TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Ellen M Jones Director/President/CEO	14.0	X	X	208,400	452,311	207,707
(2) Sister Carol Ann Jokerst Chairperson (Term 12/31/10)	1.0	X	X	0	0	0
(3) Bill J Chen PH D Board Member	1.0	X		0	0	0
(4) Sister M Gerard Earls Board Member	1.0	X		0	0	0
(5) Dan Shank Board Member	1.0	X		0	0	0
(6) EW Wright III Board Member	1.0	X		0	0	0
(7) Chuck Doyle Board Member	1.0	X		0	0	0
(8) Robert L Hargrave Board Member	1.0	X		0	0	0
(9) Gilbert A Herrera VC(term12/31)Chair(Eff 1/1/11)	1.0	X	X	0	0	0
(10) George Willy Board Member	1.0	X		0	0	0
(11) Brian Stevens Board Member	1.0	X		0	0	0
(12) Rick Adams MD Board Member	1.0	X		0	0	0
(13) Sister Eilish Ryan Board Member (Effect. 1/1/11)	1.0	X		0	0	0
(14) Manish Wani MD Board Member	1.0	X		16,100	0	0
(15) Kevin Winfield MD Board Member	1.0	X		0	0	0
(16) Dan Casso MD Board Member (Effect. 2/17/11)	1.0	X		5,070	0	0
(17) William A Hecht CFO/Treasurer	16.0		X	97,214	274,776	98,538

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Diana L Smith Secretary (Effective 11/12/10)	40.0	X				13,240	0	3,141
(19) M Erick Smith Corp Secretary (Term 11/12/10)	3.0	X				4,849	54,090	19,374
(20) John H McCabe Admin-St. Catherine Hospital	40.0		X			221,020	0	70,337
(21) Tom Permetti COO/Admin-St John Hospital	24.0		X			281,442	143,495	117,390
(22) Nancy Pittman CNE/COO-St John Hospital	40.0		X			180,450	0	42,763
(23) Harold Gottlieb Chief Medical Officer	40.0		X			407,859	0	106,378
(24) Pearl Mohnkern VP HR (term 6/19/10) See Sch O	0.0			X		34,694	159,362	45,225
(25) Charles Foster VP HR (effective 5/15/10)	16.0			X		65,971	243,960	64,975
(26) Heather Boler VP Business Dev and Marketing	16.0			X		57,530	164,701	65,802
(27) Nancy Brock Facility Financial Officer	40.0			X		182,764	0	34,636
(28) Michael Sullivan VP Mission and Org Ethics	20.0			X		120,057	120,058	72,808
(29) Pat Carrier Former Pres/CEO (term 2/27/10)	0.0				X	71,688	573,216	173,075

(A) Name and business address	(B) Description of services	(C) Compensation
KATY CARDIOVASCULAR SVCS LP 10000 MEMORIAL STE 540 HOUSTON,TX77024	CATH LAB MGMT SVCS	6,594,761
DE HARVEY BUILDERS P O BOX 42008 HOUSTON,TX77242	CONSTRUCTION	1,827,384
NATIONAL CARDIOVASCULAR PARTNERS LP 10000 MEMORIAL DR STE 540 HOUSTON,TX77024	CATH LAB MGMT SVCS	1,597,072
HOSPITAL HOUSEKEEPING SYS LTD PO BOX 826 SAN ANTONIO,TX78293	HOUSEKEEPING SVCS	1,296,051
TEXAS TEXTILE SERVICES PO BOX 4346 HOUSTON,TX77210	LAUNDRY SERVICES	925,458
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 19

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	50,928,288	50,928,288
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	70,321	70,321
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,763,420	1,520,002	243,418
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	86,463	74,528	11,935
7	Other salaries and wages	73,885,479	63,686,520	10,198,959
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	3,734,357	3,658,433	75,924
9	Other employee benefits .......	7,899,629	6,159,413	1,740,216
10	Payroll taxes ...........	5,475,720	4,857,995	574,648	43,077
11	Fees for services (non-employees):
a	Management ......	33,083	33,083
b	Legal .........	178,745		178,745
c	Accounting ...........	6,500	6,500
d	Lobbying ...........	91	89	2
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	11,005,972	5,099,711	5,906,261
12	Advertising and promotion ....	904,973	48,956	856,017
13	Office expenses .......	51,782,677	45,989,630	5,790,547	2,500
14	Information technology ......	7,862,478		7,862,478
15	Royalties ..	0
16	Occupancy ...........	7,769,321	6,170,692	1,598,629
17	Travel ............	98,110	44,837	51,037	2,236
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	418,637	96,403	322,210	24
20	Interest ...........	4,440,732	4,436,920	3,812
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	17,475,533	15,644,889	1,830,644
23	Insurance ..............	4,142,605	4,039,349	103,256
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	PROVISION FOR UNCOLLECT ACCT	19,211,771	19,001,493	210,278
b	Recruitment/Placement Fees	188,778	28,193	160,585
c	Dues & Memberships	157,360	29,041	128,319
d	Subscriptions	49,991	29,452	20,539
e	Federal Income Tax	8,476		8,476
f	All other expenses	109,812	66,987	42,825
25	Total functional expenses. Add lines 1 through 24f	269,689,322	231,721,725	37,919,760	47,837
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	88,005,512	1	105,322,839
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	24,813,111	4	33,005,613
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	5,785,123	7	2,619,680
8	Inventories for sale or use ..............	5,050,449	8	4,784,212
9	Prepaid expenses and deferred charges ............	916,139	9	602,289
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	305,497,059
b	Less: accumulated depreciation. .....	10b	138,465,272	178,616,620	10c	167,031,787
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	8,875,000	13	8,875,000
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	4,902,744	15	7,160,798
16	Total assets. Add lines 1 through 15 (must equal line 34)...	316,964,698	16	329,402,218
	17	Accounts payable and accrued expenses .	16,280,432	17	17,019,124
18	Grants payable ..........		18
19	Deferred revenue ..........	1,153,331	19	1,083,226
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....	37,571,435	24	33,900,277
25	Other liabilities. Complete Part X of Schedule D.....	76,956,696	25	69,519,452
26	Total liabilities. Add lines 17 through 25.....	131,961,894	26	121,522,079
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	182,702,712	27	205,528,728
28	Temporarily restricted net assets .....	2,300,092	28	2,351,411
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	185,002,804	33	207,880,139
34	Total liabilities and net assets/fund balances .....	316,964,698	34	329,402,218

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Christus Health Gulf Coast
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Christus Health Gulf Coast
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
Christus Health Gulf Coast

Employer identification number

76-0591592

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Yes

1,760

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

Total. lines 1c through 1i ...................................

1,851

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Lobbying Description	Form 990, Schedule C, Part II-B	Healthcare policy is critical to all Americans and CHRISTUS Health GULF COAST 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. Form 990, Schedule C, Part II-B, Line 1D CHRISTUS Health GULF COAST had direct contact with members of the Texas State Legislature and sent emails and postcards during the FY 2012 budget resolution discussions on topics including: medicare funding; health reform; reduction in health provider payments; and reductions in programs for the elderly, low-income families, and vulnerable populations. Christus Health Gulf Coast also sent emails, made telephone calls and participated in meetings on issues such as healthcare for the uninsured, healthcare reform, healthcare costs and access, and state budget challenges. 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 2011 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $91. CHRISTUS Health GULF COAST did not substantially lobby during the fiscal year 6-30-11.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	35,690,968		35,690,968
b	Buildings ................	174,858,984	69,318,134	105,540,850
c	Leasehold improvements ............	4,091,209	2,242,175	1,849,034
d	Equipment ................	88,805,189	66,389,103	22,416,086
e	Other .................	2,050,709	515,860	1,534,849
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				167,031,787

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
DUE TO CHRISTUS HEALTH BND FND		65,822,870
CORPORATE ADVANCES		3,671,158
SECURITY DEPOSITS		25,424






