CHRISTUS HEALTH SOUTHWESTERN LOUISIANA: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH SOUTHWESTERN LOUISIANA (EIN 72-0411322)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201931349349310593
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T19:54:24-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON ST STE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	720411322	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christus Health Southwestern Louisiana	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KIMBERLY PATNAUDE	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3374362511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	524 Dr Michael Debakey Drive	AddressLine1Txt
City	Lake Charles	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT MERRYMAN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3374917730	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	kathleen moseley	PreparerPersonNm
PTIN	P00116760	PTIN
Phone	8173351900	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	162.237.134.121	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	75303520191345000016	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C5BA43C63075F7B362099A6165F0A32737DBB6CF	AtSubmissionCreationDeviceId
At Submission Filing Device Id	3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	STEPHEN WRIGHT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	524 DR MICHAEL DEBAKEY DRIVE	AddressLine1Txt
City	LAKE CHARLES	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$254,572,700	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christusstpatrick.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1579	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$72,488	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$40,457	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$569,374	PYContributionsGrantsAmt
CY Contributions Grants	$681,952	CYContributionsGrantsAmt
PY Program Service Revenue	$168,074,483	PYProgramServiceRevenueAmt
CY Program Service Revenue	$252,709,315	CYProgramServiceRevenueAmt
PY Investment Income	-$4,603	PYInvestmentIncomeAmt
CY Investment Income	$8,759	CYInvestmentIncomeAmt
PY Other Revenue	$789,435	PYOtherRevenueAmt
CY Other Revenue	$1,170,691	CYOtherRevenueAmt
PY Total Revenue	$169,428,689	PYTotalRevenueAmt
CY Total Revenue	$254,570,717	CYTotalRevenueAmt
PY Grants And Similar Paid	$850,741	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,133,088	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$52,280,346	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$91,441,354	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$149,187	CYTotalFundraisingExpenseAmt
PY Other Expenses	$108,951,683	PYOtherExpensesAmt
CY Other Expenses	$154,084,604	CYOtherExpensesAmt
PY Total Expenses	$162,082,770	PYTotalExpensesAmt
CY Total Expenses	$246,659,046	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,345,919	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,911,671	CYRevenuesLessExpensesAmt
Total Assets BOY	$124,489,093	TotalAssetsBOYAmt
Total Assets EOY	$192,276,923	TotalAssetsEOYAmt
Total Liabilities BOY	$53,714,996	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$68,548,350	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$70,774,097	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$123,728,573	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$73,919,332	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$74,429,790	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH SOUTHWESTERN LOUISIANA IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 153-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 2018 FISCAL YEAR, WE WERE PRIVILEGED TO SERVE HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 64,020 VISITS TO OUR EMERGENCY DEPARTMENT, 3,237 INPATIENT SURGERY PROCEDURES, 6,893 OUTPATIENT SURGERY PROCEDURES, 11,240 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 115,459 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$101,093,848	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$161,061,456	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$39,225,108	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$17,218,069	RevenueAmt
