2013-05-15T11:57:12-05:00 2012-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2011-07-01 760590551 CHRISTUS HEALTH % KIM REYNOLDS CHRI 4692822000 919 Hidden Ridge Drive Irving TX 75038 Randy Safady 2013-05-14 7137501500 2011 2016-02-25 16:41:14Z X SEE SCHEDULE O Ernie Sadau 919 HIDDEN RIDGE DRIVE Irving TX 75038 886756954 false 0928 X www.christushealth.org X 1999 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH. 14 13 2024 206 1122268 -55544 257890 3016026 405975609 468328626 88646444 63977912 3399900 3576857 498279843 538899421 10657645 5784122 0 0 108172614 123111268 0 0 0 376465417 402065144 495295676 530960534 2984167 7938887 2964448887 2840593115 2642659527 2765609486 321789360 74983629 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS false false 159446634 0 302192317 COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 TO STRENGTHEN THE 147 YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED WITH THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS HEALTH REACHES OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN MORE THAN 350 FACILITIES, INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, MISSOURI, GEORGIA, NEW MEXICO AND UTAH IN THE U.S. AND CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS POTOSI AND TAMAULIPAS IN MEXICO. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 12,946,796. IN FISCAL YEAR 2012 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 779,953 VISITS TO OUR EMERGENCY DEPARTMENTS; 46,928 INPATIENT SURGERY PROCEDURES; 89,045 OUTPATIENT SURGERY PROCEDURES; 177,645 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 2,156,173 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. IN ADDITION, MANY OF OUR HOSPITALS ARE ENGAGED IN RESEARCH AND CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. 153907541 0 166136309 OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 11,142 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME. 5016689 4710920 0 COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2012, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. 1079702 1073202 0 319450566 true true false true false false false false false false true true true true true true false true false false true false false false false false false true false true true true false false false false false false false false true true false false false false true true true false false true X 4585 0 true 2024 true true true true CJ MX false false false false false false false false false X 14 13 true false false false true true true true true false false true true true true true true true true false X X KIM REYNOLDS 4692822103 919 HIDDEN RIDGE DRIVE IRVING TX 75038 X Father Charles E Bouchard 1.0 X 0 0 0 Cheryl D Alston 1.0 X 0 0 0 Richard L Clarke 1.0 X 759 0 0 Sister Kathleen Coughlin 1.0 X 0 0 0 J Lynn Britton 1.0 X 0 0 0 Phyllis A Cowling 1.0 X 759 0 0 Catherine A Dulle 1.0 X X 4100 0 0 Celina Garza Ridge 1.0 X 759 0 0 Robert Z Gussin PhD 1.0 X 759 0 0 Sister Walter Maher 1.0 X 0 0 0 Pedro Martin 1.0 X 6000 0 0 SR Hannah Patricia O'Donoghue 1.0 X 0 0 0 Mary Jo Potter 1.0 X 759 0 0 Dennis N Stine 1.0 X 759 0 0 Sister Celeste Trahan 1.0 X 0 0 0 Kenneth D Wells MD 1.0 X 759 0 0 Clarence Williams 1.0 X 0 0 0 Ernie W Sadau 38.0 X X 1368780 0 328490 Jay S Herron 39.0 X 2616949 0 179409 William L Pardue 32.0 X 149098 0 19605 Mary D Silva 32.0 X 88240 0 6537 Randy Safady 39.0 X 782078 0 115527 George S Conklin 38.0 X 490675 0 90038 John Gillean MD 38.0 X 735408 0 185609 Gerard F Heeley 39.0 X 366978 0 82141 Mary T Lynch 40.0 X 537297 0 88464 Peter F Maddox 37.0 X 516545 0 70814 Linda K McClung 39.0 X 509166 0 125207 John L Zipprich 39.0 X 1249655 0 151950 Jeffrey M Puckett 39.0 X 618367 0 129546 Marshall Bolyard 39.0 X 323272 0 29841 Eugene Woods 39.0 X 605704 0 101690 Paul Generale 39.0 X 1412448 0 157462 Darrell Dixon 36.0 X 433642 0 93296 Donna Mikulecky 20.0 X 212890 123238 48762 Christopher Blakemore 40.0 X 417906 0 53093 Patricia Harper 40.0 X 386627 0 63667 Shelton Webster 40.0 X 426108 0 93145 Thomas C Royer MD X 1707226 0 33460 15970472 123238 2247753 282 true true false CREST SERVICES INC 735 PLAZA BOULEVARD STE 210 COPPELL TX 75019 biomedical services 35883728 MAXOR NATIONAL PHARMACY SERVICE COR 320 South Polk AMARILLO TX 79101 pharmaceutical svcs 17457968 SJ MEDICAL CENTER LLC PO BOX 843928 DALLAS TX 75824 Medical Services 15849404 FORSYTHE SOLUTIONS GROUP INC 7770 FRONTAGE ROAD SKOKIE IL 60077 Networking Prg Srvcs 15189779 EMC CORPORATION 176 South Street HOPKINTON MA 01748 Info mgmt services 7487138 325 2834550 181476 115722 3016026 Capitation Revenue 621400 174136309 174136309 System Office Fees and Mgmt Services 561000 41726505 41726505 Service Fee Income 541900 156973794 156448086 525708 MEANINGFUL USE INCENTIVE PAYMENTS 900099 27667888 27667888 Premium Revenue 524298 20786713 20786713 47037417 47037417 468328626 60011975 60011975 0 879589 879589 239532 218542 20990 20990 4353 16637 349373457 345401440 6080 3972017 -6080 3965937 3965937 0 0 4144053 2231471 1912582 1912582 Spa Revenue 812900 452144 452144 Fitness Center 713940 94767 94767 LIMITED SERVICE EATING 