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      <MissionDescription>ST. JOSEPH'S COMMUNITY FOUNDATION ADVANCES, PROMOTES AND SUPPORTS THE HEALTH CARE MINISTRIES THAT BENEFIT THE COMMUNITIES IN PARIS, TEXAS AND LAMAR COUNTY. THE FOUNDATION SUPPORTS AND CREATES FAITH BASED MINISTRIES IN LAMAR COUNTY THAT FOSTER HEALTHY LIVES, PROMOTE SPIRITUAL GROWTH AND THE GROWTH OF HEALTHY COMMUNITIES. IT IS ALSO THE PURPOSE OF THE FOUNDATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF, THE PURPOSES OF CHRISTUS HEALTH. THE FOUNDATION ALSO MAKES GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.</MissionDescription>
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      <FeesForServicesLegal>
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      <FeesForServicesAccounting>
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        <ReturnReference>FORM 990, SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>The Endowment funds are comprised of the following 2 funds: Hospice Fund The Hospice Fund represents money that has been donated for use by the Hospital program at its annual "Light a Life" Christmas Program. The money was donated with the intent that it be spent for projects that support death and dying programs and services for the terminally ill. The Education Fund The Education Fund is an account that contains the money provided to Christus St. Joseph's Health System for educational purposes. This fund is used to pay the agreed upon salaries of various PJC health careers instructors.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>Uncertain Tax Positions Under ASC 740</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART X</ReturnReference>
        <Explanation>Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2011 and 2010.</Explanation>
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          <BusinessNameLine1>Agape House</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>270 NE 20th Street</AddressLine1>
          <City>PARIS</City>
          <State>TX</State>
          <ZIPCode>75460</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>Prescription assistance</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ORCATx Dept of Rural Affairs</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 12877</AddressLine1>
          <City>Austin</City>
          <State>TX</State>
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        <PurposeOfGrant>Tuition Reimb. For student</PurposeOfGrant>
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      <RecipientTable>
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          <City>Texarkana</City>
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        <PurposeOfGrant>Support to cancer patients</PurposeOfGrant>
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          <City>Paris</City>
          <State>TX</State>
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        <PurposeOfGrant>Scholarships &amp; student immunizations</PurposeOfGrant>
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          <City>Clarksville</City>
          <State>TX</State>
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        <PurposeOfGrant>unserved medical needs</PurposeOfGrant>
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          <City>Paris</City>
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        <PurposeOfGrant>prescription assistance</PurposeOfGrant>
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          <BusinessNameLine1>Lamar County Health Department</BusinessNameLine1>
        </RecipientNameBusiness>
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          <City>Paris</City>
          <State>TX</State>
          <ZIPCode>75460</ZIPCode>
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        <PurposeOfGrant>meals on wheels</PurposeOfGrant>
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        <ReturnReference>Form 990, Schedule I</ReturnReference>
        <Explanation>THE ORGANIZATION FOLLOWS ITS CURRENT "GRANT APPLICATION GUIDELINES" FOR COMMUNITY GRANTS AND "ELIGIBILITY REQUIREMENTS" FOR SCHOLARSHIPS. FIRST, COMMUNITY GRANTS ARE GIVEN ONLY TO NON-PROFIT AGENCIES WITH THE PURPOSE OF IMPROVING HEALTHCARE WITHIN THE RED RIVER VALLEY INCLUDING LAMAR, FANNIN, RED RIVER, AND DELTA COUNTIES IN TEXAS AND CHOCTAW COUNTY IN OKLAHOMA. PARTICULAR EMPHASIS IS GIVEN TO PROGRAMS THAT SERVE THE MEDICALLY UNDERSERVED AND THOSE PROGRAMS WHOSE MISSION AND VALUES ARE COMPATIBLE WITH THOSE OF THE FOUNDATION. REGULAR REPORTS ARE REQUIRED TO DOCUMENT THE PURPOSE OF THE GRANT AND ITS RESULTS. SCHOLARSHIPS ARE GIVEN TO STUDENTS IN A VARIETY OF HEALTHCARE RELATED FIELDS, PRIMARILY NURSING VIA GRANTS TO PARIS JUNIOR COLLEGE BY ST. JOSEPH'S COMMUNITY FOUNDATION. STUDENTS MUST FIRST SHOW PROOF OF ACCEPTANCE INTO A PROGRAM OF CHOICE. IN ADDITION, SCHOLARSHIPS ARE GIVEN BASED ON FINANCIAL NEED AND SATISFACTORY ACADEMIC PERFORMANCE. STUDENTS MUST FILE SATISFACTORY GRADE REPORTS TO CONTINUE RECEIVING SCHOLARSHIP FUNDS.</Explanation>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>62875</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>97161</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>107164</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>26812</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>612760</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Form 990, Part VII, Question 1a &amp; Schedule J, Part II</ReturnReference>
