Form990
Click to see attachment
Department of the TreasuryInternal 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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 07-01-2015 , and ending 06-30-2016
BCheck if applicable:
CName of organization
CHRISTUS HEALTH
 
% KIM REYNOLDS
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
 
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 $ 1,064,904,399
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 MININSTRIES 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 25
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 2,756
6 Total number of volunteers (estimate if necessary) ............. 6 13
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 6,123,695
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 2,973,103
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 612,516,587 536,857,662
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 33,104,904 23,895,433
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 13,190,044 27,962,010
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 658,811,535 588,715,105
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,592,485 2,068,391
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) 284,786,449 330,340,243
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).... 416,754,022 383,407,080
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 703,132,956 715,815,714
19 Revenue less expenses. Subtract line 18 from line 12....... -44,321,421 -127,100,609
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,083,545,771 2,286,041,835
21 Total liabilities (Part X, line 26)............. 2,200,896,294 2,324,180,716
22 Net assets or fund balances. Subtract line 21 from line 20..... -117,350,523 -38,138,881
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 (2015)
Form 990 (2015)
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 $ 295,029,554 including grants of $ 0 ) (Revenue $ 397,499,830 )
COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 TO STRENGTHEN THE 151 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., CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO AND IN CHILE. 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 2016 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 729,957 VISITS TO OUR EMERGENCY DEPARTMENTS; 35,243 INPATIENT SURGERY PROCEDURES; 81,934 OUTPATIENT SURGERY PROCEDURES; 143,227 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 3,197,957 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 $ 135,177,994 including grants of $ 0 ) (Revenue $ 139,357,832 )
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 14,500 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 $ 3,578,886 including grants of $ 3,285,036 ) (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 2016, 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 $ 151,324 including grants of $ 2,068,391 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet433,937,758
Form 990 (2015)
Form 990 (2015)
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
Yes
 
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 IV.....Click 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 (2015)
Form 990 (2015)
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 domestic 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 or for domestic individuals 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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
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 ...................
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 "Yes," complete Schedule L, Part II ................
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.........
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 ........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
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...
28c
 
No
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
Yes
 
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 (2015)
Form 990 (2015)
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
2,661
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
2,756
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: MediumBulletCI , CJ , MX
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2015)
Form 990 (2015)
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
25
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
15
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
Yes
 
