FURP.ORG / PUBLIC DATA EXPLORER

CHRISTUS HEALTH ARK-LA-TEX: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CHRISTUS HEALTH ARK-LA-TEX (EIN 75-2796815)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349304986
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T15:59:07-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11401 MCKINNEY SUITE 1200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752796815EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Christus Health Ark-La-TexBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHRINameControl
Phone9036141000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 St Michael DriveAddressLine1
CityTexarkanaCity
StateTXState
ZIP Code75503ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameShawn BarnettName
TitleVP/CFOTitle
Phone9036141000Phone
Date Signed2011-05-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7137501500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonChris KaramNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12600 St Michael DrAddressLine1
CityTexarkanaCity
StateTXState
ZIP Code75503ZIPCode
FieldValueIRS element (for citing)
Gross Receipts257101443GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.christusstmichael.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSupporting 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2171TotalNbrEmployees
Total Nbr Volunteers101TotalNbrVolunteers
Total Gross UBI4277593TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1056159ContributionsGrantsPriorYear
Contributions Grants Current Year1259903ContributionsGrantsCurrentYear
Program Service Revenue Prior Year238587996ProgramServiceRevenuePriorYear
Program Service Revenue CY254999318ProgramServiceRevenueCY
Investment Income Prior Year461406InvestmentIncomePriorYear
Investment Income Current Year-206865InvestmentIncomeCurrentYear
Other Revenue Prior Year1037741OtherRevenuePriorYear
Other Revenue Current Year664929OtherRevenueCurrentYear
Total Revenue Prior Year241143302TotalRevenuePriorYear
Total Revenue Current Year256717285TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1766127GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9455536GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99131858SalariesEtcPriorYear
Salaries Etc Current Year97811845SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year213773TotalFundrsngExpCurrentYear
Other Expense Prior Year130473239OtherExpensePriorYear
Other Expenses Current Year136711151OtherExpensesCurrentYear
Total Expenses Prior Year231371224TotalExpensesPriorYear
Total Expenses Current Year243978532TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9772078RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12738753RevenuesLessExpensesCY
Total Assets BOY233578139TotalAssetsBOY
Total Assets EOY228592428TotalAssetsEOY
Total Liabilities BOY120785517TotalLiabilitiesBOY
Total Liabilities EOY102637864TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY112792622NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY125954564NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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 asMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense179049533Expense
Grants0Grants
Revenue119287481Revenue
DescriptionCOMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS Health Ark-La-Tex is a region of CHRISTUS Health, which was formed in 1999 to strengthen the 142-year-old, faith-based health care ministries of the Congregations of the Sisters of Charity of the Incarnate Word of Houston and San Antonio. Founded on the mission "to extend the healing ministry of Jesus Christ," CHRISTUS is challenged to reach out to, and beyond, the more than 60 communities we serve to help those in need. The vision of CHRISTUS Health as a Catholic, faith-based ministry, is to be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. The CHRISTUS Health Ark-La-Tex region responds to health care needs through services provided at CHRISTUS St. Michael System, which includes CHRISTUS St. Michael Hospital, a 312-bed acute care hospital, 50-bed CHRISTUS St. Michael Rehabilitation Hospital, CHRISTUS St. Michael Outpatient Rehabilitation Center, CHRISTUS St. Michael Health & Fitness Center and CHRISTUS St. Michael Imaging Center. Each of our health care entities haVE the same objective - to fulfill our mission of extending the healing ministry of Jesus Christ, which includes leading the way to a healthier community. CHRISTUS Health Ark-La-Tex is located in Texarkana, Texas and services Northeast Texas, Southwest Arkansas, and Southeast Oklahoma, which covers a population of more than 338,000 individuals. In Fiscal Year 2010 alone, we were privileged to serve hundreds of thousands of individuals in various ways including: 72,083 visits to our emergency department; 5,021 surgery procedures within our hospitals; 3,457 outpatient surgery procedures; 17,252 patients who were admitted to our hospitals for care and 191,996 patients who received outpatient care at our facilities. Touching the lives of the people around us is what makes CHRISTUS Health Ark-La-Tex stand apart. Allowing others to touch us gives CHRISTUS Health a vision for the medically needy in each of the communities we serve. Whether it is the life of a child expecting a future filled with miracles, the life of a man in need of a critical heart surgery, or the life of a woman about to give birth to her first child, CHRISTUS Health Ark-La-Tex's health care services work to provide the best care possible regardless of an individual's ability to pay. By collaborating with communities, churches, businesses and other health care organizations, CHRISTUS Health's various entities have strengthened their roles as major providers of comprehensive, accessible health care services. These partnerships within the community have been a blessing by helping CHRISTUS Health Ark-La-Tex better serve those in need. Furthermore, investment in community services would not be possible without dedicated employees and volunteers. They help to build strong relationships between CHRISTUS' hospitals and other health care ministries and the community, nurturing CHRISTUS' mission to meet health care needs and make a difference in the lives of others. Our employees work both inside and outside the walls of our health care facilities and are committed to reaching beyond the traditional hospital structure to help our communities maintain good health. Understanding the need to provide access to health care to as much of our public as possible, CHRISTUS Health participates in government-sponsored health care programs including Medicaid, Medicare, CHAMPUS, TRICARE and others. In addition, we offer specific discounts on a sliding scale for necessary services provided to patients who do not have medical insurance or who do not participate in government sponsored programs. CHRISTUS Health Ark-La-Tex provides a full range of inpatient and outpatient services to the people from the communities it serves. It conducts its activities and serves all patients without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. Among the general medical/surgery services offered are: day surgery, open-heart surgery, orthopedics, cardiac and pulmonary rehabilitation, diagnostic, therapeutic, wellness programs, occupational and speech therapy, cardiac/pulmonary outpatient rehabilitation, respiratory care, nutrition and dietary services and pharmacy. CHRISTUS St. Michael Health System provides a 24-hour emergency room that is open to serve all those in need of emergent care, regardless of their ability to pay. CHRISTUS Health Ark-La-Tex also supports many local community health services, such as the Randy Sams Shelter for the Homeless and the Spirit of St. Michael mobile clinic, which serves a seven-county area. As a not-for-profit organization and as part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the area we serve guides CHRISTUS Health Ark-La-Tex. We are privileged to have an open medical staff comprised of qualified physicians who work with us to provide care to our communities. All qualified physicians who are granted privileges to serve with us in our hospitals must undergo a thorough and comprehensive credentialing process.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17075642Expense
Grants0Grants
Revenue27262869Revenue
DescriptionCOMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS adheres to the Catholic Health Association's A Guide for Planning and Reporting Community Benefit (2008), and complies with the State of Texas requirements for reporting. Community Benefit, reported as unpaid costs, includes both Charity Care and Community Services. To the limits of its resources, CHRISTUS Health is an institution of purely public charity; thus, the most tangible expression of CHRISTUS Health's charitable purpose is the provision of health care services to those persons who are unable to pay. This falls into two categories: Charity Care and Unpaid Government Indigent Care. In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Health provides Charity Care services in a manner that respects the dignity of the patients and their families. Charity Care is provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to be charged, if any, is made according to a patient's ability to pay as determined by established eligibility criteria. For uninsured patients whose economic circumstances place them at or under 200 percent of the Federal Poverty Level (FPL), services are provided without any expectation of payment. Uninsured patients whose economic circumstances place them between 200 and 400 percent of FPL are charged based on a sliding scale, and those above 400 percent receive discounts based on the uninsured fee schedule. CHRISTUS Health is an active participant in Texas, Louisiana, and Arkansas' Medicaid programs. Those programs seek to provide payment for health care services to individuals who meet certain financial and other requirements, which include evaluation of both assets and income.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense10026967Expense
Grants0Grants
Revenue104186375Revenue
DescriptionOTHER GOVERNMENT SPONSORED SERVICES In addition to the provision of Charity Care and other community services, CHRISTUS Health provides services to persons covered under government-sponsored programs, including Medicare and TRICARE. The unreimbursed costs of these services are reported to the State of Texas but are not included in reports prepared following Catholic Health Association guidelines. CHRISTUS Health provides services to persons covered under the federal Medicare Program, and in fact, this is the largest single payor classification of patients served by this health system. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group (DRG) into which the patient is categorized. Medicare, based on their fee schedule, reimburses outpatient services. CHRISTUS Health also participates in the TRICARE standard program and many of our hospitals contract with the Managed Care Support Contractor for the South Region to provide services under the provision of TRICARE Prime.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp11660452TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt9455536TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense217812594TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096254NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2171NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonShawn Barnett CFONamePerson
Telephone Number9036142007TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12600 St Michael DriveAddressLine1
CityTexarkanaCity
StateTXState
ZIP Code75503ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Borden Bell
Chairperson/Director1.0XX000
Mary Matthews
Vice Chairperson/Director1.0XX000
Chris Karam
President/CEO55.0XX379235092375
Brenette Shepherd
Director1.0X000
Sister Eleanor Geever
Director (Term 12/31/09)1.0X000
Greg Arnold
Director1.0X000
Mary Priscilla Hickerson
Director1.0X000
Carlton Jones
Director1.0X000
Derrick McGary
Director1.0X000
James Wyly
Director1.0X000
Vernon C Shaffer MD
Director1.0X1492500
James M Hurley MD
Director1.0X500800
Viola Ingram
Director (Term 12/31/09)1.0X000
Sister Katrina LeGrand
Director1.0X000
Richard Hilborn MD
Director (Term 12/31/09)1.0X000
Lowell E Vereen MD
Director1.0X26600
Sister Michele O'Brien
Director1.0X000
Shawn Barnett
CFO/Treasurer40.0X242577065591
Nancy Burleson
Secretary (Term 10/11/09)40.0X55282011605
Gail White
Secretary (Effective 10/11/09)40.0X40082020235
G Michael Finley MD
VP Med Affs/Reg CMO70.0317862090956X
John Edward Phillips
Chief Operating Officer40.0203607053323X
Nancy Keenan
Chief Nurse Executive40.0199687052620X
William L Waldrum
Pharmacist48.0153335022248X
Bart P Russo
Pharmacist41.0121468017397X
Jeremy K Dobbins
Medical Physicist40.0121635023593X
Aloma Gender
Administrator/CNO40.0168642029083X
Ronald Dale Ryan
VP Support Services40.0162493024464X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2186104TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation503490TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK CORPORATION
P O BOX 651009CHARLOTTENC282651009OUTSOURCING HOUSKPNG10520306
COGENT HEALTHCARE OF TEXAS PA
P O BOX 974716DALLASTX75397PHYSICIAN STAFFING3253802
AMN HEALTHCARE INC
12400 HIGH BLUFF DR SUITE 100SAN DIEGOCA92130CONTRACT NURSING1275359
CEP AMERICA
2100 POWELL ST SUITE 920EMERYVILLECA94608PHYSICIAN STAFFING1127335
EA HEALTH CORPORATION
440 STEVENS AVE SUITE 150SOLANA BEACHCA92075PHYSICIAN STAFFING1106525
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Fundraising Events21011FundraisingEvents
Related Organizations187791RelatedOrganizations
Government Grants187270GovernmentGrants
All Other Contributions863831AllOtherContributions
Noncash Contributions29382NoncashContributions
Total Contributions1259903TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Service Revenue621110246457912246220048237864
Pharmacy446110442483511165183308317
Rent related to Exempt Function90009937101293710129
Program Related Investment Income900099-837745-981143143398
Fitness Center713940623983106670517313

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column620204TotalRevenueColumn
Related Or Exempt Function Income564503RelatedOrExemptFunctionIncome
Unrelated Business Revenue55701UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue254999318TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column44618TotalRevenueColumn
Exclusion$44,618ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other5500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other256983Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-251483Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-251483TotalRevenueColumn
Exclusion-$251,483ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events129492GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events21011CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses60260FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column69232TotalRevenueColumn
Exclusion$69,232ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming77034GrossIncomeGaming
Gaming Direct Expenses66915GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column10119TotalRevenueColumn
Exclusion$10,119ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Gift Shop900099204927$204,927
Medical records/abstracts900099153406$153,406
Vending Machine90009965576$65,576

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column161669TotalRevenueColumn
Unrelated Business Revenue15000UnrelatedBusinessRevenue
Exclusion$146,669ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue585578TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column256717285TotalRevenueColumn
Related Or Exempt Function Income250736725RelatedOrExemptFunctionIncome
Unrelated Business Revenue4277593UnrelatedBusinessRevenue
Exclusion$443,064ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9455261Total
Program Services9455261ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total275Total
Program Services275ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2623506Total
Program Services2335628ProgramServices
Management And General283615ManagementAndGeneral
Fundraising4263Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total75607566Total
Program Services67311122ProgramServices
Management And General8173581ManagementAndGeneral
Fundraising122863Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4305218Total
Program Services4209279ProgramServices
Management And General95939ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9855189Total
Program Services8985216ProgramServices
Management And General866034ManagementAndGeneral
Fundraising3939Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5420366Total
Program Services4938423ProgramServices
Management And General472550ManagementAndGeneral
Fundraising9393Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total253259Total
Management And General253259ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total57228Total
Management And General57228ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25425663Total
Program Services15111684ProgramServices
Management And General10313979ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total236249Total
Program Services3390ProgramServices
Management And General232484ManagementAndGeneral
Fundraising375Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56859934Total
Program Services54419211ProgramServices
Management And General2371764ManagementAndGeneral
Fundraising68959Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6958506Total
