2019-05-14T13:31:40-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2017-07-01 742898615 Christus Continuing Care % SHERRY STURDIVANT CHRI 4692822000 919 Hidden Ridge Drive Irving TX 75038 PAUL GENERALE PRESIDENT 4692822000 2019-05-14 true KATHLEEN MOSELEY P00116760 8173351900 69.154.140.244 75303520191345000014 2019-05-14 P 34163F381DEDE5EE0CABDD6E8F3BD042227F3C04 0FD3178183619286035AA06C9BAA1B15F55AB8A5 2017 2019-02-21 02:37:17Z SEE SCHEDULE O PAUL GENERALE 919 HIDDEN RIDGE IRVING TX 75038 51756859 false 0928 X http://www.christuscontinuingcare.org X 1998 TX CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING HEALTH CARE SERVICES, INCLUDING HOME HEALTH, HOSPICE, AND LONG TERM ACUTE CARE HOSPITAL SERVICES. 6 1 0 1 0 0 524073 66204 77801303 13858950 -79063 35153394 1610693 35741 79857006 49114289 27226 0 0 0 56286086 12660282 0 0 0 29889652 7479579 86202964 20139861 -6345958 28974428 18803648 15552260 49549407 14776910 -30745759 775350 X 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 CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES 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 ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. false true 17109193 0 13858950 CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING HEALTH CARE AND HOSPICE SERVICES. THE MISSION OF CHRISTUS CONTINUING CARE IS TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE MISSION IS FULFILLED THROUGH COMMUNITY PROGRAMS, LONG TERM ACUTE CARE HOSPITAL SERVICES, AND QUALITY HOME CARE THAT CONSIDERS PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF THE PATIENTS SERVED. CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF CHRISTUS CONTINUING CARE. IN ORDER TO CONTINUE TO IMPROVE AND ENHANCE THE HOME CARE AND HOSPICE SERVICES PROVIDED TO PATIENTS, CHRISTUS CONTINUING CARE HAS CONSOLIDATED THE HOME CARE AND HOSPICE SERVICES IN SEVERAL CHRISTUS HEALTH REGIONS. DURING THE FISCAL YEAR ENDING JUNE 30, 2018, CHRISTUS CONTINUING CARE PROVIDED 22,072 HOME HEALTH VISITS, 16,600 HOSPICE PATIENT DAYS AND 70,295 BILLABLE HOURS OF COMMUNITY BASED PROGRAMS. CHRISTUS CONTINUING CARE 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, 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 COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. 17109193 true true false false false false false false false false false false true false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 179 0 true 0 false false false false false false false false false false X 6 1 false false false false true true true true true false false true true true true true true true true false X SHERRY STURDIVANT 4692822000 919 HIDDEN RIDGE DRIVE IRVING TX 75038 DENNIS STINE CHAIR 1.0 4.0 X X 0 13320 0 JEFF PUCKETT DIRECTOR 1.0 39.0 X 0 3032651 607317 ERNIE SADAU DIRECTOR (Thru 10/17) 1.0 39.0 X 0 5214131 1015418 PAUL GENERALE Eff 1017 EX-OFFICIO Director/ President 1.0 39.0 X X 0 2253853 422351 RANDY SAFADY DIRECTOR 1.0 39.0 X 0 2804102 434772 Marty Margetts EVP Corp Svcs (Eff 10/17) 1.0 39.0 X 0 2063628 408019 Sam Bagchi MD SVP, Clinical CMO (Eff 10/17) 1.0 39.0 X 0 489325 83361 JENNY TURNER ASST CORP SECretary 1.0 39.0 X 0 72768 18720 MELISSA WILLIAMS ASST. TREASURER 1.0 39.0 X 0 370223 63935 MIKE MURRAY TREASURER 1.0 39.0 X 0 325305 8601 SHELLY LARUE SECRETARY Thru 09/2017 1.0 39.0 X 0 50932 24134 Nancy Vidad Secretary EFF 5/2018 1.0 39.0 X 0 0 0 DEAN ALVERSON Thru 817 PRESIDENT, CHRISTUS HOME CARE 1.0 39.0 X 0 337773 863 JAN HAMILTON CRAWFORD PRES. CH DUBUIS HS(thru 12/17) 1.0 39.0 X 0 224025 7280 LINDA MCCLUNG Former EVP/CAO 1.0 39.0 X 0 2090224 331286 CHRISTOPHER KARAM Former PRESIDENT/CEO 1.0 39.0 X 0 934860 193723 0 20277120 3619780 0 true true false NATIONAL NURSES OF AMERICA INC 5820 JACKSON ST EXT ALEXANDRIA LA 71303 CONTRACT LABOR 305562 HOMECARE HOMEBASE LLC 18191 VO6688 NORTH CENTRAL EXPWY DALLAS TX 75203 MEDICAL SERVICES 288355 DAYMARCK LLC 6405 METCALF Overland Park KS 66202 MEDICAL SERVICES 252190 MATRIX THERAPY SOLUTIONS LLC 5024 B CUTOFF ROAD Coushatta LA 71019 MEDICAL SERVICES 210290 HOSPITAL HOUSEKEEPING SYSTEMS LLC 216 EAST 4TH STREET AUSTIN TX 78701 HOSP HOUSEKEEPING 127467 13 0 66204 0 66204 NET PATIENT SERVICE REVENUE 621610 13858950 13858950 0 0 13858950 1483 1483 0 0 0 0 0 37794481 2642570 35151911 35151911 35151911 0 0 0 0 0 0 0 0 0 OTHER OPERATING REVENUE 900099 26608 0 0 26608 MANAGEMENT FEE REVENUE 561000 7608 0 0 7608 MEDICAL RECORD TRANS 900099 614 0 0 614 911 0 0 911 35741 49114289 13858950 0 35189135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11010470 9350069 1660401 0 154131 125083 29048 0 769968 688136 81832 0 725713 697323 28390 0 0 0 0 0 169 169 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1966512 1905756 60756 0 509 215 294 0 422990 294667 128323 0 223635 223635 0 0 0 0 0 0 718475 623606 94869 0 467827 363917 103910 0 0 0 0 0 43460 30464 12996 0 0 0 0 0 0 0 0 0 193631 145896 47735 0 139768 74240 65528 0 MEDICAL SUPPLIES 679169 612583 66586 0 PROVISION FOR UNCOLL