2019-05-14T18:14:06-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET SUITE 600 FORT WORTH TX 76102 990 2017-07-01 720408982 Christus Health Northern Louisiana % ERIC WINGARD CHRI 3186815000 1453 East Bert Kouns Ind Loop Shreveport LA 71105 SCOTT MERRYMAN CFO 3185617172 2019-05-14 true kathleen moseley P00116760 8173351900 162.237.134.121 35057220191345000012 2019-05-14 P 176ACE08BE0017955E0E58CAAE54ED0664568312 3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C 2017 2020-01-14 16:20:31Z SEE SCHEDULE O ISAAC PALMER 1453 East Bert Kouns Ind Loop SHREVEPORT LA 71105 229894134 false 0928 X www.christushealthsb.org X 1913 LA SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 15 13 1390 144 92325 0 735943 397317 213890689 229278113 33815 27690 554349 189278 215214796 229892398 1372420 2221628 0 0 64359764 68835731 0 0 322873 126416812 143609705 192148996 214667064 23065800 15225334 175449569 191085464 50066435 49288328 125383134 141797136 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS false false 60670998 0 127638453 COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH NORTHERN 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 NORTHERN LOUISIANA RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED BY CHRISTUS HIGHLAND MEDICAL CENTER, A 212-BED INTEGRATED HEALTH SYSTEM LOCATED IN SOUTH SHREVEPORT. THE FACILITIES OF CHRISTUS HEALTH NORTHERN LOUISIANA SHARES ONE OBJECTIVE -- TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH NORTHERN LOUISIANA IS LOCATED IN SHREVEPORT, LOUISIANA, WHICH IS IN THE NORTHWESTERN CORNER OF THE STATE. ITS SERVICE AREA EXTENDS TO NORTHEAST TEXAS AND SOUTHERN ARKANSAS, WHICH INCLUDES A POPULATION OF MORE THAN 1 MILLION INDIVIDUALS. IN FISCAL YEAR 2018, WE SERVED HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 24,064 VISITS TO OUR EMERGENCY DEPARTMENTS, 2,206 INPATIENT SURGERY PROCEDURES, 3,241 OUTPATIENT SURGERY PROCEDURES, 8,489 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 111,487 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES, ALTHOUGH THIS NUMBER MAY ALSO REFLECT REPEATED VISITS BY THE SAME PATIENT. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH NORTHERN LOUISIANA STAND APART. INTERACTING WITH COMMUNITY ORGANIZATIONS, INDIVIDUAL PATIENTS AND CLIENTS GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. CHRISTUS HEALTH NORTHERN LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH NORTHERN LOUISIANA'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS HAVE ASSISTED CHRISTUS HEALTH NORTHERN LOUISIANA TO FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED ASSOCIATES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS AMONG THE HOSPITALS, OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS HEALTH'S MISSION TO MEET THE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. CHRISTUS ASSOCIATES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO HELPING OUR COMMUNITIES MAINTAIN GOOD QUALITY HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MANY PEOPLE AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, CHRISTUS HEALTH NORTHERN LOUISIANA OFFERS SPECIFIC PROGRAMS WHICH PROVIDE DISCOUNT SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH NORTHERN LOUISIANA ALSO CONTRACTS WITH A COMPANY TO SCREEN INDIVIDUALS FOR GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICAID AND LACHIP. CHRISTUS HEALTH NORTHERN 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 HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH NORTHERN LOUISIANA OFFERS A BROAD SPECTRUM OF ADULT AND PEDIATRIC MEDICAL AND SURGICAL CARE SERVICES WITH THE LATEST TECHNOLOGY. THESE SERVICES INCLUDE COMPREHENSIVE CANCER TREATMENT, PEDIATRIC SERVICES, NEONATAL INTENSIVE CARE, INPATIENT AND OUTPATIENT DIAGNOSTIC AND SURGERY SERVICES, AND ATHLETIC CLUBS. CHRISTUS HIGHLAND PROVIDES A 24-HOUR EMERGENCY ROOM THAT SERVES ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. SERVICES OFFERED INCLUDE TREATMENT FOR MINOR ILLNESSES/INJURIES; ROUTINE PHYSICAL AND/OR ATHLETIC EXAMINATIONS; IMMUNIZATIONS; INCREASED ACCESS TO PRIMARY CARE; SPECIAL AWARENESS OF STD AND TEEN PREGNANCY FOR HIGH SCHOOL STUDENTS; OBESITY REDUCTION; SCREENING TESTS FOR HEARING, VISION, SCOLIOSIS, ETC.; REFERRAL AND FOLLOW-UP FOR ACUTE AND CHRONIC ILLNESSES (EX. DIABETES, ASTHMA); AND MENTAL HEALTH SERVICES, SUCH AS CRISIS, INDIVIDUAL, FAMILY AND/OR GROUP COUNSELING. THE OPERATION OF THE SCHOOL-BASED HEALTH CENTERS IS ENHANCED BY COLLABORATIVE PARTNERSHIPS WITH THE NORTHWESTERN STATE UNIVERSITY SCHOOL OF NURSING AND OTHER COMMUNITY ORGANIZATIONS. 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 NORTHERN LOUISIANA. CHRISTUS HEALTH NORTHERN LOUISIANA IS PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO PROVIDE CARE WITHIN OUR LOCAL COMMUNITIES. ALL QUALIFIED PHYSICIANS ARE GRANTED PRIVILEGES TO SERVE WITHIN CHRISTUS HOSPITALS AFTER UNDERGOING A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. 107381161 0 91849384 COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2016), 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. CHARITY CARE FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH ITS MISSION, VALUES AND VISION, CHRISTUS HEALTH 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 HIS OR HER 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. 19508034 0 9846730 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 AND TRICARE. THE UNREIMBURSED 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 PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON ITS FEE SCHEDULE. 