722210 69245 45296 23949 147540 147540 763696 538899421 467802918 1122268 66958209 X 5784122 5784122 0 0 0 14108273 5678297 8429976 1740686 1707226 33460 97420776 38189810 59230966 -2192393 1426400 -3618793 5213862 -2620684 7834546 6820064 3091316 3728748 0 1992811 31913 1960898 2536872 2536872 490093 490093 0 3667560 3667560 245815009 207591891 38223118 587626 10463 577163 29255418 22267043 6988375 632235 632235 0 18798070 11748976 7049094 5437063 1381211 4055852 0 4081411 485347 3596064 34008145 34008145 0 6983054 1952884 5030170 9254969 8112373 1142596 Medical Supplies 12541 11466 1075 SWAP Financing Cost 9576954 9576954 USFHP Allocation 10171343 10171343 Reserve Expense 18000000 18000000 763970 1939076 -1175106 530960534 319450566 211509968 0 0 86024881 280837213 88340000 0 0 7369488 9461334 0 0 0 0 985075460 949394947 977811 915785 24426196 35009296 159955701 70342165 97932640 89613536 827974756 856407788 161953780 197147318 327157629 300754320 49041435 49041435 201702479 178482475 2964448887 2840593115 178994107 171659695 0 0 215016 235332 1178742211 1205106732 0 0 0 0 0 0 0 0 1284708193 1388607727 2642659527 2765609486 X 316997910 67374665 279945 153543 4511505 7455421 321789360 74983629 2964448887 2840593115 X 7938887 -254744618 X false true true X true true X X X false false false CONG OF SISTERS OF CHARITY OF INCARNATE WORD SAN ANTONIO 742790137 01 true 159489064 CONG OF SISTERS OF CHARITY OF INCARNATE WORD HOUSTON 237152879 01 true 159489064 2 318978128 CHRISTUS HEALTH IS EXEMPT UNDER THE GROUP RULING ISSUED TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS WITH RESPECT TO THE FEDERAL TAX STATUS OF CATHOLIC ORGANIZATIONS LISTED IN THE 2012 EDITION OF THE OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH IS A SUPPORTING ORGANIZATION THAT IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF ITS 2 FOUNDING CONGREGATIONS, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO AND THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD HOUSTON. CHRISTUS HEALTH IS OPERATED, SUPERVISED AND CONTROLLED BY THE SUPPORTED CONGREGATIONS. CHRISTUS HEALTH IS INCLUDED IN THE GROUP RULING ISSUED TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS BY THE IRS, WHICH EXEMPTS THE FOLLOWING FROM INCOME TAX UNDER IRC SECTION 501(C)(3): THE AGENCIES AND INSTRUMENTALITIES AND EDUCATIONAL, CHARITABLE, AND RELIGIOUS INSTITUTIONS OPERATED, SUPERVISED OR CONTROLLED BY OR IN CONNECTION WITH THE ROMAN CATHOLIC CHURCH IN THE UNITED STATES, ITS TERRITORIES OR POSSESSIONS APPEARING IN THE OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AND IS THEREBY EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3) AND THEREFORE DOES NOT HAVE A DETERMINATION LETTER FROM THE IRS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 20056 false false true 88944 false true 777636 886636 false Lobbying Description Form 990, Schedule C, Part II-B, Lines 1a and 1b HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS, AND CHRISTUS HEALTH BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. THE REPORTED EXPENSES ASSOCIATED WITH THESE ACTIVITIES INCLUDE STAFF COMPENSATION AND RELATED ALLOCABLE OVERHEAD. FORM 990, SCHEDULE C, PART II-B, LINE 1D "MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC"- THE ORGANIZATION SENT APPROXIMATELY 2,500 EMAILS AND FAXES ON BEHALF OF CHRISTUS HEALTH ASSOCIATES, BOARD MEMBERS AND VOLUNTEERS ON THE FOLLOWING PROPOSED LEGISLATION: FEDERAL LEGISLATION INCLUDING P.L. 112-96, The Middle Class Tax Relief and Job Creation Act of 2012, PERMANENT FIX TO PHYSICIAN FEE SCHEDULE UNDER MEDICARE, PART B, and S. 2620: Rural Hospital Access Act of 2012. THE ORGANIZATION SENT MAILINGS REGARDING Proposals with the Louisiana Legislature regarding Budget Stabilization Fund, HCR 169 and SCR 128. Included in the reported expenses is an allocation of time and overhead costs associated with the action alert email system. FORM 990, SCHEDULE C, PART II-B, LINE 1G "DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODY"- AT A FEDERAL LEVEL, THE ORGANIZATION HAD CONTACT WITH SENATORS AND CONGRESSMEN representing TEXAS, LOUISIANA AND NEW MEXICO LEGISLATORS AND THEIR PERSONAL STAFF MEMBERS TO DISCUSS issues including health care for the uninsured, Budget Control Act of 2011, CMS innovation, PHYSICIAN REIMBURSEMENTS, MEDICAID Upper Payment Limits, rural Healthcare, Medicaid/CHIP Section 1115 Waivers, Disproportionate Share Hospital funding allotment, Sequestration, Sole Community Provider Funding and Waste Management. THE ORGANIZATION HELD LOUISIANA ADVOCACY DAY WHERE CHRISTUS HEALTH EXECUTIVES, BOARD MEMBERS AND ASSOCIATES MET WITH LEGISLATORS TO DISCUSS ISSUES SUCH AS protecting funding or school based health centers, HB1-Medicaid State Budget, SB763-Louisiana Workers Compensation, SB629-Transparency in coordinated Care Networks and HB1203-Exempt Prescription Drugs from Local Sales & Use Tax. Members of the Organization met with Texas House Appropriation Committee members, Governor Rick Perry and his staff to discuss healthcare reforms emphasizing home/community based care, permitting direct employment of physicians, expanding advance practice nursing and drawing new efficiencies for health information technology to achieve Medicaid cost savings. FORM 990, SCHEDULE C, PART II-B, LINE 1I "OTHER ACTIVITIES" INCLUDES THE FOLLOWING ITEMS: (1) THE PORTION OF FY 2012 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE HOSPITAL AND PROFESSIONAL ASSOCIATIONS TOTALING $220,916. (2) THE FEES PAID TO ADVOCACY AND PUBLIC POLICY CONSULTANTS APPORTIONED TO LOBBYING FOR SUCH TOPICS AS HEALTHCARE REIMBURSEMENT ISSUES AND HEALTHCARE REFORMS TOTALING $489,420. (3) THE WEBSITE DESIGN AND MAINTENANCE COST OF THE CHRISTUS ADVOCACY WEBSITE TOTALLING $67,300. CHRISTUS HEALTH DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR 6-30-12. 