Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014
BCheck if applicable:
CName of organization
CHRISTUS HEALTH
 
Doing Business As
SEE SCHEDULE O
 
Number and street (or P.O. box if mail is not delivered to street address)
919 Hidden Ridge Drive
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Irving, TX75038
D Employer identification number

76-0590551
E Telephone number

G Gross receipts $ 1,557,959,571
F Name and address of principal officer:
Ernie Sadau
919 HIDDEN RIDGE DRIVE
Irving,TX75038
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.christushealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1999
M State of legal domicile: TX
Part I
Summary
Activities & Governance 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 ROMAN CATHOLIC CHURCH.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 2,490
6 Total number of volunteers (estimate if necessary) ............. 6 250
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 8,629,315
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 3,054,553
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 584,899,633 608,139,426
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 49,039,925 55,556,080
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12,902,962 9,714,396
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 646,842,520 673,409,902
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 9,122,043 6,159,229
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) 115,829,611 256,599,132
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 397,373,825 385,285,984
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 522,325,479 648,044,345
19 Revenue less expenses. Subtract line 18 from line 12....... 124,517,041 25,365,557
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,696,321,439 2,312,245,452
21 Total liabilities (Part X, line 26)............. 2,515,045,098 2,226,558,149
22 Net assets or fund balances. Subtract line 21 from line 20..... 181,276,341 85,687,303
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 128,275,916 including grants of $ 2,374,550 ) (Revenue $ 459,235,385 )
COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 TO STRENGTHEN THE 149 YEAR-OLD FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED WITH THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS HEALTH REACHES OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN MORE THAN 350 FACILITIES, INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S. AND CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS, CHILE, POTOSI AND TAMAULIPAS IN MEXICO. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 13,500,000. IN FISCAL YEAR 2014 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 741,535 VISITS TO OUR EMERGENCY DEPARTMENTS; 36,214 INPATIENT SURGERY PROCEDURES; 76,977 OUTPATIENT SURGERY PROCEDURES; 149,714 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 3,059,240 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. IN ADDITION, MANY OF OUR HOSPITALS ARE ENGAGED IN RESEARCH AND CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.
4b (Code:   ) (Expenses $ 296,038,527 including grants of $ 0 ) (Revenue $ 148,904,041 )
OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 11,339 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.
4c (Code:   ) (Expenses $ 3,141,637 including grants of $ 2,809,741 ) (Revenue $ 0 )
COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2014, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE.
4d Other program services (Describe in Schedule O.)
(Expenses $ 1,023,500 including grants of $ 974,938 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet428,479,580
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
2,270
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,490
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ , MX , CI
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletKIM REYNOLDS919 HIDDEN RIDGE DRIVEIRVINGTX75038 (469) 282-2103
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) RICHARD L CLARKE........................................................................
CHAIRPERSON
 1.0
.......................0.0 		X   X       25,880    
(2) DENNIS N STINE........................................................................
VICE CHAIRPERSON
 1.0
.......................0.0 		X   X       19,947    
(3) SISTER CELESTE TRAHAN CCVI........................................................................
Director
 1.0
.......................0.0 		X                
(4) PHYLLIS COWLING........................................................................
Director
 1.0
.......................0.0 		X           1,080    
(5) FATHER CHARLES E BOUCHARD........................................................................
Director
 1.0
.......................0.0 		X                
(6) KENNETH D WELLS MD........................................................................
Director
 1.0
.......................0.0 		X           17,647    
(7) PATRICIO DONOSO IBANEZ........................................................................
Director
 1.0
.......................0.0 		X           8,136    
(8) SISTER WALTER MAHER CCVI........................................................................
Director
 1.0
.......................0.0 		X                
(9) SISTER HANNAH O'DONOGHUE CCVI........................................................................
Director
 1.0
.......................0.0 		X                
(10) CHERYL ALSTON........................................................................
Director
 1.0
.......................0.0 		X           12,989    
(11) GEORGE BO-LINN MD........................................................................
Director
 1.0
.......................0.0 		X           9,768    
(12) J LYNN BRITTON........................................................................
Director
 1.0
.......................0.0 		X           12,213    
(13) CLARENCE R WILLIAMS........................................................................
Director
 1.0
.......................0.0 		X           8,663    
(14) MARICELA S MOORE........................................................................
Director
 1.0
.......................0.0 		X           8,445    
(15) ARTHUR M SOUTHAM MD........................................................................
Director
 1.0
.......................0.0 		X           881    
(16) ERNIE W SADAU........................................................................
Ex Officio
 38.0
.......................2.0 		X   X       2,181,155 0 639,120
(17) SISTER KATHLEEN COUGLIN CCVI........................................................................
Director
 1.0
.......................0.0 		X                
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Randy Safady........................................................................
Sr VP/ Chief Financial Officer
 39.0
.......................1.0 		    X       1,332,299 0 421,330
(19) PATRICIA NOBLES........................................................................
CORP SECRETARY
 32.0
.......................8.0 		    X       171,864 0 47,123
(20) George S Conklin........................................................................
SR VP Chief Infor Officer
 39.0
.......................1.0 		      X     777,776 0 281,517
(21) John Gillean MD........................................................................
SR VP Chief Medical Officer
 39.0
.......................1.0 		      X     1,157,068   347,453
(22) Gerard F Heeley........................................................................
Sr VP Mission and Ethics
 39.0
.......................1.0 		      X     590,576 0 238,558
(23) Mary T Lynch........................................................................
Sr VP Chief Governance
 40.0
.......................0.0 		      X     935,268 0 206,552
(24) Linda K McClung........................................................................
SR VP/ops/corp stg mrkt svcs
 39.0
.......................1.0 		      X     899,114 0 302,712
(25) Paul Generale........................................................................
SR VP Senior Finance Officer
 39.0
.......................1.0 		      X     811,900 0 102,108
(26) Jeffrey M Puckett........................................................................
corp VP/Mng'd Care Bus Adv/Dev
 39.0
.......................1.0 		      X     1,235,470   340,834
(27) Eugene Woods........................................................................
Sr VP Chief Operating Officer
 39.0
.......................1.0 		      X     1,358,976 0 505,671
(28) ALEX J VALDEZ........................................................................
VP, INTERNATIONAL
 40.0
.......................0.0 		      X     578,105 0 203,982
(29) JOHN L ZIPPRICH........................................................................
SR VP INT OP LGL
 40.0
.......................0.0 		      X     529,542 0 46,921
(30) MARSHALL BOLYARD........................................................................
EXECUTIVE DIRECTOR USFHP
 39.0
.......................1.0 		      X     181,595 0 0
(31) PAMELA ROBERTSON........................................................................
President-CEO CHRISTUS Spohn
 1.0
.......................39.0 		        X   0 957,849 266,532
(32) PATRICK CARRIER........................................................................
President-CEO CSRHS
 1.0
.......................39.0 		        X   0 847,179 409,493
(33) STEPHEN WRIGHT........................................................................
President-CEO LA Ministries
 1.0
.......................39.0 		        X   0 827,637 242,379
(34) ALEJANDRO CANAVATI........................................................................
Chief Executive Officer UC CHR
 1.0
.......................39.0 		        X   820,144 0 112,810
(35) CHRISTOPHER KARAM........................................................................
President-CEO ALT-Cont Care
 1.0
.......................39.0 		        X   0 666,769 227,752
(36) JAY S HERRON........................................................................
SVP Chief Financial Officer
 0.0
.......................0.0 		          X 140,412 0 0
(37) PETER MADDOX........................................................................
SVP Business, stgy & corp Dev
 0.0
.......................0.0 		          X 222,045 0 139,053
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 14,048,958 3,299,434 5,081,900
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet321
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CREST SERVICES INC, SUPPORT TECH SVC INCCOPPELLTX75019 Clinical & Tech SVCS 36,095,787
PRICEWATERHOUSECOOPERS LLP, 3109 W DR MLK JR BLVDTAMPAFL33607 BUSINESS SVCS 6,919,361
THE VIA GROUP INC, 2610 TECHNOLOGY FOREST BOULEVARDTHE WOODLANDSTX77381 TECHNOLOGY SVCS 5,862,661
MEDASSETS NET REVENUE SYSTEMS LLC, PO BOX 405652ATLANTAGA303845652 REVENUE CYCLE SVCS 5,543,067
PROTIVITI INC, 5720 STONERIDGE DRIVEPLEASANTONCA94588 BUSINESS SVCS 4,761,600
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet140
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service RevenueAmt Business Code
2a CAPITATION REVENUE 621400 144,713,489 144,713,489    
b SYSTEM OFFICE FEES AND MGMT SERVICE 561000 46,048,119 38,340,344 7,707,775  
c SERVICE FEE INCOME 541900 160,917,554 160,419,146 498,408  
d MEANINGFUL USE INCENTIVE PAYMENTS 900099 23,304,455 23,304,455    
e PREMIUM REVENUE 900099 158,110,658 158,110,658    
f All other program service revenue . 75,045,151 75,045,151    
g Total. Add lines 2a–2f........MediumBullet 608,139,426
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 21,836,386     21,836,386
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 869,407     869,407
(i) Real (ii) Personal
6a Gross rents 154,557  
b Less: rental expenses 0  
c Rental income or (loss) 154,557 0
d Net rental income or (loss).......MediumBullet 154,557     154,557
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 916,566,560  
b Less: cost or other basis and sales expenses 882,846,866  
c Gain or (loss) 33,719,694  
d Net gain or (loss)..........MediumBullet 33,719,694     33,719,694
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..MediumBullet 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...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a 5,045,514
b Less: cost of goods sold ..b 1,702,803
c Net income or (loss) from sales of inventory..MediumBullet 3,342,711     3,342,711
Miscellaneous Revenue Business Code
11a OTHER OPERATING REVENUE 900099 3,081,358     3,081,358
b SPA REVENUE 812900 368,993   368,993  
c FOOD SERVICE 722210 54,139   54,139  
d All other revenue .... 1,843,231     1,843,231
e Total. Add lines 11a–11d ...... MediumBullet 5,347,721
12 Total revenue. See Instructions......MediumBullet 673,409,902 599,933,243 8,629,315 64,847,344
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 6,159,229 6,159,229
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 .... 19,313,360 4,948,878 14,364,482  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 181,228 46,438 134,790  
7 Other salaries and wages 127,758,487 32,736,984 95,021,503  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... -33,581,946 1,083,536 -34,665,482  
9 Other employee benefits ....... 134,397,863 122,137,996 12,259,867  
10 Payroll taxes ........... 8,530,140 2,570,518 5,959,622  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 3,550,620 223,689 3,326,931  
c Accounting ........... -702,680   -702,680  
d Lobbying ........... 1,048,110   1,048,110  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 3,648,411   3,648,411  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 246,293,322 210,667,696 35,625,626  
12 Advertising and promotion .... 2,585,634 1,688 2,583,946  
13 Office expenses ....... 21,771,223 16,957,432 4,813,791  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 19,430,170 10,708,999 8,721,171  
17 Travel ............ 6,713,162 784,410 5,928,752  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 3,073,782 220,715 2,853,067  
20 Interest ........... 29,627,029   29,627,029  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 9,655,467 4,335,080 5,320,387 0
23 Insurance .............. 7,725,864 7,260,042 465,822  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a SWAP FINANCING COST 14,989,359   14,989,359  
b FOREIGN INCOME TAX 3,757,141   3,757,141  
c DUES/MEMBERSHIPS/SUBSCRIP 2,450,541 381,702 2,068,839  
d RECRUITMENT/PLACEMENT FEES 2,221,983 261,374 1,960,609 0
e All other expenses 7,446,846 6,993,174 453,672  
25 Total functional expenses. Add lines 1 through 24e 648,044,345 428,479,580 219,564,765 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 2,703,843 1 98,769,800
2 Savings and temporary cash investments ......... 10,620,547 2 0
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 10,028,157 4 1,973,390
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 915,381,902 7 767,763,402
8 Inventories for sale or use .............. 801,466 8 970,215
9 Prepaid expenses and deferred charges .......... 48,874,861 9 42,323,736
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 137,896,785
b Less: accumulated depreciation ..... 10b 60,287,685 92,511,395 10c 77,609,100
11 Investments—publicly traded securities .......... 988,700,512 11 650,167,226
12 Investments—other securities. See Part IV, line 11 ..... 395,670,563 12 386,780,503
13 Investments—program-related. See Part IV, line 11 ..... 97,144,443 13 72,839,853
14 Intangible assets ............... 31,943,296 14 31,943,296
15 Other assets. See Part IV, line 11 ........... 101,940,454 15 181,104,931
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 2,696,321,439 16 2,312,245,452
Liabilities 17 Accounts payable and accrued expenses ......... 218,537,661 17 183,475,592
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 5,046,868 19 171,086
20 Tax-exempt bond liabilities ............. 1,120,636,992 20 908,093,993
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 1,170,823,577 25 1,134,817,478
26 Total liabilities. Add lines 17 through 25......... 2,515,045,098 26 2,226,558,149
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 179,919,437 27 84,330,344
28 Temporarily restricted net assets ........... 154,499 28 154,554
29 Permanently restricted net assets ........... 1,202,405 29 1,202,405
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 181,276,341 33 85,687,303
34 Total liabilities and net assets/fund balances ........ 2,696,321,439 34 2,312,245,452
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
673,409,902
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
648,044,345
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
25,365,557
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
181,276,341
5
Net unrealized gains (losses) on investments ...............
5
56,103,801
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-177,058,396
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
85,687,303
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of 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)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (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 monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 101,308 257,890 3,016,026 0 0 3,375,224
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...... 161,364,314 151,666,161 208,487,936 195,922,267 177,893,713 895,334,391
3 Gross receipts from activities that are not an unrelated trade or business under section 513.. 4,294,072 4,434,502 4,736,260 6,936,597 5,045,514 25,446,945
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
6 Total. Add lines 1 through 5. 165,759,694 156,358,553 216,240,222 202,858,864 182,939,227 924,156,560
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
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.           0
c Add lines 7a and 7b..           0
8 Public support (Subtract line 7c from line 6.) 924,156,560
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6... 165,759,694 156,358,553 216,240,222 202,858,864 182,939,227 924,156,560
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 16,618,261 17,322,724 17,625,801 19,128,748 22,860,349 93,555,883
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 16,618,261 17,322,724 17,625,801 19,128,748 22,860,349 93,555,883
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) .. 3,075,838 140,525 171,489 6,309,554 4,924,589 14,621,995
13 Total support. (Add lines 9, 10c, 11, and 12.).. 185,453,793 173,821,802 234,037,512 228,297,166 210,724,165 1,032,334,438
14
Section C. Computation of Public Support Percentage
15
15
89.521 %
16
16
89.303 %
Section D. Computation of Investment Income Percentage
17
17
9.063 %
18
18
9.627 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