Desc	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 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 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.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,966,773	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,133,088	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$216,205,061	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	187	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1579	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KIMBERLY PATNAUDE	PersonNm
Phone	3185617172	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	524 DR MICHAEL DEBAKEY DRIVE	AddressLine1Txt
City	LAKE CHARLES	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70601	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
WILLIE C WHITE III
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
DONALD H LLOYD II
ADMINISTRATOR/CEO	1.0	39.0	Yes (X)	$0	$374,422	$69,067	Yes (X)
SISTER MIRIAM MILLER CCVI
Director	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT T CHANDLER
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
GAVIN E CHICO MD
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
MOSELLE A DEARBORNE
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
MICHAEL D STRATTON MD
DIRECTOR (THRU 12/2017)	1.0	2.0	Yes (X)	$0	$0	$0
HARRY R HAWTHORNE MD
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT L RUMSEY MD
DIRECTOR (THRU 12/2017)	1.0	2.0	Yes (X)	$0	$0	$0
ALOYSIA DUCOTE
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
DALLAS HIXSON
CHAIRPERSON	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
RONALD S JOHNS
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
MARTIN W JOHNSON
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
MICHELLE M COLLINS
DIRECTOR (EFF 01/2018)	1.0	2.0	Yes (X)	$0	$0	$0
SUSAN E KEMP MD
DIRECTOR (EFF 1/2018)	1.0	39.0	Yes (X)	$0	$204,173	$16,247
BERNARD S JOHNSON
DIRECTOR/VICE CHAIR	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
SISTER THERESA McGRATH CCVI
DIRECTOR (THRU 12/2017)	1.0	2.0	Yes (X)	$0	$0	$0
NANCY STICH
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
SCOTT A MERRYMAN
CFO	1.0	39.0		$0	$574,775	$88,493	Yes (X)
KIM KELSCH
REGIONAL CORPORATE SECRETARY	10.0	30.0		$0	$87,047	$17,231	Yes (X)
STEPHEN F WRIGHT
REGIONAL PRESIDENT/CEO	1.0	39.0		$0	$1,147,408	$224,561		Yes (X)
WENDY WHITE CHANDLER
GROUP VP, HUMAN RESOURCES	1.0	39.0		$0	$372,306	$74,616		Yes (X)
PHILIP COLE
CHIEF MED OFFICER (THRU 07/17)	1.0	39.0		$0	$420,216	$5,994		Yes (X)
H LES TOMPKINS
DIRECTOR MANAGED CARE	1.0	39.0		$0	$210,028	$10,533		Yes (X)
MARSHA WHITE
Chief Nurse Executive	1.0	39.0		$0	$244,004	$0		Yes (X)
MARY DISANTE
CHIEF NURSING OFFICER	1.0	39.0		$0	$186,697	$21,485		Yes (X)
TIMOTHY HAMAN MD
VP MEDICAL AFFAIRS	1.0	39.0		$0	$328,650	$29,555		Yes (X)
JOY MARTIN
VP MISSION INTEGRATION	1.0	39.0		$0	$165,553	$24,591		Yes (X)
KIM PATNAUDE
VP FINANCE	1.0	39.0		$0	$165,890	$19,647		Yes (X)
ANDRE STOREY
VP ANCILLARY SERVICES	1.0	39.0		$0	$164,140	$5,278		Yes (X)
BRIAN KELLEY MD
Physician	40.0	0.0		$815,084	$0	$28,124			Yes (X)
FARJAAD M SIDDIQ MD
PHYSICIAN	40.0	0.0		$426,108	$0	$8,993			Yes (X)
JAMES J JANCUSKA MD
PHYSICIAN	40.0	0.0		$374,539	$0	$4,775			Yes (X)
KENNETH EWANE MD
PHYSICIAN	40.0	0.0		$332,674	$0	$15,269			Yes (X)
LAWRENCE WEBER MD
PHYSICIAN	40.0	0.0		$289,976	$0	$3,094			Yes (X)
NANCY R HELLYER
Chief Executive Officer	0.0	40.0		$0	$795,865	$95,211				Yes (X)
CORINNE R FRANCIS
Sys VP Msn Intgr-Comm Bnft	0.0	40.0		$0	$359,049	$67,974				Yes (X)
DAVID W ENGLEKING
Medical Dir Hlth Plans	0.0	40.0		$0	$285,604	$17,905				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,238,381	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,085,827	TotReportableCompRltdOrgAmt
Total Other Compensation	$848,643	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
IMPERIAL HEALTH LLP
501 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	706015724	MEDICAL SERVIVCES	$2,139,961
CAPTURIS
3103 NYGREN DRIVE	MANDAN	ND	58554	BILLING SERVICES	$1,507,407
MEDASSETS SUPPLY CHAIN SYSTEMS LLC
PO BOX 742081	ATLANTA	GA	303742081	MEDICAL SERVICES	$1,497,718
ARAMARK HEALTHCARE SUPPORT
27310 NETWORK PLACE	CHICAGO	IL	606731273	FOOD SERVICE	$1,393,575
HOSPITAL HOUSEKEEPING SYSTEMS LLC
216 EAST 4TH STREET	AUSTIN	TX	78701	MEDICAL SERVICES	$1,369,076

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	111	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$105,318	RelatedOrganizationsAmt
All Other Contributions	$576,634	AllOtherContributionsAmt
Total Contributions	$681,952	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621990	$249,374,689	$249,302,201	$72,488	$0
RENT RELATED TO EXEMPT FUNCTION	531390	$2,176,831	$2,176,831	$0	$0
