2019-05-14T13:31:40-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2017-07-01 760590551 Christus Health % KIM REYNOLDS CHRI 4692822000 919 Hidden Ridge Drive Irving TX 75038 RANDY SAFADY EXEC VP/CFO 4692822000 2019-05-13 true KATHLEEN MOSELEY P00116760 8173351900 69.154.140.244 75303520191345000013 2019-05-14 P B26A0E7ADF3B9DE143B5ECD047BF97D8CB3915A7 0FD3178183619286035AA06C9BAA1B15F55AB8A5 2017 2019-02-21 02:37:17Z See Schedule O ERNIE SADAU 919 HIDDEN RIDGE DRIVE IRVING TX 75038 2168774070 false 0928 X www.christushealth.org X 1999 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 18 14 3120 13 723532 594391 0 0 559663710 841199248 75466057 119676011 11668077 26642277 646797844 987517536 2288226 5364075 0 0 370116801 444097063 0 0 0 348175391 556903948 720580418 1006365086 -73782574 -18847550 3079152064 2644038414 1495909969 1538747391 1583242095 1105291023 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS false false 544226180 0 705873685 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. 135853685 0 135325563 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. 3688198 0 0 COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY 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. 171568 5364075 0 683939631 true false false true false false false false false false true true true false true true false true false false true true false false false false false true false true true true false false false false false false false false false false false false false true true true true false false true X 2406 0 true 3120 true true true true CI CJ MX false false false false false false false false X 18 14 false false false false true true true true true false false true true true true true true true true true true X X KIM REYNOLDS 4692822000 919 HIDDEN RIDGE DR IRVING TX 75038 SISTER HANNAH O'DONOGHUE CCVI DIRECTOR 1.0 0.0 X 0 0 0 SISTER CHRISTINA MURPHY DIRECTOR 1.0 0.0 X 0 0 0 CHERYL ALSTON Director 1.0 0.0 X 7395 0 0 GEORGE BO-LINN MD Director 1.0 0.0 X 9708 0 0 FATHER CHARLES E BOUCHARD Director (Term 12/2017) 1.0 0.0 X 6750 0 0 J LYNN BRITTON Director 1.0 0.0 X 8545 0 0 PATRICIO DONOSO IBANEZ Director 1.0 0.0 X 8045 0 0 MARICELA SIEWCZYNSKI MOORE Director 1.0 0.0 X 9870 0 0 ARTHUR SOUTHAM MD Director/CHAIR 1.0 0.0 X X 1695 0 0 DENNIS N STINE DIRECTOR (term 12/2017) 1.0 0.0 X 13320 0 0 KENNETH D WELLS MD Director (term 12/2017) 1.0 0.0 X 12695 0 0 CLARENCE R WILLIAMS Director 1.0 0.0 X 12752 0 0 BILL CHEN DIRECTOR 1.0 0.0 X 9645 0 0 J LINDSEY BRADLEY JR DIRECTOR 1.0 39.0 X 1452867 0 1962 STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER 1.0 39.0 X 1070746 0 20026 SISTER LORETTA FELICI DIRECTOR 24.0 0.0 X 0 0 0 ALIDE CHASE DIRECTOR (eff 01/2018) 24.0 0.0 X 2341 0 0 DAVID STRONG DIRECTOR (EFF 01/2018) 24.0 0.0 X 4750 0 0 FATHER STEPHEN WORSLEY DIRECTOR (eff 01/2018) 24.0 0.0 X 0 0 0 SISTER YOLANDA TARANGO DIRECTOR (EFF 01/2018) 1.0 0.0 X 0 0 0 Ernie W Sadau PRESIDENT/CEO 40.0 0.0 X X 5214131 0 1015418 RICHARD L CLARKE DIRECTOR (term 12/2017) 1.0 0.0 X 22133 0 0 SISTER KATHLEEN COUGHLIN CCVI DIRECTOR (term 12/2017) 1.0 0.0 X 0 0 0 SISTER WALTER MAHER CCVI DIRECTOR (term 12/2017) 1.0 0.0 X 0 0 0 ANITA DEWAN Asst Corp Sec. (term 04/2018) 32.0 8.0 X 113562 0 6006 KELLY KLIBERT Dir. of Governance 32.0 8.0 X 114797 0 20976 Randolph W Safady EVP/CFO 40.0 0.0 X 2804102 0 434772 ALEX J VALDEZ CEO-Clinica San Carlos de Apoq 39.0 1.0 X 451412 0 8035 Joseph S Barcie SVP INTL Ops (tERM 10/2017) 1.0 39.0 X 1306294 0 10742 George S Conklin SVP-CIO 