Software ID:  
Software Version:  
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.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ......................................

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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
7,500
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
201,181
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
839,429
j
Total. Add lines 1c through 1i ...............................
1,048,110
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Lobbying Description Part 1(b): Paid staff and management - with approximately five paid staff members for the CHRISTUS Health system that serve the Advocacy and Public and Policy department. The department represents the organization before state and federal legislative bodies and regulatory agencies. Part 1(d): Mailings to members and legislators through system-wide action alert for issues related to: Federal Emergency Funding for Humanitarian Crisis on Texas Border, 9/5/2013 Medicare Dependent Hospital (MDH) Program And The Low-Volume Hospital (LVH) Payment Adjustment The American Taxpayer Relief Act of 2012 HR8 (989 letters and faxes sent) 11/12/2013 DSH Cuts (H.R. 1920/S. 1555) (601 letters and faxes sent). A total of 1590 emails and faxes sent on behalf of CHRISTUS Health by employees as well as volunteers. 1 minute per letter/email. Part 1(g): Direct contact with legislators, their staffs, government officials and legislative bodies for issues related to: emails, letters and direct contact to members of congressional and state lawmakers in TX, LA, NM to discuss: draft report language in the House Armed Services Committee report on the National Defense Authorization Act for FY 2015, Disproportionate Share Hospital Funding, 1115 Waiver Medicaid Proposals, Medicare Dependent Hospital Designation, Medicaid Managed Care, Health Information Technology, Affordable Care Act and Navigator Rules, Federal Emergency Preparedness, Liquidity Coverage Ratio: Liquidity Risk Measurement, Standards, and Monitoring, Pharmaceutical 340B Safety-Net Hospital Program, School Based Health Clinics, Medicaid Expansion under the ACA, Union Negotiations, Military Health, State Hospital Reforms, VA Unreimbursed Claims, Services Related to Ethical and Religious Directives, and Non subscription as an alternative to Texas' Workers Compensation system. Total Hours - 456 executive/director Level, 40 Hours Associate Hours. Total Hours 18 Director. Part 1(i): Other Activity includes: Annual fee to CapWiz to administer action alert server hosting fee. Lobbying fees as portion to dues for trade associations including: American Hospital Association , Arkansas Hospital Association, Catholic Health Association, Children's Hospital Association of Texas, Louisiana Assisted Living Association, Louisiana Hospital Association, Louisiana Nursing Home Association, New Mexico Association, Texas Association Home Care, Texas Association Health Plans, Texas Alliance Patient Access Association, Texas Hospital Association, US Family Health Plan. In addition, paid lobbyists and consultants to support the issues described above. A PERCENTAGE OF THE DUES THAT CHRISTUS HEALTH PAYS TO TRADE ASSOCIATIONS IS ALLOCATED FOR PURPOSES OF LOBBYING ACTIVITIES. THIS AMOUNT IS THE AGGREGATE OF THE PERCENTAGE AND AMOUNT OF LOBBYING ACTIVITIES CONDUCTED THROUGH OUR TRADE ASSOCIATIONS ON BEHALF OF CHRISTUS HEALTH.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
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 ........    
5
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? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 $  
2
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 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   25,044,530 25,044,530
b Buildings ................   86,190,815 21,072,476 65,118,339
c Leasehold improvements ............   21,243,184 14,765,499 6,477,685
d Equipment ................   5,418,256 24,449,710 -19,031,454
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 77,609,100
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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    
(3)Other
(A) HEDGE FUNDS 		386,419,456 F

(B) MINERAL INTEREST 		361,047 F







Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 386,780,503
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DEFERRED ASSETS 35,590,064
(2) SVH RESTRICTED CAPITAL ACCOUNT 32,111,105
(3) SECURITY LENDING COLLATERAL 1,987,433
(4) SECURITIES PLEDGED TO OTHERS 1,846,074
(5) DEPOSITS 1,376,583
(6) NET AMORT BOND ISSUE COSTS -4,068,013
(7) BOND ISSUE COSTS 16,043,837
(8) CURRENT PTN ALATU PENSION FUND 986
(9) DUE FROM RELATED ORGS 96,216,862
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 181,104,931
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 256
CMS DUE RELATED ENTITIES 952,192,493
PAYABLE TO CCVI 3,394,338
LT SELF FUNDING LIABILITY 68,778,004
CAPITAL LEASE LIABILITY 8,695
LT PENSION LIABILITY 104,209,982
SECURITY LENDING AGREEMENT 1,988,663
OTHER TAXES PAYABLE 545,597
COLLECTIONS PAYABLE 3,699,450

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,134,817,478
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS FORM 990, PART X, LINE 1 AND 2 OTHER LIABILITIES, FORM 990, PART X, LINE 25 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V CHRISTUS HEALTH HAS A 50% INTEREST IN BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES SHOW ENDOWMENTS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS. THEREFORE, CHRISTUS HEALTH REPORTS 50% OF SUCH ENDOWMENTS ON ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HOWEVER, SUCH ENDOWMENTS ARE NOT REPORTED ON THE CHRISTUS HEALTH FORM 990, SCHEDULE D, PART V BECAUSE CHRISTUS HEALTH DOES NOT HAVE A CONTROLLING INTEREST OF BAPTIST ST. ANTHONY HEALTH SYSTEM AND ITS AFFILIATES, AND THEREFORE IT IS NOT A RELATED ORGANIZATION PER THE IRS FORM 990 INSTRUCTIONS.
UNCERTAIN TAX POSITIONS UNDER ASC 740 FORM 990, SCHEDULE D, PART X, Line 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2014 AND 2013.
Schedule D (Form 990) 2013

Additional Data


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Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
North America     Program Services Program/Bus Develop 16,931
Europe (Including Iceland and Greenland)     Program Services Program/Bus Develop 48,341
Central America and the Caribbean     Program Services Program/Bus Develop 9,306
South America     Program Services Program/Bus Develop 419,187
North America     Program Services INVESTMENTS - CAP CONT 3,500,000
Central America and the Caribbean     Program Services Investments-Book Value 216,654,036
Central America and the Caribbean     Program Services Investments 30,000,000
Central America and the Caribbean     Program Services Self Insurance Funding 28,540,453
Central America and the Caribbean     Program Services Investment-Book Value 119,393,760
South America     Program Services INVESTMENTS - CAP CONT 81,000,001
           
           
           
           
           
           
           
3a Sub-total .....     479,582,015
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     479,582,015
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Organization's Procedures for Monitoring Use of Grant Funds Outside the US FORM 990, SCHEDULE F, PART I, QUESTION 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO.0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. ORGANIZATIONS CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION, OR THE FOREIGN EQUIVALENT, AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


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Software Version:  