24955829 24955829 72749430 16888383 55861047 13869668 12438109 1431559 45320168 39657019 5663149 3060606 1358654 1701952 89613536 Mineral Interest 344450 F EQ-PRIV. PUTNAM TOT. RET. 58888364 F Hedge Funds 137914504 F 197147318 Investment in Subsidiaries 300754320 F 300754320 Executive Benefit Programs 21739096 Pension Funding 984 Security Lending Collateral 46257176 Securities Pledged to Others 46518194 ST VINCENT CONTR WH & REST CAP 44600151 Deposits 790985 Net Amort Bond Issue Costs 18575889 178482475 0 CMS Due Related Entities-Part XIV 982579174 Payable to CCVI 1320847 Security Lending Agreement 47288245 LT Pension Liability 197177171 Due to Related Organizations 74407381 Collections Payable 1999956 Capital Lease Liability 22608 LT Self Funding Liability 55867300 Other Long Term Obligations 27945045 1388607727 CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS FORM 990, PART X, LINE 1 AND 2 OTHER LIABILITIES, FORM 990, PART X, LINE 25 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. Other Liabilities Form 990, Schedule D, Part X Some beginning balances were reclassified from Form 990, Part X, Line 24 to Part X, Line 25 for presentation purposes only. ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V CHRISTUS HEALTH HAS A 50% INTEREST IN BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES SHOW ENDOWMENTS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS. THEREFORE, CHRISTUS HEALTH REPORTS 50% OF SUCH ENDOWMENTS ON ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HOWEVER, SUCH ENDOWMENTS ARE NOT REPORTED ON THE CHRISTUS HEALTH FORM 990, SCHEDULE D, PART V BECAUSE CHRISTUS HEALTH DOES NOT HAVE A CONTROLLING INTEREST OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES, AND THEREFORE IT IS NOT A RELATED ORGANIZATION PER THE IRS FORM 990 INSTRUCTIONS. UNCERTAIN TAX POSITIONS UNDER ASC 740 FORM 990, SCHEDULE D, PART X, Line 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2012 AND 2011. true North America 0 0 Program Services Program/Bus Develop 47508 Europe (Including Iceland and Greenland) 0 0 Program Services Program/Bus Develop 61038 South Asia 0 0 Program Services Program/Bus Develop 6961 Central America and the Caribbean 0 0 Program Services Program/Bus Develop 28264 South America 0 0 Program Services Program/Bus Develop 113728 North America 0 0 Program Services Investments - cap cont 6000000 Central America and the Caribbean 0 0 Program Services Investments 142379476 Central America and the Caribbean 0 0 Program Services Investments 62500000 Central America and the Caribbean 0 0 Program Services self insurance funding 32310666 Central America and the Caribbean 0 0 Program Services Investments 104130579 0 0 0 0 347578220 347578220 true false true false false false Organization's Procedures for Monitoring Use of Grant Funds Outside the US FORM 990, SCHEDULE F, PART I, QUESTION 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO.0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. ORGANIZATIONS CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION, OR THE FOREIGN EQUIVALENT, AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST. CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. true Houston Department of Health and Human Svcs PO Box 1562 Houston TX 77251 Govt 9000 Comm. hlth prgs Villa de Matel 6510 Lawndale Houston TX 77023 237152879 501(c)(3) 2173664 SEE PART IV Catholic Charities of Dallas 9461 Lyndon B Johnson FWy Dallas TX 75243 752745221 501(c)(3) 10000 Donation to become member of The Cardinal's Circle Friends of Hospice PO Box 40487 San Antonio TX 78229 742608764 501(c)(3) 14000 see part iv University of St Thomas 3800 Montrose Blvd Houston TX 77006 741490697 501(c)(3) 100000 Christus Health Fnd of Southeast Texas 2830 Calder Beaumont TX 77662 760136274 501(c)(3) 15000 see part iv Christus Foundation for Healthcare P O Box 1919 Houston TX 77251 756074210 501(c)(3) 147000 see part iv CB Richard Ellis 11150 Santa Monica Blvd Los Angeles CA 90025 952743174 For Profit 10000 St Vincent Hospital PO Box 1967 Santa Fe TX 87504 850106941 501(c)(3) 608030 See Part IV Christus Health Gulf Coast P O Box 1919 Houston TX 77251 760591592 501(c)(3) 45484 see part iv Christus Santa Rosa Health Care Corporation 333 N Santa Rosa San Antonio TX 78207 741109665 501(c)(3) 6000 Program Support Christus Spohn Health System Corporation 600 Elizabeth St Corpus Christi TX 78404 741109836 501(c)(3) 68417 see part iv CHRISTUS