WELLNESS CENTER REVENUE	713940	$801,279	$801,279	$0	$0
REBATES	900099	$255,162	$255,162	$0	$0
OUTREACH	900099	$64,709	$64,709	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,645	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,645	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$252,709,315	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,742	TotalRevenueColumnAmt
Exclusion	$10,742	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$546,667	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$546,667	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$546,667	TotalRevenueColumnAmt
Exclusion	$546,667	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,983	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$1,983	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,983	TotalRevenueColumnAmt
Exclusion	-$1,983	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
FOOD & VENDING REVENUE	900099	$234,463	$0	$0	$234,463
OTHER OPERATING REVENUE	900099	$156,867	$0	$0	$156,867
MANAGEMENT FEE REVENUE	541610	$103,644	$0	$0	$103,644

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$129,050	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$129,050	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$624,024	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$254,570,717	TotalRevenueColumnAmt
Related Or Exempt Func Income	$252,636,827	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$72,488	UnrelatedBusinessRevenueAmt
Exclusion	$1,179,450	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,133,007	TotalAmt
Program Services	$1,133,007	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$81	TotalAmt
Program Services	$81	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$75,020,108	TotalAmt
Program Services	$68,274,026	ProgramServicesAmt
Management And General	$6,614,302	ManagementAndGeneralAmt
Fundraising	$131,780	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$350,580	TotalAmt
Program Services	$343,626	ProgramServicesAmt
Management And General	$6,954	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,072,913	TotalAmt
Program Services	$7,593,929	ProgramServicesAmt
Management And General	$3,478,984	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,997,753	TotalAmt
Program Services	$3,950,661	ProgramServicesAmt
Management And General	$1,029,685	ManagementAndGeneralAmt
Fundraising	$17,407	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$509,095	TotalAmt
Program Services	$32,530	ProgramServicesAmt
Management And General	$476,565	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$506,278	TotalAmt
Program Services	$506,278	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,609	TotalAmt
Management And General	$15,609	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,797,837	TotalAmt
Program Services	$15,718,688	ProgramServicesAmt
Management And General	$10,079,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$647,068	TotalAmt
Program Services	$3,329	ProgramServicesAmt
Management And General	$643,739	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,345,239	TotalAmt
Program Services	$19,202,916	ProgramServicesAmt
Management And General	$4,142,323	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,896,274	TotalAmt
Program Services	$6,896,274	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,583,748	TotalAmt
Program Services	$8,003,382	ProgramServicesAmt
Management And General	$1,580,366	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$171,560	TotalAmt
Program Services	$92,898	ProgramServicesAmt
Management And General	$78,662	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$296,124	TotalAmt
Program Services	$44,154	ProgramServicesAmt
Management And General	$251,970	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$46,494	TotalAmt
Program Services	$46,494	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,896,245	TotalAmt
Program Services	$8,732,589	ProgramServicesAmt
Management And General	$163,656	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,665,420	TotalAmt
Program Services	$3,576,882	ProgramServicesAmt
Management And General	$88,538	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$50,180,576	$50,104,554	$76,022	$0
PROV FOR UNCOLLECT ACCTS	$16,171,995	$16,171,995	$0	$0
SALES & USE TAXES	$3,899,434	$2,778,580	$1,120,854	$0
NON-CONTROLLING INTEREST	$1,435,882	$1,435,882	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,019,726	TotalAmt
Program Services	$1,562,306	ProgramServicesAmt
