS and its affiliates is involuntarily terminated. Bradley K. Mitchell received $217,432 in severance payment during Calendar Year 2009. William Whiddon received $79,833 in severance payment during Calendar Year 2009.
supplemental nonqualified retirement plan payment	Form 990, Schedule J, Part I, Question 4b	Bill Hecht was paid $56,114 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 BILL HECHT INCLUDES PAYMENTS FROM SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN EARNED AND PAID IN 2009 UNDER TERMS OF THE AFOREMENTIONED PLAN. COMPENSATION FOR THE FOLLOWING PEOPLE INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT VESTED AND DUE IN 2009 UNDER TERMS OF THE PLAN: Harold Gottlieb, Ellen Jones, Tom Permetti, and Michael Sullivan.
Supplemental Compensation Information	Form 990, Schedule J	Sister Carol Ann Jokerst, who is listed as a director on Part VII, receives compensation from a related organization, but her compensation is paid directly to the religious congregation and not to her individually. Since this compensation goes to the congregation, no Form W-2 is issued, and thus no amounts are listed at Form 990, Part VII. For informational purposes, compensation paid from the related organization on her behalf was $103,198.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Other - Hospital Supplies/ Equip	2	9025	COST/SELLING PRICE
X	Other - Hospital Supplies/ Equip	2	27762	COST/SELLING PRICE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Doing Business As	Form 990, Page 1, Item C	Christus Health Gulf Coast operates under the following names: Christus St. John Hospital Christus St. Catherine Hospital Christus Our Daily Bread Christus New Horizons Center Christus Health Service Center Description of Other Program Services Form 990, Part III, Line 4d COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED Rooted in our mission and tradition, the founders and sponsors of CHRISTUS Health and those who co-minister with them seek new and innovative ways of delivering quality health care that is both affordable and accessible to all. Today, more than ever, we must aim to improve the total health status of the community through programs that place our services where they are needed most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. Community Services for the poor and underserved represent the unpaid cost of services provided for which a patient is not billed, or for which a fee has been assessed that recovers only a portion of the cost of the rendered service. This category includes initiatives that reach out to those in need through community health and social programs. These programs seek justice for the vulnerable and work to bring about changes in our political and economic systems. The programs cover a broad spectrum of services from charity clinics to immunizations for children and seniors, meals on wheels, transportation services, home repair projects and a variety of other social services. The Point of Light Clinic has been in operation since 1990 to provide acute care and episodic healthcare services to those who are uninsured and underinsured within the secondary market of CHRISTUS St. John Hospital, A FACILITY OF CHRISTUS HEALTH GULF COAST. Healthy Living Mobile Clinic, a collaborative mobile health program delivering primary and preventive care (including immunizations), which targets the elderly, women, and children provided 31,662 patient visits. Parish Health Ministry provides a continuum of care, especially for the undeserved populations, through an ongoing partnership with Associated Catholic Charities in collaboration with the Diocese of Galveston-Houston. We See Program offers eye examinations and corrective glasses as indicated to children who are financially or medically indigent. Parish Nurse/Health Ministry Program offers assistance in starting church based programs with a focus on wellness and healthy living. The Gabriel Project IS a parish-based crisis pregnancy program for the Diocese of Galveston-Houston. The parish places the "Sign of Life" on the parish grounds, which invites any pregnant woman to seek all the help she needs from the parish and its associated services. The mother attends the Gabriel Project at the parish where she lives. The VIP program is one designed to meet some of the needs of the senior adults. The focus is on improved health and health education. Low impact aerobic, and chair exercises are offered at no cost to the participants. Health education programs are offered six times a year. The program coordinator hosts the AARP Defensive Driving course every other month. Other programs of interest will be offered based on input of the members. The Breath of Life Children's Center clinic administers healthcare to vulnerable children in the West Houston and Katy, areas. Currently, The Breath of Life Children's Center clinic serves children and their families through its two divisions: Prevention and Acute Sick Care services. Collaborative partners include the American Cancer Society, the Archdiocese of Galveston-Houston, and local church members, CHRISTUS Literacy Center, a collaborative initiative established among CHRISTUS Health Gulf Coast, the Archdiocese of Galveston/Houston and the Dominican Sisters of the Sacred Heart. The Literacy Center provides english as a secondary language (ESL) classes, language and writing skills CLASSES in order for individuals who are not proficient in English to enhance pronunciation, vocabulary, reading, and writing skills. CHRISTUS Our Daily Bread, a ministry of CHRISTUS Health Gulf Coast serves as a respite for the homeless, those who are chemically dependant AND THOSE WHO experience mental/psychiatric disorders. The Center serves approximately 2,500 clients per montH PROVIDES meals, clothing, hygiene, counseling and referrals services. Our Daily Bread serves all clients with respect and dignity in a matter befitting one of God's very own. 