CHRISTUS HEALTH ARK-LA-TEX: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH ARK-LA-TEX (EIN 75-2796815)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-07
IRS object ID: 201531279349300223
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-07T09:35:07-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4000	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752796815	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS HEALTH ARK-LA-TEX	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% M GLEN BOLES CFO	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	9036141000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 St Michael Drive	AddressLine1
Address Line2	Suite	AddressLine2
City	Texarkana	City
State	TX	State
ZIP Code	75503	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	M Glen Boles	PersonNm
Person Title	cfo	PersonTitleTxt
Signature	2015-05-06	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JANICE K MARTIN	PreparerPersonNm
PTIN	P00900299	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Chris Karam	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 St Michael Dr	AddressLine1
City	Texarkana	City
State	TX	State
ZIP Code	75503	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$278,989,913	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christusstmichael.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	20	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2107	TotalEmployeeCnt
Total Volunteers	97	TotalVolunteersCnt
Total Gross UBI	$1,418,059	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$351,939	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$781,037	PYContributionsGrantsAmt
CY Contributions Grants	$1,469,914	CYContributionsGrantsAmt
PY Program Service Revenue	$256,827,618	PYProgramServiceRevenueAmt
CY Program Service Revenue	$275,468,318	CYProgramServiceRevenueAmt
PY Investment Income	$40,882	PYInvestmentIncomeAmt
CY Investment Income	-$81,840	CYInvestmentIncomeAmt
PY Other Revenue	$1,805,543	PYOtherRevenueAmt
CY Other Revenue	$1,771,502	CYOtherRevenueAmt
PY Total Revenue	$259,455,080	PYTotalRevenueAmt
CY Total Revenue	$278,627,894	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,841,072	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,986,743	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$100,801,811	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$102,960,349	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$165,303	CYTotalFundraisingExpenseAmt
PY Other Expenses	$136,675,809	PYOtherExpensesAmt
CY Other Expenses	$151,883,107	CYOtherExpensesAmt
PY Total Expenses	$239,318,692	PYTotalExpensesAmt
CY Total Expenses	$256,830,199	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,136,388	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,797,695	CYRevenuesLessExpensesAmt
Total Assets BOY	$299,065,402	TotalAssetsBOYAmt
Total Assets EOY	$306,938,724	TotalAssetsEOYAmt
Total Liabilities BOY	$110,218,145	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$94,092,798	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$188,847,257	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$212,845,926	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	$83,969,201	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$136,614,379	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES PATIENT CARE SERVICES - CHRISTUS HEALTH ARK-LA-TEX IS A REGION OF CHRISTUS HEALTH, WHICH WAS FORMED IN 1999 TO STRENGTHEN THE 149-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. THE CHRISTUS HEALTH ARK-LA-TEX REGION RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. MICHAEL SYSTEM, WHICH INCLUDES CHRISTUS ST. MICHAEL HOSPITAL, A 312-BED ACUTE CARE HOSPITAL, CHRISTUS ST. MICHAEL HOSPITAL- ATLANTA, A 64-BED ACUTE CARE HOSPITAL, 50-BED CHRISTUS ST. MICHAEL REHABILITATION HOSPITAL, CHRISTUS ST. MICHAEL OUTPATIENT REHABILITATION CENTER, CHRISTUS ST. MICHAEL HEALTH & FITNESS CENTER, CHRISTUS ST. MICHAEL IMAGING CENTER AND CHRISTUS ST. MICHAEL HOME HEALTH-ATLANTA. 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 ARK-LA-TEX IS LOCATED IN TEXARKANA, TEXAS AND SERVICES NORTHEAST TEXAS, SOUTHWEST ARKANSAS, AND SOUTHEAST OKLAHOMA, WHICH COVERS A POPULATION OF MORE THAN 338,000 INDIVIDUALS. IN FISCAL YEAR 2014 ALONE, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING: 71,456 VISITS TO OUR EMERGENCY DEPARTMENTS; 3,338 SURGERY PROCEDURES WITHIN OUR HOSPITALS; 4,329 OUTPATIENT SURGERY PROCEDURES; 14,563 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 177,823 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH ARK-LA-TEX 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 TO HER FIRST CHILD, CHRISTUS HEALTH ARK-LA-TEX'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS HEALTH ARK-LA-TEX BETTER SERVE THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN CHRISTUS' HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITY, NURTURING CHRISTUS' MISSION TO MEET HEALTH CARE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL STRUCTURE 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 DISCOUNTS ON A SLIDING SCALE FOR NECESSARY SERVICES PROVIDED TO PATIENTS WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT SPONSORED PROGRAMS. CHRISTUS HEALTH ARK-LA-TEX PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ALL PATIENTS WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. AMONG THE GENERAL MEDICAL/SURGERY SERVICES OFFERED ARE: DAY SURGERY, OPEN-HEART SURGERY, ORTHOPEDICS, LEVEL III NEONATAL INTENSIVE CARE UNIT, CARDIAC AND PULMONARY REHABILITATION, DIAGNOSTIC, THERAPEUTIC, WELLNESS PROGRAMS, OCCUPATIONAL AND SPEECH THERAPY, CARDIAC/PULMONARY OUTPATIENT REHABILITATION, RESPIRATORY CARE, NUTRITION AND DIETARY SERVICES AND PHARMACY. CHRISTUS ST. MICHAEL HEALTH SYSTEM PROVIDES A 24-HOUR EMERGENCY DEPARTMENT, LEVEL III TRAUMA DESIGNATION THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH ARK-LA-TEX ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, SUCH AS THE RANDY SAMS SHELTER FOR THE HOMELESS AND THE SPIRIT OF ST. MICHAEL MOBILE CLINIC, WHICH SERVES A SEVEN-COUNTY AREA. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GUIDES CHRISTUS HEALTH ARK-LA-TEX. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$121,359,396	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$112,367,860	RevenueAmt
Desc	OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE 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. MEDICARE, BASED ON THEIR FEE SCHEDULE, REIMBURSES OUTPATIENT SERVICES. 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	$25,894,675	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$26,486,079	RevenueAmt
Desc	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2012), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. THIS FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, CHRISTUS HEALTH PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHO'S ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN TEXAS, LOUISIANA, AND ARKANSAS' MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS, WHICH INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,377,569	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,986,743	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$233,600,841	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	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	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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
IRP Document	335	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2107	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	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	20	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	M GLEN BOLES CFO	PersonNm