ACCT 357231 357231 0 0 POST CLOSING BUSINESS EXP 650000 0 650000 0 SALES & OTHER TAXES 49518 49518 0 0 1566685 1566685 20139861 17109193 3030668 0 0 2003 0 0 0 0 0 13065315 0 0 0 0 0 0 0 428044 0 405410 497391 0 0 4176829 0 135386 142457 0 0 590661 14912412 0 0 0 0 18803648 15552260 10386531 9368260 0 0 2691746 0 0 0 0 0 0 0 0 0 0 0 36471130 5408650 49549407 14776910 X -30944213 576407 180388 180877 18066 18066 -30745759 775350 18803648 15552260 X 28974428 0 0 0 1070496 1476185 X false true X true false X UNCONSOLIDATED SUBSIDIARY 14912412 C 14912412 0 DUE TO RELATED ORGANIZATIONS 2645189 CASH MANAGEMENT SYSTEM ALLOCATION 2763461 5408650 X 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. FORM 990, SCHEDULE D, PART X, LINE 2 FIN 48 (ASC740) FOOTNOTE 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 43137 0 43137 0.00220 677951 1768775 721088 1768775 43137 0.00220 3 40 1924 1924 0.00010 3 40 1924 1924 0.00010 3 40 723012 1768775 45061 0.00230 1 100 785 785 0.00000 1 100 785 785 0.00000 true 327231 3413 3851024 8287946 -4436922 X true true 6 1 DUBUIS HOSPITAL OF BEAUMONT 2830 CALDER AVE 4TH FLOOR BEAUMONT TX 77702 WWW.CHRISTUSDUBUIS.ORG 100022 X LONG-TERM ACUTE CARE FACILITY A 2 DUBUIS HOSPITAL OF ALEXANDRIA 3330 MASONIC DRIVE 4TH FLOOR ALEXANDRIA LA 71301 WWW.CHRISTUSDUBUIS.ORG 664 X LONG-TERM ACUTE CARE FACILITY A 3 DUBUIS HOSPITAL OF PARIS 820 CLARKSVILLE 6TH FLOOR PARIS TX 75460 WWW.CHRISTUSDUBUIS.ORG 100178 X LONG-TERM ACUTE CARE FACILITY A 4 DUBUIS HOSPITAL OF FORT SMITH 7301 ROGERS AVE 4TH FLOOR FORT SMITH AR 72903 WWW.CHRISTUSDUBUIS.ORG/FORTSMITH AR5071 X LONG-TERM ACUTE CARE FACILITY A 5 CHRISTUS DUBUIS OF HOT SPRINGS 300 WERNER ST 3RD FLOOR HOT SPRINGS AR 71913 WWW.CHRISTUSDUBUIS.ORG/HOTSPRINGS AR5070 X LONG-TERM ACUTE CARE FACILITY A 6 CHRISTUS DUBUIS HOSP OF BEAUMONT-STH 860 S 8TH ST BEAUMONT TX 77701 WWW.CHRISTUSDUBUIS.ORG 100022 X LONG-TERM ACUTE CARE FACILITY A A 16 false false true X X X X X X X X X 15 true false false true X SEE SCH H, PART V, SECTION B, LINE 7A X true 15 true SEE SCH H, PART V, SECTION B, LINE 10A false true X 200. 400. X X X X X false true X X X true X SEE SCHEDULE H, PART V, LINE 16A X SEE SCHEDULE H, PART V, LINE 16B X X X X X X false X false X X false X X X false false PART V, SECTION B, LINE 3e Based on the review of the data collected (raw data, key informant interviews and focus group), a list of health needs was identified and listed in no particular order. This list was presented to a local needs prioritization committee consisting of key stakeholders for CHRISTUS Continuing Care. The committee was tasked with validating the data-based priorities and then, through facilitated conversation, ranking those needs in order of priority in their respective communities. Once prioritized, the leadership of CHRISTUS Continuing Care at the local level then held discussions to determine which of the prioritized needs each facility would address over the three-year life cycle of the CHNA. PART V, SECTION B, LINE 5 THE CHNA REPORTS CONTAIN SECONDARY DATA FROM EXISTING SOURCES, SUCH AS THE AMERICAN COMMUNITY SURVEY, BEHAVIOR RISK FACTOR SURVEILLANCE SURVEY, LOUISIANA TUMOR REGISTRY, AND DATA FROM THE DEPARTMENTS OF HEALTH AND HOSPITALS. THE REPORTS ALSO INCLUDE INPUT FROM KEY INFORMANTS IN EACH REGION, PARTICULARLY THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH, THE HEALTH OF THE COMMUNITIES SERVED BY EACH HOSPITAL, AND/OR VULNERABLE POPULATIONS IN THE COMMUNITIES SERVED BY THE HOSPITALS. INPUT WAS GATHERED THROUGH INDIVIDUAL INTERVIEWS, FOCUS GROUP DISCUSSIONS, AND MEETINGS COMPRISED OF HOSPITAL LEADERS, STAFF, AND COMMUNITY PARTNERS. THE ASSESSORS ANALYZED OVER 40 DIFFERENT INDICATORS, SPANNING DEGMOGRAPHICS, SOCIOECONOMIC FACTORS, HEALTH BEHAVIORS, CLINICAL CARE, AND HEALTH OUTCOMES. REPORT FINDINGS COMBINE DATA FROM PUBLICLY AVAILABLE SOURCES, INTERNAL HOSPITAL DATA, AND INPUT FROM THOSE WITH CLOSE KNOWLEDGE OF LOCAL PUBLIC HEALTH AND HEALTH CARE SYSTEMS TO PRESENT A COMPREHENSIVE OVERVIEW OF UNMET HEALTH NEEDS IN THE REGION. THE METHODOLOGY INCLUDED REVIEW OF LITERATURE AND QUANTITATIVE DATA, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. PART V, SECTION B, LINE 7A The URL for the community health needs assessment is: https://www.christushealth.org/about/donate/community-health/community-hea lth-needs-assessment-and-implementation-plan PART V, SECTION B, LINE 10A The URL for the community health needs assessment is: https://www.christushealth.org/about/donate/community-health/community-hea lth-needs-assessment-and-implementation-plan PART V, SECTION B, LINE 11 CHRISTUS DUBUIS HEALTH SYSTEM FACILITIES CONDUCTED INDIVIDUAL HEALTH NEEDS ASSESSMENTS IDENTIFYING THE NEEDS FROM EACH RESPECTIVE COMMUNITY. FROM THE ASSESSMENT, FOR STRATEGIC PURPOSES, THE IDENTIFIED NEEDS BY EACH FACILITY INCLUDE: BEAUMONT/PORT ARTHUR: 1) ACCESS TO PRIMARY CARE SERVICES; 2) UNHEALTHY BEHAVIORS; 3) PREVENTABLE HOSPITAL STAYS; 4) ACCESS TO MENTAL HEALTH PROVIDERS