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		69,519,452
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Cash Non-Bearing Interest	Form 990, Part X, Line 1	Christus Health System maintains a centralized cash management system. This cash management system (CMS) includes a concentration account wherein deposits and disbursements for related Christus exempt organizations flow through this account and over to the managed investment accounts. Each participating organization reports a balance in the CMS reflective of its cumulative cash activity. Cash Balances for each Christus organization are reported on Form 990 in accordance with financial statement reporting. CMS ownership is maintained by Christus Health (EIN 76-0590551) and all associated investment income is properly reported on the Christus Health Form 990.
Uncertain Tax Positions Under ASC 740	Form 990, Schedule D, Part X, Line 2	Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2011 and 2010.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			9,142,682	0	9,142,682	3.640 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			19,220,033	88,457,078	-69,237,045	27.620 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....			0	0	0	0 %
dTotal Charity Care and Means-Tested Government Programs .....			28,362,715	88,457,078	-60,094,363	23.980 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	49	41,743	1,039,120	0	1,039,120	0.410 %
f Health professions education (from Worksheet 5) ..	12	538	87,570	0	87,570	0.030 %
g Subsidized health services (from Worksheet 6) ..		0	0	0	0	0 %
h Research (from Worksheet 7)		0	0	0	0	0 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	69	16,467	52,105,581	0	52,105,581	20.790 %
jTotal Other Benefits ...	130	58,748	53,232,271	0	53,232,271	21.230 %
kTotal. Add lines 7d and 7j. ..	130	58,748	81,594,986	88,457,078	-6,862,092	2.750 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	3	0	26,816	0	26,816	0.010 %
2	Economic development	2	0	65	0	65	0 %
3	Community support	4	2,601	1,692	0	1,692	0 %
4	Environmental improvements
5	Leadership development and training for community members	1	15	11,853	0	11,853	0 %
6	Coalition building	1	300	527,938	0	527,938	0.210 %
7	Community health improvement advocacy	2	0	23,083	0	23,083	0.010 %
8	Workforce development
9	Other
10	Total	13	2,916	591,447	0	591,447	0.230 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

4,902,434

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

1,470,730

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

41,766,873

Enter Medicare allowable costs of care relating to payments on line 5.....

45,116,186

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-3,349,313

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	CHRISTUS St John Hospital 18300 St John Drive Nassau Bay,TX77058	X	X	X
2	CHRISTUS St Catherine Hospital 701 S Fry Road Katy,TX77450	X	X	X	Urgent Care Center

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:CHRISTUS St John Hospital

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:CHRISTUS St Catherine Hospital