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
Yes
 
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKIM REYNOLDS919 HIDDEN RIDGE DRIVE   IRVING,TX75038 (469) 282-2000
Form 990 (2015)
Form 990 (2015)
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       22,008 0 0
(2) SISTER KATHLEEN COUGHLIN CCVI......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(3) SISTER WALTER MAHER CCVI......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(4) SISTER HANNAH O'DONOGHUE CCVI......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(5) SISTER CHRISTINA MURPHY......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(6) CHERYL ALSTON......................................................................
Director
 1.0
.................
0.0 		X           22,398 0 0
(7) GEORGE BO-LINN MD......................................................................
Director
 1.0
.................
0.0 		X           11,828 0 0
(8) FATHER CHARLES E BOUCHARD......................................................................
Director
 1.0
.................
0.0 		X           0 0 0
(9) J LYNN BRITTON......................................................................
Director
 1.0
.................
0.0 		X           10,528 0 0
(10) PATRICIO DONOSO IBANEZ......................................................................
Director
 1.0
.................
0.0 		X           7,928 0 0
(11) MARICELA SIEWCZYNSKI MOORE......................................................................
Director
 1.0
.................
0.0 		X           11,098 0 0
(12) ERNIE SADAU......................................................................
PRESIDENT & CEO
 39.0
.................
1.0 		X   X       3,825,120 0 737,410
(13) ARTHUR SOUTHAM MD......................................................................
Director
 1.0
.................
0.0 		X           7,315 0 0
(14) DENNIS N STINE......................................................................
DIRECTOR
 1.0
.................
0.0 		X           9,678 0 0
(15) KENNETH D WELLS MD......................................................................
Director
 1.0
.................
0.0 		X           12,778 0 0
(16) CLARENCE R WILLIAMS......................................................................
Director
 1.0
.................
0.0 		X           7,178 0 0
(17) SISTER MARY MARGARET BRIGHT......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
Form 990 (2015)
Form 990 (2015)
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) SISTER KEVINA KEATING........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(19) SISTER ALICE MARY BUCKLEY........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(20) SISTER TERESA MAYA........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(21) BILL CHEN........................................................................
DIRECTOR
 1.0
.......................0.0 		X           843 0 0
(22) J LINDSEY BRADLEY JR........................................................................
TMF CEO/PRESIDENT (EFF 6/2016)
 1.0
.......................39.0 		X           0 2,144,069 38,231
(23) RAY THOMPSON........................................................................
EVP/COO (EFF 6/2016)
 1.0
.......................39.0 		X           0 1,897,004 38,231
(24) STEVEN KEUER MD........................................................................
TMF CHIEF FINANCIAL OFFICER
 1.0
.......................39.0 		X           0 1,646,802 37,726
(25) SISTER LORETTA FELICI........................................................................
DIRECTOR (EFF 6/2016)
 1.0
.......................39.0 		X           0 0 0
(26) RANDY SAFADY........................................................................
EVP/ CHIEF FINANCIAL OFFICER
 39.0
.......................1.0 		    X       1,875,304 0 384,467
(27) ANITA DEWAN........................................................................
Asst Corp Sec. (eff 7/2015)
 32.0
.......................8.0 		    X       58,346 0 846
(28) KELLY KLIBERT........................................................................
Dir. of Governance(eff 7/2015)
 32.0
.......................8.0 		    X       50,862 0 738
(29) ALEX J VALDEZ........................................................................
CEO-Clinica San Carlos de Apoq
 39.0
.......................1.0 		      X     858,570 0 126,343
(30) GEORGE S CONKLIN........................................................................
SR VP CHIEF INFO OFFICER
 39.0
.......................1.0 		      X     1,218,214 0 246,047
(31) JOHN A GILLEAN MD........................................................................
EVP/CHIEF MEDICAL OFFICER
 39.0
.......................1.0 		      X     1,784,877 0 373,606
(32) GERARD F HEELEY........................................................................
SR VP MISSION AND ETHICS
 39.0
.......................1.0 		      X     912,799 0 196,188
(33) MARTY MARGETTS........................................................................
EVP CORPORATE SERVICES
 39.0
.......................1.0 		      X     1,114,895 0 257,494
(34) JEFFREY M PUCKETT........................................................................
EVP/COO (EFF 4/2016)
 39.0
.......................1.0 		      X     1,701,876 0 394,563
(35) EUGENE A WOODS........................................................................
EVP/COO (THRU 3/2016)
 39.0
.......................1.0 		      X     2,196,106 0 391,431
(36) LINDA K MCCLUNG........................................................................
EVP/Chief Admin Officer
 39.0
.......................1.0 		      X     1,436,480 0 336,734
(37) PAUL D GENERALE........................................................................
EVP/Chief Strategy(Eff 4/2016)
 39.0
.......................1.0 		      X     1,294,900 0 286,580
(38) PAMELA ROBERTSON........................................................................
PRESIDENT-CEO SPOHN
 1.0
.......................39.0 		        X   0 1,268,119 273,751
(39) PATRICK CARRIER........................................................................
PRESIDENT-SANTA FE MINISTRY
 1.0
.......................39.0 		        X   0 1,234,551 220,170
(40) STEPHEN WRIGHT........................................................................
PRESIDENT-CEO LA MINISTRIES
 1.0
.......................39.0 		        X   0 1,042,187 248,673
(41) CHRISTOPHER KARAM........................................................................
PRESIDENT-CEO ARK-LA-TEX
 1.0
.......................39.0 		        X   0 1,013,002 255,403
(42) PETER PLANTES MD........................................................................
CEO CHRISTUS PHYSICIAN GROUP
 1.0
.......................39.0 		        X   0 884,104 201,600
(43) PATRICIA NOBLES........................................................................
FORMER CORPORATE SECRETARY
 0.0
.......................0.0 		          X 135,696 0 14,535
(44) MARY T LYNCH........................................................................
FORMER SR VP CHIEF GOVERNANCE
 0.0
.......................0.0 		          X 673,079 0 47,427
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 19,260,704 11,129,838 5,108,194
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet406
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,
1500 LIBERTY RIDGE DRIVE
WATBE,PA19087 		MEDICAL SERVICES 26,374,111
OPTUM RX,
9900 BREN ROAD EAST
MINNETONKA,MN55343 		MEDICAL SERVICES 26,078,957
CB RICHARD ELLIS INC,
2700 POST OAK BOULEVARD
HOUSTON,TX77056 		LEASE SERVICES 19,276,720
PROTIVITI INC,
3343 PEACHTREE SUITE 600
ATLANTA,GA30326 		CONSULTING SERVICES 10,895,234
Crothall Healthcare Inc,
1500 Liberty Ridge 210
WAYNE,PA19087 		hospital services 8,320,957
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet211
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 0
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a-1f:$ 0
h Total.Add lines 1a-1f.......MediumBullet 0
Program Service RevenueAmt Business Code
2a Service Fee Income 541900 174,586,290 174,308,490 277,800 0
b Premium Revenue 900099 171,082,693 171,082,693 0 0
c SYSTEM OFFICE FEES AND MGMT SERVICES 561000 79,047,650 73,201,755 5,845,895 0
d CAPITATION REVENUE 621400 64,719,756 64,719,756 0 0
e MEANINGFUL USE INCENTIVE PAYMENTS 900099 7,598,120 7,598,120 0 0
f All other program service revenue. 39,823,153 39,823,153   0
g Total.Add lines 2a–2f.....MediumBullet 536,857,662
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 461,126     461,126
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 3,840,543     3,840,543
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss)......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 690,097 496,919,301
b Less: cost or other basis and sales expenses 372,175 473,802,916
c Gain or (loss) 317,922 23,116,385
d Net gain or (loss).....MediumBullet 23,434,307     23,434,307
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 3,469,032
b Less: cost of goods sold ..b 2,014,203
c Net income or (loss) from sales of inventory..MediumBullet 1,454,829     1,454,829
Business Code Miscellaneous Revenue
11a BNA SETTLEMENT 900099 21,496,245 0 0 21,496,245
b COBRA INSURANCE-EMPLOYEES 900099 653,649 0 0 653,649
c Other Operating Revenue 900099 473,131 0 0 473,131
d All other revenue .... 43,613 0 0 43,613
e Total. Add lines 11a–11d ...... MediumBullet 22,666,638
12 Total revenue. See Instructions......MediumBullet 588,715,105 530,733,967 6,123,695 51,857,443
Form 990 (2015)
Form 990 (2015)
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 domestic organizations and domestic governments. See Part IV, line 21 2,068,391 2,068,391
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0 0
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 23,678,785 4,598,538 19,080,247 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 690,828 134,162 556,666 0
7 Other salaries and wages 174,064,440 33,804,177 140,260,263 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... -3,661,970 -5,767,733 2,105,763 0
9 Other employee benefits ....... 125,544,426 127,960,983 -2,416,557 0
10 Payroll taxes ........... 10,023,734 2,507,204 7,516,530 0
11 Fees for services (non-employees):        
a Management ...... 23,333 0 23,333 0
b Legal ......... 3,036,637 11,688 3,024,949 0
c Accounting ........... -5,231,831 0 -5,231,831 0
d Lobbying ........... 1,256,523 0 1,256,523 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 1,331,155 0 1,331,155 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 248,509,840 207,102,251 41,407,589  
12 Advertising and promotion .... 5,049,063 612 5,048,451 0
13 Office expenses ....... 26,485,900 20,003,220 6,482,680 0
14 Information technology ...... 0 0 0 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 16,675,535 9,978,442 6,697,093 0
17 Travel ............ 7,298,908 1,039,115 6,259,793 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0 0 0 0
19 Conferences, conventions, and meetings .... 3,342,547 633,142 2,709,405 0
20 Interest ........... 19,972,658 0 19,972,658 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization .. 3,431,389 -758,286 4,189,675 0
23 Insurance ... 8,651,975 8,001,015 650,960 0
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 13,689,663 0 13,689,663 0
b Loss on Impmt of Goodwill 12,646,667 12,646,667 0 0
c Dues/Memberships & Subscr 12,567,952 9,353,951 3,214,001 0
d Recruitment/Placement Fee 2,602,721 159,519 2,443,202 0
e All other expenses 2,066,445 460,700 1,605,745  
25 Total functional expenses. Add lines 1 through 24e 715,815,714 433,937,758 281,877,956 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). 0      
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 15,509,727 1 1,900,565
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 7,660,373 4 9,167,413
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 .... 745,148,071 7 699,471,901
8 Inventories for sale or use ........ 1,276,397 8 1,417,459
9 Prepaid expenses and deferred charges ...... 40,637,626 9 44,483,665
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 266,135,323
b Less: accumulated depreciation 10b 137,485,812 126,997,155 10c 128,649,511
11 Investments—publicly traded securities . 600,460,617 11 459,825,702
12 Investments—other securities. See Part IV, line 11 ..... 375,636,092 12 289,996,632
13 Investments—program-related. See Part IV, line 11 .. 18,687,170 13 486,179,139
14 Intangible assets ............... 31,943,296 14 19,296,630
15 Other assets. See Part IV, line 11 ........... 119,589,247 15 145,653,218
16 Total assets. Add lines 1 through 15 (must equal line 34)... 2,083,545,771 16 2,286,041,835
Liabilities 17 Accounts payable and accrued expenses ..... 124,789,672 17 156,002,393
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 1,154,617 19 2,118,058
20 Tax-exempt bond liabilities ......... 870,923,823 20 941,691,779
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 1,204,028,182 25 1,224,368,486
26 Total liabilities. Add lines 17 through 25.. 2,200,896,294 26 2,324,180,716
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 -118,707,872 27 -53,417,148
28 Temporarily restricted net assets ........... 154,944 28 11,671,862
29 Permanently restricted net assets 1,202,405 29 3,606,405
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 ........... -117,350,523 33 -38,138,881
34 Total liabilities and net assets/fund balances ........ 2,083,545,771 34 2,286,041,835
Form 990 (2015)
Form 990 (2015)
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
588,715,105
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
715,815,714
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-127,100,609
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-117,350,523
5
Net unrealized gains (losses) on investments ...............
5
-52,968,177
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
-1,202,405
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
260,482,833
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-38,138,881
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 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
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 (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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 VI.)..            
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 section 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) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 3,016,026 0 0 0 0 3,016,026
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...... 208,487,936 195,922,267 177,893,713 149,803,902 73,618,886 805,726,704
3 Gross receipts from activities that are not an unrelated trade or business under section 513... 4,736,260 6,936,597 5,045,514 6,219,408 3,469,032 26,406,811
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. 216,240,222 202,858,864 182,939,227 156,023,310 77,087,918 835,149,541
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.) 835,149,541
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6... 216,240,222 202,858,864 182,939,227 156,023,310 77,087,918 835,149,541
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 17,625,801 19,128,748 22,860,349 17,161,269 4,301,669 81,077,836
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.     3,055,553 4,783,879 2,974,103 10,813,535
c Add lines 10a and 10b. 17,625,801 19,128,748 25,915,902 21,945,148 7,275,772 91,891,371
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 VI.) .. 171,489 6,309,554 4,924,589 4,538,968 22,666,640 38,611,240
13 Total support. (Add lines 9, 10c, 11, and 12.).. 234,037,512 228,297,166 213,779,718 182,507,426 107,030,330 965,652,152
14
Section C. Computation of Public Support Percentage
15
15
86.486 %
16
16
88.568 %
Section D. Computation of Investment Income Percentage
17
17
9.516 %
18
18
9.874 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2015


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 BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (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) 2015


Schedule C (Form 990 or 990-EZ) 2015
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 on 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
0
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
1,020
e
Publications, or published or broadcast statements? ...........................................................
 