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 the 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 costs of this program are not included in the Program Service Expenses for CHRISTUS Health Gulf Coast. Though outstanding loan balances vary throughout the year, the outstanding loan balance at the end of Fiscal Year 2010 was $616,569. The foregone interest for CHRISTUS Gulf Coast in FY2010 was $27,904. CHRISTUS Health established the CHRISTUS Fund to provide resources to not-for-profit agencies and groups whose vision, mission and goals are consistent with CHRISTUS Health's mission, values and philosophy of a healthy community. We believe that by working together, we can make a profound difference in the quality of peoples' lives and create sustainable health in our communities. During FY2010, the total grant money distributed to the Gulf Coast region was $229,552. The cost of these grants is not included in the Program Service Expenses for CHRISTUS Health Gulf Coast. Several CHRISTUS regions provide indigent funding donations or "grants" to AID the counties in which they, or another CHRISTUS region, serve. Such grants may be paid to the county directly or via another hospital OR HEALTHCARE ORGANIZATION in the area. This charitable donation helps relieve the additional expense of healthcare for the indigent population within our communities that CHRISTUS may not directly serve in one of our hospitals. This is a result of our mission to extend the healing ministry of Jesus Christ, especially to the poor and underserved. Program Service Expense = $47,233,243 Grants = $46,491,467 Program Service Revenue = $0
Description of Other Program Services	Form 990, Part III, Line 4d	COMMUNITY SERVICES FOR THE BROADER COMMUNITY The greatest share of these expenses is spent educating health professionals. Helping to prepare future health care professionals is a distinguishing characteristic of not-for-profit health care and constitutes a significant community benefit. CHRISTUS Health also used cash donations as a vehicle to help our communities. We made cash donations, in addition to grants awarded through the CHRISTUS Fund, to support causes like the fight against cancer, provision of a continuum of care for our elderly, 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. Program Service Expense = $1,077,916 Grants = $121,106 Program Service Revenue = $0
Description of Classes of Members or Stockholders	Form 990, Part VI, Line 6	CHRISTUS Health is the sole corporate member of the filing organization.
Descriptions 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. Decisions of the governing body subject to approval by member 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 Member have the following powers: approve the adoption and amendment of articles of incorporation and bylaws of the filing organization if the change is related to reserved powers of members; approve the sale, lease, mortgage, transfer, easement or encumbrance of real property in excess of a $5 million threshold dollar amount required by canon law for the filing organization; approve the sale, lease, mortgage, transfer, easement, or encumbrance of real property designated as Designated Ministry Property by the filing organization, but not in excess of $5 million; approve the change of ownership, management or control, (except in the ordinary course of business office and space leases) the fundamental use by change in license that would significantly change a facility, or the elimination of OB, Ped, Psych or emergency services on real property provided in connection with Designated Ministry Property owned by the filing organization; and approve the merger, consolidation, acquisition, dissolution or liquidation of the filing organization if it owns Designated Ministry Property.
Process used to Review Form 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 conflict 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 HEALTH GULF COAST. 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 determined the compensation of Secretary, Rada Korczynski, 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, Secretary Rada Korczyski's compensation was not reviewed by a compensation committee. A related organization determined the compensation of Secretary, Erick Smith, by use of surveys, taking into account market data and shift differential. Based on the aforementioned procedure, Secretary Erick Smith's compensation was not reviewed by a compensation committee.
