CHRISTUS HEALTH CENTRAL LOUISIANA: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH CENTRAL LOUISIANA (EIN 72-0408984)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201941349349310759
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T20:04:48-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	720408984	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS HEALTH CENTRAL LOUISIANA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOHN SHAUGHNESSY	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3184871122	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE DRIVE	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT MERRYMAN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3184466000	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
Federal Original Submission Id	75303520191345000015	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	D6EB407DAF12735B008E2257FAB59FAAE1F4B864	AtSubmissionCreationDeviceId
At Submission Filing Device Id	3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C	AtSubmissionFilingDeviceId

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 MASONIC DRIVE	AddressLine1Txt
City	ALEXANDRIA	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$308,647,516	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSSTFRANCESCABRINI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2573	TotalEmployeeCnt
Total Volunteers	78	TotalVolunteersCnt
Total Gross UBI	$855,846	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$138,534	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,353,605	PYContributionsGrantsAmt
CY Contributions Grants	$4,336,553	CYContributionsGrantsAmt
PY Program Service Revenue	$314,442,941	PYProgramServiceRevenueAmt
CY Program Service Revenue	$302,208,051	CYProgramServiceRevenueAmt
PY Investment Income	-$538	PYInvestmentIncomeAmt
CY Investment Income	-$38,438	CYInvestmentIncomeAmt
PY Other Revenue	$925,792	PYOtherRevenueAmt
CY Other Revenue	$2,090,859	CYOtherRevenueAmt
PY Total Revenue	$320,721,800	PYTotalRevenueAmt
CY Total Revenue	$308,597,025	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,735,140	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,209,146	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$110,927,430	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$111,816,086	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$503,853	CYTotalFundraisingExpenseAmt
PY Other Expenses	$167,136,963	PYOtherExpensesAmt
CY Other Expenses	$163,184,737	CYOtherExpensesAmt
PY Total Expenses	$281,799,533	PYTotalExpensesAmt
CY Total Expenses	$281,209,969	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,922,267	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,387,056	CYRevenuesLessExpensesAmt
Total Assets BOY	$352,145,888	TotalAssetsBOYAmt
Total Assets EOY	$366,147,430	TotalAssetsEOYAmt
Total Liabilities BOY	$144,485,565	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$131,164,579	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$207,660,323	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$234,982,851	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$44,673,500	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$100,534,948	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH CARE MINISTRIES TOGETHER. BISHOP CLAUDE MARIE DUBIS FOUNDED BOTH CONGREGATIONS 153 YEARS AGO, AND HIS ORIGINAL CALL TO THE SISTERS CONTINUES TO CHALLENGE CHRISTUS HEALTH TO FULFILL ITS MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST AND TO REACH OUT TO THOSE IN NEED IN THE MORE THAN 60 COMMUNITIES IT SERVES. THE VISION OF CHRISTUS HEALTH, A CATHOLIC, FAITH-BASED HEALTH 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. THE CENTRAL LOUISIANA REGION OF CHRISTUS HEALTH RESPONDS TO COMMUNITY NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. FRANCES CABRINI HOSPITAL IN ALEXANDRIA, LOUISIANA, A 293-BED FACILITY; CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LOUISIANA, A 25-BED, CRITICAL ACCESS HOSPITAL; AND CHRISTUS ST. JOSEPH'S HOME IN MONROE, LOUISIANA, A LONG TERM CARE AND ASSISTED LIVING FACILITY WITH 130 LICENSED BEDS AND 60 RESIDENTIAL UNITS. CHRISTUS HEALTH CENTRAL LOUISIANA ALSO OWNS PARTS OF CHRISTUS CABRINI SURGERY CENTER, LLC, THE CENTRAL LOUISIANA IMAGING CENTER (CLIC), AND THE LOUISIANA ATHLETIC CLUB (LAC). EACH FACILITY IN THIS REGION SHARES THE ONE OBJECTIVE OF LEADING THE WAY TOWARD HEALTHIER COMMUNITIES. CHRISTUS ST. FRANCES CABRINI HOSPITAL SERVES RAPIDES AND NINE SURROUNDING CIVIL PARISHES, WHICH HAVE A TOTAL POPULATION OF MORE THAN 375,000, OF WHICH MORE THAN 18.7 PERCENT LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. IN FY 2018 ALONE, THE HOSPITAL ADMITTED 12,308 PATIENTS AND TREATED 235,420 PATIENTS IN ITS OUTPATIENT FACILITIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 45,873 INDIVIDUALS. CHRISTUS ST. FRANCES CABRINI IS CENTRAL LOUISIANA'S LEADER IN CARDIAC SERVICES, OFFERING A COMPLETE RANGE OF CARDIAC DIAGNOSTIC SERVICES INCLUDING CTA, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, AND ELECTROPHYSIOLOGY. CHRISTUS ST. FRANCES CABRINI ALSO PROVIDES ORTHOPEDIC CARE IN CENTRAL LOUISIANA, OFFERING NEURO-MUSCULOSKELETAL SERVICES, A JOINT REPLACEMENT AND SPORTS MEDICINE SURGERY. THE HOSPITAL ALSO HOUSES THE REGION'S ONLY PEDIATRIC THERAPY CENTER. CHRISTUS CABRINI CANCER CENTER OFFERS COMPREHENSIVE CANCER CARE IN A HOSPITAL SETTING. PROTOCOLS FROM MD ANDERSON CANCER CENTER AT THE UNIVERSITY OF TEXAS AND FROM THE TULANE UNIVERSITY CANCER CENTER ARE AVAILABLE TO PATIENTS. CHRISTUS COUSHATTA HEALTH CARE CENTER IS LOCATED IN RED RIVER PARISH, ECONOMICALLY THE POOREST IN LOUISIANA. IN FY 2018, THE HOSPITAL ADMITTED 1,056 PATIENTS AND TREATED 23,782 PATIENTS IN ITS OUTPATIENT FACILITIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 6,958 INDIVIDUALS. THIS HOSPITAL OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING MINOR SURGERY; DAY SURGERY; CARDIOLOGY; DIABETES CARE; RESPIRATORY THERAPY; RADIOLOGY; PHYSICAL THERAPY; GYNECOLOGY; OPHTHALMOLOGY; INFUSION THERAPY; AND ADULT PSYCHIATRIC SERVICES. THE FEDERAL GOVERNMENT HAS DESIGNATED CHRISTUS COUSHATTA HEALTH CARE CENTER A CRITICAL ACCESS HOSPITAL DUE TO THE STRATEGIC LOCATION OF ITS EMERGENCY ROOM, WHICH REDUCES THE TRANSPORTATION TIME PATIENTS WOULD HAVE TO SPEND TRAVELING TO NATCHITOCHES OR SHREVEPORT, LOUISIANA, FOR TREATMENT. BOTH CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER PROVIDE 24-HOUR EMERGENCY ROOMS OPEN TO ALL NEEDING EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ST. JOSEPH'S HOME OF MONROE, LOUISIANA IS THE ONLY RELIGIOUSLY-BASED LONG TERM CARE FACILITY IN ITS AREA. THE FACILITY WORKS TO MEET THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF ALL RESIDENTS AND THEIR FAMILIES BY PROVIDING A COMPLETE RANGE OF SERVICES AND ACCOMMODATIONS FROM WHICH RESIDENTS AND THEIR FAMILIES MAY CHOOSE. THE LONG-TERM CARE FACILITY PROVIDES 24-HOUR LICENSED NURSING SERVICES AND PERSONAL CARE ASSISTANCE IN PRIVATE AND SEMI-PRIVATE ROOMS. THE ASSISTED LIVING FACILITY SUPPORTS PEOPLE NEEDING PHYSICAL ASSISTANCE WITH DAILY LIVING ACTIVITIES BUT NOT 24-HOUR CARE. BOTH FACILITIES PROVIDE THEIR SERVICES IN A HOME-LIKE ATMOSPHERE. THE CHRISTUS HEALTH CENTRAL LOUISIANA REGION ALSO SPONSORS MANY LOCAL COMMUNITY HEALTH SERVICES. THESE INCLUDE 17 SCHOOL-BASED HEALTH CENTERS IN FIVE CIVIL PARISHES AROUND CHRISTUS ST. FRANCES CABRINI HOSPITAL, A DENTAL CLINIC AT CHRISTUS COUSHATTA HEALTH CARE CENTER, AND RURAL HEALTH CLINICS IN RINGGOLD, BOYCE AND COUSHATTA. AS A NONPROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS HELPS GOVERN CHRISTUS HEALTH CENTRAL LOUISIANA. THE REGION HAS AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH ITS