3000201 2221628 0 190560394 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 212 0 true 1390 true true true false false false false false false false false false X 15 13 true false false false true true true true true false false true true true true true true true true false X ERIC WINGARD 3185617172 1453 EAST BERT KOUNS IND LOOP SHREVEPORT LA 71105 X MOSELLE A DEARBONE DIRECTOR 1.0 2.0 X 0 0 0 ALOYSIA C DUCOTE DIRECTOR 1.0 2.0 X 0 0 0 RONALD S JOHNS DIRECTOR 1.0 2.0 X 0 0 0 BERNARD S JOHNSON DIRECTOR/VICE CHAIR 1.0 2.0 X X 0 0 0 MARTIN W JOHNSON DIRECTOR 1.0 2.0 X 0 0 0 SISTER THERESA MCGRATH CCVI DIRECTOR 1.0 2.0 X 0 0 0 SISTER MIRIAM T MILLER CCVI DIRECTOR (THRU 12/2017) 1.0 2.0 X 0 0 0 NANCY STICH DIRECTOR 1.0 2.0 X 0 0 0 WILLIE C WHITE III DIRECTOR 1.0 2.0 X 0 0 0 ISAAC R PALMER JR PRESIDENT/CEO, EX-OFFICIO 1.0 39.0 X X 0 422089 75779 HARRY R HAWTHORNE MD DIRECTOR 1.0 2.0 X 0 0 0 ROBERT L RUMSEY MD DIRECTOR (THRU 12/2017) 1.0 2.0 X 0 0 0 DALLAS L HIXSON CHAIRPERSON 1.0 2.0 X X 0 0 0 MICHELE M COLLINS DIRECTOR (AS OF 01/2018) 1.0 2.0 X 0 0 0 SUSAN E KEMP MD DIRECTOR (AS OF 01/2018) 1.0 39.0 X 0 204173 16247 MICHAEL D STRATTON MD DIRECTOR (THRU 12/2017) 1.0 2.0 X 0 0 0 ROBERT T CHANDLER DIRECTOR 1.0 2.0 X 0 0 0 GAVIN F CHICO MD DIRECTOR 1.0 2.0 X 0 0 0 KIM KELSCH REG.CORP.SECRETARY 10.0 30.0 X 0 87047 17231 SCOTT MERRYMAN CFO 1.0 39.0 X 0 574775 88493 PHILLIP COLE THRU 072017 CHIEF MEDICAL OFFICER - 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FORM 990, SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY CHRISTUS LOUISIANA HAD DIRECT CONTACT WITH MEMBERS OF THE LOUISIANA STATE LEGISLATURE AND THEIR RESPECTIVE STAFF AS WELL AS LOCAL AND STATE ELECTED OFFICIALS AND AGENCY LEADERS AND THEIR STAFF THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND DIRECT MEETINGS ON ISSUES RELATED TO MEDICAID AND FUNDING OF MEDICAID PROGRAM AND THE PROGRAM AREAS RELATED TO THE REGION'S PUBLIC PRIVATE PARTNERSHIP, MEDICAID EXPANSION, ACCESS AND THE CONTINUED AVAILABILITY OF CARE FOR ELDERLY PATIENTS AND THOSE IN NURSING HOMES, SCHOOL-BASED HEALTHCARE, MENTAL HEALTH AND RURAL HOSPITALS, CENTRAL LOUISIANA PARTNERSHIP, STATE BUDGET AND THE CARE TO THE UNINSURED AND UNDERINSURED. THESE EFFORTS WERE HIGHLIGHTED BY MAILINGS AND OTHER TOOLS TO EDUCATE AND HIGHLIGHT THE NECESSARY SUPPORT FOR FULL FUNDING OF HEALTH CARE IN HB 1 FOR THE STATE'S FISCAL YEAR COMMENCING JULY 1, 2018. AT THE FEDERAL LEVEL, WE HAD DIRECT CONTACT THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS WITH LOUISIANA CONGRESSIONAL DELEGATION AND THEIR STAFF TO DISCUSS ISSUES RELATED TO SAFETY-NET PROVIDERS, ACCESS TO CARE, RURAL HOSPITALS, REMOTE MEDICAL TECHNOLOGY, 340B DRUG PROGRAM, AND HEALTHCARE FOR VETERANS. 115 EXECUTIVE HOURS. 16812809 16812809 183749263 104860050 78889213 4821942 2090443 2731499 104282161 89666033 14616128 8829276 1696234 7133042 120182691 0 DUE TO CHRISTUS HEALTH BOND FUND 21267249 DUE TO RELATED ORGANIZATION 4610473 LT PORTION-CAPITAL LEASE EQUIPMENT 496604 SALES TAXES PAYABLE 262349 26636675 X FORM 990, PART X, LINE 1 CASH - NON-BEARING INTEREST 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. FORM 990, SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS UNDER ASC 740 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2018 AND 2017. true true X true X true X true true true false true true 1742416 1742416 0.00830 23964970 16549040 7415930 0.03550 25707386 16549040 9158346 0.04380 22 8736 445209 445209 0.00210 4 177 80094 80094 0.00040 1 930 55924 55924 0.00030 11 163 2374643 2374643 0.01140 38 10006 2955870 2955870 0.01420 38 10006 28663256 16549040 12114216 0.05800 1 33718 33718 0.00020 1 33718 33718 0.00020 true 5719929 41584 70398556 71671555 -1272999 X true true NL Cardiac Srvs LLC Otptnt Cardiac Catheteriz Lab 0.51 0.49 2 1 CHRISTUS Shreveport-Bossier HIGHLAND 1453 EAST BERT KOUNS LOOP SHREVEPORT LA 71105 HTTP://CHRISTUSHEALTHSB.ORG/ 193 X X X 2 CHRISTUS BOSSIER EMERGENCY HOSPITAL 2531 VIKING DR BOSSIER CITY LA 71111 HTTP://CHRISTUSHEALTHSB.ORG/ 193 X X X CHRISTUS SCHUMPERT HIGHLAND 1 false false true X X X X X X X X X 16 true false false true X See Part V, Section C X true 15 true See Part V, Section C false true X 200. 400. X X X true true X X X X true X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X false X false X X true X false false SCHEDULE H, PART V, LINE 3E ADDRESSING SIGNIFICANT COMMUNITY NEEDS LEADERSHIP FOR CHRISTUS HEALTH NORTHERN LOUISIANA WAS PROVIDED WITH A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT MAY 2016. A PANEL OF EXPERTS COMPRISED OF BOTH CHRISTUS STAFF AND EXTERNAL PARTNERS REPRESENTING VARIOUS MEMBERS OF THE COMMUNITY WAS TASKED WITH REVIEWING THE FINDINGS AND DETERMINING WHICH PRIORITY ISSUES WOULD BE SELECTED TO ADDRESS OVER THE NEXT THREE YEARS AS PART OF A COMMUNITY HEALTH IMPLEMENTATION PLAN. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FOR PERSONS WHO REPRESENT THE COMMUNITY IN ORDER TO ENSURE COMMUNITY INPUT AND EXPERT OVERSIGHT THROUGHOUT THE ENTIRE PROJECT, AN ADVISORY COMMITTEE REPRESENTING INTERNAL AND EXTERNAL STAKEHOLDERS IN THE CHRISTUS HEALTH NORTHERN LOUISIANA REGION WAS ESTABLISHED IN LATE 2015. THE CHNA 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 COMMITTEE WAS ALSO INVOLVED IN RECRUITMENT AND OUTREACH FOR THE COMMUNITY VALIDATION MEETING THAT OCCURRED ON MAY 12, 2016. PRIOR TO THIS MEETING, THE GROUP MET ON APRIL 25, 2016 TO REVIEW A DRAFT VERSION OF THE FINDINGS AND TO DETERMINE WHICH PRIORITY ISSUES WOULD BE PRESENTED AT THE VALIDATION MEETING. EXTERNAL/ COMMUNITY MEMBERS JEAN DRESLEY, EXECUTIVE DIRECTOR-CATHOLIC CHARITIES OF NLA PAULA HICKMAN, EXECUTIVE DIRECTOR-COMMUNITY FOUNDATION OF NORTH LOUISIANA DELEISA BEW, ACA OUTREACH COORDINATOR-DAVID RAINES COMMUNITY HEALTH CENTER KRISTA BUCKHALTER REPRESENTED JANET MENTESANE, EXECUTIVE DIRECTOR -MLK STEVEN JACKSON-DAVID RAINES COMMUNITY HEALTH CENTER SHELLY RYAN GRAY, COORDINATOR-DEPARTMENT OF HEALTH & HOSPITALS OF LA CASSIE HAMMET, EXECUTIVE DIRECTOR-THE HUB URBAN MINISTRIES (HOMELESS)/PURCHASED, NOT FOR SALE (PROSTITUTION AND HUMAN TRAFFICKING) KEASHA HENSON REPRESENTED MARTHA WHYTE, MD-REGIONAL MEDICAL DIRECTOR DEPARTMENT OF HEALTH AND HUMAN SERVICES" LYNN STEVENS, EXECUTIVE