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
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number
76-0590551
Part I
General Information on Grants and Assistance
1
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? ....................................
2
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. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Catholic Charities East Texas
2780 Eastex FRWY
Beaumont,TX77703 		74-1900345 501(c)(3) 34,500       To provide service, quality and outreach for the poor, devalued and in need of help in East Texas.
(2) Catholic Charities of Corpus Christi Inc
1322 Comanche St
Corpus Christi,TX78401 		74-2330464 501(c)(3) 35,000       To provide service to people in need and to address social ills that undermine the diginity of the person.
(3) Catholic Charities Of Dallas Inc
9461 LBJ FRWY Ste 128
Dallas,TX75243 		75-2745221 501(c)(3) 112,500       Support both mission and education in Catholic Social Teaching, advocating for the voiceless & promoting awareness of social concerns.
(4) Martin Luther King Health Center
827 Margaret Pl Ste 201
Shreveport,LA71101 		72-1079721 501(c)(3) 65,964       Community clinic that provides high-quality comprehensive health services and for uninsured, underserved, and low-income community members in a cost effective manner by establishing collaborative partnership with local universities.
(5) Catholic Foundation
5310 Harvest Hill ste 248
DALLAS,TX75230 		75-1106620 501(c)(3) 100,000        
(6) CHRISTUS Foundation for HealthCare
PO Box 1919
HOUSTON,TX77251 		75-6074210 501(c)(3) 100,000       Health services and health education are offered on school campuses to improve student health and school attendance.
(7) Christus Santa Rosa Volunteer Svcs
333 N Santa Rosa St
San Antonio,TX78207 		501(c)(3) 8,527       Contribution to Volunteers
(8) The Arc of San Antonio
13430 West Avenue
San Antonio,TX78216 		74-1200110 501(c)(3) 25,000       Level 2 day activity classroom for individuals with severe autism and/org other intellectual and development disabilities.
(9) Community Renewal International Inc
1700 Buckner St Ste 240
Shreveport,LA71134 		74-2330464 501(c)(3) 10,000       Uniting individuals, faith groups, businesses, civic groups and others as caring partners building a stronger city.
(10) Corpus Christi Hope House Inc
658 Robinson Street
Corpus Christi,TX78404 		74-2480299 501(c)(3) 17,000       Salary and Operational Support for Medical and self-sustained resources
(11) Daughters Of Charity Service
7607 Somerset Rd
San Antonio,TX75209 		74-6106876 501(c)(3) 30,000       La Mission Family Health Care
(12) Faith Family Clinic
8711 Village Dr Ste 305
San Antonio,TX78217 		26-3791828 501(c)(3) 40,000       To provide health and wellness services to the working uninsured and under-insured residents of our community.
(13) Family Counseling Service
3833 South Staples Ste S203
Corpus Christi,TX78411 		74-1321308 501(c)(3) 16,000       Family Counseling Services
(14) Las Cumbres Community Services Inc
805 Early Street Ste B102
Santa Fe,NM87505 		23-7144268 501(c)(3) 95,000       Provides integrated services for children and adults facing social, emotional and developmental challenges.
(15) San Antonio Christian Dental Clinic Inc
1 Haven for Hope Way Bldg 1 400
San Antonio,TX78207 		74-2428161 501(c)(3) 30,000       SACDC Dental Services at the Haven for Hope homeless transformational campus
(16) Samaritan Counseling Center of Southeast TX
7980 Anchor Dr Bldg 500
Port Arthur,TX77642 		76-0068922 501(c)(3) 25,000       Samaritan Counseling Center of Southeast Texas providing professional counseling services and educational programs to uninsured and underinsured people.
(17) Metabolic Syndrome
5323 Harry Hines Blvd
Dallas,TX75390 		75-6002868 501(c)(3) 48,000       Research for human nutrition as a precursor of both cardiovascular disease and diabetes.
(18) Mission Of Mercy Inc
719 S Shoreline BlvdSte 103
Corpus Christi,TX78401 		81-0566980 501(c)(3) 25,000       Mission of Mercy
(19) New Braunfels Christian Ministries
169 South Hickory Ave
New Braunfels,TX78130 		26-2221231 501(c)(3) 40,000       Operational support for a new clinic providing free medical care to uninsured in Comal County
(20) New Mexico Suicide Intervention
1720 Llano St
santa fe,NM87505 		85-0427990 501(c)(3) 15,000       To reduce the risk of youth suicide in Santa Fe county & Northern New Mexico.
(21) Next Step Of Central Louisiana
308 East Shamrock St
pineville,LA71360 		20-4322440 501(C)(3) 40,000       Teen dating violence prevention & Awareness program.
(22) Project Mend Inc
5727 IH10 WEST
SAN ANTONIO,TX78201 		74-2647324 501(C)(3) 50,000       Project Mend
(23) Runnin W J Ranch Therapeutic Center
4802 South Kings Highway
Texarkana,TX75501 		75-2897949 501(C)(3) 8,064       Providing therapeutic riding clases.
(24) SA2020
112 East Pecan Street Ste 1100
San Antonio,TX78205 		45-5409693 501(C)(3) 60,000       Marketing to educate the public on the Marketplace Exchange.
(25) Seton Home
1115 Mission Rd
San Antonio,TX78210 		74-2247996 501(C)(3) 20,000       Provides a nurturing environment for homeless teens who are pregnant and/or parenting that provides education and support services. Requested funds medical services manager that coordinates health related services.
(26) Umbrella Project
7647 East Edgemont Ave
Scottsdale,AR85257 		13-3582462 501(C)(3) 56,868       Offers tools for self-expression and empowers children through global exhibitions of the hand-painted umbrellas.
(27) United Way of Santa Fe County
4400 Cerrillos Rd Suite A
Santa Fe,NM87501 		35-0163601 501(C)(3) 25,000       A home or clinic based, educational, home visitation program designed to improve the health and wellness status of first-time families to ensure a child's positive health, social, and emotional development
(28) Visitation House Ministries
945 W Huisache
San Antonio,TX78201 		74-2447137 501(C)(3) 10,000       Sponsorship for the Sister of Charity of the Incarnate Word
(29) Womens Shelter Of South Texas
813 Buford Street
Corpus Christi,TX78404 		74-1943398 501(C)(3) 16,000       To provide services to adult and child victims of domestic & sexual violence.
(30) Congregation of the Sisters of Charity-SA
4503 Broadway
San Antonio,TX78209 		74-1676917 501(C)(3) 1,106,376       SUPPORT MISSION
(31) Villa de Matel
6510 Lawndale
Houston,TX77023 		23-7152879 501(C)(3) 2,243,112       SUPPORT MISSION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
31
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I, Part I, Question 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. 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.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)ERNIE W SADAUEx Officio (i)
(ii)		 1,266,475
0 		649,200
0 		265,480
0 		608,986
0 		30,134
0 		2,820,275
0 		146,419
0
(2)George S ConklinSR VP Chief Infor Officer (i)
(ii)		 468,270
0 		189,001
0 		120,505
0 		260,538
0 		20,979
0 		1,059,293
0 		0
0
(3)John Gillean MDSR VP Chief Medical Officer (i)
(ii)		 705,104
  		281,251
  		170,713
  		297,563
  		49,890
  		1,504,521
  		74,323
 
(4)Gerard F HeeleySr VP Mission and Ethics (i)
(ii)		 383,618
0 		153,001
0 		53,957
0 		228,642
0 		9,916
0 		829,134
0 		0
0
(5)Mary T LynchSr VP Chief Governance (i)
(ii)		 515,696
0 		196,201
0 		223,371
0 		187,539
0 		19,013
0 		1,141,820
0 		47,859
0
(6)Linda K McClungSR VP/ops/corp stg mrkt svcs (i)
(ii)		 602,765
0 		225,001
0 		71,348
0 		266,491
0 		36,221
0 		1,201,826
0 		44,257
0
(7)Paul GeneraleSR VP Senior Finance Officer (i)
(ii)		 482,295
0 		263,750
0 		65,855
0 		72,512
0 		29,596
0 		914,008
0 		0
0
(8)Jeffrey M Puckettcorp VP/Mng'd Care Bus Adv/Dev (i)
(ii)		 774,320
  		265,501
  		195,649
  		309,787
  		31,047
  		1,576,304
  		55,718
 