39.0 1.0 X 1649642 0 218305 Dominic J Dominguez SVP-GROUP OPERATIONS 1.0 39.0 X 770451 0 140462 Paul D Generale EVP/CHIEF STRATEGY OFFICER 39.0 1.0 X 2253853 0 422351 John A Gillean EVP/CHIEF MEDICAL OFFICER 39.0 1.0 X 2511098 0 365822 Gerard F Heeley SVP-MISSION AND ETHICS 39.0 1.0 X 1354130 0 185592 Nancy C Legros SVP-CHIEF Lgl Cnsl (til 10/17) 40.0 0.0 X 1609560 0 11554 Marty F Margetts EVP/CORP SERVICES 39.0 1.0 X 2063629 0 408019 Linda K McClung EVP/CAO 39.0 1.0 X 2090224 0 331286 Peter J Plantes CEO CPG (term 11/2017) 1.0 39.0 X 1574221 0 8795 Jeffrey M Puckett EVP/COO 39.0 1.0 X 3032651 0 607317 Michael S Stansburry SVP-POPULATION HEALTH 40.0 0.0 X 717193 0 136150 Stephen F Wright PRES/CEO-LA MINISTRIES 1.0 39.0 X 1147408 0 224561 ALEJANDRO CANAVATI CEO - CHILE OPDERATIONS 40.0 0.0 X 836053 0 88798 Patrick B Carrier PRESIDENT - SANTA FE MINISTRY 1.0 39.0 X 1146446 0 210729 Christopher karam SVP-Group Operations 1.0 39.0 X 934860 0 193723 Nancy Hellyer CEO CNLA 40.0 0.0 X 795865 0 95211 John C Glenney CEO TMF 40.0 0.0 X 733991 0 145798 37878830 0 5312410 505 false true false CB RICHARD ELLIS INC 2700 POST OAK BOULEVARD Suite 250 HOUSTON TX 77056 LEASE SERVICES 21895730 ARAMARK HEALTHCARE SUPPORT 27310 NETWORK PLACE CHICAGO IL 60673 FOOD SERVICES 14894648 HOSPITAL HOUSEKEEPING SYSTEMS LLC 216 EAST 4TH STREET AUSTIN TX 78701 HOSPITAL MAINTENANCE 8365057 PROTIVITI INC 5720 STONERIDGE DRIVE SUITE 3 PLEASANTON CA 94588 CONSULTING SERVICES 6522306 ERNST YOUNG 200 PLAZA DRIVE SECAUCUS NJ 07094 CONSULTING/AUDIT SVC 5523049 405 0 CAPITATION REVENUE 621400 267921079 267921079 SERVICE FEE INCOME 541900 239149679 238426147 723532 0 PREMIUM REVENUE 900099 220353555 220353555 0 0 SYSTEM OFFICE FEES AND MGMT SERVICES 561000 90862915 90862915 0 0 MEANINGFUL USE INCENTIVE PAYMENTS 900099 356399 356399 0 0 22555621 22555621 0 841199248 90441498 90441498 0 5943709 5943709 0 0 0 1208719748 1179052121 433114 29667627 -433114 29234513 29234513 0 0 0 0 0 0 4954555 1771299 3183256 3183256 MANAGED CARE REVENUE 900099 3082422 0 3082422 METHODIST REVENUE 900099 1392515 0 1392515 COBRA INSURANCE - EMPLOYEES 900099 1190250 0 1190250 11850125 0 11850125 17515312 987517536 840475716 723532 146318288 X 5364075 5364075 0 0 0 33431615 6820540 26611075 0 208516007 42540323 165975684 -5678571 -3185956 -2492615 195126015 180853330 14272685 12701997 3296185 9405812 93333 93333 2545037 30914 2514123 -2389793 -2389793 1032698 1032698 0 2493168 2493168 220011939 198616672 21395267 0 5367958 76069 5291889 30779158 17620471 13158687 0 0 12983572 8946896 4036676 7543605 1246745 6296860 0 4593870 351769 4242101 23115834 392071 22723763 0 4753060 -294611 5047671 59359332 59380305 -20973 BAD DEBT EXPENSE 138993361 138993361 NEW SOFTWARE 15238302 14697030 541272 SWAP FINANCING COST 10198186 10198186 MEDICAL EXPENSES 59398 25452 33946 0 20131930 8167990 11963940 1006365086 683939631 322425455 0 0 81555076 87473254 0 0 0 0 10172836 35089861 0 0 0 0 5488887 7208230 1433749 1293128 38198312 46207569 281062682 154659291 118761147 126403391 458258697 629455485 260950740 244264768 1421539320 1336966076 19296630 19296630 663496670 110380022 3079152064 2644038414 234351373 225121777 0 0 1244879 291330 1055485257 986421547 0 0 0 0 0 0 0 0 204828460 326912737 1495909969 1538747391 X 1568963696 1089844571 10671994 11840047 3606405 3606405 1583242095 1105291023 3079152064 2644038414 X -18847550 -13653923 0 0 0 -445449599 X false true X true true true X 0 0 0 0 0 0 177893713 149803902 73618886 105965033 277953335 