THREE FACILITIES TO PROVIDE CARE TO OUR COMMUNITIES. THESE PHYSICIANS RECEIVE THEIR PRIVILEGES ONLY AFTER A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. TOUCHING THE LIVES OF PEOPLE HELPS CHRISTUS HEALTH CENTRAL LOUISIANA STAND APART AND PROVIDES FURTHER MOTIVATION TO SERVE THE MEDICALLY NEEDY IN ALL OF THE COMMUNITIES SURROUNDING ITS THREE FACILITIES. WHETHER THE ISSUE IS THE LIFE OF A CHILD HOPING FOR A BRIGHT FUTURE, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS HEALTH CENTRAL LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. MOREOVER, THE CHRISTUS HEALTH CENTRAL LOUISIANA PROVIDES ITS SERVICES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, SEXUAL ORIENTATION, DISABILITY, AGE, OR NATIONALITY. THE THREE HIGHEST COST COMMUNITY BENEFIT PROGRAMS PROVIDED BY CHRISTUS ST. FRANCES CABRINI HOSPITAL ARE 1) SCHOOL BASED HEALTH CENTERS (SBHC), WHICH PROVIDE PRIMARY/PREVENTIVE HEALTH SERVICES TO STUDENTS LOCATED IN UNDERSERVED COMMUNITIES. THE SBHC'S PROVIDE A UNIQUE BLEND OF HEALTH AND EDUCATION SERVICES; 2) ELIGIBILITY VENDORS WHICH ASSIST COMMUNITY MEMBERS WITH ENROLLMENT IN PUBLIC PROGRAMS TO INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THEY PROVIDE EDUCATION AND ENROLLMENT ASSISTANCE TO THE UNINSURED POPULATION IDENTIFIED AT THE HOSPITAL; 3) DONATIONS TO MULTIPLE NON-PROFIT ORGANIZATIONS IN THE CENTRAL LOUISIANA COMMUNITY, WHICH PROVIDE FOR HEALTH OR HEALTH-RELATED SERVICES AND EDUCATION, AND SOME OF WHICH ADDRESS SOCIO-ECONOMIC DETERMINANTS OF HEALTH. BY COLLABORATING WITH CHURCHES, BUSINESSES, COMMUNITIES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH CENTRAL LOUISIANA'S THREE FACILITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE, AND AFFORDABLE HEALTHCARE SERVICES. THESE PARTNERSHIPS HAVE EXTENDED THE REGION'S CAPACITY TO HELP THOSE IN NEED. THE SAME CAN BE SAID OF THE FACILITIES' DEDICATED EMPLOYEES AND VOLUNTEERS WHO REGULARLY REACH BEYOND TRADITIONAL WALLS TO HELP THEIR COMMUNITIES BECOME HEALTHIER. THESE ACTIVITIES FOSTER STRONG RELATIONSHIPS AND THEREBY CONTRIBUTE TO THE MISSION OF CHRISTUS HEALTH. FURTHERMORE, TO PROVIDE ACCESS TO HEALTH CARE TO AS MANY PEOPLE AS POSSIBLE, CHRISTUS HEALTH CENTRAL LOUISIANA PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, SUCH AS MEDICAID, MEDICARE, CHAMPUS, AND TRICARE. IN ADDITION, THE REGION PROVIDES DISCOUNTED SERVICES TO THOSE WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$126,790,472	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$115,022,851	RevenueAmt
Desc	OTHER GOVERNMENT SPONSORED SERVICES 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 NON-REIMBURSED COSTS OF THESE SERVICES ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS PER CASE, 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. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$58,737,557	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$87,932,326	RevenueAmt
Desc	COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2015) 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 THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, THE ORGANIZATION PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS DEFINED AS SERVICES PROVIDED WITHOUT CHARGE OR AT A CHARGE LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT OF THE CHARGE, IF ANY, IS ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR COVERED HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$7,955,823	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$6,209,146	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$238,157,352	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	333	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2573	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOHN SHAUGHNESSY	PersonNm
Phone	3185617172	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 MASONIC DRIVE	AddressLine1Txt
City	ALEXANDRIA	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71301	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BERNARD S JOHNSON
DIRECTOR/ VICE CHAIR	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
MARTIN W JOHNSON
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
SISTER THERESA MCGRATH CCVI
DIRECTOR (THRU 12/2017)	1.0	2.0	Yes (X)		$0	$0	$0
SISTER MIRIAM MILLER CCVI
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
NANCY STICH
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
WILLIE C WHITE III
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
MICHELLE M COLLINS
DIRECTOR (AS OF 01/2018)	1.0	2.0	Yes (X)		$0	$0	$0
GAVIN CHICO MD
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
MOSELLE A DEARBONE
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
ROBERT T CHANDLER
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
ALOYSIA DUCOTE
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
RONALD JOHNS
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
SUSAN E KEMP MD
DIRECTOR (AS OF 01/2018)	1.0	2.0	Yes (X)		$0	$204,173	$16,247
MICHAEL D STRATTON MD
DIRECTOR (TERM 12/17)	1.0	2.0	Yes (X)		$0	$0	$0
HARRY R HAWTHORN MD
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
ROBERT L RUMSEY
DIRECTOR (THRU 12/2017)	1.0	2.0	Yes (X)		$0	$0	$0
DALLAS HIXSON
CHAIRPERSON	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
NANCY R HELLYER
CHIEF EXEC OFFICER, PRESIDENT	1.0	39.0	Yes (X)	Yes (X)	$0	$795,865	$95,211
KIM M KELSCH
Regional Corporate Secretary	20.0	20.0		Yes (X)	$87,047	$0	$17,231
SCOTT MERRYMAN
CFO	1.0	39.0		Yes (X)	$0	$574,775	$88,493
RODNEY MOORE MD THRU 1117
VP, MED AFFAIRS & REGIONAL/CMO	1.0	39.0			$0	$641,969	$26,056	Yes (X)
STEPHEN F WRIGHT
REGIONAL PRES/CEO, EX-OFFICIO	1.0	39.0			$0	$1,147,408	$224,561	Yes (X)
WENDY WHITE CHANDLER
GROUP VP, HUMAN RESOURCES	1.0	39.0			$0	$372,306	$74,616	Yes (X)
PHILIP COLE
CHIEF MED OFFICER (THRU 07/17)	1.0	39.0			$0	$420,216	$5,994	Yes (X)
H LES TOMPKINS
DIRECTOR MANAGED CARE	1.0	39.0			$0	$210,028	$10,533	Yes (X)
D KIRK SOILEAU
CEO - NATCHITOCHES	1.0	39.0			$0	$355,189	$53,926	Yes (X)
Bert Tassin
Exec Dir Support Svcs	40.0	0.0			$177,685	$0	$20,758	Yes (X)
CATHERINE BLISE
CHIEF NURSE EXECUTIVE	1.0	39.0			$0	$250,005	$9,429	Yes (X)
EUGENE BURGE
PRES SAVOY MEDICAL CENTER	1.0	39.0			$124,705	$96,512	$7,455	Yes (X)
SHERMAN FOOKES
VP ANCILLARY SERVICES	1.0	39.0			$0	$235,500	$31,695	Yes (X)
SCOTT JOHNSON
VP, STRATEGY - BUS DEVELOPMENT	1.0	39.0			$0	$255,498	$53,871	Yes (X)
CLAIRE LAUZON-VALLONE
VP, QUALITY AND SAFETY	1.0	39.0			$0	$221,538	$33,495	Yes (X)
TANYANIKA L PHILLIPS MD
PHYSICIAN	40.0	0.0			$476,025	$0	$24,531		Yes (X)
STEVEN J SACCARO MD
PHYSICIAN	40.0	0.0			$416,104	$0	$40,393		Yes (X)
ULLA ULE MD
PHYSICIAN	40.0	0.0			$334,050	$0	$28,886		Yes (X)
EBENEZER BERKO MD
Physician	40.0	0.0			$329,802	$0	$37,607		Yes (X)
JOSHUA R CASON MD
PHYSICIAN	40.0	0.0			$274,807	$0	$42,299		Yes (X)
CORINNE FRANCIS
Sys Dir Digital Engagement	0.0	40.0			$0	$359,049	$67,974			Yes (X)
CHRISTOPHER JANIK
VP Finance Amb Svcs-PASC	0.0	40.0			$0	$260,620	$33,107			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,220,225	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,400,651	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,044,368	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	90	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GJERSET AND LORENZ LLP
2801 VIA FORTUNA SUITE 500	AUSTIN	TX	78746	LEGAL SERVICES	$3,135,615
MEDASSETS SUPPLY CHAIN SYSTEMS LLC
PO BOX 742081	ATLANTA	GA	303742081	MEDICAL SERVICES	$2,259,165
CAPTURIS
3103 NYGREN DRIVE	MANDAN	ND	58554	BILLING SERVICES	$1,985,011
PAT WILLIAMS CONSTRUCTION LLC
1601 SOUTH 5TH STREET	LEESVILLE	LA	71446	CONSTRUCTION SVCS	$1,939,019
HOSPITAL HOUSEKEEPING SYSTEMS LLC
216 EAST 4TH STREET	AUSTIN	TX	78701	HSPTL HOUSEKEEPING	$1,877,619