Program Services6958506ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6787843Total
Program Services4925800ProgramServices
Management And General1862043ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total274533Total
Program Services112179ProgramServices
Management And General159203ManagementAndGeneral
Fundraising3151Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total162589Total
Program Services91203ProgramServices
Management And General70991ManagementAndGeneral
Fundraising395Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5349584Total
Program Services5349584ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16969321Total
Program Services16825439ProgramServices
Management And General143882ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3049010Total
Program Services3045101ProgramServices
Management And General3909ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Provision for Bad Debt1333138313331383
SPONSORSHIP FEES1450014500
Recruitment/Placement Fees345998224345774
DUES & MEMBERSHIP565133368322395435
AWARDS&GIFTS - NON-EMPLOYEE442887644212

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total534750Total
Program Services369927ProgramServices
Management And General164823ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total243978532Total
Program Services217812594ProgramServices
Management And General25952165ManagementAndGeneral
Fundraising213773Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50024457BOY
EOY56027944EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33175751BOY
EOY35089346EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY350981BOY
EOY64207EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5857118BOY
EOY5223266EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY530476BOY
EOY847604EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis325124483LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec197215075LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY141063346BOY
EOY127909408EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1165052BOY
EOY1850210EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY655584BOY
EOY916745EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY408448BOY
EOY457745EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY346926BOY
EOY205953EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY233578139BOY
EOY228592428EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16626093BOY
EOY20159347EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY265952BOY
EOY150000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY623915BOY
EOY186688EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY103269557BOY
EOY82141829EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY120785517BOY
EOY102637864EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY111679794BOY
EOY124662625EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1112828BOY
EOY1291939EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112792622BOY
EOY125954564EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY233578139BOY
EOY228592428EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$7,737DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,148OtherActivitiesAmount
Total Lobbying Expenditures IIB9885TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying DescriptionIdentifier
Return ReferenceForm 990, Schedule C, Part II-BReturnReference
ExplanationCHRISTUS Health Ark-La-Tex HAD DIRECT CONTACT WITH MEMBERS OF THE ARKANSAS STATE LEGISLATURE, TEXAS STATE LEGISLATURE, U.S. SENATORS OF TEXAS, TEXAS 4TH CONGRESSIONAL DISTRICT AND ARKANSAS 4TH CONGRESSIONAL DISTRICT AND TEXAS LT GOVERNOR DAVID DEWHURST AND THEIR STAFF THROUGH EMAILS, TELEPHONE CALLS AND MEETINGS ON ISSUES SUCH AS HEALTHCARE FOR THE UNINSURED, HEALTHCARE REFORM, MENTAL HEALTH CHALLENGES, NATIONAL SECURITY, IMMIGRATION, HEALTHCARE COSTS AND ACCESS, STATE BUDGET CHALLENGES, HEALTHCARE WORKFORCE, HEALTH HOME MEDICAL PILOT FOR CHILDREN AND JOB CREATION PROGRAMS. THE CEO OF CHRISTUS HEALTH ARK-LA-TEX WROTE SEVERAL LETTERS TO CONGRESSMEN AND THE PRESIDENT OF THE UNITED STATES. THE TOPIC OF ALL LETTERS WAS HEALTHCARE REFORM. HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH ARK-LA-TEX BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. THE REPORTED EXPENSES ASSOCIATED WITH THESE ACTIVITIES INCLUDE STAFF COMPENSATION AND RELATED ALLOCABLE OVERHEAD. FORM 990, SCHEDULE C, PART II-B, LINE 1I "OTHER ACTIVITIES" REPORTS THE PORTION OF FY 2010 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $2,148. CHRISTUS HEALTH ARK-LA-TEX DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR 6-30-10.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1485826BeginningOfYearBalance
Investment Earnings Or Losses-14289InvestmentEarningsOrLosses
Administrative Expenses9449AdministrativeExpenses
End Of Year Balance1462088EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1459037BeginningOfYearBalance
Investment Earnings Or Losses37009InvestmentEarningsOrLosses
Administrative Expenses10220AdministrativeExpenses
End Of Year Balance1485826EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis18029482OtherCostOrOtherBasis
Book Value18029482BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis157114155OtherCostOrOtherBasis
Depreciation78372178Depreciation
Book Value78741977BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis337581OtherCostOrOtherBasis
Depreciation101667Depreciation
Book Value235914BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis106139422OtherCostOrOtherBasis
Depreciation89999107Depreciation
Book Value16140315BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43503843OtherCostOrOtherBasis
Depreciation28742123Depreciation
Book Value14761720BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings127909408TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to CHRISTUS Health Bond Fund$80,306,726
DUE TO RELATED ORGANIZATIONS$1,835,103
FieldValueIRS element (for citing)
Total Of Amounts82141829TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of the organization's endowment fundForm 990, Schedule D, Part VThe earnings of the endowment fund may be used without limitation for buildings, equipment, programs and services of Christus Health Ark-La-Tex, in keeping with its mission and purposes within Christus Health Ark-La-Tex region without restriction to any particular purpose.
Cash - Non-Bearing InterestForm 990, Part X, Line 1Christus Health System maintains a centralized cash management system. This cash management system (CMS) includes a concentration account wherein deposits and disbursements for related Christus exempt organizations flow through this account and over to the managed investment accounts. Each participating organization reports a balance in the CMS reflective of its cumulative cash activity. Cash Balances for each Christus organization are reported on Form 990 in accordance with financial statement reporting. CMS ownership is maintained by Christus Health (EIN 76-0590551) and all associated investment income is properly reported on the Christus Health Form 990.
Uncertain Tax Positions Under FIN 48 / ASC 740Form 990, Schedule D, Part XPer footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2010 and 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1107695GrossReceiptsEvent1
Charitable Contributions Event115386CharitableContributionsEvent1
Gross Revenue Event192309GrossRevenueEvent1
Food And Beverage Event117442FoodAndBeverageEvent1
Entertainment Event118000EntertainmentEvent1
Other Direct Expenses Event112677OtherDirectExpensesEvent1
Name Of Event2ANNUAL GOLF TNYNameOfEvent2
Gross Receipts Event224930GrossReceiptsEvent2
Charitable Contributions Event22420CharitableContributionsEvent2
Gross Revenue Event222510GrossRevenueEvent2
Non Cash Prizes Event2923NonCashPrizesEvent2
Food And Beverage Event21041FoodAndBeverageEvent2
Other Direct Expenses Event21437OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events17878GrossReceiptsOtherEvents
Charitable Contrib Other Events3205CharitableContribOtherEvents
Gross Revenue Other Events14673GrossRevenueOtherEvents
Cash Prizes Other Events340CashPrizesOtherEvents
Non Cash Prizes Other Events2021NonCashPrizesOtherEvents
Rent Facility Costs Other Events4933RentFacilityCostsOtherEvents
Food And Beverage Other Events190FoodAndBeverageOtherEvents
Other Direct Expenses Other Events1256OtherDirectExpensesOtherEvents
Gross Receipts Total150503GrossReceiptsTotal
Charitable Contributions Total21011CharitableContributionsTotal
Gross Revenue Total Events129492GrossRevenueTotalEvents
Cash Prizes Total Events340CashPrizesTotalEvents
Non Cash Prizes Total Events2944NonCashPrizesTotalEvents
Rent Facility Costs Total Events4933RentFacilityCostsTotalEvents
Food And Beverage Total Events18673FoodAndBeverageTotalEvents
Entertainment Total Events18000EntertainmentTotalEvents