        <Explanation>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. Board members spend time as needed for board meetings and functions.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Related Organization Determining CEO/Executive Director's Compensation</Identifier>
        <ReturnReference>Form 990, Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>The filing organizations 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 organizations CEO/executive director. This committee uses an independent compensation consultant who performs a bi-annual compensation survey.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Deferred Compensation</Identifier>
        <ReturnReference>Form 990, Schedule J, Part II, Column C</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Nonqualified Retirement Plan</Identifier>
        <ReturnReference>Form 990, Schedule J, Part I, Question 4B</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Nonqualified Retirement Plan</Identifier>
        <ReturnReference>Form 990, Schedule J, Part I, Question 4b</ReturnReference>
        <Explanation>Linda McClung was paid $62,751 during Calendar Year 2010 under a supplemental nonqualified retirement plan.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Form 990, Schedule J, Part II</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Form 990, Part VII, Section A &amp; Schedule J, Part II, Column B(ii)</ReturnReference>
        <Explanation>Bonus and incentive compensation may include amounts that were deferred in a prior year but paid out in calendar year 2010.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 6</ReturnReference>
        <Explanation>CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S COMMUNITY FOUNDATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S COMMUNITY FOUNDATION, HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF ST. JOSEPH'S COMMUNITY FOUNDATION (THE "CORPORATION"), OR THE PRESIDENT/EXECUTIVE DIRECTOR, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION. CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S COMMUNITY FOUNDATION, HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION. ANNUALLY, THE MEMBER SHALL ELECT PERSONS TO FILL VACANCIES AS MAY EXIST ON THE BOARD OF DIRECTORS AND APPOINT A PERSON TO FILL THE OFFICE OF PRESIDENT/EXECUTIVE DIRECTOR. DESCR CLASSES OF PERSONS, DECS REQUIRING APPR &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER, HAS THE FOLLOWING POWERS RELATIVE TO ST. JOSEPH'S COMMUNITY FOUNDATION (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, AND TO RECEIVE AN ANNUAL REPORT FROM THE CHAIRPERSON OF THE BOARD OF DIRECTORS IN CONSULTATION WITH THE PRESIDENT ON THE INTEGRATION AND IMPLEMENTATION OF THE PHILOSOPHY, MISSION AND VISION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE 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 DIRECTORS OF THE CORPORATION, OR THE PRESIDENT/EXECUTIVE DIRECTOR, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPROVE THE INCURRING OR RENEWING OF ANY INDEBTEDNESS BY THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO INITIATE OR APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, OR ENCUMBRANCE OF REAL PROPERTY 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 THE CAPITAL AND OPERATIONAL BUDGETS OF THE CORPORATION AND ANY FINANCIAL REVIEW OF THE BOOKS AND RECORDS OF THE CORPORATION; TO APPROVE THE STRATEGIC PLANS OF THE CORPORATION; AND TO APPROVE ANY GIFT OF PROPERTY (OTHER THAN CASH, MARKETABLE SECURITIES, OR BONDS) TO THE CORPORATION AND THE APPROVAL OF ANY RESTRICTIONS IMPOSED AS A CONDITION OF ACCEPTING SUCH GIFT. THE MEMBER MAY REQUIRE AN AUDIT OR SOME LESSER FINANCIAL REVIEW OF THE BOOKS AS DEEMED NECESSARY BY THE MEMBER. ANNUALLY, THE MEMBER SHALL ELECT PERSONS TO FILL VACANCIES AS MAY EXIST ON THE BOARD OF DIRECTORS AND APPOINT A PERSON TO FILL THE OFFICE OF PRESIDENT/EXECUTIVE DIRECTOR. THE MEMBER, FROM TIME TO TIME MAY, BY APPROPRIATE RESOLUTIONS ADOPTED AND APPROVED BY SAID MEMBER, DELEGATE ADDITIONAL ACTIONS TO THE BOARD OF DIRECTORS OF THE CORPORATION. DESC THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2012 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, 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, LINE 15A 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. 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. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 &amp; 990-T FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS 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, CNFLCT OF INTRST PLCY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS WORKED FOR A RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>AVERAGE HOURS PER WEEK LISTED ON FORM 990, PART VII, SECTION A ARE THE AVERAGE HOURS DEVOTED TO THE RESPECTIVE PERSON'S POSITION WHILE SERVING THE ORGANIZATION. LINDA MCCLUNG DEVOTES AN AVERAGE OF 38 HOURS PER WEEK TO CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY. LINDA IS THE SENIOR VICE PRESIDENT OF OPERATIONS/CORPORATE COMMUNICATIONS/STRATEGIC MARKETING SERVICES. EFFECTIVE 2/1/11, LINDA DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS HEALTH UTAH, A RELATED ORGANIZATION OF THE FILING ORGANIZATION. LINDA IS THE PRESIDENT AND CHAIRPERSON OF CHRISTUS HEALTH UTAH. LES CAVE DEVOTES AN AVERAGE OF 27 HOURS PER WEEK TO CHRISTUS FOUNDATION FOR HEALTHCARE, A RELATED ORGANIZATION OF THE FILING ENTITY. LES IS THE EXECUTIVE DIRECTOR OF CHRISTUS FOUNDATION FOR HEALTHCARE. LES DEVOTES AN AVERAGE OF 12 HOURS PER WEEK TO CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY. LES IS THE SYSTEM DIRECTOR OF PHILANTHROPY OF CHRISTUS HEALTH. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 $19,333 = REVERSAL OF ACCRUAL OF PREVIOUSLY PAID GRANT</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH ARK-LA-TEX</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2600 ST MICHAEL DRIVE</AddressLine1>
