CHRISTUS HEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH (EIN 76-0590551)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201921349349306412
Schema version: 2017v2.3
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 C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T13:31:40-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON STREET STE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	760590551	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christus Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KIM REYNOLDS	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 Hidden Ridge Drive	AddressLine1Txt
City	Irving	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RANDY SAFADY	PersonNm
Person Title	EXEC VP/CFO	PersonTitleTxt
Phone	4692822000	PhoneNum
Signature	2019-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KATHLEEN MOSELEY	PreparerPersonNm
PTIN	P00116760	PTIN
Phone	8173351900	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.154.140.244	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	75303520191345000013	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B26A0E7ADF3B9DE143B5ECD047BF97D8CB3915A7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	0FD3178183619286035AA06C9BAA1B15F55AB8A5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ERNIE SADAU	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE DRIVE	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,168,774,070	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christushealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	3120	TotalEmployeeCnt
Total Volunteers	13	TotalVolunteersCnt
Total Gross UBI	$723,532	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$594,391	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$559,663,710	PYProgramServiceRevenueAmt
CY Program Service Revenue	$841,199,248	CYProgramServiceRevenueAmt
PY Investment Income	$75,466,057	PYInvestmentIncomeAmt
CY Investment Income	$119,676,011	CYInvestmentIncomeAmt
PY Other Revenue	$11,668,077	PYOtherRevenueAmt
CY Other Revenue	$26,642,277	CYOtherRevenueAmt
PY Total Revenue	$646,797,844	PYTotalRevenueAmt
CY Total Revenue	$987,517,536	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,288,226	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,364,075	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$370,116,801	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$444,097,063	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$348,175,391	PYOtherExpensesAmt
CY Other Expenses	$556,903,948	CYOtherExpensesAmt
PY Total Expenses	$720,580,418	PYTotalExpensesAmt
CY Total Expenses	$1,006,365,086	CYTotalExpensesAmt
PY Revenues Less Expenses	-$73,782,574	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$18,847,550	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,079,152,064	TotalAssetsBOYAmt
Total Assets EOY	$2,644,038,414	TotalAssetsEOYAmt
Total Liabilities BOY	$1,495,909,969	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,538,747,391	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,583,242,095	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,105,291,023	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$544,226,180	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$705,873,685	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH MINISTRIES TOGETHER. THE 2016 AFFILIATION WITH TRINITY MOTHER FRANCES HEALTH SYSTEM RESULTED IN A THIRD SPONSORING CONGREGATION OF CHRISTUS HEALTH, THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN 350 FACILITIES, INCLUDING 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO AND IN CHILE. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 8,735,000. IN FISCAL YEAR 2018 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 979,891 VISITS TO OUR EMERGENCY DEPARTMENTS; 46,966 INPATIENT SURGERY PROCEDURES; 132,196 OUTPATIENT SURGERY PROCEDURES; 188,067 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 3,512,374 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. IN ADDITION, MANY OF OUR HOSPITALS ARE ENGAGED IN RESEARCH AND CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$135,853,685	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$135,325,563	RevenueAmt
Desc	OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR APPROXIMATELY 15,000 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,688,198	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS, Federally Qualified Health Centers, Rural Health Service Organizations, which distributed the donations to rural health providers across east and Northeast Texas AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2018, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$171,568	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$5,364,075	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$683,939,631	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2406	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3120	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CI	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	MX	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KIM REYNOLDS	PersonNm
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE DR	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SISTER HANNAH O'DONOGHUE CCVI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SISTER CHRISTINA MURPHY
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHERYL ALSTON
Director	1.0	0.0	Yes (X)	$7,395	$0	$0
GEORGE BO-LINN MD
Director	1.0	0.0	Yes (X)	$9,708	$0	$0
FATHER CHARLES E BOUCHARD
Director (Term 12/2017)	1.0	0.0	Yes (X)	$6,750	$0	$0
J LYNN BRITTON
Director	1.0	0.0	Yes (X)	$8,545	$0	$0
PATRICIO DONOSO IBANEZ
Director	1.0	0.0	Yes (X)	$8,045	$0	$0
MARICELA SIEWCZYNSKI MOORE
Director	1.0	0.0	Yes (X)	$9,870	$0	$0
ARTHUR SOUTHAM MD
Director/CHAIR	1.0	0.0	Yes (X)	$1,695	$0	$0	Yes (X)
DENNIS N STINE
DIRECTOR (term 12/2017)	1.0	0.0	Yes (X)	$13,320	$0	$0
KENNETH D WELLS MD
Director (term 12/2017)	1.0	0.0	Yes (X)	$12,695	$0	$0
CLARENCE R WILLIAMS
Director	1.0	0.0	Yes (X)	$12,752	$0	$0
BILL CHEN
DIRECTOR	1.0	0.0	Yes (X)	$9,645	$0	$0
J LINDSEY BRADLEY JR
DIRECTOR	1.0	39.0	Yes (X)	$1,452,867	$0	$1,962
STEVEN KEUER MD
TMF CHIEF FINANCIAL OFFICER	1.0	39.0	Yes (X)	$1,070,746	$0	$20,026
SISTER LORETTA FELICI
DIRECTOR	24.0	0.0	Yes (X)	$0	$0	$0
ALIDE CHASE
DIRECTOR (eff 01/2018)	24.0	0.0	Yes (X)	$2,341	$0	$0
DAVID STRONG
DIRECTOR (EFF 01/2018)	24.0	0.0	Yes (X)	$4,750	$0	$0
FATHER STEPHEN WORSLEY
DIRECTOR (eff 01/2018)	24.0	0.0	Yes (X)	$0	$0	$0
SISTER YOLANDA TARANGO
DIRECTOR (EFF 01/2018)	1.0	0.0	Yes (X)	$0	$0	$0
Ernie W Sadau
PRESIDENT/CEO	40.0	0.0	Yes (X)	$5,214,131	$0	$1,015,418	Yes (X)
RICHARD L CLARKE
DIRECTOR (term 12/2017)	1.0	0.0	Yes (X)	$22,133	$0	$0
SISTER KATHLEEN COUGHLIN CCVI
DIRECTOR (term 12/2017)	1.0	0.0	Yes (X)	$0	$0	$0
SISTER WALTER MAHER CCVI
DIRECTOR (term 12/2017)	1.0	0.0	Yes (X)	$0	$0	$0
ANITA DEWAN
Asst Corp Sec. (term 04/2018)	32.0	8.0		$113,562	$0	$6,006	Yes (X)
KELLY KLIBERT
Dir. of Governance	32.0	8.0		$114,797	$0	$20,976	Yes (X)
Randolph W Safady
EVP/CFO	40.0	0.0		$2,804,102	$0	$434,772	Yes (X)
ALEX J VALDEZ
CEO-Clinica San Carlos de Apoq	39.0	1.0		$451,412	$0	$8,035		Yes (X)
Joseph S Barcie
SVP INTL Ops (tERM 10/2017)	1.0	39.0		$1,306,294	$0	$10,742		Yes (X)
George S Conklin
SVP-CIO	39.0	1.0		$1,649,642	$0	$218,305		Yes (X)
Dominic J Dominguez
SVP-GROUP OPERATIONS	1.0	39.0		$770,451	$0	$140,462		Yes (X)
Paul D Generale
EVP/CHIEF STRATEGY OFFICER	39.0	1.0		$2,253,853	$0	$422,351		Yes (X)
John A Gillean
EVP/CHIEF MEDICAL OFFICER	39.0	1.0		$2,511,098	$0	$365,822		Yes (X)
Gerard F Heeley
SVP-MISSION AND ETHICS	39.0	1.0		$1,354,130	$0	$185,592		Yes (X)
Nancy C Legros
SVP-CHIEF Lgl Cnsl (til 10/17)	40.0	0.0		$1,609,560	$0	$11,554		Yes (X)
Marty F Margetts
EVP/CORP SERVICES	39.0	1.0		$2,063,629	$0	$408,019		Yes (X)
Linda K McClung
EVP/CAO	39.0	1.0		$2,090,224	$0	$331,286		Yes (X)
Peter J Plantes
CEO CPG (term 11/2017)	1.0	39.0		$1,574,221	$0	$8,795		Yes (X)
Jeffrey M Puckett
EVP/COO	39.0	1.0		$3,032,651	$0	$607,317		Yes (X)
Michael S Stansburry
SVP-POPULATION HEALTH	40.0	0.0		$717,193	$0	$136,150		Yes (X)
Stephen F Wright
PRES/CEO-LA MINISTRIES	1.0	39.0		$1,147,408	$0	$224,561		Yes (X)
ALEJANDRO CANAVATI
CEO - CHILE OPDERATIONS	40.0	0.0		$836,053	$0	$88,798			Yes (X)