Other Direct Expenses Total Events15370OtherDirectExpensesTotalEvents
Direct Expense Summary Events60260DirectExpenseSummaryEvents
Net Income Summary69232NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming77034GrossRevenueOtherGaming
Non Cash Prizes Other Gaming33092NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming33823OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming0.90000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming77034GrossRevenueTotalGaming
Non Cash Prizes Total Gaming33092NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming33823OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming66915DirectExpenseSummaryGaming
Net Gaming Income Summary10119NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedTXStatesWhereGamingConducted
LicensedfalseLicensed
Explanation If NoTexas does not require qualified organizations to register in order to operate raffles in Texas.ExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0.00000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonSusan LandreauxNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line12600 St Michael DriveAddressLine1
CityTexarkanaCity
StateTXState
ZIP Code75503ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredtrueCharitableDistribRequired
Amount Distributed10119AmountDistributed

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense21694032TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense21694032NetCommunityBenefitExpense
Percent Of Total Expense0.09410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense22503543TotalCommunityBenefitExpense
Direct Offsetting Revenue27262857DirectOffsettingRevenue
Net Community Benefit Expense-4759314NetCommunityBenefitExpense
Percent Of Total Expense0.02060PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense44197575TotalCommunityBenefitExpense
Direct Offsetting Revenue27262857DirectOffsettingRevenue
Net Community Benefit Expense16934718NetCommunityBenefitExpense
Percent Of Total Expense0.07350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Benefit Expense989151TotalCommunityBenefitExpense
Direct Offsetting Revenue52218DirectOffsettingRevenue
Net Community Benefit Expense936933NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Benefit Expense1277554TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1277554NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense148268TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense148268NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Benefit Expense6603560TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6603560NetCommunityBenefitExpense
Percent Of Total Expense0.02860PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Total Community Benefit Expense9018533TotalCommunityBenefitExpense
Direct Offsetting Revenue52218DirectOffsettingRevenue
Net Community Benefit Expense8966315NetCommunityBenefitExpense
Percent Of Total Expense0.03880PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Total Community Benefit Expense53216108TotalCommunityBenefitExpense
Direct Offsetting Revenue27315075DirectOffsettingRevenue
Net Community Benefit Expense25901033NetCommunityBenefitExpense
Percent Of Total Expense0.11230PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense20563TotalCommunityBuildingExpense
Net Community Building Expense20563NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense20563TotalCommunityBuildingExpense
Net Community Building Expense20563NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,110,212BadDebtExpenseAmount
Amount Attributable To4568AmountAttributableTo
Amount Reimbursed By Medicare95557380AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare84560849CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall10996531MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
TEXARKANA PTRS LTD
RENTAL PROPERTY0.383600.10160
TGGP LLC
GENERAL PARTNER OF TGLP, LP0.300000.52500
TGLP LP
SURGICAL CENTER0.297000.52500
TXKNA PET IM INSTLP
IMAGING0.251300.12560
NE TEXAS SURGERY CNT
SURGERY CENTER0.200000.37000

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
CHRISTUS St Michael Health System
2600 St Michael DriveTexarkanaTX75503XXX
Christus St Michael Rehabilit Hospital
2400 St Michael DriveTexarkanaTX75503XRehabilitation Hosp

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaN/AIncomeBasedCriteria
Annual Community Benefit ExplnA report of community benefit is included in a written Annual Report for CHRISTUS Health, the organization's parent company. CHRISTUS Health is an international, Catholic, faith based health system formed in 1999 with a mission "to extend the healing ministry of Jesus Christ." The annual community benefit report summarizes activities and programs conducted during the past year to improve health including proactive community health services. However, the Annual Report is only a snapshot of how the organization distinguishes itself in its vision to be a leader, a partner, and an advocate in creating innovative health and wellness solutions that improve the lives of individuals and communities.AnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: Line 7a: Ratio of patient care cost to charges Line 7b: Ratio of patient care cost to charges Line 7e: Actual expenses less any direct offsetting revenue Line 7f: Actual expenses less any direct offsetting revenue Line 7g: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7i: Actual expense of the contributionsCostingMethodUsed
Subsidized Health Services ExplnReported at Schedule H, Part I, Line 7 g Subsidized health services are the unreimbursed patient account balances at cost with patient income of greater than 200% and less than 400% of the Federal Poverty Level (FPL). The reported amount is calculated using the cost-to-charge ratio determined at Schedule H, worksheet 2. These accounts do not qualify as charity care as defined by the organization's charity care guidelines because the patients' income is above 200% FPL. The patient account balances were multiplied by the cost to charge ratio computed using Schedule H, worksheet 2.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnTotal expenseS from Form 990, Part IX, line 25, column (A) EQUAL $243,978,532. The bad debt expense included in this amount was $13,331,383. This leAVES a total expense of $230,647,149 for purposes of calculating line 7, column (f). Description of Gross Charity Care as % of total costs The organization's total community benefit expense as reported on Part I, Line 7k, column (c) as a percentage of total expense is 23.05% which exceeds the amount reported on Part I, Line 7k column (f) which is computed using net community benefit expense.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe footnote to the CHRISTUS Health consolidated financial statements says, "The preparation of financial statements in conformity with generally accepted accounting principles in the United States requires management of the System to make assumptions, estimates, and adjustments that affect the amounts reported in the financial statements, including the notes thereto, and related disclosures of commitments and contingencies, if any. The System considers critical accounting policies to be those that require more significant judgments and estimates in the preparation of its financial statements, including the following: recognition of net patient revenues, which includes contractual allowances; provisions for bad debt; reserves for losses and expenses related to health care professional and general liabilities; determination of fair values of certain financial instruments; and risks and assumptions for measurement of pension and retiree medical liabilities. Management relies on historical experience and on other assumptions believed to be reasonable under the circumstances in making its judgment and estimates. Actual results could differ materially from these estimates."BadDebtFootnote
Shortfall As Community BenefitThe amount on Schedule H, Part III, Line 6 is determined by calculating Medicare Allowable costs using Worksheet A of the Medicare Cost Report. Worksheet A of the Medicare cost Report requires the organization to remove non-allowable expenses from total expenses via the Adjustments to Expenses worksheets within the Medicare Cost Report. The amount reported on Schedule H, Part III, Line 6 does not take into account all costs incurred by the fiLing organization associated with the filing organization's provision of services to Medicare patients. Schedule H, Part III, Line 7 would equal a shortfall of $(11,160,212) if total expenses ALLOCABLE TO MEDICARE SERVICES were substituted on Schedule H, Part III, Line 6. CHRISTUS Health Ark-La-Tex reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities.ShortfallAsCommunityBenefit