785234869 5045514 6219408 3469032 3247953 3199276 21181183 0 0 182939227 156023310 77087918 109212986 281152611 806416052 0 0 0 806416052 22860349 17161269 4301669 61875646 96385207 202584140 3055553 4783879 2974103 569668 595523 11978726 25915902 21945148 7275772 62445314 96980730 214562866 0 4924589 4538968 22666640 6572390 17499291 56201878 213779718 182507426 107030330 178230690 395632632 1077180796 0.74864 0.80030 0.19919 0.15030 X false true false 0 true 1185 false 0 false 0 true 116448 false 0 true 915065 1032698 false LOBBYING DESCRIPTION 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. 21107018 21107018 95850150 43926735 51923415 16572775 8317396 8255379 66021905 8894979 57126926 81510834 93520181 -12009347 126403391 HEDGE FUNDS 244264768 F 244264768 INVESTMENT IN CONSOL SUBS 1336966076 C 1336966076 0 LT PENSION LIABILITY 258467626 LT OBLIGATION SELF FUNDED 59500094 CCVI PAYABLE 6413654 TAXES PAYABLE 1771842 CAPITAL LEASE LIABILITY 1684805 COLLECTIONS PAYABLE -925284 326912737 X 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. true South America Program Services Program/Bus Develop 1504289 North America Program Services Program/Bus Develop 505468 Europe (Including Iceland and Greenland) Program Services Progam/Bus Develop 133609 Central America and the Caribbean Program Services Program/Bus Develop 22307 East Asia and the Pacific Program Services Program/Bus Develop 15026 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 159618731 Central America and the Caribbean Program Services Investments-Book Value 111397393 Central America and the Caribbean Program Services Self Insurance Funding 35879963 North America Program Services Investments-Cap Contr 520196 309597248 309597248 true false true false false false ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US 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. true Alpha Home Inc P O Box 15440 San Antonio TX 78212 741668144 501(c)(3) 77000 General Support Alzheimer's Alliance of Texarkana Area 100 Memory Lane Texarkana TX 75503 752486061 501(c)(3) 30000 Food for Friends Project Ark-Tex Council of Governments 4808 Elizabeth Street Texarkana TX 75503 751293383 501(c)(3) 75000 Rural Transportation for Seniors Cancer Foundation for New Mexico 3005 South St Francis Dr Ste 3B Santa Fe NM 87505 412079799 501(c)(3) 40000 Travel to Treatment Program CASA of Northeast Texas Inc P O Box 1546 Texarkana TX 75504 752352271 501(c)(3) 50558 Texarkana Children's Advocacy Catholic Charities of Dallas 1421 W Mockingbird Ln Dallas TX 75247 752745221 501(c)(3) 100000 Mental Health Counseling Catholic Charities Diocese of Tyler 202 W Front Street Tyler TX 75702 202766724 501(c)(3) 71450 Parish Nursing Network Central Louisiana Coalition 1515 Jackson Street Alexandria LA 71301 721247718 501(c)(3) 80000 Access to Healthcare Charlie's Place Recovery Center 5501 I H 37 Corpus Christi TX 78408 741595867 501(c)(3) 147653 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) 25000 Individual Counseling Services CHRISTUS HIGHLAND MEDICAL CENTER 1453 E INDUSTRIAL LOOP SHREVEPORT LA 75505 720408982 501(c)(3) 122009 Payout To The Region CHRISTUS HOSPITAL ST ELIZABETH 2830 CALDER AVENUE BEAUMONT TX 77702 741461326 501(c)(3) 33000 Payout To The Region CHRISTUS HOSPITAL ST MARY HOSPITAL 2830 CALDER AVENUE BEAUMONT TX 77702 741109627 501(c)(3) 150000 Payout To The Region CHRISTUS SANTA ROSA HEALTHCARE CORPORATION 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 501(c)(3) 100820 Payout To The Region CHRISTUS ST