Health Ark-La-Tex 2600 St Michael Dr Texarkana TX 75503 752796815 501(c)(3) 23215 see part iv Christus Health Northern Louisiana One St Mary Place Shreveport TX 71101 720408982 501(c)(3) 16836 See Part IV Christus Health Central Louisiana 3330 Masonic Drive Alexandria TX 71301 720408984 501(c)(3) 9000 see part iv Mercy Health Foundation Joplin 2727 McClelland Boulevard Joplin MD 64804 270906136 501(c)(3) 25000 Christus Health Southeast Texas 2830 Calder Avenue Beaumont TX 77702 760591590 501(c)(3) 18569 see part iv St Joseph Villa Fnd for Charity Care PO Box 744 Kaysville UT 84037 452102291 501(c)(3) 200000 community charity care New Braunfels Christian Ministries 1195 San Antonio St New Braunfels TX 78130 262221231 501(c)(3) 50000 collaboration with other healthcare providers UBI Caritas Clinic 4400 Highland Avenue Beaumont TX 77705 760558225 501(c)(3) 100000 Child friendly, multi-disciplinary team approach for the investigation of child abuse cases Neighbor for Neighbor 505 East 36th Street North Tulsa TX 74106 730776404 501(c)(3) 75000 Community Action Corporation of South Texas PO Box 1820 Suite 103 Alice TX 78332 741679824 501(c)(3) 36000 salary support Historical Centre Foundation PO Box 831078 San Antonio TX 78283 742960778 501(c)(3) 50000 Project Mend 5727 IH 10 West San Antonio TX 78201 742647324 501(c)(3) 50000 provide medical equipment Faith Family Clinic PO Box 831226 San Antonio TX 78283 263791828 501(c)(3) 100000 U of A Foundation 300 East 6th Street Texarkana TX 71854 716056774 501(c)(3) 29900 San Antonio Christian Dental Clinic 112 Auditorium Circle San Antonio TX 78205 741675043 501(c)(3) 75000 Martin Luther King Health Center PO Box 393 Shreveport LA 71162 756074210 501(c)(3) 61560 National Dance Institute NM Inc 1140 Alto Street Santa Fe TX 87501 850431846 501(c)(3) 10000 Amistad Community Health Center Inc 1533 Brownlee Blvd Corpus Christi TX 78404 203008507 501(c)(3) 30000 Gulf Coast Health Center Inc 2548 Memorial Blvd Port Arthur TX 77640 760289927 501(c)(3) 67500 Bay Area Turning Point Inc PO Box 890929 Houston TX 77289 760353058 501(c)(3) 19209 Cornerstone Recovery Inc 6699 Portwest Drive Suite 140 Houston TX 77024 760655123 501(c)(3) 50000 Case management for health and wellness services provided to underinsured and uninsured community members a central coordinating hub of programming Runnin WJ Therapeutic Center Inc 4802 S Kings Highway Texarkana TX 75501 752897949 501(c)(3) 10080 To provide salary support for behavioral health case manager Jewish Family Service of New Mexico Inc 5520 Wyoming Blvd NE Albuquerque NM 87109 850346550 501(c)(3) 32194 AM Barbe High School 2200 W McNeese St Lake Charles LA 70605 501(c)(3) 16419 East Texas Health Access Network 117 W Houston Street Suite E Jasper TX 75951 200091803 501(c)(3) 23098 To provide operational support for the uninsured and underinsured with professional psychotherapy and behavioral health educational programs Sisters of Charity of the Incarnate Word 1102 E McCarty St Jefferson City MO 65101 741943398 501(c)(3) 27000 To provide support for emergency shelter and support service for victims of domestic violence Marathon Kids Inc PO Box 41317 Suite S203 Austin TX 78704 061722171 501(c)(3) 20000 To provide program support for professional counseling services provided to uninsured and underinsured children, adults and families Next Step of Central Louisiana Inc 308 E Shamrock St Bldg 500 Pineville LA 71360 204322440 501(c)(3) 25000 Good Samaritan Rescue Mission PO Box 65 Corpus Christi TX 78403 741611894 501(c)(3) 10000 See Part IV The Salvation Army PO Box 2407 Corpus Christi TX 78403 580660607 501(c)(3) 10000 community based healthcare services for uninsured and underinsured Las Cumbres Community Services 404 Hunter Street Espanola TX 87532 237144268 501(c)(3) 40000 See Part IV Bexar County Community Health Collaboration 1002 N Flores San Antonio TX 78212 742953076 501(c)(3) 30000 St Joseph Community Foundation 2800 Lamar Avenue Capital One 2nd Floor Paris LA 75460 421619230 501(c)(3) 15000 emergency management Christus Spohn Health System Development Fnd 600 Elizabeth St Corpus Christi TX 78404 741906005 501(c)(3) 50000 emergency management Congregation of the Sisters of Charity-SA 4503 Broadway San Antonio TX 78209 741676917 501(c)(3) 1072604 see part iv Christus Health Southwestern Louisiana 524 Dr Michael Debakey Lake Charles LA 70601 720411322 501(C)(3) 55500 see part iv 47 1 Form 990, Schedule I, Part I, Question 2 Description of Organization's Procedures for Monitoring the Use of Grants THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRiBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. Description of Organization's Grants Purpose Form 990, Schedule I, Part II, Question 1 Grant recipient: (#2, Page #1 reference to Part II listing) villa De Matel Grant purpose: In Memorium of sisters ($300), Support Mission ($2,173,364) Grant recipient: (#4, Page #1 reference to Part II listing) Friends of Hospice Grant purpose: Sponsorship to Poinsettia Ball benefiting Patients and their families in- end of life care ($5,000), Program Support ($9,000) Grant