AND SERVICES; 5) FOOD INSECURITY. ALEXANDRIA: 1) CHRONIC CONDITIONS; 2) ACCESS TO CARE; 3) COST OF MEDICATIONS; 4) HEALTH EDUCATION/HEALTH LITERACY. PARIS: 1) ACCESS TO PRIMARY CARE; 2) UNHEALTHY BEHAVIORS; 3) ACCESS TO MENTAL HEALTH SERVICES AND PROVIDERS; 4) PREVENTABLE HOSPITALIZATIONS; 5) AGING POPULATION; 6) UNEMPLOYMENT. FORT SMITH: 1) LIVING CONDITIONS; 2) ACCESS TO CARE; 3) CHRONIC CONDITIONS. HOT SPRINGS: 1) POVERTY; 2) ACCESS TO CARE; 3) CHRONIC CONDITIONS. IN AN EFFORT TO MAXIMIZE ANY RESOURCES AVAILABLE FOR THE PRIORITY AREAS FOR EACH FACILITY, LEADERS AND STAFF AT CHRISTUS CONTINUING CARE DETERMINED THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN THEIR CHIPS: BEAUMONT/PORT ARTHUR: 1) AGING POPULATION; 2) UNEMPLOYMENT AND ECONOMIC INSTABILITY; 3) LACK OF SOCIAL OR EMOTIONAL SUPPORT; 4) CANCER 5) INFANT MORTALITY. ALEXANDRIA: 1) MENTAL HEALTH; 2) TRANSPORTATION; 3) NUTRITION. PARIS: 1) SUICIDE/MENTAL ILLNESS; 2) HEART DISEASE; 3) LUNG CANCER; 4) FOOD INSECURITY. FORT SMITH: 1) MENTAL ILLNESS; 2) VIOLENCE/DOMESTIC ABUSE. HOT SPRINGS: 1) ACCIDENTS; 2) TRANSPORTATION. WHILE THE NEEDS OF THE PRIORITIZATION COMMITTEES STRESSED THAT THESE NEEDS REMAIN PRESSING, THEY WERE NOT RANKED HIGH ENOUGH FOR INCLUSION IN THE FINAL PRIORITY LIST BECAUSE COMMITTEE MEMBERS EITHER A) DID NOT FEEL CHRISTUS CONTINUING CARE WAS OPTIMALLY POSITIONED TO ADDRESS THE NEED IN AN IMPACTFUL WAY, B) PERCEIVED A RELATIVE ABUNDANCE OF CAPACITY AND RESOURCES ALREADY BEING DIRECTED AT THE NEED, OR C) FAVORED THE COMPARATIVE VALUE OF PURSUING PREVENTION-FOCUSED EFFORTS AIMED AT RISKY BEHAVIORS OR SYSTEMIC BARRIERS, RATHER THAN INTERVENING ON PARTICULAR HEALTH CONCERNS. SOME WAYS IN WHICH NEEDS WERE MET INCLUDE: PROVIDING TRAINING FOR MEDICAL PERSONNEL TO ADDRESS DEFICITS IN THE COMMUNITY E.G. NURSING, PHARMACY, RESPIRATORY STUDENTS; PROVIDED FUNDING FOR A LOCAL FQHC TO OBTAIN MEMBERSHIP IN A PHARMACY PROGRAM TO ACCESS MEDICATIONS FOR THE POOR; DONATION OF EQUIPMENT TO PROGRAMS THAT PROVIDE CARE TO THE UNDERSERVED; GRIEF SUPPORT GROUP SPEAKERS; COORDINATED/SUPPORTED COMMUNITY HEALTH FAIRS; HEALTH EDUCATION SPEAKERS FOR PROGRAMS ADDRESSING CHRONIC ILLNESSES SUCH AS RESPIRATORY, CARDIAC, DIABETES; ASSISTED WITH MEAL DELIVERY THROUGH MEALS ON WHEELS. PART V, SECTION B, LINE 14 EXPLANATION OF THE BASIS FOR CALCULATING THE AMOUNTS CHARGED TO PATIENTS DURING THE TAX YEAR. CHRISTUS DUBUIS HOSPITALS GAVE ALL CHARITY CARE PATIENTS FREE CARE SO THERE WAS NO BASIS FOR CALCULATING AMOUNTS CHARGED THAT WAS APPLICABLE TO CHARITY CARE PATIENTS. PART V, SECTION B, LINE 15E HOW THE HOSPITAL FACILITY'S FAP OR APPLICATION EXPLAINS CERTAIN ITEMS. ALL PATIENTS WERE PRELIMINARILY ASSESSED FOR POSSIBLE FINANCIAL ASSISTANCE ELIGIBILITY DURING THE REGISTRATION PROCESS. IF A PATIENT SEEMED TO QUALIFY, THE PATIENT WAS ASKED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND OFFERED ASSISTANCE IN COMPLETING SUCH APPLICATION. PART V, SECTION B, LINE 16A THE FAP FOR EACH ENTITY IS PROVIDED ON THE FOLLOWING WEBSITES: CHRISTUS DUBUIS BEAUMONT https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policy--dubuis-beaumont.ashx?la= en CHRISTUS DUBUIS ALEXANDRIA https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policy--dubuis-alexandria.ashx?l a=en CHRISTUS DUBUIS HOSPITAL OF BEAUMONT-SOUTH https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policy--dubuis-beaumont.ashx?la= en CHRISTUS DUBUIS PARIS https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policy--dubuis-paris.ashx?la=en DUBUIS HOSPITAL OF FORT SMITH https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policy--dubuis-fort-smith.ashx?l a=en CHRISTUS DUBUIS OF HOT SPRINGS https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policy--dubuis-hot-springs.ashx? la=en PART v, SECTION B, LINE 16B THE FAP APPLICATION FOR EACH ENTITY IS PROVIDED ON THE FOLLOWING WEBSITES: CHRISTUS DUBUIS BEAUMONT https://www.christushealth.org/-/media/files/finance-files/dubuis-applicat ion-english-pdf.ashx?la=en CHRISTUS DUBUIS ALEXANDRIA https://www.christushealth.org/-/media/files/finance-files/dubuis-applicat ion-english-pdf.ashx?la=en CHRISTUS DUBUIS HOSPITAL OF BEAUMONT-SOUTH https://www.christushealth.org/-/media/files/finance-files/dubuis-applicat ion-english-pdf.ashx?la=en CHRISTUS DUBUIS PARIS https://www.christushealth.org/-/media/files/finance-files/dubuis-applicat ion-english-pdf.ashx?la=en DUBUIS HOSPITAL OF FORT SMITH https://www.christushealth.org/-/media/files/finance-files/dubuis-applicat ion-english-pdf.ashx?la=en CHRISTUS DUBUIS OF HOT SPRINGS https://www.christushealth.org/-/media/files/finance-files/dubuis-applicat ion-english-pdf.ashx?la=en PART V, SECTION B, LINE 16J EACH HOSPITAL POSTS SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE LOBBY OF EACH FACILITY. THE FAP IS AVAILABLE TO PATIENTS UPON REQUEST AND A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSDUBUIS.ORG, THROUGH THE LINK "PATIENT PORTAL", SELECTING THE LINK "FINANCIAL ASSISTANCE", THEN SCROLLING DOWN TO THE CHRISTUS DUBUIS SITES. EACH SITE HAS A LINK TO THE FINANCIAL ASSISTANCE RESOURCES, INCLUDING THE PLAIN-LANGUAGE SUMMARY, POLICY AND APPLICATION IN BOTH ENGLISH AND SPANISH. THE DOCUMENTS CAN ALSO BE ACCESSED THROUGH WWW.CHRISTUSHEALTH.ORG WEBSITE AND FOLLOWING THE SAME LINKS. 