In 2011, US-based healthcare provider CHRISTUS Health implemented the Balanced Scorecard to bring consistency to the strategy planning and execution process, drive greater accountability for implementation and demand strategic justification for capital expenditures. In the past several years CHRISTUS has thrived in the changing healthcare environment, improving its position as the #1 charity care provider in its peer group, expanding operations in the US and Latin America and growing adjusted discharges and net operating income, all while improving outcomes, safety and patient satisfaction.