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
2016
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
noncash assistance
(h) Purpose of grant
or assistance
(1) INTERFAITH LEAP INC
816 Highway 22
Pena Blanca,NM87041
27-0736366 501(c)(3) 30,000       WOMEN'S TRAUMA INFORMED CARE PROGRAM
(2) NORTHWEST LOUISIANA INTERFAITH PHARMACY
909 OLIVE STREET
Shreveport,TX71104
72-1479289 501(c)(3) 20,000       GENERAL SUPPORT
(3) THE COMING HOME CONNECTION INC
418 Cerrillos Road Suite 27
Santa Fe,NM875012664
74-2853467 501(c)(3) 16,121       Volunteer Home Care Model Program
(4) CASA OF NORTHEAST TEXAS INC
P O Box 1546
Texarkana,TX75004
75-2352271 501(c)(3) 25,000       SANE CERTIFIED NURSE PROGRAM
(5) SAN ANTONIO CHRISTIAN DENTAL CLINIC
1 Haven for Hope Way Bldg 1 Suit
San Antonio,TX78207
74-2428161 501(c)(3) 75,000       DENTAL CARE FOR LOW INCOME & HOMELESS
(6) SAMARITAN COUNSELING CENTER
7980 Anchor Drive Bldg 500
Port Arthur,TX776428285
74-1437991 501(c)(3) 100,000       PSYCHOTHERAPY/PSYCHOEDUCATIONAL SVCS
(7) CHRISTUS SOUTHEAST TEXAS
2830 Calder Street
Beaumont,TX77702
76-0591590 501(c)(3) 43,333       COALITION PROGRAM
(8) DAVID RAINES COMMUNITY
3041 Martin Luther King Jr Drive
Shreveport,LA77107
58-2000630 501(c)(3) 33,333       GET COVERED 4 CADDO PROGRAM
(9) AMISTAD COMMUNITY HEALTH CENTER
1533 S Brownlee Blvd
Corpus Christi,TX78404
20-3008507 501(c)(3) 11,900       MARKETPLACE EXCHANGE PROGRAM
(10) CORPUS CHRISTI HOPE HOUSE INC
658 Robinston Street
Corpus Christi,TX78404
74-2480299 501(c)(3) 20,000       PROGRAM SUPPORT
(11) NEW MEXICO SUICIDE INTERVENTION
1720 Llano Street
Santa Fe,NM87505
85-0427990 501(c)(3) 30,000       PATHWAY TO RESILIENCE PROGRAM
(12) THE HEALTH COLLABORATIVE
1002 North Flores Street
San Antonio,TX78212
31-1449807 501(c)(3) 70,000       PREVENTATIVE HEALTH SCREENINGS
(13) COASTAL BEND CENTER FOR INDEPENDENT LIVING
1537 Seventh Street
Corpus Christi,TX78404
74-2878070 501(C)(3) 13,000       NAVIGATOR ENHANCED MARKETING CAMPAIGN PROGRAM
(14) FOOD BANK OF CORPUS CHRISTI
826 Krill Street
Corpus Christi,TX78408
74-2234089 501(C)(3) 50,000       DIABETES HANDS ON PROGRAM
(15) ANY BABY CAN OF SAN ANTONIO INC
217 Howard Street
San Antonio,TX78212
74-2684333 501(C)(3) 30,000       PRESCRIPTION ASSISTANCE PROGRAM
(16) YWCA CORPUS CHRISTI
4601 Corona Drive
Corpus Christi,TX78411
74-1157366 501(C)(3) 46,856       THERAPEUTIC RECREATION PROGRAM
(17) MARYS HOUSE OF LOUISIANA INC
906 Margaret Place
Shreveport,LA71101
47-2593937 501(C)(3) 52,800       PREGNANCY CARE CENTER PROGRAMS
(18) CANCER FOUNDATION FOR NEW MEXICO
3005 South St Francis Drive Suite
Santa Fe,NM87505
41-2079799 501(C)(3) 15,000       GROCERY SUPPORT PROGRAMS
(19) I CARE SAN ANTONIO INC
1 Haven for Hope Way Bldg 1 Suit
San Antonio,TX78207
74-2690192 501(C)(3) 33,700       SENIOR VISION HEALTHCARE PROGRAMS
(20) SLEW WELLNESS CENTER
12521 Nacogdoches Road Suite 101
San Antonio,TX78217
42-1580967 501(C)(3) 35,000       LOW INCOME WOMEN WITH CANCER
(21) CHRISTUS ST MICHAEL
2800 St Michael Drive
Texarkana,TX75503
47-1655865 501(C)(3) 33,500       ACA ENROLLMENT INITIATIVE
(22) FRIENDSHIP CLUB
P O Box 6723
Santa Fe,NM87502
85-0324089 501(C)(3) 25,000       PROGRAM SUPPORT
(23) CORPUS CHRISTI PREGNANCY CENTER
4730 Everhart Road
Corpus Christi,TX78411
74-2541210 501(C)(3) 20,000       PREGNANCY CENTER PROGRAM SUPPORT
(24) SOUTHEAST TEXAS FOOD BANK
3845 South Martin Luther King Jr P
Beaumont,TX77705
76-0338721 501(C)(3) 14,250       HEALTH FOOD DISTRIBUTION PROGRAM
(25) CATHOLIC CHARITIES OF NORTH LOUISIANA
331 E 71st Street
Shreveport,LA71106