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. In the event of nonpayment, the hospital and its collections groups would send statements and make phone calls. PART V, SECTION B, LINE 20E INDICATE WHICH EFFORTS THE HOSPITAL FACILITY OR OTHER AUTHORIZED PARTY MADE BEFORE INITIATING ANY OF THE ACTIONS LISTED IN LINE 19. OTHER EFFORTS TO NOTIFY PATIENTS OF THE FAP BEFORE INITIATING ECAS - - AS STATED ABOVE IN LINE 15E, PATIENTS WERE PRELIMINARILY ASSESSED FOR FINANCIAL ASSISTANCE ELIGIBILITY DURING REGISTRATION. PART V, SECTION B, LINE 21d CHRISTUS DUBUIS HOSPITALS ARE LONG-TERM ACUTE CARE HOSPITALS THAT DO NOT HAVE EMERGENCY DEPARTMENTS. IN GENERAL, DUBUIS HOSPITALS DO NOT TREAT EMERGENT MEDICAL CONDITIONS. IF AN INDIVIDUAL NEEDS EMERGENCY CARE WHILE AT A DUBUIS HOSPITAL, HOSPITAL PERSONNEL WILL APPRAISE THE EMERGENCY, PROVIDE MINOR FIRST AID CARE, AND WILL TRANSFER THE PATIENT TO AN EMERGENCY FACILITY AS APPROPRIATE. APPRAISAL, FIRST AID TREATMENT, AND TRANSFER ARE PROVIDED IN A NON-DISCRIMINATORY MANNER, CONSISTENT WITH FEDERAL REGULATIONS, REGARDLESS OF WHETHER INDIVIDUALS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. 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 DURING THE TAX YEAR. THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE INDIVIDUALS WAS $0. 14 CHRISTUS VNA HOSPICE&PALLIATIVE CARE- SA 4241 WOODCOCK DRIVE STE A-100 SAN ANTONIO TX 78228 hospice outpatient CHRISTUS HOSP&PALL C ST FRANCES CABRINI 4801 JACKSON ST EXT STE B ALEXANDRIA LA 71303 HOSPICE OUTPATIENT GRACE HOME SHREVEPORT 1035 MARGARET PLACE SHREVEPORT LA 71101 HOSPICE inpatient CHRISTUS HOMECARE - LAKE CHARLES 444 LAKE STREET LAKE CHARLES LA 70605 hospice outpatient GRACE HOME ALEXANDRIA 3330 MASONIC DRIVE 3RD FLOOR ALEXANDRIA LA 71301 HOSPICE inpatient CHRISTUS SISTER MARY HOSPICE CENTER 5131 MEDICAL DRIVE STE 310 SAN ANTONIO TX 78229 hospice inpatient CHRISTUS HomeCare - Coppell 1205 E Sandy Lake Road Suite 330 COPPELL TX 75019 HOME HEALTH CHRISTUS HomeCare - New Braunfels 750 Landa Street NEW BRAUNFELS TX 78130 HOME HEALTH CHRISTUS HOMECARE-SPOHN 6200 SARATOGA BLVD SUITE 104 CORPUS CHRISTI TX 784143478 HOME HEALTH CHRISTUS HOMECARE-SCHUMPERT 1700 BUCKNER SQUARE SUITE 200 SHREVEPORT LA 711014400 HOME HEALTH CHRISTUS HOSPICE & PAL CARE - SCHUMPERT 1700 BUCKNER SQUARE STE 200 SHREVEPORT LA 71101 HOSPICE OUTPATIENT CHRISTUS HOSPICE & PAL CARE - SPOHN 6200 SARATOGA BLVD CORPUS CHRISTI TX 78414 HOSPICE OUTPATIENT CHRISTUS VNA HOMECARE - SAN ANTONIO 4241 WOODCOCK SUITE A-100 SAN ANTONIO TX 78228 HOSPICE OUTPATIENT CHRISTUS HOMeCARE - ST PATRICK 4444 LAKE STREET LAKE CHARLES LA 70605 HOSPICE INPATIENT 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. 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. PART I, LINE 7B UNREIMBURSED MEDICAID CHRISTUS CONTINUING CARE REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $20,139,861. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $357,231. THIS LEAVES A TOTAL EXPENSE OF $19,812,630 FOR PURPOSES OF CALCULATING LINE 7, COLUMN(F). 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 3.68%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. 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 INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT WORKS IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH THROUGH IMPROVED ACCESS TO HEALTH SERVICES AND ADVANCED GENERAL KNOWLEDGE. DURING THE FY 2018, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES BY WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASS ROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN AND SENIORS, AS WELL AS OTHER VULNERABLE POPULATIONS, TO PROMOTE PROGRAMS SUCH AS HEALTH SCREENINGS, EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE, AND IMMUNIZATIONS. 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. 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. PART III, SECTION A, LINE 3 ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE ORGANIZATION REVIEWS PATIENT FILES THAT WERE INITIALLY DEEMED AS INCOMPLETE TO DETERMINE WHETHER A PATIENT WOULD BE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. TO THE EXTENT THE FILE HAS SUFFICIENT DOCUMENTATION INDICATING FINANCIAL AND/OR MEDICAL INDIGENCE, THE BAD DEBT ASSOCIATED WITH SUCH PATIENT ACCOUNT COULD BE DEEMED CHARITY CARE. IN ADDITION TO SCREENING PATIENTS TO DETERMINE THE APPLICABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE AT THE TIME OF ADMISSION AND DISCHARGE, CHRISTUS CONTINUING CARE FOLLOWS A POLICY AND SUPPORTING PROCEDURES FOR REVIEWING ALL ACTIVE SELF-PAY PATIENT RECEIVABLES. THE SCREENING PROCEDURES SUBSEQUENT TO DISCHARGE TO DETERMINE CHARITY CARE AND DISCOUNT APPLICABILITY INCLUDE REQUESTING THE REFERRING HOSPITAL'S RECORDS OF PATIENTS WHO SUBMITTED CHARITY CARE APPLICATIONS OR OTHER FINANCIAL INFORMATION, MAKING CONTACT WITH PATIENTS THROUGH MAILED NOTICE FOLLOWED BY PHONE CALL, AND USING A FINANCIAL ASSISTANCE QUESTIONNAIRE. 