No
0
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
0
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
426,341
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
0
i
Other activities? ...................................................................................................................
Yes
 
829,162
j
Total. Add lines 1c through 1i ....................................................................................................
1,256,523
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, lines 1 and 2 (see instructions), 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: A total of 792 emails and faxes sent on behalf of CHRISTUS Health by employees as well as volunteers. ONE MINUTE PER LETTER OR EMAIL ON ISSUES RELATED TO ACT NOW TO OPPOSE CUTS TO HOSPITAL REIMBURSEMENT IN LOUISIANA AND TO SUPPORT THE RENEWAL OF A 1115 MEDICAID TRANSFORMATION WAIVER IN TEXAS. 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: US FAMILY HEALTH AS AN OPTION IN THE HOUSE ARMED SERVICES COMMITTEE REPORT ON THE NATIONAL DEFENSE AUTHORIZATION ACT FOR FY 2017, MEDICARE AND MEDICAID DISPORTIONATE SHARE HOSPITAL FUNDING, 1115 WAIVER MEDICAID PROPOSALS, MEDICAID MANAGED CARE, HEALTH INFORMATION TECHNOLOGY AND INTEROPERABILITY, AFFORDABLE CARE ACT, FEDERAL EMERGENCY PREPAREDNESS, PHARMACEUTICAL 340B SAFETY-NET HOSPITAL PROGRAM, SCHOOL BASED HEALTH CLINICS, MEDICAID EXPANSION UNDER THE ACA, MILITARY HEALTH, GUN LEGISLATION AFFECTING HOSPITALS, HOSPITAL LOCAL PROVIDER FEES, TRAUMA CENTER FUNDING, PEDIATRIC HOSPITAL ISSUES, VA UNREIMBURSED CLAIMS, SERVICES RELATED TO ETHICAL AND RELIGIOUS DIRECTIVES. TOTAL HOURS: EXECUTIVE/DIRECTOR: 1,000 HOURS DIRECTOR/ASSOCIATE: 1,170 HOURS 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 HOSPITAL ASSOCIATION, US FAMILY HEALTH PLAN, 340B, ASSOCIATION OF COMMUNITY CANCER CENTERS, NATIONAL ASSOCIATION LONG TERM HOSPITALS, CHA CHILDREN'S TEACHING HOSPITAL OF TEXAS, AMERICAN HEALTH INSURANCE PLANS, PERSONAL CONNECT. 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 THE 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) 2015


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," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)
Revenue included on 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
Revenue included on 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) 2015

Schedule D (Form 990) 2015
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" on 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, for escrow or custodial account liability?
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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c 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 on 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" on 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' on 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 ...   20,927,018 20,927,018
b Buildings   90,181,140 38,237,333 51,943,807
c Leasehold improvements   13,801,913 5,170,327 8,631,586
d Equipment ...   16,514,446 7,576,025 8,938,421
e Other ...   124,710,806 86,502,127 38,208,679
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 128,649,511
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on 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 		289,996,632 F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 289,996,632
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(1)INVESTMENT IN CONSOL SUBS 486,179,139 F
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 486,179,139
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DEFERRED ASSETS 35,470,573
(2) SVH RESTRICTED CAPITAL ACCOUNT 32,111,105
(3) DUE FROM RELATED ORGANIZATIONS 67,865,699
(4) BOND ISSUE COST 15,959,303
(5) DEPOSITS 1,240,762
(6) CURRENT PTN ALATU-PENSION FUND 985
(7) NET AMORT BOND ISSUE COST -6,995,209
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 145,653,218
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
CMS DUE RELATED ENTITIES 897,060,781
LT PENSION LIABILITY 187,812,635
UPL RECEIVABLE 68,925,923
LT SELF FUNDING LIABILITY 65,383,329
CAPITAL LEASE LIABILITY 1,832,900
PAYABLE TO CCVI 1,677,454
COLLECTIONS PAYABLE 1,675,581
OTHER TAXES PAYABLE -117
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,224,368,486
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) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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, 2016 AND 2015.
Schedule D (Form 990) 2015


Additional Data


Software ID:  
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
2015
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 212,585
Europe (Including Iceland and Greenland)     Program Services Program/Bus Develop 111,143
Central America and the Caribbean     Program Services Program/Bus Develop 28,633
South America     Program Services Program/Bus Develop 660,979
Sub-Saharan Africa     Program Services Program/Bus Develop 186
East Asia and the Pacific     Program Services Program/Bus Develop 4,713
North America     Program Services INVESTMENT- CAP CONTR 10,000,000
Central America and the Caribbean     Program Services INVESTMENTS-BOOK VALUE 145,971,941
Central America and the Caribbean     Program Services SELF INSURANCE FUNDING 26,833,283
Central America and the Caribbean     Program Services INVESTMENTS-BOOK VALUE 219,923,648
South America     Program Services INVESTMENTS - CAP CONT 1,000,000
           
           
           
           
           