Public Disclosure of 1023 and Forms 990 & 990-T	Form 990, Part VI, Line 18	CHRISTUS Health and most of its affiliated entities do not have Forms 1023 because of their inclusion in the IRS Group Ruling with the United States Conference of Catholic Bishops, which covers the 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 and fin stmts to public	Form 990, Part VI, Line 19	The Consolidated Audited Financial Statements of CHRISTUS Health are made available to the public via the Christus Health website. The organization's governing documents and conflict of interest policy are not made available to the public.
Hours worked for Related Organization	Form 990, Part VII, Section A	Average hours per week listed on Form 990, Part VII, Section A are the average hours devoted to the respective person's position while serving the organization. THROUGH 2/27/20, Ellen Jones devoteD an average of 6 hours per week to Christus Health Southwestern Louisiana, a related organization of the filing entity. Ellen WAS the President & CEO of Christus Health Southwestern Louisiana. THROUGH 2/27/10, Ellen Jones devoteD an average of 50 hours per week TO Christus Health Southeast Texas, a related organization of the filing entity. Ellen IS the President & CEO of Christus Health Southeast Texas. Effective 2/28/10, Ellen Jones devotes an average of 33 hours per week to CHRISTUS Health Southeast Texas. Ellen is the President & CEO of CHRISTUS Health Southeast Texas. From 8/29/09 through 2/28/10, Patrick Carrier devoted an average of 24 hours per week to CHRISTUS Continuing Care, a related organization of the filing entity. Patrick was the President/CEO of CHRISTUS Continuing Care. Effective 2/28/10, Patrick devotes an average of 60 hours per week to CHRISTUS Santa Rosa Health Care Corporation, a related organization of the filing entity. Patrick is the President/CEO of CHRISTUS Santa Rosa Health Care Corporation. THROUGH 2/28/10, Bill Hecht devoteD an average of 7 hours per week TO Christus Health Southwestern Louisiana, a related organization of the filing entity. Bill WAS the Chief Financial Officer of Christus Health Southwestern Louisiana. THROUGH 5/8/10, BILL DEVOTED an average of 59 hours per week TO Christus Health Southeast Texas, a related organization of the filing entity. Bill is the Chief Financial Officer of Christus Health Southeast Texas. Effective 5/9/10, Bill devotes an average of 39 hours per week to CHRISTUS Health Southeast Texas, a related organization of the filing entity. Bill is the Chief Financial Officer of CHRISTUS Health Southeast Texas. THROUGH 5/8/10, Charles Foster devoteD an average of 40 hours per week TO Christus Health Southeast Texas, a related organization of the filing entity. Charles WAS the VP Human Resources of Christus Health Southeast Texas. THROUGH 5/1/10, Heather Boler devoteD an average of 40 hours per week TO Christus Health Southeast Texas, a related organization of the filing entity. Heather WAS the Regional VP of Strategy, Business Development, Marketing, & Communications of Christus Health Southeast Texas. From 2/15/09 through 10/24/09, Michael Sullivan devoted an average of 60 hours per week to CHRISTUS Health, a related organization of the filing entity. Michael was the Director of Mission Integration for CHRISTUS Health. Effective 10/25/09, Michael devotes an average of 30 hours per week to CHRISTUS Continuing Care, a related organization of the filing entity. Michael is the VP of Mission and Organizational Ethics of CHRISTUS Continuing Care. From 10/25/09 through 5/7/10, Tom Permetti devoted an average of 11 hours per week to CHRISTUS Continuing Care, a related organization of the filing entity. Tom was the Facility Administrator/VP of Strategy of CHRISTUS Continuing Care. Effective 5/8/10, Tom devotes an average of 22 hours per week to CHRISTUS Health Southeast Texas, a related organization of the filing entity. Tom is the Regional COO of CHRISTUS Health Southeast Texas.