DIRECTOR-THE UNITED WAY INTERNAL MEMBERS KHOA NGUYEN, DIRECTOR OF MISSION AND SPIRITUAL CARE SR. SHARON RAMBIN, MANAGER-COMMUNITY HEALTH AND SCHOOL BASED HEALTH CLINICS MONICA YOUNG, DIRECTOR OF WOMEN AND CHILDREN SERVICES CARLA SHARPE, DIRECTOR OF CLINICAL SERVICES FOR HOSPICE, CHRISTUS HEALTH VEDA CAWTHORN SOCIAL WORKER/GRACE HOME AND HOME HOSPICE KEITH ADCOCK, CHAPLAIN, GRACE HOME INFORMANT INTERVIEW: DR. KATHERYN ARTERBERRY (FACULTY, NSU COLLEGE OF NURSING/NP AT MLK AND RESCUE MISSION) DEON BEHRMAN DIRECTOR, CENTER FOR FAMILIES DR. TERRY DAVIS (FACULTY, LSUHSC) JEAN DRESLEY (EXECUTIVE DIRECTOR, CATHOLIC CHARITIES) SHELLY RYAN GRAY (COORDINATOR, DEPT. OF HEALTH AND HOSPITALS OF LA) PAULA HICKMAN (EXECUTIVE DIRECTOR, COMMUNITY FOUNDATION OF NLA) STACIE HILDEBRAND, SAMARITAN COUNSELING CENTER DR. KATHY JACKSON (COUNSELOR, ATKINS SBHC) DR. DENNIS WISSING (ASSOCIATE DEAN, ALLIED HEALTH SCHOOL AT LSUHSC/HEALTHCARE SERVICES TO HOMELESS AT MLK AND HOPE CONNECTIONS) FOCUS GROUP MEMBERS: KHOA NGUYEN, DIRECTOR OF CHRISTUS MISSION AND SPIRITUAL CARE BRIDGET CAUSEY, RETIRED DIRECTOR OF NURSES FOR CADDO PARISH SCHOOL BOARD MOLLY FLEMING, CASE WORKER, CHRISTUS CANCER TREATMENT CENTER CASSIE HAMMET, THE HUB URBAN MINISTRIES/ PURCHASED, NOT FOR SALE BETTY JOHNSON, ST. LUKE'S MEDICAL MINISTRY ANNA G. KENDRICK, SHREVEPORT BOSSIER RESCUE MISSION JANET MARTIN, NORTHWEST LOUISIANA INTERFAITH PHARMACY JANET MENTESANE, MARTIN LUTHER KING CLINIC KIM MITCHELL, COMMUNITY RENEWAL INTERNATIONAL BRENDA NIMS, MARTIN LUTHER KING CLINIC JENNIFER VARNADORE, DIRECTOR CHRISTUS CANCER TREATMENT CENTER SCHEDULE H, PART V, SECTION C, LINE 7A THE URL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: https://www.christushealth.org/-/media/files/chip/2017--2019-chip-christus -shreveport-bossier-rev.ashx?la=en SCHEDULE H, PART V, SECTION C, 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 -shreveport-bossier-rev.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT COMMUNITY NEEDS LEADERSHIP FOR CHRISTUS HEALTH NORTHERN LOUISIANA WAS PROVIDED WITH A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT MAY 2016. A PANEL OF EXPERTS COMPRISED OF BOTH CHRISTUS STAFF AND EXTERNAL PARTNERS REPRESENTING VARIOUS MEMBERS OF THE COMMUNITY WAS TASKED WITH REVIEWING THE FINDINGS AND DETERMINING WHICH PRIORITY ISSUES WOULD BE SELECTED TO ADDRESS OVER THE NEXT THREE YEARS AS PART OF A COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PANEL TOOK A NUMBER OF THINGS INTO CONSIDERATION WHEN CHOOSING PRIORITIES. SOME PRIORITIES WERE SELECTED BASED OFF OF ISSUE PREVALENCE AND SEVERITY ACCORDING TO PARISH AND REGIONAL SECONDARY DATA. INPUT PROVIDED BY KEY INFORMANTS, FOCUS GROUP PARTICIPANTS, AND OTHER COMMUNITY STAKEHOLDERS WAS ALSO HEAVILY CONSIDERED, ESPECIALLY FOR PRIORITY AREAS WHERE SECONDARY DATA WERE LESS AVAILABLE. THE OFFICIAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WAS FINALIZED JUNE 2016. BASED ON THE PROCESS DESCRIBED ABOVE, THE PRIORITY HEALTH NEEDS SELECTED BY CHRISTUS HEALTH NORTHERN LOUISIANA ARE: 1. CARDIOVASCULAR HEALTH (INCLUDES HEART DISEASE, HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, DIABETES, AND STROKE); CARDIOVASCULAR HEALTH AND PREVENTION: EXPAND EDUCATIONAL OUTREACH WITH COMMUNITY ENTITIES AND EXPAND HEALTH SCREENINGS WITH COMMUNITY ENTITIES CHRONIC DISEASE MANAGEMENT AND ACCESS: OFFER INTENSIVE CARDIAC REHAB; PROVIDE CARE NAVIGATION; REPLICATION OF THE GROUP APPOINTMENT/ HEALTH CARE DELIVERY MODEL OF MLK CLINIC; PARTNER WITH COMMUNITY TO PROVIDE LOW COST ACCESS; AND PROVIDE DIABETIC EDUCATION PROGRAM AND SUPPORT GROUPS 2. NUTRITION & HEALTHY EATING (INCLUDES BOTH OBESITY & MALNUTRITION) PROVIDE NUTRITION AND HEALTHY EATING PROGRAMS: PROVIDE NUTRITION AND HEALTHY EATING EDUCATION AND SUPPORT THROUGH SCHOOL-BASED HEALTH CENTERS AND COMMUNITY GARDEN INITIATIVES; DEVELOP PARTNERSHIPS WITH OTHER COMMUNITY ENTITIES TO PROMOTE NUTRITION AND HEALTHY EATING 3. TOBACCO USE PROMOTE TOBACCO CESSATION ACTIVITIES: RAISE AWARENESS/OUTREACH THROUGH PARTNERSHIPS WITH THE COMMUNITY AND OFFER REFERRALS FOR TOBACCO CESSATION EFFORTS AND COORDINATE AND STRENGTHEN EXISTING INTERNAL TOBACCO CESSATION INITIATIVES 4. SEXUALLY TRANSMITTED INFECTIONS (STIS) AND TEENAGE PREGNANCY PROVIDE STI AND TEEN PREGNANCY PREVENTION EFFORTS: PROVIDE STI AND TEEN PREGNANCY PREVENTION CLASSES AT SCHOOL-BASED HEALTH CENTERS; EXPLORE EXPANDING TEEN MOM PROGRAM; EXPLORE EXPANDING STI AND TEEN PREGNANCY PREVENTION EFFORTS TO OTHER SCHOOLS IN THE AREA; COLLABORATE WITH COMMUNITIES ENTITIES; AND PARTICIPATE IN LOCAL STD TASK FORCE 5. LACK OF KNOWLEDGE OF HEALTH CARE RESOURCES IN THE COMMUNITY INCREASE AWARENESS AMONG CHRISTUS STAFF, PARTNERS, AND THE GENERAL PUBLIC ON THE WEALTH OF HEALTH CARE PROGRAMS AVAILABLE THROUGHOUT THE REGION; EXPLORE THE CREATION OF A CENTRALIZED INFORMATION RESOURCE; AND EDUCATE PHYSICIANS AND SOCIAL WORKERS ON EXISTING RESOURCES AVAILABLE SO THAT THEY CAN REFER PATIENTS AS APPROPRIATE. 6. IMPROVE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED POPULATIONS EXPANSION OF PRIMARY CARE: INCREASE ACCESS POINTS TO PRIMARY CARE; CREATE POSSIBLE HYBRID MODELS OF PRIMARY CARE; PROVIDE CARE NAVIGATION; AND IMPLEMENT STRATEGIES SHOWN TO BE EFFECTIVE FOR UNINSURED/UNDERINSURED (E.G. CASE MANAGEMENT COLLABORATION WITH FQHCS AND OTHER LOCAL PROVIDERS). SYSTEM GOAL: ACHIEVE A 10% REDUCTION IN ED VISITS FOR THE ECONOMICALLY DISADVANTAGED BY IMPROVING ACCESS TO APPROPRIATE CARE ALTERNATIVES. PROVIDE AFFORDABLE MEDICATION OPTIONS: PARTNER WITH PHARMACEUTICAL COMPANIES AND/OR OTHER MEDICATION ASSISTANCE PROGRAMS 7. CHILD SAFETY & WELL-BEING PROVIDE AWARENESS ON ISSUES RELATED TO CHILD SAFETY: EDUCATE HEALTH PROFESSIONALS, SUCH AS ED STAFF, AND OTHERS ABOUT THE SIGNS OF SUSPECTED CHILD ABUSE AND NEGLECT; PARTNER WITH COMMUNITY ENTITIES TO PROMOTE OVERALL CHILD SAFETY & WELL-BEING; PROVIDE SERVICES