2020-07-06T15:29:57-05:00 2019-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST STE 600 FORT WORTH TX 76102 990 2018-07-01 720411322 Christus Health Southwestern Louisiana % KIMBERLY PATNAUDE CHRI 3374362511 524 Dr Michael Debakey Drive Lake Charles LA 70601 KIMBERLY PATNAUDE CFO 3185617172 2020-06-26 true kathleen moseley P00116760 8173351900 2020-06-12 162.200.5.109 75303520201885000002 2020-07-06 P 2B06AAC3969EEEC60DB3273BCC735F80BBD7720B 179552994DDAF6509CB5AC751581E20313BE7A92 2018 2020-09-23 17:36:50Z SEE SCHEDULE O KEVIN HOLLAND 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 265914335 false 0928 X www.christusstpatrick.org X 1921 LA SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 9 6 1712 50 188068 0 681952 605763 252709315 262415275 8759 295921 1170691 2574991 254570717 265891950 1133088 864214 0 0 91441354 99294219 0 0 147366 154084604 166252384 246659046 266410817 7911671 -518867 192276923 190650888 68548350 24587815 123728573 166063073 X 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 false false 81001779 0 144772345 COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 154-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND OF LOCAL AND GLOBAL COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH SERVICES PROVIDED AT CHRISTUS ST. PATRICK HOSPITAL, A 261 LICENSED BED ACUTE CARE FACILITY, DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY AND EMBRACING THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF EACH PATIENT. LAKE AREA HOSPITAL WAS ACQUIRED BY CHRISTUS HEALTH IN 2017. LAKE AREA MEDICAL CENTER (LAMC) IS A 88-BED FULL-SERVICE ACUTE CARE HOSPITAL LOCATED AT 4200 NELSON ROAD IN LAKE CHARLES, LOUISIANA. LAKE AREA MEDICAL CENTER IS THE AREA'S PREFERRED LEADER FOR WOMEN'S SERVICES AND OFFERS INPATIENT, OUTPATIENT, MEDICAL AND SURGICAL CARE FOR MEN, WOMEN AND CHILDREN. LAMC IS AN ACCREDITED BARIATRIC SURGERY CENTER AND IS EQUIPPED WITH A 24-HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT AND A LEVEL 3 NEONATAL ICU. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, LOCATED IN LAKE CHARLES, LOUISIANA IN THE SOUTHWESTERN PART OF THE STATE, HAS A SERVICE AREA THAT INCLUDES PARISHES ALONG THE SOUTHERN COAST OF LOUISIANA INTO THE SOUTH CENTRAL PORTIONS OF THE STATE, WHICH INCLUDES A POPULATION OF MORE THAN 306,192 INDIVIDUALS. IN 2019 FISCAL YEAR, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 57,921 VISITS TO OUR EMERGENCY DEPARTMENT, 2,550 INPATIENT SURGERY PROCEDURES, 17,885 OUTPATIENT SURGERY PROCEDURES, 10,693 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 216,718 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA STAND APART. ALLOWING OTHERS TO TOUCH US GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN IN NEED OF LIFE-SAVING BREAST CANCER TREATMENT, CHRISTUS HEALTH SOUTHWESTERN LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH SOUTHWESTERN LOUISIANA'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS HEALTH SOUTHWESTERN LOUISIANA FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS 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 PROVIDE SPECIFIC PROGRAMS TO PROVIDE DISCOUNTED SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS COMMUNITIES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS SOUTHWESTERN LA OFFERS THE AREA'S LEADING HEART PROGRAM, PROVIDING NON-INVASIVE DIAGNOSTIC SERVICES; INTERVENTIONAL CATHETERIZATION PROCEDURES SUCH AS ANGIOPLASTY, DRUG-COATED STENTS AND PACEMAKER IMPLANTATION; HEART AND LUNG SURGERY; CARDIOVASCULAR REHABILITATION; AND RESEARCH PROGRAMS. SWLA'S CANCER CENTER PROVIDES MULTIDISCIPLINARY CANCER CARE, INCLUDING RADIATION THERAPY, CANCER SURGERY, CHEMOTHERAPY, OUTPATIENT TREATMENT, RESEARCH, EDUCATION AND SUPPORT. IN ADDITION, SWLA OFFERS INNOVATIVE SURGERY PROCEDURES INCLUDING HEARTBURN SURGERY, NEUROSURGERY, ORTHOPEDIC SURGERY AND SINUS SURGERY, AS WELL AS SPECIALIZED PROGRAMS IN GEROPSYCHIATRY, REHABILITATION, JOINT REPLACEMENT AND A FULL RANGE OF OUTPATIENT DIAGNOSTIC AND SURGICAL SERVICES. CHRISTUS SWLA ALSO PROVIDES TWO 24-HOUR EMERGENCY ROOMS THAT ARE OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS SOUTHWESTERN LOUISIANA ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING FIVE SCHOOL-BASED CLINICS. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GUIDES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. WE HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS HAVE UNDERGONE A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. 103869705 0 96206822 OTHER GOVERNMENT-SPONSORED PROGRAMS 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 NON-REIMBURSED COSTS OF THESE SERVICES 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 CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED PER THE MEDICARE FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR 11,339 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL, AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME. 45416287 0 21436107 COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2012) AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. THIS FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, CHRISTUS HEALTH SOUTHWESTERN LOUISIANA PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES.THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 300 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 300 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME. 4808228 2699685 0 235095999 true true false true false false false false false false true false true false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 235 0 true 1712 true true true false false false false false false false false false false false X 9 6 true false false false true true true true true false false true true true true true true true true true true X KIMBERLY PATNAUDE 3185617172 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 DONALD H LLOYD II ADMINISTRATOR/CEO (THRU 09/18) 1.0 39.0 X X 0 515976 57999 SISTER MIRIAM MILLER CCVI Director (THRU 09/18) 1.0 2.0 X 0 0 0 ROBERT T CHANDLER DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 GAVIN E CHICO MD DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 MOSELLE A DEARBORNE DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 HARRY R HAWTHORNE MD DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 ALOYSIA DUCOTE DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 DALLAS HIXSON DIRECTOR/CHAIR (THRU 09/18) 