Patrick B Carrier
PRESIDENT - SANTA FE MINISTRY	1.0	39.0		$1,146,446	$0	$210,729			Yes (X)
Christopher karam
SVP-Group Operations	1.0	39.0		$934,860	$0	$193,723			Yes (X)
Nancy Hellyer
CEO CNLA	40.0	0.0		$795,865	$0	$95,211			Yes (X)
John C Glenney
CEO TMF	40.0	0.0		$733,991	$0	$145,798			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$37,878,830	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,312,410	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	505	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CB RICHARD ELLIS INC
2700 POST OAK BOULEVARD Suite 250	HOUSTON	TX	77056	LEASE SERVICES	$21,895,730
ARAMARK HEALTHCARE SUPPORT
27310 NETWORK PLACE	CHICAGO	IL	60673	FOOD SERVICES	$14,894,648
HOSPITAL HOUSEKEEPING SYSTEMS LLC
216 EAST 4TH STREET	AUSTIN	TX	78701	HOSPITAL MAINTENANCE	$8,365,057
PROTIVITI INC
5720 STONERIDGE DRIVE SUITE 3	PLEASANTON	CA	94588	CONSULTING SERVICES	$6,522,306
ERNST YOUNG
200 PLAZA DRIVE	SECAUCUS	NJ	07094	CONSULTING/AUDIT SVC	$5,523,049

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	405	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAPITATION REVENUE	621400	$267,921,079	$267,921,079
SERVICE FEE INCOME	541900	$239,149,679	$238,426,147	$723,532	$0
PREMIUM REVENUE	900099	$220,353,555	$220,353,555	$0	$0
SYSTEM OFFICE FEES AND MGMT SERVICES	561000	$90,862,915	$90,862,915	$0	$0
MEANINGFUL USE INCENTIVE PAYMENTS	900099	$356,399	$356,399	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,555,621	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,555,621	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$841,199,248	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,441,498	TotalRevenueColumnAmt
Exclusion	$90,441,498	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,943,709	TotalRevenueColumnAmt
Exclusion	$5,943,709	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,208,719,748	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,179,052,121	SecuritiesAmt
Other	$433,114	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,667,627	SecuritiesAmt
Other	-$433,114	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,234,513	TotalRevenueColumnAmt
Exclusion	$29,234,513	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$4,954,555	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,771,299	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,183,256	TotalRevenueColumnAmt
Exclusion	$3,183,256	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MANAGED CARE REVENUE	900099	$3,082,422	$0	$3,082,422
METHODIST REVENUE	900099	$1,392,515	$0	$1,392,515
COBRA INSURANCE - EMPLOYEES	900099	$1,190,250	$0	$1,190,250

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,850,125	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,850,125	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,515,312	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$987,517,536	TotalRevenueColumnAmt
Related Or Exempt Func Income	$840,475,716	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$723,532	UnrelatedBusinessRevenueAmt
Exclusion	$146,318,288	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,364,075	TotalAmt
Program Services	$5,364,075	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$33,431,615	TotalAmt
Program Services	$6,820,540	ProgramServicesAmt
Management And General	$26,611,075	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$208,516,007	TotalAmt
Program Services	$42,540,323	ProgramServicesAmt
Management And General	$165,975,684	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$5,678,571	TotalAmt
Program Services	-$3,185,956	ProgramServicesAmt
Management And General	-$2,492,615	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$195,126,015	TotalAmt
Program Services	$180,853,330	ProgramServicesAmt
Management And General	$14,272,685	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,701,997	TotalAmt
Program Services	$3,296,185	ProgramServicesAmt
Management And General	$9,405,812	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$93,333	TotalAmt
Management And General	$93,333	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,545,037	TotalAmt
Program Services	$30,914	ProgramServicesAmt
Management And General	$2,514,123	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	-$2,389,793	TotalAmt
Management And General	-$2,389,793	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,032,698	TotalAmt
Management And General	$1,032,698	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,493,168	TotalAmt
Management And General	$2,493,168	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$220,011,939	TotalAmt
Program Services	$198,616,672	ProgramServicesAmt
Management And General	$21,395,267	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,367,958	TotalAmt
Program Services	$76,069	ProgramServicesAmt
Management And General	$5,291,889	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,779,158	TotalAmt
Program Services	$17,620,471	ProgramServicesAmt
Management And General	$13,158,687	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,983,572	TotalAmt
Program Services	$8,946,896	ProgramServicesAmt
Management And General	$4,036,676	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,543,605	TotalAmt
Program Services	$1,246,745	ProgramServicesAmt
Management And General	$6,296,860	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,593,870	TotalAmt
Program Services	$351,769	ProgramServicesAmt
Management And General	$4,242,101	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,115,834	TotalAmt
Program Services	$392,071	ProgramServicesAmt
Management And General	$22,723,763	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,753,060	TotalAmt
Program Services	-$294,611	ProgramServicesAmt
Management And General	$5,047,671	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$59,359,332	TotalAmt
Program Services	$59,380,305	ProgramServicesAmt
Management And General	-$20,973	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBT EXPENSE	$138,993,361	$138,993,361
NEW SOFTWARE	$15,238,302	$14,697,030	$541,272
SWAP FINANCING COST	$10,198,186		$10,198,186
MEDICAL EXPENSES	$59,398	$25,452	$33,946	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,131,930	TotalAmt
Program Services	$8,167,990	ProgramServicesAmt
Management And General	$11,963,940	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,006,365,086	TotalAmt
Program Services	$683,939,631	ProgramServicesAmt
Management And General	$322,425,455	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$81,555,076	BOYAmt
EOY	$87,473,254	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,172,836	BOYAmt
EOY	$35,089,861	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,488,887	BOYAmt
EOY	$7,208,230	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,433,749	BOYAmt
EOY	$1,293,128	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$38,198,312	BOYAmt
EOY	$46,207,569	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$281,062,682	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$154,659,291	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$118,761,147	BOYAmt
EOY	$126,403,391	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$458,258,697	BOYAmt
EOY	$629,455,485	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$260,950,740	BOYAmt
EOY	$244,264,768	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,421,539,320	BOYAmt
EOY	$1,336,966,076	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,296,630	BOYAmt
EOY	$19,296,630	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$663,496,670	BOYAmt
EOY	$110,380,022	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,079,152,064	BOYAmt
EOY	$2,644,038,414	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$234,351,373	BOYAmt
EOY	$225,121,777	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,244,879	BOYAmt
EOY	$291,330	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,055,485,257	BOYAmt
EOY	$986,421,547	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,828,460	BOYAmt
EOY	$326,912,737	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,495,909,969	BOYAmt
EOY	$1,538,747,391	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,568,963,696	BOYAmt
EOY	$1,089,844,571	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,671,994	BOYAmt
EOY	$11,840,047	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,606,405	BOYAmt