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	139	CntrctRcvdGreaterThan100KCnt
Related Organizations	$175,592	RelatedOrganizationsAmt
Government Grants	$3,963,587	GovernmentGrantsAmt
All Other Contributions	$197,374	AllOtherContributionsAmt
Total Contributions	$4,336,553	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$297,601,141	$297,200,852	$400,289
RENT RELATED TO EXEMPT FUNCTION	531120	$2,483,967	$2,483,967
PHARMACY REVENUE	446110	$1,073,662	$1,073,662
PROGRAM RELATED INVESTMENT INCOME	900099	$997,107	$846,664	$150,443
COMMUNITY HEALTH	621110	$28,950	$28,950

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,224	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,224	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$302,208,051	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,553	TotalRevenueColumnAmt
Exclusion	$8,553	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$50,491	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$46,991	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$46,991	TotalRevenueColumnAmt
Exclusion	-$46,991	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT SERVICE	541610	$771,601	$305,114	$466,487
FOOD SERVICE REVENUE	722210	$37,184		$37,184
MED RECORDS TRANS	900099	$21,104			$21,104

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,260,970	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,260,970	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,090,859	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$308,597,025	TotalRevenueColumnAmt
Related Or Exempt Func Income	$302,939,393	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$855,846	UnrelatedBusinessRevenueAmt
Exclusion	$465,233	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,209,146	TotalAmt
Program Services	$6,209,146	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$389,437	TotalAmt
Program Services	$339,956	ProgramServicesAmt
Management And General	$48,759	ManagementAndGeneralAmt
Fundraising	$722	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$88,508,908	TotalAmt
Program Services	$77,263,346	ProgramServicesAmt
Management And General	$11,081,584	ManagementAndGeneralAmt
Fundraising	$163,978	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$724,670	TotalAmt
Program Services	$704,057	ProgramServicesAmt
Management And General	$20,613	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,840,084	TotalAmt
Program Services	$11,674,714	ProgramServicesAmt
Management And General	$4,143,167	ManagementAndGeneralAmt
Fundraising	$22,203	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,352,987	TotalAmt
Program Services	$5,551,890	ProgramServicesAmt
Management And General	$788,605	ManagementAndGeneralAmt
Fundraising	$12,492	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$986,223	TotalAmt
Program Services	$986,223	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,903,674	TotalAmt
Program Services	$2,420	ProgramServicesAmt
Management And General	$1,901,254	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$837,038	TotalAmt
Management And General	$837,038	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$40,495	TotalAmt
Management And General	$40,495	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,625,437	TotalAmt
Program Services	$21,364,652	ProgramServicesAmt
Management And General	$16,239,851	ManagementAndGeneralAmt
Fundraising	$20,934	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$26,086	TotalAmt
Program Services	$11,604	ProgramServicesAmt
Management And General	$13,935	ManagementAndGeneralAmt
Fundraising	$547	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,799,640	TotalAmt
Program Services	$14,944,538	ProgramServicesAmt
Management And General	$5,850,860	ManagementAndGeneralAmt
Fundraising	$4,242	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,691,304	TotalAmt
Program Services	$11,691,304	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,349,137	TotalAmt
Program Services	$5,825,587	ProgramServicesAmt
Management And General	$523,550	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$498,761	TotalAmt
Program Services	$271,646	ProgramServicesAmt
Fundraising	$227,115	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$204,659	TotalAmt
Program Services	$75,741	ProgramServicesAmt
Management And General	$128,320	ManagementAndGeneralAmt
Fundraising	$598	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,350,192	TotalAmt
Program Services	$8,350,192	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,554,919	TotalAmt
Program Services	$14,514,285	ProgramServicesAmt
Management And General	$40,634	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,359,057	TotalAmt
Program Services	$3,359,057	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$42,516,582	$42,238,932	$277,650
PROV-UNCOLLECTIBLE ACCTS	$8,189,965	$8,189,965
TAXES	$3,750,962	$3,639,193	$111,769
MEALS & ENTERTAINMENT	$695,318	$623,200	$70,861	$1,257

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$805,288	TotalAmt
Program Services	$325,704	ProgramServicesAmt
Management And General	$429,819	ManagementAndGeneralAmt
Fundraising	$49,765	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$281,209,969	TotalAmt
Program Services	$238,157,352	ProgramServicesAmt
Management And General	$42,548,764	ManagementAndGeneralAmt
Fundraising	$503,853	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$191,090,661	BOYAmt
EOY	$209,187,572	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,375	BOYAmt
EOY	$3,375	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,522,445	BOYAmt
EOY	$25,453,187	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$199,250	BOYAmt
EOY	$27,670	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,553,020	BOYAmt
EOY	$5,712,366	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,325,220	BOYAmt
EOY	$1,228,499	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$399,091,921	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$276,748,642	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$127,124,477	BOYAmt
EOY	$122,343,279	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$6,285	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,634,500	BOYAmt
EOY	$1,548,611	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$594,855	BOYAmt
EOY	$445,653	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$98,085	BOYAmt
EOY	$190,933	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$352,145,888	BOYAmt
EOY	$366,147,430	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,683,610	BOYAmt
EOY	$19,846,118	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$213,006	BOYAmt
EOY	$219,649	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,588,949	BOYAmt
EOY	$111,098,812	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$144,485,565	BOYAmt
EOY	$131,164,579	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$207,442,052	BOYAmt
EOY	$234,744,220	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$223,319	BOYAmt
EOY	$238,631	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$5,048	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$207,660,323	BOYAmt
EOY	$234,982,851	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$352,145,888	BOYAmt
EOY	$366,147,430	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,387,056	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$133,681	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$198,209	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$40,495	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$40,495	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE C, PART II-B

LOBBYING DESCRIPTION HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH CENTRAL LOUISIANA BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES.

SCHEDULE C, PART II-B, LINE 1G

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.

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,015,819	OtherCostOrOtherBasisAmt
Book Value	$13,015,819	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$178,430,444	OtherCostOrOtherBasisAmt
Depreciation	$109,754,093	DepreciationAmt
Book Value	$68,676,351	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,430,376	OtherCostOrOtherBasisAmt
Depreciation	$5,963,765	DepreciationAmt
Book Value	$3,466,611	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$189,601,474	OtherCostOrOtherBasisAmt
Depreciation	$156,086,156	DepreciationAmt
Book Value	$33,515,318	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,613,808	OtherCostOrOtherBasisAmt
Depreciation	$4,944,628	DepreciationAmt
Book Value	$3,669,180	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$122,343,279	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$166,377	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO CHRISTUS HEALTH BOND FUND	$102,716,495
DUE TO RELATED ORGANIZATION	$7,726,121
STATE SALES TAX PAYABLE	$231,785
OTHER LONG TERM LIABILITIES	$151,916
SECURED MORTGAGE	$106,118

Field	Value	IRS element (for citing)
Total Liability	$111,098,812	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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.