recipient: (#6, Page #1 reference to Part II listing) Christus Health Fnd of Southeast Texas Grant purpose: Children's Miracle Network ($5,000), Emergency Management ($10,000) Grant recipient: (#7, Page #1 reference to Part II listing) Christus Foundation for Healthcare Grant purpose: Christus Our Daily Bread Support ($52,000), Community Clinic Salary Support ($35,000), Community based primary care clinic support ($50,000), Emergency Management ($10,000) Grant recipient: (#9, Page #1 reference to Part II listing) St. Vincent Hospital Grant purpose: Volunteer Week/Presidential Award ($2,000), Education Support ($574,762), Nursing Assistant certification course ($11,401), Continued Education Course to educate and enhance skills of nurses who work with stroke patients ($4,867), Emergency Management ($15,000) Grant recipient: (#10, Page #1 reference to Part II listing) Christus Health Gulf Coast Grant purpose: Volunteer Week/Presidential Award ($4,000), School at Work - A program to help entry level associates develop skills and knowledge of the health care industry, increase self confidence and self esteem to encourage them to further education ($15,481), Continued Education Course to educate and enhance skills of nurses who work with stroke patients ($12,537), Funding for the implementation of the Care Transistions Intervention Program developed to reduce re-hospitalizations and improve health outcomes for medically complex patients ($9,626), Funding for a 6 month training course in perioperative nursing skills ($3,840) Grant recipient: (#12, Page #1 reference to Part II listing) Christus Spohn Health System Corporation Grant purpose: Volunteer Week/Presidential Award ($12,000),Donation to auxiliary volunteer service ($100), Patient Partner Program ($11,017), Care management support for recently discharged patients diagnosed with chronic diseases to improve disease self-management and the transition to community-based services ($37,800), Emergency Management ($7,500) Grant recipient: (#1, Page #2 reference to Part II listing) Christus Ark-La-Tex Grant purpose: Volunteer Week/Presidential Award ($2,000), School at Work - A program to help entry level associates develop skills and knowledge of the health care industry, increase self confidence and self esteem to encourage them to further education($895), Continued Education Course to educate and enhance skills of nurses who work with stroke patients ($20,320) Grant recipient: (#2, Page #2 reference to Part II listing) Christus Health Northern Louisiana Grant purpose: Volunteer Week/Presidential Award ($4,000), A refresher course for nurses returning to acute care. Request includes training course, materials, and orientation wage ($3,173), Continued Education Course to educate and enhance skills of nurses who work with stroke patients ($9,663) Grant recipient: (#3, Page #2 reference to Part II listing) Christus Health Central Louisiana Grant purpose: Volunteer Week/Presidential Award ($4,000), Children's Miracle Network ($5,000) Grant recipient: (#5, Page #2 reference to Part II listing) Christus Health Southeast Texas Grant purpose: Volunteer Week/Presidential Award ($6,000), Sponsorship of Livewell event ($2,500), School at Work - A program to help entry level associates develop skills and knowledge of the health care industry, increase self confidence and self esteem to encourage them to further education ($9,769), Physical Therapy Professional Pathway Program - Recruitment program for newly graduated physical therapists to aquire professional experience in a variety of clinical settings throughout CHRISTUS Health ($300) Grant recipient: (#11, Page #4 reference to Part II listing) Congregation of the Sisters of Charity - SA Grant purpose: In memorium of sisters ($100), Mobile Unit Support for Santa Clara Clinic ($25,000), Support Mission ($1,047,504) Grant recipient: (#12, Page #4 reference to Part II listing) Christus Health Southwestern Louisiana Grant purpose: Volunteer Week/Presidential Award ($2,000), Children's Miracle Network ($5,000), Care management to assist uninsured indiv ($46,000), Emergency Management ($2,500) X X X true true X X X X X true true false false false false false false false Jay S Herron 448409 0 135770 0 2032770 0 167412 0 11997 0 2796358 0 1822660 0 William L Pardue 130790 0 17460 0 848 0 9471 0 10134 0 168703 0 0 0 George S Conklin 365688 0 94306 0 30681 0 70269 0 19769 0 580713 0 0 0 John Gillean MD 533457 0 128208 0 73743 0 154707 0 30902 0 921017 0 55478 0 Gerard F Heeley 278778 0 72930 0 15270 0 73619 0 8522 0 449119 0 0 0 Mary T Lynch 379324 0 90698 0 67275 0 75110 0 13354 0 625761 0 24900 0 Peter F Maddox 376301 0 98016 0 42228 0 50045 0 20769 0 587359 0 0 0 Linda K McClung 372646 0 90697 0 45823 0 96876 0 28331 0 634373 0 34773 0 Ernie W Sadau 920052 0 280098 0 168630 0 308234 0 20256 0 1697270 0 114135 0 John L Zipprich 457105 0 119340 0 673210 0 145525 0 6425 0 1401605 0 628727 0 Jeffrey M Puckett 450687 0 95472 0 72208 0 108639 0 20907 0 747913 0 43877 0 Marshall Bolyard 230145 0 32691 0 60436 0 28741 0 1100 0 353113 0 59882 0 Randy Safady 326832 0 429236 