           
3a Sub-total .....     404,747,111
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     404,747,111
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
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)		 (a)(c) Region (b)(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)
South America   60,000        
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
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) 2015
Schedule F (Form 990) 2015Page 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) 2015
Schedule F (Form 990) 2015
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 separately 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
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, LINE 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) 2015
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," on 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
2015
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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) AMISTAD COMMUNITY HEALTH CENTER
1533 S Brownlee Blvd
Corpus Christi,TX78404 		20-3008507 501(c)(3) 5,925       Outreach and enrollment support for Marketplace Ex poor, devalued and in need of help in East Texas.
(2) BAYLOR HEALTHCARE SYSTEM
3600 GASTON AVENUE STE 100
DALLAS,TX75246 		75-1837454 501(c)(3) 20,000       BREAST CANCER TREATMENT FOR WOMEN UNDER/UNINSURED
(3) NORTHEAST TEXAS CASA INC
PO BOX 1546
TEXARKANA,TX75504 		75-2352271 501(c)(3) 25,000       Salary support for certified assualt nurse examiner
(4) CATHOLIC CHARITIES OF DALLAS INC
9461 LBJ FREEWAY STE 128
DALLAS,TX75243 		75-2745221 501(c)(3) 110,646       Operational support for senior programs,Salary support for employee coordinator, Donation from associates parking raffle, 2016 BISHOP'S GALA UNDERWRITING LEVELS & BENEFITS
(5) CATHOLIC CHARITIES OF SOUTHEAST TEXAS
202 W FRONT STREET
TYLER,TX75702 		74-1900345 501(c)(3) 31,480       Salary support for parish nurse program
(6) CATHOLIC DIOCESE OF DALLAS
3725 BLACKBURN STREET
DALLAS,TX75219 		75-0800637 501(c)(3) 5,535       Nicaragua fact finding trip
(7) SISTERS OF CHARITY OF THE INCARNATE WORD
4503 BROADWAY
SAN ANTONIO,TX78209 		74-1676917 501(c)(3) 78,100       Missionary volunteers in Peru, Operational support for Visitation House Ministries
(8) CENTROMED CLINICS
3750 COMMERCIAL AVE
SAN ANTONIO,TX78221 		74-1787031 501(c)(3) 31,250       Website design & maintenance and advertisement for outreach and enrollment support for Marketplace Exchange
(9) CHEF SHOWCASE FOUNDATION
2100 MCKINNEY AVE STE 700
DALLAS,TX75201 		20-0371453 501(c)(3) 10,000       CHEF SHOWCASE DONATION
(10) CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919
HOUSTON,TX77251 		74-6074210 501(c)(3) 60,000       Immunization for Life program,Nun Run donation, Spring Luncheon donation
(11) CHRISTUS FOUNDATION OF SOUTHEAST TEXAS
2830 CALDER AVE
BEAUMONT,TX77702 		76-0136274 501(c)(3) 20,500       Medical Mission fund for TX & LA emergency associate assistance program, ANNUAL GALA DONATION, DONATION - CMN
(12) CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET
SAN ANTONIO,TX78207 		74-1109665 501(c)(3) 12,867       PAYOUT TO THE REGION
(13) CHRISTUS FDN SHREVEPORT-BOSSIER
1453 E BERT KOUNS IND LOOP
SHREVEPORT,LA78216 		72-1219280 501(c)(3) 38,319       PAYOUT TO THE REGION
(14) CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DR
TEXARKANA,TX75503 		47-1655865 501(c)(3) 10,000       ANNUAL GALA
(15) COASTAL BEND CENTER FOR INDEPENDENT
1537 SEVENTH STREET
CORPUS CHRISTI,TX78404 		74-2878070 501(c)(3) 10,000       Outreach and enrollment support for Marketplace Exchange
(16) DAVID RAINES COMMUNITY HEALTH CENTER
3041 MARTIN LUTHER KING DR
SHREVEPORT,LA77107 		58-2000630 501(c)(3) 30,000       Increase Marketplace Exchange enrollment & education on NW La
(17) FAMILY AND YOUTH COUNSELING AGENCY
220 LOUIE STREET
LAKE CHARLES,LA70601 		72-0688561 501(c)(3) 45,000       OPERATIONAL SUPPORT FOR COUNSELING SERVICES
(18) FAMILY COUNSELING SERVICES
3833 S STAPLES STE S203
CORPUS CHRISTI,TX78411 		74-1321308 501(c)(3) 12,800       Salary support counseling services to uninsured & underinsured clients
(19) CHRISTUS SPOHN FOUNDATION
600 Elizabeth Street
Corpus Christi,TX78404 		74-1906005 501(c)(3) 33,000       Richard King III Grand Classic golf tournament donation, Dr. Hector P. Garcia Memorial Family Health Center donation
(20) CHRISTUS ST FRANCES CABRINI
3330 Masonic Drive
Alexandria,LA71301 		23-7255175 501(c)(3) 51,618       PAYOUT TO REGION, CHRISTUS ST FRANCES CABRINI WINTER BALL, DONATION - CMN
(21) CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES,LA70601 		47-1496376 501(c)(3) 9,000       Donation for CMN Exchange AND NUN RUN
(22) LAS CUMBRES COMMUNITY SERVICES INC
805 EARLY ST STE B102
SANTA FE,NM87505 		23-7144268 501(c)(3) 91,000       Salary and operational support for community infant program
(23) FRIENDS OF CHRISTUS SANTA ROSA
100 NE Loop 410
SAN ANTONIO,TX78216 		74-2723391 501(c)(3) 10,000       National Speakers Luncheon donation
(24) HOPKINS COUNTY HEALTH CARE
115 Airport Road
SULPHUR SPRINGS,TX75482 		75-2845157 501(c)(3) 20,000       Lights of Life campaign
(25) FRIENDSHIP CLUB
PO BOX 6723
SANTA FE,NM87502 		85-0324089 501(c)(3) 30,000       Salary and operational support for long-term recovery strategy
(26) SAMARITAN COUNSELING CENTER OF SOUTHEAST TX
3747 DOCTORS DR
PORT ARTHUR,TX77642 		76-0068922 501(c)(3) 35,000       To provide quality mental, emotional and behavioral healthcare services and educational programs to people of all economic backgrounds.
(27) GERARD'S HOUSE
3204 MERCANTILE CT STE C
SANTA FE,NM87507 		74-2834283 501(c)(3) 11,700       Bilingual counselor youth grief support
(28) ST JOSEPH COMMUNITY FOUNDATION
PO BOX 6427
PARIS,TX75461 		42-1619230 501(c)(3) 15,000       Texas Underwriter Ball donation
(29) INTERFAITH COMMUNITY SHELTER
PO BOX 22653
SANTA FE,NM87503 		27-0736366 501(c)(3) 67,875       Salary and operational expenses for homeless individuals recovering from medical treatment AND ADULT CASE MANAGEMENT PROGRAM
(30) UNIVERSITY OF THE INCARNATE WORD
4301 Broadway
San Antonio,TX78209 		74-1109661 501(c)(3) 10,417       Swing-In 2016 Auction Party & Gold Tournament donation, GENERAL DONATION, LINENS FOR SOJOURN 2016
(31) CHRISTUS SPOHN HOSPITAL
600 ELIZABETH STREET
CORPUS CHRISTI,TX78404 		74-1109836 501(C)(3) 180,999       PAYOUT TO REGION
(32) HARVEST TEXARKANA REGIONAL
PO BOX 707
TEXARKANA,TX75504 		75-2671647 501(c)(3) 40,000       Regional food collection and distribution program
(33) LEGACY COMMUNITY HEALTH SERVICES
PO BOX 66308
HOUSTON,TX77266 		76-0009637 501(C)(3) 50,000       Operational support for 12 months to assist with the transition of two community clinics
(34) MARTIN LUTHER KING HEALTH CENTER
827 MARGARET PLACE STE 201
SHREVEPORT,LA71101 		72-1079721 501(c)(3) 28,722       Outreach and enrollment support for Marketplace Exchange
(35) MARTINEZ STREET WOMENS CENTER
1510 S HACKBERRY ST
SAN ANTONIO,TX78210 		74-2934053 501(C)(3) 15,000       Salary support for Healthy You Denver Heigts program
(36) MISSION OF MERCY INC
719 S SHORELINE BLVD STE 103
CORPUS CHRISTI,TX78401 		81-0566980 501(C)(3) 20,000       Mobile unit to provide healthcare and medication to underserved and uninsured community members.
(37) NATIONAL DANCE INSTITUTE NEW MEXICO INC
1140 ALTO ST
SANTA FE,NM87501 		85-0431846 501(C)(3) 15,000       DANCING TO HEALTH IN SANTA FE
(38) PROJECT MEND INC
5727 WEST IH 10
SAN ANTONIO,TX78201 		74-2647324 501(C)(3) 40,000       Operational support for the reuse of medical equipment
(39) SAN ANTONIO CHRISTIAN DENTAL CLINIC
1 HAVEN FOR HOPE WAY BLDG 1 STE 4
SAN ANTONIO,TX78207 		74-2428161 501(C)(3) 40,000       Overall operational support, including salaries
(40) SAN ANTONIO LIFETIME RECOVERY
10290 SOUTHTON ROAD
SAN ANTONIO,TX78223 		74-1540097 501(C)(3) 50,000       OPERATIONAL SUPPORT
(41) SOUTHEAST TEXAS FOOD BANK
3845 S MARTIN LUTHER KING PKWY
BEAUMONT,TX77705 		76-0338721 501(C)(3) 20,000       One year of support for disease management nutrition program
(42) ST PETER ST JOSEPH CHILDRENS HOME
1533 BROWNLEE BLVD
CORPUS CHRISTI,TX78404 		74-1143129 501(C)(3) 50,000       Salary & operational support for Trauma Recovery Program
(43) THE COMING HOME CONNECTION INC
418 CERRILLOS ROAD STE 27
SANTA FE,NM87501 		74-2853467 501(C)(3) 13,200       VOLUNTEER HOME CARE MODEL
(44) UBI CARITAS CLINIC
4442 HIGHLAND AVE
BEAUMONT,TX77705 		76-0558225 501(C)(3) 25,000       Salary support for Camp 5210 program
(45) VILLA THERESE CATHOLIC CLINIC
219 CATHEDRAL PLACE
SANTA FE,NM87501 		85-0229019 501(C)(3) 58,400       Prevention services for uninsured & underserved women
(46) WOMENS GLOBAL CONNECTION
PO BOX 34833
SAN ANTONIO,TX78265 		42-1619919 501(C)(3) 27,300       Women building healthy and sustainable communites
(47) AQUINAS INSTITUTE OF THEOLOGY
23 S SPRING AVENUE
ST LOUIS,MO63108 		43-1233793 501(C)(3) 100,000       Forward in Faith Campaign donation
(48) LITTLE BIG SHOT
860 W AIRPORT FWAY STE 211
HURST,TX76054 		46-3144203 501(C)(3) 15,000       Jocks & Jerseys Gala donation diabetes
(49) ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DR
SANTA FE,NM87505 		35-6088862 501(C)(3) 50,000       Sesquicentenario Celebration Gala donation
(50) STOP HUNGER NOW INC
615 HILLSBOROUGH ST STE 200
RALEIGH,NC27603 		16-1541024 501(C)(3) 5,826       Meal purchasing to ship to third world country
(51) TEXAS HOSPITAL ASSOCIATION
1108 LAVACA STE 700
AUSTIN,TX78701 		74-1362741 501(C)(3) 10,000       Texas Hospital Association donation
(52) THE UNIVERSITY OF DALLAS
1845 E NORTHGATE DRIVE
IRVING,TX75062 		75-0926755 501(C)(3) 10,000       Galecke Open donation
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
53
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) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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, LINE 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) 2015



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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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 on 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" on 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) 2015

Schedule J (Form 990) 2015
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 on 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 in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1ALEX J VALDEZCEO-Clinica San Carlos de Apoq (i)

(ii)		 469,527
-------------
0 		172,965
-------------
0 		216,078
-------------
0 		106,383
-------------
0 		19,960
-------------
0 		984,913
-------------
0 		148,411
-------------
0
2ERNIE SADAUPRESIDENT & CEO (i)