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 PAY 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. 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 ($4,436,922) IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. 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. IF THE PATIENT QUALIFIES 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. PART VI, LINE 2 NEEDS ASSESSMENT CHRISTUS CONTINUING CARE HAS DEVELOPED A COMMUNITY BENEFIT PLAN BASED UPON PRIORITIZATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHRISTUS CONTINUING CARE STRIVES TO ENSURE BEST PRACTICES AND STANDARDS OF CARE ARE MET. CHRISTUS CONTINUING CARE PROVIDES CARE TO PATIENTS WHO REQUIRE ACUTE CARE OVER AN EXTENDED PERIOD OF TIME. OUR STAFF PROVIDES SPECIALTY CARE THAT IS TAILORED TO THE INDIVIDUAL NEEDS OF EVERY PATIENT, RESULTING IN EXCELLENT CLINICAL OUTCOMES. CHRISTUS CONTINUING CARE WORKS WITH EACH CHRISTUS REGION IN IDENTIFYING AND PRIORITIZING THE SERVICES TO BE PROVIDED IN ORDER TO MEET THE COMMUNITY NEEDS. THE SERVICES PROVIDED ARE VERY NARROW, SO THE TARGET POPULATIONS WILL BE LIMITED TO THE SERVICES WHICH CHRISTUS CONTINUING CARE PROVIDES. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS CONTINUING CARE 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 THE REGISTRATION PROCESS. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED AT THE FACILITIES. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. AFTER THE REGISTRATION PROCESS, PATIENTS THAT ARE UNABLE TO PAY ARE PROVIDED CHARITY CARE INFORMATION. IN KEEPING WITH THE MISSION, VISION AND CORE VALUES OF CHRISTUS HEALTH, CHRISTUS CONTINUING CARE PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS OFFERED WITH THE RESOURCES AVAILABLE AND MEETS THE LEGAL REQUIREMENTS FOR SERVING FINANCIALLY AND/OR MEDICALLY INDIGENT PATIENTS. THE DETERMINATION AS TO THE AMOUNT CHARGED, IF ANY, IS MADE IN ACCORDANCE WITH THE PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ELIGIBILITY CRITERIA ESTABLISHED WITHIN PROCEDURAL GUIDELINES AND IN ACCORDANCE WITH APPLICABLE LAWS AND REGULATIONS. PART VI, LINE 4 COMMUNITY INFORMATION CHRISTUS CONTINUING CARE SERVICES AREAS IN TEXAS INCLUDE LONG TERM ACUTE CARE HOSPITALS LOCATED IN ALEXANDRIA, BEAUMONT, AND PARIS. HOME HEALTH AND HOSPICE SERVICE AREAS IN TEXAS INCLUDE CORPUS CHRISTI, COPPELL, NEW BRAUNFELS AND SAN ANTONIO. THE ORGANIZATION'S SERVICE AREA IN LOUISIANA INCLUDES A LONG TERM ACUTE CARE HOSPITAL IN ALEXANDRIA, AS WELL AS HOME HEALTH AND HOSPICE SERVICES IN ALEXANDRIA, SHREVEPORT AND LAKE CHARLES. CHRISTUS CONTINUING CARE PROVIDES LONG TERM ACUTE CARE HOSPITAL SERVICES IN THE STATE OF ARKANSAS IN BOTH HOT SPRINGS AND FORT SMITH. THE PATIENT SERVICE AREAS ALSO INCLUDE MANAGED LONG TERM ACUTE CARE LOCATIONS IN TEXAS, IOWA, AND GEORGIA. CHRISTUS CONTINUING CARE'S ALEXANDRIA, LOUISIANA SERVICE AREA INCLUDES RAPIDES PARISH AND THE CONTIGUOUS PARISHES OF AVOYELLES AND GRANT. APPROXIMATELY 26.9% OF THE POPULATION IN THE SERVICE AREA HAS INCOME AT OR BELOW THE FEDERAL POVERTY INCOME LEVEL AS DEFINED BY THE FEDERAL GOVERNMENT, AND THE AREA HAS A POPULATION OF APPROXIMATELY 14% OF persons AGES 65 YEARS AND OVER. ALL OF THE PARISHES IN CENTRAL LOUISIANA HAVE BEEN DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). THE ORGANIZATION'S SHREVEPORT, LOUISIANA SERVICE AREA INCLUDES THE NORTHWESTERN CORNER OF LOUISIANA. THE SHREVEPORT SERVICE AREA, CONSISTENT WITH NATIONAL TRENDS, IS ANTICIPATING ITS LARGEST GROWTH IN POPULATION OF PERSONS AGES 65 AND OLDER, AND PERSONS FALLING IN SUCH AGE RANGE MAKE UP APPROXIMATELY 13.2% OF THE POPULATION. THE SERVICE AREA'S POVERTY RATE IS APPROXIMATELY 21.1%, WHICH IS HIGHER THAN THE STATE POVERTY RATE OF APPROXIMATELY 18.7%. LAKE CHARLES, LOUISIANA'S SERVICE AREA IS COMPOSED OF A FIVE-PARISH REGION (ALLEN, BEAUREGARD, CAMERON, CALCASIEU, AND JEFF DAVIS) WITH A POPULATION OF NEARLY 300,000. THE POPULATION IS MADE UP OF APPROXIMATELY 13.9% OF INDIVIDUALS AGES 65 YEARS AND OLDER, AND THE SERVICE AREA'S POVERTY RATE IS APPROXIMATELY 21.5%. 