Phone	9036142007	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 ST MICHAEL DRIVE	AddressLine1
City	Texarkana	City
State	TX	State
ZIP Code	75503	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Mary P Matthews
Chairperson/Director	1.0	0.0	Yes (X)	Yes (X)
Brenette L Shepherd
Director	1.0	0.0	Yes (X)
Sister Michele O'Brien
Director	1.0	0.0	Yes (X)
Mary P Hickerson
Director	1.0	0.0	Yes (X)
Carlton D Jones
Director	1.0	0.0	Yes (X)
Derrick T McGary
Director	1.0	0.0	Yes (X)
James D Wyly
Vice Chairperson/Director	1.0	0.0	Yes (X)	Yes (X)
James M Hurley MD
Director	1.0	0.0	Yes (X)
Viola Jennell Ingram
Director	1.0	0.0	Yes (X)
Sister Katrina LeGrand
Director	1.0	0.0	Yes (X)
James W Bramlett
Director	1.0	0.0	Yes (X)
Bobbie L Wright
Director	1.0	0.0	Yes (X)
Sonja Y Hubbard
Director	1.0	0.0	Yes (X)
Christopher Karam
President/CEO	24.0	16.0	Yes (X)	Yes (X)	$400,061	$266,708	$227,752
Vernon Shaffer MD
Director (Term 12/31/13)	1.0	0.0	Yes (X)
DENNIS D OBANION MD
DIRECTOR (EFFECTIVE 1/1/14)	1.0	0.0	Yes (X)
FRED HARRIS JR
DIRECTOR (EFFECTIVE 1/1/14)	1.0	0.0	Yes (X)
ERIC B CAIN
DIRECTOR (EFFECTIVE 1/1/14)	1.0	0.0	Yes (X)
WILLIAM V CORK
DIRECTOR (EFFECTIVE 1/1/14)	1.0	0.0	Yes (X)
ROBERT MARTINEZ
DIRECTOR (EFFECTIVE 1/1/14)	1.0	0.0	Yes (X)
JOE DAN NICHOLS JR MD
DIRECTOR	1.0	0.0	Yes (X)
Gail White
Corporate Secretary	43.0	0.0		Yes (X)	$47,637		$3,990
Nancy Keenan
Chief Nurse Executive	40.0	0.0			$302,926	$0	$102,509	Yes (X)
G Michael Finley MD
Chief Medical Officer	30.0	10.0			$384,745	$128,247	$132,114	Yes (X)
M Glen Boles
CHIEF FINANCIAL OFFICER	40.0	0.0			$304,240	$0	$111,067	Yes (X)
Jason G Rounds
CHIEF OPERATING OFFICER	40.0	0.0			$364,340	$0	$103,349	Yes (X)
Aloma R Gender
ADMIN/CHIEF NURSING OFFICER	40.0	0.0			$304,214	$0	$49,549	Yes (X)
John W Graham MD
VP MEDICAL AFFAIRS	40.0	0.0			$288,326	$0	$120,272	Yes (X)
Pamela K Kennedy
VP HUMAN RESOURCES	24.0	16.0			$161,622	$107,748	$136,290	Yes (X)
Ronald D Ryan
VP Support Services	40.0	0.0			$222,497	$0	$35,608	Yes (X)
JAMES POMEROY
VP MISSION INTEGRATION	40.0	0.0			$153,777	$0	$46,513	Yes (X)
THOMAS MCKINNEY
ADMIN CHRISTUS ST MICHAEL HOSP	40.0	0.0			$185,895	$0	$49,090	Yes (X)
William Ainsley
Perfusionist	40.0	0.0			$156,215	$0	$9,308		Yes (X)
KHALIL JREIGE
PHARMACIST	40.0	0.0			$165,409	$0	$9,807		Yes (X)
RAE THIGPEN
DIRECTOR REGULATORY	40.0	0.0			$155,463	$0	$9,095		Yes (X)
DALE SMITH
DIRECTOR PHARMACY	40.0	0.0			$151,790	$0	$8,467		Yes (X)
JAMES JONES
PHARMACY SUPERVISOR	40.0	0.0			$148,976	$0	$2,160		Yes (X)
Shawn Barnett
Former CFO (trsf 7/1/11)	0.0	40.0			$0	$385,524	$117,891			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,898,133	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$888,227	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,274,831	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Aramark Corporation
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	HOUSEKPNG/FOOD SVCS	$12,771,843
ATLANTA HOSPITAL AUTHORITY
1007 SOUTH WILLIAM STREET	ATLANTA	TX	75551	PHYSICIAN STAFFING	$2,533,542
COGENT HEALTHCARE OF TEXAS PA
PO BOX 974716	DALLAS	TX	753974716	PHYSICIAN STAFFING	$2,222,193
COGENT HOSPITAL MANAGEMENT GROUP
5410 MARYLAND WAY	BRENTWOOD	TN	37027	PHYSICIAN STAFFING	$1,954,414
STRYKER ORTHOPAEDICS
1513 Line Avenue	SHREVEPORT	LA	71101	Orthopaedic services	$1,909,605

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
Fundraising	$102,802	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$1,033,011	GovernmentGrantsAmt
All Other Contributions	$334,101	AllOtherContributionsAmt
Total Contributions	$1,469,914	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$266,043,214	$265,913,750	$129,464
PHARMACY	446110	$4,582,273	$3,749,863	$832,410
RENT RELATED TO EXEMPT PURPOSE	900099	$3,712,534	$3,712,534
FITNESS CENTER	713940	$705,088	$469,548	$235,540
WADLEY REGIONAL MEDICAL CENTER PAYMENT	900099	$209,319	$209,319

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$215,890	TotalRevenueColumnAmt
Related Or Exempt Func Income	$215,890	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$275,468,318	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,716	TotalRevenueColumnAmt
Exclusion	$25,716	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	$0	TotalRevenueColumnAmt

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)
Other	$99,264	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$206,820	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$107,556	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$107,556	TotalRevenueColumnAmt
Exclusion	-$107,556	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$81,855	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$102,802	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$110,328	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$28,473	TotalRevenueColumnAmt
Exclusion	-$28,473	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$83,106	GamingGrossIncomeAmt
Gaming Direct Expenses	$44,871	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,235	TotalRevenueColumnAmt
Exclusion	$38,235	ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
FOOD SERVICE	900099	$1,260,071	$1,260,071
GIFT SHOP	900099	$223,558	$223,558
VENDING	900099	$29,031	$29,031

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$249,080	TotalRevenueColumnAmt
Unrelated Business Revenue	$220,645	UnrelatedBusinessRevenueAmt
Exclusion	$28,435	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,761,740	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$278,627,894	TotalRevenueColumnAmt
Related Or Exempt Func Income	$274,270,904	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,418,059	UnrelatedBusinessRevenueAmt
Exclusion	$1,469,017	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	$1,983,203	TotalAmt
Program Services	$1,983,203	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$3,540	TotalAmt
Program Services	$3,540	ProgramServicesAmt

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	$4,406,192	TotalAmt
Program Services	$4,147,277	ProgramServicesAmt
Management And General	$251,502	ManagementAndGeneralAmt
Fundraising	$7,413	FundraisingAmt

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	$76,770,997	TotalAmt
Program Services	$72,259,813	ProgramServicesAmt
Management And General	$4,382,026	ManagementAndGeneralAmt
Fundraising	$129,158	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,349,288	TotalAmt
Program Services	$4,265,573	ProgramServicesAmt
Management And General	$83,715	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,602,699	TotalAmt
Program Services	$10,319,414	ProgramServicesAmt
Management And General	$1,278,081	ManagementAndGeneralAmt
Fundraising	$5,204	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,831,173	TotalAmt
Program Services	$5,174,616	ProgramServicesAmt
Management And General	$646,655	ManagementAndGeneralAmt
Fundraising	$9,902	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$546,113	TotalAmt
Program Services	$129	ProgramServicesAmt
Management And General	$545,984	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$393,894	TotalAmt
Management And General	$393,894	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,126	TotalAmt
Management And General	$6,126	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	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,107,703	TotalAmt
Program Services	$20,033,547	ProgramServicesAmt
Management And General	$9,074,156	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$380,759	TotalAmt
Program Services	$20,331	ProgramServicesAmt
Management And General	$359,939	ManagementAndGeneralAmt
Fundraising	$489	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,249,782	TotalAmt