EOY	$3,606,405	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,583,242,095	BOYAmt
EOY	$1,105,291,023	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,079,152,064	BOYAmt
EOY	$2,644,038,414	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$18,847,550	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$13,653,923	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$445,449,599	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$177,893,713	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$149,803,902	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$73,618,886	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$105,965,033	CurrentTaxYearMinus1YearAmt
Current Tax Year	$277,953,335	CurrentTaxYearAmt
Total	$785,234,869	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,045,514	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,219,408	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,469,032	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,247,953	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,199,276	CurrentTaxYearAmt
Total	$21,181,183	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$182,939,227	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$156,023,310	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$77,087,918	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$109,212,986	CurrentTaxYearMinus1YearAmt
Current Tax Year	$281,152,611	CurrentTaxYearAmt
Total	$806,416,052	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$806,416,052	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$22,860,349	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,161,269	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,301,669	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$61,875,646	CurrentTaxYearMinus1YearAmt
Current Tax Year	$96,385,207	CurrentTaxYearAmt
Total	$202,584,140	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,055,553	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,783,879	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,974,103	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$569,668	CurrentTaxYearMinus1YearAmt
Current Tax Year	$595,523	CurrentTaxYearAmt
Total	$11,978,726	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$25,915,902	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,945,148	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,275,772	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$62,445,314	CurrentTaxYearMinus1YearAmt
Current Tax Year	$96,980,730	CurrentTaxYearAmt
Total	$214,562,866	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,924,589	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,538,968	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,666,640	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,572,390	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,499,291	CurrentTaxYearAmt
Total	$56,201,878	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$213,779,718	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$182,507,426	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$107,030,330	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$178,230,690	CurrentTaxYearMinus1YearAmt
Current Tax Year	$395,632,632	CurrentTaxYearAmt
Total	$1,077,180,796	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.74864	PublicSupportCY509Pct
Public Support PY509	0.80030	PublicSupportPY509Pct
Investment Income CY	0.19919	InvestmentIncomeCYPct
Investment Income PY	0.15030	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$1,185	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$116,448	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$915,065	OtherActivitiesAmt
Total Lobbying Expenditures	$1,032,698	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING DESCRIPTION	FormAndLineReferenceDesc
Explanation	Part 1(b): Paid staff and management: with approximately five paid staff members for the CHRISTUS Health system that serve the Advocacy and Public and Policy department. The department represents the organization before state and federal legislative bodies and regulatory agencies. Part 1(d) Mailings to members and legislators through system-wide action alert for issues related to: Please Act Now to Support Rural Hospitals 9/11/2017; Support DACA 5/17/2018; Support Preservation of 340B Drug Discount Program 6/11/2018; Ask Your Lawmakers to Support the Passage of ACE Kids Act 6/25/2018. 2661 letters sent, 587 advocates took action, 1 minute per letter Part 1 (g) Direct contact with legislators, their staffs, government officials and legislative bodies for issues related to: emails, letters and direct contact to members of congressional and state lawmakers in TX, LA, NM, and AR to discuss: draft report language in the House Armed Services Committee report on the National Defense Authorization Act for FY 2017, sole community provider program, tax reform, disproportionate share hospital funding, critical access hospital funding, rural hospital issues, 1115 waiver Medicaid proposals, uniform hospital rate increase program, Medicaid managed care, health Information technology and interoperability, Affordable Care Act, federal emergency preparedness, 340B Drug Pricing Program, school based health clinics, Medicaid program, military health, palliative care, hospital provider fees, hospital-related tax issues, trauma funding, pediatric hospital issues, advance directives legislation, behavioral health issues, maintenance of certification for physicians, public Information act and transparency legislation, foster care reform, balance billing and insurance reform, state hospital reforms, VA unreimbursed claims, and non-subscription as an alternative to Texas Workers Compensation system. Part 1 (i) Other Activity includes: Annual fee to CapWiz to administer action alert server hosting fee. Lobbying fees as portion to dues for trade associations including: American Hospital Association , Arkansas Hospital Association, Association of Community Cancer Centers, Catholic Health Association, Childrens Hospital Association, Children's Hospital Association of Texas, Health Plan Alliance, Louisiana Assisted Living Association, Louisiana Hospital Association, Louisiana Nursing Home Association, Personal Connect, New Mexico Hospital Association, Texas Association of Business, Texas Association of Health Plans, Texas Association of Home Care, Texas Hospital Association, Texas Association Voluntary Hospitals, Texas e Health Alliance, US Family Health Plan, Teaching Hospitals of Texas, 340B Health. In addition, paid lobbyists and consultants to support the issues described above.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,107,018	OtherCostOrOtherBasisAmt
Book Value	$21,107,018	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$95,850,150	OtherCostOrOtherBasisAmt
Depreciation	$43,926,735	DepreciationAmt
Book Value	$51,923,415	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,572,775	OtherCostOrOtherBasisAmt
Depreciation	$8,317,396	DepreciationAmt
Book Value	$8,255,379	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,021,905	OtherCostOrOtherBasisAmt
Depreciation	$8,894,979	DepreciationAmt
Book Value	$57,126,926	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,510,834	OtherCostOrOtherBasisAmt
Depreciation	$93,520,181	DepreciationAmt
Book Value	-$12,009,347	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$126,403,391	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	HEDGE FUNDS	Desc
Book Value	$244,264,768	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$244,264,768	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN CONSOL SUBS	Desc
Book Value	$1,336,966,076	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$1,336,966,076	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
LT PENSION LIABILITY	$258,467,626
LT OBLIGATION SELF FUNDED	$59,500,094
CCVI PAYABLE	$6,413,654
TAXES PAYABLE	$1,771,842
CAPITAL LEASE LIABILITY	$1,684,805
COLLECTIONS PAYABLE	-$925,284

Field	Value	IRS element (for citing)
Total Liability	$326,912,737	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS

FORM 990, PART X, LINE 1 AND 2 OTHER ASSETS, FORM 990, PART X, LINE 15 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.