Management And General	$457,420	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$246,659,046	TotalAmt
Program Services	$216,205,061	ProgramServicesAmt
Management And General	$30,304,798	ManagementAndGeneralAmt
Fundraising	$149,187	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,239,687	BOYAmt
EOY	$17,650,135	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,786,491	BOYAmt
EOY	$32,732,003	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,383,578	BOYAmt
EOY	$980,517	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,564,182	BOYAmt
EOY	$8,230,250	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$423,937	BOYAmt
EOY	$630,057	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$254,257,606	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$169,196,893	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$49,958,916	BOYAmt
EOY	$85,060,713	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,792,100	BOYAmt
EOY	$17,080,497	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,376,903	BOYAmt
EOY	$29,502,474	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,963,299	BOYAmt
EOY	$410,277	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,489,093	BOYAmt
EOY	$192,276,923	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,759,331	BOYAmt
EOY	$16,804,886	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$18,245	BOYAmt
EOY	$1,756,770	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,937,420	BOYAmt
EOY	$49,986,694	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$53,714,996	BOYAmt
EOY	$68,548,350	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,764,175	BOYAmt
EOY	$123,711,861	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,922	BOYAmt
EOY	$16,712	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$70,774,097	BOYAmt
EOY	$123,728,573	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,489,093	BOYAmt
EOY	$192,276,923	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,911,671	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$15,415,352	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$29,627,453	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$15,609	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$15,609	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING DESCRIPTION	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINE 1G CHRISTUS HEALTH SOUTHWESTERN LOUISIANA HAD DIRECT CONTACT WITH MEMBERS OF THE LOUISIANA STATE LEGISLATURE AND THEIR RESPECTIVE STAFF, LOCAL AND STATE ELECTED OFFICIALS AND THEIR STAFF, THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS ON ISSUES RELATED TO MEDICAID AND BUDGETARY ISSUES RELATED TO THE AREAS CARE OF THE INDIGENT PATIENT POPULATION WITH A FOCUS ON FULL FUNDING FOR ALL HEALTH CARE PROGRAMS, ACCESS TO CARE AND NETWORK ADEQUACY, MEDICAID EXPANSION, PUBLIC PRIVATE PARTNERSHIP, MENTAL HEALTH, HEALTH CARE FOR SCHOOL-AGED CHILDREN, CARE TO THE ELDERLY, COORDINATION AND PARTNERSHIP WITH OTHER HEALTH PROVIDERS TO MAXIMIZE THE AVAILABILITY OF SPECIALTY CARE TO THE COMMUNITY, FEDERAL HEALTH CARE PROGRAM FUNDING FOR RURAL HOSPITALS, AND NURSE LICENSURE RECIPROCITY IN LOUISIANA. AT THE FEDERAL LEVEL, WE HAD DIRECT CONTACT THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND DIRECT ON-SITE MEETINGS WITH LOUISIANA CONGRESSIONAL DELEGATION MEMBERS AND THEIR STAFF TO DISCUSS ISSUES RELATED TO SAFETY-NET PROVIDERS, ACCESS TO CARE, RURAL HOSPITALS, REMOTE MEDICAL TECHNOLOGY, 340B DRUG PROGRAM, REAUTHORIZATION OF THE MEDICARE DEPENDENT HOSPITAL PROGRAM, AND HEALTHCARE FOR VETERANS INCLUDING ISSUES WITH RESPECT TO PROMPT PAYMENT. 37 EXECUTIVE HOURS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$22,523,544	OtherCostOrOtherBasisAmt
Book Value	$22,523,544	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$131,802,446	OtherCostOrOtherBasisAmt
Depreciation	$92,536,929	DepreciationAmt
Book Value	$39,265,517	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,382,568	OtherCostOrOtherBasisAmt
Depreciation	$1,184,099	DepreciationAmt
Book Value	$1,198,469	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$97,058,059	OtherCostOrOtherBasisAmt
Depreciation	$75,146,452	DepreciationAmt
Book Value	$21,911,607	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$490,989	OtherCostOrOtherBasisAmt
Depreciation	$329,413	DepreciationAmt
Book Value	$161,576	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$85,060,713	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	CONSOLIDATED SUBSIDIARY	Desc