(9)Randy SafadySr VP/ Chief Financial Officer (i)
(ii)		 798,474
0 		424,918
0 		108,907
0 		387,609
0 		33,721
0 		1,753,629
0 		0
0
(10)Eugene WoodsSr VP Chief Operating Officer (i)
(ii)		 920,461
0 		404,601
0 		33,914
0 		472,640
0 		33,031
0 		1,864,647
0 		0
0
(11)PATRICIA NOBLESCORP SECRETARY (i)
(ii)		 135,951
0 		24,469
0 		11,444
0 		23,368
0 		23,755
0 		218,987
0 		0
0
(12)ALEX J VALDEZVP, INTERNATIONAL (i)
(ii)		 427,831
0 		65,497
0 		84,777
0 		186,580
0 		17,402
0 		782,087
0 		84,777
0
(13)JOHN L ZIPPRICHSR VP INT OP LGL (i)
(ii)		 82,094
0 		0
0 		447,448
0 		46,921
0 		0
0 		576,463
0 		0
0
(14)PAMELA ROBERTSONPresident-CEO CHRISTUS Spohn (i)
(ii)		 0
540,332 		0
240,177 		0
177,340 		0
252,385 		0
14,147 		0
1,224,381 		0
76,400
(15)PATRICK CARRIERPresident-CEO CSRHS (i)
(ii)		 0
548,478 		0
141,690 		0
157,011 		0
390,919 		0
18,574 		0
1,256,672 		0
0
(16)STEPHEN WRIGHTPresident-CEO LA Ministries (i)
(ii)		 0
526,954 		0
70,951 		0
229,732 		0
209,745 		0
32,634 		0
1,070,016 		0
64,151
(17)ALEJANDRO CANAVATIChief Executive Officer UC CHR (i)
(ii)		 528,238
0 		143,272
0 		148,634
0 		91,045
0 		21,765
0 		932,954
0 		0
0
(18)CHRISTOPHER KARAMPresident-CEO ALT-Cont Care (i)
(ii)		 0
453,715 		0
134,297 		0
78,757 		0
195,118 		0
32,634 		0
894,521 		0
39,837
(19)JAY S HERRONSVP Chief Financial Officer (i)
(ii)		 70,926
0 		0
0 		69,486
0 		0
0 		0
0 		140,412
0 		0
0
(20)PETER MADDOXSVP Business, stgy & corp Dev (i)
(ii)		 0
0 		0
0 		222,045
0 		139,053
0 		0
0 		361,098
0 		0
0
(21)MARSHALL BOLYARDEXECUTIVE DIRECTOR USFHP (i)
(ii)		 90,633
0 		0
0 		90,962
0 		0
0 		0
0 		181,595
0 		81,189
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. FIRST CLASS TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. Severance payment or change of control payment Form 990, schedule j, part i, question 4a under the severance plan, all or a portion of the base salary of a participating executive will continue to be paid to the executive for a limited period of time if the executive's employment with christus and its affiliates is involuntarily terminated. Jay herron received $69,486 in severance payment during calendar year 2013. Peter maddox received $222,045 in severance payment during calendar year 2013. John zipprich received $447,448 in severance payment during calendar year 2013. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THe PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR YEAR 990 ERNIE SADAU RECEIVED $146,419 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. John Gillean received $74,323 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Mary T. Lynch received $47,859 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Linda K. McClung received $44,257 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Jeffrey M. Puckett received $55,718 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Stephen Wright received $64,151 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. Christopher Karam received $39,837 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. MARSHALL BOLYARD RECEIVED $81,189 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PAMELA ROBERTSON RECEIVED $76,400 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. ALEX VALDEZ RECEIVED $84,777 DURING CALENDAR YEAR 2013 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2013. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FORM 990, SCHEDULE J, PART II, COLUMN (F) THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number
76-0590551
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RFV1 11-08-2005 320,620,000 SEE SCHEDULE O X     X   X
B HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RHY3 12-09-2010 96,654,505 SEE SCHEDULE O X     X   X
C COASTAL BEND HEALTH FACILITIES DEV CORP
  		74-2352502 19042FAB2 11-08-2005 61,300,000 SEE SCHEDULE O X     X   X
D LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398E87 12-03-2009 56,725,518 SEE SCHEDULE O X     X   X
LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398ZM3 11-25-2008 44,382,370 SEE SCHEDULE O X     X   X
LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398C71 08-12-2009 231,654,638 SEE SCHEDULE O X     X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDB6 11-25-2008 185,542,228 SEE SCHEDULE O X     X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDF7 12-19-2008 268,560,000 SEE SCHEDULE O   X   X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TEA7 12-03-2009 73,865,293 SEE SCHEDULE O X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 176,495,000 23,635,000 8,375,000 44,465,000
2 Amount of bonds legally defeased . . . . . . . . . . . 10,150,000 29,185,000 600,000 9,860,000
3 Total proceeds of issue . . . . . . . . . . . . . . 320,967,402 96,654,505 62,856,640 56,725,518
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,687,415 0 337,093 0
8 Credit enhancement from proceeds . . . . . . . . . . . 4,733,000 0 914,000 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 4,505 393,273 518
10 Capital expenditures from proceeds . . . . . . . . . . . 3,624,407 0 18,182,274 0
11 Other spent proceeds . . . . . . . . . . . . . . 310,922,580 96,650,000 43,030,000 56,725,000
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X X     X X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X       X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X     X X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X     X X     X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X X     X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . . 39.7     39.7
d Was the hedge superintegrated? . . . .   X           X
e Was the hedge terminated? . . . . . .   X           X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X X   X     X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SEE SCHEDULE O  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number
76-0590551
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RFV1 11-08-2005 320,620,000 SEE SCHEDULE O X     X   X
B HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RHY3 12-09-2010 96,654,505 SEE SCHEDULE O X     X   X
C COASTAL BEND HEALTH FACILITIES DEV CORP
  		74-2352502 19042FAB2 11-08-2005 61,300,000 SEE SCHEDULE O X     X   X
D LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398E87 12-03-2009 56,725,518 SEE SCHEDULE O X     X   X
LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398ZM3 11-25-2008 44,382,370 SEE SCHEDULE O X     X   X
LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398C71 08-12-2009 231,654,638 SEE SCHEDULE O X     X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDB6 11-25-2008 185,542,228 SEE SCHEDULE O X     X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDF7 12-19-2008 268,560,000 SEE SCHEDULE O   X   X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TEA7 12-03-2009 73,865,293 SEE SCHEDULE O X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 176,495,000 23,635,000 8,375,000 44,465,000
2 Amount of bonds legally defeased . . . . . . . . . . . 10,150,000 29,185,000 600,000 9,860,000
3 Total proceeds of issue . . . . . . . . . . . . . . 320,967,402 96,654,505 62,856,640 56,725,518
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,687,415 0 337,093 0
8 Credit enhancement from proceeds . . . . . . . . . . . 4,733,000 0 914,000 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 4,505 393,273 518
10 Capital expenditures from proceeds . . . . . . . . . . . 3,624,407 0 18,182,274 0
11 Other spent proceeds . . . . . . . . . . . . . . 310,922,580 96,650,000 43,030,000 56,725,000
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X X     X X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X       X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X     X X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X     X X     X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X X     X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . . 39.7     39.7
d Was the hedge superintegrated? . . . .   X           X
e Was the hedge terminated? . . . . . .   X           X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X X   X     X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SEE SCHEDULE O  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number
76-0590551
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RFV1 11-08-2005 320,620,000 SEE SCHEDULE O X     X   X
B HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RHY3 12-09-2010 96,654,505 SEE SCHEDULE O X     X   X