          <City>TEXARKANA</City>
          <State>TX</State>
          <ZIPCode>75503</ZIPCode>
        </AddressUS>
        <EIN>752796815</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3330 MASONIC DRIVE</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>LA</State>
          <ZIPCode>71301</ZIPCode>
        </AddressUS>
        <EIN>720408984</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH GULF COAST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 922037</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77292</ZIPCode>
        </AddressUS>
        <EIN>760591592</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH NORTHERN LOUISIANA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE SAINT MARY PLACE</AddressLine1>
          <City>SHREVEPORT</City>
          <State>LA</State>
          <ZIPCode>71101</ZIPCode>
        </AddressUS>
        <EIN>720408982</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS SPOHN HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>600 ELIZABETH STREET</AddressLine1>
          <City>CORPUS CHRISTI</City>
          <State>TX</State>
          <ZIPCode>78404</ZIPCode>
        </AddressUS>
        <EIN>741109836</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH SOUTHEAST TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2830 Calder Street</AddressLine1>
          <City>BEAUMONT</City>
          <State>TX</State>
          <ZIPCode>77726</ZIPCode>
        </AddressUS>
        <EIN>760591590</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH SOUTHWESTERN LOUISIANA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>524 DR MICHAEL DEBAKEY DRIVE</AddressLine1>
          <City>LAKE CHARLES</City>
          <State>LA</State>
          <ZIPCode>70601</ZIPCode>
        </AddressUS>
        <EIN>720411322</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS SANTA ROSA HEALTH CARE CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>333 N SANTA ROSA STREET</AddressLine1>
          <City>SAN ANTONIO</City>
          <State>TX</State>
          <ZIPCode>78207</ZIPCode>
        </AddressUS>
        <EIN>741109665</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS HEALTH UTAH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2707 North Loop West</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77008</ZIPCode>
        </AddressUS>
        <EIN>870231682</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>UT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS CONTINUING CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 W LOOP SOUTH SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EIN>742898615</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 WEST LOOP SOUTH STE 400B</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EIN>760422435</EIN>
        <PrimaryActivities>HLTHCARE SVCS</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2707 NORTH LOOP WEST</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77008</ZIPCode>
        </AddressUS>
        <EIN>760590551</EIN>
        <PrimaryActivities>SPT HLTH SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTUS STEHLIN FDN FOR CANCER RESEARCH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10301 STELLA LINK SUITE A</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77025</ZIPCode>
        </AddressUS>
        <EIN>741622404</EIN>
        <PrimaryActivities>CNCR RSCH</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DUBUIS HEALTH SYSTEM INC</BusinessNameLine1>
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          <State>TX</State>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
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          <City>HOUSTON</City>
          <State>TX</State>
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        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
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          <BusinessNameLine1>CHRISTUS HEALTH LIABILITY RETENTION TRST</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2707 NORTH LOOP WEST</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77008</ZIPCode>
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        <EIN>760259623</EIN>
        <PrimaryActivities>SELF INS TRST</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>CHRISTUS Muguerza SAPI de CV</BusinessNameLine1>
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          <AddressLine1>Hidalgo PTE 2525</AddressLine1>
          <City>Col. Obispado, Monterrey</City>
          <ProvinceOrState>N.L.</ProvinceOrState>
          <Country>MX</Country>
          <PostalCode>64060</PostalCode>
        </AddressForeign>
        <PrimaryActivity>HLTHCARE SERV</PrimaryActivity>
        <LegalDomicileForeignCountry>MX</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>EMERALD ASSURANCE CAYMAN LTD</BusinessNameLine1>
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        <AddressForeign>
          <AddressLine1>PO BOX 1051</AddressLine1>
          <City>GRAND CAYMAN</City>
          <ProvinceOrState>CAYMAN ISLANDS</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
        </AddressForeign>
        <EIN>980407545</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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  </ReturnData>
</Return>