Book Value	$17,080,497	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$17,080,497	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO CHRISTUS BOND FUND	$34,585,702
DUE TO RELATED ORGANIZATIONS	$13,932,551
OTHER LONG TERM LIABILITIES	$1,177,745
SALES TAX PAYABLE	$290,696

Field	Value	IRS element (for citing)
Total Liability	$49,986,694	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	CASH - NON-BEARING INTEREST	FormAndLineReferenceDesc
Explanation	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, 2018 AND 2017.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,929,938	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,929,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,182,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,218,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,964,199	NetCommunityBenefitExpnsAmt
Total Expense	0.11700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,112,206	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,218,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,894,137	NetCommunityBenefitExpnsAmt
Total Expense	0.12540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	35185	PersonsServedCnt
Total Community Benefit Expns	$796,518	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$796,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	51	PersonsServedCnt
Total Community Benefit Expns	$7,670	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$300	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	4253	PersonsServedCnt
Total Community Benefit Expns	$1,140,584	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,140,584	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	39489	PersonsServedCnt
Total Community Benefit Expns	$1,945,072	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,945,072	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	39489	PersonsServedCnt
Total Community Benefit Expns	$48,057,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,218,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,839,209	NetCommunityBenefitExpnsAmt
Total Expense	0.13380	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	150	PersonsServedCnt
Total Community Benefit Expns	$21,701	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,701	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	150	PersonsServedCnt
Total Community Benefit Expns	$21,701	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,701	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,171,995	BadDebtExpenseAmt
Bad Debt Expense Attributable	$91,469	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$76,774,657	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$76,940,780	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$166,123	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
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

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
CHRISTUS ST PATRICK HOSPITAL
1	524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	www.stpatrickhospital.org	647	Yes (X)	Yes (X)	Yes (X)
CHRISTUS LAKE AREA HOSPITAL
2	4200 NELSON ROAD	LAKE CHARLES	LA	70605	www.christushealth.org/lake_area	2203783523	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
CHRISTUS ST PATRICK HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
CHRISTUS LAKE AREA HOSPITAL
2	false	Yes (true)	false											Yes (true)			Yes (true)				Yes (true)		Yes (true)		false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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/files/chip/2017--2019-chip-christus -swla.ashx?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 INFORM
SCHEDULE H, PART V, SECTION B, LINE 16A	THE FAP AND PLAIN LANGUAGE SUMMARY WERE WIDELY AVAILABLE AT THE FOLLOWING URL: CHRISTUS ST. PATRICK HOSPITAL & CHRISTUS LAKE AREA HOSPITAL https://www.christushealth.org/patient-resources/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16B CHRISTUS ST. PATRICK HOSPITAL & CHRISTUS LAKE AREA HOSPITAL THE FAP APPLICATION WAS WIDELY AVAILABLE AT THE FOLLOWING URL: https://www.christushealth.org/-/media/files/finance-files/application-eng lish.ashx?la=en 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. 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. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH INPATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH INPATIENTS 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. PAYMENT EXPECTATIONS ARE NOT COMMUNICATED UNTIL SERVICES ARE RENDERED.