C COASTAL BEND HEALTH FACILITIES DEV CORP
  		74-2352502 19042FAB2 11-08-2005 61,300,000 SEE SCHEDULE O X     X   X
D LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398E87 12-03-2009 56,725,518 SEE SCHEDULE O X     X   X
LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398ZM3 11-25-2008 44,382,370 SEE SCHEDULE O X     X   X
LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398C71 08-12-2009 231,654,638 SEE SCHEDULE O X     X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDB6 11-25-2008 185,542,228 SEE SCHEDULE O X     X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDF7 12-19-2008 268,560,000 SEE SCHEDULE O   X   X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TEA7 12-03-2009 73,865,293 SEE SCHEDULE O X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 176,495,000 23,635,000 8,375,000 44,465,000
2 Amount of bonds legally defeased . . . . . . . . . . . 10,150,000 29,185,000 600,000 9,860,000
3 Total proceeds of issue . . . . . . . . . . . . . . 320,967,402 96,654,505 62,856,640 56,725,518
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,687,415 0 337,093 0
8 Credit enhancement from proceeds . . . . . . . . . . . 4,733,000 0 914,000 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 4,505 393,273 518
10 Capital expenditures from proceeds . . . . . . . . . . . 3,624,407 0 18,182,274 0
11 Other spent proceeds . . . . . . . . . . . . . . 310,922,580 96,650,000 43,030,000 56,725,000
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X X     X X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X       X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X     X X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X     X X     X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X X     X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . . 39.7     39.7
d Was the hedge superintegrated? . . . .   X           X
e Was the hedge terminated? . . . . . .   X           X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X X   X     X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SEE SCHEDULE O  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) EMERALD ASSURANCE CAYMAN LTD SEE PART V, TRANSACTION 1 28,540,453 SEE PART V, TRANSACTION 1   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV TRANSACTION 1: PART IV, LINE 1, COLUMN B & D SELF INSURANCE FUNDING OF EMERALD ASSURANCE CAYMAN, LTD ERNIE SADAU IS AN OFFICER OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD. EUGENE WOODS IS A KEY EMPLOYEE OF CHRISTUS HEALTH AND A BOARD MEMBER OF EMERALD ASSURANCE CAYMAN, LTD.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
Return Reference Explanation
Form 990, Page 1, Item C Doing Business As: Christus Health Operates Under the Following Names: CHRISTUS St. Joseph Village onlinepaydirect CHRISTUS Health TechSource CHRISTUS Innovations Institute CHRISTUS Healthy Living Spa TLRA US Family Health Plan Uniformed Services Family Health Plan CHRISTUS Health System TechSource USFHP Marketplace Solutions CHRISTUS St. Michael Simulation Center DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY 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 COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2014 WAS $152,380. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. AS OF JUNE 30, 2014, THE OUTSTANDING LOAN BALANCES WERE IN THE FOLLOWING REGIONS: OUTSIDE THE CHRISTUS HEALTH SERVICE AREAS: $1,000,000 IN CHRISTUS HEALTH GULF COAST REGION: $1,107,368 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $542,269 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $800,000 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $ 161,174 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $ 1,000,000 TOTAL CDI LOANS OUTSTANDING AS OF JUNE 30, 2014: $4,610,811 CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY 2014, GRANT FUNDS WERE DISTRIBUTED TO NON-PROFIT AGENCIES IN THE FOLLOWING REGIONS: IN CHRISTUS HEALTH ARK-LA-TEX REGION: $8,064 IN CHRISTUS HEALTH CENTRAL LOUISIANA REGION: $40,000 IN CHRISTUS HEALTH GULF COAST REGION: $100,000 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $75,964 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $422,410 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $99,500 IN CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REGION: $94,000 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $135,000 TOTAL CHRISTUS FUND $974,938 PROGRAM SERVICE EXPENSE = $1,023,500 GRANTS = $974,938 PROGRAM SERVICE REVENUE = $0 PROGRAM SERVICE REVENUE = $0
DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 Officers Ernie Sadau and Randy Safady, and Key Employees John Gillean, MD and Eugene Woods have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd. Key employees John Zipprich and Peter Maddox had a business relationship as each serves as a director of CHRISTUS Mugerza, S.A. DE C.V.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CHRISTUS HEALTH HAS FOUR (4) CORPORATE MEMBERS, CONSISTING OF TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TX, AND TWO SISTERS APPOINTED BY THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO. TOGETHER THOSE FOUR SISTERS COMPRISE THE CORPORATE MEMBERS AND COLLECTIVELY THEY EXERCISE THE POWERS RESERVED TO THE MEMBERS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO AND CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2014 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization.
COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, QUESTIONS 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, QUESTION 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2014.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 Pension Funding - $25,041,874 Pension Liability/Expense - ($45,912,027) Transfer of Net Assets between Entities - ($539,666) Equity Adjustment consol Subs - ($49,409,184) Sponsorship Fees - ($3,458,232) Grupo Muguerza Equity Adjustment - $21,604,593 Pension Amortization - $1,934,347 Other - $696,514 Transfer of Restricted Donations - ($36,417) Extraordinary Loss on Early Extinguishment of debt - $11,046,583 Prepaid Adjustment - ($3,434) St Catherine Note - ($27,703,747) Christus Health Plan-New Mexico-T-note Collateral - ($319,598) Christus Health Strategic Growth - ($110,000,000) Rounding - ($2) TOTAL - ($177,058,396)
SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). FORM 990, SCHEDULE K, PART I, PAGE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (DECEMBER 19, 2008). FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $347,402 C. LINE 3. INVESTMENT EARNINGS = $1,556,640 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $157,195 B. LINE 3. INVESTMENT EARNINGS = $317,641 C. LINE 3. INVESTMENT EARNINGS = $701,144 D. LINE 3. INVESTMENT EARNINGS = $701 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 20, 2009. C. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 20, 2009. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. C. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. LINE 7. CHRISTUS HEALTH HAS THE APPROPRIATE PROCESSES IN PLACE TO ADHERE TO AND MONITOR THE REQUIREMENTS UNDER IRC SECTION 148. CHRISTUS HEALTH IS CURRENTLY IN THE PROCESS OF FORMALLY ADOPTING WRITTEN PROCEDURES. FORM 990, SCHEDULE K, PART V THE ANSWER "YES" REFERS TO THE ORGANIZATION'S WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF REGULATIONS SECTIONS 1.141-12 AND 1.145-2 ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.
FORM 990 PART IX LINE 11G DESCRIPTION:REPAIR & MAINTENANCE SERVICES TOTAL FEES:88957408
FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:84754587
FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATION EXPENSES TOTAL FEES:21265634
FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY OVERHEAD ALLOC. TOTAL FEES:3302746
FORM 990 PART IX LINE 11G DESCRIPTION:MARKETING & CONSULTING SVCS. TOTAL FEES:31880548
FORM 990 PART IX LINE 11G DESCRIPTION:INFORMATION TECH. SERVICES TOTAL FEES:645000
FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:227934
FORM 990 PART IX LINE 11G DESCRIPTION:FUND ADMINISTRATIVE COSTS TOTAL FEES:8460655
FORM 990 PART IX LINE 11G DESCRIPTION:INTERCO. PROF. & SYSTEM FEES TOTAL FEES:405185
FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:2733414
FORM 990 PART IX LINE 11G DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1463620
FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:2196591
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CHRISTUS HEALTH
 