Program Services	$15,032,313	ProgramServicesAmt
Management And General	$3,217,469	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,155,200	TotalAmt
Program Services	$10,155,200	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,278,799	TotalAmt
Program Services	$7,526,260	ProgramServicesAmt
Management And General	$1,752,539	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$480,655	TotalAmt
Program Services	$247,808	ProgramServicesAmt
Management And General	$224,218	ManagementAndGeneralAmt
Fundraising	$8,629	FundraisingAmt

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	$146,742	TotalAmt
Program Services	$76,085	ProgramServicesAmt
Management And General	$67,363	ManagementAndGeneralAmt
Fundraising	$3,294	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,405,797	TotalAmt
Program Services	$4,405,797	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,221,531	TotalAmt
Program Services	$12,965,984	ProgramServicesAmt
Management And General	$255,547	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,801,754	TotalAmt
Program Services	$2,801,754	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$47,855,731	$47,799,228	$56,503
PROVISION FOR UNCOLLECTIBLE	$14,017,326	$14,017,326
RECRUITMENT/PLACEMENT	$221,050	$59,965	$161,085
UBI TAX EXPENSE	$82,000	$82,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$532,145	TotalAmt
Program Services	$223,678	ProgramServicesAmt
Management And General	$307,253	ManagementAndGeneralAmt
Fundraising	$1,214	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$256,830,199	TotalAmt
Program Services	$233,600,841	ProgramServicesAmt
Management And General	$23,064,055	ManagementAndGeneralAmt
Fundraising	$165,303	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$120,886,169	BOYAmt
EOY	$132,649,432	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	$33,150,730	BOYAmt
EOY	$35,300,824	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	$235,904	BOYAmt
EOY	$1,105,489	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,580,901	BOYAmt
EOY	$5,551,576	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,320,573	BOYAmt
EOY	$2,256,223	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$342,827,904	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$219,782,343	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$125,931,518	BOYAmt
EOY	$123,045,561	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,124,381	BOYAmt
EOY	$3,326,992	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,382,671	BOYAmt
EOY	$1,382,671	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$817,160	BOYAmt
EOY	$1,395,354	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,635,395	BOYAmt
EOY	$924,602	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$299,065,402	BOYAmt
EOY	$306,938,724	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,652,146	BOYAmt
EOY	$20,466,169	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	$150,000	BOYAmt
EOY	$156,610	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$334,936	BOYAmt
EOY	$33,793	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	$83,081,063	BOYAmt
EOY	$73,436,226	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$110,218,145	BOYAmt
EOY	$94,092,798	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$187,422,477	BOYAmt
EOY	$211,864,958	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,424,780	BOYAmt
EOY	$980,968	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$188,847,257	BOYAmt
EOY	$212,845,926	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$299,065,402	BOYAmt
EOY	$306,938,724	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,797,695	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$137,579	NetUnrlzdGainsLossesInvstAmt
Investment Expense	-$8,293	InvestmentExpenseAmt
Other Changes In Net Assets	$2,071,688	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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,126	OtherActivitiesAmt
Total Lobbying Expenditures	$6,126	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING DESCRIPTION	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINES 1B, 1D AND 1G HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH ARK-LA-TEX BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. CHRISTUS HEALTH ARK-LA-TEX HAD DIRECT CONTACT WITH MEMBERS OF THE TEXAS STATE LEGISLATURE, THE ARKANSAS STATE LEGISLATURE AND THEIR RESPECTIVE STAFF THROUGH EMAILS, TELEPHONE CALLS AND MEETINGS ON ISSUES SUCH AS HEALTHCARE FOR THE UNINSURED, UNCOMPENSATED CARE, DISPROPORTIONATE SHARE FUNDING, MENTAL HEALTH, MEDICAID EXPANSION, HEALTHCARE COSTS AND PRIMARY CARE ACCESS, AND STATE BUDGET CHALLENGES, ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTH CHALLENGES, AND MEDICAID/CHIP SECTION 1115 WAIVERS. Listing of Texas bills include SB1, SB7, and SB1889; Arkansas bills include: HB1555. THE REPORTED EXPENSES ASSOCIATED WITH THESE ACTIVITIES INCLUDE STAFF COMPENSATION AND RELATED ALLOCABLE OVERHEAD. CHRISTUS HEALTH ARK-LA-TEX DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-14.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,754,625	BeginningYearBalanceAmt
Investment Earnings Or Losses	$189,900	InvestmentEarningsOrLossesAmt
Administrative Expenses	$8,293	AdministrativeExpensesAmt
End Year Balance	$1,936,232	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,619,710	BeginningYearBalanceAmt
Contributions	$55,025	ContributionsAmt
Investment Earnings Or Losses	$87,370	InvestmentEarningsOrLossesAmt
Administrative Expenses	$7,480	AdministrativeExpensesAmt
End Year Balance	$1,754,625	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,541,331	BeginningYearBalanceAmt
Investment Earnings Or Losses	$94,732	InvestmentEarningsOrLossesAmt
Administrative Expenses	$16,353	AdministrativeExpensesAmt
End Year Balance	$1,619,710	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,462,088	BeginningYearBalanceAmt
Investment Earnings Or Losses	$89,433	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,190	AdministrativeExpensesAmt
End Year Balance	$1,541,331	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,485,826	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$14,289	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,449	AdministrativeExpensesAmt
End Year Balance	$1,462,088	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,275,467	OtherCostOrOtherBasisAmt
Book Value	$18,275,467	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$174,546,702	OtherCostOrOtherBasisAmt
Depreciation	$103,596,030	DepreciationAmt
Book Value	$70,950,672	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$337,581	OtherCostOrOtherBasisAmt
Depreciation	$212,934	DepreciationAmt
Book Value	$124,647	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$120,634,628	OtherCostOrOtherBasisAmt
Depreciation	$98,010,890	DepreciationAmt
Book Value	$22,623,738	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,033,526	OtherCostOrOtherBasisAmt
Depreciation	$17,962,489	DepreciationAmt
Book Value	$11,071,037	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$123,045,561	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$18,491	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO RELATED ORGS	$7,400,859
STATE SALES TAX PAYABLE	$7,147
DUE TO CHRISTUS HEALTH BOND FUND	$66,009,729

Field	Value	IRS element (for citing)
Total Liability	$73,436,226	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUND	SCHEDULE D, PART V, LINE 4 THE EARNINGS OF THE ENDOWMENT FUND MAY BE USED WITHOUT LIMITATION FOR BUILDINGS, EQUIPMENT, PROGRAMS AND SERVICES OF CHRISTUS HEALTH ARK-LA-TEX, IN KEEPING WITH ITS MISSION AND PURPOSES WITHIN CHRISTUS HEALTH ARK-LA-TEX REGION WITHOUT RESTRICTION TO ANY PARTICULAR PURPOSE.