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. CHRISTUS CONTINUING CARE'S BEAUMONT AND PORT ARTHUR FACILITIES SERVICE SOUTHEAST TEXAS, ROUGHLY A NINE COUNTY SERVICE AREA. THE NINE coUNTY AREA INCLUDES A POPULATION OF APPROXIMATELY 12.2% OF PERSONS AGES 65 AND ABOVE. APPROXIMATELY 22.3% OF HOUSEHOLDS ARE AT OR BELOW THE FEDERAL POVERTY LEVEL IN THIS NINE COUNTY AREA. THE PARIS, TEXAS FACILITY SERVES LAMAR COUNTY, WHERE THE POPULATION IS COMPOSED OF APPROXIMATELY 16.6% OF PERSONS AGES 65 AND OLDER, AND WHERE APPROXIMATELY 22.7% OF INDIVIDUALS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. CHRISTUS CONTINUING CARE'S CORPUS CHRISTI, TEXAS SERVICE AREA IS LOCATED ALONG THE LOWER TEXAS COASTAL AREA (OFTEN CALLED THE COASTAL BEND), AND ITS SERVICE AREA INCLUDES A 14-COUNTY AREA WITH A POPULATION OF MORE tHAN 602,000 INDIVIDUALS. APPROXIMATELY 11.9% OF THE POPULATION IS COMPOSED OF PERSONS AGES 65 AND OVER, AND THE LARGEST GROWTH IN THIS AGE GROUP. APPROXIMATELY 18% OF PERSONS IN THE REGION LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, WITH THE MEDIAN HOUSEHOLD INCOME IN THE REGION BEING APPROXIMATELY $45,267. NEARLY 50 PERCENT OF THE POPULATION IS ON MEDICAID OR UNINSURED. THE COPPELL, TEXAS SERVICE AREA IS LOCATED IN NORTH TEXAS JUST OUTSIDE OF DALLAS, TEXAS, WHICH IS THE NINTH LARGEST CITY IN THE UNITED STATES. THE POPULATION IN THE CITY OF DALLAS IS COMPOSED OF APPROXIMATELY 5.3% OF INDIVIDUALS AGES 65 AND OLDER, AND APPROXIMATELY 3.3% OF THE POPULATION LIVES AT OR BELOW THE FEDERAL POVERTY LEVEL. THE NEW BRAUNFELS, TEXAS SERVICE AREA IS LOCATED JUST OUTSIDE OF SAN ANTONIO, TEXAS, WHICH IS THE SEVENTH LARGEST CITY IN THE UNITED STATES AND THE SECOND LARGEST CITY IN THE STATE OF TEXAS. THE POPULATION IN THE CITY OF SAN ANTONIO IS COMPOSED OF APPROXIMATELY 10.4% OF INDIVIDUALS AGES 65 AND OLDER, AND APPROXIMATELY 20.1% OF THE POPULATION LIVES AT OR BELOW THE FEDERAL POVERTY LEVEL. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CHRISTUS CONTINUING CARE RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY PROVIDING LONG-TERM ACUTE CARE, HOME HEALTH AND HOME HOSPICE SERVICES THAT ARE DELIVERED BY INTERDISCIPLINARY TEAMS OF HEALTH CARE PROFESSIONALS. THE ORGANIZATION OWNS SIX LONG-TERM ACUTE CARE HOSPITALS FOCUSING ON VENTILATOR DEPENDENCY, WOUND CARE AND REHABILITATION, AND SUCH FACILITIES ARE LOCATED IN ALEXANDRIA, LA; BEAUMONT, TX; PARIS, TX; FORT SMITH, AR; AND HOT SPRINGS, AR. CHRISTUS CONTINUING CARE MANAGES LONG TERM ACUTE CARE FACILITIES FOR OTHER HEALTH SYSTEMS LOCATED IN GEORGIA, IOWA, AND TEXAS. IN ADDITION THE ORGANIZATION PROVIDES HOME HEALTH AND HOSPICE SERVICES IN CORPUS CHRISTI, TX; NEW BRAUNFELS, TX; SAN ANTONIO, TX; COPPELL, TX; ALEXANDRIA, LA; LAKE CHARLES, LA; AND SHREVEPORT, LA. CHRISTUS HOME HEALTH AGENCIES ARE ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP), TEXAS AGENCIES ARE LICENSED AND CERTIFIED BY THE TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES (DADS) AND LOUISIANA AGENCIES ARE LICENSED AND CERTIFIED BY THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS. CHRISTUS CONTINUING CARE LONG TERM ACUTE CARE HOSPITALS ARE ACCREDITED BY THE JOINT COMMISSION. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2017, CHRISTUS HEALTH ADVOCATED FOR IMPROVEMENT IN PUBLIC POLICIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. 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 CONTINUING CARE ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. THE LEADERSHIP OF CHRISTUS CONTINUING CARE, INCLUDING THE BOARD, ARE ALL COMMITTED TO ENSURE THAT THE ORGANIZATION FULFILLS ITS REGULATORY OBLIGATIONS AS WELL AS ITS MISSION RELATED OBLIGATIONS TO THE COMMUNITIES AND HAVE DETERMINED THAT COMMUNITY BENEFIT SHOULD FOCUS ON THE AREAS IN WHICH EACH FACILITY DETERMINES NEEDS BASED ON THE TYPES OF PATIENTS SERVICED. LONG TERM ACUTE CARE IS TARGETING HEART DISEASE AND DIABETES. THE COMPASSION OF THE CHRISTUS CONTINUING CARE STAFF REACHES FAR BEYOND THE WALLS OF OUR FACILITIES. EACH YEAR, OUR EMPLOYEES VOLUNTEER HUNDREDS OF HOURS AND RAISE THOUSANDS OF DOLLARS FOR THE BETTERMENT OF THE COMMUNITIES WE SERVE. AS WE MOVE TOWARD THE FUTURE, WE AT CHRISTUS CONTINUING CARE ARE FOREVER MINDFUL OF OUR PAST. FOR IT IS THE TRADITION OF BISHOP DUBUIS AND THE SISTERS THAT EMPOWERS US TO CONTINUE THIS HEALING MINISTRY AND IT IS THEIR LEGACY OF JUSTICE, COMPASSION AND TRUST THAT, IN PARTNERSHIP WITH GOD, HELPS US CREATE OUR UNIQUE ENVIRONMENT. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CHRISTUS CONTINUING CARE 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, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS CONTINUING CARE, 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 CONTINUING CARE, 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. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2013 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. 