1.0 2.0 X X 0 0 0 RONALD S JOHNS DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 MARTIN W JOHNSON DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 MICHELLE M COLLINS DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 SUSAN E KEMP MD DIRECTOR (THRU 09/18) 1.0 39.0 X 0 213120 21847 BERNARD S JOHNSON VICE CHAIRMAN (THRU 09/18) 1.0 2.0 X X 0 0 0 NANCY STICH DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 WILLIE C WHITE III DIRECTOR (THRU 09/18) 1.0 2.0 X 0 0 0 DANA H SMETHERMAN DIRECTOR (AS OF 09/01-12/18) 1.0 0.0 X 0 0 0 DENNIS N STINE DIRECTOR/CHAIR (AS OF 09/18) 1.0 0.0 X X 0 1000 0 JOHN A GILLEAN DIRECTOR (AS OF 09/18) 1.0 39.0 X 0 2458644 73711 JOYCE SUSAN NJERI MBATARU DIRECTOR (AS OF 09/18) 1.0 0.0 X 0 0 0 KEVIN W HOLLAND CEO (AS OF 09/18) 40.0 0.0 X X 0 223657 19835 MICHAEL F HULEFELD DIRECTOR (AS OF 09/18) 1.0 0.0 X 0 0 0 PAUL GENERALE DIRECTOR (AS OF 09/18) 1.0 39.0 X 0 3007416 502346 PETER C NOVEMBER II DIRECTOR (AS OF 09/18) 1.0 0.0 X 0 0 0 ROBERT I HART DIRECTOR (AS OF 09/18) 1.0 0.0 X 0 0 0 VINCENT R ADOLPH DIRECTOR (AS OF 01/19) 1.0 0.0 X 0 0 0 KIM KELSCH REGIONAL CORPORATE SECRETARY 10.0 30.0 X 0 82971 15564 SCOTT A MERRYMAN CFO 1.0 39.0 X 0 601479 118468 TIMOTHY HAMAN MD CHIEF MEDICAL OFFICER 1.0 39.0 X 0 286644 30316 STEPHEN F WRIGHT REG PRES/CEO (THRU 10/18) 1.0 39.0 X 0 1727752 138925 CHRISTOPHER KARAM SR VP & CEO (AS OF 10/18) 1.0 39.0 X 0 1252076 274560 WENDY WHITE CHANDLER GROUP VP, HUMAN RESOURCES 1.0 39.0 X 0 420503 91130 H LES TOMPKINS DIRECTOR MANAGED CARE 1.0 39.0 X 0 227719 17581 MARSHA WHITE CHIEF NURSE EXECUTIVE 40.0 0.0 X 0 158564 4740 MARY DISANTE CHIEF NURSING OFFICER 40.0 0.0 X 0 195894 28856 DAWN HATCHER JOHNSON CHIEF FINANCIAL OFFICER 40.0 0.0 X 0 196873 16080 ROBBIN ODOM CHIEF NURSING OFFICER 40.0 0.0 X 0 215466 7103 FARJAAD M SIDDIQ PHYSICIAN 40.0 0.0 X 959153 0 9074 LAWRENCE WEBER PHYSICIAN 40.0 0.0 X 925474 0 3125 JAMES J JANCUSKA PHYSICIAN 40.0 0.0 X 905694 0 4856 KENNETH EWANE MD PHYSICIAN 40.0 0.0 X 836248 0 23600 WILLIAM C MOSS PHYSICIAN 40.0 0.0 X 551569 0 7180 NANCY HELLYER CHIEF EXECUTIVE OFFICER 0.0 40.0 X 0 563012 90585 DAVID ENGLEKING MEDICAL DIR HLTH PLANS 0.0 40.0 X 0 283861 24533 4178138 12632627 1582014 57 true true false IMPERIAL HEALTH LLP 501 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 706015724 MEDICAL SERVIVCES 2772253 LAKE CHARLES ANESTHESIOLOGY APMC 424 W McNeese St LAKE CHARLES LA 70605 MEDICAL SERVICES 1606716 HOLOGIC LIMITED PARTNERSHIP 250 CAMPUS DRIVE MARLBOROUGH MA 01752 NECESSARY SERVICES 1199148 SOUTHWEST LOUISIANA IMAGING 1601 COUNTRY CLUB RD LAKE CHARLES LA 70605 MEDICAL SERVICES 1058522 LIFESHARE BLOOD CENTERS 8910 LINWOOD AVE SHREVEPORT LA 71105 MEDICAL SERVICES 805083 45 0 5923 599840 0 605763 NET PATIENT SERVICE REVENUE 621990 260052743 259864675 188068 0 RENT RELATED TO EXEMPT FUNCTION 531390 1456722 1456722 0 0 WELLNESS CENTER REVENUE 713940 677499 677499 0 0 REBATES 900099 64954 64954 0 0 OUTREACH 900099 107491 107491 0 0 55866 55866 0 262415275 0 0 0 1115973 1115973 0 1115973 1115973 318306 22385 295921 295921 295921 0 0 0 0 0 0 0 0 0 FOOD & VENDING REVENUE 900099 210654 0 0 210654 OTHER OPERATING REVENUE 900099 113807 0 0 113807 MANAGEMENT FEE REVENUE 541610 981573 0 0 981573 152984 0 0 152984 1459018 265891950 262227207 188068 2870912 X 864214 864214 0 0 0 0 0 0 0 0 0 0 0 81881461 73054374 8697313 129774 368411 327514 40897 0 11585783 10064413 1521370 0 5458564 4919168 521804 17592 272870 272870 0 0 409945 44902 365043 0 680476 680476 0 0 27897 0 27897 0 0 0 0 0 0 0 29822516 17752066 12070450 0 0 0 0 0 24783127 18676281 6106846 0 8941646 8896272 45374 0 0 0 0 0 7720321 7386020 334301 0 369954 236816 133138 0 0 0 0 0 271667 34496 237171 0 14023 14023 0 0 0 0 0 0 9668315 9490867 177448 0 4081178 3988465 92713 0 MEDICAL SUPPLIES 53447870 53115388 332482 0 PROV FOR UNCOLLECT ACCTS 16910466 16910466 0 0 SALES & USE TAXES 2942186 2942186 0 0 NON-CONTROLLING INTEREST 1907008 1907008 0 0 3980919 3517714 463205 266410817 235095999 31167452 147366 0 17650135 20989973 0 0 0 0 32732003 26734973 0 0 0 0 980517 534385 8230250 7336664 630057 1354317 255191809 168148443 85060713 87043366 0 0 0 0 17080497 17011399 29502474 28984027 410277 661784 192276923 190650888 16804886 18624716 0 0 1756770 1856098 0 0 0 0 0 0 0 0 0 0 49986694 4107001 68548350 24587815 X 123711861 166046361 16712 16712 0 0 123728573 166063073 192276923 190650888 X -518867 0 0 0 14849866 28003501 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 27897 false false 27897 false LOBBYING DESCRIPTION SCHEDULE C, PART II-B, LINE 1G At the state level, had direct contact with members of the Louisiana State Legislature and their respective staff through various means of correspondence including emails, letters, telephone calls and in-person meetings on issues related to Medicaid, Trauma, Medicaid expansion, public private partnership, community health needs, mental and behavioral health, insurance health plans, and rural hospitals. At the federal level, CHRISTUS Louisiana has had direct contact through various avenues of correspondence including emails, letters, calls, and meetings with Louisiana Congressional delegation and their staff to discuss issues important to our ministries including safety-net providers, access to care, rural hospitals, remote medical technology, telehealth-related initiatives, the 340b drug program, balance billing issues, and healthcare for veterans. 40 EXECUTIVE HOURS 22523544 22523544 133713083 87957563 45755520 2471603 1383189 1088414 87128311 74546241 12582070 9355268 4261450 5093818 87043366 CONSOLIDATED SUBSIDIARY 17011399 C 17011399 0 DUE TO RELATED ORGANIZATION 2328804 OTHER LONG TERM LIABILITIES 1618354 SALES TAX PAYABLE 159843 4107001 X CASH - NON-BEARING INTEREST FORM 990, PART X, LINE 1 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. UNCERTAIN TAX POSITIONS UNDER ASC 740 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, 2019 AND 2018. true true X true X 300. true X true true false true true 3287900 3287900 0.01320 41485276 20288247 21197029 0.08500 44773176 20288247 24484929 0.09820 16 25740 2361191 2043 2359148 0.00950 6 137 30160 30160 0.00010 1 200 8336 8336 10 5354 1533685 49303 1484382 0.00600 33 31431 3933372 51346 3882026 0.01560 33 31431 48706548 20339593 28366955 0.11380 1 22974 22974 0.00010 1 22974 22974 0.00010 true 16910466 108227 76278599 76635452 -356853 X true true SOUTH RYAN MRI LLC MEDICAL SCREENING AND TESTING 0.51 0.49 LA PETCT IMAGING LC MEDICAL SCREENING AND TESTING 0.33 0.255 COLONNADE ENDO CTR SURGICAL CENTER 0.7 0.291 IMPERIAL CALCASIEU SURGICAL CENTER 0.51 0.49 2 1 CHRISTUS ST PATRICK HOSPITAL 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 www.stpatrickhospital.org 647 X X X 2 CHRISTUS LAKE AREA HOSPITAL 4200 NELSON ROAD LAKE CHARLES LA 70605 www.christushealth.org/lake_area 2203783523 X X X CHRISTUS ST PATRICK HOSPITAL 1 false false true X X X X X X X X X 15 true false false true X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 300. 