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.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,851,895	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,851,895	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,763,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,043,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,720,408	NetCommunityBenefitExpnsAmt
Total Expense	0.05760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,615,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,043,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,572,303	NetCommunityBenefitExpnsAmt
Total Expense	0.07540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	51008	PersonsServedCnt
Total Community Benefit Expns	$1,616,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,201	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,609,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1587	PersonsServedCnt
Total Community Benefit Expns	$81,522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$81,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,471	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	35	PersonsServedCnt
Total Community Benefit Expns	$6,203,183	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,203,183	NetCommunityBenefitExpnsAmt
Total Expense	0.02270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	52630	PersonsServedCnt
Total Community Benefit Expns	$7,916,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,201	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,910,037	NetCommunityBenefitExpnsAmt
Total Expense	0.02900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	52630	PersonsServedCnt
Total Community Benefit Expns	$59,531,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,049,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,482,340	NetCommunityBenefitExpnsAmt
Total Expense	0.10440	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$45,786	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,786	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$45,786	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,786	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,189,965	BadDebtExpenseAmt
Bad Debt Expense Attributable	$56,374	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$89,241,400	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$85,006,368	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,235,032	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
C CABRINI SURG CTR
SURGERY CENTER	0.3387	0.4194
C DUBIUS HSPTL
LTAC	0.4
C HOSPICE & PALLIA
HOSPICE CARE	0.4

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
CHRISTUS ST FRANCES CABRINI HOSPITAL
1	3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	WWW.CHRISTUSSTFRANCESCABRINI.ORG	234	720408984	Yes (X)	Yes (X)	Yes (X)	A
CHRISTUS ST JOSEPH HOME
2	2301 STERLINGTON ROAD	MONROE	LA	71203	WWW.CHRISTUSSTJOSEPHSHOME.ORG	874					A	COMPREHENSIVE SENIOR CAMPUS; SKILLED NURSING FACILITY
CHRISTUS COUSHATTA HEALTH CARE CENTER
3	1635 MARVEL STREET	COUSHATTA	LA	71019	WWW.CHRISTUSCOUSHATTA.ORG	551				Yes (X)	A		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	13	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	false	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	LEADERSHIP FOR CHRISTUS HEALTH CENTRAL LOUISIANA WAS PROVIDED WITH A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT MAY 2016. THE CHNA ADVISORY COMMITTEES FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER WERE 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 ORIGINALLY INFORMED BY ASSESSMENT MATERIALS DEVELOPED BY NATIONAL ORGANIZATIONS SUCH AS THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (ACHI), THE CATHOLIC HEALTH ASSOCIATION (CHA), AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO), LPHI, THE CONSULTANT CONTRACTED TO HELP CONDUCT THE ASSESSMENT, REFINED A MIXED METHODS APPROACH THROUGH DISCUSSIONS WITH LPHI'S COUNTERPART CONDUCTING THE CHNA & CHIP PROCESS FOR CHRISTUS FACILITIES IN TEXAS, TEXAS HEALTH INSTITUTE (THI), AND THE CHRISTUS HEALTH CORPORATE OFFICE. AS A RESULT, LPHI CONDUCTED A COMBINATION OF KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND WIDELY ADVERTISED COMMUNITY VALIDATION MEETINGS TO PROVIDE CHRISTUS HEALTH WITH CRITICAL INPUT FROM VARIOUS COMMUNITY REPRESENTATIVES TO ASSIST EACH CHRISTUS FACILITY WITH DETERMINING WHAT PRIORITIES WILL BE ADDRESSED OVER THE NEXT THREE YEARS. THIS FEEDBACK WAS USED TO SUPPLEMENT THE QUANTITATIVE DATA PROVIDED BY EACH HOSPITAL AND AVAILABLE FROM SECONDARY SOURCES, SUCH AS THE AMERICAN COMMUNITY SURVEY (ACS) AND THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS. IN ORDER TO ENSURE COMMUNITY INPUT AND EXPERT OVERSIGHT THROUGHOUT THE ENTIRE PROJECT, AN ADVISORY COMMITTEE REPRESENTING INTERNAL AND EXTERNAL STAKEHOLDERS FOR BOTH CHRISTUS HOSPITALS IN THE CENTRAL LOUISIANA REGION WAS ESTABLISHED IN LATE 2015. THESE ADVISORY COMMITTEES MET PERIODICALLY ON THE CHRISTUS CAMPUSES THROUGHOUT THIS PROCESS. THE COMMITTEES WERE INVOLVED IN THE REVIEW OF ALL DATA COLLECTION MATERIALS DEVELOPED BY LPHI AND THI, INCLUDING A LIST OF RECOMMENDED QUANTITATIVE INDICATORS, THE KEY INFORMANT INTERVIEW GUIDE, AND THE FOCUS GROUP GUIDE. THE COMMITTEE WAS ALSO INVOLVED IN RECRUITMENT AND OUTREACH FOR THE COMMUNITY VALIDATION MEETING THAT OCCURRED ON MAY 9, 2016. PRIOR TO THE VALIDATION MEETING, THE COMMITTEE FOR ST. FRANCES CABRINI MET ON MAY 4, 2016 TO REVIEW A DRAFT VERSION OF THE FINDINGS AND TO DETERMINE WHICH PRIORITY ISSUES WOULD BE PRESENTED AT THE MEETING. THE COMMITTEE FOR COUSHATTA ALSO MET ON MAY 5, 2016 TO DISCUSS THEIR PRIORITIES STEMMING FROM THE DATA IN THE DRAFT CHNA AND SPECIFICALLY IN REGARDS TO THEIR RURAL LOCATION. INTERNAL STAKEHOLDERS OF THE ADVISORY COMMITTEE INCLUDE NANCY HELLYER, CEO; DR. ROD MOORE, CMO; JULIE HENRY, DIRECTOR OF MARKETING; SUZETTE FATULA, VP OF FINANCE; BETH PARSONS, DUBUIS HOSPITAL ADMINISTRATOR; DREW GRAUL, DIRECTOR OF STRATEGY FOR CHRISTUS LOUISIANA; CATHY POPE, FINANCE DEPARTMENT AND THERESA SLATER, EXECUTIVE DIRECTOR OF CABRINI FOUNDATION. EXTERNAL STAKEHOLDERS INCLUDE DR. DAVID HOLCOMB, REGIONAL MEDICAL DIRECTOR FOR OFFICE OF PUBLIC HEALTH; MR. DAVID BRITT, PRESIDENT, UNITED WAY; AND DR. MOSELLE DEARBONNE, RETIRED ADMINISTRATOR, LOUISIANA DEPARTMENT OF EDUCATION. FOCUS GROUPS WERE ALSO SELECTED AS AN ADDITIONAL MECHANISM TO OBTAIN COMMUNITY INPUT. THE FOCUS GROUP FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL OCCURRED ON MARCH 10, 2016. PARTICIPANTS INCLUDE AN EDUCATOR, A RETIRED BUSINESS EXECUTIVE, A COMMUNITY VOLUNTEER, A VOLUNTEER WITH CABRINI HOSPITAL, A HEALTHCARE WORKER (NOT AT CABRINI), A PASTOR AND A SOCIAL WORKER. A SEPARATE FOCUS GROUP WAS CONDUCTED AT CHRISTUS COUSHATTA HEALTH CARE CENTER ON MARCH 8, 2016. PARTICIPANTS INCLUDE SHERIFF GLEN EDWARDS, SHERIFF OF RED RIVER PARISH; BEN TAYLOR, POLICE JUROR FOR RED RIVER PARISH; REV. NATHAN JONES, PASTOR OF 1ST BAPTIST CHURCH OF COUSHATTA; MARGARET JONES, MEMBER OF THE RURAL HEALTH BOARD; KAY EASLEY, FORMER SUPERINTENDENT OF RED RIVER PARISH SCHOOL SYSTEM AS WELL AS OTHER CONCERNED MEMBERS OF THE COMMUNITY. AN EFFORT WAS MADE TO ALSO OBTAIN INPUT THROUGH KEY INFORMANT INTERVIEWS. INTERVIEWEES INCLUDE THE DIRECTOR OF A LOCAL MINISTERIAL ALLIANCE, THE DEPUTY DIRECTOR OF THE STATE OFFICE OF BEHAVIORAL HEALTH, MAYORS OF MARKSVILLE AND POLLOCK, THE CHIEF OF STAFF FOR CITY OF PINEVILLE AND SHERIFF OF GRANT PARISH, A PROFESSOR AT LSU-ALEXANDRIA, DIRECTORS OF RAPIDES FOUNDATION, UNITED WAY, REGIONAL OFFICE OF PUBLIC HEALTH AND CENTRAL LOUISIANA ECONOMIC DEVELOPMENT COUNCIL; CURRENT RED RIVER PARISH SCHOOL BOARD MEMBERS AS WELL AS RETIRED SUPERINTENDENT OF RED RIVER PARISH PUBLIC SCHOOL SYSTEM.