Employer identification number

76-0590551
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 entity?
Yes No
(1) CHRISTUS HEALTH ARK-LA-TEX

2600 ST MICHAEL DRIVE

TEXARKANA,TX75503
75-2796815 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(2) CHRISTUS HEALTH CENTRAL LOUISIANA

3330 MASONIC DRIVE

ALEXANDRIA,LA71301
72-0408984 		HLTHCARE SVCS LA 501(C)(3) 3 CH
 
Yes
 
(3) CHRISTUS HEALTH GULF COAST

PO BOX 922037

HOUSTON,TX77292
76-0591592 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(4) CHRISTUS HEALTH NORTHERN LOUISIANA

ONE SAINT MARY PLACE

SHREVEPORT,LA71101
72-0408982 		HLTHCARE SVCS LA 501(C)(3) 3 CH
 
Yes
 
(5) Christus Spohn Health System Corporation

600 ELIZABETH STREET

CORPUS CHRISTI,TX78404
74-1109836 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(6) CHRISTUS HEALTH SOUTHEAST TEXAS

2830 Calder Street

BEAUMONT,TX77726
76-0591590 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(7) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

524 DR MICHAEL DEBAKEY DR

LAKE CHARLES,LA70601
72-0411322 		HLTHCARE SVCS LA 501(C)(3) 3 CH
 
Yes
 
(8) CHRISTUS SANTA ROSA HEALTH CARE CORP

333 N SANTA ROSA STREET

SAN ANTONIO,TX78207
74-1109665 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(9) CHRISTUS Continuing Care

1700 W LOOP SOUTH SUITE 1100

HOUSTON,TX77027
74-2898615 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(10) CH WILKINSON PHYSICIAN NETWORK

1700 WEST LOOP SOUTH STE 400B

HOUSTON,TX77027
76-0422435 		HLTHCARE SVCS TX 501(C)(3) 11-TYPE 1 CH
 
Yes
 
(11) ST JOSEPH COMMUNITY FOUNDATION

2800 LAMAR AVE CAPITAL ONE

PARIS,TX75460
42-1619230 		SUPP HTH SVCS TX 501(C)(3) 11-TYPE 1 CH
 
Yes
 
(12) DUBUIS HEALTH SYSTEM INC

1700 WEST LOOP SOUTHSTE 1100A

HOUSTON,TX77027
72-1270964 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(13) CHRISTUS HEALTH FOUNDATION