0 26010 0 105173 0 10354 0 897605 0 0 0 Eugene Woods 426431 0 130000 0 49273 0 91595 0 10095 0 707394 0 0 0 Paul Generale 336323 0 1002239 0 73886 0 137894 0 19568 0 1569910 0 29982 0 Thomas C Royer MD 867747 0 578358 0 261121 0 22758 0 10702 0 1740686 0 234727 0 Darrell Dixon 294511 0 69071 0 70060 0 62240 0 31056 0 526938 0 69317 0 Donna Mikulecky 123646 122991 63939 0 25305 247 25867 20823 2072 0 240829 144061 21507 0 Christopher Blakemore 212371 0 42518 0 163017 0 37970 0 15123 0 470999 0 118688 0 Patricia Harper 211795 0 41193 0 133639 0 50694 0 12973 0 450294 0 119074 0 Shelton Webster 339888 0 60381 0 25839 0 85807 0 7338 0 519253 0 0 0 Supplemental Compensation Information Form 990, Part VII, Question 1a & Schedule J, Part II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. The compensation reported to the following persons was for service awards given for serving as a board member of the filing entity: Catherine Dulle, Richard Clarke, Phyllis Cowling, Robert Gussin, Pedro Martin, Mary Jo Potter, Celina Garza Ridge, Dennis Stine, and Kenneth Wells. Tax Indemnification and Gross-Up Payments Form 990, Schedule J, Part I, Questions 1-2 Paul Generale received $1,543 in tax assistance for relocation. Paul Generale received $153,378 in tax assistance related to the amount reported as his bonus and incentive compensation. Shelton Webster received $4,306 in tax assistance for relocation. Randy Safady received $3,231 in tax assistance for relocation. Eugene Woods received $6,957 in tax assistance for relocation. The following persons received tax assistance for service awards: Catherine Dulle, Richard Clarke, Phyllis Cowling, Robert Gussin, Pedro Martin, Mary Jo Potter, Celina Garza Ridge, Dennis Stine, and Kenneth Wells. First Class Travel Form 990, Schedule J, Part I, Line 1a Certain executives and board members were reimbursed under an accountable plan for first class travel. Companion Travel Form 990, Schedule J, Part I, Line 1a TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, QUESTION 3 CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. Severance Payment or Change of Control Payment Form 990, Schedule J, Part I, Question 4A Under the severance plan, all or a portion of the base salary of a participating executive will continue to be paid to the executive for a limited period of time if the executive's employment with CHRISTUS and its affiliates is involuntarily terminated. Christopher Blakemore received $43,834 in severance payment during Calendar Year 2011. Jay Herron received $203,740 in severance payment during Calendar Year 2011. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B and Form 990, Schedule J, Part II, column (F), compensation reported as deferred in prior year 990 Patricia Harper received $119,074 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Marshall Bolyard received $59,882 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Darrell Dixon received $69,317 during Calendar Year 2011 under a supplemental nonqualified retirement plan. John Gillean, MD received $55,478 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Jay Herron received $1,822,660 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Mary Lynch received $24,900 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Linda McClung received $34,773 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Donna Mikulecky received $21,507 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Jeffrey Puckett received $43,877 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Thomas Royer, MD received $234,727 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Ernie Sadau received $114,135 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Christopher Blakemore received $118,688 during Calendar Year 2011 under a supplemental nonqualified retirement plan. John Zipprich received $628,727 during Calendar Year 2011 under a supplemental nonqualified retirement plan. Paul Generale received $29,982 during Calendar Year 2011 under a supplemental nonqualified retirement plan. supplemental nonqualified retirement plan. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2011. Bonus and Incentive Compensation Form 990, Schedule J, Part II, Column (B)(ii) The bonus and incentive compensation is a result of a change in position and required relocation. The amount on Schedule J, Part II, Column (B)(ii) includes tax assistance of $153,378 and a transfer/sign-on bonus of $27,500. The relocation portion of the bonus is contingent on continuous employment with CHRISTUS through 5-1-18 or the amount is subject to repayment. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. Compensation reported as deferred in prior Form 990 Form 990, Schedule J, Part II, Column (F) The amounts reported on Form 990, Schedule J, Part II, Column (F) are the payments reported as reportable compensation on Form 990, Schedule J, Part II, Column (B)(iii) to the extent that such payments were reported as deferred compensation on a prior Form 990. The amounts reported on Form 990, Schedule J, Part II, Column (F) are a result of participation in the following nonqualified supplemental retirement plans: Pension Restoration Plan, Deferred Income Account and Supplemental Executive Retirement and Retention Plan. HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RFV1 2005-11-08 320620000 SEE SCHEDULE O false false false HARRIS COUNTY HEALTH FACILTIES DEV CORP 521284201 41315RHY3 2010-12-09 96654505 SEE SCHEDULE O false false false COASTAL BEND HEALTH FACILITIES DEV CORP 742352502 19042FAB2 2005-11-08 61300000 SEE SCHEDULE O false false false LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398E87 2009-12-03 56725518 SEE SCHEDULE O false false false 165720000 0 320967402 0 0 0 1687415 4733000 0 3624407 310922580 0 2009 false true true true 9715000 0 96654505 0 0 0 0 0 4505 0 96650000 0 true false true true 4050000 0 62856640 0 0 0 337093 914000 393273 18182274 43030000 0 2009 true false true true 21940000 0 56725518 0 0 0 0 0 518 0 56725000 0 true false true true false false false false 0.00000 0.00000 0.00000 true false false true true false 0.00000 0.00180 0.00180 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false true true CITIBANK NA 31.7 false true false 0 false false false false false 0 false 0 true true false true true CITIBANK NA 31.7 false true false 0 true true false false false 0 false 0 false true X See Schedule O 0 LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398ZM3 2008-11-25 44382370 SEE SCHEDULE O false false false LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398C71 2009-08-12 231654638 SEE SCHEDULE O false false false TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TDB6 2008-11-25 185542228 SEE SCHEDULE O false false false TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TDF7 2008-12-19 268560000 SEE SCHEDULE O false false false 2480000 0 44503603 4113000 0 0 775238 575366 0 0 39040000 0 true false true true 10280000 0 231825119 15770981 0 0 0 0 4138 0 216050000 0 true false false true 6500000 0 186093157 17478224 0 0 3029908 2510025 0 0 163075000 0 true false true true 74765000 0 268560701 0 0 0 1638896 235297 0 0 266686508 0 true false false true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false true true false 0.00000 0.00000 0.00000 true false false false 0 false 0 false true false true false 0 false 0 true true false false false 0 false 0 true true true true true CITIBANK NA 39.7 false false false 0 true true TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TEA7 2009-12-03 73865293 SEE SCHEDULE O false false false 4715000 0 73865293 0 0 0 0 0 0 0 73865293 0 true false true true false false false false 0.00000 0.00000 0.00000 true false false false 0 false 0 false true EMERALD ASSURANCE CAYMAN LTD SEE PART V, TRANSACTION 1 35133831 SEE PART V, TRANSACTION 1 false CHRISTUS Muguerza SAPI de CV SEE PART V, TRANSACTION 2 6000000 SEE PART V, TRANSACTION 2 false BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV TRANSACTION 1: PART IV, LINE 1, COLUMN B & D SELF INSURANCE FUNDING OF EMERALD ASSURANCE CAYMAN, LTD ERNIE SADAU IS AN OFFICER OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD. JOHN GILLEAN, MD IS A KEY EMPLOYEE OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD. EUGENE WOODS IS A KEY EMPLOYEE OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD. RANDY SAFADY IS AN OFFICER OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD. TRANSACTION 2: PART IV, LINE 2, COLUMN B & D Muguerza STOCK ACQUISITION JOHN ZIPPRICH IS A KEY EMPLOYEE OF CHRISTUS HEALTH AND A BOARD MEMBER OF CHRISTUS MUGUERZA. PETER MADDOX IS A KEY EMPLOYEE OF CHRISTUS HEALTH AND A BOARD MEMBER OF CHRISTUS MUGUERZA. CELINA GARZA RIDGE SERVED AS A BOARD MEMBER OF CHRISTUS HEALTH AND CHRISTUS MUGUERZA. X 1 115722 cost/selling price false true false Doing Business As Form 990, Page 1, Item C Christus Health Operates Under the Following Names: CHRISTUS St. Joseph Village onlinepaydirect CHRISTUS Health TechSource CHRISTUS Innovations Institute CHRISTUS Healthy Living Spa TLRA US Family Health Plan Uniformed Services Family Health Plan CHRISTUS Health System TechSource USFHP Marketplace Solutions CHRISTUS St. Michael Simulation Center DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEATH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2012 WAS $171,292. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. AS OF JUNE 30, 2012, THE OUTSTANDING LOAN BALANCES WERE IN THE FOLLOWING REGIONS: OUTSIDE THE CHRISTUS HEALTH SERVICE AREAS: $ 1,000,000 IN CHRISTUS HEALTH GULF COAST REGION: $ 1,111,325 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $ 1,691,452 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $ 99,400 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $ 978,796 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $ 1,000,000 TOTAL CDI LOANS OUTSTANDING AS OF JUNE 30, 2012: $ 6,775,573 CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2012, GRANT FUNDS WERE DISTRIBUTED TO NON-PROFIT AGENCIES IN THE FOLLOWING REGIONS: IN CHRISTUS HEALTH ARK-LA-TEX REGION: $ 39,980 IN CHRISTUS HEALTH CENTRAL LOUISIANA REGION: $ $25,000 IN CHRISTUS HEALTH GULF COAST REGION: $ 174,209 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $ 61,560 