UNCERTAIN TAX POSITIONS UNDER ASC 740

FORM 990, SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2018 AND 2017.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
South America	Program Services	Program/Bus Develop	$1,504,289
North America	Program Services	Program/Bus Develop	$505,468
Europe (Including Iceland and Greenland)	Program Services	Progam/Bus Develop	$133,609
Central America and the Caribbean	Program Services	Program/Bus Develop	$22,307
East Asia and the Pacific	Program Services	Program/Bus Develop	$15,026
Sub-Saharan Africa	Program Services	Program/Bus Develop	$250
Middle East and North Africa	Program Services	Program/Bus Develop	$16
Central America and the Caribbean	Program Services	Investments-Book Value	$159,618,731
Central America and the Caribbean	Program Services	Investments-Book Value	$111,397,393
Central America and the Caribbean	Program Services	Self Insurance Funding	$35,879,963
North America	Program Services	Investments-Cap Contr	$520,196

Field	Value	IRS element (for citing)
Subtotal Spent	$309,597,248	SubtotalSpentAmt
Total Spent	$309,597,248	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Alpha Home Inc
P O Box 15440	San Antonio	TX	78212	741668144	501(c)(3)	$77,000	General Support
Alzheimer's Alliance of Texarkana Area
100 Memory Lane	Texarkana	TX	75503	752486061	501(c)(3)	$30,000	Food for Friends Project
Ark-Tex Council of Governments
4808 Elizabeth Street	Texarkana	TX	75503	751293383	501(c)(3)	$75,000	Rural Transportation for Seniors
Cancer Foundation for New Mexico
3005 South St Francis Dr Ste 3B	Santa Fe	NM	87505	412079799	501(c)(3)	$40,000	Travel to Treatment Program
CASA of Northeast Texas Inc
P O Box 1546	Texarkana	TX	75504	752352271	501(c)(3)	$50,558	Texarkana Children's Advocacy
Catholic Charities of Dallas
1421 W Mockingbird Ln	Dallas	TX	75247	752745221	501(c)(3)	$100,000	Mental Health Counseling
Catholic Charities Diocese of Tyler
202 W Front Street	Tyler	TX	75702	202766724	501(c)(3)	$71,450	Parish Nursing Network
Central Louisiana Coalition
1515 Jackson Street	Alexandria	LA	71301	721247718	501(c)(3)	$80,000	Access to Healthcare
Charlie's Place Recovery Center
5501 I H 37	Corpus Christi	TX	78408	741595867	501(c)(3)	$147,653	Charlie's Place Wellness Clinic
Children's Bereavement Center of South Texas
205 W Olmos Drive Ste 101	San Antonio	TX	78212	742828178	501(c)(3)	$25,000	Individual Counseling Services
CHRISTUS HIGHLAND MEDICAL CENTER
1453 E INDUSTRIAL LOOP	SHREVEPORT	LA	75505	720408982	501(c)(3)	$122,009	Payout To The Region
CHRISTUS HOSPITAL ST ELIZABETH
2830 CALDER AVENUE	BEAUMONT	TX	77702	741461326	501(c)(3)	$33,000	Payout To The Region
CHRISTUS HOSPITAL ST MARY HOSPITAL
2830 CALDER AVENUE	BEAUMONT	TX	77702	741109627	501(c)(3)	$150,000	Payout To The Region
CHRISTUS SANTA ROSA HEALTHCARE CORPORATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	501(c)(3)	$100,820	Payout To The Region
CHRISTUS ST FRANCIS CABRINI HOSPITAL
3330 MASONIC DR	Alexandria	LA	71301	720408984	501(c)(3)	$120,000	Payout To The Region
CHRISTUS ST MICHAEL HOSPITAL
2600 ST MICHAEL DR	TEXARKANA	TX	75503	752796815	501(c)(3)	$150,517	Payout To The Region
CHRISTUS ST PATRICK HOSPITAL
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	501(c)(3)	$105,318	Payout To The Region
Coastal Bend Center for Independent Living
1537 Seventh Street	Corpus Christi	TX	78404	742878070	501(c)(3)	$13,000	Salary Support
Cossatot Comm College of the Univ AR Fnd
183 College Drive	De Queen	AR	71832	300144282	501(c)(3)	$20,000	Christus St. Michael Center
Dallas Area Interfaith Sponsoring Committee
1140 Lupo Drive	Dallas	TX	75207	752409130	501(c)(3)	$35,000	Immigrant Wellness Campaign
East Texas Border Health Clinic
P O Box 1326	Marshall	TX	75671	030538912	501(c)(3)	$24,975	Indigent Mental Health
Eden Home Inc
631 Lakeview Blvd	New Braunfels	TX	78130	741143030	501(c)(3)	$50,000	Memory Care Program
El Puente Hispanic Ministry
1102 E McCarty Street	Jefferson City	MO	65101	500005943	501(c)(3)	$25,000	Medical Interpreter
Family Counseling Service
3833 S Staples Ste S203	Corpus Christi	TX	78411	160975006	501(c)(3)	$50,000	Therapy Services to Children
Friendship Club
P O Box 6723	Santa Fe	NM	87502	272362329	501(c)(3)	$55,000	Peer Support Services Project
GenCure
6211 Interstate Highway 10 W	San Antonio	TX	78201	462216869	501(c)(3)	$250,000	Texas Cord Blood Bank
Harvest Texarkana Regional Food Bank Inc
P O Box 707	Texarkana	TX	75504	752671647	501(c)(3)	$40,000	Harvest Texarkana
Heart House
P O Box 823162	Dallas	TX	75382	550522469	501(c)(3)	$35,000	Head, Heart, Hands Project
Impact Personal Safety
PO BOX 8350	Santa Fe	NM	87504	850475597	501(c)(3)	$59,000	General Support
Interfaith Community Shelter Group Inc
P O Box 22653	Santa Fe	NM	87502	270736366	501(c)(3)	$131,250	Interfaith Community Shelter
Las Cumbres Community Services
102 N Coronado Avenue	Espanola	NM	87532	237144268	501(c)(3)	$53,800	Protection Shield Prgm
Martin Luther King Health Center
865 Olive Street	Shreveport	LA	71104	721079721	501(c)(3)	$50,000	for Heart: Healthy You
Martinez Street Women's Center
801 North Olive Street	San Antonio	TX	78202	742934053	501(c)(3)	$30,550	Woman Zone
Mary's House of Louisiana Inc
906 Margaret Place	Shreveport	LA	71101	472593937	501(c)(3)	$50,000	Pregnancy Care Center Project
Mission of Mercy Inc
719 Shorline Blvd Ste 103	Corpus Christi	TX	78401	860704883	501(c)(3)	$100,000	Texas Mobile Medical Program
Neighbor for Neighbor Inc
505 East 36th Street North	Tulsa	OK	74135	730707328	501(c)(3)	$200,000	Life Skills, Health, and Welfare
NextSTEP of Central Louisiana
220 Hospital Blvd	Pineville	LA	71360	721154072	501(c)(3)	$40,000	teen awareness & Prevention
Northwest Louisiana Food Bank
2307 Texas Avenue	Shreveport	LA	71103	721328890	501(c)(3)	$25,000	Back Pack Program
Rise Recovery
P O Box 15322	San Antonio	TX	78212	742216041	501(c)(3)	$65,000	Rise Recovery Training Institute
Runnin W J Therapeutic Center Inc
4802 S Kings Highway	Texarkana	TX	75501	752897949	501(c)(3)	$33,600	Therapeutic Riding for Children
San Antonio Christian Dental Clinic Inc
1 Haven for Hope Way Ste 400	San Antonio	TX	78207	742428161	501(c)(3)	$100,000	Charitible Dental Care Homeless
San Antonio Lifetime Recovery
10290 Southton Road	San Antonio	TX	78223	741540097	501(c)(3)	$150,000	Nursing and Client Services
Santa Fe Community Services Inc
440 Cerrillos Road 4	Santa Fe	NM	87505	562491916	501(c)(3)	$45,000	Overdose Prevention Training
Santa Fe Dreamers Project
P O Box 8009	Santa Fe	NM	87504	820839645	501(c)(3)	$58,167	U-VISA Services
Shreveport Green
3625 Southern Avenue	Shreveport	LA	71104	720970610	501(c)(3)	$24,000	Fresh Food Mobile Markets
Sisters of Charity of the Incarnate Word
4503 Broadway	San Antonio	TX	78209	237152879	501(c)(3)	$144,200	General Support
St Peter-St Joseph Children's Home
919 Mission Road	San Antonio	TX	78210	741143129	501(c)(3)	$50,000	Trauma Recovery Program
ST VINCENT HOSPITAL
P O BOX 2107	SANTA FE	NM	87504	850106941	501(c)(3)	$120,000	Payout to the region
The Arc of San Antonio
13430 West Avenue	San Antonio	TX	78216	741200110	501(c)(3)	$34,000	Adult Life Enrichment Program
The Coming Home Connection Inc
418 Cerrillos Road Suite 27	Santa Fe	NM	87501	742853467	501(c)(3)	$30,320	Volunteer Homecare
Villa Theresa Catholic Clinic
219 Cathedral Place	Santa Fe	NM	87501	850229019	501(c)(3)	$120,000	Dental Services for Underserved
Visitation House Ministries
945 W Huisache Avenue	San Antonio	TX	78201	742447137	501(c)(3)	$10,000	Community Education Program
Volunteers of America of North Louisiana
360 Jordan Street	Shreveport	LA	71101	900798419	501(c)(3)	$131,693	Community Health Partnership
Women's Global Connection of San Antonio
4503 Broadway Street	San Antonio	TX	78209	421619919	501(c)(3)	$19,500	Women's capacity building
YWCA San Antonio
6756 Montgomery Drive	San Antonio	TX	78239	741143135	501(c)(3)	$66,275	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	55	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J LINDSEY BRADLEY JR
DIRECTOR	$495,566	$0	$499,835	$0	$457,466	$0	$0	$0	$1,962	$0	$1,454,829	$0	$421,643	$0
STEVEN KEUER MD
TMF CHIEF FINANCIAL OFFICER	$687,434	$0	$377,462	$0	$5,850	$0	$0	$0	$20,026	$0	$1,090,772	$0	$0	$0
ALEX J VALDEZ
CEO-Clinica San Carlos de Apoq	$0	$0	$0	$0	$451,412	$0	$8,035	$0	$0	$0	$459,447	$0	$0	$0
ALEJANDRO CANAVATI
CEO - CHILE OPDERATIONS	$709,503	$0	$74,822	$0	$51,728	$0	$63,562	$0	$25,236	$0	$924,851	$0	$0	$0