SCHEDULE H, PART V, SECTION B, LINE 7A	The URL for the community health needs assessment is: https://www.christushealth.org/-/media/files/homepage/giving-back/chna/201 7--2019-chna-christus-cla.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 10A THE URL FOR THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS: https://www.christushealth.org/-/media/files/chip/2017--2019-chip-christus -cla-rev.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 11 LEADERSHIP FOR CHRISTUS HEALTH CENTRAL LOUISIANA WAS PROVIDED WITH A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT MAY 2016. THE CHNA ADVISORY COMMITTEES FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER WERE 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. EACH 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 CENTRAL LOUISIANA ARE: 1. ACCESS TO CARE WAYS WE TRIED TO ADDRESS ACCESS TO CARE ARE: CONTINUED OPERATION OF 17 SCHOOL-BASED HEALTH CENTERS (SBHCS) IN THAT SERVE THE HEALTH NEEDS OF CHILDREN WHO LIVE IN AREAS THAT DO NOT HAVE ACCESS TO ADEQUATE MEDICAL CARE. CONTINUED OPERATIONS OF OUR COMMUNITY CLINICS THAT SERVE THE POOR AND VULERNABLE WITH EXPANSION OF CLINICS IN BOYCE, AND PINEVILLE. EXPANSION TO PRIMARY CARE TO PINEVILLE. SUCCESSFULLY RECRUITED 11 SPECIALISTS TO OUR SERVICE AREA. 2. CHRONIC DISEASES WAYS WE TRIED TO ADDRESS CHRONIC DISEASE ARE: PROVIDED PATIENT EDUCATION AND CHRONIC DISEASE PROGRAMS FOR AN EXPANDED LIST OF CHRONIC CONDITIONS. PROVIDED CHRONIC DISEASE MANAGEMENT THROUGH THE INCARNATE WORD COUMADIN CLINIC. CONTINUED TO PROVIDE COORDINATED CHRONIC DISEASE MANAGEMENT AND CARE TO SCHOOL AGED CHILDREN THROUGH THE SCHOOL-BASED HEALTH CENTERS (SBHCS). ENHANCE EXISTING DIABETES EDUCATION PROGRAM TO EXPAND REACH AND IMPACT IN CONJUNCTION WITH DIAMOND HEALTH CONTINUE TO ENSURE THAT CARDIO-PULMONARY REHAB IS AN ACCESSIBLE RESOURCE TO THOSE IN NEED OR CAN MOST BENEFIT PROVIDE EDUCATION, DIET, AND MEDICATION MANAGEMENT TO ATTENDEES OF DR. TROXCLAIR CLINIC. ADDITIONALLY, WE PROVIDE A DIABETIC EDUCATION PROGRAM AND SUPPORT GROUP AND A CONGESTIVE HEART FAILURE SUPPORT GROUP. 3. OBESITY WAYS WE TRIED TO ADDRESS OBESITY ARE: COLLABORATED WITH COMMUNITY PARTNERS TO EXTEND SERVICES AND PROGRAMS FOR HEALTHY EATING AND PHYSICAL ACTIVITY. PROVIDED OBESITY PREVENTION SERVICES AND ACTIVITIES TO SCHOOL AGED CHILDREN THROUGH THE SCHOOL-BASED HEALTH CENTERS. INCORPORATED OBESITY PREVENTION EDUCATION AND ACTIVITIES IN ALL SCHOOL-BASED PROGRAMS. PROVIDED COMPREHENSIVE WELLNESS PROGRAM TO EMPLOYEES WHICH ADDRESSED EXERCISE, SMOKING AND SMOKING CESSATION. PROVIDED NUTRITION SERVICES THROUGH THE DR. TROXCLAIR CLINIC. WE ALSO PROVIDED BARIATRIC SUPPORT GROUPS. 4. LACK OF HEALTH LITERACY AND ACCOUNTABILITY WAYS WE TRIED TO ADDRESS LACK OF HEALTH LITERACY AND ACCOUNTABILITY: PROVIDE ONGOING EDUCATION TO THE COMMUNITY ABOUT MEDICAID EXPANSION. CONTINUE TO PROVIDE COMMUNITY CLINIC PATIENTS WITH INDIVIDUALIZED EDUCATION FOR A VARIETY OF DISEASE AND PREVENTION TOPICS. CONTINUE TO UTILIZE THE SCHOOL-BASED HEALTH CENTERS TO EDUCATE STUDENTS AND THEIR FAMILIES ON A VARIETY OF DISEASE AND PREVENTION TOPICS. PROVISION OF A VARIETY OF SUPPORT GROUPS INCLUDING: BEREAVEMENT, PARKINSONS, SUICIDE LOSS, WIDOWED PERSONS SUPPORT, AND BREAST CANCER SURVIVORS. ALSO PROVIDE AN ALZHEIMERS SUPPORT GROUP AND AN ALZHEIMERS ACTIVITY GROUP. LOSS, WIDOWED PERSONS SUPPORT, AND BREAST CANCER SURVIVORS. ALSO PROVIDE AN ALZHEIMERS SUPPORT GROUP AND AN ALZHEIMERS ACTIVITY GROUP.
SCHEDULE H, PART V, SECTION B, LINE 13	DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE THE HOSPITAL FACILITY PROVIDES DISCOUNTED CARE TO ALL UNINSURED PATIENTS. IN ORDER TO DETERMINE DISCOUNTS FOR UNINSURED PATIENTS, THE FACILITY UTILIZES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES AND OTHER CRITERIA APPLIED TO A UNIFORM FEE SCHEDULE. THE FACILITY HAS IMPLEMENTED A 3 TIER UNINSURED FEE SCHEDULE WHEREIN INDIVIDUALS BETWEEN 201-300% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; INDIVIDUALS BETWEEN 301%-400% OF THE FEDERAL POVERTY LEVEL RECEIVE A SPECIFIC DISCOUNT PERCENTAGE OFF OF THE UNINSURED DISCOUNTED PRICE; AND INDIVIDUALS ABOVE 401% OF THE FEDERAL POVERTY LEVEL RECEIVE NO ADDITIONAL DISCOUNT OFF OF THE UNINSURED DISCOUNTED PRICE. THERE IS NO FEDERAL POVERTY LIMIT FOR THE UNINSURED POPULATION TO RECEIVE DISCOUNTED CARE BECAUSE ALL CHARGES BY THE FACILITY ARE BASED ON THE UNINSURED DISCOUNTED PRICE. THE UNINSURED DISCOUNTED PRICE IS BASED ON THE FY 2009 MANAGED CARE AVERAGE REIMBURSEMENT RATE, EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. PART V, SEC B, LINE 15E DESCRIPTION OF FAP EXPLANATION METHODS IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE 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 AND PLAIN LANGUAGE SUMMARY WERE WIDELY AVAILABLE AT THE FOLLOWING URL: CHRISTUS St. Frances Cabrini Coushatta- https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policycoushatta.ashx?la=en CHRISTUS St. Frances Cabrini - https://www.christushealth.org/-/media/files/finance-files/financial-assis tance-policy-english/financial-assistance-policycabrini.ashx?la=en http://www.christushealth.org/patient-resources/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16B THE FAP APPLICATIONS WERE WIDELY AVAILABLE AT THE FOLLOWING URL: CHRISTUS St. Frances Cabrini Coushatta- https://www.christushealth.org/-/media/files/finance-files/application-eng lish.ashx?la=en CHRISTUS St. Frances Cabrini - https://www.christushealth.org/-/media/files/finance-files/application-eng lish.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 16J HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY, AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH 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 DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.
SCHEDULE H, PART V, SECTION B, LINE 22D	DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/09 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN THE AVERAGE REIMBURSEMENT RATE FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED 70% OF THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL), 50% OF THE AVERAGE RATE (FOR INCOME LEVELS FROM 201% TO 300% OF FPL) OR RECEIVED free CARE (INCOMES BELOW 200% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHRISTUS CABRINI SURGERY CENTER LLC
15305 DALLAS PARKWAY STE 1600 LB	ADDISON	TX	75001	SURGERY CENTER
CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA
3330 MASONIC DRIVE - 4TH FLOOR	ALEXANDRIA	LA	71301	LTAC
CH HSPC & PALLATIVE CARE ST FRANCES CAB
4801 JACKSON STREET SUITE B	ALEXANDRIA	LA	71301	HOSPICE