919 HIDDEN RIDGE DRIVE

IRVING,TX75038
61-1500100 		SUPP HTH SVCS TX 501(C)(3) 11-TYPE 1 CH
 
Yes
 
(14) ST FRANCES CABRINI HPL FDN OF ALEXANDRIA

3330 MASONIC DRIVE

ALEXANDRIA,LA71301
72-0998302 		SUPP HTH SVCS LA 501(C)(3) 7 CNLA
 
Yes
 
(15) CHRISTUS FOUNDATION FOR HEALTHCARE

PO BOX 1919

HOUSTON,TX77251
74-6074210 		SUPP HTH SVCS TX 501(C)(3) 7 GULF COAST
 
Yes
 
(16) CHRISTUS SCHUMPERT HEALTH SYSTEM FD

ONE ST MARY PLACE

SHREVEPORT,LA71101
72-1219280 		SUPP HTH SVCS LA 501(C)(3) 7 NOLA
 
Yes
 
(17) CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD

600 ELIZABETH STREET

CORPUS CHRISTI,TX78404
74-1906005 		SUPP HTH SVCS TX 501(C)(3) 7 SPOHN HS
 
Yes
 
(18) CHRISTUS HEALTH FDN OF SOUTHEAST OF TX

2830 CALDER

BEAUMONT,TX77702
76-0136274 		SUPP HTH SVCS TX 501(C)(3) 11-TYPE 1 SETX
 
Yes
 
(19) FRIENDS OF SANTA ROSA FOUNDATION

333 N SANTA ROSA STREET

SAN ANTONIO,TX78207
74-2723391 		SUPP HTH SVCS TX 501(C)(3) 11-TYPE 1 CSRHCC
 
Yes
 
(20) SANTA ROSA FAMILY HEALTH CENTER

333 N SANTA ROSA STREET

SAN ANTONIO,TX78207
74-2806531 		HLTHCARE SVCS TX 501(C)(3) 9 CSRHCC
 
Yes
 
(21) CHRISTUS Health Liab Retention Trust

919 HIDDEN RIDGE DRIVE

IRVING,TX75038
76-0259623 		SELF INS TRST TX 501(C)(3) 11-Type I CH
 
Yes
 
(22) SANTA ROSA GENERAL HOSPITAL AUXILIARY

333 N SANTA ROSA STREET

SAN ANTONIO,TX78207
74-1278312 		SUPP HTH SVCS TX 501(C)(3) 3 CSRHCC
 
Yes
 
(23) THE FRIENDS OF THE STEHLIN FOUNDATION

10301 STELLA LINK SUITE A

HOUSTON,TX77025
74-2200613 		SUPP CCR RSRH TX 501(C)(3) 9 CSFCR
 
Yes
 
(24) CHRISTUS HEALTH PLAN

600 ELIZABETH STREET

CORPUS CHRISTI,TX78404
45-2106295 		MEDICAID HMO TX 501(C)(3) 9 CSHSC
 
Yes
 
(25) ST FRANCES CABRINI HOSPITAL AUXILIARY

3330 MASONIC DRIVE

ALEXANDRIA,LA71301
23-7255175 		SUPP HTH SVCS LA 501(C)(3) 9 CNLA
 
Yes
 
(26) Christus Santa Rosa Med Ctr Auxiliary

2827 Babock Road

San Antonio,TX78229
73-1655493 		SUPP HTH SVCS TX 501(C)(3) 9 CSRHCC
 
Yes
 
(27) CHRISTUS Health Strategic Growth

919 hidden ridge drive

irving,TX75038
46-2798043 		supp hth svcs TX 501(c)(3) 11-type I CH
 
Yes
 
(28) Christus Health Plan Louisiana

919 Hidden Ridge Dr

Irving,TX75038
46-4617988 		Medicaid HMO LA 501(c)(3) 9 CH
 
Yes
 
(29) Christus Health Plan New Mexico

919 Hidden Ridge Dr

Irving,TX75038
46-4487295 		Medicaid HMO NM 501(c)(3) 9 CH
 
Yes
 
(30) Christus Pediatric Physician Group

919 Hidden Ridge Dr

Irving,TX75038
46-5203505 		Hlthcare Svcs TX 501(c)(3) 3 CH
 
Yes
 
(31) Christus Health Latin America

919 hidden ridge drive

irving,TX75038
46-2816604 		spt hlth svcs TX 501(C)(3) 11-type 1 CH Stra Grth
 
Yes
 
(32) Christus International

919 hidden drive

irving,TX75038
46-2811167 		spt hlth svcs TX 501(C)(3) 11-type 1 CH Stra Grth
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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 V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) LOUISIANA ATHLETIC CLUB LLC

1140 COLLEGE DRIVE
PINEVILLE,LA71359
72-1461793 		HEALTH CLUB LA CNLA
  		                 
(2) HEART CENTER OF CENTRAL LOUISIANA LP

2108 Texas Avenue
Alexandria,LA71301
72-1325012 		HLTHCARE SVCS LA CNLA
  		                 
(3) WEST HOUSTON REAL ESTATE DEVELOPMNT LLC

1700 WEST LOOP SOUTH
HOUSTON,TX77027
26-2330994 		HLTHCARE SVCS TX Gulf Coast
  		                 
(4) SOUTHEAST TEXAS PAIN MANAGEMENT LLC

PO BOX 5405
BEAUMONT,TX77726
26-1678856 		PAIN MGT HTH TX SETX
  		                 
(5) ST ELIZABETH REHAB PARTNERS

2830 CALDER STREET
BEAUMONT,TX777021809
20-5657181 		HLTHCARE SVCS TX H VENTURES-SETX
  		                 
(6) SOUTH RYAN MRI LLC

650 DR MICHAEL DEBAKEY DRIVE
LAKE CHARLES,LA70601
74-3103662 		IMAGING SVCS LA OCCUPATIONAL HS
  		                 
(7) MCKENNA LEASING GP LLC

600 NORTH UNION AVE
NEW BRAUNFELS,TX78130
74-1191729 		INVESTMENT TX CSRHCC
  		                 
(8) MCKENNA EQUIPMENT LEASING LP

600 NORTH UNION AVE
NEW BRAUNFELS,TX78130
20-4177842 		MED EQUIP LEA TX CSRHCC
  		                 
(9) NEW BRAUNFELS SURGICAL CENTER LLC

333 N SANTA ROSA ST
SAN ANTONIO,TX78207
81-0571408 		HLTHCARE SVCS TX CSRHCC
  		                 
(10) CSR Outpatient Surgery New Braunfels

333 N SANTA ROSA ST
SAN ANTONIO,TX78207
81-0571409 		HLTHCARE SVCS TX CSRHCC
  		                 
(11) CSR Surgery Center LLP

15305 Dallas Pkwy Ste 1600 LB 28
Addison,TX75001
20-0424958 		HLTHCARE SVCS TX CSRHCC
  		                 
(12) CHRISTUS Santa Rosa Physicians

333 Santa Rosa
San Antonio,TX78207
41-2092141 		HLTHCARE SVCS TX CSRHCC
  		                 
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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ARK-LA-TEX HEALTH NETWORK

PO BOX 2911
TEXARKANA,TX755042911
75-2562459 		HLTHCARE SVCS TX CH Ark-La-Tex
  		C-Corp       Yes  
(2) AK INTEGRATED COMM HLTH NTWK

2600 ST MICHAEL DRIVE
TEXARKANA,TX75503
76-0480684 		HLTHCARE SVCS TX CH Ark-La-Tex
  		C-Corp       Yes  
(3) HOUSTON METROPOLITAN HLTH NTWK

1700 WEST LOOP SOUTH SUITE 400A
HOUSTON,TX77027
76-0427193 		HLTHCARE SVCS TX CH Gulf Coast
  		C-Corp       Yes  
(4) SCH MGMNT SOLUTIONS INC

ONE ST MARY PLACE
SHREVEPORT,LA71101
72-1270625 		MGT JOINT VEN LA NOLA
  		C-Corp       Yes  
(5) SPOHN HEALTH NETWORK

600 ELIZABETH STREET
CORPUS CHRISTI,TX78404
74-2616328 		HLTH PLAN ADM TX Spohn HSC
  		C-Corp       Yes  
(6) SPOHN INVESTMENT CORPORATION

600 ELIZABETH STREET
CORPUS CHRISTI,TX78404
74-2322574 		RENTALS TX Spohn HSC
  		C-Corp       Yes  
(7) CHRISTUS SOUTHEAST TEXAS PHO

3010 HARRISON STREET SUITE 202
BEAUMONT,TX77702
76-0429902 		MEDICAL SVCS TX CH SETX
  		C-Corp       Yes  
(8) HEALTH VENTURES OF SE TEXAS

1700 WEST LOOP SOUTH SUITE 400A
HOUSTON,TX77027
76-0397263 		BUILDING RENT TX CH SETX
  		C-Corp       Yes  
(9) OCCUPATIONAL HEALTH SVCS INC

524 DR MICHAEL DEBAKEY DRIVE
LAKE CHARLES,LA70601
72-1217389 		MEDICAL SVCS LA CH SWLA
  		C-Corp       Yes  
(10) SOUTHWESTERN LOUISIANA PHO

524 DR MICHAEL DEBAKEY DRIVE
LAKE CHARLES,LA70601
72-1274256 		HLTHCARE SVCS LA CH SWLA
  		C-Corp       Yes  
(11) SOUTH RYAN DEVELOPMENT CORP

524 DR MICHAEL DEBAKEY DRIVE
LAKE CHARLES,LA70601
72-1183790 		LEASING BLDG LA CH SWLA
  		C-Corp       Yes  
(12) MCKENNA PROF BLDG OWNERS ASSOC

598 N UNION ST SUITE 210
NEW BRAUNFELS,TX78130
74-2742934 		BUILDING ASSO TX CSRHCC
  		C-Corp       Yes  
(13) SOUTH TEXAS HEALTH ALLIANCE