(ii)		 1,682,578
-------------
0 		1,682,553
-------------
0 		459,989
-------------
0 		680,407
-------------
0 		57,003
-------------
0 		4,562,530
-------------
0 		443,528
-------------
0
3GEORGE S CONKLINSR VP CHIEF INFO OFFICER (i)

(ii)		 673,792
-------------
0 		441,786
-------------
0 		102,636
-------------
0 		222,140
-------------
0 		23,907
-------------
0 		1,464,261
-------------
0 		0
-------------
0
4JOHN A GILLEAN MDEVP/CHIEF MEDICAL OFFICER (i)

(ii)		 1,119,826
-------------
0 		653,718
-------------
0 		11,333
-------------
0 		318,198
-------------
0 		55,408
-------------
0 		2,158,483
-------------
0 		0
-------------
0
5GERARD F HEELEYSR VP MISSION AND ETHICS (i)

(ii)		 467,784
-------------
0 		341,997
-------------
0 		103,018
-------------
0 		174,433
-------------
0 		21,755
-------------
0 		1,108,987
-------------
0 		102,151
-------------
0
6MARTY MARGETTSEVP CORPORATE SERVICES (i)

(ii)		 624,372
-------------
0 		466,859
-------------
0 		23,664
-------------
0 		222,489
-------------
0 		35,005
-------------
0 		1,372,389
-------------
0 		22,856
-------------
0
7JEFFREY M PUCKETTEVP/COO (EFF 4/2016) (i)

(ii)		 911,152
-------------
0 		678,600
-------------
0 		112,124
-------------
0 		355,806
-------------
0 		38,757
-------------
0 		2,096,439
-------------
0 		111,256
-------------
0
8RANDY SAFADYEVP/ CHIEF FINANCIAL OFFICER (i)

(ii)		 1,043,670
-------------
0 		748,548
-------------
0 		83,086
-------------
0 		345,534
-------------
0 		38,933
-------------
0 		2,259,771
-------------
0 		82,219
-------------
0
9EUGENE A WOODSEVP/COO (THRU 3/2016) (i)

(ii)		 1,222,503
-------------
0 		891,753
-------------
0 		81,850
-------------
0 		347,412
-------------
0 		44,019
-------------
0 		2,587,537
-------------
0 		80,984
-------------
0
10LINDA K MCCLUNGEVP/Chief Admin Officer (i)

(ii)		 751,663
-------------
0 		552,453
-------------
0 		132,364
-------------
0 		298,835
-------------
0 		37,899
-------------
0 		1,773,214
-------------
0 		131,572
-------------
0
11PAUL D GENERALEEVP/Chief Strategy(Eff 4/2016) (i)

(ii)		 720,666
-------------
0 		555,702
-------------
0 		18,532
-------------
0 		253,196
-------------
0 		33,384
-------------
0 		1,581,480
-------------
0 		18,532
-------------
0
12PAMELA ROBERTSONPRESIDENT-CEO SPOHN (i)

(ii)		 0
-------------
610,605 		0
-------------
520,879 		0
-------------
136,635 		0
-------------
245,396 		0
-------------
28,355 		0
-------------
1,541,870 		0
-------------
136,636
13PATRICK CARRIERPRESIDENT-SANTA FE MINISTRY (i)

(ii)		 0
-------------
835,921 		0
-------------
139,629 		0
-------------
259,001 		0
-------------
193,527 		0
-------------
26,643 		0
-------------
1,454,721 		0
-------------
247,837
14STEPHEN WRIGHTPRESIDENT-CEO LA MINISTRIES (i)

(ii)		 0
-------------
626,860 		0
-------------
280,357 		0
-------------
134,970 		0
-------------
212,550 		0
-------------
36,123 		0
-------------
1,290,860 		0
-------------
125,421
15CHRISTOPHER KARAMPRESIDENT-CEO ARK-LA-TEX (i)

(ii)		 0
-------------
497,491 		0
-------------
391,809 		0
-------------
123,702 		0
-------------
227,471 		0
-------------
27,932 		0
-------------
1,268,405 		0
-------------
123,702
16PETER PLANTES MDCEO CHRISTUS PHYSICIAN GROUP (i)

(ii)		 0
-------------
495,625 		0
-------------
385,765 		0
-------------
2,714 		0
-------------
165,953 		0
-------------
35,647 		0
-------------
1,085,704 		0
-------------
0
17PATRICIA NOBLESFORMER CORPORATE SECRETARY (i)

(ii)		 55,966
-------------
0 		0
-------------
0 		79,730
-------------
0 		7,749
-------------
0 		6,786
-------------
0 		150,231
-------------
0 		0
-------------
0
18MARY T LYNCHFORMER SR VP CHIEF GOVERNANCE (i)

(ii)		 226,129
-------------
0 		0
-------------
0 		446,950
-------------
0 		41,400
-------------
0 		6,027
-------------
0 		720,506
-------------
0 		0
-------------
0
19J LINDSEY BRADLEY JRTMF CEO/PRESIDENT (EFF 6/2016) (i)

(ii)		 0
-------------
827,070 		0
-------------
1,199,352 		0
-------------
117,647 		0
-------------
17,226 		0
-------------
21,005 		0
-------------
2,182,300 		0
-------------
0
20RAY THOMPSONEVP/COO (EFF 6/2016) (i)

(ii)		 0
-------------
651,414 		0
-------------
1,102,681 		0
-------------
142,909 		0
-------------
17,226 		0
-------------
21,005 		0
-------------
1,935,235 		0
-------------
0
21STEVEN KEUER MDTMF CHIEF FINANCIAL OFFICER (i)

(ii)		 0
-------------
579,197 		0
-------------
384,712 		0
-------------
682,893 		0
-------------
35,226 		0
-------------
2,500 		0
-------------
1,684,528 		0
-------------
601,460
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: MARY T. LYNCH - $440,100 PATRICIA NOBLES - $ 74,893 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 ALEX J. VALDEZ RECEIVED $148,411 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. ERNIE SADAU RECEIVED $443,528 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. GERARD F. HEELEY RECEIVED $102,151 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. MARTY MARGETTS RECEIVED $22,856 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. JEFFREY M. PUCKETT RECEIVED $111,256 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. RANDY SAFADY RECEIVED $82,219 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. EUGENE A. WOODS RECEIVED $80,984 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. LINDA K. MCCLUNG RECEIVED $131,572 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PAUL GENERALE RECEIVED $18,532 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PAMELA ROBERTSON RECEIVED $136,636 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PATRICK CARRIER RECEIVED $247,837 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. STEPHEN WRIGHT RECEIVED $125,421 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. CHRISTOPHER KARAM RECEIVED $123,702 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. PETER PLANTES, M.D. RECEIVED $2,714 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. STEVEN KEUER, M.D. RECEIVED $601,460 DURING CALENDAR YEAR 2015 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 2015. 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) 2015
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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398ZM3 11-25-2008 44,382,370 SEE SCH K, PART VI X     X   X
B LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398C71 08-12-2009 231,654,638 SEE SCH K, PART VI X     X   X
C TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDB6 11-25-2008 185,542,228 SEE SCH K, PART VI X     X   X
D TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDF7 12-19-2008 268,560,000 SEE SCH K, PART VI   X   X   X
HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RFV1 11-08-2005 320,620,000 SEE SCH K, PART VI X     X   X
HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RHY3 12-09-2010 96,654,505 SEE SCH K, PART VI X     X   X
COASTAL BEND HEALTH FACILITIES DEV CORP
  		74-2352502 19042FAB2 11-08-2005 61,300,000 SEE SCH K, PART VI   X   X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TEA7 12-03-2009 73,865,293 SEE SCH K, PART VI X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 8,010,000 68,185,000 24,480,000 106,480,000
2 Amount of bonds legally defeased .............. 0 0 12,945,000 0
3 Total proceeds of issue .................. 44,591,244 232,172,392 186,468,412 268,560,701
4 Gross proceeds in reserve funds ............. 4,200,640 16,118,254 17,853,479 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 775,238 0 3,029,908 1,638,896
8 Credit enhancement from proceeds ............. 575,366 0 2,510,025 235,297
9 Working capital expenditures from proceeds ............. 0 4,138 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
11 Other spent proceeds ............. 39,040,000 216,050,000 163,075,000 266,686,508
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) 2015