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 20 EFFORTS MADE BEFORE TAKING EXTRAORDINARY COLLECTION ACTIONS 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 22D	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.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $246,659,046. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $16,171,995. THIS LEAVES A TOTAL EXPENSE OF $230,487,051 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 20.85% 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 $1,140,584 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2018. 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 $947,850 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. IN ORDER TO ASSESS THE BAD DEBT ACCOUNTS THAT WOULD LIKELY QUALIFY FOR CHARITY CARE, THE FOLLOWING CRITERIA WERE ESTABLISHED BASED ON AN ANALYSIS OF HISTORICAL DATA OF CHRISTUS HEALTH AND ITS RELATED ORGANIZATIONS: 1. PARO SCORE OF LESS THAN OR EQUAL TO 586, WHICH IS A PREDICTOR DEFINING THE LIKELY SOCIOECONOMIC CONDITIONS FOR THE PATIENT; 2. ESTIMATED FEDERAL POVERTY LEVEL OF LESS THAN OR EQUAL TO 226%, WHICH IS BASED ON ESTIMATED HOUSEHOLD SIZE AND HOUSEHOLD ESTIMATED INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. 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, 2018, 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 28.51% 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, 2018. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 28.5% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2018 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, 2018 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 UNITED STATES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (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 ($196,123) 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, cholorectal, BREAST AND UTERINE CANCERS, DIABETES, HYPERTENSION, STDS (SEXUALLY TRANSMITTED DISEASES) 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 IT'S 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 2018, 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Allen Clinical Services
8585 Picardy Avenue	Baton Rouge	LA	70809	463081235	501(C)3	$21,300	INDIGENT CARE FUNDING
Eastern Louisiana Clinical Services Inc
3330 Masonic Drive	Alexandria	LA	71301	451779607		$29,288	INDIGENT CARE FUNDING
Metairie Physician Services
8585 Picardy Avenue	Baton Rouge	LA	70809	461434300	501(C)(3)	$170,400	INDIGENT CARE FUNDING
Ochsner Clinic foundation
17000 MEDICAL CNTR DR	BATON ROUGE	LA	70816	720502505	503(c)(3)	$639,000	INDIGENT CARE FUNDING
LOUISIANA CLINICAL SERVICES
320 SOMERULOS STREET	BATON ROUGE	LA	70802	272869360		$18,638	INDIGENT CARE FUNDING
ORLEANS HEALTH SERVICES
8585 PICARDY AVENUE	BATON ROUGE	LA	70809	464568405		$15,975	INDIGENT CARE FUNDING
VERMILLION HEALTH SERVICES
14008 CHENEAU RD	KAPLAN	LA	70548	811644563		$53,250	INDIGENT CARE FUNDING
CHRISTUS ST PATRICK HOSPITAL
524 MICH DEBAKEY	LAKE CHARLES	LA	70601	471496376	501(C)(3)	$137,828	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990,SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN F WRIGHT
REGIONAL PRESIDENT/CEO	$0	$797,193	$0	$325,366	$0	$24,849	$0	$200,529	$0	$24,032	$0	$1,371,969	$0	$0
SCOTT A MERRYMAN