FRANCIS CABRINI HOSPITAL 3330 MASONIC DR Alexandria LA 71301 720408984 501(c)(3) 120000 Payout To The Region CHRISTUS ST MICHAEL HOSPITAL 2600 ST MICHAEL DR TEXARKANA TX 75503 752796815 501(c)(3) 150517 Payout To The Region CHRISTUS ST PATRICK HOSPITAL 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 471496376 501(c)(3) 105318 Payout To The Region Coastal Bend Center for Independent Living 1537 Seventh Street Corpus Christi TX 78404 742878070 501(c)(3) 13000 Salary Support Cossatot Comm College of the Univ AR Fnd 183 College Drive De Queen AR 71832 300144282 501(c)(3) 20000 Christus St. Michael Center Dallas Area Interfaith Sponsoring Committee 1140 Lupo Drive Dallas TX 75207 752409130 501(c)(3) 35000 Immigrant Wellness Campaign East Texas Border Health Clinic P O Box 1326 Marshall TX 75671 030538912 501(c)(3) 24975 Indigent Mental Health Eden Home Inc 631 Lakeview Blvd New Braunfels TX 78130 741143030 501(c)(3) 50000 Memory Care Program El Puente Hispanic Ministry 1102 E McCarty Street Jefferson City MO 65101 500005943 501(c)(3) 25000 Medical Interpreter Family Counseling Service 3833 S Staples Ste S203 Corpus Christi TX 78411 160975006 501(c)(3) 50000 Therapy Services to Children Friendship Club P O Box 6723 Santa Fe NM 87502 272362329 501(c)(3) 55000 Peer Support Services Project GenCure 6211 Interstate Highway 10 W San Antonio TX 78201 462216869 501(c)(3) 250000 Texas Cord Blood Bank Harvest Texarkana Regional Food Bank Inc P O Box 707 Texarkana TX 75504 752671647 501(c)(3) 40000 Harvest Texarkana Heart House P O Box 823162 Dallas TX 75382 550522469 501(c)(3) 35000 Head, Heart, Hands Project Impact Personal Safety PO BOX 8350 Santa Fe NM 87504 850475597 501(c)(3) 59000 General Support Interfaith Community Shelter Group Inc P O Box 22653 Santa Fe NM 87502 270736366 501(c)(3) 131250 Interfaith Community Shelter Las Cumbres Community Services 102 N Coronado Avenue Espanola NM 87532 237144268 501(c)(3) 53800 Protection Shield Prgm Martin Luther King Health Center 865 Olive Street Shreveport LA 71104 721079721 501(c)(3) 50000 for Heart: Healthy You Martinez Street Women's Center 801 North Olive Street San Antonio TX 78202 742934053 501(c)(3) 30550 Woman Zone Mary's House of Louisiana Inc 906 Margaret Place Shreveport LA 71101 472593937 501(c)(3) 50000 Pregnancy Care Center Project Mission of Mercy Inc 719 Shorline Blvd Ste 103 Corpus Christi TX 78401 860704883 501(c)(3) 100000 Texas Mobile Medical Program Neighbor for Neighbor Inc 505 East 36th Street North Tulsa OK 74135 730707328 501(c)(3) 200000 Life Skills, Health, and Welfare NextSTEP of Central Louisiana 220 Hospital Blvd Pineville LA 71360 721154072 501(c)(3) 40000 teen awareness & Prevention Northwest Louisiana Food Bank 2307 Texas Avenue Shreveport LA 71103 721328890 501(c)(3) 25000 Back Pack Program Rise Recovery P O Box 15322 San Antonio TX 78212 742216041 501(c)(3) 65000 Rise Recovery Training Institute Runnin W J Therapeutic Center Inc 4802 S Kings Highway Texarkana TX 75501 752897949 501(c)(3) 33600 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) 100000 Charitible Dental Care Homeless San Antonio Lifetime Recovery 10290 Southton Road San Antonio TX 78223 741540097 501(c)(3) 150000 Nursing and Client Services Santa Fe Community Services Inc 440 Cerrillos Road 4 Santa Fe NM 87505 562491916 501(c)(3) 45000 Overdose Prevention Training Santa Fe Dreamers Project P O Box 8009 Santa Fe NM 87504 820839645 501(c)(3) 58167 U-VISA Services Shreveport Green 3625 Southern Avenue Shreveport LA 71104 