CASH - NON-BEARING INTEREST	FORM 990, PART X, LINE 1 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
UNCERTAIN TAX POSITIONS UNDER ASC 740	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, 2014 AND 2013.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1Amt
Gross Receipts Event1	$150,475	GrossReceiptsEvent1Amt
Charitable Contri Event1	$81,904	CharitableContriEvent1Amt
Gross Revenue Event1	$68,571	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$30,827	RentFacilityCostsEvent1Amt
Entertainment Event1	$55,375	EntertainmentEvent1Amt
Other Direct Expenses Event1	$7,049	OtherDirectExpensesEvent1Amt
Name Of Event2	HOLIDAY LUNCH	NameOfEvent2Amt
Gross Receipts Event2	$21,715	GrossReceiptsEvent2Amt
Charitable Contri Event2	$14,001	CharitableContriEvent2Amt
Gross Revenue Event2	$7,714	GrossRevenueEvent2Amt
Food And Beverage Event2	$4,878	FoodAndBeverageEvent2Amt
Entertainment Event2	$5,350	EntertainmentEvent2Amt
Other Direct Expenses Event2	$2,913	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$12,467	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$6,897	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$5,570	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$100	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$434	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$2,720	RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events	$682	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$184,657	GrossReceiptsTotalAmt
Charitable Contributions Tot	$102,802	CharitableContributionsTotAmt
Gross Revenue Total Events	$81,855	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$100	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$434	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$33,547	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$4,878	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$60,725	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$10,644	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$110,328	DirectExpenseSummaryEventsAmt
Net Income Summary	-$28,473	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$83,106	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$1,000	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$16,500	NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming	$13,058	RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming	$14,313	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	0.50000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$83,106	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$1,000	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$16,500	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$13,058	RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming	$14,313	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$44,871	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$38,235	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
Licensed	false	LicensedInd
Explanation If No	Texas does not require qualified organizations to register in order to operate this game.	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	false	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	0.00000	GamingOwnFacilityPct
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	Susan Landreaux	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	2600 St Michael Drive	AddressLine1
City	Texarkana	City
State	TX	State
ZIP Code	75503	ZIPCode

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr	false	CharitableDistributionRqrInd
Distributed	$0	DistributedAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,031,092	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,031,092	NetCommunityBenefitExpnsAmt
Total Expense	0.07840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,725,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,486,079	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$239,034	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,756,205	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,486,079	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,270,126	NetCommunityBenefitExpnsAmt
Total Expense	0.07940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	15875	PersonsServedCnt
Total Community Benefit Expns	$1,259,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,582	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,229,853	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	184	PersonsServedCnt
Total Community Benefit Expns	$1,115,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$308,851	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$806,372	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	635	PersonsServedCnt
Total Community Benefit Expns	$316,267	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$316,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	16694	PersonsServedCnt
Total Community Benefit Expns	$2,690,925	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$338,433	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,352,492	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	16694	PersonsServedCnt
Total Community Benefit Expns	$48,447,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,824,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,622,618	NetCommunityBenefitExpnsAmt
Total Expense	0.08910	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$25,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$25,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,017,326	BadDebtExpenseAmt
Bad Debt Expense Attributable	$522,846	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$88,080,828	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$86,200,956	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,879,872	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
TEXARKANA PTRS LTD
RENTAL PROPERTY	0.38360	0.10160
TGLP LP
SURGICAL CENTER	0.29700	0.52500
TXKNA PET IM INSTLP
IMAGING	0.25130	0.12560

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
CHRISTUS ST MICHAEL HEALTH SYSTEM
1	2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	www.christusstmichael.org	000788	Yes (X)	Yes (X)	Yes (X)
CHRISTUS ST MICHAEL REHAB HOSPITAL
2	2400 ST MICHAEL DRIVE	TEXARKANA	TX	75503	www.christusstmichael.org	000713	Yes (X)			REHABILITATION HOSP
CHRISTUS ST MICHAEL HOSPITAL-ATLANTA
3	1007 S WILLIAMS ST	ATLANTA	TX	75551	www.christusstmichael.org	000788	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
CHRISTUS ST MICHAEL HEALTH SYSTEM
1	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	false	Yes (true)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (X)	Yes (true)	Yes (X)	false	false
CHRISTUS ST MICHAEL REHAB HOSPITAL
2	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	false	Yes (true)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (X)	Yes (true)	Yes (X)	false	false
CHRISTUS ST MICHAEL HOSPITAL-ATLANTA
3	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	false	Yes (true)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, SECTION B, LINE 3	FormAndLineReferenceDesc