FORM 990, PART VII, SECTION A	OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMP EMPLOYEES	Nancy Brock served as the Regional CFO, an officer position, through 4/1/10. Effective 4/1/10, Nancy serves as the CFO of St. Catherine Hospital, a key employee position.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVC	TX	501(C)(3)	3	NA
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100A	HOUSTON	TX	77027	742898615	HLTHCARE SVC	TX	501(C)(3)	3	NA
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH SUITE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVC	TX	501(C)(3)	11-TYPE 1	NA
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE 2ND F	PARIS	TX	75460	421619230	SUPT HLTH SV	TX	501(C)(3)	11-TYPE 1	NA
CHRISTUS ST JOSEPH'S HEALTH SYSTEM
2707 NORTH LOOP WEST	HOUSTON	TX	77008	750800674	HLTHCARE SVC	TX	501(C)(3)	3	NA
CHRISTUS STEHLIN FND FOR CANCER RESEARCH
10301 STELLA LINK SUITE A	HOUSTON	TX	77025	741622404	CANCER RSCH	TX	501(C)(3)	9	NA
DUBUIS HEALTH SYSTEM INC
10333 RICHMOND AVE SUITE 300	HOUSTON	TX	77042	721270964	Hlthcare Svc	TX	501(C)(3)	3	NA
CHRISTUS HEALTH FOUNDATION
2707 NORTH LOOP WEST	HOUSTON	TX	77008	611500100	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	NA
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVC	LA	501(C)(3)	3	NA
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVC	LA	501(C)(3)	3	NA
CHRISTUS SPOHN HEALTH SYSTEM CORP
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVC	TX	501(C)(3)	3	NA
CHRISTUS HEALTH SOUTHEAST TEXAS
3010 HARRISON STREET	BEAUMONT	TX	77702	760591590	HLTHCARE SVC	TX	501(C)(3)	3	NA
CHRISTUS Health
2707 NORTH LOOP WEST	HOUSTON	TX	77008	760590551	SUPT HLTH SVC	TX	501(C)(3)	11 - Type I	NA
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVC	TX	501(C)(3)	3	NA
CHRISTUS HEALTH UTAH
451 BISHOP FEDERAL LANE	SALT LAKE CITY	UT	84115	870231682	HLTHCARE SVC	UT	501(C)(3)	9	NA
CHRISTUS Health Southwestern Louisiana
524 Dr Michael Debakey Drive	Lake Charles	LA	70601	720411322	HLTHCARE SVC	LA	501(C)(3)	3	NA
Christus Health Liability Retention Trst
2707 North Loop West	Houston	TX	77008	760259623	SELF INS TRST	TX	501(C)(3)	11-TYPE 1	NA
Christus Foundation for Healthcare
PO Box 1919	Houston	TX	772511919	746074210	SUPT HLTH SVC	TX	501(C)(3)	7	NA

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner
ST CATHERINE MANAGEMENT LLC
701 S FRY ROAD	KATY	TX	77450	770620092	HEALTHCARE SRVCS	TX	NA	INVESTMENT	-1598	917	false	$0	false
KATY ST CATHERINE SURGERY CENTER LP
707 S FRY ROAD	KATY	TX	77450	201168675	HEALTHCARE SRVCS	TX	NA	RELATED	-68109	164526	false	$0	false
WEST HOUSTON REAL ESTATE DEVELOPMENT
1700 WEST LOOP SOUTH 1200	HOUSTON	TX	77027	262330994	HEALTHCARE SRVCS	TX	NA	INVESTMENT	11683	8727276	false	$0	false

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
HOUSTON METROPOLITAN HEALTH NETWORK
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760427193	HEALTHCARE SRVCS	TX	NA	C Corp	91150	394511	1.00000
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SRVCS		NA	C Corp				Carretera Nacional No 6501 Col E	Monterrey	N.L.	MX	64988	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		NA	C CORP				PO BOX 1051	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-1102	CJ

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
CHRISTUS Foundation for Healthcare
c	10005733
CHRISTUS Foundation for Healthcare
n	685706
CHRISTUS Foundation for Healthcare
p	61302
CHRISTUS Health Liability Retention Trust
o	260065
CHRISTUS Health Southeast Texas
n	1007275
CHRISTUS Health Southeast Texas
o	94890
CHRISTUS Health Southeast Texas
p	633690
Houston Metropolitan Health Network
n	95591
Katy St Catherine Surgery Center LP
n	79023
Katy St Catherine Surgery Center LP
a	136939
Katy St Catherine Surgery Center LP
g	555691
Katy St Catherine Surgery Center LP
r	358180