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Budgeted Charity Care	Part I, Line 5	The organization budgets charity care for internal financial review purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. Part I, Line 6a Annual Community Benefit Report A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. Part I, Line 7b Unreimbursed Medicaid Christus Health Gulf Coast reinvests all surplus funds back in to the communities we serve through expanded health services, new technologies, and better facilities. Part I, Line 7, column (f) Percent of Total Expense TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $269,689,322. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $19,001,684. THIS LEAVES A TOTAL EXPENSE OF $250,687,638 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Part I, Line 7, Column (F) Description of Gross Charity Care as Percentage of Total Costs The organization's total community benefit expense as reported on Part I, Line 7k, Column (c) as a percentage of total expense is 32.55%, which exceeds the amount reported on Part I, Line 7k Column (f) which is computed using net community benefit expense. Cash and In-Kind Contributions to Community Groups Part I, Line 7i CHRISTUS Gulf Coast made over $52,100,000 in cash and in kind contributions during FY2011. The aforementioned amount is determined in accordance with the 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 $210,000 were donated by Christus Health to nonprofit organizations located in the community served by Christus Health Gulf Coast. The grant dollars were used to support programs that promote the health of the community that Christus Health Gulf Coast serves. The CHRISTUS Fund grants were used to fund various clinics and health programs that serve underserved youth and adults. All grants made to outside organizations through the CHRISTUS Fund are made to nonprofit organizations that support the health of the community. Indigent Funding Expense expense of $11,851,089 is included in Schedule H, Part I, Line Line 7(i). Part I, Line 7 Line 7a: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7b: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7e: Actual expenses less any direct offsetting revenue Line 7f: Actual expenses less any direct offsetting revenue Line 7i: Actual expense of the contributions
COMMUNITY BUILDING ACTIVITIES:	Part II	The CHRISTUS Health Board of Directors approved funding of a community direct investment (CDI) loan program to ensure that the work of social accountability and moral and ethical stewardship continues in spite of challenging fiscal conditions faced by local operating entities. The purpose of the CDI program is to support community driven initiatives, primarily for affordable housing and economic development by providing financing at below market interest rates to nonprofit organizations at terms not exceeding more than five years. The income earned at the market rate less our loan rate (foregone income) is considered a community benefit for reporting purposes. The foregone interest for CHRISTUS Health Gulf Coast in fiscal year ending June 30, 2011 was over $26,816. Though outstanding loan balances vary throughout the year, the outstanding loan balance at the end of Fiscal Year 2011 was $1,117,836. Included as Physical Improvements to Housing at Schedule H, Part II, Line 1 are some of the aforementioned loans made for low income housing to include "New Hope Housing", an Economically Linked Deposit (ELD) benefitting the ongoing operation of a 133 unit permanent housing, single room occupancy project helping the formerly homeless and those at risk of homelessness; the Tejano Center for Community Concerns offers Affordable housing for families earning less than 80% of the median area income; and Acres Home, which offers low income housing. CHRISTUS also provided financing of the Women's Home, a multi-unit apartment complex for women who have graduated from a drug rehabilitation program. CHRISTUS Health Gulf Coast demonstrates its commitment to the economic development of the communities served through various micro-financing loan programs to include Accion Texas which aids in the development of small businesses for those with low and moderate income. These individuals would not be able to obtain traditional financing. These small businesses are in underserved communities. CHRISTUS Health Gulf Coast shows its commitment to the community by its involvement in literacy and mentoring programs of primary school students. CHRISTUS Health Gulf Coast participates in programs in conjunction with the local Chamber of Commerce for community improvement. The CHRISTUS Health Advocacy department is working in partnership with local, state and federal policy makers to ensure activities and programs are in place that will enhance public health and advance general knowledge. During FY 2011, 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.
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 that the difference between recording revenue from the uninsured on a cash basis, rather than the accrual basis, is immaterial. Accordingly, all accounts receivable from the uninsured have been fully reserved in the allowance for uncompensated care. Part III, Section A, Line 2 Bad Debt Expense (At Cost) 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 (total of all hospital facilities) is in accordance with the organization's financial statements, which is computed as bad debt net of contractual allowance, payments received and recoveries of bad debt previously written off. Part III, Section A, Line 3 Estimate of Bad Debt Expense Attributable to Patients Eligible Under Organization's Charity Care Policy CHRISTUS Health Gulf Coast recognizes that some patients are unable or unwilling to ask for financial assistance due to barriers to applying for assistance such as educational level and literacy, documentation limitations and fear of the application process. 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 but have not qualified, the organization engaged PARO Decision Support, LLC. PARO Charity Score is designed to identify patients that likely qualify for financial assistance based on a predictive model and other financial and asset estimates for the patient derived from public record sources. In order to classify patient bad debt accounts as accounts that would qualify for charity care, the following criteria were established based on an analysis of historical data of Christus Health and its related organizations: 1. PARO Score of less than or equal to 586, which is a predictor defining the likely socioeconomic conditions for the patient; 2. Estimated Federal Poverty Level of less than or equal to 226%, which is based on estimated household size and estimated household income; and 3. Third party data available on patient accounts which indicate that the patient is not a homeowner or a probable homeowner. Part III, Section A, Line 4 Bad Debt Expense Footnote The 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." In order to determine the bad debt expense at cost (Schedule H, Part III, Section A, Line 2), the organization's total bad debt expense (total of all hospital facilities) in accordance with the organization's financial statements was multiplied by the cost-to-charge ratio. Part III, Section B, Line 8 Extent to which shortfall should be treated as community benefit Costing Methodology The shortfall on Part III, Line 7 is not counted as a community benefit. The amount on Schedule H, Part III, Line 6 is determined by calculating Medicare Allowable Costs using worksheet A of the Medicare Cost Report. Worksheet A of the Medicare Cost Report requires the organization to remove non-allowable expenses from total expenses via the adjustments to expense worksheets within the Medicare Cost Report. The amount reported on Schedule H, Part III, Line 6 does not take into account all costs incurred by the filing organization associated with the filing organization's provisions of services to Medicare patients. Schedule H, Part III, Line 7 would equal a shortfall of ($15,550,722) if total expenses allocable to Medicare services were substituted on Schedule H, Part III, Line 6. Part III, Section B, Line 9b Collection Policy Collection 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 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.
NEEDS ASSESSMENT	Part VI, Line 2	CHRISTUS St. John Hospital developed the 2011 Community Benefit Plan based on the Greater Houston 2008 Healthy Needs Assessment. The objectives for FY 2011 are proposed to meet the identified needs in the communities we serve. Each community in the region had a significant population growth and increased needs. The highest projected increase in residents is the Hispanic population. Health Care Priorities Include Primary Care Access, Geographic Disparities, Under/Uninsured/Working, Poor, Teen Births, Prenatal Care, Childhood Immunizations, Access to Information/Referrals, Cardiovascular Disease, Diabetes, Respiratory Cancer and other Chronic Diseases, Senior Population, 45 to 64 Year Old Population Group, and Mental Health Service. An additional area of focus overlapping many of these priorities is the already high and increasing percentage of Consolidated Metropolitan Statistical Area (CMSA) residents of Hispanic descent. Barriers to Access Health Care Include Limited access, Inability to pay for services, Lack of transportation, Language barriers and cultural differences, Socioeconomic Factors Impacting Access to Healthcare, Lack of employment opportunities, increase in the number of residents with median income of < $25,000, and Diminished health coverage. Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS Health Gulf Coast makes every effort to educate patients on its Charity and Discount Policy and about their eligibility for assistance under federal, state, or local government programs during registration, pre registration (for scheduled tests and surgeries), post registration (during their hospitalization) and following discharge (telephone or written inquiry) in languages appropriate for the population being served. Patients are given information and forms by a financial counselor who helps them complete the forms during their inpatient and outpatient visits. Patients are asked to bring or mail supporting documentation to determine income, assets and household expenses. The Business Office reviews the application based on the information provided by the patient. If the patient qualifies for charity care or a discount, a new bill is generated. Patients who do not provide the required documentation are considered ineligible and are billed accordingly. If the documentation is provided at a later time, the patient may then be determined to be eligible for charity care or a discount. Documentation is retained by the billing office for seven years. A public notice regarding the charity care policy is posted in prominent places throughout the hospitals, including but not limited to the emergency room waiting areas and the admissions office waiting areas, as required by both the State of Texas Community Benefit Standard (which addresses the duties and responsibilities of nonprofit hospitals) and CHRISTUS Health Community Benefit Guidelines #050. In addition, a public notice regarding the charity care policy and information on financial assistance are also posted on the CHRISTUS HEALTH website. The information on financial assistance includes explanations on the availability of financial assistance, who qualifies, and how to apply for financial assistance. Part VI, Line 4 COMMUNITY INFORMATION CHRISTUS Health Gulf Coast responds to the health care needs of its service area through services provided at CHRISTUS St. Catherine Hospital in Katy, Texas which is a 102-bed hospital, CHRISTUS St. John Hospital in Nassau Bay, Texas which is a 178-bed hospital, and various clinics and outreach programs. CHRISTUS Health Gulf Coast services several counties to the west and southeast of Houston. The organization's service area comprises a population of 508 million. In the organization's service area, 28.7 percent of households are at or below 200 percent of the Federal poverty level and 17.1 percent are uninsured. There is a noted increase in senior residents (i.e., 65 to 74 years of age) in the communities served by CHRISTUS Health Gulf Coast thus impacting the inpatient and outpatient demand for health care services, particularly those patients with chronic health problems including heart disease, diabetes, cancer, and respiratory diseases. The service area's population is 43.8 percent Hispanic.