THROUGH SCHOOL BASED HEALTH CENTERS; AND SUPPORT CARA CENTER, WHICH HAS STAFF CERTIFIED TO EDUCATE AREA TEACHERS. REDUCE HIGH INFANT MORTALITY RATE: COLLABORATE WITH STATE AND LOCAL AGENCIES TO CREATE COMMUNITY AWARENESS; EXPAND AND PROMOTE THE TEEN MOM PROGRAM OTHER COMMUNITY NEEDS THAT CANNOT BE ADDRESSED IN AN EFFORT TO MAXIMIZE ANY RESOURCES AVAILABLE FOR ALL SEVEN PRIORITY AREAS, THE CHRISTUS HEALTH NORTHERN LOUISIANA CHNA ADVISORY COMMITTEE DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): -MENTAL HEALTH -CANCER -ENVIRONMENTAL HEALTH -HUMAN TRAFFICKING WHILE ALL FOUR AREAS ARE A COMMUNITY CONCERN, IT WAS DETERMINED THAT FOR SOME OF THESE NEEDS THERE ARE OTHER HEALTH CARE FACILITIES AND ORGANIZATIONS IN THE REGION WHO ARE BETTER EQUIPPED OR HAVE DESIGNATED RESOURCES AT THEIR DISPOSAL TO SPECIFICALLY ADDRESS THESE NEEDS. THIS IS ESPECIALLY TRUE FOR MENTAL HEALTH. EVERY YEAR THE CHRISTUS CANCER TREATMENT CENTER PROVIDES FREE CANCER SCREENINGS THROUGHOUT THE COMMUNITY, SPONSORSHIPS TO THE AMERICAN CANCER SOCIETY AND SUSAN G. KOMEN RACE FOR THE CURE, AND NUMEROUS WELLNESS PROGRAMS AND SUPPORT SERVICES FOR CANCER PATIENTS, SURVIVORS, AND THEIR FAMILIES. IN ADDITION, THE CANCER CENTER HAS A PARTNERSHIP WITH OCHSNER HEALTH NETWORK, WHICH ALLOWS THE CENTER TO CONNECT LOCAL PATIENTS TO PROMISING CLINICAL TRIALS, THUS PROVIDING THEM WITH ACCESS TO THE LATEST TREATMENT OPTIONS. WHILE THE CANCER CENTER WILL CONTINUE THIS IMPORTANT WORK, CHRISTUS HEALTH NORTHERN LOUISIANA WILL APPLY ITS LIMITED COMMUNITY BENEFIT DOLLARS TO SEVEN PRIORITY AREAS IDENTIFIED ABOVE OVER THE NEXT THREE YEARS. ALTHOUGH TRANSPORTATION IS NOT SPECIFICALLY MENTIONED AS A PRIORITY AREA, THE ADVISORY COMMITTEE ACKNOWLEDGED THAT MOST EFFORTS TO IMPROVE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED POPULATIONS WOULD LIKELY INCORPORATE STRATEGIES TO ADDRESS TRANSPORTATION. THERE ARE SEVERAL PROGRAMS ALREADY OFFERED BY CHRISTUS HEALTH SHREVEPORT-BOSSIER THAT SEEK TO ADDRESS THIS NEED. THE SAME CAN BE SAID FOR ENVIRONMENTAL HEALTH AND HUMAN TRAFFICKING. WHILE CHRISTUS HEALTH SHREVEPORT-BOSSIER DOES NOT PLAN TO EXPLICITLY TACKLE ENVIRONMENTAL HEALTH ISSUES, CHRISTUS HEALTH NORTHERN LOUISIANA LEADERSHIP ACKNOWLEDGED THAT MANY OF THE STUDENTS SERVED BY THEIR SCHOOL-BASED HEALTH CENTERS RECEIVE ASTHMA TREATMENT AND CARE. LIKEWISE, CHRISTUS HEALTH NORTHERN LOUISIANA ALREADY ACTIVELY PARTNERS WITH SEVERAL OF THE CHILD ADVOCACY CENTERS IN THE AREA COMMITTED TO COMBATING HUMAN TRAFFICKING. SCHEDULE H, PART V, SECTION B, LINE 13 DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 200% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 400% OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 200% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. SCHEDULE H, PART V, SECTION B, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. SCHEDULE H, PART V, SECTION B, LINE 16A THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: https://www.christushealth.org/patient-resources/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16B 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 16C THE PLAIN LANGUAGE SUMMARY WAS WIDELY AVAILABLE AT THE FOLLOWING URL: https://www.christushealth.org/-/media/files/finance-files/plain-language- summary--hospital-english-pdf.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 ADMISSION 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 COUNSELOR ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING, SPENDING TIME FACE-TO-FACE WITH 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 ACTION 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 INITIATING 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 DON'T 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 CONTRIBUTING 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 AVARAGE RATE (FOR INCOME LEVELS FROM 201% TO 300% FPL) OR RECEIVED FREE CARE (INCOMES BELOW 200% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. 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 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 WORKSHEET 2 LINE 7H: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS SCHEDULE H, PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $214,667,064. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $5,719,929. THIS LEAVES A TOTAL EXPENSE OF $208,947,135 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 13.72% 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 NORTHERN LOUISIANA MADE OVER $2,374,643 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 BY NOLA TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH NORTHERN LOUISIANA SERVES, SUCH AS THE PROVISION OF SUPPORT TO A FREE CLINIC AND PHARMACY (MARTIN LUTHER KING HEALTH CENTER) THAT PROVIDES HEALTHCARE SERVICES TO THE UNINSURED. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT use the grant money to SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). INDIGENT FUNDING EXPENSE OF $1,826,280 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I). SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES AMOUNTS REPORTED AT SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY DRIVEN INITIATIVES AT BELOW-MARKET INTEREST RATES TO NOT FOR PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THERE IS INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME), WHICH IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2018 WAS $180,337. THE FOREGONE INTEREST FOR CHRISTUS HEALTH NORTHERN LOUISIANA IN FISCAL YEAR ENDING JUNE 30, 2018 WAS $7,022. 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. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN, INCLUDING SCHOOL-BASED HEALTH CENTERS AND SENIORS, AS WELL AS OTHER VULNERABLE POPULATIONS. THE EFFORTS ARE PROMOTING PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE, DIABETES AND IMMUNIZATIONS. 