400. X X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X X true X false false CHRISTUS LAKE AREA HOSPITAL 2 false true false false true X 300. 400. X X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X X true X false false SCHEDULE H, PART V, SECTION B, LINES 2 & 3 CHRISTUS LAKE AREA HOSPITAL WAS ACQUIRED BY CHRISTUS HEALTH IN JULY 2017. PRIOR TO JOINING CHRISTUS HEALTH, LAKE AREA HOSPITAL WAS NOT REQUIRED TO PERFORM A CHNA. BEGINNING IN 2019, CHRISTUS LAKE AREA HOSPITAL IS PARTICIPATING IN THE CHNA PROCESS OF CHRISTUS SWLA; THAT PROCESS HAS BEGUN EFFECTIVE JULY, 2018. SCHEDULE H, PART V, SECTION B, LINE 3E THE PRIORITY HEALTH NEEDS SELECTED BY THE CHNA ADVISORY COMMITTEE FOR CHRISTUS HEALTH SOUTHWESTERN LOUISIANA ARE: 1. CANCER (SPECIFICALLY COLORECTAL, LUNG, BREAST AND PROSTATE CANCER): MAJOR ACTIONS WILL BE TO PROVIDE ONCOLOGICAL SERVICES AND SUPPORTS TO IMPROVE PATIENT OUTCOMES.SUB-ACTIONS INCLUDE: REVIEW AND ASSESS CURRENT ONCOLOGICAL SERVICES PROVIDED TO DETERMINE POSSIBLE CHANGES REQUIRED OR GAPS IN SERVICE, PROVIDE NURSE NAVIGATION AND SUPPORT GROUPS TO ONCOLOGICAL PATIENTS AND WHEN APPROPRIATE,CONNECT ONCOLOGICAL PATIENTS TO APPROPRIATE RESEARCH TRIALS. 2. MENTAL HEALTH: MAJOR ACTIONS WILL BE TO DEVELOP PARTNERSHIPS WITH OTHER ORGANIZATIONS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES IN COMMUNITY. SUB-ACTIONS INCLUDE: PARTNER WITH NONPROFITS TO RAISE AWARENESS/OUTREACH AND OFFER REFERRALS OR ASSISTANCE, EXPLORE TECHNOLOGY TO REACH AN OUTPATIENT POPULATION TO ADDRESS INABILITY TO ACCESS RESOURCES, AND EXPLORE WAYS TO BRING TOGETHER A ROUNDTABLE OR TASK FORCE ON MENTAL HEALTH. 3. ACCESS TO CARE/LACK OF COORDINATION OF CARE: MAJOR ACTIONS WILL BE TO EXPLORE ESTABLISHING A SYSTEM OF COMMUNITY ORGANIZATIONS OR AGENCIES THAT CAN ASSIST WITH IMPROVING ACCESS TO CARE OR PROVIDING OTHER HEALTH SERVICES AT A REDUCED COST, IMPROVE ACCESS TO APPROPRIATE CARE FOR THE ECONOMICALLY DISADVANTAGED BY REDUCING INAPPROPRIATE ADMISSIONS/ READMISSIONS TO THE EMERGENCY ROOM, AND FACILITATE OPPORTUNITIES TO DISTRIBUTE HEALTH INFORMATION/PREVENTION MATERIALS TO LARGER AUDIENCES. SUB ACTIONS INCLUDE: EXPLORE POSSIBILITY OF BUILDING A BIGGER NETWORK OF PRIMARY CARE PROVIDERS, EXPLORE DISPENSARY OF HOPE AND MEDICAL ASSISTANT PROGRAM, PROVIDE HEALTH SCREENINGS AND/OR PREVENTION EDUCATION INFORMATION AT AREA HEALTH FAIRS AND ACHIEVE A 10% REDUCTION IN ED VISITS FOR THE ECONOMICALLY DISADVANTAGED BY IMPROVING ACCESS TO APPROPRIATE CARE ALTERNATIVES. 4. AFFORDABLE HOUSING: MAJOR ACTIONS INCLUDE DEVELOPING PARTNERSHIPS WITH GOVERNMENT, BUSINESSES, AND OTHER SECTORS TO DETERMINE WHAT ROLE CHRISTUS CAN PLAY TO ADDRESS HOUSING IN THE SW LA REGION AND WHEN APPROPRIATE, SERVE AS AN ADVOCATE FOR SAFE, AFFORDABLE HOUSING.SUB ACTIONS INCLUDE PARTICIPATE ON COALITIONS, MEET WITH THE CITY AND OTHERS TO EXPLORE WAYS TO PARTNER, AND PROVIDE INFORMATION ON HOW UNSAFE OR POOR HOUSING IS CONNECTED TO POOR HEALTH OUTCOMES. 5. HUMAN TRAFFICKING: MAJOR ACTION INCLUDES INCREASING AWARENESS AMONG CLINICIANS, SCHOOLS, AND OTHERS ON THE ISSUE OF HUMAN TRAFFICKING. SUB ACTIONS ARE TO JOIN A LOCAL COALITION ON HUMAN TRAFFICKING, SHARE INFORMATION WITH CLINICIANS AND OTHERS ABOUT HUMAN TRAFFICKING AND HOW IT IMPACTS THE SOUTHWESTERN LOUISIANA REGION, AND DEVELOP TRAINING FOR CLINICIANS ON HOW TO DETECT THE SIGNS OF HUMAN TRAFFICKING. 6. IMMIGRATION: MAJOR ACTION INCLUDES DEVELOPING PARTNERSHIPS WITH GOVERNMENT AND OTHER SECTORS TO DETERMINE WHAT ROLE CHRISTUS CAN PLAY TO ADDRESS IMMIGRATION IN THE SWLA REGION. SUB ACTIONS INCLUDE SEARCH OUT DATA TO FULLY ASSESS THE ISSUE (# OF UNDOCUMENTED), MEET WITH THE CITY, THE DIOCESE, AND OTHERS TO EXPLORE WAYS TO PARTNER, AND PROVIDE A BASIC MEDICAL TERMINOLOGY IN SPANISH COURSE TO STAFF AND PROVIDERS. 7. CHRONIC DISEASE MANAGEMENT (INCLUDES HEART DISEASE, OBESITY AND DIABETES).MAJOR ACTIONS INCLUDE EXPLORING OPPORTUNITIES TO ENHANCE OR EXPAND CHRONIC DISEASE MANAGEMENT AND PREVENTION EDUCATION AND INITIATIVES, AND MAXIMIZE WAYS TO PROVIDE AFFORDABLE MEDICATION OPTIONS TO PREVENT OR MANAGE CHRONIC CONDITIONS. SUBACTIONS INCLUDE STRENGTHEN AFFILIATIONS WITH LOCAL DISEASE ADVOCACY ASSOCIATIONS, PROVIDE NURSE NAVIGATORS/CARE COORDINATORS TO PATIENTS WHENEVER POSSIBLE, WORK WITH SCHOOLS TO IMPLEMENT CHRONIC DISEASE PREVENTION ACTIVITIES FOR YOUTH, AND EDUCATE AND ENCOURAGE PRACTITIONERS TO PRESCRIBE AFFORDABLE MEDS. SCHEDULE H, PART V, SECTION B, LINE 5 A COMBINATION OF KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND WIDELY ADVERTISED COMMUNITY VALIDATION MEETINGS WERE UTLILIZED TO PROVIDE CHRISTUS SWLA WITH CRITICAL INPUT TO ASSIST IN DETERMINING WHAT PRIORITIES WILL BE ADDRESSED OVER THE NEXT THREE YEARS. THIS FEEDBACK WAS USED TO SUPPLEMENT THE QUANTITATIVE DATA PROVIDED FROM SECONDARY SOURCES, SUCH AS THE AMERICAN COMMUNITY SURVEY (ACS) AND THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS. IN ORDER TO ENSURE COMMUNITY INPUT AND EXPERT OVERSIGHT THROUGHOUT THE ENTIRE PROJECT, AN ADVISORY COMMITTEE REPRESENTING INTERNAL AND EXTERNAL STAKEHOLDERS IN THE SOUTHWESTERN LOUISIANA REGION WAS ESTABLISHED IN LATE 2015. THE ADVISORY COMMITTEE MET PERIODICALLY ON THE CHRISTUS CAMPUS THROUGHOUT THIS PROCESS. THE COMMITTEE WAS INVOLVED IN THE REVIEW OF ALL DATA COLLECTION MATERIALS DEVELOPED BY LPHI INCLUDING A LIST OF RECOMMENDED QUANTITATIVE INDICATORS, THE KEY INFORMANT INTERVIEW GUIDE, AND THE FOCUS GROUP INTERVIEW GUIDE. THE KEY INFORMANT SEMI-STRUCTURED INTERVIEW GUIDE WAS DESIGNED TO ELICIT RESPONSES ABOUT BOTH THE DIRECT AND INDIRECT FACTORS THAT INFLUENCE THE HEALTH OF COMMUNITY MEMBERS. MAJOR AREAS OF FOCUS OF THE GUIDE INCLUDED: COMMUNITY HEALTH AND WELLNESS, BEHAVIORAL RISK FACTORS, HEALTH CARE UTILIZATION, AND ACCESS TO CARE. ADDITIONAL PROBES AND FOLLOW UP QUESTIONS WERE DESIGNED TO ENSURE THE PARTICIPANT PROVIDED DETAILED RESPONSES, INCLUDING OPPORTUNITIES TO SHARE INFORMATION ON ASSETS IN THE COMMUNITY THAT COULD BE TAPPED FOR FUTURE IMPLEMENTATION PLANNING. FOCUS GROUPS WERE ALSO SELECTED AS AN ADDITIONAL MECHANISM TO OBTAIN COMMUNITY INPUT. LIKE THE KEY INFORMANT INTERVIEW GUIDE, THE FOCUS GROUP GUIDE WAS ALSO DESIGNED TO ENCOURAGE PARTICIPANTS TO THINK ABOUT THE BEHAVIORAL, ENVIRONMENTAL, AND SOCIAL FACTORS THAT INFLUENCE A PERSON'S HEALTH STATUS WITHIN THE GEOGRAPHIC AREA OF FOCUS. SCHEDULE H, PART V, SECTION B, LINE 7A THE URL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: https://www.christushealth.org/-/media/files/homepage/giving-back/chna/201 7--2019-chna-christus-swla.