Promotion of community Health	Part VI, Line 5	CHRISTUS Health Gulf Coast consists of two community hospitals, including CHRISTUS St. Catherine Hospital in Katy, Texas which is a 102-bed hospital and CHRISTUS St. John Hospital in Nassau Bay, Texas which is a 178-bed hospital. CHRISTUS St. Catherine Hospital in Katy offers a broad spectrum of adult and pediatric medical and surgical care with the latest in technology including an urgent care center, birthing suites, newborn and Level II neonatal intensive care nurseries, inpatient and outpatient surgery, diagnostic imaging and cardiology services. CHRISTUS St. John Hospital in Nassau Bay offers comprehensive medical services in cardiology, oncology, intensive care, diagnostic imaging, gynecology, pediatrics, advanced laparoscopic procedures, cancer treatment, cardiovascular, sports medicine and vascular specialties. Each of the facilities of CHRISTUS Health Gulf Coast shares one objective -- to lead the way to a healthier community. CHRISTUS Health Gulf Coast's other health care operations include part ownership in Galveston County Clinical Services, Inc. and Indigent Care Services of Harris County. Both provide physician health care services to Medicaid patients. In our 2011 Fiscal Year alone, we were privileged to serve hundreds of thousands of individuals in various ways including 57,012 visits to our Emergency Department; 2,733 inpatient surgery procedures; 8,750 outpatient surgery procedures; 12,223 patients who were admitted to our hospitals for care; and 221,498 patients who received outpatient care at our facilities. CHRISTUS Health Gulf Coast 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 purpose without regard to race, color, creed, religion, gender, orientation, disability, age, ability to pay, or national origin. Rooted in our mission and tradition, the founders and sponsors of CHRISTUS Health and those who co-minister with them seek new and innovative ways of delivering quality health care that is both affordable and accessible to all. Today, more than ever, we must aim to improve the total health status of the community through programs that place our services where they are needed most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. CHRISTUS Associates and physicians continue the tradition of caring established by the Sisters of Charity of the Incarnate Word and seek to restore the whole person back to a place of complete physical, mental and spiritual wellness. CHRISTUS Health Gulf Coast collaborates with communities, churches, businesses, and other health care organizations to facilitate and strengthen accessibility of quality comprehensive health care services for all, particularly the vulnerable and underserved populations. In an effort to meet and address the identified healthcare needs in the communities we serve, CHRISTUS Health Gulf Coast joins with many local community partners and service organizations, some of which include the American Cancer Society, the American Heart Association, the Archdiocese of Galveston-Houston, Breath of Life Clinic, Christ Clinic and local faith communities, the Dominican Sisters of the Sacred Heart, University of Texas Medical Branch (UTMB) at Galveston, Regional Maternal and Child Program, Dickinson Independent School District, DePelchin Children's Center, community representatives, school administrators, parents, and community volunteers. These local community partners and organizations partake in the following programs: (1) The CHRISTUS Literacy Center: A collaborative initiative between CHRISTUS Health Gulf Coast, the Archdiocese of Galveston-Houston and the Dominican Sisters of the Sacred Heart. Through in-kind volunteers, The Literacy Center provides assistance in improving the reading and writing skills of individuals who are not proficient in English, so they may enhance their pronunciation and vocabulary skills. An introduction to basic computer skills is integrated within the curriculum. These combined offerings increase the ability of the students to become more comfortable in the local community, and they enhance opportunities for employment and improved communication. (2) CHRISTUS Our Daily Bread: A ministry of CHRISTUS Health Gulf Coast. It is a multi-service center which serves as a respite for the homeless and those who are chemically dependent and/or experiencing mental/psychiatric disorders. The center serves approximately 2,800 clients per month, providing meals, clothing, hygiene, counseling and referral services. Our Daily Bread serves all clients with respect and dignity in a manner befitting one of God's own. (3) The CHRISTUS Community Health Ministries Healthy Living Mobile Unit: we will continue to focus on the health needs of the uninsured and underinsured in the community by increasing access to care through collaboration and networking with other agencies. Some of the services provided include: (A) Health Assessments: Through our health assessment screening we focus on chronic diseases, such as cardiovascular disease, diabetes and obesity, educating our patients and assisting them in finding a medical home base. We will focus on our senior sites working with the ACES program. We will continue to attend health fairs at schools and churches. We collaborate with the Archdiocese of Galveston- Houston by reaching out to as many of the churches as possible in the outlying counties that do not have access to care so they can participate in the projects to provide health screenings. (B) Vaccine Administration: We continue to meet the needs of our seniors by providing influenza vaccines, attempting to administer 5000 immunizations annually. We provided 300 blankets to needy seniors and distributed 500 Healthy Living Gift packs containing educational and resource materials that promote healthy living and address psychological needs. We collaborate with the City of Houston and the State of Texas on a Vaccine for Children Program that administers immunizations in the community at schools, health fairs and apartment complexes in needy areas. (4) Susan G. Komen Breast Cancer Awareness and Screening: Collaboration with The Susan G. Komen Breast Cancer Foundation and the Rose and Y Me organization to compliment our Breast Cancer Awareness Clinics, distributing 500 breast cancer awareness packets with educational and resource materials during the month of October. (5) Minority Health Disparities: Collaboration with M.D. Anderson Center for Research on Minority Health Disparities for the Medicare navigation program to help diagnose cancer patients. We act as a mentor and navigator for health care access. (6) Diabetes Education: We continue to collaborate with the Texas Cooperative Extension Diabetes Education Program through its "Do Well Be Well with Diabetes" program which presents diabetes and exercise education at senior sites and community centers. (7) Access to Care: We continue to collaborate with Katy Community Clinics and CHRISTUS St. John Hospital by providing health screening assessments to assist patients who need to establish a medical home base clinic. (8) We collaborate with CHRISTUS St. John Hospital and the CHRISTUS Foundation for HealthCare to access the needs of school base nurse practitioners in the Dickinson ISD and the Archdiocese of Galveston-Houston schools. Currently there are 13 school-based health care centers sponsored by CHRISTUS Health Gulf Coast. (9) Expand our services to rural areas and counties for the uninsured and underserved by collaborating with Medicare/Chip Health Care Providers (United Healthcare and Community Health Care) to enroll children into the system. (10) Cancer Education and Prevention: The organization will expand program services focusing on cancer education and prevention in partnership with MD Anderson. As part of this plan, seminars and screenings will be offered to the local community with a focus on cancer detection, prevention and education. (11) Congregational Health Ministries: The organization will continue to assist in the development of parish nurse/health ministry programs at local churches. This is an ecumenical program which will provide information related to good health and serve as a resource in respective congregations. Educational programs related to good health and information will be presented to the nurse coordinators to meet the needs of the congregations. Grant money assists in supporting this program. Service anticipated through this program include the administration of in excess of 5000 flu shots, attempting to reach those most at risk and collaborating with CHRISTUS VNA. The churches will offer health screenings, health fairs, educational programs related to chronic disease, prevention, spiritual support and serving as a resource to the congregation. With the exception of one church, all co
Affiliated health care system	Part VI, Line 6	Christus Health Gulf Coast 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 six provinces of Mexico. A common mission, core values, and vision unite the health system. Each region, including CHRISTUS Health Gulf Coast, develops five-year and ten-year strategic plans that help set the yearly operational plans and budgets. Regional strategic goals are set in collaboration with CHRISTUS Health and include metrics that will be used to measure community benefit, clinical outcomes, patient satisfaction, and Associate engagement. CHRISTUS Health provides updated market, demographics, and health indicator data on an annual basis. In addition, CHRISTUS Health Gulf Coast 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 who have chronic illness, 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 Gulf Coast, 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. Part VI, Line 7 State Filing of Community Benefit Report A community benefit report is filed for the State of Texas in the form of the Annual Statement of Community Benefits Standard (ASCBS) form as required by the Health and Safety Code, Sections 311.045 and 311.046. The Code requires nonprofit hospitals to file the ASCBS form and annual report of the Community Benefits Plan with the Texas Department of State Health Services (DSHS). The 2011 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. State Filing of Community Benefit Report: TX,