Joseph S Barcie
SVP INTL Ops (tERM 10/2017)	$882,910	$0	$249,849	$0	$173,535	$0	$8,937	$0	$1,805	$0	$1,317,036	$0	$37,766	$0
Patrick B Carrier
PRESIDENT - SANTA FE MINISTRY	$831,618	$0	$313,634	$0	$1,194	$0	$191,496	$0	$19,233	$0	$1,357,175	$0	$0	$0
George S Conklin
SVP-CIO	$984,028	$0	$585,591	$0	$80,023	$0	$204,823	$0	$13,482	$0	$1,867,947	$0	$0	$0
Dominic J Dominguez
SVP-GROUP OPERATIONS	$608,959	$0	$160,792	$0	$700	$0	$124,221	$0	$16,241	$0	$910,913	$0	$0	$0
Paul D Generale
EVP/CHIEF STRATEGY OFFICER	$1,258,166	$0	$980,120	$0	$15,567	$0	$398,967	$0	$23,384	$0	$2,676,204	$0	$0	$0
John A Gillean
EVP/CHIEF MEDICAL OFFICER	$1,225,292	$0	$967,713	$0	$318,093	$0	$334,401	$0	$31,421	$0	$2,876,920	$0	$0	$0
Gerard F Heeley
SVP-MISSION AND ETHICS	$855,383	$0	$496,263	$0	$2,484	$0	$173,323	$0	$12,269	$0	$1,539,722	$0	$0	$0
Christopher karam
SVP-Group Operations	$641,377	$0	$267,888	$0	$25,595	$0	$171,396	$0	$22,327	$0	$1,128,583	$0	$0	$0
Nancy C Legros
SVP-CHIEF Lgl Cnsl (til 10/17)	$1,060,332	$0	$344,934	$0	$204,294	$0	$9,200	$0	$2,354	$0	$1,621,114	$0	$33,871	$0
Marty F Margetts
EVP/CORP SERVICES	$1,146,766	$0	$899,477	$0	$17,386	$0	$362,838	$0	$45,181	$0	$2,471,648	$0	$0	$0
Linda K McClung
EVP/CAO	$1,187,131	$0	$899,477	$0	$3,616	$0	$314,520	$0	$16,766	$0	$2,421,510	$0	$0	$0
Peter J Plantes
CEO CPG (term 11/2017)	$1,047,210	$0	$342,214	$0	$184,797	$0	$8,795	$0	$0	$0	$1,583,016	$0	$30,630	$0
Jeffrey M Puckett
EVP/COO	$1,692,655	$0	$1,302,691	$0	$37,305	$0	$583,419	$0	$23,898	$0	$3,639,968	$0	$0	$0
Ernie W Sadau
PRESIDENT/CEO	$2,676,075	$0	$2,482,555	$0	$55,501	$0	$991,386	$0	$24,032	$0	$6,229,549	$0	$0	$0
Randolph W Safady
EVP/CFO	$1,569,679	$0	$1,209,642	$0	$24,781	$0	$411,388	$0	$23,384	$0	$3,238,874	$0	$0	$0
Michael S Stansburry
SVP-POPULATION HEALTH	$481,209	$0	$234,964	$0	$1,020	$0	$115,296	$0	$20,854	$0	$853,343	$0	$0	$0
Stephen F Wright
PRES/CEO-LA MINISTRIES	$797,194	$0	$325,366	$0	$24,848	$0	$200,529	$0	$24,032	$0	$1,371,969	$0	$0	$0
Nancy Hellyer
CEO CNLA	$636,398	$0	$134,413	$0	$25,054	$0	$81,469	$0	$13,742	$0	$891,076	$0	$0	$0
John C Glenney
CEO TMF	$474,087	$0	$259,904	$0	$0	$0	$126,015	$0	$19,783	$0	$879,789	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
FIRST CLASS TRAVEL	FORM 990, SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: JOSEPH BARCIE - $77,598 NANCY LEGROS - $94,152 PETER PLANTES - $78,953 Alex Valdez - $443,508
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. PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR YEAR 990 JOSEPH S BARCIE RECEIVED $37,766 DURING CALENDAR YEAR 2017 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. NANCY C LEGROS RECEIVED $33,871 DURING CALENDAR YEAR 2017 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PETER J PLANTES RECEIVED $30,630 DURING CALENDAR YEAR 2017 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. J. Lindsey Bradley, Jr. RECEIVED $421,643 DURING CALENDAR YEAR 2017 UNDER A SUPPLEMENTAL NON QUALIFIED 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. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2017. 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. COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FORM 990, SCHEDULE J, PART II, COLUMN (F) THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY HEALTH FACILITIES DEV CORP
A	521284201	41315RFV1	2005-11-08	$320,620,000	SEE SCH K, PART VI	false	false	false
HARRIS COUNTY HEALTH FACILITIES DEV CORP
B	521284201	41315RHY3	2010-12-09	$96,654,505	SEE SCH K, PART VI	Yes (true)	false	false
COASTAL BEND HEALTH FACILITIES DEV CORP
C	742352502	19042FAB2	2005-11-08	$61,300,000	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$211,120,000	$0	$320,967,988	$0	$0	$0	$1,687,416	$4,733,000	$0	$3,624,407	$310,922,902	$0	2009	false	Yes (true)	Yes (true)	Yes (true)
B	$54,070,000	$16,105,000	$96,654,505	$0	$0	$0	$0	$0	$4,505	$0	$96,650,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$16,100,000	$0	$62,856,942	$0	$0	$0	$337,093	$914,000	$393,273	$18,182,274	$43,030,277	$0	2009	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0		false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0.00100	0.00100	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILTIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 5, 2005, NOVEMBER 20, 2007). FORM 990, SCHEDULE K, PART I, LINE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS. FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $347,988 C. LINE 3. INVESTMENT EARNINGS = $1,556,942 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $292,165 B. LINE 3. INVESTMENT EARNINGS = $831,773 C. LINE 3. INVESTMENT EARNINGS = $1,282,788 D. LINE 3. INVESTMENT EARNINGS = $732 FORM 990, SCHEDULE K, PART II, PAGE 3 A. LINE 3. INVESTMENT EARNINGS = $1,345 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 24, 2015. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. C. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. D. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. FORM 990, SCHEDULE K, PART IV, PAGE 3 A. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 7, 2014. LINE 7. CHRISTUS HEALTH HAS THE APPROPRIATE PROCESSES IN PLACE TO ADHERE TO AND MONITOR THE REQUIREMENTS UNDER IRC SECTION 148. CHRISTUS HEALTH IS CURRENTLY IN THE PROCESS OF FORMALLY ADOPTING WRITTEN PROCEDURES. FORM 990, SCHEDULE K, PART V THE ANSWER "YES" REFERS TO THE ORGANIZATION'S WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF REGULATIONS SECTIONS 1.141-12 AND 1.145-2 ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Louisiana Public Facilities Authority
A	720895871	546398ZM3	2008-11-25	$44,382,370	SEE SCH K, PART VI	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
B	720895871	546398C71	2009-08-12	$231,654,638	SEE SCH K, PART VI	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
C	043833551	87638TDB6	2008-11-15	$185,542,228	SEE SCH K, PART VI	Yes (true)	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
D	043833551	87638TDF7	2008-12-19	$268,560,000	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$10,645,000	$0	$44,674,535	$4,279,650	$0	$0	$775,238	$575,366	$0	$0	$39,040,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$80,155,000	$0	$232,486,411	$16,426,137	$0	$0	$0	$0	$4,138	$0	$216,050,000	$0	Yes (true)	false	false	Yes (true)
C	$39,535,000	$12,540,000	$186,825,016	$18,191,150	$0	$0	$3,029,908	$2,510,025	$0	$0	$163,075,000	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$106,480,000	$0	$268,560,701	$0	$0	$0	$1,638,927	$235,297	$0	$0	$266,686,539	$0	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	false	Yes (true)	Yes (true)	false	0.00100	0.00000	0.00100	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00200		0.00200	false	false	false	Yes (true)	0.00000
C	false	false	Yes (true)	Yes (true)	false	0.00100	0.00000	0.00100	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.00020	0.00000	0.00020	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)
0
C	false	false	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
CITIBANK NA
D	false	false	false	Yes (true)	Yes (true)	Yes (true)	false	0	Yes (true)	Yes (true)	39.7	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
A	043833551	87638TEA7	2009-12-03	$73,865,293	SEE PART VI	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
B	043833551	000000000	2016-10-03	$174,304,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$52,915,000	$0	$73,866,638	$0	$0	$0	$0	$0	$0	$0	$73,866,638	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$7,357,000	$0	$174,304,000	$0	$0	$0	$0	$0	$0	$174,165,274	$138,726	$0	false	false	Yes (true)	Yes (true)	2016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	false		false	0.03300		0.03300	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, ITEM C	Doing Business As: Christus Health Service Center CHRISTUS Health System CHRISTUS Healthy Living Spa CHRISTUS Innovations Institute CHRISTUS St. Joseph Village CHRISTUS St. Michael Simulation Center Marketplace Solutions TechSource TLRA Uniformed Services Family Health Plan US Family Health Plan USFHP
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D COMMUNITY SERVICES - 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 COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2018 WAS $69,529. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2018, GRANT FUNDS WERE DISTRIBUTED FROM CHRISTUS HEALTH FOUNDATION OF $0.