720970610 501(c)(3) 24000 Fresh Food Mobile Markets Sisters of Charity of the Incarnate Word 4503 Broadway San Antonio TX 78209 237152879 501(c)(3) 144200 General Support St Peter-St Joseph Children's Home 919 Mission Road San Antonio TX 78210 741143129 501(c)(3) 50000 Trauma Recovery Program ST VINCENT HOSPITAL P O BOX 2107 SANTA FE NM 87504 850106941 501(c)(3) 120000 Payout to the region The Arc of San Antonio 13430 West Avenue San Antonio TX 78216 741200110 501(c)(3) 34000 Adult Life Enrichment Program The Coming Home Connection Inc 418 Cerrillos Road Suite 27 Santa Fe NM 87501 742853467 501(c)(3) 30320 Volunteer Homecare Villa Theresa Catholic Clinic 219 Cathedral Place Santa Fe NM 87501 850229019 501(c)(3) 120000 Dental Services for Underserved Visitation House Ministries 945 W Huisache Avenue San Antonio TX 78201 742447137 501(c)(3) 10000 Community Education Program Volunteers of America of North Louisiana 360 Jordan Street Shreveport LA 71101 900798419 501(c)(3) 131693 Community Health Partnership Women's Global Connection of San Antonio 4503 Broadway Street San Antonio TX 78209 421619919 501(c)(3) 19500 Women's capacity building YWCA San Antonio 6756 Montgomery Drive San Antonio TX 78239 741143135 501(c)(3) 66275 General Support 55 0 Description of Organization's Procedures for Monitoring the Use of Grants 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. X X X true true X X X X true true false false false false false false false J LINDSEY BRADLEY JR DIRECTOR 495566 0 499835 0 457466 0 0 0 1962 0 1454829 0 421643 0 STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER 687434 0 377462 0 5850 0 0 0 20026 0 1090772 0 0 0 ALEX J VALDEZ CEO-Clinica San Carlos de Apoq 0 0 0 0 451412 0 8035 0 0 0 459447 0 0 0 ALEJANDRO CANAVATI CEO - CHILE OPDERATIONS 709503 0 74822 0 51728 0 63562 0 25236 0 924851 0 0 0 Joseph S Barcie SVP INTL Ops (tERM 10/2017) 882910 0 249849 0 173535 0 8937 0 1805 0 1317036 0 37766 0 Patrick B Carrier PRESIDENT - SANTA FE MINISTRY 831618 0 313634 0 1194 0 191496 0 19233 0 1357175 0 0 0 George S Conklin SVP-CIO 984028 0 585591 0 80023 0 204823 0 13482 0 1867947 0 0 0 Dominic J Dominguez SVP-GROUP OPERATIONS 608959 0 160792 0 700 0 124221 0 16241 0 910913 0 0 0 Paul D Generale EVP/CHIEF STRATEGY OFFICER 1258166 0 980120 0 15567 0 398967 0 23384 0 2676204 0 0 0 John A Gillean EVP/CHIEF MEDICAL OFFICER 1225292 0 967713 0 318093 0 334401 0 31421 0 2876920 0 0 0 Gerard F Heeley SVP-MISSION AND ETHICS 855383 0 496263 0 2484 0 173323 0 12269 0 1539722 0 0 0 Christopher karam SVP-Group Operations 641377 0 267888 0 25595 0 171396 0 22327 0 1128583 0 0 0 Nancy C Legros SVP-CHIEF Lgl Cnsl (til 10/17) 1060332 0 344934 0 204294 0 9200 0 2354 0 1621114 0 33871 0 Marty F Margetts EVP/CORP SERVICES 1146766 0 899477 0 17386 0 362838 0 45181 0 2471648 0 0 0 Linda K McClung EVP/CAO 1187131 0 899477 0 3616 0 314520 0 16766 0 2421510 0 0 0 Peter J Plantes CEO CPG (term 11/2017) 1047210 0 342214 0 184797 0 8795 0 0 0 1583016 0 30630 0 Jeffrey M Puckett EVP/COO 1692655 0 1302691 0 37305 0 583419 0 23898 0 3639968 0 0 0 Ernie W Sadau PRESIDENT/CEO 2676075 0 2482555 0 55501 0 991386 0 24032 0 6229549 0 0 0 Randolph W Safady EVP/CFO 1569679 0 1209642 0 24781 0 411388 0 23384 0 3238874 0 0 0 Michael S Stansburry SVP-POPULATION HEALTH 481209 0 234964 0 1020 0 115296 0 20854 0 853343 0 0 0 Stephen F Wright PRES/CEO-LA MINISTRIES 797194 0 325366 0 24848 0 200529 0 24032 0 1371969 0 0 0 Nancy Hellyer CEO CNLA 636398 0 134413 0 25054 0 81469 0 13742 0 891076 