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
Christus Health Gulf Coast

Employer identification number
76-0591592

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Texas Right to Life Educational Fund9800 Centre Parkway Suite 200 Houston,TX77036	23-7373806	501(c)(3)	10,000	Leadership training program
(2) Our Lady of Fatima Catholic School1600 9th Avenue North Texas City,TX77590	76-0687219	501(c)(3)	6,000	FATIMA giving fund
(3) Cornerstone Recovery1901 Morse Street Suite B206 Houston,TX77019	76-0655123	501(c)(3)	10,000	Expansion-behavioral health treatment
(4) NASA Area Little LeaguePO Box 891183 Houston,TX77289	76-0343646	501(c)(3)	6,174	Scoreboard-Little League games
(5) Christ Clinic5504 First Street Katy,TX77492	35-2179708	501(c)(3)	60,000	Funding salary & benefits for nurse practitioner
(6) Katy Area Chamber of Commerce23501 Cinco Ranch Blvd Ste B206 Katy,TX77494	74-2028745	501(c)(3)	10,300	Festival & Gala sponsorships; Support business in Katy Area
(7) Christus Foundation for HealthcarePO Box 1919 Houston,TX77251	74-6074210	501(c)(3)	13,000	School Based Clinics & Children's Programs
(8) Memorial Hermann Health System7737 SW Fwy Suite 200 Houston,TX77074	74-1152597	501(c)(3)	48,000,000	Indigent Funding for Harris county
(9) Galveston County Clinical Services	27-1056537		139,948	Indigent Funding for Galveston county
(10) Critical Access Healthcare LLC	01-0893597		2,634,191	Indigent Funding for Hutchinson County

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) Indigent Assistance	328	70,321	FMV	RX/Visits/Phy Svc/Tr

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Description of Organization's Procedures for Monitoring the Use of Grants	Form 990, Schedule I	The Organization follows CHRISTUS Health Management Directive No. 0006, "Contributions/Donations to Other Organizations". Before any donation is made, two criteria are addressed: (1) Organization Test and (2) IRS Test. The organization test ensures that donations are exclusively for charitable, scientific, educational, and religious purposes, and in furtherance of our purpose of supporting the healing ministry of Jesus Christ and advancing, promoting, and supporting the healthcare ministries of the Sponsoring Congregations. Contributions can be made to support CHRISTUS System members and to other qualifying tax-exempt organizations, particularly those designed to support and benefit the poor and underserved. The organization considered for donations must be an IRS Section 501(c)(3) organization and documentation to that effect obtained. To satisfy the IRS test contributions given must be dedicated to achieving charitable purposes not for personal benefit but for public benefit. Contributions are prohibited to organizations that contribute to political campaigns, candidates for office, or conduct more than incidental lobbying. Documentation must support how the donation meets organizational purposes and furtherance of mission. Donations should be modest in scope. The filing organization provides indigent funding grants to the counties in which CHRISTUS Health affiliated hospitals serve 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 CHRISTUS Health's 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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Ellen M Jones	(i) (ii)	147,428 319,979	30,518 66,235	30,454 66,097	58,124 126,152	7,391 16,040	273,915 594,503	0 0
(2) William A Hecht	(i) (ii)	73,946 209,008	12,040 34,033	11,228 31,735	19,252 54,414	6,500 18,372	122,966 347,562	0 0
(3) John H McCabe	(i) (ii)	183,394 0	28,078 0	9,548 0	58,544 0	11,793 0	291,357 0	0 0
(4) Tom Permetti	(i) (ii)	193,872 98,847	26,970 13,751	60,600 30,897	57,606 29,371	20,143 10,270	359,191 183,136	0 0
(5) Nancy Pittman	(i) (ii)	159,793 0	20,632 0	25 0	37,741 0	5,022 0	223,213 0	0 0
(6) Harold Gottlieb	(i) (ii)	294,144 0	46,615 0	67,100 0	90,022 0	16,356 0	514,237 0	0 0
(7) Pearl Mohnkern	(i) (ii)	31,114 142,917	1,105 5,074	2,475 11,371	6,071 27,884	2,015 9,255	42,780 196,501	0 0
(8) Charles Foster	(i) (ii)	41,879 154,870	7,207 26,650	16,885 62,440	9,101 33,656	4,729 17,489	79,801 295,105	0 0
(9) Heather Boler	(i) (ii)	45,698 130,826	6,993 20,021	4,839 13,854	12,408 35,521	4,627 13,246	74,565 213,468	0 0
(10) Nancy Brock	(i) (ii)	161,826 0	20,913 0	25 0	28,730 0	5,906 0	217,400 0	0 0
(11) Michael Sullivan	(i) (ii)	84,176 84,176	8,061 8,062	27,820 27,820	30,890 30,890	5,514 5,514	156,461 156,462	0 0
(12) Pat Carrier	(i) (ii)	51,546 412,164	6,351 50,781	13,791 110,271	17,273 138,110	1,967 15,725	90,928 727,051	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental Compensation Information	Form 990, Part VII, Question 1A and Schedule J, Part II	Directors and Ex-Officio Directors provide their services as members of the Board without compensation or benefits. Any compensation and benefits disclosed for such persons is earned in the respective individual's role as an officer or employee of the organization, not for the individual's role as a board member or director. Officers, key employees and highest paid employees are full-time employees. Board members spend time as needed for board meetings and functions. Manish Wani, MD received $16,100 for services as a Medical Director. Dr. Wani received no compensation for serving as a director. Dan Casso, MD received $5,070 for Surgical Services. Dr. Casso received no compensation for serving as a director.
Explanation of Related Org determining CEO/Executive Directors comp	Form 990, Schedule J, Part I, Question 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 bi-annual compensation survey.
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 Nonqualified Retirement Plan	Form 990, Schedule J, Part I, Question 4B	Deferred compensation includes Executive Deferred Income Account, Supplemental Executive Retirement and Retention Plan, and Pension Restoration Plan. Estimated pension benefits were calculated based on the provisions of the current Pension Restoration Plan at 6% of pensionable earnings which are over the IRS legislative compensation limit. Some Associates are grandfathered under an earlier legacy pension plan. If a participant has protected pension benefits under such legacy plans, his/her percentage is zero under the Supplemental Executive Retirement and Retention Plan, as the protected benefit is already equal to or better than current market.
Supplemental Nonqualified Retirement Plan Payments	Form 990, Schedule J, Part I, Question 4b	Heather Boler received $3,565 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Charles Foster received $36,497 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Harold Gottlieb received $67,075 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Bill Hecht received $18,827 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Ellen Jones received $56,743 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Thomas Permetti received $59,259 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Michael Sullivan received $35,362 during Calendar Year 2010 under a supplemental nonqualified retirement plan. Patrick Carrier received $70,728 during Calendar Year 2010 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.
Supplemental Compensation Information	Form 990, Schedule J, Part II	Bonus and incentive compensation may include amounts that were deferred in a prior year but paid out in calendar year 2010.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Other - Hospital Supplies/ Equip )	X	4	34,985	COST/SELLING PRICE
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash

contributions? ............................

32a

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) 2010

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule M (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Identifier	Return Reference	Explanation
Doing Business As	Form 990, Page 1, Item C	CHRISTUS HEALTH GULF COAST OPERATES UNDER THE FOLLOWING NAMES: CAROLINE SENIOR HEALTH CENTER CHRISTUS FOUNDATION FOR HEALTHCARE CHRISTUS GALVESTON MINISTRIES CHRISTUS HEALTH SERVICE CENTER CHRISTUS NEW HORIZONS CENTER CHRISTUS OUR DAILY BREAD CHRISTUS ST. CATHERINE HEALTH & WELLNESS CENTER CHRISTUS ST. CATHERINE HOSPITAL CHRISTUS ST. JOHN CONCUSSION CENTER AND NEUROCOGNITIVE INSTITUTE CHRISTUS ST. JOHN HOME CARE CHRISTUS ST. JOHN HOSPITAL CHRISTUS ST. JOHN LABORATORY AND IMAGING SERVICES CHRISTUS ST. JOHN MEDICAL EQUIPMENT CHRISTUS ST. JOSEPH FAMILY HEALTH CENTER CHRISTUS ST. JOSEPH HOME CARE CHRISTUS ST. JOSEPH HOSPICE CHRISTUS ST. JOSEPH HOSPITAL CHRISTUS ST. JOSEPH HOSPITAL CRAYON CLUB CHRISTUS ST. JOSEPH HOSPITAL REFERENCE LABORATORY CHRISTUS ST. JOSEPH HOSPITAL WOMANCARE CHRISTUS ST. JOSEPH HOSPITAL WOMEN'S AND CHILDREN'S GARDEN OAK SENIOR HEALTH CENTER SEABROOK SENIOR HEALTH CENTER SOUTHWEST COMMUNITY HEALTH CENTER ST. MARY HEALTH CLINIC
Description of Other Program Services	Form 990, Part III, Line 4d	COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED Rooted in our mission and tradition, the founders and sponsors of CHRISTUS Health and those who co-minister with them seek new and innovative ways of delivering quality health care that is both affordable and accessible to all. Today, more than ever, we must aim to improve the total health status of the community through programs that place our services where they are needed most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. Community Services for the poor and underserved represent the unpaid cost of services provided for which a patient is not billed, or for which a fee has been assessed that recovers only a portion of the cost of the rendered service. This category includes initiatives that reach out to those in need through community health and social programs. These programs seek justice for the vulnerable and work to bring about changes in our political and economic systems. The programs cover a broad spectrum of services from charity clinics to immunizations for children and seniors, meals on wheels, transportation services, home repair projects and a variety of other social services. The Point of Light Clinic has been in operation since 1990 to provide acute care and episodic healthcare services to those who are uninsured and underinsured within the secondary market of CHRISTUS St. John Hospital. In the fiscal year ending 6/30/11, the Point of Light Clinic provided care to 4550 patients. Healthy Living Mobile Clinic, a collaborative mobile health program delivering primary and preventive care (including immunizations), which targets the elderly, women, and children provided 38,733 patient visits. Parish Health Ministry provides a continuum of care, especially for the underserved populations, through an ongoing partnership with Associated Catholic Charities in collaboration with the Diocese of Galveston-Houston. Wee See Program offers eye examinations and corrective glasses to children who are financially or medically indigent. Parish Nurse/Health Ministry Program offers assistance in starting church based programs with a focus on wellness and healthy living. The Gabriel Project is a parish-based crisis pregnancy program for the Diocese of Galveston-Houston. The parish places the "Sign of Life" on the parish grounds, which invites any pregnant woman to seek all the help she needs from the parish and its associated services. The mother attends the Gabriel Project at the parish where she lives. The VIP program is designed to meet some of the needs of senior adults. The focus is on improved health and health education. Low impact aerobic and chair exercises are offered at no cost to the participants. Health education programs are offered six times per year. The program coordinator hosts the AARP Defensive Driving course every other month. Other programs of interest will be offered based on input of the members. The Breath of Life Children's Center clinic administers healthcare to vulnerable children in the West Houston and Katy areas. Currently, The Breath of Life Children's Center clinic serves children and their families through its two divisions: Prevention and Acute Sick Care services. Collaborative partners include the American Cancer Society, the Archdiocese of Galveston-Houston, and local church members. CHRISTUS Literacy Center is a collaborative initiative established among CHRISTUS Health Gulf Coast, the Archdiocese of Galveston-Houston and the Dominican Sisters of the Sacred Heart. The Literacy Center provides English as a secondary language (ESL) classes which enhance language and writing skills to aid individuals who are not proficient in English. The classes help attendees enhance pronunciation, vocabulary, reading, and writing skills. The Center provided 1,595 literacy classes. CHRISTUS Our Daily Bread is a ministry of CHRISTUS Health Gulf Coast which serves as a respite for the homeless and those who are chemically dependent and/or experience mental/psychiatric disorders. The Center serves approximately 2,700 clients per month by providing meals, clothing, hygiene, counseling and referrals services. Our Daily Bread serves all clients with respect and dignity in a matter befitting one of God's very own. Some examples of CHRISTUS Health Community Benefits accounted for under Community Services for the poor and underserved include the CHRISTUS Community Direct Investment Program (CDI) and the CHRISTUS Fund. The CHRISTUS Board of Directors approved the funding of a CDI loan program to ensure that the work of social accountability and moral and ethical stewardship continues in spite of challenging fiscal conditions faced by the local operating entities. The purpose of the CDI program is to support community-driven initiatives primarily for affordable housing and economic development by providing financing at below-market interest rates to not-for-profit organizations at terms not exceeding more than five years. The income that would have been earned at the market rate less our loan rate (foregone income) is considered a community benefit for reporting purposes. The costs of this program are not included in the Program Service Expenses for CHRISTUS Health Gulf Coast. Though outstanding loan balances vary throughout the year, the outstanding loan balance at the end of Fiscal Year 2011 was $1,117,836. The foregone interest for CHRISTUS Gulf Coast in FY2011 was $26,816. CHRISTUS Health established the CHRISTUS Fund to provide resources to not-for-profit agencies and groups whose vision, mission and goals are consistent with CHRISTUS Health's mission, values and philosophy of a healthy community. We believe that by working together, we can make a profound difference in the quality of peoples' lives and create sustainable health in our communities. During FY2011, the total grant money distributed to the Gulf Coast region was $210,000. The cost of these grants is not included in the Program Service Expenses for CHRISTUS Health Gulf Coast. TOTAL PROGRAM SERVICE EXPENSE = $64,299,166 GRANTS = $50,844,460 TOTAL PROGRAM SERVICE REVENUE = $0 Description of Other Program Services Form 990, Part III, Line 4d COMMUNITY SERVICES FOR THE BROADER COMMUNITY The greatest share of these expenses is spent educating health professionals. Helping to prepare future health care professionals is a distinguishing characteristic of not-for-profit health care and constitutes a significant community benefit. CHRISTUS Health also uses cash donations as a vehicle to help our communities. We make 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, cleft lip and palate repair, HIV/AIDS and for many other equally worthy purposes. During FY2011, 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. Program Service Expense = $350,382 Grants = $154,149 Program Service Revenue = $0
Description of Classes of Members or Stockholders	Form 990, Part VI, Line 6	CHRISTUS Health is the sole corporate member of the filing organization.
Descriptions of Classes of Persons and the Nature of Their Rights	Form 990, Part VI, Line 7a	Christus Health, the sole corporate member of the filing organization, has the power to appoint all members of the filing organization's governing body. Decisions of the governing body subject to approval by member Form 990, Part VI, Line 7b Christus Health's Board of Directors has the following powers: approve, change and/or interpret the filing organization's philosophy, mission and vision; approve the adoption or amendment of the filing organization's articles of incorporation and bylaws; appoint and remove members of the filing organization's board of directors; appoint and remove the filing organization's chair of the board of directors and vice chairperson of board of directors; approve incurrence of debt that exceeds $5 million per incurrence or $25 million annually; approve any merger, consolidation, acquisition, dissolution or liquidation by the filing organization; approve the implementation of system-wide policies for the filing organization; approve system-wide consolidated budget and performance indicators for the filing organization; approve the independent audit reports of the filing organization; approve capital projects greater than $10 million for the filing organization; approve any transaction by the filing organization the effect of which is to create a new legal entity or joint venture, any transaction involving a system participant or local entity which creates a new legal entity or joint venture, or changes in business purpose or relationship of any local entity; and approve and authorize actions reserved in organization documents or similar governance documents. The Christus Health CEO has the following powers: power to appoint and remove the President of the filing organization; approve the sale, lease, mortgage, transfer, easement or encumbrance of the filing organization's real property designated as non-Designated Ministry Property under $5 million but more than $1 million; approve the incurrence of debt up to a $5 million cap or $25 million annually by the filing organization; approve strategic plans of the filing organization; approve the filing organization's budget; set the threshold of capital projects less than $10 million by the filing organization; and approve management directives for the filing organization. The Christus Health Members are the Congregation of Sisters of Charity of the Incarnate Word, Houston, Texas and the Congregation of Sisters of Charity of the Incarnate Word (of San Antonio). The Christus Health Members have the following powers: approve the adoption and amendment of articles of incorporation and bylaws of the filing organization if the change is related to reserved powers of members; approve the sale, lease, mortgage, transfer, easement or encumbrance of real property in excess of a $5 million threshold dollar amount required by canon law for the filing organization; approve the sale, lease, mortgage, transfer, easement, or encumbrance of real property designated as Designated Ministry Property by the filing organization, but not in excess of $5 million; approve the change of ownership, management or control, (except in the ordinary course of business office and space leases) the fundamental use by change in license that would significantly change a facility, or the elimination of OB, Ped, Psych or emergency services on real property provided in connection with Designated Ministry Property owned by the filing organization; and approve the merger, consolidation, acquisition, dissolution or liquidation of the filing organization if it owns Designated Ministry Property.
Process used to Review Form 990	Form 990, Part VI, Line 11B	The Form 990 is prepared and reviewed by the organization's external independent accountants. The CHRISTUS Health Accounting department works with an external accounting firm in preparation and review of the Form 990. The filing organization's CFO, or other designee, reviews the Form 990. The final Form 990 that will be filed with the IRS is posted to a secure internet portal for all members of the Board of Directors to view. Review of the final Form 990 occurs prior to filing with the IRS in the Spring of 2012 via a web portal polling tool by the respective CHRISTUS Organization's board, based on a set of suggested review processes developed by CHRISTUS Health.
Description of Process to monitor transactions for conflict of interest	Form 990, Part VI, Line 12c	At the end of each calendar year, the CHRISTUS Health Corporate Secretary distributes a conflict of interest questionnaire to all of the organization's Board and Committee members for completion prior to the 1st of January in the next year. The Corporate Secretary thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. The organization's Board of Directors is responsible for enforcement of the conflict of interest policy of the organization.
Compensation Determination Process	Form 990, Part VI, Lines 15a & 15b	The Executive Compensation Committee of CHRISTUS Health determines the compensation of the CEO (or Executive Director, as applicable), officers and key employees of Christus Health and certain other officers and key employees of related organizations INCLUDING CHRISTUS HEALTH GULF COAST. The Executive Compensation Committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The Executive Compensation Committee of the CHRISTUS Health Board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. develops the merit increase recommendations for all Designated System Executives based on market comparability. 2. recommends the changes in the Compensation Structure (grades) based on the market changes. 3. completes a review and evaluation of newly created positions to recommend a grade placement to the Committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other Designated System Executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the Committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the Executive Compensation Committee makes final compensation decisions. Additionally, the Executive Compensation Committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the Committee are documented and formalized in the Committee minutes and maintained on record. A related organization determined the compensation of Secretary, Erick Smith, by use of surveys, taking into account market data and shift differential. Based on the aforementioned procedure, Secretary Erick Smith's compensation was not reviewed by a compensation committee. Effective 11/12/10, the filing organization began determining the compensation of Diana Smith, the Corporate Secretary effective 11/12/10, 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 on 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, Line 18	CHRISTUS Health and most of its affiliated entities do not have Forms 1023 because of their inclusion in the IRS Group Ruling with the United States Conference of Catholic Bishops, which covers the organizations listed in the Annual Official Catholic Directory. CHRISTUS Health's website displays the IRS Group Ruling and relevant Annual Official Catholic Directory pages for the organizations related to CHRISTUS Health. Forms 990 and 990-T are made available upon request.
Avail of gov docs, conflict of interest policy and fin stmts to public	Form 990, Part VI, Line 19	The Consolidated Audited Financial Statements of CHRISTUS Health are made available to the public via the Christus Health website. The organization's governing documents and conflict of interest policy are not made available to the public.
Hours worked for Related Organization	Form 990, Part VII, Section A	Average hours per week listed on Form 990, Part VII, Section A are the average hours devoted to the respective person's position while serving the organization. Ellen Jones devotes an average of 24 hours per week to Christus Health Southeast Texas, a related organization of the filing entity. Ellen is the President/CEO of Christus Health Southeast Texas. Ellen Jones devotes an average of 2 hours per week to CHRISTUS Foundation for Healthcare, a related organization of the filing entity. Ellen is a director of CHRISTUS Foundation for Healthcare. Bill Hecht devotes an average of 24 hours per week to Christus Health Southeast Texas, a related organization of the filing entity. Bill is the Chief Financial Officer of Christus Health Southeast Texas. Tom Permetti devotes an average of 16 hours per week to Christus Health Southeast Texas, a related organization of the filing entity. Tom is the Regional Chief Operating Officer/Administrator of Christus Health Southeast Texas. Pearl Mohnkern was termed as the Vice President of Human Resources of CHRISTUS Health Gulf Coast as of 6/19/10. The average hours per week devoted to her position at Gulf Coast and reported on Part VII, Section A is 0 because such hours are reported for the fiscal year ending 6/30/11. Through 12/31/10, Pearl Mohnkern devoted an average of 40 hours per week to Christus Continuing Care, a related organization of the filing entity. Pearl was the Vice President of Human Resources of Christus Continuing Care. Effective 1/1/11, Pearl Mohnkern devotes an average of 40 hours per week to St. Vincent Hospital, a related organization of the filing entity, Pearl is the Vice President of Human Resources of St. Vincent Hospital. Charles Foster devotes an average of 24 hours per week to Christus Health Southeast Texas, a related organization of the filing entity. Charles is the Vice President of Human Resources of Christus Health Southeast Texas. Healther Boler devotes an average of 24 hours per week to Christus Health Southeast Texas, a related organization of the filing entity. Heather is the Vice President of Strategy, Business Development, Marketing/Communications of Christus Health Southeast Texas. Michael Sullivan devotes an average of 20 hours per week to Christus Continuing Care, a related organization of the filing entity. Michael is the Vice President of Mission and Organizational Ethics of Christus Continuing Care. Through 11/12/10, M. Erick Smith devoted an average of 37 hours per week to Christus Continuing Care, a related organization of the filing entity. Effective 11/13/10, M. Erick Smith devotes an average of 40 hours per week to Christus Continuing Care, a related organization of the filing entity. M. Erick Smith is the Assistant Corporate Secretary and the Executive Administrative Assistant of Christus Continuing Care. Through 2/27/10, Pat Carrier devoted an average of 24 hours to CHRISTUS Health Gulf Coast. Through 2/27/10, Pat was the President/CEO of CHRISTUS Health Gulf Coast. Through 2/27/10, Pat Carrier devoted an average of 16 hours to CHRISTUS Continuing Care, a related organization of the filing entity. Pat was the President/CEO of CHRISTUS Continuing Care. Effective 2/28/10, Pat Carrier devotes an average of 40 hours per week to CHRISTUS Santa Rosa Health Care Corporation, a related organization of the filing entity. Pat is the President/CEO of CHRISTUS Santa Rosa Health Care Corporation.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	Pension Liability/Expense = ($12,624,109) Pension Funding = $32,981,789 Transfer out of Net Assets = ($9,981) Cleared Interco Pension Accounts = ($20,217,996) In Kind Rent Revenue from Foundation = $156,475 In Kind Rent Expense from Foundation = ($156,475) Other In Kind Rent Revenue from Organizations = $640,125 Miscellaneous Adjustment = $7 Total = $769,835