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 26.21% 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 3.73% 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 IMPORTAT 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 ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (US GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE 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 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; ACCRUAL 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 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 $1,272,999 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 CHRISTUS HEALTH NORTHERN LOUISIANA COLLABORATED WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AGENCIES, LOCAL COLLEGES AND UNIVERSITIES, STATE INDIGENT PROGRAMS, THE COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA, UNITED WAY, FOOD BANK OF NORTHERN LOUISIANA, CATHOLIC CHARITIES, LOCAL PHARMACIES, THE NORTH LOUISIANA AREA HEALTH EDUCATION CENTER, AND VARIOUS OTHER ORGANIZATIONS TO ESTABLISH A CHRISTUS HEALTH NORTHERN LOUISIANA ADVISORY COUNCIL TO DETERMINE THE COMMUNITY HEALTH NEEDS OF NORTHERN LOUISIANA. THE ADVISORY COUNCIL IDENTIFIED THE GAPS IN SERVICES ACROSS MULTIPLE COMMUNITIES TO INCLUDE: cardiovascular health; nutrition and healthy eating; tobacco use; sexually transmitted infections; lack of knowledge of healthcare resources; improved access; and, child safely and well-being. WORKING INTERNALLY AND WITH OUR COMMUNITY PARTNERS, THE RESULTS OF THE NEEDS ASSESSMENT WERE ANALYZED AND PRIORITIZED. EFFECTIVE PLANS AND STRATEGIES TO ADDRESS THOSE NEEDS WERE DESIGNED AND/OR CONTINUED. THE IDENTIFIED COMMUNITY HEALTH NEEDS WERE INCORPORATED INTO THE STRATEGIC GOALS OF CHRISTUS HEALTH NORTHERN LOUISIANA. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS HEALTH NORTHERN 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 CHRISTUS HEALTH NORTHERN LOUISIANA IS LOCATED IN SHREVEPORT, LOUISIANA, WHICH IS IN THE NORTHWESTERN CORNER OF THE STATE. ITS SERVICE AREA EXTENDS TO NORTHEAST TEXAS AND SOUTHERN ARKANSAS, WHICH INCLUDES A POPULATION OF MORE THAN 1.1 MILLION PEOPLE. THE POPULATION IN THE ORGANIZATION'S SERVICE AREA, CONSISTENT WITH NATIONAL TRENDS, IS ANTICIPATING ITS LARGEST GROWTH IN ITS POPULATION OF PERSONS AGE 65 AND OLDER. THE PRIMARY SERVICE AREA'S POVERTY RATE IS 26.3 PERCENT, AND THE UNEMPLOYMENT RATE IS APPROXIMATELY AT 7.3 PERCENT. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CHRISTUS HEALTH NORTHERN LOUISIANA RESPONDS TO THE HEALTH CARE NEEDS OF ITS COMMUNITY THROUGH SERVICES PROVIDED AT CHRISTUS HIGHLAND MEDICAL CENTER, A 193-BED ACUTE CARE HOSPITAL THAT INCLUDES BIRTHING SUITES, MEDICAL AND SURGICAL CARE, A REHABILITATION UNIT, SKILLED NURSING, COMPREHENSIVE CORONARY CARE, ORTHOPEDICS AND EMERGENCY SERVICES. EACH OF THE FACILITIES OF CHRISTUS HEALTH NORTHERN LOUISIANA HAS ONE OBJECTIVE, WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HIGHLAND, AND OUR NEW BOSSIER EMERGENCY HOSPITAL, IN THE CHRISTUS HEALTH NORTHERN LOUISIANA REGION PROVIDE 24 HOUR EMERGENCY ROOMS THAT ARE OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH NORTHERN 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 HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH NORTHERN LOUISIANA WORKS TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH NORTHERN LOUISIANA HAS STRENGTHENED ITS ROLE AS A MAJOR PROVIDER OF COMPREHENSIVE ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS HAVE SERVED TO ASSIST CHRISTUS HEALTH NORTHERN LOUISIANA TO CARE FOR THOSE IN NEED AND FOCUS ON ADDRESSING THE NEED FOR ACCESS TO HEALTH SERVICES, IN ADDITION TO ASSURING HEALTH IMPROVEMENT THROUGH HEALTH PROMOTION AND DISEASE PREVENTION. CHRISTUS HEALTH IS DEEPLY COMMITTED TO PROACTIVELY IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES AND PARTICULARLY THE LARGE NUMBER OF UNINSURED AND UNDERINSURED PEOPLE. EVIDENCE FROM HUNDREDS OF COMMUNITIES AROUND THE COUNTRY DEMONSTRATES THE EFFECTIVENESS OF ENGAGING THE ENTIRE COMMUNITY IN EFFORTS TO EXPAND ACCESS TO HEALTH CARE. THEREFORE, CHRISTUS HEALTH STRIVES TO COLLABORATE WITH COMMUNITY PARTNERS. BY WORKING WITH AND/OR INITIATING COMMUNITY LED PARTNERSHIPS IN ALL THE COMMUNITIES SERVED BY CHRISTUS HEALTH, WE CAN ACHIEVE MEASURABLE AND SUSTAINABLE IMPROVEMENT IN OUR WELL BEING. CHRISTUS HEALTH NORTHERN LOUISIANA SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING THE CARA CENTER FOR VICTIMS OF CHILD ABUSE AND/OR NEGLECT AND VARIOUS SPECIALTY HEALTH PROGRAMS IN COLLABORATION WITH THE LOCAL UNIVERSITY HEALTH SCIENCE CENTER. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" IS ALSO A PART OF CHRISTUS HEALTH NORTHERN LOUISIANA'S OVERALL COMMUNITY BENEFIT. CHRISTUS HEALTH NORTHERN LOUISIANA 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, DIABETES, HEART DISEASE, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, THOSE SUFFERING FROM HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. CHRISTUS HEALTH NORTHERN LOUISIANA OFFERS FINANCIAL SUPPORT TO AN FQHC FOR THE OPERATION OF THREE SCHOOL BASED HEALTH CENTERS WHICH PROVIDE SERVICES INCLUDING TREATMENT FOR MINOR ILLNESSES/INJURIES, ROUTINE PHYSICALS, ATHLETIC EXAMINATIONS, IMMUNIZATIONS, SCREENINGS FOR HEARING, VISION, SCOLIOSIS, REFERRALS AND FOLLOW UP FOR ACUTE AND CHRONIC ILLNESSES SUCH AS DIABETES AND ASTHMA, AND MENTAL HEALTH SERVICES SUCH AS COUNSELING FOR CRISIS FOR INDIVIDUALS AND FAMILIES. MORE THAN 2,000 STUDENTS (ELEMENTARY, MIDDLE AND HIGH SCHOOLS) ARE SERVED DURING THE SCHOOL YEAR. CHRISTUS HEALTH'S HEALTHY COMMUNITIES MODEL INCORPORATES THESE KEY PRINCIPLES: (1) COMMUNITY OWNERSHIP: SUCCESSFUL INITIATIVES BRING TOGETHER BUSINESS, GOVERNMENT, NONPROFIT, HEALTHCARE, FAITH COMMUNITIES AND CITIZEN LEADERS TO ADDRESS COMMUNITY ISSUES. EVERYONE SHOULD FEEL EMPOWERED. (2) WELL BEING OF THE COMMUNITY: THE UNIVERSAL DEFINITION OF HEALTH AND WHOLENESS EMBRACES THE PHYSICAL, EMOTIONAL, MENTAL