Schedule K (Form 990) 2015
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   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 0.100 % 0.200 % 0.100 % 0.200 %
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 ............. 0.100 % 0.200 % 0.100 % 0.200 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to 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
  		citibank na
 
c Term of hedge .........       3970 %
d Was the hedge superintegrated? ......               X
e Was the hedge terminated? ........               X
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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
FORM 990, SCHEDULE K, PART I, COLUMN (F) 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 2 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. 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 = $208,874 B. LINE 3. INVESTMENT EARNINGS = $517,754 C. LINE 3. INVESTMENT EARNINGS = $926,184 D. LINE 3. INVESTMENT EARNINGS = $701 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $347,402 C. LINE 3. INVESTMENT EARNINGS = $1,556,640 D. LINE 3. INVESTMENT EARNINGS = $11 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 JANUARY 14, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. C. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. D. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 24, 2015. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. D. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 7, 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 IMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.
Schedule K (Form 990) 2015

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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398ZM3 11-25-2008 44,382,370 SEE SCH K, PART VI X     X   X
B LOUISIANA PUBLIC FACILITIES AUTHORITY
  		72-0895871 546398C71 08-12-2009 231,654,638 SEE SCH K, PART VI X     X   X
C TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDB6 11-25-2008 185,542,228 SEE SCH K, PART VI X     X   X
D TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TDF7 12-19-2008 268,560,000 SEE SCH K, PART VI   X   X   X
HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RFV1 11-08-2005 320,620,000 SEE SCH K, PART VI X     X   X
HARRIS COUNTY HEALTH FACILITIES DEV CORP
  		52-1284201 41315RHY3 12-09-2010 96,654,505 SEE SCH K, PART VI X     X   X
COASTAL BEND HEALTH FACILITIES DEV CORP
  		74-2352502 19042FAB2 11-08-2005 61,300,000 SEE SCH K, PART VI   X   X   X
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
  		04-3833551 87638TEA7 12-03-2009 73,865,293 SEE SCH K, PART VI X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 8,010,000 68,185,000 24,480,000 106,480,000
2 Amount of bonds legally defeased .............. 0 0 12,945,000 0
3 Total proceeds of issue .................. 44,591,244 232,172,392 186,468,412 268,560,701
4 Gross proceeds in reserve funds ............. 4,200,640 16,118,254 17,853,479 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 775,238 0 3,029,908 1,638,896
8 Credit enhancement from proceeds ............. 575,366 0 2,510,025 235,297
9 Working capital expenditures from proceeds ............. 0 4,138 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
11 Other spent proceeds ............. 39,040,000 216,050,000 163,075,000 266,686,508
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) 2015

Schedule K (Form 990) 2015
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   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 0.100 % 0.200 % 0.100 % 0.200 %
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 ............. 0.100 % 0.200 % 0.100 % 0.200 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to 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
  		citibank na
 
c Term of hedge .........       3970 %
d Was the hedge superintegrated? ......               X
e Was the hedge terminated? ........               X
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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
FORM 990, SCHEDULE K, PART I, COLUMN (F) 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 2 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. 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 = $208,874 B. LINE 3. INVESTMENT EARNINGS = $517,754 C. LINE 3. INVESTMENT EARNINGS = $926,184 D. LINE 3. INVESTMENT EARNINGS = $701 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $347,402 C. LINE 3. INVESTMENT EARNINGS = $1,556,640 D. LINE 3. INVESTMENT EARNINGS = $11 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 JANUARY 14, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. C. LINE 2C - REBATE COMPUTATION PERFORMED JANUARY 14, 2014. D. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2014. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. B. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 24, 2015. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2014. D. LINE 2C - REBATE COMPUTATION PERFORMED DECEMBER 7, 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 IMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.
Schedule K (Form 990) 2015

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 990-EZ 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
2015
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 CHRISTUS HEALTH SERVICE 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 FY2016 WAS $0. 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, 2016, THE OUTSTANDING LOAN BALANCES WERE IN THE FOLLOWING REGIONS: OUTSIDE THE CHRISTUS HEALTH SERVICE AREAS: $39,999.96 IN CHRISTUS HEALTH GULF COAST REGION: $2,383.43 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $12,893.12 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $3,572.64 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $1,389.76 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $25,815.77 TOTAL CDI LOANS OUTSTANDING AS OF JUNE 30, 2016: $86,054.68 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 2016, GRANT FUNDS WERE DISTRIBUTED TO NON-PROFIT AGENCIES IN THE FOLLOWING REGIONS: IN Christus Health: $74,735 IN Christus Health Southwestern Louisiana Region: $3,000 IN Christus Health Ark-la-Tex Region: $41,000 IN CHRISTUS HEALTH NORTHERN LOUISIANA REGION: $103,722 IN CHRISTUS SANTA ROSA HEALTH CARE CORPORATION REGION: $263,550 IN CHRISTUS HEALTH SOUTHEAST TEXAS REGION: $226,980 IN CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REGION: $48,725 IN ST. VINCENT HOSPITAL (NEW MEXICO REGION): $285,475 In Sponsor Related: $158,580 TOTAL CHRISTUS FUND $1,205,767
DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 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.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 CHRISTUS HEALTH HAS FIVE (5) 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, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. TOGETHER THOSE FIVE 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, LINE 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, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, and ONE SISTER OF THE Sisters of the Holy Family of Nazareth. 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, LINE 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, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2017 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, LINE 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, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. 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, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE 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, 2016. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 INCR. IN EQUITY FROM ACQUISITION OF INTEREST IN TRINITY MOTHER FRANCES $474,540,457 POLICY CHANGE - ACCUM UNREALIZED GAINS $32,536,471 PENSION FUNDING $10,890,050 PENSION LIABILITY/EXPENSE ($7,134,438) EQUITY ADJ CONSOLIDATED SUBS ($47,220,923) TRANSFER OF RESTRICTED DONATIONS ($59,441,668) OTHER ($71,044,783) SPONSORSHIP FEES ($72,642,333) ------------- TOTAL $260,482,833
FORM 990 PART IX LINE 11G DESCRIPTION:SVC FEES-PHARMACY,PHYSICIANS TOTAL FEES:93751363
FORM 990 PART IX LINE 11G DESCRIPTION:REPAIR & MAINTENANCE SERVICES TOTAL FEES:83252014
FORM 990 PART IX LINE 11G DESCRIPTION:MARKETING & CONSULTING SVCS TOTAL FEES:36033666
FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATION EXPENSES TOTAL FEES:17510648
FORM 990 PART IX LINE 11G DESCRIPTION:FUND ADMINISTRATION COSTS TOTAL FEES:8907522
FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:2943684
FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY OVERHEAD ALLOC. TOTAL FEES:2518205
FORM 990 PART IX LINE 11G DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1237319
FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1511089
FORM 990 PART IX LINE 11G DESCRIPTION:INTERCO. PROF. & SYSTEM FEES TOTAL FEES:834828
FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:8224
FORM 990 PART IX LINE 11G DESCRIPTION:CBRE FEES TOTAL FEES:1278
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  
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 Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
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
(1) CH SANTA ROSA QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR
IRVING,TX75038
47-4580155 		ACO TX 0 0 CH
 
(2) CHRISTUS LOUISIANA ACO LLC
919 HIDDEN RIDGE DR
IRVING,TX75038
47-4592015 		ACO LA 0 0 CH
 
(3) CH ARK-LA-TEX QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR
IRVING,TX75038
47-4599144 		ACO TX 0 0 CH
 
(4) CPG QUALITY CARE ALLIANCE LLC
919 HIDDEN RIDGE DR
IRVING,TX75038
47-4607533 		ACO TX 0 0 CH
 




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)DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTHSTE 1100A