Explanation	COMMUNITY INTERVIEWS INTERVIEWS WITH COMMUNITY LEADERS REPRESENTED A CRITICAL COMPONENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY CHRISTUS HEALTH. INDIVIDUALS INTERVIEWED INCLUDED REPRESENTATIVES OF: - BOWIE COUNTY - MILLER COUNTY - TRUVEN - CAPC - PALLIATIVE CARE PROGRAM - DATAPLACE PART V, SECTION B, LINE 5A THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING WEBSITE URL: http://www.christusstmichael.org/workfiles/pdf/CHRISTUS%20ST.%20Michael%20 -%20CHNA%20Report%20Final%5B1%5D.pdf PART V, SECTION B, LINE 7 OTHER NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE NOT ADDRESSED BECAUSE THERE WERE OTHER LOCAL RESOURCES IDENTIFIED WHICH WERE BELIEVED TO BE ABLE TO RESPOND TO THE NEED INCLUDED: - ALCOHOL ABUSE - MATERNAL AND INFANT MEASURES - LACK OF REGULAR PHYSICIANS - CANCER - PRIORITY POPULATIONS - HEALTHY FOOD - DENTAL CARE - HIGH CHOLESTEROL - LUNG DISEASE - SMOKING/TOBACCO USE - ACCIDENTS - HIGH BLOOD PRESSURE - STROKE - SEXUALLY TRANSMITTED DISEASE - HOMICIDE/VIOLENT CRIME - PALLIATIVE CARE/HOSPICE - KIDNEY DISEASE - LONG TERM MENTAL HEALTH SUPPORT/COUNSELING - CHRONIC LOW BACK PAIN - PHYSICAL ENVIRONMENT - FLU/PNEUMONIA - LIFE EXPECTANCY/PREMATURE DEATH PART V, SECTION B, LINE 10 DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE THE HOSPITAL FACILITY PROVIDES DISCOUNTED CARE TO ALL UNINSURED PATIENTS. IN ORDER TO DETERMINE DISCOUNTS FOR UNINSURED PATIENTS, THE FACILITY UTILIZES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES AND OTHER CRITERIA APPLIED TO A UNIFORM FEE SCHEDULE. THE FACILITY HAS IMPLEMENTED A 3 TIER UNINSURED FEE SCHEDULE WHEREIN INDIVIDUALS BETWEEN 201-300% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; INDIVIDUALS BETWEEN 301%-400% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; AND INDIVIDUALS ABOVE 401% OF THE FEDERAL POVERTY LEVEL RECEIVE NO ADDITIONAL DISCOUNT OFF OF THE UNINSURED DISCOUNTED PRICE. THERE IS NO FEDERAL POVERTY LIMIT FOR THE UNINSURED POPULATION TO RECEIVE DISCOUNTED CARE BECAUSE ALL CHARGES BY THE FACILITY ARE BASED ON THE UNINSURED DISCOUNTED PRICE. THE UNINSURED DISCOUNTED PRICE IS BASED ON THE FY 2009 MANAGED CARE AVERAGE REIMBURSEMENT RATE, EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. PART V, SECTION B, LINE 14 & 14G HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY THE HOSPITAL FACILITY'S COMPLETE FINANCIAL ASSISTANCE POLICY IS NOT POSTED IN THE FACILITY'S EMERGENCY ROOMS, WAITING ROOMS OR ADMISSIONS OFFICES; HOWEVER, A NOTICE THAT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE BUSINESS OFFICE AND ONLINE IS POSTED IN THE FACILITY'S EMERGENCY ROOMS, WAITING ROOMS AND ADMISSION OFFICES. PART V, SECTION B, LINE 15 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE ORGANIZATION DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NON-PAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 16 OR 17 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11. PART V, SECTION B, LINE 20D DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL FACILITY USED THE AVERAGE MANAGED CARE REIMBURSEMENT RATE FROM THE FISCAL YEAR ENDING 6-30-09 IN ORDER TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE PATIENTS. THE AVERAGE MANAGED CARE RATE IS THE AVERAGE REIMBURSEMENT RECEIVED FOR SPECIFIC CATEGORIES OF SERVICES FROM THE COLLECTIVE GROUP OF PRIVATE INSURERS THAT REIMBURSE ALL HOSPITAL FACILITIES WITHIN THE CHRISTUS HEALTH SYSTEM EXCEPT ST. VINCENT HOSPITAL AND CHRISTUS CONTINUING CARE.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
TGLP LP
1920 MOORES LANE	TEXARKANA	TX	75503	ENDOSCOPY CENTER
TEXARKANA PET IMAGING INSTITUTE
920 PIERREMONT ROAD SUITE 411	SHREVEPORT	LA	71106	DIAGNOSTIC IMAGING FACILITY

Supplemental Information Detail SupplementalInformationDetail (5 entries)

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SCHEDULE H, PART I, LINE 5	BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. SCHEDULE H, PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. SCHEDULE H, PART I, LINE 7B UNREIMBURSED MEDICAID CHRISTUS HEALTH ARK-LA-TEX REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. SCHEDULE H, PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $256,830,199. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $14,017,326. THIS LEAVES A TOTAL EXPENSE OF $242,812,873 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 19.95%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS CHRISTUS HEALTH ARK-LA-TEX MADE OVER $316,000 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2014. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $8,064 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH ARK-LA-TEX. THE GRANT DOLLARS ARE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH ARK-LA-TEX SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). INDIGENT FUNDING EXPENSE OF $218,770 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). SCHEDULE H, PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT WORKS IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH THROUGH IMPROVED ACCESS TO HEALTH SERVICES AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2014 CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES BY WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN, SENIORS AND OTHER VULNERABLE POPULATIONS BY PROMOTING PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AS WELL AS PROVIDING IMMUNIZATIONS TO THESE POPULATIONS. SCHEDULE H, PART III, SECTION A, LINE 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. SCHEDULE H, PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
SCHEDULE H, PART III, SECTION A, LINE 3	ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. IN ORDER TO ASSESS THE BAD DEBT ACCOUNTS THAT WOULD LIKELY QUALIFY FOR CHARITY CARE, THE FOLLOWING CRITERIA WERE ESTABLISHED BASED ON AN ANALYSIS OF HISTORICAL DATA OF CHRISTUS HEALTH AND ITS RELATED ORGANIZATIONS: 1. PARO SCORE OF LESS THAN OR EQUAL TO 586, WHICH IS A PREDICTOR DEFINING THE LIKELY SOCIOECONOMIC CONDITIONS FOR THE PATIENT; 2. ESTIMATED FEDERAL POVERTY LEVEL OF LESS THAN OR EQUAL TO 226%, WHICH IS BASED ON ESTIMATED HOUSEHOLD SIZE AND HOUSEHOLD ESTIMATED INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2014, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 33% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THESE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2014. THUS, THE ORGANIZATION ESTIMATES THAT ONLY OPEN% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2014 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; PROVISIONS FOR BAD DEBT; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." SCHEDULE H, PART III, SECTION B, LINE 8 EXTENT TO WHICH SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT COSTING METHODOLOGY THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SURPLUS OF $1,879,872 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. THE ORGANIZATION APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH THE ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT CHRISTUS HEALTH ARK-LA-TEX, IN COLLABORATION WITH AREA COMMUNITY STAKEHOLDERS DEVELOPED THE 2013 COMMUNITY BENEFIT PLAN. AREA COMMUNITY STAKEHOLDERS PARTICIPATED IN A COMMUNITY NEEDS SURVEY TO EXAMINE AND AFFIRM FINDINGS OF THE COMMUNITY HEALTH NEEDS AS WELL AS THE TIME AND RESOURCES REQUIRED TO ADDRESS ALL OF THE UNMET NEEDS IN THE CHRISTUS ARK-LA-TEX REGION. THE GROUP HAS COMMITTED TO CONTINUE WORK RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IN THE ARK-LA-TEX REGION FOR THE LONG-TERM. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS HEALTH ARK-LA-TEX MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTA