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $ 355,000 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $ 190,598 IN CHRISTUS HEALTH SOUTHWESTERN LOUISIANA REGION: $ 62,419 IN CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REGION: $ 144,531 IN CHRISTUS HEALTH SPONSOR/RELATED REGION: $ 102,000 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $ 82,194 TOTAL CHRISTUS FUND $ 1,237,491 PROGRAM SERVICE EXPENSE = $1,079,702 GRANTS = $1,073,202 PROGRAM SERVICE REVENUE = $0 DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 Officers Ernie Sadau and Randy Safady, and Key Employees John Gillean, MD and Eugene Woods have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd. Board member Celina Garza Ridge and key employees John Zipprich and Peter Maddox had a business relationship as each serves as a director of CHRISTUS Mugerza, S.A. DE C.V. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CHRISTUS HEALTH HAS FOUR (4) CORPORATE MEMBERS, CONSISTING OF TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TX, AND TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO. TOGETHER THOSE FOUR SISTERS COMPRISE THE CORPORATE MEMBERS AND COLLECTIVELY THEY EXERCISE THE POWERS RESERVED TO THE MEMBERS. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO AND CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 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 2013 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, QUESTIONS 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, QUESTION 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A SEVERAL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE FILING ORGANIZATION DEVOTE TIME TO RELATED ORGANIZATIONS AS OFFICERS OR DIRECTORS. NAME: HRS AT RELATED ORG: GEORGE CONKLIN 1 CHRISTUS STEHLIN 1 CHRISTUS HEALTH FOUNDATION JOHN GILLEAN, MD 1 CHRISTUS STEHLIN FOUNDATION 1 EMERALD ASSURANCE CAYMAN, LTD JAY HERRON 1 CHRISTUS HEALTH LIAB RETENTION TRUST (TERM 7/31/11) PETER MADDOX 1 CHRISTUS MUGUERZA S.A. DE C.E 2 ST. VINCENT HOSPITAL (term 12/2011) LINDA MCCLUNG 1 CHRISTUS HEALTH UTAH ERNIE SADAU 1 EMERALD ASSURANCE CAYMAN, LTD 1 CHRISTUS HEALTH LIAB RETENTION TRUST (EFFECTIVE 8/1/11) MARY SILVA 1 CHRISTUS HEALTH FOUNDATION 5 CHRISTUS CONTINUING CARE 1 CHRISTUS HEALTH SOUTHEAST TX (TERM 12/31/11) 1 CHRISTUS HEALTH PLAN WILLIAM L. PARDUE 5 CHRISTUS CONTINUING CARE 1 CHRISTUS STEHLIN FOUNDATION 1 CHRISTUS HEALTH PLAN 1 CHRISTUS HEALTH UTAH DARRELL DIXON 4 CHRISTUS HEALTH WILKINSON PHYSICIAN NETWORK DONNA MIKULECKY 20 CHRISTUS HEALTH WILKINSON PHYSICIAN NETWORK JOHN ZIPPRICH 1 CHRISTUS MUGUERZA S.A. DE C.E. GERARD F. HEELEY 1 CHRISTUS HEALTH UTAH Jeffrey Puckett 1 Christus Health Plan Marshall Bolyard 1 Christus Health Plan Randy Safady 1 Emerald Assurance Cayman, Ltd Eugene Woods 1 Emerald Assurance Cayman, Ltd Celina Garza Ridge 1 Christus Muguerza S.A. De C.E. Paul Generale 1 Christus Health Utah Functional Expense, Line 8, Pension Plan Contributions Form 990, Part IX Reported in Pension Plan Contributions is the pension expense incurred by the filing organization netted with the pension expense allocated to the filing organization's subsidiaries. Pension expense allocated exceeded the pension expense incurred for fiscal year ending June 30, 2012. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 Transfer of Interest Accrued to Revenue = 77,487 Unrealized Loss = (97,785,546) Pension Funding = 50,571,672 Pension Liability/Expense = (51,471,760) Capital Contribution to Christus Stehlin Foundation for Cancer Research = (4,887,894) Capital Contribution to Christus Health Plan = (12,000,000) Reclass Christus Health Plan Investment to Net Assets = (500,000) Transfer of Net Assets Between Entities = 8,620,335 Unrealized Loss-Unconsolidated Subsidiaries (FAS 124) = (220,925) Equity Adjustment-Consolidated Subsidiaries = (54,055,767) Muguerza Equity Adjustment = (7,909,821) Dissolved Entity = 317,535 Pension Amortization = 7,356,460 Minimum Pension Liability = (96,881,793) Transfer from Christus Health Utah = 1,410,039 Grant Reversal = (235,386) PV Contribution Adjustment = 1,563 Reclass Interest Accrued to Revenue = (77,487) Intracompany Return of Unused Grant Funds = (45,000) Wire Transfer Adjustment & Interest = (5,477) Baptist St. Anthony Change in Equity = 2,943,916 Intracompany Grant Expense = (2,049) Intracompany Return of Unused Grant Funds = 45,000 Salary Grant Adjusting Item = (9,714) Rounding Adjustment = (6) Total = (254,744,618) SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS Form 990, Schedule K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). FORM 990, SCHEDULE K, PART I, PAGE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $347,402 C. LINE 3. INVESTMENT EARNINGS = $1,556,640 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $121,233 B. LINE 3. INVESTMENT EARNINGS = $170,481 C. LINE 3. INVESTMENT EARNINGS = $550,929 D. LINE 3. INVESTMENT EARNINGS = $701 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 3E - TERMINATED EFFECTIVE JANUARY 4, 2012. C. LINE 3E - TERMINATED EFFECTIVE JANUARY 4, 2012. 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