HOUSTON,TX77027
72-1270964 		HLTHCARE SVCS TX 501(C)(3) 3 CH
 
Yes
 
(12)CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE

IRVING,TX75038
61-1500100 		SUPP HTH SVCS TX 501(C)(3) 11-TYPE 1 CH
 
Yes
 
(13)ST FRANCES CABRINI HPL FDN OF ALEXANDRIA
3330 MASONIC DRIVE

ALEXANDRIA,LA71301
72-0998302 		SUPP HTH SVCS LA 501(C)(3) 7 CNLA
 
Yes
 
(14)CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919

HOUSTON,TX77251
74-6074210 		SUPP HTH SVCS TX 501(C)(3) 7 CH
 
Yes
 
(15)CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE

SHREVEPORT,LA71101
72-1219280 		SUPP HTH SVCS LA 501(C)(3) 7 NOLA
 
Yes
 
(16)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
 
(17)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
 
(18)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
 
(19)SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET

SAN ANTONIO,TX78207
74-2806531 		HLTHCARE SVCS TX 501(C)(3) 9 CSRHCC
 
Yes
 
(20)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
 
(21)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
 
(22)CHRISTUS HEALTH PLAN
600 ELIZABETH STREET

CORPUS CHRISTI,TX78404
45-2106295 		MEDICAID HMO TX 501(C)(3) 9 CSHSC
 
Yes
 
(23)ST FRANCES CABRINI HOSPITAL AUXILIARY
3330 MASONIC DRIVE

ALEXANDRIA,LA71301
23-7255175 		SUPP HTH SVCS LA 501(C)(3) 9 CNLA
 
Yes
 
(24)Christus Santa Rosa Med Ctr Auxiliary
2827 Babock Road

San Antonio,TX78229
73-1655493 		SUPP HTH SVCS TX 501(C)(3) 9 CSRHCC
 
Yes
 
(25)CHRISTUS Health Strategic Growth
919 hidden ridge drive

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

Irving,TX75038
46-4617988 		Medicaid HMO LA 501(c)(3) 9 CH
 
Yes
 
(27)Christus Health Plan New Mexico
919 Hidden Ridge Dr

Irving,TX75038
46-4487295 		Medicaid HMO NM 501(c)(3) 9 CH
 
Yes
 
(28)Christus Pediatric Physician Group
919 Hidden Ridge Dr

Irving,TX75038
46-5203505 		Hlthcare Svcs TX 501(c)(3) 3 CH
 
Yes
 
(29)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
 
(30)Christus HEALTH International
919 hidden RIDGE drive

irving,TX75038
46-2811167 		spt hlth svcs TX 501(C)(3) 11-type 1 CH Stra Grth
 
Yes
 
(31)CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE

TEXARKANA,TX75503
47-1655865 		SPT HLTH SVCS TX 501(c)(3) 7 ALT
 
Yes
 
(32)CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR

LAKE CHARLES,LA70601
47-1496376 		SPT HLTH SVCS LA 501(C)(3) 7 SWLA
 
Yes
 
(33)CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DRIVE

IRVING,TX75038
47-3403356 		SPT HLTH SVCS TX 501(C)(3) 11-TYPE 1 CH
 
Yes
 
(34)CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD

SULPHUR SPRINGS,TX75482
81-1708177 		HLTHCARE SVCS TX 501(c)(3) 3 ch
 
Yes
 
(35)MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE

tyler,TX75701
75-1976930 		hospital TX 501(C)(3) 3 CTMFHS
 
Yes
 
(36)CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVE

TYLER,TX75701
75-2028241 		SUPPORT TX 501(C)(3) 11-TYPE I CTMFHS
 
Yes
 
(37)REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE

TYLER,TX75701
75-2511459 		HEALTHCARE TX 501(C)(3) 3 MFH REG
 
Yes
 
(38)MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE

TYLER,TX75701
75-2771569 		HOSPITAL TX 501(C)(3) 3 CTMFHS
 
Yes
 
(39)TRINITY CLINIC
1315 DOCTORS DRIVE

TYLER,TX75701
75-2616977 		HEALTHCARE TX 501(C)(3) 3 CTMFHS
 
Yes
 
(40)MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1315 DOCTORS DRIVE

TYLER,TX75701
75-0818167 		HOSPITAL TX 501(C)(3) 3 CTMFHS
 
Yes
 
(41)ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE

TYLER,TX75701
46-5720165 		HEALTHCARE TX 501(C)(3) 3 MFH REG
 
Yes
 
(42)CHRISTUS TRINITY MOTHER FRANCES HS
1315 DOCTORS DRIVE

TYLER,TX75701
75-2616975 		hlthcare svcs TX 501(c)(3) 11-type II CH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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) SOUTHEAST TEXAS PAIN MANAGEMENT LLC

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

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

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

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

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

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

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

15305 Dallas Pkwy Ste 1600 LB 28
Addison,TX75001
20-0424958 		HLTHCARE SVCS TX CSRHCC
  		                 
(9) CSR AMB SUR CTR

333 Santa Rosa
San Antonio,TX78207
41-2092141 		HLTHCARE SVCS TX CSRHCC
  		                 
(10) Colonnade Endoscopy Center

524 DR MICHAEL DEBAKEY DRIVE
LAKE CHARLES,LA70601
72-1274256 		HLTHCARE SVCS LA SWLA
  		                 
(11) ALAMO HEIGHTS SURGICAL GP

333 SANTA ROSA
SAN ANTONIO,TX78207
46-2683189 		HLTHCARE SVCS TX CSRHCC
  		                 
(12) ALAMO HEIGHTS SURGICAL HOSPITAL GROUP LP

333 SANTA ROSA
SAN ANTONIO,TX78207
90-0974203 		HLTHCARE SVCS TX CSRHCC
  		                 
(13) ASPG LOUISIANA LLC

919 HIDDEN RIDGE DR
IRVING,TX75038
38-3981731 		AMB. SURGERY CTR LA ASPG INC
  		                 
(14) PROMPTU IMAGING OF CORPUS CHRISTI PLLC

919 HIDDEN RIDGE DR
IRVING,TX75038
81-3074600 		IMAGING SVCS TX ASPG INC
  		                 
(15) LA ATHLETIC CLB LLC

COLLEGE DR
PINEVILLE,LA71359
72-1461793 		HEALTH CLUB LA CNLA
  		                 
(16) ETMF JV LLC

8686 NEW TRAILS DR
spring,TX77381
 inactive TX CTMFHS
  		inactive                
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 		HEALTHCARE SVCS TX CH Ark-La-Tex
  		C-Corp       Yes  
(2) AK INTEGRATED COMM HLTH NTWK

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

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

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

600 ELIZABETH STREET
CORPUS CHRISTI,TX78404
74-2616328 		HEALTH PLAN ADMIN 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 		HEALTHCARE 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 ASSOC TX CSRHCC
  		C-Corp       Yes  
(13) SOUTH TEXAS HEALTH ALLIANCE

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

Hidalgo PTE 2525 64060
Col. Obispado, Monterrey,N.L.  
MX
HEALTHCARE SVCS MX CH
  		C-Corp       Yes  
(15) EMERALD ASSURANCE CAYMAN LTD

PO BOX 1051
GRAND CAYMAN   KY1-1102
CJ
98-0407545 		INSURANCE CJ CH
  		C-Corp 28,734,416 219,923,648 100.000 % Yes  
(16) CHRISTUS LOUISIANA HEALTH PLAN

3330 Masonic Drive
Alexandria,LA71301
45-2515179 		hlth plan admin LA CH CNLA
  		C-CORP       Yes  
(17) AMBULATORY STRATEGIES PHYSICIAN GROUP

919 HIDDEN RIDGE
IRVING,TX75038
47-2897722 		HEALTHCARE SVCS TX CCC
  		C-CORP       Yes  
(18) CHRISTUS TEXARKANA UNIT OWNERS ASSOC

2600 ST MICHAEL DRIVE
TEXARKANA,TX75503
47-2486362 		BUILDING ASSOC TX ALT
  		C-CORP       Yes  
(19) EVANGELINE CLINICAL SERVICES INC

3330 MASONIC DRIVE
ALEXANDIRA,LA71301
46-3977886 		HEALTHCARE SVCS LA CNLA
  		C-CORP       Yes  
(20) LTACH CONDOMINIUM UNIT OWNERS ASSOC

600 ELIZABETH STREET
CORPUS CHRISTI,TX77726
47-2404808 		BUILDING ASSOC TX SPOHN
  		C-CORP       Yes  
(21) AMATISTA FINANCING COMPANY LTD

3RD FL1ST CARIBBEAN HOUSE KY1-1104
GEORGE TOWN    
CJ
FINANCING CJ CH STRAT GRWTH
  		C-CORP       Yes  
(22) CHRISTUS CHILE SPA

MIRAFLORES 222 28TH FLOOR 8320198
SANTIAGO    
CI
INVESTING CI CH LATIN AMER
  		C-CORP       Yes  
(23) DEDICATED SYSTEM SUPPORT INC

919 HIDDEN RIDGE DR
IRVING,TX75038
81-0861043 		MANAGEMENT SVCS TX CCC
  		C-CORP       Yes  
(24) CHRISTUS LOUISIANA QUALITY ALLIANCE