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, LINE 2 Officers Ernie Sadau and Randy Safady, and Key Employees John Gillean, MD have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 6 CHRISTUS HEALTH HAS FOUR (4) CORPORATE MEMBERS, CONSISTING OF TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TX, AND TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO. TOGETHER THOSE FOUR SISTERS COMPRISE THE CORPORATE MEMBERS AND COLLECTIVELY THEY EXERCISE THE POWERS RESERVED TO THE MEMBERS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, LINE 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, and ONE SISTER OF THE Sisters of the Holy Family of Nazareth. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, LINE 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2019 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, LINE 12C A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department 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. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. 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. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2018.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 Good Shepherd Balance Sheet Adjustment $ 12,177,716 SWAP FAIR VALUE $ (25,511,064) EQUITY IN CONSOLIDATED SUBSIDIARIES $ (298,520,139) CHANGE IN UNREALIZED GAINS $ 556,191 CHANGE PENSION LIABILITY $ 7,614,960 SPONSORSHIP FEES $ (4,139,748) EXTRAORDINARY ITEM $ 15,000,000 OTHER $ (152,627,515) ---------------- LINE 9 TOTAL $ (445,449,599)
FORM 990 PART IX LINE 11G	DESCRIPTION:SVC FEES - PHARMACY, PHYSICIAN TOTAL FEES:49202489
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIR & MAINTENANCE SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING & CONSULTING SVCS TOTAL FEES:33989429
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:20383132
FORM 990 PART IX LINE 11G	DESCRIPTION:CAPITATION EXPENSES TOTAL FEES:15107239
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1988319
FORM 990 PART IX LINE 11G	DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1214148
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:8881
FORM 990 PART IX LINE 11G	DESCRIPTION:LOBBYING EXPENSES TOTAL FEES:-1032698
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCO PROF & SYSTEM FEES TOTAL FEES:-18871049
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCOMPANY OVERHEAD ALLOC TOTAL FEES:-16967452

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CH SANTA ROSA QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474580155	ACO	TX	$0	$0	CH
CHRISTUS LOUISIANA ACO LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474592015	ACO	LA	$0	$0	CH
CH ARK-LA-TEX QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474599144	ACO	TX	$0	$0	CH
CHRISTUS QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	474607533	ACO	TX	$0	$0	CH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
Christus Spohn Health System Corporation
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 Calder Street	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS Continuing Care
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE 1	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTHSTE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	CH	Yes (true)
ST FRANCES CABRINI HPL FDN OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HTH SVCS	LA	501(C)(3)	7	CNLA	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HTH SVCS	TX	501(C)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HTH SVCS	LA	501(C)(3)	7	NOLA	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HTH SVCS	TX	501(C)(3)	7	SPOHN HS	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST OF TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	SETX	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE 1	CSRHCC	Yes (true)
SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HLTHCARE SVCS	TX	501(C)(3)	10	CSRHCC	Yes (true)
CHRISTUS HEALTH PLAN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(C)(4)		CSHSC	Yes (true)
ST FRANCES CABRINI HOSPITAL AUXILIARY
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HTH SVCS	LA	501(C)(3)	10	CNLA	Yes (true)
Christus Santa Rosa Med Ctr Auxiliary
2827 Babock Road	San Antonio	TX	78229	731655493	SUPP HTH SVCS	TX	501(C)(3)	10	CSRHCC	Yes (true)
CHRISTUS Health Strategic Growth
919 hidden ridge drive	irving	TX	75038	462798043	supp hth svcs	TX	501(c)(3)	12-type I	CH	Yes (true)
Christus Health Plan Louisiana
919 Hidden Ridge Dr	Irving	TX	75038	464617988	Medicaid HMO	LA	501(c)(4)		CH	Yes (true)
Christus Pediatric Physician Group
919 Hidden Ridge Dr	Irving	TX	75038	465203505	Hlthcare Svcs	TX	501(c)(3)	3	CH	Yes (true)
Christus Health Latin America
919 hidden ridge drive	irving	TX	75038	462816604	spt hlth svcs	TX	501(C)(3)	12-type 1	CH Stra Grth	Yes (true)
Christus HEALTH International
919 hidden RIDGE drive	irving	TX	75038	462811167	spt hlth svcs	TX	501(C)(3)	12-type 1	CH Stra Grth	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SPT HLTH SVCS	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SPT HLTH SVCS	LA	501(C)(3)	7	SWLA	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(c)(3)	3	ch	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(C)(3)	12-TYPE 1	CTMFHS	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE	TX	501(C)(3)	3	CTMFHS	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
CHRISTUS TRINITY MOTHER FRANCES HS
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
Good Shepherd Health System INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	hlthcare svcs	TX	501(c)(3)	12-type II	CH	Yes (true)
CHRISTUS ARK-LA-TEX HEALTH SYSTEM
919 HIDDEN RIDGE DR	IRVING	TX	75038	822109465	hlthcare svcs	TX	501(c)(3)	12-type II	CH	Yes (true)
Champion EMS
2201 S Mobberly Ave	Longview	TX	75602	752747708	Hlthcare Svcs	TX	501(c)(3)	10	GSHS INC	Yes (true)
HCMH Retail Clinic
115 Airport Road	Sulphur Springs	TX	75482	475417965	HLTHCARE SVCS	TX	501(C)(3)	3	GSHS INC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE	TX	501(C)(3)	3	GSHS INC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(C)(3)	10	GSH INC	Yes (true)
SERVICE ORGANIZATION OF GOOD SHEPHERD
2950 50TH ST	LUBBOCK	TX	79413	383914883	SUPPORT	TX	501(C)(3)	12-TYPE I	GSH INC	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE	TX	501(C)(3)	7	GSMC	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	750974351	HEALTHCARE	TX	501(C)(3)	3	GSHS INC	Yes (true)
HOPKINS COUNTY HEALTH CAE FDN INC