CFO	$0	$431,168	$0	$138,465	$0	$5,142	$0	$78,583	$0	$9,910	$0	$663,268	$0	$0
DONALD H LLOYD II
ADMINISTRATOR/CEO	$0	$296,720	$0	$76,994	$0	$708	$0	$43,330	$0	$25,737	$0	$443,489	$0	$0
BRIAN KELLEY MD
Physician	$685,021	$0	$107,396	$0	$22,667	$0	$4,644	$0	$23,480	$0	$843,208	$0	$0	$0
WENDY WHITE CHANDLER
GROUP VP, HUMAN RESOURCES	$0	$291,067	$0	$81,168	$0	$71	$0	$51,884	$0	$22,732	$0	$446,922	$0	$0
PHILIP COLE
CHIEF MED OFFICER (THRU 07/17)	$0	$284,966	$0	$135,250	$0	$0	$0	$5,994	$0	$0	$0	$426,210	$0	$0
H LES TOMPKINS
DIRECTOR MANAGED CARE	$0	$163,846	$0	$46,032	$0	$150	$0	$7,794	$0	$2,739	$0	$220,561	$0	$0
MARSHA WHITE
Chief Nurse Executive	$0	$187,194	$0	$56,485	$0	$325	$0	$0	$0	$0	$0	$244,004	$0	$0
DAVID W ENGLEKING
Medical Dir Hlth Plans	$0	$215,049	$0	$60,105	$0	$10,450	$0	$1,709	$0	$16,196	$0	$303,509	$0	$0
NANCY R HELLYER
Chief Executive Officer	$0	$636,398	$0	$134,413	$0	$25,054	$0	$81,469	$0	$13,742	$0	$891,076	$0	$0
CORINNE R FRANCIS
Sys VP Msn Intgr-Comm Bnft	$0	$253,550	$0	$104,896	$0	$603	$0	$52,824	$0	$15,150	$0	$427,023	$0	$0
FARJAAD M SIDDIQ MD
PHYSICIAN	$147,008	$0	$116,791	$0	$162,309	$0	$0	$0	$8,993	$0	$435,101	$0	$0	$0
JAMES J JANCUSKA MD
PHYSICIAN	$227,804	$0	$145,235	$0	$1,500	$0	$0	$0	$4,775	$0	$379,314	$0	$0	$0
KENNETH EWANE MD
PHYSICIAN	$307,674	$0	$0	$0	$25,000	$0	$0	$0	$15,269	$0	$347,943	$0	$0	$0
LAWRENCE WEBER MD
PHYSICIAN	$260,976	$0	$15,000	$0	$14,000	$0	$0	$0	$3,094	$0	$293,070	$0	$0	$0
SUSAN E KEMP MD
DIRECTOR (EFF 1/2018)	$0	$185,876	$0	$0	$0	$18,297	$0	$0	$0	$16,247	$0	$220,420	$0	$0
MARY DISANTE
CHIEF NURSING OFFICER	$0	$186,361	$0	$0	$0	$336	$0	$7,524	$0	$13,961	$0	$208,182	$0	$0
TIMOTHY HAMAN MD
VP MEDICAL AFFAIRS	$0	$265,653	$0	$61,372	$0	$1,625	$0	$5,119	$0	$24,436	$0	$358,205	$0	$0
JOY MARTIN
VP MISSION INTEGRATION	$0	$133,022	$0	$32,531	$0	$0	$0	$9,281	$0	$15,310	$0	$190,144	$0	$0
KIM PATNAUDE
VP FINANCE	$0	$132,580	$0	$33,240	$0	$70	$0	$5,199	$0	$14,448	$0	$185,537	$0	$0
ANDRE STOREY
VP ANCILLARY SERVICES	$0	$132,372	$0	$31,768	$0	$0	$0	$5,278	$0	$0	$0	$169,418	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL COMPENSATION INFORMATION	FormAndLineReferenceDesc
Explanation	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. 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. 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: DAVID W. ENGLEKING, NANCY HELLYER, STEPHEN WRIGHT, CORINE R. FRANCIS, WENDY (WHITE) CHANDLER, DONALD H. LLOYD II, SCOTT A. MERRYMAN, MARSHA WHITE, PHILIP COLE, AND LES TOMPKINS. 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 2017. 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 Center for Advanced Wound Care CHRISTUS St. Patrick South Lake Charles CHRISTUS St. Patrick Sports Health CHRISTUS St. Patrick Women's Health Center 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
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 FY2018, 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 is the sole corporate member of the filing organization.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	Form 990, Part VI, SECTION A, LINE 7a Christus Health, the sole corporate member of the filing organization, has the power to appoint all members of the filing organization's governing body.