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 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT: TX X true true true true false false false false false false false DEAN ALVERSON Thru 817 PRESIDENT, CHRISTUS HOME CARE 0 156621 0 124057 0 57095 0 0 0 863 0 338636 0 0 JAN HAMILTON CRAWFORD PRES. CH DUBUIS HS(thru 12/17) 0 206077 0 17654 0 294 0 5703 0 1577 0 231305 0 0 JEFF PUCKETT DIRECTOR 0 1692655 0 1302691 0 37305 0 583419 0 23898 0 3639968 0 0 ERNIE SADAU DIRECTOR (Thru 10/17) 0 2676074 0 2482555 0 55502 0 991386 0 24032 0 6229549 0 0 MELISSA WILLIAMS ASST. TREASURER 0 282158 0 88065 0 0 0 49850 0 14085 0 434158 0 0 MIKE MURRAY TREASURER 0 218118 0 107187 0 0 0 8601 0 0 0 333906 0 0 PAUL GENERALE Eff 1017 EX-OFFICIO Director/ President 0 1258165 0 980120 0 15568 0 398967 0 23384 0 2676204 0 0 RANDY SAFADY DIRECTOR 0 1569679 0 1209642 0 24781 0 411388 0 23384 0 3238874 0 0 LINDA MCCLUNG Former EVP/CAO 0 1187131 0 899477 0 3616 0 314520 0 16766 0 2421510 0 0 CHRISTOPHER KARAM Former PRESIDENT/CEO 0 641378 0 267888 0 25594 0 171396 0 22327 0 1128583 0 0 Marty Margetts EVP Corp Svcs (Eff 10/17) 0 1146765 0 899477 0 17386 0 362838 0 45181 0 2471647 0 0 Sam Bagchi MD SVP, Clinical CMO (Eff 10/17) 0 386509 0 50000 0 52816 0 70462 0 12899 0 572686 0 0 COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. PROCESS TO ESTABLISH COMPENSATION OF THE ORGANIZATION'S CEO FORM 990, 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. FORM 990, SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR. WILLIAM ALVERSON - $56,964 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990 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, 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. 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: DEAN ALVERSON,JANICE HAMILTON-CRAWFORD,CHRISTOPHER KARAM, MELISSA WILLIAMS,JEFF PUCKETT, ERNIE SADAU, MIKE MURRAY, PAUL GENERALE, RANDY SAFADY AND LINDA MCCLUNG. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, 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, 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 FORM 990, 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. FORM 990, PAGE 1, ITEM C Doing business as: CHRISTUS HomeCare Schumpert CHRISTUS Hospice and Palliative Care St. Patrick CHRISTUS Visiting Nurse Association Community Care San Antonio CHRISTUS VNA HOSPICE AND PALLIATIVE CARE SAN ANTONIO CHRISTUS HomeCare Spohn CHRISTUS Hospice and Palliative Care Spohn CHRISTUS Hospice and Palliative Care St. Frances Cabrini CHRISTUS VNA HOSPICE AND PALLIATIVE CARE OF HOUSTON Grace Home - Alexandria CHRISTUS Dubuis Health System CHRISTUS Dubuis Hospital of Beaumont CHRISTUS Dubuis Hospital of Houston CHRISTUS Dubuis Hospital of Port Arthur CHRISTUS Homecare CHRISTUS Dubuis Hospital of Alexandria CHRISTUS Hospice and Palliative Care - Schumpert CHRISTUS Dubuis Hospital of Bryan Dubuis Hospital of Paris CHRISTUS At Home CHRISTUS Sister Mary Hospice Center CHRISTUS Dubuis Hospital of Fort Smith CHRISTUS Dubuis Hospital of Hot Springs Christus Continuing Care (Inc.) CHRISTUS Care at Home CHRISTUS Ambulatory and Continuing Care CHRISTUS Dubuis Hospital of Beaumont-South CHRISTUS VNA HomeCare San Antonio Grace Home Form 990, Part III, Line 3 Effective September 1, 2017, CHRISTUS CONTINUING CARE (CCC) contributed substantially all of the assets of its long-term acute care hospitals (LTAC) and home care business to a newly formed entity, Southwest Post-Acute Care Partnership, LLC (Southwest Partnership). CCC HAS A 40% NON-CONTROLLING EQUITY INTEREST IN SOUTHWEST PARTNERSHIP, HOWEVER CCC CONTROLS THE CHARITABLE ASPECTS OF SOUTHWEST PARTNERSHIP. SOUTHWEST PARTNERSHIP IS NOW THE HOLDER OF THE STATE HOSPITAL LICENSE. CCC continues to operate the LTAC through its interest in Southwest Partnership, and Southwest Partnership operates the LTAC in a charitable manner and complies with the provisions of section 501r. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 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, QUESTION 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, QUESTION 7B THE POWERS RESERVED FOR CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER, ARE: TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION, AND VISION OF CHRISTUS CONTINUING CARE (THE "CORPORATION"), AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, OR THE PRESIDENT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPROVE THE INCURRING, INCLUDING THROUGH THE GUARANTEE OF THE DEBT OF ANOTHER, RENEWING OR FORGIVENESS OF ANY INDEBTEDNESS BY THE CORPORATION, IN EXCESS OF $10,000 WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE CAPITAL AND OPERATIONAL BUDGETS OF THE CORPORATION AND ANY FINANCIAL REVIEW OF THE BOOKS AND RECORDS OF THE CORPORATION, INCLUDING AUDIT OR SOME LESSER FINANCIAL REVIEW OF THE BOOKS AS DEEMED NECESSARY BY THE MEMBER; TO APPROVE THE STRATEGIC PLANS OF THE CORPORATION; TO APPROVE ANY GIFT OF PROPERTY (OTHER THAN CASH, MARKETABLE SECURITIES, OR BONDS) TO THE CORPORATION AND THE APPROVAL OF ANY RESTRICTIONS IMPOSED AS A CONDITION OF ACCEPTING SUCH GIFT; TO APPROVE ANY LOAN, GIFT, GRANT, OR CONTRIBUTION TO A QUALIFYING TAX-EXEMPT ORGANIZATION OR ANY OTHER ORGANIZATION; TO APPROVE ANY CHANGE OF THE PRINCIPAL OFFICE OF THE CORPORATION; ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION, PROVIDED THAT SUCH CORPORATION OR LOCAL ENTITY DOES NOT OWN DESIGNATED MINISTRY PROPERTY; AND ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION, THE EFFECT OF WHICH IS (A) TO CREATE A NEW LOCAL ENTITY, (B) ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, OR (C) ANY CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY APPROVED UNDER (A) OR LEGAL ENTITY OR