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION CHRISTUS HEALTH ARK-LA-TEX IS LOCATED IN TEXARKANA, TEXAS AND SERVICES NORTHEAST TEXAS, NORTHWEST LOUISIANA, SOUTHWEST ARKANSAS, AND SOUTHEAST OKLAHOMA, WHICH COVERS A POPULATION OF APPROXIMATELY 338,000 PERSONS. TEXARKANA, TEXAS AND TEXARKANA, ARKANSAS ARE THE LARGEST CITIES IN THE REGION, MAKING UP APPROXIMATELY 50 PERCENT OF THE TOTAL POPULATION. THEY ARE LOCATED IN BOWIE AND MILLER COUNTIES, RESPECTIVELY. THE POPULATION CONSISTS OF APPROXIMATELY 72 PERCENT CAUCASIANS AND OVER 24 PERCENT AFRICAN-AMERICANS ACCORDING TO 2013 CENSUS DATA. OVER 83 PERCENT OF THE RESIDENTS ARE HIGH SCHOOL GRADUATES. THE MEDIAN HOUSEHOLD INCOME WAS $43,210 FOR BOWIE COUNTY AND $40,200 FOR MILLER COUNTY AS OF 2013. BOTH COUNTIES FALL BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME. CHRISTUS HEALTH ARK-LA-TEX TOUCHES THE LIVES OF THE PEOPLE THROUGHOUT THE REGION BECAUSE OF ITS COMMITMENT TO THE UNDERSERVED AND MEDICALLY NEEDY POPULATIONS. CHRISTUS HEALTH ARK-LA-TEX PROVIDES THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CHRISTUS HEALTH ARK-LA-TEX RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH SERVICES PROVIDED AT CHRISTUS ST. MICHAEL HEALTH SYSTEM, WHICH INCLUDES CHRISTUS ST. MICHAEL HOSPITAL, A 312-BED ACUTE CARE HOSPITAL; CHRISTUS ST. MICHAEL HOSPITAL-ATLANTA, A 64 BED ACUTE CARE HOSPITAL; CHRISTUS ST. MICHAEL REHABILITATION HOSPITAL, A 50-BED HOSPITAL; CHRISTUS ST. MICHAEL OUTPATIENT REHABILITATION CENTER; CHRISTUS ST. MICHAEL IMAGING CENTER AND CHRISTUS ST. MICHAEL HOME HEALTH-ATLANTA. CHRISTUS HEALTH ARK-LA-TEX PROVIDES A 24 HOUR EMERGENCY DEPARTMENT, LEVEL III TRAUMA DESIGNATION THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENCY CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH ARK-LA-TEX WORKS TO STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, ESPECIALLY THE VULNERABLE AND UNDERSERVED POPULATIONS. TEXARKANA HAS A POPULATION OF APPROXIMATELY 66,325 PERSONS. THE BOWIE COUNTY, TEXAS AND MILLER COUNTY, ARKANSAS POPULATION IS 136,027. TEXARKANA, TEXAS AND TEXARKANA, ARKANSAS ARE THE LARGEST CITIES SURROUNDING CHRISTUS HEALTH ARK-LA-TEX, WITH APPROXIMATELY 50 PERCENT OF THE TOTAL POPULATION SERVED BY CHRISTUS HEALTH ARK-LA-TEX. ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH ARE CONSTANTLY SEEKING INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. COLLABORATIVE EFFORTS WITH GENESIS PRIME CARE, ALL FOR KIDS PEDIATRIC CLINIC, AND RANDY SAMS HOMELESS SHELTER PROVIDE PRIMARY CARE TO MEET THE NEEDS OF THE POOR, UNDERSERVED, AND HOMELESS. CHRISTUS HEALTH ARK-LA-TEX ALSO SUPPORTS THE NEEDS OF SPECIAL POPULATIONS IN THE COMMUNITY BY PROVIDING EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AS WELL AS HEALTH SCREENINGS AND IMMUNIZATIONS FOR DISEASE DETECTION AND PREVENTION WITH SPECIAL ATTENTION GIVEN TO CHILDREN, SENIORS, AND OTHER VULNERABLE POPULATIONS THROUGH A MOBILE HEALTH CLINIC. HEALTH EDUCATION PROGRAMS, SCREENINGS AND ADULT IMMUNIZATIONS ASSIST OTHER TARGETED POPULATIONS SUCH AS PERSONS AGE 65 OR OLDER AND AFRICAN-AMERICANS. CHRISTUS HEALTH ARK-LA-TEX PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE MISSION WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH ARK-LA-TEX COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO STRENGTHEN ITS ROLE AS A MAJOR PROVIDER OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. CHRISTUS HEALTH ARK-LA-TEX PROVIDES MEDICATION ASSISTANCE FOR COMMUNITY RESIDENTS WHO ARE UNABLE TO AFFORD THE MEDICATIONS THEY NEED. THE HOSPITALS WORK WITH COMMUNITY PHARMACIES AND OTHER PHARMACEUTICAL COMPANIES TO IDENTIFY THESE PATIENTS AND DISTRIBUTE THE NEEDED MEDICATIONS TO SUCH PERSONS. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" IS ALSO A PART OF CHRISTUS HEALTH ARK-LA-TEX'S OVERALL COMMUNITY BENEFIT. THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS (GRADUATE MEDICAL EDUCATION, NURSING STUDENTS, ALLIED HEALTH PROFESSIONALS, PHARMACISTS, ETC). HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS ARK-LA-TEX HAD OVER $806,000 IN HEALTH PROFESSIONS EDUCATION EXPENSES DURING FY 2014 THAT INCLUDED STUDENT INTERNSHIPS, CLINICAL EXPERIENCE AND OTHER EDUCATION FOR PHYSICIANS, NURSES, TECHNICIANS, ADMINISTRATORS, SOCIAL WORKERS, THERAPISTS AND PASTORAL CARE PROFESSIONALS. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY 2014 THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE ARK-LA-TEX REGION WAS $8,064. CHRISTUS HEALTH ARK-LA-TEX ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, DIABETES, HEART DISEASE, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS PREVENTION, AND MANY OTHER EQUALLY WORTHY PURPOSES. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2014, CHRISTUS HEALTH ADVOCATED FOR IMPROVEMENT PUBLIC POLICES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. AS A NOT FOR PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES CHRISTUS HEALTH ARK-LA-TEX. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS ARK-LA-TEX ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. CHRISTUS HEALTH ARK-LA-TEX HAS PART OWNERSHIP IN BOWIE COUNTY CLINICAL SERVICES, INC. WHICH PROVIDES PHYSICIAN AND OTHER RELATED HEALTH CARE SERVICES TO INDIGENT PATIENTS. CHRISTUS HEALTH ARK-LA-TEX ALSO HAS PART OWNERSHIP IN TEXARKANA PARTNERS LIMITED. THROUGH ARKANSAS INTEGRATED COMMUNITY HEALTH NETWORK, INC., CHRISTUS HEALTH ARK-LA-TEX HAS INDIRECT OWNERSHIP INTERESTS IN TEXARKANA P.E.T IMAGING INSTITUTE, LP, A DIAGNOSTIC IMAGING FACILITY; TGLP, LP, AN ENDOSCOPY CENTER; AND SOUTHWEST HEALTH LINK, LLC.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM DESCRIPTION CHRISTUS HEALTH ARK-LA-TEX IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN THE STATES OF ARKANSAS, GEORGIA, IOWA, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH ARK-LA-TEX, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH ARK-LA-TEX, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
SCHEDULE H, PART VI, LINE 7	Community Benefit Report A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2013 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2012. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT: TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
American Heart Association
10900-B Stonelake Blvd Suite 320	Austin	TX	78759	135613797	501(c)(3)	$6,000	Sponsorship
University of Ar Area Hlth Education CTR SW
300 East 6th Street	Texarkana	TX	71854	716046242	501(c)(3)	$1,230,199	Medical Education Program Support
Bowie County Clinical Services Inc
2801 Via Fortuna Ste 500	Austin	TX	78746	113794900	501(c)(3)	$218,769	Indigent care program funding
Texas A&M University
7101 University Ave	Texarkana	TX	75503	752655354	501(C)(3)	$45,876	CSM Assoc Tuition and books
Christus St Michael Foundation
2600 St Michael drive	Texarkana	TX	75503	471655865	501(C)(3)	$10,000	Sponsorship
East Texas Border Health
502 East Rusk Street	Marshall	TX	75670	030538912	501(C)(3)	$438,496	Donation for Community Health contribution Grant
Red River Lone Star Support Committee