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 10A THE URL FOR THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS: https://www.christushealth.org/-/media/about/christus-ochsner-swla-chip.as hx?la=en SCHEDULE H, PART V, SECTION B, LINE 11 THE PRIORITY HEALTH NEEDS SELECTED BY CHRISTUS HEALTH SOUTHWESTERN LOUISIANA ARE: 1. CANCER (SPECIFICALLY COLORECTAL, LUNG, BREAST AND PROSTATE CANCER): MAJOR ACTIONS WILL BE TO PROVIDE ONCOLOGICAL SERVICES AND SUPPORTS TO IMPROVE PATIENT OUTCOMES.SUB-ACTIONS INCLUDE: REVIEW AND ASSESS CURRENT ONCOLOGICAL SERVICES PROVIDED TO DETERMINE POSSIBLE CHANGES REQUIRED OR GAPS IN SERVICE, PROVIDE NURSE NAVIGATION AND SUPPORT GROUPS TO ONCOLOGICAL PATIENTS AND WHEN APPROPRIATE, CONNECT ONCOLOGICAL PATIENTS TO APPROPRIATE RESEARCH TRIALS. 2. MENTAL HEALTH: MAJOR ACTIONS WILL BE TO DEVELOP PARTNERSHIPS WITH OTHER ORGANIZATIONS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES IN COMMUNITY. SUB-ACTIONS INCLUDE: PARTNER WITH NONPROFITS TO RAISE AWARENESS/OUTREACH AND OFFER REFERRALS OR ASSISTANCE, EXPLORE TECHNOLOGY TO REACH AN OUTPATIENT POPULATION TO ADDRESS INABILITY TO ACCESS RESOURCES, AND EXPLORE WAYS TO BRING TOGETHER A ROUNDTABLE OR TASK FORCE ON MENTAL HEALTH. 3. ACCESS TO CARE/LACK OF COORDINATION OF CARE: MAJOR ACTIONS WILL BE TO EXPLORE ESTABLISHING A SYSTEM OF COMMUNITY ORGANIZATIONS OR AGENCIES THAT CAN ASSIST WITH IMPROVING ACCESS TO CARE OR PROVIDING OTHER HEALTH SERVICES AT A REDUCED COST, IMPROVE ACCESS TO APPROPRIATE CARE FOR THE ECONOMICALLY DISADVANTAGED BY REDUCING INAPPROPRIATE ADMISSIONS/READMISSIONS TO THE EMERGENCY ROOM, AND FACILITATE OPPORTUNITIES TO DISTRIBUTE HEALTH INFORMATION/PREVENTION MATERIALS TO LARGER AUDIENCES.SUB ACTIONS INCLUDE: EXPLORE POSSIBILITY OF BUILDING A BIGGER NETWORK OF PRIMARY CARE PROVIDERS, EXPLORE DISPENSARY OF HOPE AND MEDICAL ASSISTANT PROGRAM, PROVIDE HEALTH SCREENINGS AND/OR PREVENTION EDUCATION INFORMATION AT AREA HEALTH FAIRS AND ACHIEVE A 10% REDUCTION IN ED VISITS FOR THE ECONOMICALLY DISADVANTAGED BY IMPROVING ACCESS TO APPROPRIATE CARE ALTERNATIVES. 4. AFFORDABLE HOUSING: MAJOR ACTIONS INCLUDE DEVELOPING PARTNERSHIPS WITH GOVERNMENT, BUSINESSES, AND OTHER SECTORS TO DETERMINE WHAT ROLE CHRISTUS CAN PLAY TO ADDRESS HOUSING IN THE SW LA REGION AND WHEN APPROPRIATE, SERVE AS AN ADVOCATE FOR SAFE, AFFORDABLE HOUSING. SUB ACTIONS INCLUDE PARTICIPATE ON COALITIONS, MEET WITH THE CITY AND OTHERS TO EXPLORE WAYS TO PARTNER, AND PROVIDE INFORMATION ON HOW UNSAFE OR POOR HOUSING IS CONNECTED TO POOR HEALTH OUTCOMES. 5. HUMAN TRAFFICKING: MAJOR ACTION INCLUDES INCREASING AWARENESS AMONG CLINICIANS, SCHOOLS, AND OTHERS ON THE ISSUE OF HUMAN TRAFFICKING. SUB ACTIONS ARE TO JOIN A LOCAL COALITION ON HUMAN TRAFFICKING, SHARE INFORMATION WITH CLIN SCHEDULE H, PART V, SECTION B, LINE 16A-16C Christus ST. Patrick Hospital & Christus Lake Area Hospital The FAP, Plain language summary and FAP application were widely available at the following URL: https://www.christushealth.org/CHARITYCARE SCHEDULE H, PART V, SECTION B, LINE 16J HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY, AND ADMISSIONS AREAS. (THE SIGNS DID NOT SPECIFICALLY REFERENCE THE POLICY (FAP), WHICH IS WHY THE HOSPITAL DID NOT SELECT "YES" IN RESPONSE TO LINE 16F). IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE.) EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. SCHEDULE H, PART V, SECTION B, LINE 17 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTIONS THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. SCHEDULE H, PART V, SECTION B, LINE 20E NOTIFICATION OF FINANCIAL ASSISTANCE POLICY WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN. SCHEDULE H, PART V, SECTION B, LINE 22A DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/09 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN THE AVERAGE REIMBURSEMENT RATE FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED 70% OF THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL), 50% OF THE AVERAGE RATE (FOR INCOME LEVELS FROM 201% TO 300% OF FPL) OR RECEIVED FREE CARE (INCOMES BELOW 200% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. 4 South Ryan MRI LLC 650 Dr Michael DeBakey Drive Lake Charles LA 70601 Medical Screening Facility Louisiana PETCT Imaging of Lake Charles 920 Pierremont Road Suite 411 Shreveport LA 71106 Medical Screening Facility Colonnade Endoscopy Center LLC 555 Dr Michael Debakey Drive Lake Charles LA 70601 endoscopy facility IMPERIAL CALCASIEU SURGERY CENTER 1757 IMPERIAL BLVD LAKE CHARLES LA 70605 SURGERY CTR SCHEDULE H, PART I, LINE 5 BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. SCHEDULE H, PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. SCHEDULE H, PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $266,410,817. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $16,910,466. THIS LEAVES A TOTAL EXPENSE OF $249,500,351 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 19.88% WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS CHRISTUS HEALTH SOUTHWESTERN LOUISIANA MADE OVER $1,533,685 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2019. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH SOUTHWESTERN LOUISIANA SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). INDIGENT FUNDING EXPENSE OF $1,338,075 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). SCHEDULE H, PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. THESE ARE SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES THAT ARE IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE. THE COMMUNITY PRIORITIES FOR THE AREA INCLUDE, BUT ARE NOT LIMITED TO: GROWTH OF THE COMMUNITY BY INCREASING THE WELLNESS OF THE POPULATION; KEEPING THE COMMUNITY FREE OF DISEASES AND CONTROLLABLE HEALTH CONDITIONS; ASSISTING THE COMMUNITY WITH RESOURCES THAT ARE AVAILABLE TO HELP WITH COMMUNITY MEMBERS' DAY-TO-DAY CARE AND HEALTH NEEDS; PROVIDE HEALTH SCREENINGS AND RESOURCE INFORMATION FOR SELF CARE; EMPOWER THE COMMUNITY TO BECOME MORE AWARE OF ITS MEMBERS' HEALTH NEEDS AND EXPECTED OUTCOMES; AND PROMOTE AVOIDABLE INJURY FOR THE FIVE PARISHES SERVED. SCHEDULE H, PART III, SECTION A, LINE 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. SCHEDULE H, PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. SCHEDULE H, PART III, SECTION A, LINE 3 ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2019, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 42.9% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THESE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2019. THUS, THE ORGANIZATION ESTIMATES THAT ONLY .64% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2019 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2019 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES AND THE PROVISION FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAYMENT LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLAN; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." SCHEDULE H, PART III, SECTION B, LINE 8 EXTENT TO WHICH SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT COSTING METHODOLOGY THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF ($356,853) IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE ORGANIZATION'S COMMUNITY HEALTH PLAN WAS DEVELOPED BASED ON A NEEDS ASSESSMENT DONE IN COLLABORATION WITH LOCAL SCHOOL DISTRICTS, CHURCHES, REGIONAL PUBLIC HEALTH DEPARTMENTS, STATE LEGISLATORS, PHYSICIANS, UNITED WAY, PRIVATE BUSINESS PERSONS, LOCAL POLICE AND FIRE DEPARTMENTS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA CONTINUES TO IDENTIFY THE COMMUNITY'S NEEDS IN TWO WAYS - ACCESS TO HEALTH CARE SERVICES AND EARLY SCREENING AND DETECTION SERVICES FOR CHRONIC DISEASE MANAGEMENT. THE COMMUNITY NEEDS ASSESSMENT IDENTIFIED SEVEN (7) PRIORITIES FOR THE FUTURE: CANCER, MENTAL HEALTH, ACCESS TO CARE, IMMIGRATION, AFFORDABLE HOUSING, HUMAN TRAFICKING, CHRONIC DISEASE MANAGEMENT. THE ASSESSMENT IDENTIFIED THAT THERE IS A DISPARITY OF ACCESS TO CARE IN THE NORTH LAKE CHARLES AREA AS WELL AS IN ALLEN AND BEAUREGARD PARISHES. THE NORTH LAKE CHARLES AREA IS ADDRESSED WITH THE PRESENCE OF 4 SCHOOL-BASED HEALTH CLINICS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA IS WORKING TO HAVE A GREATER PRESENCE IN ALLEN AND BEAUREGARD PARISHES DESPITE THE LOW POPULATIONS IN THOSE AREAS SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS HEALTH SOUTHWESTERN LOUISIANA MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION A FIVE-PARISH REGION (ALLEN, BEAUREGARD, CAMERON, CALCASIEU, AND JEFF DAVIS) WITH A POPULATION OF NEARLY 275,000 IS SERVED BY CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE THIS REGION: THE FIVE-PARISH AREA IS PREDOMINANTLY A CAUCASIAN POPULATION, WITH AN AFRICAN-AMERICAN POPULATION THAT IS HIGHER THAN THE NATIONAL AVERAGE. THE REGION HAS HIGH POVERTY RATES AS COMPARED TO THE STATE AND NATION, DUE TO A COMBINATION OF LOW WAGE PER JOB AND HIGH UNEMPLOYMENT.THE REGION AND STATE HAVE A HIGHER RATE OF UNINSURED PERSONS THAN THE NATION. RECENTLY, MORE LOUISIANA FAMILIES ARE RECEIVING HEALTH CARE COVERAGE BECAUSE OF THE EXPANSION OF THE LA CHIP PROGRAM. COMPARED TO THE NATION, THE FIVE-PARISH AREA HAS HIGH RATES OF ORAL CAVITY, MELANOMA, AND TUBERCULOSIS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CHRISTUS HEALTH SOUTHWESTERN LOUISIANA COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY TO QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, PARTICULARLY THE VULNERABLE AND UNDERSERVED POPULATIONS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH SERVICES PROVIDED AT CHRISTUS ST. PATRICK HOSPITAL, A 261-BED LICENSED ACUTE CARE FACILITY, AND CHRISTUS LAKE AREA HOSPITAL, A 88-BED FULL SERVICE ACUTE CARE HOSPITAL, DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY, AS WELL AS EMBRACING THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF EACH PATIENT. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES SERVED. THE HOSPITAL CONDUCTS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA PROVIDES TWO 24-HOUR EMERGENCY ROOMS THAT ARE OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT AND NON-EMERGENT CARE, REGARDLESS OF ABILITY TO PAY. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA OFFERS THE AREA'S LEADING HEART PROGRAM, PROVIDING NONINVASIVE DIAGNOSTIC SERVICES, INTERVENTIONAL CATHETERIZATION PROCEDURES, MULTIDISCIPLINARY CANCER CARE, INNOVATIVE SURGERY PROCEDURES, SPECIALIZED GEROPSYCHIATRY, REHABILITATION, AND ORTHOPEADIC SERVICES. ONE OF THE GREATEST EXPENSES IS COMMUNITY HEALTH IMPROVEMENT SERVICES WHICH INCLUDE COMMUNITY CLINICS, IMMUNIZATIONS FOR UNDERSERVED CHILDREN AND SENIORS, TRANSPORTATION SERVICES, VARIOUS OTHER SOCIAL SERVICE PROGRAMS, AND COMMUNITY HEALTH EDUCATION INCLUDING SEMINARS AND HEALTH SCREENINGS FOR IDENTIFIED HEALTH ISSUES. THE TARGET POPULATIONS FOR CHRISTUS HEALTH SOUTHWESTERN LOUISIANA'S COMMUNITY PLAN ARE: CHILDREN IN PRE-KINDERGARTEN THROUGH GRADE 12 IN LAKE CHARLES AND CAMERON PARISH; THOSE WHO LACK EDUCATION AND ACCESS TO EARLY SCREENING AND DETECTION OF CHRONIC DISEASES INCLUDING HEART DISEASE, CANCER, AND MENTAL HEALTH SERVICES; AND UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" IS ALSO A PART OF CHRISTUS HEALTH SOUTHWESTERN LOUISIANA'S OVERALL COMMUNITY BENEFIT. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA USED CASH DONATIONS AS A VEHICLE TO HELP ITS COMMUNITIES.THE ORGANIZATION MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, DIABETES, HEART DISEASE, THE PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, THOSE SUFFERING FROM HIV/AIDS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. CHRISTUS HEALTH AND ITS RELATED ENTITIES, INCLUDING CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, REINVEST ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES THEY SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES AND BETTER FACILITIES. DURING FY 2019, 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 IT SERVES. AS A NONPROFIT ORGANIZATION AND A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA IT SERVES GUIDES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA IS PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH THE SOUTHWESTERN LOUISIANA REGION TO PROVIDE CARE TO ITS COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITHIN ITS HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL CHRISTUS SOUTHWESTERN LOUISIANA LEADERS EMPLOYED AND AFFILIATED WITH CHRISTUS HEALTH SOUTHWESTERN LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA HAS PART OWNERSHIP IN TWO DIAGNOSTIC IMAGING ORGANIZATIONS- LOUISIANA PET/CT IMAGING OF LAKE CHARLES, L.L.C. AND SOUTH RYAN MRI, L.L.C., AN ENDOSCOPY CENTER, COLONNADE ENDOSCOPY CENTER, AND A SURGERY CENTER, IMPERIAL CALCASIEU SURGERY CENTER. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CHRISTUS HEALTH SOUTHWESTERN LOUISIANA IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, MISSOURI, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO, COLUMBIA AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRAT true Allen Clinical Services 8585 Picardy Avenue Baton Rouge LA 70809 463081235 501(C)3 134092 INDIGENT CARE FUNDING Eastern Louisiana Clinical Services Inc 3330 Masonic Drive Alexandria LA 71301 451779607 166660 INDIGENT CARE FUNDING Ochsner Clinic foundation 1201 S CLEARVIEW PARKWAY BLDG B STE 500 NEW ORLEANS LA 70121 720502505 503(c)(3) 91787 INDIGENT CARE FUNDING LOUISIANA CLINICAL SERVICES 320 SOMERULOS STREET BATON ROUGE LA 70802 272869360 215726 INDIGENT CARE FUNDING VERMILLION HEALTH SERVICES 80 VERSAILLES BLVD SUITE C ALEXANDRIA LA 71303 811644563 211669 INDIGENT CARE FUNDING JEFFERSON CLINICAL SERVICES 3330 MASONIC DRIVE ALEXANDRIA LA 71301 452183224 501(C)(3) 8007 INDIGENT CARE FUNDING LOUISIANA FAMILY SERVICES 8585 PICARDY AVENUE BATON ROUGE LA 70809 462739639 27553 INDIGENT CARE FUNDING NATCHITOCHES CLINICAL SERVICES 320 SOMERULOS STREET BATON ROUGE LA 70802 451558646 501(C)(3) 8720 INDIGENT CARE FUNDING CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 471496376 501(C)(3) 139398 GENERAL SUPPORT 5 4 FORM 990,SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, 'CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS'. BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1)ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT, BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH IT SERVES VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. X true true true true false false false false false false false DONALD H LLOYD II ADMINISTRATOR/CEO (THRU 09/18) 320306 48843 146827 36739 21260 573975 0 18954 SUSAN E KEMP MD DIRECTOR (THRU 09/18) 195120 18000 0 5542 0 16305 0 234967 0 0 TIMOTHY HAMAN MD CHIEF MEDICAL OFFICER 264278 14604 7762 0 12760 0 17556 0 316960 0 0 STEPHEN F WRIGHT REG PRES/CEO (THRU 10/18) 1175006 217562 335184 0 121744 0 17181 0 1866677 0 73765 SCOTT A MERRYMAN CFO 481621 96998 22860 0 108423 0 10045 0 719947 0 0 CHRISTOPHER KARAM SR VP & CEO (AS OF 10/18) 724485 435363 92228 0 254291 0 20269 0 1526636 0 0 JOHN A GILLEAN DIRECTOR (AS OF 09/18) 1037092 1000595 420957 0 43095 0 30616 0 2532355 0 0 KEVIN W HOLLAND CEO (AS OF 09/18) 134151 30000 59506 0 18531 0 1304 0 243492 0 0 PAUL GENERALE DIRECTOR (AS OF 09/18) 1864660 1090468 52288 0 484517 0 17829 0 3509762 0 0 FARJAAD M SIDDIQ PHYSICIAN 814887 65206 79060 0 0 9074 0 968227 0 0 0 LAWRENCE WEBER PHYSICIAN 910474 15000 0 0 0 3125 0 928599 0 0 0 JAMES J JANCUSKA PHYSICIAN 865167 39027 1500 0 0 4856 0 910550 0 0 0 KENNETH EWANE MD PHYSICIAN 825248 11000 8250 0 15350 0 859848 0 0 0 WILLIAM C MOSS PHYSICIAN 536569 15000 193 0 6987 0 558749 0 0 0 NANCY HELLYER CHIEF EXECUTIVE OFFICER 389362 89328 84322 0 79666 0 10919 0 653597 0 0 DAVID ENGLEKING MEDICAL DIR HLTH PLANS 196307 60767 26787 0 10603 0 13930 0 308394 0 0 WENDY WHITE CHANDLER GROUP VP, HUMAN RESOURCES 344003 62686 13814 0 66490 0 24640 0 511633 0 0 H LES TOMPKINS DIRECTOR MANAGED CARE 181180 46539 0 15536 0 2045 0 245300 0 0 MARSHA WHITE CHIEF NURSE EXECUTIVE 58113 0 100451 0 0 0 4740 0 163304 0 0 MARY DISANTE CHIEF NURSING OFFICER 182067 9296 4531 0 14564 0 14292 0 224750 0 0 DAWN HATCHER JOHNSON CHIEF FINANCIAL OFFICER 151310 7809 37754 0 4946 0 11134 0 212953 0 0 ROBBIN ODOM CHIEF NURSING OFFICER 200012 12577 2877 0 4468 0 2635 0 222569 0 0 SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND DIRECTORS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS: DONALD H. LLOYD - $71,538 STEPHEN F. WRIGHT - $154,308 MARSHA WHITE - $96,239 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 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. DONALD H. LLOYD II RECEIVED $18,954 DURING CALENDAR YEAR 2018 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. STEPHEN F. WRIGHT RECEIVED $73,765 DURING CALENDAR YEAR 2018 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II, COLUMN B(II) THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: DONALD H. LLOYD II, TIMOTHY HAMAN, MD, STEPHEN F. WRIGHT, SCOTT A. MERRYMAN, CHRISTOPHER KARAM, JOHN A. GILLEAN, KEVIN W. HOLLAND, PAUL GENERALE, NANCY HELLYER, DAVID ENGLEKING, WENDY (WHITE) CHANDLER, H. LES TOMPKINS, MARY DISANTE, JOY MARTIN, AND KIM PATNAUDE. SUPPLEMENTAL COMPENSATION INFORMATION 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 2018. DEFERRED COMPENSATION 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. DOING BUSINESS AS Form 990, Page 1, Item C Christus Health Southwestern Louisiana operates under the following names: Christus St. Patrick Hospital CHRISTUS St. Patrick South Lake Charles CHRISTUS St. Patrick Women's Health Network Southwest Regional Tumor Registry CHRISTUS St. Patrick Short Stay Surgery Center Gigi's Fitness Center CHRISTUS St. Patrick Imperial Pointe Surgery Center CHRISTUS St. Patrick Rehabilitation Services CHRISTUS Hospital Lake Area CHRISTUS Lake Area Hospital CHRISTUS Health Imperial Calcasieu Surgical Center CHRISTUS Imperial Calcasieu Surgical Center CHRISTUS Lake Area OB/GYN Associates CHRISTUS Ochsner Health System CHRISTUS Ochsner Lake Area Hospital CHRISTUS Ochsner Southwestern Louisiana CHRISTUS Ochsner St. Patrick Behavioral Outpatient Program CHRISTUS Ochsner St. Patrick Hospital CHRISTUS Ochsner St. Patrick Outpatient Wound Center - Imperial Pointe CHRISTUS Ochsner St. Patrick Women's Health Center Ochsner CHRISTUS Health Center PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY MOST OF THESE EXPENSES ARE 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 SOUTHWESTERN LOUISIANA TAKES AN ACTIVE ROLE IN EDUCATING THE PUBLIC. THE HOSPITAL PROVIDES REGULARLY SCHEDULED COMMUNITY HEALTH EDUCATION, SUCH AS SEMINARS AND SCREENINGS. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA ALSO SUPPORTS THE COMMUNITY THROUGH PARTICIPATION WITH VARIOUS AGENCIES. 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 OUR ELDERLY, THE FIGHT AGAINST HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY2019, 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. OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE FAMILY OR BUSINESS RELATIONSHIPS Form 990, Part VI, SECTION A, Line 2 Stephen Wright and Scott Merryman have a business relationship. Both served as an officer of Occupational Health Services, Inc. and both also serve as an officer or director of Southwestern Louisiana Physician Hospital Organization, Inc. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, SECTION A, LINE 6 CHRISTUS Health was the sole corporate member of the filing organization. During the year, Ochsner Health became a 40% owner of SWLA and its subsidiaries. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS Form 990, Part VI, SECTION A, LINE 7a CHRISTUS Health was the sole corporate member of the filing organization. During the year, Ochsner Health became a 40% owner of SWLA and its subsidiaries. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS Form 990, Part VI, SECTION A, LINE 7b Christus Health's Board of Directors has the following powers: approve, change and/or interpret the filing organization's philosophy, mission and vision; approve the adoption or amendment of the filing organization's articles of incorporation and bylaws; appoint and remove members of the filing organization's board of directors; appoint and remove the filing organization's chair of the board of directors and vice chairperson of board of directors; approve incurrence of debt that exceeds $5 million per incurrence or $25 million annually; approve any merger, consolidation, acquisition, dissolution or liquidation by the filing organization; approve the implementation of system-wide policies for the filing organization; approve system-wide consolidated budget and performance indicators for the filing organization; approve the independent audit reports of the filing organization; approve capital projects greater than $10 million for the filing organization; approve any transaction by the filing organization the effect of which is to create a new legal entity or joint venture, any transaction involving a system participant or local entity which creates a new legal entity or joint venture, or changes in business purpose or relationship of any local entity; and approve and authorize actions reserved in organization documents or similar governance documents. The Christus Health CEO has the following powers: power to appoint and remove the President of the filing organization; approve the sale, lease, mortgage, transfer, easement or encumbrance of the filing organization's real property designated as non-Designated Ministry Property under $5 million but more than $1 million; approve the incurrence of debt up to a $5 million cap or $25 million annually by the filing organization; approve strategic plans of the filing organization; approve the filing organization's budget; set the threshold of capital projects less than $10 million by the filing organization; and approve management directives for the filing organization. The Christus Health Members are the Congregation of Sisters of Charity of the Incarnate Word, Houston, Texas and the Congregation of Sisters of Charity of the Incarnate Word (of San Antonio). The Christus Health Members have the following powers: approve the adoption and amendment of articles of incorporation and bylaws of the filing organization if the change is related to reserved powers of members; approve the sale, lease, mortgage, transfer, easement or encumbrance of real property in excess of a $5 million threshold dollar amount required by canon law for the filing organization; approve the sale, lease, mortgage, transfer, easement, or encumbrance of real property designated as Designated Ministry Property by the filing organization, but not in excess of $5 million; approve the change of ownership, management or control, (except in the ordinary course of business office and space leases) the fundamental use by change in license that would significantly change a facility, or the elimination of OB, Ped, Psych or emergency services on real property provided in connection with Designated Ministry Property owned by the filing organization; and approve the merger, consolidation, acquisition, dissolution or liquidation of the filing organization if it owns Designated Ministry Property. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 Form 990, Part VI, SECTION B, 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 2020 via either meeting, conference call, or web portal polling tool by the respective CHRISTUS Organization's board, based on a set of suggested review processes developed by CHRISTUS Health. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST Form 990, Part VI, SECTION B, LINE 12c At the end of each calendar year, the CHRISTUS Health Corporate Secretary distributes a conflict of interest questionnaire to all of the organization's Board and Committee members for completion prior to the 1st of January in the next year.The Corporate Secretary thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. The organization's Board of Directors is responsible for enforcement of the conflict of interest policy of the organization. COMPENSATION DETERMINATION PROCESS Form 990, Part VI, section b, Lines 15a & 15b The Executive Compensation Committee of CHRISTUS Health determines the compensation of the CEO (or Executive Director, as applicable), officers and key employees of Christus Health and certain other officers and key employees of related organizations, including Christus Health Southwestern Louisiana. The Executive Compensation Committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The Executive Compensation Committee of the CHRISTUS Health Board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. develops the merit increase recommendations for all Designated System Executives based on market comparability. 2. recommends the changes in the Compensation Structure (grades) based on the market changes. 