6243 IH 10 WEST SUITE 480
SAN ANTONIO,TX78201
74-2782184 		health svcs TX CSRHCC
  		C-Corp       Yes  
(14) CHRISTUS Muguerza SAPI de CV

Hidalgo PTE 2525
Col. Obispado, Monterrey,N.L.64060
MX
HLTHCARE SVCS MX CH
  		C-Corp 10,149,232 121,563,533 75.196 % Yes  
(15) EMERALD ASSURANCE CAYMAN LTD

PO BOX 1051
GRAND CAYMAN   KY1-1102
CJ
98-0407545 		INSURANCE CJ CH
  		C-Corp 37,627,914 220,272,525 100.000 % Yes  
(16) SUPERCAMPTO INC

10301 STELLA LINK SUITE A
HOUSTON,TX77025
76-0534968 		MEDICAL RSCH TX STEHLIN FND
  		C-CORP       Yes  
(17) ROMLAC INC

10301 STELLA LINK SUITE A
HOUSTON,TX77025
74-1674943 		REAL ESTATE I TX STEHLIN FND
  		C-CORP       Yes  
(18) CHRISTUS LOUISIANA HEALTH PLAN

3330 Masonic Drive
Alexandria,LA71301
45-2515179 		HLTH PLAN ADM LA CH CNLA
  		C-CORP       Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CHWilkinson Physician Network

 m 172,292 ACCRUAL
(2) CHWilkinson Physician Network

 q 671,007 ACCRUAL
(3) CHWilkinson Physician Network

 l 1,113,374 ACCRUAL
(4) CHRISTUS Continuing Care

 j 451,177 ACCRUAL
(5) CHRISTUS Continuing Care

 m 1,094,185 ACCRUAL
(6) CHRISTUS Continuing Care

 q 8,890,616 ACCRUAL
(7) CHRISTUS Health Ark-La-Tex

 p 130,728 ACCRUAL
(8) CHRISTUS Health Ark-La-Tex

 m 393,281 ACCRUAL
(9) CHRISTUS Health Ark-La-Tex

 l 2,925,238 ACCRUAL
(10) CHRISTUS Health Ark-La-Tex

 A(I) 4,397,897 ACCRUAL
(11) CHRISTUS Health Ark-La-Tex

 r 5,236,673 ACCRUAL
(12) CHRISTUS Health Ark-La-Tex

 s 8,595,351 ACCRUAL
(13) CHRISTUS Health Ark-La-Tex

 q 17,087,338 ACCRUAL
(14) CHRISTUS Health Central Louisiana

 r 1,647,615 ACCRUAL
(15) CHRISTUS Health Central Louisiana

 l 3,595,154 ACCRUAL
(16) CHRISTUS Health Central Louisiana

 n 5,459,928 ACCRUAL
(17) CHRISTUS Health Central Louisiana

 s 5,816,796 ACCRUAL
(18) CHRISTUS Health Central Louisiana

 A(I) 7,063,361 ACCRUAL
(19) CHRISTUS Health Central Louisiana

 q 92,051,153 ACCRUAL
(20) CHRISTUS Health Gulf Coast

 j 182,809 ACCRUAL
(21) CHRISTUS Health Gulf Coast

 A(I) 1,463,501 ACCRUAL
(22) CHRISTUS Health Gulf Coast

 l 1,732,001 ACCRUAL
(23) CHRISTUS Health Gulf Coast

 r 2,087,183 ACCRUAL
(24) CHRISTUS Health Gulf Coast

 m 6,423,174 ACCRUAL
(25) CHRISTUS Health Gulf Coast

 q 10,022,844 ACCRUAL
(26) CHRISTUS Health Gulf Coast

 s 50,757,024 ACCRUAL
(27) CHRISTUS Health Northern Louisiana

 b 75,139 ACCRUAL
(28) CHRISTUS Health Northern Louisiana

 l 2,614,326 ACCRUAL
(29) CHRISTUS Health Northern Louisiana

 A(I) 4,853,479 ACCRUAL
(30) CHRISTUS Health Northern Louisiana

 s 41,228,003 ACCRUAL
(31) CHRISTUS Health Northern Louisiana

 r 68,218,889 ACCRUAL
(32) CHRISTUS Health Northern Louisiana

 q 125,070,678 ACCRUAL
(33) CHRISTUS Health Plan

 o 74,846 ACCRUAL
(34) CHRISTUS Health Southeast Texas

 p 71,667 ACCRUAL
(35) CHRISTUS Health Southeast Texas

 g 4,313,936 ACCRUAL
(36) CHRISTUS Health Southeast Texas

 A(I) 4,506,801 ACCRUAL
(37) CHRISTUS Health Southeast Texas

 r 5,064,166 ACCRUAL
(38) CHRISTUS Health Southeast Texas

 s 5,426,525 ACCRUAL
(39) CHRISTUS Health Southeast Texas

 l 6,023,826 ACCRUAL
(40) CHRISTUS Health Southeast Texas

 m 6,668,072 ACCRUAL
(41) CHRISTUS Health Southeast Texas

 q 7,642,069 ACCRUAL
(42) CHRISTUS Health Southwestern Louisiana

 k 85,967 ACCRUAL
(43) CHRISTUS Health Southwestern Louisiana

 r 1,261,489 ACCRUAL
(44) CHRISTUS Health Southwestern Louisiana

 l 1,961,966 ACCRUAL
(45) CHRISTUS Health Southwestern Louisiana

 A(I) 2,483,898 ACCRUAL
(46) CHRISTUS Health Southwestern Louisiana

 s 9,801,092 ACCRUAL
(47) CHRISTUS Health Southwestern Louisiana

 q 11,982,922 ACCRUAL
(48) CHRISTUS Santa Rosa Family Health Center

 q 587,436 ACCRUAL
(49) CHRISTUS Santa Rosa Health Care Corporation

 b 89,292 ACCRUAL
(50) CHRISTUS Santa Rosa Health Care Corporation

 p 101,881 ACCRUAL
(51) CHRISTUS Santa Rosa Health Care Corporation

 k 325,620 ACCRUAL
(52) CHRISTUS Santa Rosa Health Care Corporation

 l 8,437,364 ACCRUAL
(53) CHRISTUS Santa Rosa Health Care Corporation

 A(I) 15,230,757 ACCRUAL
(54) CHRISTUS Santa Rosa Health Care Corporation

 r 28,568,928 ACCRUAL
(55) CHRISTUS Santa Rosa Health Care Corporation

 s 47,866,820 ACCRUAL
(56) CHRISTUS Santa Rosa Health Care Corporation

 q 48,774,231 ACCRUAL
(57) CHRISTUS Santa Rosa Outpatient Surgery Ctr-NB

 q 87,386 ACCRUAL
(58) CHRISTUS Spohn Health System Corporation

 p 375,715 ACCRUAL
(59) CHRISTUS Spohn Health System Corporation

 l 8,226,060 ACCRUAL
(60) CHRISTUS Spohn Health System Corporation

 A(I) 10,416,837 ACCRUAL
(61) CHRISTUS Spohn Health System Corporation

 s 11,316,760 ACCRUAL
(62) CHRISTUS Spohn Health System Corporation

 r 12,000,000 ACCRUAL
(63) CHRISTUS Spohn Health System Corporation

 q 52,231,147 ACCRUAL
(64) Emerald Assurance Co

 p 26,549,165 ACCRUAL
(65) Spohn Investment Corporation

 q 61,742 ACCRUAL
(66) St Elizabeth Rehab Partners LLP

 q 83,772 ACCRUAL
(67) St Vincent Hospital

 b 690,540 ACCRUAL
(68) St Vincent Hospital

 q 7,540,143 ACCRUAL
(69) St Vincent Hospital

 l 9,554,256 ACCRUAL
(70) Christus Health Gulf Coast

 q 37,016,288 ACCRUAL
(71) CHRISTUS HEALTH SOUTHEAST TEXAS

 Q 109,938,742 ACCRUAL
(72) CH WILKINSON PHYSICIAN NETWORK

 Q 92,051,153 ACCRUAL
(73) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 Q 255,281,003 ACCRUAL
(74) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

 Q 40,425,355 ACCRUAL
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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