Supplemental Information Detail SupplementalInformationDetail (18 entries)

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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 IT ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	PERCENT OF TOTAL EXPENSE FORM 990, PART IX, LINE 25, COLUMN (A) IS $281,209,969 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $8,189,965. THIS LEAVES A TOTAL EXPENSE OF $273,020,004 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 21.80%, 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 CENTRAL LOUISIANA MADE OVER $6,203,183 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 NON-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $80,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH CENTRAL LOUISIANA. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH CENTRAL LOUISIANA SERVES. THE CHRISTUS FUND GRANTS WERE USED FOR HEALTHCARE NAVIGATION IN THE OUT-PATIENT SETTING FOR THE POOR AND UNDERSERVED WITH CHRONIC DISEASES. THE CHRISTUS FUND GRANTS ALSO HELPED TO FUND THE CENTRAL LOUISIANA COALITION TO PREVENT HOMELESSNESS. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS VIA THE CHRISTUS FUND ARE MADE TO NON-PROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). INDIGENT FUNDING EXPENSE OF $6,203,183 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I).
SCHEDULE H, PART I, LINE 7	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: SUBSIDIZED HEALTH SERVICES COST IS AT FMV LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES THE COMMUNITY BUILDING ACTIVITIES REPORTED AT SCHEDULE H, PART II INCLUDE INNER CITY REVITALIZATION PROJECTS, LEADERSHIP DEVELOPMENT, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. 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, SENIORS AND OTHER VULNERABLE POPULATIONS, AND THEY WORK TO PROMOTE PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AS WELL AS 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, WE 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, WE 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 25.25% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. WE GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THEY WERE NOT REPORTED AS BAD DEBT. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE 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. 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 WE GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2018. THUS, WE ESTIMATE 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 IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2018 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT FOOTNOTE THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH UNITED STATES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES AND THE PROVISION FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAYMENT LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLAN; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
SCHEDULE H, PART III, SECTION B, LINE 8	The Medical Center uses Medicare cost report methodology, which apportions routine costs (room and board) based on Medicare or Medicaid days to total days and apportions ancillary costs based on program charges to total charges.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY COLLECTION ACTIVITY OCCURS FOR A MINIMUM OF 60 DAYS ON SELF-PAY ACCOUNTS BEFORE THE PRESUMPTIVE CHARITY PROCESS IS COMPLETED IF NO CONTACT WITH THE PATIENT/GUARANTOR IS MADE. IF THE 60-DAY PERIOD EXPIRES AND NO CONTACT WITH THE PATIENT/GUARANTOR IS MADE OR THERE IS INSUFFICIENT INFORMATION TO DOCUMENT ELIGIBILITY FOR CHARITY CARE, A PRESUMPTION OF ELIGIBILITY MAY BE MADE BASED ON STATISTICAL DATA AND OTHER RELIABLE ASSUMPTIONS. ACCOUNTS WITH A BALANCE OF LESS THAN $2,000 ARE SCREENED FOR CHARITY CARE QUALIFICATION BASED ON SYSTEMATIC SCREENING CRITERIA UNLESS PATIENT CONTACT IS MADE. ACCOUNTS WITH A BALANCE OF $2,000 OR GREATER ARE MANUALLY REVIEWED TO DETERMINE IF ANY POTENTIAL ELIGIBILITY PROGRAMS ARE APPLICABLE BASED UPON FRONT-END SCREENING TOOL DOCUMENTATION AND A REVIEW OF DIAGNOSES AND SERVICES PROVIDED. IF A PATIENT COMPLETES A FINANCIAL AID APPLICATION AND QUALIFIES FOR CHARITY CARE OR FALLS UNDER A CHARITY CARE ACCOUNT BASED ON THE PRESUMPTIVE CHARITY TEST, ALL DEBT COLLECTION ACTIVITIES CEASE. ACCOUNTS THAT ARE NOT DEEMED ELIGIBLE FOR CHARITY CARE OR MEDICAL INDIGENCE WILL CONTINUE THE COLLECTION CYCLE UNTIL THEY ARE WRITTEN OFF AS BAD DEBT.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT THE CHNA REPORT CONTAINS SECONDARY DATA FROM EXISTING SOURCES, SUCH AS THE AMERICAN COMMUNITY SURVEY (ACS), BEHAVIOR RISK FACTOR SURVEILLANCE SURVEY (BRFSS), LOUISIANA TUMOR REGISTRY, AND DATA FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS, AMONG OTHERS. THIS REPORT ALSO INCLUDES INPUT FROM KEY INFORMANTS IN THE REGION, PARTICULARLY THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH, THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL, AND/OR VULNERABLE POPULATIONS IN THE COMMUNITIES SERVED BY THE HOSPITAL. THIS INPUT WAS GATHERED THROUGH INDIVIDUAL INTERVIEWS, A FOCUS GROUP DISCUSSION, A PUBLICALLY-ADVERTISED COMMUNITY VALIDATION MEETING, AND CHNA ADVISORY COMMITTEE MEETINGS. AS A RESULT, FOUR COMMUNITY HEALTH NEEDS WERE IDENTIFIED AS TOP PRIORITIES. THESE PRIORITIES WERE SELECTED BASED OFF OF ISSUE PREVALENCE AND SEVERITY ACCORDING TO PARISH AND REGIONAL SECONDARY DATA IN ADDITION TO THE STAKEHOLDER INPUT PROVIDED. THE TOP NEEDS IDENTIFIED THROUGH THE PROCESS ARE AS FOLLOWS: ACCESS TO CARE, CHRONIC DISEASES, OBESITY, AND LACK OF HEALTH LITERACY AND ACCOUNTABILITY. CHRISTUS HEALTH CENTRAL LOUISIANA WORKS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, ESPECIALLY THE VULNERABLE AND UNDERSERVED POPULATIONS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS HEALTH CENTRAL 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 CENTRAL LOUISIANA INCLUDES THE PREDOMINANTLY RURAL PARISHES OF RAPIDES, VERNON, AVOYELLES, ALLEN, GRANT, CATAHOULA, CONCORDIA, LASALLE, WINN, NATCHITOCHES, RED RIVER, BIENVILLE, AND OUACHITA. WITH THE EXCEPTION OF NATCHITOCHES, ALLEN, AND OUACHITA, THIS SAME AREA COMPRISES REGION VI OF THE OFFICE OF PUBLIC HEALTH. CHRISTUS HEALTH CENTRAL LOUISIANA IS COMPRISED OF TWO HOSPITALS: CHRISTUS ST. FRANCES CABRINI HOSPITAL, WHICH SERVES RAPIDES AND THE NINE SURROUNDING CIVIL PARISHES, AND CHRISTUS COUSHATTA HEALTH CARE CENTER, WHICH IS LOCATED IN RED RIVER PARISH, THE ECONOMICALLY POOREST PARISH IN LOUISIANA.CHRISTUS ST FRANCES CABRINI HOSPITAL SERVES RAPIDES AND ITS NINE SURROUNDING CIVIL PARISHES, WHICH HAVE A TOTAL POPULATION OF MORE THAN 379,000, MORE THAN 21.1% OF WHOM LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, BASED ON THE 2011 LOUISIANA STATE CENSUS. THE AVERAGE INCOME WITHIN THE AREA FOR THE PERIOD 2007-2011 WAS APPROXIMATELY $18,821 PER CAPITA, AND THE MEDIAN HOUSEHOLD INCOME WAS APPROXIMATELY $36,773. FOR ALL OF LOUISIANA, THE AVERAGE INCOME FOR THE PERIOD 2007-2011 WAS $23,853 PER CAPITA, AND THE MEDIAN HOUSEHOLD INCOME WAS APPROXIMATELY $44,086. RAPIDES PARISH, THE NINTH LARGEST PARISH IN THE STATE, IS LOCATED IN THE CENTER OF THE REGION AND INCLUDES THE ONLY URBAN COMMUNITIES. THE CITIES OF ALEXANDRIA AND PINEVILLE SERVE AS THE MAJOR HEALTH, BANKING, AND MERCHANDISING CENTERS FOR A CULTURALLY DIVERSE POPULATION. ALL OF THE PARISHES IN CENTRAL LOUISIANA HAVE BEEN DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). RAPIDES AND AVOYELLES LACK PRIMARY CARE HEALTH PROFESSIONALS, BUT ALL OF THE OTHER PARISHES ALSO LACK MENTAL AND DENTAL HEALTH PROFESSIONALS. CHRISTUS COUSHATTA HEALTH CARE CENTER IS LOCATED IN RED RIVER PARISH AND PREDOMINANTLY SERVES RED RIVER PARISH, BIENVILLE PARISH AND OUACHITA PARISH, WHICH HAVE A TOTAL POPULATION OF 178,244, MORE THAN 22% OF WHOM LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, BASED ON THE 2011 LOUISIANA STATE CENSUS. THE FEDERAL GOVERNMENT HAS DESIGNATED CHRISTUS COUSHATTA HEALTH CARE CENTER A CRITICAL ACCESS HOSPITAL DUE TO THE STRATEGIC LOCATION OF ITS EMERGENCY ROOM, WHICH REDUCES THE TIME THAT PATIENTS WOULD HAVE TO SPEND TRAVELING TO NATCHITOCHES OR SHREVEPORT, LA, FOR TREATMENT. THE PARISHES THAT CHRISTUS HEALTH CENTRAL LOUISIANA SERVE HAVE A LARGE POPULATION OF PERSONS OVER 71 YEARS OF AGE. LACK OF HIGHER EDUCATION IS AN ADDITIONAL FACTOR IN SERVING THE POPULATION OF CHRISTUS HEALTH CENTRAL LOUISIANA, AS AN AVERAGE OF ONLY 16% OF THE POPULATION HAS A COLLEGE DEGREE COMPARED TO A 30% NATIONAL AVERAGE. ADDITIONALLY, 79% OF THE PERSONS LIVING IN THE PARISHES SERVED BY CHRISTUS HEALTH CENTRAL LOUISIANA GRADUATE FROM HIGH SCHOOL AS COMPARED TO THE NATIONAL AVERAGE OF 86%.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH THE CENTRAL LOUISIANA REGION OF CHRISTUS HEALTH RESPONDS TO COMMUNITY NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. FRANCES CABRINI HOSPITAL IN ALEXANDRIA, LA, A 293-BED FACILITY; CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LA, A 25-BED CRITICAL ACCESS HOSPITAL; AND CHRISTUS ST. JOSEPH'S HOME IN MONROE, LA, A LONG-TERM CARE AND ASSISTED LIVING FACILITY WITH 130 LICENSED BEDS AND 60 RESIDENTIAL UNITS. ALL THREE FACILITIES IN THIS REGION SHARE ONE OBJECTIVE OF LEADING THE WAY TOWARD HEALTHIER COMMUNITIES. CHRISTUS HEALTH CENTRAL LOUISIANA'S OTHER HEALTH CARE FACILITIES INCLUDE PARTIAL OWNERSHIP OF CHRISTUS CABRINI SURGERY CENTER, LLC AND PARTIAL OWNERSHIP OF LOUISIANA ATHLETIC CLUB WITH TWO LOCATIONS IN THE COMMUNITIES OF ALEXANDRIA AND PINEVILLE. CHRISTUS HEALTH CENTRAL LOUISIANA ACTIVELY PARTNERS WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. THE ORGANIZATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND PROVIDES ITS HEALTH CARE SERVICES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE, OR NATIONAL ORIGIN. BOTH CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER PROVIDE A 24 HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ST. FRANCES CABRINI HOSPITAL IS THE ONLY CANCER CENTER IN CENTRAL LOUISIANA TO OFFER COMPREHENSIVE CANCER CARE IN A HOSPITAL SETTING. MD ANDERSON CANCER CENTER AT THE UNIVERSITY OF TEXAS AND TULANE UNIVERSITY CANCER CENTER PROTOCOLS ARE AVAILABLE AT CHRISTUS ST. FRANCES CABRINI HOSPITAL, AND AN ACTIVE RESEARCH PROGRAM MAKES CLINICAL TRIALS AVAILABLE TO ELIGIBLE PATIENTS. IT IS ALSO CENTRAL LOUISIANA'S LEADER IN CARDIAC SERVICES AND NEURO MUSCULOSKELETAL SERVICES. CHRISTUS COUSHATTA HEALTH CARE CENTER ALSO OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING CARDIOLOGY, DIABETES CARE, PHYSICAL THERAPY, OPHTHALMOLOGY, ORTHOPEDIC SERVICES, INFUSION THERAPY, AND ADULT PSYCHIATRIC SERVICES. IT IS ALSO A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL DUE TO THE STRATEGIC LOCATION OF ITS EMERGENCY ROOM, WHICH REDUCES THE TIME PATIENTS WOULD HAVE TO SPEND TRAVELING TO NATCHITOCHES, LOUISIANA OR SHREVEPORT, LOUISIANA FOR TREATMENT. CHRISTUS CENTRAL LOUISIANA OFFERED MORE THAN $81,000 IN HEALTH PROFESSIONS EDUCATION DURING FY 2018 INCLUDING STUDENT INTERNSHIPS, CLINICAL EXPERIENCE, AND OTHER EDUCATION FOR PHYSICIANS, NURSES, TECHNICIANS, ADMINISTRATORS, SOCIAL WORKERS, AND THERAPISTS. CHRISTUS ST. FRANCES CABRINI HOSPITAL ALSO PROVIDES MANY FREE HEALTH SCREENINGS AND HEALTH EDUCATION FOR LOCAL ORGANIZATIONS, BUSINESSES, AND COMMUNITY GROUPS IN REGARD TO SUCH TOPICS AS DIABETES, PROSTATE CANCER, COLORECTAL CANCER, AND OTHERS. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK IN THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2018, CHRISTUS HEALTH ADVOCATED FOR IMPROVED PUBLIC POLICIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. AS A NON-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING A CROSS-SECTION OF THE STATE SERVED GUIDES CHRISTUS HEALTH CENTRAL LOUISIANA. THE HOSPITAL'S OPEN MEDICAL STAFF IS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK TO PROVIDE CARE TO COMMUNITIES IN CENTRAL LOUISIANA. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN THESE HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS CENTRAL LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM DESCRIPTION CHRISTUS HEALTH CENTRAL LOUISIANA IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN 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 CENTRAL 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 CENTRAL 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 2012 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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc	Address Line2USAddress/AddressLine2Txt
ALLEN CLINICAL SERVICES
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	463081235	$137,660	INDIGENT CARE FUNDING
EASTERN LOUISIANA CLINICAL SERVICES
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	451779607	$189,283	INDIGENT CARE FUNDING
METAIRIE PHYSICIAN SERVICES
8585 PICARDY AVENUE	BATON ROUGE	LA	70809	461434300	$1,101,280	INDIGENT CARE FUNDING	501(C)(3)
OCHSNER CLINIC FOUNDATION
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720502505	$4,129,800	INDIGENT CARE FUNDING	501(c)(3)
LOUISIANA CLINICAL SERVICES
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	272869360	$120,453	INDIGENT CARE FUNDING
ORLEANS HEALTH SERVICES
80 VERSAILLES BLVD	ALEXANDRIA	LA	71303	473924329	$103,245	INDIGENT CARE FUNDING		STE C
VERMILLION HEALTH SERVICES
80 VERSAILLES BLVD	ALEXANDRIA	LA	71303	811644563	$344,150	INDIGENT CARE FUNDING		STE C
NATCHITOCHES REGIONAL MED CTR FDN
501 KEYSER AVENUE	NATCHITOCHES	LA	71457	760803931	$15,000	SPONSORSHIP	501(C)(3)