115 AIRPORT ROAD	SULPHUR SPRINGS	TX	75482	752845157	SUPPORT	TX	501(C)(3)	7	CH	Yes (true)
MARSHALL HEALTH SERVICES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580686	HEALTH CARE	TX	501(C)(3)	3	CTMFHS	Yes (true)
GSMC - LINDEN FOUNDATION INC
404 N KAUMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(C)(3)	12-TYPE I	GSHS INC	Yes (true)
GOOD SHEPHERD MED CENTER - LINDEN INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	010829282	HEALTH SVCS	TX	501(C)(3)	3	GSHS INC	Yes (true)
BAPTISTST ANTHONY'S HEALTH SYSTEM
1600 WALLACE BLVD	AMARILLO	TX	79106	751858993	SUPPORT	TX	501(C)(3)	12-TYPE I	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
ST ELIZABETH REHAB PARTNERS
2830 CALDER STREET	BEAUMONT	TX	777021809	205657181	HLTHCARE SVCS	TX	H VENTURES-SETX
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SVCS	LA	OCCUPATIONAL HS
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HLTHCARE SVCS	TX	CSRHCC
CSR Outpatient Surgery New Braunfels
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HLTHCARE SVCS	TX	CSRHCC
CSR AMB SUR CTR
333 Santa Rosa	San Antonio	TX	78207	412092141	HLTHCARE SVCS	TX	CSRHCC
Colonnade Endoscopy Center
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HLTHCARE SVCS	LA	SWLA
ALAMO HEIGHTS SURGICAL GP
333 SANTA ROSA	SAN ANTONIO	TX	78207	462683189	HLTHCARE SVCS	TX	CSRHCC
ALAMO HEIGHTS SURGICAL HOSPITAL GROUP LP
333 SANTA ROSA	SAN ANTONIO	TX	78207	900974203	HLTHCARE SVCS	TX	CSRHCC
ASPG LOUISIANA LLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	383981731	AMB. SURGERY	LA	ASPG INC
PROMPTU IMAGING OF CORPUS CHRISTI PLLC
919 HIDDEN RIDGE DR	IRVING	TX	75038	813074600	IMAGING SVCS	TX	ASPG INC
LA ATHLETIC CLB LLC
COLLEGE DR	PINEVILLE	LA	71359	721461793	HEALTH CLUB	LA	CNLA
ETMF JV LLC
8686 NEW TRAILS DR	SPRING	TX	77381		INACTIVE	TX	CTMFHS	INACTIVE
IMPERIAL CALCASIEU SURGICAL CENTER LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605		ASC	LA	SWLA	RELATED
Tyler Radiation Equipment Leasing
10101 woodloch Forest Drive	Woodlands	TX	77380		EQUIPMENT LEASING	TX	MFH Reg	UNRELATED
NORTHERN LA CARDIAC SERVICES
919 HIDDEN RDG	IRVING	TX	75038	813758914	HEALTHCARE SVCS	LA	NOLA
GOOD SHEPHERD AMBULATORY SURGICAL CTR
700 EAST MARSHALL	LONGVIEW	TX	75601	900259782	SURGERY CENTER	TX	GSHS ENTERPRISE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Foreign PostalForeignAddress/ForeignPostalCd
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	755042911	752562459	HEALTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
AK INTEGRATED COMM HLTH NTWK
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	760480684	HEALTHCARE SVCS	TX	CH Ark-La-Tex	C-Corp	Yes (true)
SCH MGMNT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MGT JOINT VENTR	LA	NOLA	C-Corp	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN ADMIN	TX	Spohn HSC	C-Corp	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	Spohn HSC	C-Corp	Yes (true)
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SVCS	TX	CH SETX	C-Corp	Yes (true)
HEALTH VENTURES OF SE TEXAS
1700 WEST LOOP SOUTH SUITE 400A	HOUSTON	TX	77027	760397263	BUILDING RENT	TX	CH SETX	C-Corp	Yes (true)
OCCUPATIONAL HEALTH SVCS INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SVCS	LA	CH SWLA	C-Corp	Yes (true)
SOUTHWESTERN LOUISIANA PHO
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTHCARE SVCS	LA	CH SWLA	C-Corp	Yes (true)
SOUTH RYAN DEVELOPMENT CORP
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BLDG	LA	CH SWLA	C-Corp	Yes (true)
MCKENNA PROF BLDG OWNERS ASSOC
598 N UNION ST SUITE 210	NEW BRAUNFELS	TX	78130	742742934	BUILDING ASSOC	TX	CSRHCC	C-Corp	Yes (true)
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480	SAN ANTONIO	TX	78201	742782184	HEALTHCARE SVCS	TX	CSRHCC	C-Corp	Yes (true)
CHRISTUS Muguerza SAPI de CV
					HEALTHCARE SVCS		CH	C-Corp	Yes (true)	Hidalgo PTE 2525 64060	Col Obispado Monterrey	N.L.	MX	MX	$31,779,685	$111,397,393	0.85645
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C-Corp	Yes (true)	PO BOX 1051	GRAND CAYMAN		CJ	CJ	$41,238,516	$159,618,731	1.00000	KY1-1102
AMBULATORY STRATEGIES PHYSICIAN GROUP
919 HIDDEN RIDGE	IRVING	TX	75038	472897722	HEALTHCARE SVCS	TX	CCC	C-CORP	Yes (true)
CHRISTUS TEXARKANA UNIT OWNERS ASSOC
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSOC	TX	ALT	C-CORP	Yes (true)
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDIRA	LA	71301	463977886	HEALTHCARE SVCS	LA	CNLA	C-CORP	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSOC	TX	SPOHN	C-CORP	Yes (true)
AMATISTA FINANCING COMPANY LTD
					FINANCING		CH STRAT GRWTH	C-CORP	Yes (true)	3RD FL1ST CARIBBEAN HOUSE KY1-1104	GEORGE TOWN		CJ	CJ
CHRISTUS CHILE SPA
					INVESTING		CH LATIN AMER	C-CORP	Yes (true)	MIRAFLORES 222 28TH FLOOR 8320198	SANTIAGO		CI	CI
DEDICATED SYSTEM SUPPORT INC
919 HIDDEN RIDGE DR	IRVING	TX	75038	810861043	MANAGEMENT SVCS	TX	CCC	C-CORP	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
919 HIDDEN RIDGE DR	IRVING	TX	75038	474618648	ACO	LA	CH	C-CORP	Yes (true)						$117,343	$67,760	1.00000
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	CTMFHS	C-CORP	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY ADMIN	TX	CTMFHS	C-CORP	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	CTMFHS	C-CORP	Yes (true)
TEXAS HEALTH FACILITY INSUR CORP LTD
				980136025	INSURANCE		MFH REG	C-CORP	Yes (true)	PO BOX 1109	BWI		CJ	CJ
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DR	IRVING	TX	75038	473403356	SPT HLTH SVCS	TX	CH	C-CORP	Yes (true)						$1,903,423	$1,604,526	1.00000
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE	TX	GSHS INC	C CORP	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	GSH INC	C CORP	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	GSMC	C CORP	Yes (true)
NORTHEAST TEXAS PHYSICIAN SERVICES
700 E MARSHALL AVE	LONGVIEW	TX	75601	752712245	MGMT SERVICES	TX	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	510412465	HOLDING COMPANY	DE	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES OPERATING 1
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954772	HEALTHCARE	DE	GSHS ENTERPRISE	C CORP	Yes (true)
GSHS ENTERPRISES OPERATING 2
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954777	HEALTHCARE	DE	GSHS ENTERPRISE	C CORP	Yes (true)
TYLER COUNTY CLINICAL SERVICES
2801 VIA FORTUNA	AUSTIN	TX	78746	472135795	HEALTHCARE	TX	SETX	C CORP	Yes (true)
CH COLUMBIA SAS
					MANAGEMENT SVCS		CHI	C CORP	Yes (true)	CL 70 A 4 41	BOGOTA		CO	CO
Clinica Palma Real SAS
					Healthcare SVCS		CHI	C Corp	Yes (true)	CARRERA 28 44 35	Cali		CO	CO