Debt Collection PolicyCollection activity occurs for a minimum of 60 days on self-pay accounts before the presumptive charity process is completed if no contact with the patient/guarantor is made. If the 60-day period expires and no contact with the patient/guarantor is made or there is insufficient information to document eligibility for charity care, a presumption of eligibility may be made based on statistical data and other reliable assumptions. Accounts with a balance of less than $2,000 are screened for charity care qualification based on systematic screening criteria unless patient contact is made. Accounts with a balance of $2,000 or greater are manually reviewed to determine if any potential eligibility programs are applicable based upon front-end screening tool documentation and a review of the diagnoses and services provided. If a patient completes a financial aid application and qualifies for charity care or falls under a charity care account based on the presumptive charity test, all debt collection activities cease. Accounts that are not deemed eligible for charity care or medical indigence will continue the collection cycle until they are written off as bad debt.DebtCollectionPolicy
Number Of Facility Type ExplnN/ANumberOfFacilityTypeExpln
General ExplanationThe organization budgets charity care for internal financial purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. CASH AND IN-KIND CONTRIBUTIONS Part I, Line 7I CHRISTUS HEALTH ARK-LA-TEX MADE OVER $6,603,560 IN CASH AND IN KIND CONTRIBUTIONS. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $166,427 WERE UTILIZED FOR THE BENEFIT OF THE COMMUNITIES THAT CHRISTUS HEALTH ARK-LA-TEX SERVES. THE GRANT DOLLARS WERE USED BY THE REGION TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES. THE CHRISTUS FUND GRANTS WERE USED DIRECTLY BY CHRISTUS HEALTH ARK-LA-TEX TO INTRODUCE COMMUNITY HEALTH WORKERS AND A CARE MANAGEMENT PROGRAM, "CARE PARTNERS," AIMED AT CHRONIC DISEASE MANAGEMENT FOR UNDERSERVED PATIENTS IN OUR FAMILY HEALTH CENTERS AND CLINICS. THIS PROGRAM HAS PROVEN TO BE INSTRUMENTAL IN REDUCING THE NUMBER OF PREVENTABLE HOSPITALIZATIONS FOR OUR PATIENTS. THE CHRISTUS FUND GRANT AMOUNT ALSO INCLUDES GRANTS MADE BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITIES SERVED BY THE ARK-LA-TEX REGION, AS WELL AS GRANTS MADE BY CHRISTUS HEALTH ARK-LA-TEX TO OTHER NONPROFIT ORGANIZATIONS. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. CHRISTUS HEALTH HAS ALSO ESTABLISHED AN EDUCATION AND RESEARCH FUND. CHRISTUS HEALTH ARK-LA-TEX RECEIVED $30,780 FROM THE FUND AND USED SUCH RESOURCES TO BENEFIT THE COMMUNITY BY PROVIDING RESEARCH AND EDUCATIONAL PROGRAMS SPONSORED BY THE REGION. INDIGENT FUNDING EXPENSE TO NONPROFIT ORGANIZATIONS OF $6,316,425 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). INDIGENT FUNDING EXPENSE TO FOR PROFIT ORGANIZATIONS OF $1,167,465 IS NOT INCLUDED IN SCHEDULE H, PART I, LINE 7(I). BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 PART III, SECTION A, LINE 1 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THE DIFFERENCE BETWEEN RECORDING REVENUE FROM UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. BAD DEBT EXPENSE (AT COST) PART III, SECTION A, LINE 2 The organization uses Form 990, Schedule H, Worksheet A to determine the bad debt expense at cost reported at Schedule H, Part III, Section A, Line 2 using the cost-to-charge ratio calculated at Form 990, Schedule H, worksheet 2, Line 11. The organization's total bad debt expense attributable to patient charges (total of all hospital facilities) is in accordance with the organization's financial statements. Bad debt expense is net of: (1) contractual allowances, (2) payments received and (3) recoveries of bad debt previously written off. EST OF BAD DEBT EXP ATTRIB. TO PTNT'S ELIG. UNDER ORG'S CHRTY CARE PRV PART III, SECTION A, LINE 3 IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE FOLLOWING CRITERIA WERE USED TO DETERMINE THE INCLUSION OF A PATIENT ACCOUNT: (1) THE ACCOUNTS HAD NO PATIENT PAYMENTS NOTED, (2) THE ACCOUNTS ARE ALL TRUE SELF-PAY WHERE THE INDIVIDUALS LACK INSURANCE COVERAGE, (3) THE PATIENTS/ GUARANTOR ARE UNEMPLOYED FOR THE MOST PART, (4) THE ACCOUNTS HAVE LIMITED CONTACT INFORMATION WITH REPEATED RETURN MAIL AND A POSSIBLE PHONE NUMBER OR NO PHONE NUMBER WITH AN ADDRESS, (5) THE ACCOUNTS IN THE BRONZE CATEGORY OF THE ORGANIZATION'S SCORING MODEL INDICATE THAT THE ACCOUNTS HAVE LITTLE TO NO CONTACT INFORMATION AND SCORE VERY LOW ON THE COLLECTABILITY/PROBABILITY SCALE. THE BRONZE SECTION USUALLY REPRESENTS ONLY 5 PERCENT OF ALL MONIES RECOVERED. The amount of the organization's bad debt expense at cost attributable to patients who are eligible under the organization's charity care policy is determined using the cost-to-charge ratio calculated on Form 990, Schedule H, Worksheet 2. In addition to screening patients to determine the applicability of financial assistance and charity care at the time of admission and discharge, CHRISTUS Health follows a policy and supporting procedures for reviewing all active self-pay patient receivables. The screening procedures subsequent to discharge to determine charity care and discount applicability include reviewing the attending hospital's records including patient submitted charity care applications or other financial information, making contact with patients through mailed notice followed by phone call, using a financial assistance questionnaire, using software that provides household/income data statistics and credit reports. As a result of the aforementioned steps, the amount reported as bad debt expense at cost attributable to patients who are eligible under the organization's charity care policy is relatively small. Part I, Line 7b Unreimbursed Medicaid CHRISTUS Health Ark-LA-TEX reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities. COMMUNITY BENEFITS REPORT PART VI, LINE 8 A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046, NONPROFIT HOSPITALS ARE REQUIRED TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2009 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE.GeneralExplanation
Needs AssessmentPart VI, Line 2 CHRISTUS Health Ark-La-Tex, in collaboration with area community stakeholders including Community Health Centers of Arkansas, Inc. (CHCA) and Arkansas Primary Care Association, developed the 2009 Community Benefit Plan based on updates to an initial plan completed in 1995. A focus group conducted community meetings to examine and affirm findings of the community health needs, time and resources required to address all of the unmet needs in the CHRISTUS Ark La Tex region. The group has committed to continue work related to the community health needs assessment in the Ark-La-Tex Region for the long-term. CHRISTUS Health Ark-La-Tex and the focus group recognized the need for a 20-year plan based on the Texarkana Chamber of Commerce development of the "Bowie Miller Vision 20/20," a process of taking the ideas of many and making them a road map that will define our future health care needs, support disease prevention, and support the health improvement activities of Bowie and Miller counties with specific and measurable objectives. A benchmark committee will monitor the progress being made on each goal included in the vision. The action plan will be reviewed annually and reported to the steering committee.NeedsAssessment
Patient Education AssistancePart VI, Line 3 CHRISTUS Health Ark-La-Tex makes every effort to educate patients on its Charity and Discount Policy and about their eligibility for assistance under federal, state, or local government programs during registration, pre registration (for scheduled tests and surgeries), post registration (during their hospitalization) and following discharge (telephone or written inquiry) in languages appropriate for the population being served. Patients are given information and forms by a financial counselor who helps them complete the forms during their inpatient and outpatient visits. Patients are asked to bring or mail supporting documentation to determine income, assets and household expenses. The Business Office reviews the application based on the information provided by the patient. If the patient qualifies for charity care or a discount, a new bill is generated. Patients who do not provide the required documentation are considered ineligible and are billed accordingly. If the documentation is provided at a later time, the patient may then be determined to be eligible for charity care or a discount. Documentation is retained by the billing office for seven years. A public notice regarding the charity care policy is posted in prominent places throughout the hospital, including but not limited to the emergency room waiting area, and the admissions office waiting area, as required by both the State of Texas Community Benefit Standard (which addresses the duties and responsibilities of nonprofit hospitals) and CHRISTUS Health Community Benefit Guidelines #050. In addition, a public notice regarding the charity care policy and information on financial assistance are also posted on the CHRISTUS HEALTH Website. The information on financial assistance includes explanations on the availability of financial assistance, who qualifies, and how to apply for financial assistance.PatientEducationAssistance