919 HIDDEN RIDGE DR
IRVING,TX75038
47-4618648 		ACO LA CH
  		C-CORP     100.000 % Yes  
(25) TRI-STATE FINANCIAL LLC

1315 DOCTORS DRIVE
tyler,TX75701
75-2728318 		DORMANT TX CTMFHS
  		C-CORP       Yes  
(26) TRINCARE INC

1315 DOCTORS DRIVE
tyler,TX75701
75-2161369 		RETAIL HEALTH SVC TX CTMFHS
  		C-CORP       Yes  
(27) HEALTHPLAN OF TEXAS INC

1315 DOCTORS DRIVE
tyler,TX75701
75-2636832 		THIRD PARTY ADMIN TX CTMFHS
  		C-CORP       Yes  
(28) THE REGIONAL HEALTHCARE ALLIANCE

1315 DOCTORS DRIVE
tyler,TX75701
75-2484109 		PREFER PROVIDER TX CTMFHS
  		C-CORP       Yes  
(29) TEXAS HEALTH FACILITY INSUR CORP LTD

PO BOX 1109
bwi    
CJ
98-0136025 		INSURANCE CJ MFH REG
  		C-CORP       Yes  
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
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
 
No
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) AMATISTA FINANCING COMPANY LTD

 K 340,583 ACCRUAL
(2) ARK-LA-TEX HEALTH NETWORK

 L 3,964,283 ACCRUAL
(3) AMBULATORY STRATEGIES PHYSICIAN GROUP

 L 6,681,118 ACCRUAL
(4) AMBULATORY STRATEGIES PHYSICIAN GROUP

 Q 109,873 ACCRUAL
(5) CH WILKINSON PHYSICIAN NETWORK

 L 6,786,814 ACCRUAL
(6) CH WILKINSON PHYSICIAN NETWORK

 M 10,496,383 ACCRUAL
(7) CH WILKINSON PHYSICIAN NETWORK

 O 190,631 ACCRUAL
(8) CH WILKINSON PHYSICIAN NETWORK

 P 3,770,848 ACCRUAL
(9) CH WILKINSON PHYSICIAN NETWORK

 Q 2,259,200 ACCRUAL
(10) CH WILKINSON PHYSICIAN NETWORK

 S 27,797,734 ACCRUAL
(11) CHRISTUS CHILE SPA

 P 340,583 ACCRUAL
(12) CHRISTUS CONTINUING CARE

 J 1,419,273 ACCRUAL
(13) CHRISTUS CONTINUING CARE

 K 390,373 ACCRUAL
(14) CHRISTUS CONTINUING CARE

 L 3,022,827 ACCRUAL
(15) CHRISTUS CONTINUING CARE

 M 1,924,127 ACCRUAL
(16) CHRISTUS CONTINUING CARE

 O 85,818 ACCRUAL
(17) CHRISTUS CONTINUING CARE

 P 130,839 ACCRUAL
(18) CHRISTUS CONTINUING CARE

 Q 9,442,771 ACCRUAL
(19) CHRISTUS HEALTH ARK-LA-TEX

 K 4,685,150 ACCRUAL
(20) CHRISTUS HEALTH ARK-LA-TEX

 L 9,692,084 ACCRUAL
(21) CHRISTUS HEALTH ARK-LA-TEX

 M 5,848,281 ACCRUAL
(22) CHRISTUS HEALTH ARK-LA-TEX

 O 67,694 ACCRUAL
(23) CHRISTUS HEALTH ARK-LA-TEX

 Q 32,025,844 ACCRUAL
(24) CHRISTUS HEALTH CENTRAL LOUISIANA

 K 7,954,973 ACCRUAL
(25) CHRISTUS HEALTH CENTRAL LOUISIANA

 L 14,691,461 ACCRUAL
(26) CHRISTUS HEALTH CENTRAL LOUISIANA

 M 6,608,057 ACCRUAL
(27) CHRISTUS HEALTH CENTRAL LOUISIANA

 Q 34,066,164 ACCRUAL
(28) CHRISTUS HEALTH GULF COAST

 L 3,122,437 ACCRUAL
(29) CHRISTUS HEALTH GULF COAST

 M 5,083,838 ACCRUAL
(30) CHRISTUS HEALTH GULF COAST

 Q 101,031 ACCRUAL
(31) CHRISTUS HEALTH NORTHERN LOUISIANA

 K 1,739,185 ACCRUAL
(32) CHRISTUS HEALTH NORTHERN LOUISIANA

 L 4,818,723 ACCRUAL
(33) CHRISTUS HEALTH NORTHERN LOUISIANA

 M 4,747,297 ACCRUAL
(34) CHRISTUS HEALTH NORTHERN LOUISIANA

 Q 20,155,502 ACCRUAL
(35) CHRISTUS HEALTH PLAN

 O 1,096,903 ACCRUAL
(36) CHRISTUS HEALTH SOUTHEAST TEXAS

 K 5,778,399 ACCRUAL
(37) CHRISTUS HEALTH SOUTHEAST TEXAS

 L 3,272,455 ACCRUAL
(38) CHRISTUS HEALTH SOUTHEAST TEXAS

 M 10,863,020 ACCRUAL
(39) CHRISTUS HEALTH SOUTHEAST TEXAS

 P 111,733 ACCRUAL
(40) CHRISTUS HEALTH SOUTHEAST TEXAS

 Q 44,473,341 ACCRUAL
(41) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

 K 3,093,999 ACCRUAL
(42) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

 L 6,223,272 ACCRUAL
(43) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

 M 3,785,054 ACCRUAL
(44) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

 J 85,967 ACCRUAL
(45) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

 Q 18,420,217 ACCRUAL
(46) CHRISTUS HEALTH STRATEGIC GROWTH

 K 5,000,000 ACCRUAL
(47) CHRISTUS SANTA ROSA FAMILY HEALTH CENTER

 M 208,441 ACCRUAL
(48) CHRISTUS SANTA ROSA FAMILY HEALTH CENTER

 Q 516,689 ACCRUAL
(49) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION

 J 268,908 ACCRUAL
(50) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION

 K 15,051,464 ACCRUAL
(51) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION

 L 14,688,660 ACCRUAL
(52) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION

 M 17,608,503 ACCRUAL
(53) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION

 Q 78,425,387 ACCRUAL
(54) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 K 11,416,142 ACCRUAL
(55) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 L 24,000,000 ACCRUAL
(56) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 M 17,696,324 ACCRUAL
(57) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 P 761,835 ACCRUAL
(58) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 Q 84,050,309 ACCRUAL
(59) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 R 24,000,000 ACCRUAL
(60) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

 S 24,000,000 ACCRUAL
(61) Colonade Endoscopy Center LLC

 Q 67,567 ACCRUAL
(62) EMERALD ASSURANCE CO

 B 392,209 ACCRUAL
(63) EMERALD ASSURANCE CO

 C 392,209 ACCRUAL
(64) EMERALD ASSURANCE CO

 P 27,219,065 ACCRUAL
(65) CHRISTUS MUGUERZA SAPI DE CV

 L 3,828,417 ACCRUAL
(66) CHRISTUS MUGUERZA SAPI DE CV

 M 3,828,417 ACCRUAL
(67) SANTA ROSA NB OUTPATIENT SURGERY CENTER

 Q 106,136 ACCRUAL
(68) South Ryan Development Corporation

 L 547,586 ACCRUAL
(69) SPOHN HEALTH NETWORK

 L 159,224 ACCRUAL
(70) SPOHN INVESTMENT CORPORATION

 A.IV 109,094 ACCRUAL
(71) SPOHN INVESTMENT CORPORATION

 L 2,505,822 ACCRUAL
(72) SPOHN INVESTMENT CORPORATION

 Q 56,124 ACCRUAL
(73) SR PHYSICIAN AMBULATORY SURGERY CENTER

 Q 176,415 ACCRUAL
(74) St Elizabeth Rehab Partners

 Q 75,859 ACCRUAL
(75) St Vincent Hospital

 L 10,984,303 ACCRUAL
(76) St Vincent Hospital

 M 10,984,334 ACCRUAL
(77) St Vincent Hospital

 Q 8,162,374 ACCRUAL
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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) 2015
Schedule R (Form 990) 2015
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) 2015

Additional Data


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