SINERGIA GLOBAL EN SALUD SAS
					Healthcare SVCS		CHI	C Corp	Yes (true)	CARRERA 44 A 9 C 67	Cali		CO	CO

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (99 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALAMO HEIGHTS SURGICAL CENTER
M	$664,757	Accrual method
ALAMO HEIGHTS SURGICAL CENTER
Q	$95,430	Accrual method
AMBULATORY STRATEGIES PHYSICIAN GROUP
Q	$125,798	Accrual method
C H WILKINSON
L	$1,368,083	Accrual method
C H WILKINSON
M	$1,691,615	Accrual method
C H WILKINSON
O	$323,532	Accrual method
C H WILKINSON
Q	$30,763,591	Accrual method
C H WILKINSON
S	$52,725	Accrual method
CHAMPION EMS
L	$1,363,958	Accrual method
CHAMPION EMS
Q	$1,915,751	Accrual method
CHRISTUS CONTINUING CARE
M	$138,056	Accrual method
CHRISTUS CONTINUING CARE
Q	$882,674	Accrual method
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
Q	$422,507	Accrual method
CHRISTUS HEALTH ARK-LA-TEX
A(I)	$4,397,897	Accrual method
CHRISTUS HEALTH ARK-LA-TEX
B	$150,517	Accrual method
CHRISTUS HEALTH ARK-LA-TEX
L	$7,709,881	Accrual method
CHRISTUS HEALTH ARK-LA-TEX
M	$22,204,346	Accrual method
CHRISTUS HEALTH ARK-LA-TEX
Q	$21,806,964	Accrual method
CHRISTUS HEALTH ARK-LA-TEX
S	$2,827,213	Accrual method
CHRISTUS HEALTH CENTRAL LOUISIANA
A(I)	$8,348,933	Accrual method
CHRISTUS HEALTH CENTRAL LOUISIANA
C	$120,000	Accrual method
CHRISTUS HEALTH CENTRAL LOUISIANA
L	$6,740,956	Accrual method
CHRISTUS HEALTH CENTRAL LOUISIANA
M	$17,675,922	Accrual method
CHRISTUS HEALTH CENTRAL LOUISIANA
Q	$21,759,260	Accrual method
CHRISTUS HEALTH CENTRAL LOUISIANA
S	$6,213,349	Accrual method
CHRISTUS HEALTH GULF COAST
Q	$71,621	Accrual method
CHRISTUS HEALTH NORTHERN LOUISIANA
A(I)	$3,052,024	Accrual method
CHRISTUS HEALTH NORTHERN LOUISIANA
B	$122,009	Accrual method
CHRISTUS HEALTH NORTHERN LOUISIANA
L	$5,515,439	Accrual method
CHRISTUS HEALTH NORTHERN LOUISIANA
M	$13,549,073	Accrual method
CHRISTUS HEALTH NORTHERN LOUISIANA
P	$136,757	Accrual method
CHRISTUS HEALTH NORTHERN LOUISIANA
Q	$17,788,475	Accrual method
CHRISTUS HEALTH NORTHERN LOUISIANA
S	$2,825,012	Accrual method
CHRISTUS HEALTH PLAN
L	$225,304	Accrual method
CHRISTUS HEALTH PLAN
M	$19,756,736	Accrual method
CHRISTUS HEALTH SOUTHEAST TEXAS
A(I)	$4,506,801	Accrual method
CHRISTUS HEALTH SOUTHEAST TEXAS
C	$183,000	Accrual method
CHRISTUS HEALTH SOUTHEAST TEXAS
L	$10,352,539	Accrual method
CHRISTUS HEALTH SOUTHEAST TEXAS
M	$28,157,640	Accrual method
CHRISTUS HEALTH SOUTHEAST TEXAS
P	$117,313	Accrual method
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$29,491,277	Accrual method
CHRISTUS HEALTH SOUTHEAST TEXAS
S	$2,386,014	Accrual method
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
C	$105,318	Accrual method
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
K	$85,967	Accrual method
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
L	$4,732,313	Accrual method
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
M	$11,680,963	Accrual method
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Q	$14,367,362	Accrual method
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
S	$2,033,492	Accrual method
CHRISTUS HEALTH STRATEGIC GROWTH
A(I)	$5,000,000	Accrual method
CHRISTUS HEALTH STRATEGIC GROWTH
S	$5,000,000	Accrual method
CHRISTUS HOPKINS HEALTH ALLIANCE
L	$1,840,201	Accrual method
CHRISTUS HOPKINS HEALTH ALLIANCE
Q	$580,550	Accrual method
CHRISTUS MUGUERZA SAPI DE CV
L	$5,554,287	Accrual method
CHRISTUS MUGUERZA SAPI DE CV
M	$102,184,580	Accrual method
CHRISTUS PEDIATRIC PHYSICIAN GROUP
L	$159,224	Accrual method
CHRISTUS PEDIATRIC PHYSICIAN GROUP
Q	$140,665	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
A(I)	$15,811,489	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
B	$100,820	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
K	$268,908	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
L	$16,206,562	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
M	$45,435,552	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
P	$376,108	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Q	$46,897,841	Accrual method
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
S	$416,627	Accrual method
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
A(I)	$4,952,621	Accrual method
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
L	$16,461,074	Accrual method
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
M	$28,513,774	Accrual method
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
P	$24,000,000	Accrual method
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Q	$49,693,377	Accrual method
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
R	$2,389,786	Accrual method
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
S	$5,307,934	Accrual method
CHRISTUS ST PATRICK FOUNDATION
B	$105,318	Accrual method
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
M	$7,812,718	Accrual method
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
S	$7,717,000	Accrual method
DEDICATED SYSTEM SUPPORT INC
L	$50,907	Accrual method
DEDICATED SYSTEM SUPPORT INC
M	$86,307	Accrual method
DEDICATED SYSTEM SUPPORT INC
Q	$1,691,460	Accrual method
CHRISTUS CONTINUING CARE
L	$775,862	Accrual method
CHRISTUS CONTINUING CARE
M	$165,541	Accrual method
CHRISTUS CONTINUING CARE
Q	$862,905	Accrual method
EMERALD ASSURANCE CAYMAN LTD
P	$33,884,769	Accrual method
EVANGELINE CLINICAL SERVICES INC
M	$51,000	Accrual method
GOOD SHEPHERD HEALTH SYSTEM INC
L	$3,866,619	Accrual method
GOOD SHEPHERD HEALTH SYSTEM INC
M	$3,928,132	Accrual method
GOOD SHEPHERD HEALTH SYSTEM INC
Q	$3,044,220	Accrual method
GSHS ADMINISTRATIVE SERVICES ORG INC
M	$3,928,132	Accrual method
GSHS ADMINISTRATIVE SERVICES ORG INC
Q	$396,299	Accrual method
MOTHER FRANCES HOSPITAL - JACKSONVILLE
Q	$411,191	Accrual method
MOTHER FRANCES HOSPITAL - WINNSBORO
Q	$224,863	Accrual method
MOTHER FRANCES REGIONAL HEALTH CARE CENTER
Q	$6,971,803	Accrual method
MOTHER FRANCES REGIONAL HEALTH CARE CENTER
S	$1,940,808	Accrual method
SANTA ROSA FAMILY HEALTH CENTER
L	$103,451	Accrual method
SANTA ROSA FAMILY HEALTH CENTER
M	$186,584	Accrual method
SANTA ROSA FAMILY HEALTH CENTER
Q	$483,019	Accrual method
SANTA ROSA NEW BRAUNFELS OUTPATIENT SURGERY C
Q	$210,412	Accrual method
SANTA ROSA PHYSICAN AMBULATORY SURGERY CENTER
Q	$132,675	Accrual method
THE GOOD SHEPHERD HOSPITAL INC
Q	$2,225,414	Accrual method
TRINCARE INC
Q	$8,701,926	Accrual method
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
p	$191,285	Accrual method