AND SPIRITUAL DIMENSIONS OF LIFE. (3) GOALS AND MEASURES: USE BENCHMARKS AND MEASURE PROGRESS AND OUTCOMES. (4) PARTNERSHIPS AND COLLABORATIONS: BUILDING CAPACITY USING EXISTING COMMUNITY ASSETS HELPS TO MAGNIFY THE RESOURCES AVAILABLE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES IN WHICH CHRISTUS HEALTH NORTHERN LOUISIANA PARTICIPATES TO IMPROVE ACCESS TO HEALTH SERVICES, ENHANCES PUBLIC HEALTH, AND ADVANCE KNOWLEDGE INCLUDE: (1) PROMOTE HEALTHY LIVING, AWARENESS OF HEART HEALTH AND SIGNS OF STROKE TO THE COMMUNITY THROUGH A 12 MONTH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION WITH "GO RED FOR WOMEN" (PERIODIC HEALTH PROMOTION ACTIVITIES AND AN ANNUAL BIOMETRIC SCREENING FOR OVER 300). (2) DEVELOP PARTNERSHIPS AND OPPORTUNITIES FOR COLLABORATION WITH NONPROFIT AND RELIGIOUS ORGANIZATIONS, PARISH AND CIVIC OFFICES, INDUSTRIES AND BUSINESSES, PRIVATE AND PUBLIC SCHOOL SYSTEMS, HEALTH CARE PROVIDERS, AND SOCIAL SERVICE AGENCIES IN THE PROMOTION OF HEALTHY LIFESTYLES AND THE EXPLORATION OF HEALTH NEEDS WITHIN THE COMMUNITY. (3) PROMOTE AWARENESS AND UNDERSTANDING OF LACHIP THROUGH THE SCHOOL BASED HEALTH CLINICS AND OTHER HOSPITALS, THEREBY INCREASING THE ENROLLMENT OF ALL ELIGIBLE CHILDREN. (4) PROVIDE SUPPORT TO THE COMMUNITY HEALTH WORKER PROGRAM, A PARTNERSHIP BETWEEN CHRISTUS HEALTH AND THE MARTIN LUTHER KING HEALTH CLINIC, IN THE PROMOTION OF SELF-CARE MANAGEMENT OF HIGH RISK PATIENTS. (5) PROMOTE COLLABORATION AMONG LOCAL CHILD ABUSE AGENCIES BY HOUSING THESE GROUPS IN A SINGLE DWELLING (CARA CENTER AND GINGERBREAD HOUSE). THE CARA CENTER IS A PARTNERSHIP BETWEEN CHRISTUS HEALTH NORTHERN LOUISIANA AND LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER WHICH PROVIDES MEDICAL EXAMINATIONS FOR SUSPECTED CASES OF CHILD ABUSE AND NEGLECT. CHRISTUS HEALTH NORTHERN LOUISIANA REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. AS A NOT FOR PROFIT ORGANIZATION AND AS A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES CHRISTUS HEALTH NORTHERN LOUISIANA. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS HEALTH NORTHERN LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. WE HAVE BEGUN OUR EFFORTS TO PROMOTE THE EDC PROGRAM IN OUR COMMUNITY. EDC STANDS FOR EVERYONE WITH DIABETES COUNTS. THREE OF OUR CHRISTUS ASSOCIATES AND A COMMUNITY WORKER FROM THE MARTIN LUTHER KING HEALTH CENTER ATTENDED A TRAINING HELD AT OUR CHRISTUS CABRINI, ALEXANDRIA REGION. THE EDC PROGRAM IS THE LARGEST NATIONAL MEDICARE DSME PROGRAM. ITS GOALS IS TO IMPROVE HEALTH LITERACY AND QUALITY OF CARE AMONG MEDICARE AND DUAL-ELIGIBLE BENEFICIARIES WITH PRE-DIABETES AND DIABETES IN MINORITY AND RURAL POPULATIONS; DECREASE THE DISPARITY OF DIABETES TESTING IN MINORITY-VULNERABLE POPULATIONS BY IMPROVING THE FREQUENCY OF TESTING FOR: HBA1C, EYE EXAMS, LIPID PROFILE, FOOT EXAMS, AND IMPROVE ACTUAL CLINICAL OUTCOMES OF THESE DIABETES MEASURES. THE PURPOSE OF THE EDC PROGRAM IS TO 1) RECRUIT AND EDUCATE PHYSICIANS WHOSE PRACTICES INCLUDE MEDICARE AND DUAL-ELIGIBLE BENEFICIARIES WITH DIABETES WHO ARE MEMBERS OF MINORITY AND/OR RURAL POPULATIONS ON THE AVAILABILITY OF DSME PROGRAMS; 2) RECRUIT, ENROLL AND TEACH MEDICARE AND DUAL-ELIGIBLE BENEFICIARIES UTILIZING AN EVIDENCE-BASED DSME PROGRAM CURRICULA (I.E. DIABETES EDUCATION EMPOWERMENT PROGRAM (DEEP), GATEWAY, OR STANFORD PROGRAM). HOW CAN CHRISTUS SHREVEPORT BOSSIER COLLABORATE IN THIS EFFORT? 1) WE PARTNER WITH QUALITY INSIGHTS TO: ALLOW DSME IN FACILITIES TO SERVE BOTH BENEFICIARIES (IF POSSIBLE) AND FAMILIES; WORK WITH AREA PARTNERS/STAKEHOLDERS TO REFER BENEFICIARIES TO LOCAL DSME PROGRAMS; PROMOTE THE EVERYONE WITH DIABETES COUNTS PROGRAM THROUGHOUT THE CHRISTUS COMMUNITY; PROMOTE TRAIN-THE-TRAINER PROGRAM WITHIN FACILITIES TO ENCOURAGE SUSTAINABILITY, MAINTAIN LICENSURE FOR COMMUNITY HEALTH WORKERS, CONDUCT PATIENT ACTIVATION QUESTIONNAIRES TO ESTABLISH OUTCOMES, PROMOTE ALL CLASSES WITHIN THE CHRISTUS COMMUNITY AND AT LOCAL CHURCHES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CHRISTUS HEALTH NORTHERN LOUISIANA IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 600 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 350 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN THE STATES OF ARKANSAS, GEORGIA, IOWA, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, COLUMBIA, AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH NORTHERN LOUISIANA, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH NORTHERN LOUISIANA, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. SCHEDULE H, PART VI, LINE 7 COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015 WITH 2017 UPDATE. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. CHRISTUS HEALTH'S NON-PROFIT HOSPITALS LOCATED IN TEXAS FILE A COMMUNITY BENEFIT REPORT IN THE STATE OF TEXAS. THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AND AN ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN ARE FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS), AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE 2013 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. STATE FILING OF COMMUNITY BENEFIT REPORT: TX true LSU HEALTH SCIENCES CTR SHREVEPORT 1501 KINGS HIGHWAY SHREVEPORT LA 71130 721031108 501(C)(3) 140000 BRF/Surgery - Schumpert Support AMERICAN HEART ASSOCIATION INC PO BOX 4002900 DES MOINES IA 50340 135613797 501(C)(3) 43500 HEALTHY HEART SUPPORT LSU HEALTH SCIENCES FOUNDATION 920 PIERREMONT RD SHREVEPORT LA 71106 721115391 501(C)(3) 7500 HEALERS SPONSORSHIP North Louisiana Economic Partnership 333 Texas St Ste 411 Shreveport LA 71101 720936419 501(C)(3) 11000 Regionalism Works Pledge, Mardi Gras sponsor Martin Luther King Health Center 865 Olive Street Shreveport LA 71104 721079721 501(C)(3) 44230 CARE FOR POOR & UNDERSERVED Komen Northwest Louisiana 2015 Fairfield Avenue Shreveport LA 71104 752844653 501(C)(3) 10000 The