Community InformationPart VI, Line 4 CHRISTUS Health Ark-La-Tex is located in Texarkana, Texas and services northeast Texas, northwest Louisiana, southwest Arkansas, and southeast Oklahoma, which covers a population of approximately 338,000 persons. Texarkana, Texas and Texarkana, Ark. are the largest cities in the region, making up approximately 50 percent of the total population. They are located in Bowie and Miller Counties, respectively. The population consists of over 70 percent Caucasians and over 20 percent African-Americans according to 2000 census data. Over 70 percent of the residents are high school graduates. The median household income was $41,822 for Bowie County and $37,106 for Miller County as of 2007. Each county is below their respective state's median household income. Miller County is 42.5 percent below 200 percent of the Federal Poverty Level (FPL) and Bowie County is 37.5 percent of the FPL. According to a 2008 Arkansas Department of Health and Human Services report, over 31 percent of the population of Miller County and 14.5 percent of the population in Bowie County is eligible for Medicaid. According to 2006 U.S. Census information, 17.8 percent of the population of Miller County and 18.6 percent of the population in Bowie County, Texas are 64 years of age and under are uninsured. CHRISTUS Health Ark-La-Tex touches the lives of the people throughout the region because of its commitment to underserved and medically needy populations. CHRISTUS Health Ark-La-Tex provides the best care possible regardless of an individual's ability to pay.CommunityInformation
Community Building ActivitiesPart VI, Line 5 The CHRISTUS Health Advocacy department works in partnership with local, state and federal policy makers to ensure activities and programs are in place that will enhance public health through improved access to health services and advance general knowledge. During FY 2010, CHRISTUS Health advocated for improving public policies, working to establish and in some instances augment grassroots advocacy and greater access to healthcare services for the constituents we serve. Advocacy efforts focus on the needs of children and seniors, as well as other vulnerable populations, to promote programs such as health screenings and education for early detection of cancer and heart disease, and immunizations.CommunityBuildingActivities
Other InformationPart VI, Line 6 CHRISTUS Health Ark-La-Tex responds to the health care needs of the community through services provided at CHRISTUS St. Michael System, which includes CHRISTUS St. Michael Hospital, a 312-bed acute care hospital, 50-bed CHRISTUS St. Michael Rehabilitation Hospital, CHRISTUS St. Michael Outpatient Rehabilitation Center, CHRISTUS St. Michael Health & Fitness Center and CHRISTUS St. Michael Imaging Center. CHRISTUS Health Ark-La-Tex provides a 24 hour emergency room that is open to serve all those in need of emergency care, regardless of their ability to pay. CHRISTUS Health Ark-La-Tex has part ownership in Bowie Country Clinical Services, Inc. providing physician health care services to Medicaid patients. Through Arkansas Integrated Community Health Network, Inc., CHRISTUS Health Ark-La-Tex has an indirect ownership interest in: one diagnostic imaging facility- Texarkana P.E.T. Imagining Institute, L.P., one endoscopy center - TGLP, L.P. and one ambulatory surgery center- Northeast Texas Surgery Center, L.P. CHRISTUS Health Ark-La-Tex works to strengthen accessibility of quality comprehensive health care services for all, especially the vulnerable and underserved populations. Texarkana has a population of approximately 130,000 persons. Texarkana, Texas and Texarkana, Ark. are the largest cities with approximately 50 percent of the total population served by CHRISTUS Health Ark-La-Tex. Rooted in our mission and tradition, the founders and sponsors of CHRISTUS Health are constantly seeking innovative ways of delivering quality health care that is both affordable and accessible to all. Collaborative efforts with Texarkana Community Clinic, All for Kids Pediatric Clinic, and Randy Sams Homeless Shelter provide primary care to meet the needs of the poor, underserved, and homeless. CHRISTUS Health Ark-La-Tex also supports the needs of special populations in the community by providing education for early detection of cancer and heart disease and health screenings and immunizations for disease detection and prevention with special attention given to children, seniors, and other vulnerable populations. CHRISTUS Health Ark-La-Tex provides a full range of inpatient and outpatient services to the people from the communities it serves. It conducts its activities and serves its health care mission without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. CHRISTUS Health Ark-La-Tex collaborates with communities, churches, businesses, and other health care organizations to strengthen its role as a major provider of comprehensive accessible health care services. CHRISTUS Health Ark-La-Tex provides medication assistance for community residents who are unable to afford the medications they need. The hospitals work with community pharmacies and other pharmaceutical companies to identify these patients and then distribute the needed medications to them. Collaborative efforts with Texarkana Community Clinic, All for Kids Pediatric Clinic and Randy Sams Homeless Shelter provide primary care to meet the needs of the poor, underserved and homeless. CHRISTUS Health Ark-La-Tex also supports the needs of special populations in the community by providing health screenings and education for early detection of cancer and heart disease, and screenings and immunizations for children through a mobile health clinic. Health education programs, screenings and adult immunizations assist other targeted populations such as persons age 65 or older and African-Americans. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" is also a part of CHRISTUS Health Ark-La-Tex's overall community benefit. The greatest share of these expenses is for educating health professionals (Graduate Medical Education, nursing students, allied health professionals, pharmacists, etc). Helping to prepare future health care professionals is a distinguishing characteristic of not-for-profit health care and constitutes a significant community benefit. CHRISTUS Ark-La-Tex had over $988,000 in health professions education during FY2010 that included student internships, clinical experience and other education for physicians, nurses, technicians, administrators, social workers, therapists and pastoral care professionals. CHRISTUS Health has established the CHRISTUS Fund to provide resources to not-for-profit agencies and groups whose vision, mission and goals are consistent with CHRISTUS Health's mission, values and philosophy of a healthy community. We believe that by working together, we can make a profound difference in the quality of peoples' lives and create sustainable health in our communities. During FY2010, the total grant money distributed to the Ark-La-Tex region was $166,427. The cost of these grants is not included in the Program Service Expenses for CHRISTUS Ark-La-Tex. A large percentage of the grants were used to provide interim primary care services for the uninsured of Texarkana and for a Care Transition Intervention program. The Care Transition Intervention program is focused on improving health outcomes and reducing hospital readmissions for the chronic care population. CHRISTUS Health Ark-La-Tex also used cash donations as a vehicle to help our communities. Cash donations, in addition to grants awarded through the CHRISTUS Fund, support causes like the fight against cancer, diabetes, heart disease, provision of a continuum of care for our elderly, HIV/AIDS, and many other equally worthy purposes. As a not for profit organization and as part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the makeup of the area we serve guides CHRISTUS Health Ark-La-Tex. We are privileged to have an open medical staff comprised of qualified physicians who work with us to provide care to our communities. All qualified physicians who are granted privileges to serve with us in our hospitals must undergo a thorough and comprehensive credentialing and orientation process. All persons employed and affiliated with CHRISTUS Ark-La-Tex are required to complete annual conflict of interest statements. CHRISTUS Health Ark-La-Tex reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities.OtherInformation