3610 Potomace Avenue	Texarkana	TX	75503	204025531	501(C)(6)	$11,000	Sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	1	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	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) 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. IN ADDITION TO FOLLOWING CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, THE ORGANIZATION HAS ADDITIONAL GUIDELINES AND PROCEDURES FOR GRANT-MAKING. IN ACCORDANCE WITH THE ORGANIZATION'S DONATION POLICY, PRIORITY WILL BE GIVEN TO CHARITY CASES AS FOLLOWS: (A) SERVICES AND CONTRIBUTIONS TO ORGANIZATIONS WHICH PROVIDE CARE FOR THE POOR AND UNDERSERVED; (B) HEALTH EDUCATION AND PREVENTION; AND (C) OTHER HEALTH RELATED CAUSES. ALL REQUESTS FOR CONTRIBUTIONS, SPONSORSHIPS, ETC., REGARDLESS OF AMOUNT, MUST BE SUBMITTED IN WRITING TO THE CHRISTUS ST. MICHAEL FOUNDATION DIRECTOR. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES PARTICULARLY RELATING TO THE HEALING MINISTRY AND HEALTH CARE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH IT SERVES VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	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 (17 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
William Ainsley
Perfusionist	$156,215	$0	$0	$0	$0	$0	$7,043	$0	$2,265	$0	$165,523	$0	$0	$0
Christopher Karam
President/CEO	$272,229	$181,486	$80,578	$53,719	$47,254	$31,503	$117,070	$78,048	$19,580	$13,054	$536,711	$357,810	$23,902	$15,935
Nancy Keenan
Chief Nurse Executive	$191,322	$0	$66,581	$0	$45,023	$0	$71,442	$0	$31,067	$0	$405,435	$0	$3,816	$0
G Michael Finley MD
Chief Medical Officer	$216,271	$72,090	$72,781	$24,260	$95,693	$31,897	$83,415	$27,805	$15,670	$5,224	$483,830	$161,276	$19,912	$6,637
M Glen Boles
CHIEF FINANCIAL OFFICER	$214,547	$0	$73,061	$0	$16,632	$0	$81,856	$0	$29,211	$0	$415,307	$0	$0	$0
Jason G Rounds
CHIEF OPERATING OFFICER	$239,616	$0	$81,905	$0	$42,819	$0	$73,926	$0	$29,423	$0	$467,689	$0	$13,778	$0
Shawn Barnett
Former CFO (trsf 7/1/11)	$0	$285,333	$0	$52,629	$0	$47,562	$0	$86,181	$0	$31,710	$0	$503,415	$0	$21,646
Aloma R Gender
ADMIN/CHIEF NURSING OFFICER	$195,605	$0	$68,421	$0	$40,188	$0	$31,085	$0	$18,464	$0	$353,763	$0	$14,478	$0
John W Graham MD
VP MEDICAL AFFAIRS	$209,436	$0	$56,764	$0	$22,126	$0	$95,666	$0	$24,606	$0	$408,598	$0	$1,851	$0
Pamela K Kennedy
VP HUMAN RESOURCES	$109,428	$72,952	$20,300	$13,534	$31,894	$21,262	$64,697	$43,132	$17,077	$11,384	$243,396	$162,264	$0	$0
Ronald D Ryan
VP Support Services	$160,994	$0	$32,244	$0	$29,259	$0	$32,580	$0	$3,028	$0	$258,105	$0	$0	$0
JAMES POMEROY
VP MISSION INTEGRATION	$104,911	$0	$36,595	$0	$12,271	$0	$29,831	$0	$16,682	$0	$200,290	$0	$6,915	$0
THOMAS MCKINNEY
ADMIN CHRISTUS ST MICHAEL HOSP	$136,137	$0	$21,638	$0	$28,120	$0	$30,009	$0	$19,081	$0	$234,985	$0	$0	$0
KHALIL JREIGE
PHARMACIST	$165,409	$0	$0	$0	$0	$0	$7,409	$0	$2,398	$0	$175,216	$0	$0	$0
RAE THIGPEN
DIRECTOR REGULATORY	$155,463	$0	$0	$0	$0	$0	$6,841	$0	$2,254	$0	$164,558	$0	$0	$0
DALE SMITH
DIRECTOR PHARMACY	$151,790	$0	$0	$0	$0	$0	$6,266	$0	$2,201	$0	$160,257	$0	$0	$0
JAMES JONES
PHARMACY SUPERVISOR	$148,976	$0	$0	$0	$0	$0	$0	$0	$2,160	$0	$151,136	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL COMPENSATION INFORMATION	FormAndLineReferenceDesc
Explanation	COMPANION TRAVEL SCHEDULE J, PART I, LINE 1A COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. FORM 990, PART VII, LINE 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. RELATED ORGANIZATION DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT SCHEDULE J, PART I, LINE 4B AND SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 CHRIS KARAM WAS PAID $39,837 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NANCY KEENAN WAS PAID $3,816 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. G. MICHAEL FINLEY WAS PAID $26,549 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. ALOMA GENDER WAS PAID $14,478 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SHAWN BARNETT WAS PAID $21,646 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. JASON ROUNDS WAS PAID $13,778 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. JOHN W. GRAHAM WAS PAID $1,851 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. JAMES D. POMEROY WAS PAID $6,915 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION 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. SUPPLEMENTAL COMPENSATION INFORMATION 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 2013. DEFERRED COMPENSATION SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: CHRIS KARAM, SHAWN BARNETT, NANCY KEENAN, JASON ROUNDS, G. MICHAEL FINLEY, MD, ALOMA GENDER, JOHN GRAHAM, PAMELA KENNEDY, GLEN BOLES, THOMAS MCKINNEY, RONALD RYAN, AND JAMES POMEROY.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	See Part V	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$1,743,498	TransactionAmt
Transaction	SEE SUPPLEMENTAL INFORMATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, LINE 1	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF TRANSACTIONS 1) NAME OF INTERESTED PERSON - ARK-LA-TEX HEALTH NETWORK RELATIONSHIP - M. GLEN BOLES, JASON ROUNDS, CHRIS KARAM, AND VERNON SHAFFER, MD ARE OFFICERS OF ARK-LA-TEX HEALTH NETWORK. AMOUNT OF TRANSACTION - $1,743,498 DESCRIPTION OF TRANSACTION - REIMBURSEMENT FOR SALARIES PAID BY ARK-LA-TEX HEALTH NETWORK. M. GLEN BOLES AND CHRIS KARAM SERVED AS OFFICERS OF CHRISTUS HEALTH ARK-LA-TEX AND OFFICERS OF ARK-LA-TEX HEALTH NETWORK. JASON ROUNDS SERVED AS A KEY EMPLOYEE OF CHRISTUS HEALTH ARK-LA-TEX AND OFFICER OF ARK-LA-TEX HEALTH NETWORK. VERNON SHAFFER, MD SERVED AS A DIRECTOR OF CHRISTUS HEALTH ARK-LA-TEX AND OFFICER OF ARK-LA-TEX HEALTH NETWORK.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DOING BUSINESS AS	FORM 990, PAGE 1, ITEM C CHRISTUS HEALTH ARK-LA-TEX OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS ST. MICHAEL HEALTH SYSTEM CHRISTUS ST. MICHAEL REHABILITATION HOSPITAL CHRISTUS ST. MICHAEL SENIOR HEALTH CENTER HEALTH CARE CENTER PHARMACY GLENWOOD PHARMACY CHRISTUS ST. MICHAEL GLENWOOD PHARMACY CHRISTUS ST. MICHAEL HEALTH CARE CENTER PHARMACY CHRISTUS St. Michael Quick Clinic New Boston CHRISTUS ST. MICHAEL SPINE CENTER CHRISTUS ST. MICHAEL HIP FRACTURE CENTER CHRISTUS ST. MICHAEL HOSPITAL - ATLANTA CHRISTUS ST. MICHAEL HEALTH & FITNESS CENTER - ATLANTA CHRISTUS ST. MICHAEL OUTPATIENT REHABILITATION CENTER - ATLANTA CHRISTUS ST. MICHAEL HOME HEALTH - ATLANTA CHRISTUS ST. MICHAEL FAMILY CLINIC CHRISTUS ST. MICHAEL HEALTH CENTER PRESCOTT CHRISTUS ST. Micheal Provider Services (Atlanta) CHRISTUS St. Michael Provider Services OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM CHARITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, TRANSPORTATION SERVICES, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ARK-LA-TEX PROVIDES MEDICATION ASSISTANCE FOR COMMUNITY RESIDENTS WHO ARE UNABLE TO AFFORD THE MEDICATIONS THEY NEED. THE HOSPITALS WORK WITH COMMUNITY PHARMACIES AND OTHER PHARMACEUTICAL COMPANIES TO IDENTIFY THESE PATIENTS AND THEN DISTRIBUTE THE NEEDED MEDICATIONS TO THEM. COLLABORATIVE EFFORTS WITH GENESIS PRIME CARE, ALL FOR KIDS PEDIATRIC CLINIC AND RANDY SAMS HOMELESS SHELTER PROVIDE PRIMARY CARE TO MEET THE NEEDS OF THE POOR, UNDERSERVED AND HOMELESS. CHRISTUS HEALTH ARK-LA-TEX ALSO SUPPORTS THE NEEDS OF SPECIAL POPULATIONS IN THE COMMUNITY BY PROVIDING HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AS WELL AS SCREENINGS AND IMMUNIZATIONS FOR CHILDREN THROUGH A MOBILE HEALTH CLINIC. HEALTH EDUCATION PROGRAMS, SCREENINGS AND ADULT IMMUNIZATIONS ASSIST OTHER TARGETED POPULATIONS SUCH AS PERSONS AGE 65 OR OLDER AND AFRICAN-AMERICANS. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY 2014, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE CHRISTUS HEALTH ARK-LA-TEX REGION WAS $8,064. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH ARK-LA-TEX. THIS GRANT WAS USED TO PROVIDE ASSISTANCE ON TEACHING RIDING SKILLS TO PARTICIPANTS AS YOUNG AS FOUR YEARS OF AGE WITH PHYSICAL, COGNITIVE AND/OR EMOTIONAL DISABILITIES. SEVERAL CHRISTUS REGIONS PROVIDE INDIGENT FUNDING DONATIONS OR "GRANTS" TO AID THE COUNTIES IN WHICH THEY, OR ANOTHER CHRISTUS REGION, SERVE. SUCH GRANTS MAY BE PAID TO THE COUNTY DIRECTLY OR VIA ANOTHER HOSPITAL OR HEALTHCARE ORGANIZATION IN THE AREA. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTH CARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT CHRISTUS MAY NOT DIRECTLY SERVE IN ONE OF OUR HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. TOTAL PROGRAM SERVICE EXPENSE = $967,745 GRANTS = $1,986,743 TOTAL PROGRAM SERVICE REVENUE = $ 0 COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. IN ORDER TO PROVIDE CLINICALLY TRAINED PROFESSIONALS, CHRISTUS HEALTH ARK-LA-TEX COOPERATES WITH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES AREA HEALTH EDUCATION CENTER-SOUTHWEST TO PROVIDE SUPPORT FOR SCHOOLS OF MEDICAL TECHNOLOGY, RADIOLOGY TECHNOLOGY, RADIOLOGY IMAGING/MEDICAL SONOGRAPHY TECHNOLOGY, NUCLEAR MEDICINE TECHNOLOGY AND RESPIRATORY. IN EFFORTS TO MEET THE NEEDS FOR PRIMARY CARE PHYSICIANS IN THE AREA, CHRISTUS PROVIDES SUPPORT FOR A THREE-YEAR PRIMARY CARE RESIDENCY PROGRAM FOR PHYSICIANS THROUGH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES AREA HEALTH EDUCATION CENTER-SOUTHWEST. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2014, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. TOTAL PROGRAM SERVICE EXPENSES = $1,409,824 GRANTS = $0 TOTAL PROGRAM SERVICE REVENUE = $ 0
DESCRIPTION OF RELATIONSHIPS	FORM 990, PART VI, SECTION A, LINE 2 CHRIS KARAM, M. GLEN BONES, JASON ROUNDS AND VERNON SHAFFER, MD SERVE AS OFFICERS OF ARK-LA-TEX HEALTH NETWORK, A WHOLLY OWNED SUBSIDIARY OF CHRISTUS HEALTH ARK-LA-TEX. CHRIS KARAM, GAIL WHITE, AND M. GLEN BOLES SERVE AS OFFICERS OF ARKANSAS INTEGRATED COMMUNITY HEALTH NETWORK, A WHOLLY OWNED SUBSIDIARY OF CHRISTUS HEALTH ARK-LA-TEX. CHRIS KARAM AND M. GLEN BOLES SERVE AS MANAGEMENT COMMITTEE MEMBERS OF SOUTHWEST HEALTH LINK, LLC. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, SECTION A, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, SECTION A, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. EXPLAIN HOW ORG ENSURES LOCAL UNIT ACTIVITIES ARE CONSISTENT WITH ITS OWN FORM 990, PART VI, SECTION B, LINE 10B CHRISTUS ST. MICHAEL HEALTH SYSTEM AUXILIARY IS TREATED AS A DEPARTMENT OF CHRISTUS HEALTH ARK-LA-TEX (OPERATES UNDER THE SAME TAX ID NUMBER AS CHRISTUS HEALTH ARK-LA-TEX) AND IS REQUIRED TO FOLLOW CHRISTUS ST. MICHAEL'S POLICIES AND PROCEDURES. THE CEO/PRESIDENT OR DESIGNEE IS A MEMBER OF THE AUXILIARY BOARD. VOLUNTEERS ARE SUPERVISED AND OPERATE UNDER THE DIRECTION OF THE CEO/PRESIDENT OR OTHER DESIGNEE. NEW VOLUNTEER CANDIDATES ARE REQUIRED TO SUBMIT APPLICATIONS, UNDERGO BACKGROUND CHECKS AND COMPLETE OTHER REQUIREMENTS THAT ARE APPLICABLE TO CHRISTUS ST. MICHAEL APPLICANTS. ALL VOLUNTEERS ARE REQUIRED TO ATTEND ORIENTATION, SIGN CODE OF ETHICS, COMPLETE THE CONFLICT OF INTEREST STATEMENTS, ETC., ALL OF WHICH ARE RETAINED ON FILE. REVENUES AND EXPENSES ARE SUBMITTED TO THE ACCOUNTING DEPARTMENT AT MONTH-END CLOSE AND EACH MONTH ARE RECORDED ON THE CHRISTUS ST. MICHAEL FINANCIAL STATEMENTS AND ARE INCLUDED IN AUDITS. THE ACCOUNTING DEPARTMENT RETAINS COPIES OF ALL BANK STATEMENTS, DEPOSITS, AND DISBURSEMENTS. THE ACCOUNTING DEPARTMENT RECONCILES THE MONTHLY BANK STATEMENTS. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, SECTION B, 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 2015 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, SECTION B, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH ARK-LA-TEX. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. 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. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, SECTION C, 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, SECTION C, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 PENSION LIABILITY/EXPENSE - $4,098,201 TRANSFER OF RESTRICTION DONATIONS - $1,177,151 TEMP RESTRICTED CONTRIBUTIONS - $ 505,809 FUNDRAISING GROSS RECEIPTS - $ 270,313 INTEREST INCOME ON RESTRICTED FUNDS - $ 3,740 CASH POSTING ERROR - ($ 102) TRANSFER - ($ 25,121) UNRESTRICTED CONTRIBUTIONS - ($ 30,000) FUNDRAISING EXPENSES - ($ 172,890) ASSETS RELEASED FROM RESTRICTION - ($ 492,748) OTHER - ($1,219,798) PENSION FUNDING - ($2,042,867) TOTAL - $2,071,688
FORM 990 PART IX LINE 11G	DESCRIPTION:OCCUPANCY RELATED SERVICES TOTAL FEES:7805230
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:6088391
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:5572524
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:1208889
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:1044298
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:981287
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING SERVICES TOTAL FEES:74741
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:6332343

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
CHRISTUS HEALTH
919 Hidden Ridge Drive	irving	TX	75038	760590551	SPT HLTH SVCS	TX	501(C)(3)	9	NA	false
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 DRIVE	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 WEST LOOP SOUTH STE 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)	11-TYPE I	CH	Yes (true)
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE 2ND F	PARIS	TX	75460	421619230	SPT HLTH SVCS	TX	501(C)(3)	11-TYPE I	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTH STE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
Christus Health Liability Retention TRST
919 Hidden Ridge Drive	Irving	TX	75038	760259623	Self Ins.Trst	TX	501(C)(3)	11-Type I	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 Hidden Ridge Drive	Irving	TX	75038	611500100	SPT HLTH SVCS	TX	501(C)(3)	11-TYPE I	CH	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SPT HLTH SVCS	TX	501(C)(3)	11-TYPE I	CH	Yes (true)
Christus Health Plan Louisiana
919 Hidden Ridge Dr	IRVING	TX	75038	464617988	MEDICAID HMO	LA	501(C)(3)	9	CH	Yes (true)
Christus Health Plan New Mexico
919 Hidden Ridge Dr	IRVING	TX	75038	464487295	MEDICAID HMO	NM	501(C)(3)	9	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)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	755042911	752562459	HLTHCARE SVCS	TX	CHALT	C corp	$3,095,801	$1,218,690	1.00000	Yes (true)
ARKANSAS INTEGRATED COMM HEALTH NETWORK
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	760480684	HLTHCARE SVCS	TX	CHALT	C corp	$1,671,502	$19,978,505	1.00000	Yes (true)
CHRISTUS Muguerza SAPI de CV
					HLTHCARE SVCS		CH	C corp	$0	$0	0.00000	false	Hidalgo PTE 2525	Col. Obispado, Monterrey	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C CORP	$0	$0	0.00000	false	PO BOX 1051	GRAND CAYMAN		CJ	KY1 1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	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 (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AICHN
L	$230,690	ACCRUAL
ARK-LA-TEX HEALTH NETWORK
A(IV)	$22,056	ACCRUAL
ARK-LA-TEX HEALTH NETWORK
M	$332,156	ACCRUAL
ARK-LA-TEX HEALTH NETWORK
O	$704,191	ACCRUAL
ARK-LA-TEX HEALTH NETWORK
Q	$62,375	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
J	$132,304	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
M	$788,096	ACCRUAL
CHRISTUS CONTINUING CARE
O	$67,924	ACCRUAL
DUBUIS HEALTH SYSTEM INC
J	$600,050	ACCRUAL
DUBUIS HEALTH SYSTEM INC
L	$805,477	ACCRUAL
DUBUIS HEALTH SYSTEM INC
O	$459,446	ACCRUAL