0 0 0 John C Glenney CEO TMF 474087 0 259904 0 0 0 126015 0 19783 0 879789 0 0 0 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. A HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RFV1 2005-11-08 320620000 SEE SCH K, PART VI false false false B HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RHY3 2010-12-09 96654505 SEE SCH K, PART VI true false false C COASTAL BEND HEALTH FACILITIES DEV CORP 742352502 19042FAB2 2005-11-08 61300000 SEE SCH K, PART VI false false false A 211120000 0 320967988 0 0 0 1687416 4733000 0 3624407 310922902 0 2009 false true true true B 54070000 16105000 96654505 0 0 0 0 0 4505 0 96650000 0 true false true true C 16100000 0 62856942 0 0 0 337093 914000 393273 18182274 43030277 0 2009 true false true true A false false true true false 0.00100 0.00100 false false false true B false false true true false 0 false false false true C false false true true false 0.00100 0.00100 false false false true A false false false true true false 0 false 0 false true B false false false true false false 0 false 0 true true C false false false true true false 0 false 0 true true A true B true C true SCHEDULE K, PART I 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. A Louisiana Public Facilities Authority 720895871 546398ZM3 2008-11-25 44382370 SEE SCH K, PART VI false false false B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398C71 2009-08-12 231654638 SEE SCH K, PART VI false false false C TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TDB6 2008-11-15 185542228 SEE SCH K, PART VI true false false D TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TDF7 2008-12-19 268560000 SEE SCH K, PART VI false false false A 10645000 0 44674535 4279650 0 0 775238 575366 0 0 39040000 0 true false true true B 80155000 0 232486411 16426137 0 0 0 0 4138 0 216050000 0 true false false true C 39535000 12540000 186825016 18191150 0 0 3029908 2510025 0 0 163075000 0 true false true true D 106480000 0 268560701 0 0 0 1638927 235297 0 0 266686539 0 true false true true A false false true true false 0.00100 0.00000 0.00100 false false false true B false true true true false 0.00200 0.00200 false false 0.00000 false true C false false true true false 0.00100 0.00000 0.00100 false false false true D false true true true false 0.00020 0.00000 0.00020 false false false true A false false false true false false 0 false 0 false true B false false false true true false 0 false 0 true true C false false false true false false 0 false 0 true true D false false false true true true CITIBANK NA 39.7 false false false 0 true true A true B true C true D true A TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TEA7 2009-12-03 73865293 SEE PART VI false false false B TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 000000000 2016-10-03 174304000 SEE PART VI false false false A 52915000 0 73866638 0 0 0 0 0 0 0 73866638 0 true false true true B 7357000 0 174304000 0 0 0 0 0 0 174165274 138726 0 2016 false false true true A false true true true false 0.00000 0.00000 0.00000 false false false true B false true false false 0.03300 0.03300 false false false true A false false false true false false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true 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 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 CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(C)(3) 12-TYPE II CH true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE 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