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Christus Health Gulf Coast

Employer identification number

76-0591592

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 75-2796815	HLTHCARE SVC	TX	501(C)(3)	3	CH
(2) CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100A HOUSTON,TX77027 74-2898615	HLTHCARE SVC	TX	501(C)(3)	3	CH
(3) CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON,TX77027 76-0422435	HLTHCARE SVC	TX	501(C)(3)	11-TYPE 1	CH
(4) ST JOSEPH COMMUNITY FOUNDATION 2800 LAMAR AVE CAPITAL ONE 2ND F PARIS,TX75460 42-1619230	SUPT HLTH SV	TX	501(C)(3)	11-TYPE 1	CH
(5) CHRISTUS STEHLIN FND FOR CANCER RESEARCH 10301 STELLA LINK SUITE A HOUSTON,TX77025 74-1622404	CANCER RSCH	TX	501(C)(3)	9	CH
(6) DUBUIS HEALTH SYSTEM INC 1700 WEST LOOP SOUTH STE 1100A HOUSTON,TX77027 72-1270964	Hlthcare Svc	TX	501(C)(3)	3	CH
(7) CHRISTUS HEALTH FOUNDATION 2707 NORTH LOOP WEST HOUSTON,TX77008 61-1500100	SUPT HLTH SVC	TX	501(C)(3)	11-TYPE 1	CH
(8) CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA,LA71301 72-0408984	HLTHCARE SVC	LA	501(C)(3)	3	CH
(9) CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT,LA71101 72-0408982	HLTHCARE SVC	LA	501(C)(3)	3	CH
(10) CHRISTUS SPOHN HEALTH SYSTEM CORP 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1109836	HLTHCARE SVC	TX	501(C)(3)	3	CH
(11) CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER BEAUMONT,TX77726 76-0591590	HLTHCARE SVC	TX	501(C)(3)	3	CH
(12) CHRISTUS Health 2707 NORTH LOOP WEST HOUSTON,TX77008 76-0590551	SUPT HLTH SVC	TX	501(C)(3)	11 - Type I	NA
(13) CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-1109665	HLTHCARE SVC	TX	501(C)(3)	3	CH
(14) CHRISTUS HEALTH UTAH 2707 NORTH LOOP WEST HOUSTON,TX77008 87-0231682	HLTHCARE SVC	UT	501(C)(3)	9	CH
(15) CHRISTUS Health Southwestern Louisiana 524 Dr Michael Debakey Drive Lake Charles,LA70601 72-0411322	HLTHCARE SVC	LA	501(C)(3)	3	CH
(16) Christus Health Liability Retention Trst 2707 North Loop West Houston,TX77008 76-0259623	SELF INS TRST	TX	501(C)(3)	11-TYPE 1	CH
(17) Christus Foundation for Healthcare PO Box 1919 Houston,TX77251 74-6074210	SUPT HLTH SVC	TX	501(C)(3)	7	GULF COAST

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) WEST HOUSTON REAL ESTATE DEVELOPMENT 1700 WEST LOOP SOUTH 1200 HOUSTON,TX77027 26-2330994	HEALTHCARE SRVCS	TX	NA	INVESTMENT	346	8,534,147		No	0		No	73.958 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) HOUSTON METROPOLITAN HEALTH NETWORK 1700 WEST LOOP SOUTH SUITE 400A HOUSTON,TX77027 76-0427193	HLTHCARE SVC	TX	NA	C Corp	99,326	331,900	100.000 %
(2) CHRISTUS MUGUERZA SAPI DE CV Hidalgo PTE 2525 Col. Obispado, Monterrey,N.L.64060 MX	HEALTHCARE SR	MX	CH	C Corp
(3) EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN,CAYMAN ISLANDSKY1-1102 CJ 98-0407545	INSURANCE	CJ	CH	C CORP

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) CHRISTUS FOUNDATION FOR HEALTHCARE	C	1,942,644
(2) CHRISTUS FOUNDATION FOR HEALTHCARE	N	679,960
(3) CHRISTUS FOUNDATION FOR HEALTHCARE	P	98,674
(4) CHRISTUS HEALTH SOUTHEAST TEXAS	N	1,060,849
(5) CHRISTUS HEALTH SOUTHEAST TEXAS	O	88,317
(6) CHRISTUS HEALTH SOUTHEAST TEXAS	P	677,522
(7) CH WILKINSON PHYSICIAN NETWORK	A	15,774
(8) CH WILKINSON PHYSICIAN NETWORK	L	116,330
(9) HOUSTON METROPOLITAN HEALTH NETWORK	N	95,598
(10) CHRISTUS HEALTH LIABILITY RETENTION TRUST	O	186,456

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Supporting the health care ministries of the Sponsoring Congregations in extending the healing ministry of Jesus Christ in conformity with the ethical and moral teachings of the Roman Catholic Church.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1,892
6	Total number of volunteers (estimate if necessary) ....	6	199
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,809,652
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	10,096,150	2,025,354
9	Program service revenue (Part VIII, line 2g) .........	275,282,175	286,966,764
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	216,613	-139,286
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,592,819	2,943,990
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	294,187,757	291,796,822
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	46,612,573	50,998,609
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	90,407,494	92,845,068
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 47,837
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	118,688,993	125,845,645
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	255,709,060	269,689,322
19	Revenue less expenses. Subtract line 18 from line 12......	38,478,697	22,107,500
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	316,964,698	329,402,218
21	Total liabilities (Part X, line 26)............	131,961,894	121,522,079
22	Net assets or fund balances. Subtract line 21 from line 20 .....	185,002,804	207,880,139