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 2019 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 NON-CONTROLLING INTEREST $15,985,674 TRANSFER OF NET ASSETS BETWEEN ENTITIES $15,952,262 PRE-ACQUISITION ($1,453,834) PARTNERSHIP DISTRIBUTIONS ($1,402,504) RETAINED EARNINGS $586,895 PENSION FUNDING ($368,554) PENSION LIABILITY/EXPENSE $327,514 ------------ TOTAL $29,627,453
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:7081666
FORM 990 PART IX LINE 11G	DESCRIPTION:OCCUPANCY SERVICES TOTAL FEES:1487722
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:4819604
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:1163280
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1253043
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:1218479
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING SERVICES TOTAL FEES:262128
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIANS SERVICES TOTAL FEES:8511915

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE AREA PHYSICIAN SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12455 NOEL RD 20TH FLOOR	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75240	ZIPCd

Field	Value	IRS element (for citing)
EIN	752864057	EIN
Primary Activities	HLTHCARE SVCS	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd
Total Income	$5,920,874	TotalIncomeAmt
End Of Year Assets	$5,112,244	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SWLA	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 WEST LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHWILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(c)(3)	11a	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTH STE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPP HTH SVCS	TX	501(c)(3)	11a	CH	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTY	TX	78404	741109836	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (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	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPP HTH SVCS	TX	501(c)(3)	11a	CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	464617988	MEDICAID HMO	LA	501(c)(4)	12-type i	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	465203505	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	471496376	SUPP HTH SVCS	LA	501(c)(3)	7	SWLA	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT ROAD	SULPHUR SPRINGS	TX	75482	811708177	HEALTH SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS TRINITY MOTHER FRANCES HS
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
GOOD SHEPHERD HEALTH SYSTEMS INC
700 EAST MARSHALL AVENUE	LONGVIEW	TX	75601	752027157	HLTHCARE SVCS	TX	501(C)(3)	12, TYPE II	CH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
COLONNADE ENDOSCOPY CENTER LLC
555 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721493410	SURGICAL CTR	LA	SWLA	Related	$135,311	$2,047,888	false	Yes (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	$343,869	$1,222,256	false	false	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
OCCUPATIONAL HEALTH SERVICES INC
524 DR MICHARL DEBALEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SVCS	LA	SWLA	C Corp	$537,533	$3,288,824	1.00000	Yes (true)
SOUTHWESTERN LOUISIANA PHO
524 DR MICHARL DEBALEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTH SVCS	LA	SWLA	C Corp	$18	$42,829	1.00000	Yes (true)
SOUTH RYAN DEVELOPMENT CORPORATION
524 DR MICHARL DEBALEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BUILD	LA	SWLA	C Corp	$26,733	$346,756	1.00000	Yes (true)
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SVC		CH	C Corp				Yes (true)	HIDALGO PTE 2525 COL OBISPADO	MONTERREY	N.L.	MX	64060	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C Corp				Yes (true)	PO BOX 1051	GRAND CAYMAN		CJ	KY1-1102	CJ
CHRISTUS LOUISIANA QUALITY ALLIANCE
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	474618648	ACO	LA	CH	C Corp				Yes (true)
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	473403356	SUPP HTH SVCS	TX	CH	C Corp				Yes (true)
THE LAMC BUILDING E
																			N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
C H WILKINSON PHYSICIAN NETWORK
L	$3,244,683	ACCRUAL
C H WILKINSON PHYSICIAN NETWORK
Q	$524,746	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
L	$169,668	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
O	$568,004	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
P	$264,785	ACCRUAL
CHRISTUS ST PATRICK FOUNDATION
B	$137,828	ACCRUAL
CHRISTUS ST PATRICK FOUNDATION
C	$105,318	ACCRUAL
CHRISTUS ST PATRICK FOUNDATION
O	$107,613	ACCRUAL
DEDICATED SYTEM SUPPORT INC
L	$309,427	ACCRUAL
DEDICATED SYTEM SUPPORT INC
O	$186,180	ACCRUAL