3. completes a review and evaluation of newly created positions to recommend a grade placement to the Committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other Designated System Executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the Committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the Executive Compensation Committee makes final compensation decisions. Additionally, the Executive Compensation Committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the Committee are documented and formalized in the Committee minutes and maintained on record. The filing organization determines the compensation of the Secretary by use of an independent and external consultant. The consultant helps determine pay rates for the associates of the filing organization, taking into account market data and shift differential. The compensation rates are approved by the filing organization. Based on the aforementioned procedure, the Secretary's compensation is not reviewed by a compensation committee. Public Disclosure of 1023 and Forms 990 & 990-T Form 990, Part VI, SECTION C, LINE 18 CHRISTUS Health and most of its affiliated entities do not have Forms 1023 because of their inclusion in the IRS Group Ruling with the United States Conference of Catholic Bishops, which covers the organizations listed in the Annual Official Catholic Directory. CHRISTUS Health's website displays the IRS Group Ruling and relevant Annual Official Catholic Directory pages for the organizations related to CHRISTUS Health. Forms 990 and 990-T are made available upon request. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, SECTION C, LINE 19 The Consolidated Audited Financial Statements of CHRISTUS Health are made available to the public via the Christus Health website. The organization's governing documents and conflict of interest policy are not made available to the public. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 TRANSFER OF NET ASSETS BETWEEN ENTITIES $27,696,717 ISSUANCE OF COMMON STOCK ($2,296,721) PRE-ACQUISITION $1,453,834 NON-CONTROLLING INTEREST $1,907,008 PARTNERSHIP DISTRIBUTIONS ($804,149) PENSION FUNDING $46,810 ROUNDING 2 ------------ TOTAL $28,003,501 FORM 990 PART IX LINE 11G DESCRIPTION:OCCUPANCY RELATED SERVICES TOTAL FEES:1962987 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:9275707 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:6570174 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:2699104 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1401611 FORM 990 PART IX LINE 11G DESCRIPTION:MARKETING SERVICES TOTAL FEES:47029 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:7326480 FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY EXPENSE TOTAL FEES:539424 LAKE AREA PHYSICIAN SERVICES LLC 12455 NOEL RD 20TH FLOOR DALLAS TX 75240 752864057 HLTHCARE SVCS TX 3872579 4628746 SWLA CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS CONTINUING CARE 1700 WEST LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHWILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(c)(3) 11a CH true DUBUIS HEALTH SYSTEM INC 1700 WEST LOOP SOUTH STE 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING TX 75038 611500100 SUPP HTH SVCS TX 501(c)(3) 11a CH true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTY TX 78404 741109836 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 760590551 SUPP HTH SVCS TX 501(c)(3) 9 NA false CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 462798043 SUPP HTH SVCS TX 501(c)(3) 12-TYPE 1 CH true CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE DRIVE IRVING TX 75038 464617988 MEDICAID HMO LA 501(c)(4) CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE DRIVE IRVING TX 75038 465203505 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 471496376 SUPP HTH SVCS LA 501(c)(3) 7 SWLA true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT ROAD SULPHUR SPRINGS TX 75482 811708177 HEALTH SVCS TX 501(c)(3) 3 CH true CHRISTUS TRINITY MOTHER FRANCES HS 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HLTHCARE SVCS TX 501(C)(3) 12-TYPE II CH true GOOD SHEPHERD HEALTH SYSTEMS INC 700 EAST MARSHALL AVENUE LONGVIEW TX 75601 752027157 HLTHCARE SVCS TX 501(C)(3) 12, TYPE II CH true CHRISTUS CONNECTED CARE NETWORK 919 HIDDEN RIDGE DRIVE IRVING TX 75038 473403356 SUPP HTH SVCS TX 501(C)(4) CH true ARK-LA-TEX HEALTH SYSTEM 919 HIDDEN RIDGE DR IRVING TX 75038 822109465 HLTHCARE SVCS TX 501(C)(3) 12-TYPE II CH true COLONNADE ENDOSCOPY CENTER LLC 555 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 721493410 SURGICAL CTR LA SWLA RELATED 135311 2047888 false true 0.70000 SOUTH RYAN MRI LLC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 743103662 IMAGING SVCS LA OCCUP HLTH SVCS RELATED false false 0.51000 Imperial Calcasieu Surg LLC 1757 IMP RD LK CHRLS LA 70605 ASC LA SWLA RELATED 1622951 16631000 false false 0.51000 OCCUPATIONAL HEALTH SERVICES INC 524 DR MICHARL DEBALEY DRIVE LAKE CHARLES LA 70601 721217389 MEDICAL SVCS LA SWLA C Corp 679872 3540182 1.00000 true SOUTHWESTERN LOUISIANA PHO 524 DR MICHARL DEBALEY DRIVE LAKE CHARLES LA 70601 721274256 HEALTH SVCS LA SWLA C Corp 626 43306 1.00000 true SOUTH RYAN DEVELOPMENT CORPORATION 524 DR MICHARL DEBALEY DRIVE LAKE CHARLES LA 70601 721183790 LEASING BUILD LA SWLA C Corp 30360 346206 1.00000 true CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 COL OBISPADO MONTERREY N.L. MX 64060 HEALTHCARE SVCS MX CH C Corp true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN CJ KY1-1102 980407545 INSURANCE CJ CH C Corp true CHRISTUS LOUISIANA QUALITY ALLIANCE 919 HIDDEN RIDGE DRIVE IRVING TX 75038 474618648 ACO LA CH C Corp true THE LAMC BUILDING E N/A true true true true false false false false false false true false true true false true true true true false CHRISTUS HEALTH CENTRAL LOUISIANA L 90336 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA O 659320 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA P 309053 ACCRUAL CH WILKINSON PHYSICIAN NETWORK J 100000 ACCRUAL CH WILKINSON PHYSICIAN NETWORK L 2660622 ACCRUAL CH WILKINSON PHYSICIAN NETWORK M 2647795 ACCRUAL CH WILKINSON PHYSICIAN NETWORK Q 100000 ACCRUAL DEDICATED SYSTEM SUPPORT INC L 482388 ACCRUAL DEDICATED SYSTEM SUPPORT INC O 209315 ACCRUAL CHRISTUS ST PATRICK FOUNDATION O 105041 ACCRUAL CHRISTUS ST PATRICK FOUNDATION B 139398 ACCRUAL CHRISTUS HEALTH FOUNDATION OF SOUTHEAST TEXAS P 532679 ACCRUAL