Cure Survivor sponsorship David Raines Community Health Center 3041 MLK Jr Dr Shreveport LA 71107 582000630 501(C)(3) 80000 Sponsor for Annual Meeting and Health Careers Scho Allen Clinical Services 8585 Picardy Avenue Baton Rouge LA 70809 463081235 41040 Indigent Care Funding Eastern Louisiana Clinical Services 3330 Masonic Drive Alexandria LA 71301 451779607 56430 Indigent Care Funding Louisiana Clinical Services 3330 Masonic Drive Alexandria LA 71301 272869360 35910 Indigent Care Funding Metairie Physician Services 8585 Picardy Avenue Baton Rouge LA 70809 461434300 501(C)(3) 328320 Indigent Care Funding Orleans Health Services 80 Versailles Blvd Alexandria LA 71303 473924329 30780 Indigent Care Funding Vermilion Health Services 80 Versailles Blvd Alexandria LA 71303 811644563 102600 Indigent Care Funding SOUTHERN UNIVERSITY SHREVEPORT FOUNDATION 3050 MLK JR DR SHREVEPORT LA 71107 726000817 501(C)(3) 10000 GALA SPONSORSHIP OCHSNER CLINIC FOUNDATION 1201 S CLRVW PKWY BLDG B STE 500 NEW ORLEANS LA 70121 720502505 501(C)(3) 1231200 INDIGENT CARE FUNDING 10 5 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH CHRISTUS HEALTH SYSTEM HOSPITALS SERVE VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. X X true true true true false false false false false false false ISAAC R PALMER JR PRESIDENT/CEO, EX-OFFICIO 0 329733 0 90974 0 1382 0 54919 0 20860 0 497868 0 0 PHILLIP COLE THRU 072017 CHIEF MEDICAL OFFICER - LA 0 284966 0 135250 0 0 0 5994 0 0 0 426210 0 0 BILLY PORTER VP, CLINICAL OPS (THRU 8/2017) 0 128317 0 41095 0 77721 0 5101 0 0 0 252234 0 0 WENDY WHITE CHANDLER VP, HUMAN RESOURCES 0 291067 0 81168 0 71 0 51884 0 22732 0 446922 0 0 SCOTT MERRYMAN CFO 0 431168 0 138465 0 5142 0 78583 0 9910 0 663268 0 0 H LES TOMPKINS DIRECTOR MANAGED CARE 0 163846 0 46032 0 150 0 7794 0 2739 0 220561 0 0 KIRK D CASON CRNA 175366 0 5000 0 53709 0 17602 0 16472 0 268149 0 0 0 JOHN R STEPHENSON CRNA 178548 0 0 0 51762 0 22466 0 7953 0 260729 0 0 0 CURTIS ARDOIN CRNA 171928 0 5000 0 40700 0 23549 0 15133 0 256310 0 0 0 Jason Rounds Chief Operating Officer 0 315890 0 102360 0 826 0 56563 0 25342 0 500981 0 0 Corrine Francis SYSTEM DIR MISSION INTEGRATION 0 253550 0 104896 0 603 0 52824 0 15150 0 427023 0 0 Nancy Hellyer CHIEF ADMINISTRATIVE OFFICER 0 636398 0 134413 0 25054 0 81469 0 13742 0 891076 0 0 STEPHEN F WRIGHT SVP GROUP OPS 0 797194 0 325366 0 24849 0 200529 0 24032 0 1371970 0 0 SUSAN E KEMP MD DIRECTOR (AS OF 01/2018) 0 185876 0 0 0 18297 0 0 0 16247 0 220420 0 0 JANET SCOTT-WALKER CRNA 148504 0 5000 0 62404 0 16674 0 23888 0 256470 0 0 0 WILLIAM V BOND CRNA 156378 0 5000 0 51768 0 9377 0 24027 0 246550 0 0 0 ERIC WINGARD VP FINANCE 0 127511 0 20790 0 0 0 2996 0 6900 0 158197 0 0 SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, LINE 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. SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. RELATED ORG DETERMINING CEO/PRESIDENT'S COMPENSATION SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/PRESIDENT 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/PRESIDENT COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/PRESIDENT. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4A THE FILING ORGANIZATION PAID A SEVERANCE PAYMENT OF $77,550 TO BILLY PORTER. 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 SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, SECTION A AND SCHEDULE J, PART 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: STEPHEN WRIGHT, WENDY (WHITE) CHANDLER, PHILIP COLE, LES TOMPKINS, CORINNE FRANCIS, NANCY HELLYER, SCOTT MERRYMAN, ISAAC PALMER, AND BILLY PORTER. 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. 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. DOING BUSINESS AS FORM 990, PAGE 1, ITEM C CHRISTUS HEALTH NORTHERN LOUISIANA IS DOING BUSINESS AS: CHRISTUS SCHUMPERT HEALTH SYSTEM ASHLEY RIDGE IMAGING CENTER CHRISTUS SCHUMPERT WOMEN'S HEALTH CHRISTUS SCHUMPERT BREAST CENTER CHRISTUS HEALTH SHREVEPORT-BOSSIER CHRISTUS HIGHLAND MEDICAL CENTER CHRISTUS SCHUMPERT MEDICAL CENTER CHRISTUS SUTTON CHILDREN'S MEDICAL CENTER CHRISTUS LOUISIANA ATHLETIC CLUB - BOSSIER CHRISTUS LOUISIANA ATHLETIC CLUB - LAKE CHARLES CHRISTUS LOUISIANA ATHLETIC CLUB - SHREVEPORT CHRISTUS LOUISIANA HEALTH SHREVEPORT-BOSSIER FOUNDATION CHRISTUS SCHUMPERT BREAST CENTER - SHREVEPORT CHRISTUS SCHUMPERT OUTPATIENT THERAPY SERVICES - SHREVEPORT CHRISTUS WOUND & HYPERBARIC MEDICINE CENTER SHREVEPORT-BOSSIER CHRISTUS FOUNDATION SHREVEPORT-BOSSIER CHRISTUS PEDIATRIC ASSOCIATES SHREVEPORT-BOSSIER CHRISTUS LOUISIANA ATHLETC CLUB SHREVEPORT-BOSSIER CHRISTUS CANCER TREATMENT CENTER CHRISTUS KIDS CLINIC SHREVEPORT-BOSSIER CHRISTUS BOSSIER EMERGENCY CENTER CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM CHRISTUS INPATIENT REHABILIATATION CENTER SHREVEPORT-BOSSIER CHRISTUS BOSSIER IMAGING & LAB CHRISTUS BREAST CENTER-SHREVEPORT-BOSSIER CHRISTUS CARDIOVASCULAR & THORACIC CHRISTUS OUTPATIENT THERAPY-BOSSIER DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, 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, CHRISTUS HEALTH STRIVES TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE SERVICES WHERE THEY ARE NEEDED THE 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 INCLUDING COMMUNITY CLINICS, EDUCATION AND WELLNESS FOR TEEN MOMS, BACK TO SCHOOL CHILDREN'S PROGRAM, COMMUNITY IMPROVEMENT, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH NORTHERN LOUISIANA OPENS ITS DOORS TO VARIOUS COMMUNITY ORGANIZATIONS, MEDICAL STUDENTS, GROUPS, CLUBS, STATE AGENCIES, AND SUPPORT GROUPS WHICH NEED MEETING AND/OR OFFICE SPACE. THIS SERVICE IS PROVIDED AT NO COST TO THESE COMMUNITY, NON-PROFIT ORGANIZATIONS OR STATE AGENCIES. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES NEEDED OFFICE SPACE AT LITTLE TO NO EXPENSE TO VARIOUS NON-PROFIT ORGANIZATIONS SUCH AS THE GINGERBREAD HOUSE-A CHILDREN'S ADVOCACY CENTER. ONE EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME LOST FROM THE DIFFERENCE IN THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH NORTHERN LOUISIANA. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2018 WAS $180,337. THE FOREGONE INTEREST FOR CHRISTUS HEALTH NORTHERN LOUISIANA IN FY 2018 WAS $7,022. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY 2018, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE NORTHERN LOUISIANA REGION WAS $2,221,628. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH NORTHERN LOUISIANA. OTHER PROGRAM SERVICES. DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED, TO GOODWILL, UNITED WAY, LIVE WELL WOMEN'S SERIES, PROJECT 5210, SPORTS MEDICINE, AMERICAN HEART ASSOCIATION-GO RED FOR WOMEN, AMERICAN CANCER SOCIETY, MARCH OF DIMES, PURCHASED NOT FOR SALE, CATHOLIC MEDICAL STUDENTS ASSOCIATION, KOMEN OF NWLA, DAVID RAINES COMMUNITY CENTER, RED RIVER INSTITUTE FOR FAMILY THERAPY, KAPPA ALPHA PSI FRATERNITY, 2D MEDICAL GROUP - BARKSDALE AFB, SOUTHFIELD SCHOOL, LSU MEDICAL MISSION, SCIPORT DISCOVERY CENTER, CHRISTUS CABRINI FOUNDATION, CATHOLIC DIOCESE - PROLIFE BANQUET, LSUHSC FOUNDATION, FIRST BAPTIST CHURCH SCHOOL, NORTH LA ECONOMIC PARTNERSHIP, CENTER FOR FAMILIES, SHREVEPORT MEDICAL SOCIETY, JR LEAGUE OF SHREVEPORT, INSTITUTE OF GLOBAL OUTREACH, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. 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 WE SERVE. SINCE THE PERMANENT CLOSURE OF CHRISTUS SCHUMPERT, CHRISTUS HEALTH NORTHERN LOUSIANA DONATED IN KIND EQUIPMENTS AND FURNITURES TO CHARITABLE ORGANIZATIONS INCLUDING CHURCHES, HEALTH CARE CENTERS, ANIMAL SERVICE CENTERS, POLICE STATIONS, SCHOOLS, AND MANY OTHER COMMUNITY ENTITIES. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 OFFICER/SR. VP OF OPERATIONS STEPHEN WRIGHT AND OFFICER SCOTT MERRYMAN HAVE A BUSINESS RELATIONSHIP AS BOTH SERVE AS OFFICERS OF SCH MANAGEMENT SOLUTIONS, 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 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 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 2018 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, OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH NORTHERN 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 FORM 990, PART VI, SECTION C, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF ITS INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, 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 Pension Funding $ (49,905,298) Pension Liability Expense $ 54,164,018 Transfer of Net Assets between Entities $ (3,970,460) Assets Released From Restrictions $ 99,486 ============ TOTAL $ 387,746 FORM 990 PART IX LINE 11G DESCRIPTION:OCCUPANCY RELATED SERVICES TOTAL FEES:3724723 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:7137355 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:1775314 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:1646094 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:701580 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:9091496 CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(C)(3) 3 CH true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(C)(3) 12-TYPE 1 CH true DUBUIS HEALTH SYSTEM INC 1700 West Loop South Ste 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(C)(3) 10 CH true CHRISTUS HEALTH FOUNDATION 919 Hidden Ridge Drive Irving TX 75038 611500100 Supp Hlth Svc TX 501(C)(3) 12-TYPE 1 CH true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 Calder Street BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE DR IRVING TX 75038 464617988 MEDICAID HMO LA 501(C)(4) CH true CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 462798043 SUPP HLTH SVC TX 501(C)(3) 12-TYPE I CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE DR IRVING TX 75038 465203505 HLHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS FOUNDATION SHREVEPORT - BOSSIER ONE ST MARY PLACE SHREVEPORT LA 71101 721219280 SUPP HLTH SVC LA 501(C)(3) 7 NOLA true CHRISTUS HEALTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 760590551 SUPP HLTH SVC TX 501(C)(3) 10 NA false CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS TRINITY MOTHER FRANCES HS 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HLTHCARE SVCS TX 501(C)(3) 12, TYPE II CH true GSHS Inc 700 EAST MARSHALL AVENUE LONGVIEW TX 75601 752027157 HLTHCARE SVCS TX 501(C)(3) 12, TYPE II CH true NORTHERN LA CARDIAC SVCS LLC 919 HIDDEN RDG IRVING TX 75038 813758914 HLTHCARE SVCS LA NOLA N/A -232847 2065151 false false 0.51000 SCH MGMNT SOLUTIONS INC ONE ST MARY PLACE SHREVEPORT LA 71101 721270625 MGT JOINT VEN LA NOLA C-CORP 11074 733945 1.00000 true CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 64060 COT OBISPADO MONTERREY MX HLTHCARE SVCS MX CH C-CORP true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 KY GRAND CAYMAN CJ 980407545 INSURANCE CJ CH C-CORP true CHRISTUS LA QUALITY ALLIANCE 919 HIDDEN RIDGE DRIVE IRVING LA 75038 474518648 ACO LA CH C-CORP true CHRISTUS CONNECTED CARE NETWORK 919 HIDDEN RIDGE IRVING TX 75038 473403356 SPT HLTH SVCS TX CH C-Corp true false true true false false false false false false false false true true false true true true true false C H WILKINSON PHYSICIAN NETWORK J 529295 ACCRUAL C H WILKINSON PHYSICIAN NETWORK L 5719577 ACCRUAL C H WILKINSON PHYSICIAN NETWORK M 9009996 ACCRUAL C H WILKINSON PHYSICIAN NETWORK O 135850 ACCRUAL CHRISTUS FOUNDATION SHREVEPORT-BOSSIER B 183465 ACCRUAL CHRISTUS FOUNDATION SHREVEPORT-BOSSIER C 168717 ACCRUAL CHRISTUS FOUNDATION SHREVEPORT-BOSSIER O 113336 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA L 254635 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA O 1031233 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA P 445299 ACCRUAL EVANGELINE CLINICAL SERVICES INC L 104284 ACCRUAL EVANGELINE CLINICAL SERVICES INC M 116036 ACCRUAL