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE A 501(C)(3) ORGANIZATION OR AN ORGANIZATION THAT FURTHERS THE HEALTH SYSTEM'S OVERALL EXEMPT PURPOSES AND PROVIDE 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 CERTAIN COUNTIES VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSAN E KEMP MD
DIRECTOR (AS OF 01/2018)	$0	$185,876	$0	$0	$0	$18,297	$0	$0	$0	$16,247	$0	$220,420	$0	$0
NANCY R HELLYER
CHIEF EXEC OFFICER, PRESIDENT	$0	$636,398	$0	$134,413	$0	$25,054	$0	$81,469	$0	$13,742	$0	$891,076	$0	$0
RODNEY MOORE MD THRU 1117
VP, MED AFFAIRS & REGIONAL/CMO	$0	$464,759	$0	$103,638	$0	$73,572	$0	$8,883	$0	$17,173	$0	$668,025	$0	$0
STEPHEN F WRIGHT
REGIONAL PRES/CEO, EX-OFFICIO	$0	$797,193	$0	$325,366	$0	$24,849	$0	$200,529	$0	$24,032	$0	$1,371,969	$0	$0
WENDY WHITE CHANDLER
GROUP VP, HUMAN RESOURCES	$0	$291,067	$0	$81,168	$0	$71	$0	$51,884	$0	$22,732	$0	$446,922	$0	$0
PHILIP COLE
CHIEF MED OFFICER (THRU 07/17)	$0	$284,966	$0	$135,250	$0	$0	$0	$5,994	$0	$0	$0	$426,210	$0	$0
H LES TOMPKINS
DIRECTOR MANAGED CARE	$0	$163,846	$0	$46,032	$0	$150	$0	$7,794	$0	$2,739	$0	$220,561	$0	$0
TANYANIKA L PHILLIPS MD
PHYSICIAN	$342,697	$0	$0	$0	$133,328	$0	$0	$0	$24,531	$0	$500,556	$0	$0	$0
STEVEN J SACCARO MD
PHYSICIAN	$370,549	$0	$0	$0	$45,555	$0	$19,033	$0	$21,360	$0	$456,497	$0	$0	$0
ULLA ULE MD
PHYSICIAN	$334,050	$0	$0	$0	$0	$0	$19,920	$0	$8,966	$0	$362,936	$0	$0	$0
EBENEZER BERKO MD
Physician	$214,802	$0	$0	$0	$115,000	$0	$16,492	$0	$21,115	$0	$367,409	$0	$0	$0
D KIRK SOILEAU
CEO - NATCHITOCHES	$0	$280,253	$0	$74,936	$0	$0	$0	$37,797	$0	$16,129	$0	$409,115	$0	$0
SCOTT MERRYMAN
CFO	$0	$431,168	$0	$138,465	$0	$5,142	$0	$78,583	$0	$9,910	$0	$663,268	$0	$0
JOSHUA R CASON MD
PHYSICIAN	$170,638	$0	$0	$0	$104,169	$0	$16,701	$0	$25,598	$0	$317,106	$0	$0	$0
Bert Tassin
Exec Dir Support Svcs	$151,364	$0	$26,321	$0	$0	$0	$12,631	$0	$8,127	$0	$198,443	$0	$0	$0
CORINNE FRANCIS
Sys Dir Digital Engagement	$0	$253,550	$0	$104,896	$0	$603	$0	$52,824	$0	$15,150	$0	$427,023	$0	$0
CHRISTOPHER JANIK
VP Finance Amb Svcs-PASC		$190,168		$70,452		$0		$9,716		$23,391		$293,727		$0
CATHERINE BLISE
CHIEF NURSE EXECUTIVE	$0	$202,854	$0	$15,000	$0	$32,151	$0	$0	$0	$9,429	$0	$259,434	$0	$0
EUGENE BURGE
PRES SAVOY MEDICAL CENTER	$124,705	$96,512	$0	$0	$0	$0	$6,640	$0	$815	$0	$132,160	$96,512	$0	$0
SHERMAN FOOKES
VP ANCILLARY SERVICES	$0	$183,876	$0	$51,249	$0	$375	$0	$8,304	$0	$23,391	$0	$267,195	$0	$0
SCOTT JOHNSON
VP, STRATEGY - BUS DEVELOPMENT	$0	$210,348	$0	$45,150	$0	$0	$0	$29,167	$0	$24,704	$0	$309,369	$0	$0
CLAIRE LAUZON-VALLONE
VP, QUALITY AND SAFETY	$0	$195,995	$0	$10,000	$0	$15,543	$0	$22,932	$0	$10,563	$0	$255,033	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, LINE 1A & SCH J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
COMPANION TRAVEL	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/EXECUTIVE DIRECTOR'S COMPENSATION	SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS: RODNEY MOORE - $34,347 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, CHRISTOPHER JANIK, SCOTT MERRYMAN, RODNEY MOORE, AND D. KIRK SOILEAU.
SUPPLEMENTAL COMPENSATION INFORMATION	SCHEDULE J, PART II, COLUMN (B)(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2017.
DEFERRED COMPENSATION	SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DOING BUSINESS AS	FORM 990, PART I, LINE C CHRISTUS HEALTH CENTRAL LOUISIANA OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS COUSHATTA HEALTH CARE CENTER CHRISTUS COUSHATTA RINGGOLD RURAL HEALTH CENTER CHRISTUS CABRINI WOUND CARE AND HYPERBARIC CENTER CHRISTUS HEALTH LOUISIANA CHRISTUS HEALTH LOUISIANA MINISTRIES CHRISTUS CABRINI STROKE CENTER Christus St. Frances Cabrini Hospital Christus St. Frances Cabrini Community Clinic Christus Community Health Clinic Christus Community Clinic - Alexandria Christus Community Clinic - Pineville Christus St. Joseph's Home Christus St. Frances Cabrini Health System
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 NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS ST. FRANCES CABRINI ALSO PROVIDES EDUCATIONAL ACTIVITIES INCLUDING STUDENT INTERNSHIPS, CLINICAL EXPERIENCE AND OTHER EDUCATION FOR NURSES, TECHNICIANS, ADMINISTRATORS, SOCIAL WORKERS, THERAPISTS AND PASTORAL CARE PROFESSIONALS. CHRISTUS ST. FRANCES CABRINI HOSPITAL ALSO PROVIDES MANY FREE HEALTH SCREENINGS AND HEALTH EDUCATION FOR LOCAL ORGANIZATIONS, BUSINESSES AND COMMUNITY GROUPS ON DISEASES INCLUDING DIABETES, PROSTATE CANCER, COLORECTAL CANCER AND OTHERS. THE HOSPITAL ALSO PROVIDES MEETING SPACE TO VARIOUS ORGANIZATIONS IN THE COMMUNITY. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2017, 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.
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS 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. 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.
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 DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2019 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, SECTION B, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, SECTION C, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
avail of gov docs, conflict of interest policy, & fin stmts to ge	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 AND FUND BALANCES	FORM 990, PART, XI, LINE 9 ASSETS RELEASE FROM RESTRICTED CAPITAL $(138,696) PENSION FUNDING $(792,280) PENSION LIABILITY EXPENSE $704,057 ICP UNRESTRICTED NET ASSETS- CHF $8,380 CHANGE FROM TEMPORARILY RESTRICTED ASSETS $15,312 CHANGE FROM PERMANENTLY RESTRICTED ASSETS $5,018 ------- TOTAL OTHER CHANGES $(198,209)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:10528899
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:2196430
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1386460
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING SERVICES TOTAL FEES:862224
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:13650861
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:3645141
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:2851272
FORM 990 PART IX LINE 11G	DESCRIPTION:OCCUPANCY RELATED SERVICES TOTAL FEES:2504150