JOINT VENTURE APPROVED UNDER (B). THE POWERS RESERVED TO THE MEMBER AND THE MEMBERS OF CHRISTUS IN THE EVENT THAT EITHER (1) CHRISTUS HAS DESIGNATED THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION AS A SYSTEM PARTICIPANT, OR (2) THE CORPORATION OR A LEGAL ENTITY CONTROLLED BY THE CORPORATION OWNS DESIGNATED MINISTRY PROPERTY: THE SALE, LEASE, MORTGAGE, TRANSFER, OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD AMOUNT AS REQUIRED BY CANON LAW; ANY COURSE OF ACTION PROPOSED BY THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION THAT OWNS DESIGNATED MINISTRY PROPERTY, THE EFFECT OF WHICH WOULD BE TO CHANGE: (A) OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY, EXCEPT ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES, (B) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY OBTAINING, MODIFYING, OR RELINQUISHING A TYPE OF HEALTH FACILITY LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF THE FACILITY, OR (C) IF THESE SERVICES ARE APPLICABLE TO THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION, THE ELIMINATION OF OBSTETRICAL, PEDIATRIC, PSYCHOLOGICAL OR EMERGENCY SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY; ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION, OR DISSOLUTION OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION THAT OWNS DESIGNATED MINISTRY PROPERTY; AND POLICIES APPLICABLE AND ANY AMENDMENT, MODIFICATION OR RESTATEMENT THEREOF, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 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 A 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, QUESTION 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS CONTINUING CARE 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, QUESTIONS 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 ONE KEY EMPLOYEE OF THE FILING ORGANIZATION. 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 SECRETARYS COMPENSATION IS NOT REVIEWD BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, QUESTION 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 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, QUESTION 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 FORM 990, PART XI, LINE 9 PENSION FUNDING $ 30,651,226 TRANSFER OF NET ASSETS BETWEEN ENTITIES $ 3,887,581 TEMPORARILY RESTRICTED $ 488 EQUITY UNCONSOLIDATED SUBSIDIARIES $ (2,820,954) PENSION LIABILITY/EXPENSE $(30,242,156) ---------- TOTAL $ 1,476,185 CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS HEALTH GULF COAST POBOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT TX 71101 720408982 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTY TX 78404 741109836 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 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 HEALTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 760590551 SUPP HLH SVCS TX 501(c)(3) 10 NA false DUBUIS HEALTH SYSTEM INC 1700 WEST LOOP SOUTH STE 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING TX 75038 611500100 SUPP HLH SVCS TX 501(c)(3) 12-TYPE I CH true CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 462798043 SUPP HLH SVCS TX 501(c)(3) 12-TYPE I CH true CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE DRIVE IRVING TX 75038 464617988 MEDICAID HMO LA 501(c)(4) 12-Type I CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE DRIVE IRVING TX 75038 465203505 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT ROAD 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 SUPPORT TX 501(c)(3) 12-TYPE II CH true GOOD SHEPHERD HEALTH SYSTEMS INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 SUPPORT TX 501(c)(3) 12-TYPE II CH true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(C)(3) 3 CH true PROMPTU IMAGING OF CORP CHRSTI 5638 SARATOGA C C TX 78414 813074600 IMAGING SVCS TX ASPG INC false false ASPG LOUISIANA LLC 919 HIDDEN RG IRVING TX 75038 383981731 AMB SURG CENT LA ASPG INC false false CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 COL OBISPADO MONTERREY N.L. MX 64060 HEALTHCARE SVC MX CH C Corp true AMBULATORY STRATEGIES PHYSICIAN GROUP PO BOX 1051 GRAND CAYMAN CJ KY1-1102 472897722 HEALTHCARE SVC CJ CCC C Corp 9267873 14429636 1.00000 true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN CJ KY1-1102 980407545 INSURANCE CJ CH C Corp true DEDICATED SYSTEM SUPPORT INC 919 HIDDEN RIDGE DRIVE IRVING TX 75038 810861043 MGMT SVCS TX CCC C Corp 2959203 963842 1.00000 true CHRISTUS LOUISIANA QUALITY ALLIANCE 919 HIDDEN RIDGE DRIVE IRVING TX 75038 474518648 ACO TX CH C Corp true URGENT CARE SOLUTIONS LLC 1659 W STATE HWY 46 STE 160 NEW BRAUNFELS TX 78132 020738450 HEALTHCARE SVC TX ASPG INC C Corp true CHRISTUS CONNECTED CARE NETWORK 919 HIDDEN RIDGE DRIVE IRVING TX 75038 473403356 SUPP HTH SVCS TX CH C Corp true false false false false false false false false false false true true false false true true false true false DUBUIS HEALTH SYSTEM INC O 257032 ACCRUAL DUBUIS HEALTH SYSTEM INC P 66601 ACCRUAL CH WILKINSON L 102835 ACCRUAL