Affiliated Health Care SystemPart VI, Line 7 CHRISTUS Health Ark-La-Tex is part of CHRISTUS Health, an international, Catholic, faith based, nonprofit health system comprised of almost 350 services and facilities including more than 50 hospitals and long term care facilities, 175 clinics and outpatient centers, and other community health ministries and community development ventures. CHRISTUS services can be found in: Arkansas, Georgia, Iowa, Louisiana, Missouri, New Mexico, Texas and in six provinces of Mexico. A common mission, core values and vision unite the allied health system. Each region, including CHRISTUS Health Ark-La-Tex, develops five-year and 10-year strategic plans that helps set the yearly operational plans and budgets. Regional strategic goals are set in collaboration with CHRISTUS Health and include metrics that will be used to measure community benefit, clinical outcomes, patient satisfaction and Associate engagement. CHRISTUS Health provides updated market, demographics, and health indicator data on an annual basis. In addition, CHRISTUS Health Ark-La-Tex works closely with the CHRISTUS Community Health Council to meet system wide initiatives for addressing community needs. Currently, these initiatives include increasing access to primary care, avoiding Emergency Department visits and preventable hospitalizations, a case management program for patients of our clinics with chronic illnesses, diabetes education, and creating affordable senior housing opportunities in the region. The data supplied from CHRISTUS Health along with the system wide strategic initiatives are consistent with the community needs assessment of the region. CHRISTUS Health Ark-La-Tex, in turn, partners with other nonprofit groups (churches, health care providers, and government agencies) to create collaborations where health needs can be addressed and the general health of individuals and the community is improved.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Susan G Komen for the Cure
5005 LBJ Freeway Ste 250DALLASTX75244751835298501(C)(3)14031BREAST CANCER RESEARCH, EDUCATION, SCREENING AND TREATMENT
Domestic Violence Prevention Inc
PO Box 712TexarkanaTX75504751688689501(C)(3)PREVENTION OF DOMESTIC & SEXUAL VIOLENCE6269costMiscellaneous items
UNIV OF ARKANSAS AREA HEALTH EDU CENTER SW
300 EAST 6TH STREETTexarkanaAR71854716046242501(C)(3)164092CHRISTUS GRANT FOR RESIDENCY PROGRAM SUPPORT (Pass Thru Grant)
UNIV OF ARKANSAS AREA HEALTH EDU CENTER SW
300 EAST 6TH STREETTexarkanaAR71854716046242501(C)(3)1346848MEDICAL EDUCATION PROGRAM SUPPORT
UNIV OF ARKANSAS AREA HEALTH EDU CENTER SW
300 EAST 6TH STREETTexarkanaAR71854716046242501(C)(3)422106SUPPORT FOR COMMUNITY CLINIC
WADLEY REGIONAL MEDICAL CENTER
1000 PINE STREETTEXARKANATX75501264178850356489INDIGENT HLTHCARE SERV FUNDING BOWIE CNTY CLINICAL SERVICES
CHRISTUS SANTA ROSA HEALTH SYSTEM
333 N SANTA ROSA STSAN ANTONIOTX78207741109665501(C)(3)6912442INDIGENT HLTHCARE SERV FUNDING
BOWIE COUNTY CLINICAL SERVICES
26000 ST MICHAEL DRIVETEXARKANATX75503113794900214959INDIGENT HLTHCARE SERV FUNDING BOWIE CNTY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceForm 990, Schedule IReturnReference
ExplanationThe 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 Tests. 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 tests contributions given must be dedicated to achieving charitable purposes not for personal benefit but for public benefit. Contributions are prohibited to organizations that contribute to political campaigns, candidates for office, or conduct more than incidental lobbying. Documentation must support how the donation meets organizational purposes and furtherance of mission. Donations should be modest in scope. In addition to following CHRISTUS Health Management Directive No. 0006, the organization has additional guidelines and procedures for grant-making. In accordance with the organization's donation policy, Priority will be given to Charity Cases as follows: (a) Services and contributions to organizations which provide care for the poor and underserved; (b) health education and prevention; and (c) other health related causes. All requests for contributions, sponsorships, etc., regardless of amount, must be submitted in writing to the CHRISTUS St. Michael Foundation Director. Documentation must support how the donation meets organizational purposes particularly relating to the healing ministry and health care. The filing organization provides indigent funding grants to the counties in which it serves via grants paid to other hospitals AND HEALTHCARE ORGANIZATIONS located within such counties. This charitable donation helps relieve the additional expense of healthcare for the indigent population within our communities that the filing organization may not directly serve in one of its hospitals. This is a result of our mission to extend the healing ministry of Jesus Christ, especially to the poor and underserved.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Chris Karam
2997650578430216270725170198580471610000
Shawn Barnett
202336038480017610482160173750308168000
G Michael Finley MD
262822055040000736650172910408818000
John Edward Phillips
169462034145000377050156180256930000
Nancy Keenan
161487032768054320360090166110252307000
William L Waldrum
147985064604704013465087830175583000
Aloma Gender
1254500246900185020152170138660197725000
Ronald Dale Ryan
142137020319037017677067870186957000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceForm 990, Part VII, Question 1a and Schedule J, Part IIReturnReference
ExplanationDIRECTORS 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. SISTERS' COMPENSATION IS PAID TO THE RELIGIOUS CONGREGATION AND NOT THE INDIVIDUAL. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. VERNON C. SHAFFER, MD RECEIVED $14,925 FOR SERVICES AS A MEDICAL DIRECTOR. JAMES M. HURLEY, MD RECEIVED $5,008 FOR SERVICES AS A MEDICAL DIRECTOR. LOWELL E. VEREEN, MD RECEIVED $266 FOR SERVICES AS A MEDICAL DIRECTOR. THE THREE AFOREMENTIONED MEDICAL DIRECTORS RECEIVED NO COMPENSATION FOR SERVING AS DIRECTORS. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART I, LINES 1 AND 2 CHRIS KARAM, THE ORGANIZATION'S PRESIDENT/CEO, WAS REIMBURSED FOR AND TAXED ON $332 FOR SPOUSAL TRAVEL. RELATED ORGANIZATION DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT FORM 990, SCHEDULE J, PART I, LINE 4B ALOMA GENDER WAS PAID $8,008 DURING CALENDAR YEAR 2009 UNDER A 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. COMPENSATION FOR ALOMA GENDER INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT and SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN EARNED AND PAID IN 2009 UNDER TERMS OF THE AFOREMENTIONED PLANS. COMPENSATION FOR THE FOLLOWING PEOPLE INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT VESTED AND DUE IN 2009 UNDER TERMS OF THE PLAN: Chris Karam, Shawn Barnett and Nancy Keenan. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION INCLUDES AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2009. 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. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, Part VII, Section A, Line 1 SISTER DAMIEN MURPHY, WHO WOULD BE LISTED AS A FIVE HIGHEST COMPENSATED EMPLOYEE ON PART VII, RECEIVES COMPENSATION, BUT HER COMPENSATION IS PAID DIRECTLY TO THE RELIGIOUS CONGREGATION AND NOT TO HER INDIVIDUALLY. SINCE THIS COMPENSATION GOES TO THE CONGREGATION, NO FORM W-2 IS ISSUED, AND THUS NO AMOUNTS ARE LISTED AT SCHEDULE J-2. FOR INFORMATIONAL PURPOSES, COMPENSATION PAID FROM THE ORGANIZATION ON HER BEHALF WAS $177,234. SISTER MICHELE O'BRIEN RECEIVES COMPENSATION, BUT HER COMPENSATION IS PAID DIRECTLY TO THE RELIGIOUS CONGREGATION AND NOT TO HER INDIVIDUALLY. SINCE THIS COMPENSATION GOES TO THE CONGREGATION, NO FORM W-2 IS ISSUED, AND THUS NO AMOUNTS ARE LISTED AT SCHEDULE J-2. FOR INFORMATIONAL PURPOSES, COMPENSATION PAID FROM THE ORGANIZATION ON HER BEHALF WAS $3,711.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99029382NoncashContribsRptdF990
Method Of Determining Revenuescost / selling priceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE M, PART 1, LINE 32AIdentifier