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER ST	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 Dr Michael DeBakey Drive	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (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	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	12 - Type I	CH	Yes (true)
DUBUIS HEALTH SYSTEM INC
1700 WEST LOOP SOUTH STE 1100A	HOUSTON	TX	77027	721270964	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPp HTH SVCs	TX	501(C)(3)	12-Type I	CH	Yes (true)
ST FRANCES CABRINI HOSPFDN OF ALEXANDR
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HTH SVCS	LA	501(C)(3)	7	CNLA	Yes (true)
ST FRANCES CABRINI HOSPITAL AUXILIARY
3330 Masonic Drive	Alexandria	LA	71301	237255175	SUPP HTH SVCS	LA	501(C)(3)	10	CNLA	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE I	CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	464617988	MEDICAID HMO	LA	501(C)(4)		CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
919 HIDDEN RIDGE ROAD	IRVING	TX	75038	465203505	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HEALTH SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS TRINITY MOTHER FRANCES HS
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HLTHCARE SVCS	TX	501(C)(3)	12, TYPE II	CH	Yes (true)
GSHS INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	HLTHCARE SVCS	TX	501(C)(3)	12, TYPE II	CH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LA ATHLETIC CLUB LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1140 COLLEGE DR	AddressLine1Txt
City	PINEVILLE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71360	ZIPCd

Field	Value	IRS element (for citing)
EIN	721461793	EIN
Primary Activities	HEALTH CLUB	PrimaryActivitiesTxt
Legal Domicile State	LA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Share Of Total Income	$139,826	ShareOfTotalIncomeAmt
Share Of EOY Assets	$869,111	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.60000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CHRISTUS MUGUERZA SAPI DE CV
HIDALGO PTE 2525	COL OBISPADO MONTERREY	N.L.	MX	64060	HEALTHCARE SV	MX	CH	C-CORP	Yes (true)
EMERALD ASSURANCE CAYMAN LTD
PO BOX 1051	GRAND CAYMAN		CJ	KY1-1-1102	INSURANCE	CJ	CH	C-CORP	Yes (true)	980407545
EVANGELINE CLINICAL SERVICES INC
					HEALTHCARE SVC		CNLA	C-CORP	Yes (true)	463977886	3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	LA	$845,830	$119,665	1.00000
CHRISTUS LOUISIANA QUALITY ALLIANCE
					ACO		CH	C CORP	Yes (true)	474618648	919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	LA
Christus Connected Care Network
					SPT HLTH SVCS		CH	C-CORP	Yes (true)	473403356	919 Hidden Ridge	Irving	TX	75035	TX

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

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CH WILKINSON PHYSICIAN NETWORK
J	$213,510	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
L	$5,678,235	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
M	$5,588,504	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
M	$254,635	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
O	$1,031,233	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
Q	$445,299	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
O	$237,417	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$182,949	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
M	$169,668	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
O	$568,004	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Q	$264,785	ACCRUAL
CHRISTUS CONTINUING CARE
J	$82,386	ACCRUAL
CHRISTUS CONTINUING CARE
M	$163,699	ACCRUAL
ST FRANCIS CABRINI HOSPITAL FOUNDATION
B	$175,592	ACCRUAL
ST FRANCIS CABRINI HOSPITAL FOUNDATION
C	$77,034	ACCRUAL