32-0315500 501(C)(3) 25,000       GABRIEL'S CLOSET FOR LOW INCOME PARENTS PROGRAM
(26) DALLAS AREA INTERFAITH SPONSORING COMMITTEE
1104 Lupo Drive
Dallas,TX752015208
75-2409130 501(C)(3) 6,000       CHRISTUS MEDICAL MISSION FUND
(27) Catholic Charities of Southeast TX
2780 Eastex Freeway
Beaumont,TX77703
74-1900345 501(C)(3) 168,963       DISASTER RESPONSE PROGRAM
(28) SISTERS OF CHARITY OF THE INCARNATE WORD
4503 Broadway
San Antonio,TX78209
74-1676917 501(C)(3) 190,366       MEDICAL BRIGADE IN PERU, SANTIAGO APOSTOL HOSPICE PROGRAM
(29) CHRISTUS SANTA ROSA VOLUNTEER SVCS
11212 STATE HWY 151
SAN ANTONIO,TX78251
74-1109665 501(C)(3) 56,183       PAYOUT TO THE REGION
(30) CHRISTUS SPOHN HOSPITAL
1311 E GENERAL CALAZOS
KINGSVILLE,TX78363
74-1109836 501(C)(3) 97,406       PAYOUT TO THE REGION
(31) CHRISTUS SHUMPERT HEALTH SYSTEM
1453 E Bert Kouns Ind Loop
Shreveport,LA71105
72-1219280 501(C)(3) 22,118       PAYOUT TO THE REGION
(32) CHRISTUS ST FRANCES CABRINI
3330 MASONIC DRIVE
ALEXANDRIA,LA71301
72-0998302 501(C)(3) 13,668       PAYOUT TO THE REGION
(33) RISE AGAINST HUNGER INC
3733 NATIONAL DRIVE SUITE 200
RALEIGH,NC27612
16-1541024 501(C)(3) 5,826       IRVING 4 HOURS SHIFTS
(34) BISHOP FARRELL INVITATIONAL
12222 Merit Drive Suite 850
Dallas,TX752513242
75-0800637 501(c)(3) 100,000       TOURNAMENT SPONSORSHIP
(35) HOLY TRINTIY SEMINARY
3131 Vince Hagan Drive
Irving,TX75062
75-6045735 501(C)(3) 10,000       DONATION
(36) ST JOSEPH COMMUNITY FOUNDATION
PO BOX 6427
PARIS,TX75461
39-2034296 501(c)(3) 15,000       ST JOSEPH'S COMMUNITY FOUNDATION
(37) ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DRIVE
SANTA FE,NM87505
35-6088862 501(c)(3) 48,000       GALA SPONSORSHIP THOUGHTS
(38) DALLAS WOMENS FOUNDATION
8150 NORTH CENTRAL EXPRESSWAY SUITE
DALLAS,TX75206
75-2048261 501(c)(3) 10,000       2017 LEADERSHIP FORUM & AWARD DINNER
(39) CHRISTUS SPOHN FOUNDATION
600 ELIZABETH STREET
CORPUS CHRISTI,TX78404
74-1109836 501(c)(3) 33,000       GRAND TOURNAMENT AWARDS SPONSOR
(40) BENEDICTINE ABBEY OF NEWARK
520 DR MARTIN LUTHER KING JR BLVD
NEWARK,NJ07102
22-1861903 501(c)(3) 65,500       PASSENGER BUS
(41) CATHOLIC CHARITIES OF DALLAS INC
9461 LBJ FREEWAY SUITE 110
DALLAS,TX75243
75-2745221 501(C)(3) 75,000       GALA SPONSORSHIP
(42) CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919
HOUSTON,TX77251
74-6074210 501(C)(3) 60,000       SPRING LUNCHEON
(43) CHRISTUS HEALTH FOUNDATION SETX
2830 CALDER STREET
BEAUMONT,TX77702
76-0136274 501(C)(3) 10,000       DONATION FOR VISIONARIES
(44) VISITATION HOUSE MINISTRIES
945 W HAUISACHE
SAN ANTONIO,TX78201
74-2447137 501(C)(3) 7,500       SUMMER SOJOURN SPONSOR
(45) CHEF SHOWCASE FOUNDATION
2100 MCKINNEY AVENUE SUITE 700
DALLAS,TX75201
20-0371453 501(C)(3) 10,000       CHEF'S SHOWCASE
(46) AQUINAS INSTITUTE OF THEOLOGY
23 SOUTH SPRING AVE
ST LOUIS,MO63108
43-1233793 501(C)(3) 100,000       DONATION
(47) BISHOPS APPEAL
1015 EAST SOUTHWEST LOOP 323
TYLER,TX75701
46-4060526 501(C)(3) 250,000       SUPPORT FOR CRUSADER CENTER
(48) CHRISTUS CABRINI FOUNDATION
3330 MASONIC DRIVE
ALEXANDRIA,LA71301
72-0998302 501(C)(3) 10,000       FOUNDATION ANNUAL BALL
(49) THE UNIVERSITY OF DALLAS
1845 EAST NORTHGATE DRIVE
IRVING,TX75062
75-0926755 501(C)(3) 10,000       UNIVERSITY OF DALLAS GOLF TOURNAMENT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
49
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) 2016
Page 2

Schedule I (Form 990) 2016
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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash 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) 2016



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