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 65,701,514 including grants of $ 0 ) (Revenue $ 125,879,997 )
	COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS Health Gulf Coast is part of CHRISTUS Health, formed in 1999 to strengthen the 146-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 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. CHRISTUS Health Gulf Coast responds to the health care needs through services provided at CHRISTUS St. Catherine Hospital, a 102-bed hospital in Katy, Texas, CHRISTUS St. John Hospital, a 178-bed hospital in Nassau Bay, Texas, and various clinics and outreach programs. Each of the facilities of CHRISTUS Health Gulf Coast shares one objective -- which is to lead the way to a healthier community. CHRISTUS Health Gulf Coast services several counties to the west and southeast of Houston. This area of the Texas Gulf Coast comprises a population of more than 5.8 million. In our 2011 Fiscal Year alone, we were privileged to serve hundreds of thousands of individuals in various ways including 57,012 visits to our Emergency Department; 2,733 inpatient surgery procedures, 8,750 outpatient surgery procedures; 12,566 patients who were admitted to our hospitals for care and 194,022 patients who received outpatient care at our facilities. Touching the lives of the people around us is what makes CHRISTUS Health Gulf Coast stand apart. Allowing others to touch us gives us 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 Gulf Coast'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 Gulf Coast's various entities have strengthened their roles as major providers of comprehensive and accessible health care services. These partnerships with the community have been a blessing by helping CHRISTUS Health Gulf Coast further care for those in need. Furthermore, investment in community services would not be possible without dedicated employees and volunteers. They help to build strong relationships between the hospitals and other health care ministries and the communities, nurturing CHRISTUS' mission to meet the needs and make a difference in the lives of others. Our employees work both inside and outside the walls of our health care facilities and are committed to reaching beyond the traditional hospital walls to help our communities maintain good health. Understanding the need to provide access to health care to as much of the public as possible, CHRISTUS Health participates in government-sponsored health care programs, including Medicaid, Medicare, CHAMPUS, TRICARE and others. In addition, we have specific programs that provide discounted services to those in need who do not have medical insurance or who do not participate in government-sponsored programs. CHRISTUS Health Gulf Coast provides a full range of inpatient and outpatient services to the people in the communities it serves. It conducts its activities and serves its health care purpose without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. CHRISTUS St. Catherine Hospital in Katy offers a broad spectrum of adult and pediatric medical and surgical care with the latest technology, including an urgent care center, birthing suites, newborn and Level II neonatal intensive care nurseries, inpatient and outpatient surgery, diagnostic imaging and cardiology services. CHRISTUS St. John Hospital in Nassau Bay offers comprehensive medical services in cardiology, oncology, intensive care, diagnostic imaging, gynecology, pediatrics, advanced laparoscopic procedures, cancer treatment, cardiovascular, sports medicine and vascular specialties. CHRISTUS St. Catherine Hospital and CHRISTUS St. John Hospital each provide services in 24-hour Emergency Departments that are open to all those in need of emergent care, regardless of their ability to pay. CHRISTUS Health Gulf Coast also supports many local community health services, including mobile clinic services, the CHRISTUS Literacy Center and CHRISTUS Our Daily Bread in Galveston, as well as other various clinics for the underserved in Houston, Katy and Dickinson, and thirteen school-based clinics. 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 it serves guides CHRISTUS Health Gulf Coast. 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.

4b	(Code: ) (Expenses $ 19,220,033 including grants of $ 0 ) (Revenue $ 88,457,078 )
	COMMUNITY 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 healthcare services to those persons who are unable to pay. Charity Care falls into two categories: Charity Care and Unpaid Government Indigent Care. In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Health Gulf Coast 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 the established eligibility criteria. For uninsured patients whose economic circumstances place them at or under 200 percent of the Federal Poverty Guidelines (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. No patient is refused necessary medical care due to inability to pay. CHRISTUS Health facilities provide other Charity Care by funding or otherwise financially supporting health care services provided to financially indigent patients through other nonprofit or public outpatient clinics, hospitals or health care organizations. CHRISTUS Health is an active participant in the States of Texas, New Mexico and Louisiana Medicaid Programs. Those programs seek to provide payment for health care services to individuals who meet certain financial and other requirements. Financial requirements include evaluation of both assets and income.

4c	(Code: ) (Expenses $ 82,150,630 including grants of $ 0 ) (Revenue $ 72,629,689 )
	OTHER GOVERNMENT SPONSORED SERVICES In addition to the provision of Charity Care and other community services, CHRISTUS Health provides services to persons covered under government-sponsored programs, including Medicare, DOD and TRICARE. The non-reimbursed costs of these services are reported to the State of Texas but are not included in reports prepared following Catholic Health Association guidelines. CHRISTUS Health provides services to persons covered under the federal Medicare Program, and in fact, this is the largest single payor classification of patients served by this health system. The payment rate for inpatient services is on a "per case" rate, calculated based on the diagnostic-related group (DRG) into which the patient is categorized. Outpatient services are reimbursed by Medicare based on a fee schedule. CHRISTUS Health dba US Family Health Plan also provides the uniform medical benefit for 9,976 military family members under contract with the Department of Defense. Under this program, comprehensive medical services are provided to families of active duty military personnel and to retirees and their families in all age categories, including those over age 65. CHRISTUS Health also participates in the TRICARE standard program and many of our hospitals contract with the Managed Care Support Contractor for the South Region to provide services under the provision of TRICARE Prime.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 64,649,548 including grants of $ 50,998,609 ) (Revenue $ 0 )
4e	Total program service expenses$ 231,721,725

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,968,348	2,185,969	1,122,149

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,965,006
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		60,348
g	Noncash contributions included in lines 1a-1f:$ 34,985
h	Total. Add lines 1a-1f.......			2,025,354
			Business Code
2a	Net Patient Service Revenue		621,990	286,288,751	286,105,964	182,787
b	Rent Related to Exempt Function		531,120	334,348	334,348
c	PHYSICIAN INTEREST INCOME		900,099	157,366	157,366
d	Wellness Center		713,940	124,619	124,619
e	Live Well Women's Conference		900,099	46,286	46,286
f	All other program service revenue .			15,394	15,394
g	Total. Add lines 2a–2f........			286,966,764
3	Investment income (including dividends, interest
	and other similar amounts).....			5,052			5,052
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents	120
b	Less: rental expenses
c	Rental income or (loss)	120
d	Net rental income or (loss).......			120			120
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		3,500
b	Less: cost or other basis and sales expenses		147,838
c	Gain or (loss)		-144,338
d	Net gain or (loss)..........			-144,338			-144,338
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	MD Anderson Rental		900,002	1,626,865		1,626,865
b	Food Service		722,210	650,587			650,587
c	Athletic Training Revenue		900,009	300,000			300,000
d	All other revenue ....			366,418			366,418
e	Total. Add lines 11a–11d ......			2,943,870
12	Total revenue. See Instructions....			291,796,822	286,783,977	1,809,652	1,177,839


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			88,005,512	1	105,322,839
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			24,813,111	4	33,005,613
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			5,785,123	7	2,619,680
8	Inventories for sale or use ..............			5,050,449	8	4,784,212
9	Prepaid expenses and deferred charges ............			916,139	9	602,289
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	305,497,059
b	Less: accumulated depreciation. .....	10b	138,465,272	178,616,620	10c	167,031,787
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			8,875,000	13	8,875,000
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			4,902,744	15	7,160,798
16	Total assets. Add lines 1 through 15 (must equal line 34)...			316,964,698	16	329,402,218
17	Accounts payable and accrued expenses .			16,280,432	17	17,019,124
18	Grants payable ..........				18
19	Deferred revenue ..........			1,153,331	19	1,083,226
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....			37,571,435	24	33,900,277
25	Other liabilities. Complete Part X of Schedule D.....			76,956,696	25	69,519,452
26	Total liabilities. Add lines 17 through 25.....			131,961,894	26	121,522,079
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			182,702,712	27	205,528,728
28	Temporarily restricted net assets .....			2,300,092	28	2,351,411
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			185,002,804	33	207,880,139
34	Total liabilities and net assets/fund balances .....			316,964,698	34	329,402,218