ExplanationCHRISTUS HEALTH ARK-LA-TEX USED AN INVESTMENT FIRM TO SELL THE NONCASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Schedule O - Supplemental InformationDescription of Other Program Services FORM 990, PART III, Question 4d COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY 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 CHARITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, TRANSPORTATION SERVICES, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ARK-LA-TEX PROVIDES MEDICATION ASSISTANCE FOR COMMUNITY RESIDENTS WHO ARE UNABLE TO AFFORD THE MEDICATIONS THEY NEED. THE HOSPITALS WORK WITH COMMUNITY PHARMACIES AND OTHER PHARMACEUTICAL COMPANIES TO IDENTIFY THESE PATIENTS AND THEN DISTRIBUTE THE NEEDED MEDICATIONS TO THEM. COLLABORATIVE EFFORTS WITH TEXARKANA COMMUNITY CLINIC, ALL FOR KIDS PEDIATRIC CLINIC AND RANDY SAMS HOMELESS SHELTER PROVIDE PRIMARY CARE TO MEET THE NEEDS OF THE POOR, UNDERSERVED AND HOMELESS. CHRISTUS HEALTH ARK-LA-TEX ALSO SUPPORTS THE NEEDS OF SPECIAL POPULATIONS IN THE COMMUNITY BY PROVIDING HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE, AND SCREENINGS AND IMMUNIZATIONS FOR CHILDREN THROUGH A MOBILE HEALTH CLINIC. HEALTH EDUCATION PROGRAMS, SCREENINGS AND ADULT IMMUNIZATIONS ASSIST OTHER TARGETED POPULATIONS SUCH AS PERSONS AGE 65 OR OLDER AND AFRICAN-AMERICANS. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY2010, THE TOTAL GRANT MONEY DISTRIBUTED TO THE ARK-LA-TEX REGION WAS $166,427. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS ARK-LA-TEX. A LARGE PERCENTAGE OF THE GRANTS WERE USED TO PROVIDE INTERIM PRIMARY CARE SERVICES FOR THE UNINSURED OF TEXARKANA AND FOR A CARE TRANSITION INTERVENTION PROGRAM. THE CARE TRANSITION INTERVENTION PROGRAM IS FOCUSED ON IMPROVING HEALTH OUTCOMES AND REDUCING HOSPITAL READMISSIONS FOR THE CHRONIC CARE POPULATION. SEVERAL CHRISTUS REGIONS PROVIDE INDIGENT FUNDING DONATIONS OR "GRANTS" TO AID THE COUNTIES IN WHICH THEY, OR ANOTHER CHRISTUS REGION, SERVE. SUCH GRANTS MAY BE PAID TO THE COUNTY DIRECTLY OR VIA ANOTHER HOSPITAL OR HEALTHCARE ORGANIZATION IN THE AREA. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT CHRISTUS MAY NOT DIRECTLY SERVE IN ONE OF OUR HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. TOTAL PROGRAM SERVICE EXPENSE = $8,172,297 GRANTS = $7,484,166 TOTAL PROGRAM SERVICE REVENUE = $0 DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, QUESTION 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. IN ORDER TO PROVIDE CLINICALLY TRAINED PROFESSIONALS, CHRISTUS HEALTH ARK-LA-TEX COOPERATES WITH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES AREA HEALTH EDUCATION CENTER-SOUTHWEST TO PROVIDE SUPPORT FOR SCHOOLS OF MEDICAL TECHNOLOGY, RADIOLOGY TECHNOLOGY, RADIOLOGY IMAGING/MEDICAL SONOGRAPHY TECHNOLOGY, NUCLEAR MEDICINE TECHNOLOGY AND RESPIRATORY. IN EFFORTS TO MEET THE NEEDS FOR PRIMARY CARE PHYSICIANS IN THE AREA, CHRISTUS PROVIDES SUPPORT FOR A THREE-YEAR PRIMARY CARE RESIDENCY PROGRAM FOR PHYSICIANS THROUGH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES AREA HEALTH EDUCATION CENTER-SOUTHWEST. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY2010, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH AND IN SOME INSTANCES AUGMENT GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. TOTAL PROGRAM SERVICE EXPENSES = $3,488,155 GRANTS = $1,971,370 TOTAL PROGRAM SERVICE REVENUE = $0
Schedule O - Supplemental InformationDESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 CHRIS KARAM AND SHAWN BARNETT SERVE AS OFFICERS AND VERNON SHAFFER AND RICHARD HILLBORN SERVE AS DIRECTORS FOR ARK-LA-TEX HEALTH NETWORK. CHRIS KARAM AND SHAWN BARNETT SERVE AS OFFICERS AND SISTER DAMIAN MURPHY SERVES AS DIRECTOR OF ARKANSAS INTEGRATED COMMUNITY HEALTH NETWORK. CHRIS KARAM AND SHAWN BARNETT SERVE AS OFFICERS OF TGGP, L.L.C. CHRIS KARAM AND SHAWN BARNETT SERVE AS MANAGEMENT COMMITTEE MEMBERS OF SOUTHWEST HEALTH LINK, LLC. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBER HAS THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. EXPLAIN HOW ORG ENSURES LOCAL UNIT ACTIVITIES ARE CONSISTENT WITH ITS OWN FORM 990, PART VI, QUESTION 10B CHRISTUS ST. MICHAEL HEALTH SYSTEM AUXILIARY IS TREATED AS A DEPARTMENT (OPERATES UNDER THE SAME TAX ID NUMBER AS CHRISTUS HEALTH ARK-LA-TEX) AND IS REQUIRED TO FOLLOW CHRISTUS ST. MICHAEL'S POLICIES AND PROCEDURES. THE CEO/PRESIDENT OR DESIGNEE (SISTER DAMIAN MURPHY, VP OF MISSION INTEGRATION) IS A MEMBER OF THE AUXILIARY BOARD. VOLUNTEERS ARE SUPERVISED AND OPERATE UNDER THE DIRECTION OF SISTER DAMIAN MURPHY. NEW VOLUNTEER CANDIDATES ARE REQUIRED TO SUBMIT APPLICATIONS, UNDERGO BACKGROUND CHECKS AND COMPLETE OTHER REQUIREMENTS THAT ARE APPLICABLE TO CHRISTUS ST. MICHAEL APPLICANTS. ALL VOLUNTEERS ARE REQUIRED TO ATTEND ORIENTATION, SIGN CODE OF ETHICS, COMPLETE THE CONFLICT OF INTEREST STATEMENTS, ETC., ALL OF WHICH ARE RETAINED ON FILE. REVENUES AND EXPENSES ARE SUBMITTED TO THE ACCOUNTING DEPARTMENT AT MONTH-END CLOSE AND EACH MONTH ARE RECORDED ON THE CHRISTUS ST. MICHAEL FINANCIAL STATEMENTS AND ARE INCLUDED IN AUDITS. THE ACCOUNTING DEPARTMENT RETAINS COPIES OF ALL BANK STATEMENTS, DEPOSITS, AND DISBURSEMENTS. THE ACCOUNTING DEPARTMENT RECONCILES THE MONTHLY BANK STATEMENTS. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11 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 2011 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE AUDIT AND/OR FINANCE SUBCOMMITTEES OF 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, QUESTION 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.
Schedule O - Supplemental InformationCOMPENSATION 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, INCLUDING CHRISTUS HEALTH ARK-LA-TEX. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. 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 OF CHRISTUS HEALTH 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. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, 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 THROUGH 8/14/2009, SISTER MICHELE O'BRIEN DEDICATED AN AVERAGE OF 39 HOURS PER WEEK TO CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, A RELATED ENTITY OF THE FILING ORGANIZATION. SISTER MICHELE WAS THE DIRECTOR OF ADULT ADVOCACY AT CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. DOING BUSINESS AS FORM 990, PAGE 1, ITEM C CHRISTUS HEALTH ARK-LA-TEX OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS ST. MICHAEL HEALTH SYSTEM CHRISTUS ST. MICHAEL REHABILITATION CENTER

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHRISTUS HEALTH
2707 NORTH LOOP WESTHOUSTONTX77008760590551SPT HLTH SVCTX501C311-TYPE 1NA
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVEALEXANDRIALA71301720408984HLTHCARE SVCLA501C33NA
CHRISTUS HEALTH GULF COAST
PO BOX 922037HOUSTONTX77292760591592HLTHCARE SVCTX501C33NA
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACESHREVEPORTLA71101720408982HLTHCARE SVCLA501C33NA
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREETCORPUS CHRISTITX78404741109836HLTHCARE SVCTX501C33NA
CHRISTUS HEALTH SOUTHEAST TEXAS
3010 HARRISON STREETBEAUMONTTX77702760591590HLTHCARE SVCTX501C33NA
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DRIVELAKE CHARLESLA70601720411322HLTHCARE SVCLA501C33NA
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREETSAN ANTONIOTX78207741109665HLTHCARE SVCTX501C33NA
CHRISTUS HEALTH UTAH
451 BISHOP FEDERAL LANESALT LAKE CITYUT84115870231682HLTHCARE SVCUT501C39NA
CHRISTUS CONTINUING CARE
1700 WEST LOOP SOUTH STE 1100AHOUSTONTX77027742898615HLTHCARE SVCTX501C33NA
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400BHOUSTONTX77027760422435HLTHCARE SVCTX501C311-TYPE INA
CHRISTUS HEALTH FOUNDATION
2707 NORTH LOOP WESTHOUSTONTX77008611500100SPT HLTH SVCTX501C311-TYPE INA
ST JOSEPH COMMUNITY FOUNDATION
2800 LAMAR AVE CAPITAL ONE 2ND FPARISTX75460421619230SPT HLTH SVCTX501C311-TYPE 1NA
CHRISTUS ST JOSEPH'S HEALTH SYSTEM
2707 NORTH LOOP WESTHOUSTONTX77008750800674HLTHCARE SVCTX501C33NA
CHRISTUS STEHLIN FND FOR CANCER RESEARCH
10301 Stella Link Suite AHOUSTONTX77025741622404HLTHCARE SVCTX501C39NA
DUBUIS HEALTH SYSTEM INC
10333 RICHMOND AVE SUITE 300HOUSTONTX77042721270964HLTHCARE SVCTX501C33NA
Christus Health Liability Retention TRST
2707 NORTH LOOP WESTHoustonTX77008760259623Self Ins.TrstTX501C311 - Type INA

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911TEXARKANATX755042911752562459HLTHCARE SVCTXNAC corp18131254034871.00000
ARKANSAS INTEGRATED COMMUNITY HEALTH NET
2600 ST MICHAEL DRIVETEXARKANATX75503760480684HLTHCARE SVCTXNAC corp1705310132132421.00000
CHRISTUS Muguerza SAPI de CV
HLTHCARE SVCNAC corpCarretera Nacional No 6501 Col EMonterreyN.L.MX64988MX
EMERALD ASSURANCE CAYMAN LTD
980407545INSURANCENAC CORPPO BOX 1051GRAND CAYMANCAYMAN ISLANDSCJKY1-1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ARK-LA-TEX HEALTH NETWORK
N342540
ARK-LA-TEX HEALTH NETWORK
P66739
ARK-LA-TEX HEALTH NETWORK
O176761
ARK-LA-TEX HEALTH NETWORK
K422106
ARK-LA-TEX HEALTH NETWORK
L75250
ARK-LA-TEX HEALTH NETWORK
R753108
CH WILKINSON PHYSICIAN NETWORK
L66308
ARKANSAS INTEGRATED COMMUNITY HEALTH NETWRK
C193000
DUBUIS HEALTH SYSTEM INC
I639604
DUBUIS HEALTH SYSTEM INC
K964074
CHRISTUS CONTINUING CARE
I107690
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Q6912442