2019-05-14T20:04:48-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST STE 600 FORT WORTH TX 76102 990 2017-07-01 720408984 CHRISTUS HEALTH CENTRAL LOUISIANA % JOHN SHAUGHNESSY CHRI 3184871122 919 HIDDEN RIDGE DRIVE IRVING TX 75038 SCOTT MERRYMAN CFO 3184466000 2019-05-14 true KATHLEEN MOSELEY P00116760 8173351900 162.237.134.121 75303520191345000015 2019-05-14 P D6EB407DAF12735B008E2257FAB59FAAE1F4B864 3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C 2017 2019-02-21 02:37:17Z SEE SCHEDULE O STEPHEN F WRIGHT 3330 MASONIC DRIVE ALEXANDRIA LA 71301 308647516 false 0928 X WWW.CHRISTUSSTFRANCESCABRINI.ORG X 1946 LA SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 15 12 2573 78 855846 138534 5353605 4336553 314442941 302208051 -538 -38438 925792 2090859 320721800 308597025 3735140 6209146 0 0 110927430 111816086 0 0 503853 167136963 163184737 281799533 281209969 38922267 27387056 352145888 366147430 144485565 131164579 207660323 234982851 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS false false 44673500 0 100534948 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. 126790472 0 115022851 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. 58737557 0 87932326 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. 7955823 6209146 0 238157352 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 333 0 true 2573 true true true false false false false false false false false false X 15 12 true false false false true true true true true false false true true true true true true true true true true X JOHN SHAUGHNESSY 3185617172 3330 MASONIC DRIVE ALEXANDRIA LA 71301 X BERNARD S JOHNSON DIRECTOR/ VICE CHAIR 1.0 2.0 X X 0 0 0 MARTIN W JOHNSON DIRECTOR 1.0 2.0 X 0 0 0 SISTER THERESA MCGRATH CCVI DIRECTOR (THRU 12/2017) 1.0 2.0 X 0 0 0 SISTER MIRIAM MILLER CCVI DIRECTOR 1.0 2.0 X 0 0 0 NANCY STICH DIRECTOR 1.0 2.0 X 0 0 0 WILLIE C WHITE III DIRECTOR 1.0 2.0 X 0 0 0 MICHELLE M COLLINS DIRECTOR (AS OF 01/2018) 1.0 2.0 X 0 0 0 GAVIN CHICO MD DIRECTOR 1.0 2.0 X 0 0 0 MOSELLE A DEARBONE DIRECTOR 1.0 2.0 X 0 0 0 ROBERT T CHANDLER DIRECTOR 1.0 2.0 X 0 0 0 ALOYSIA DUCOTE DIRECTOR 1.0 2.0 X 0 0 0 RONALD JOHNS DIRECTOR 1.0 2.0 X 0 0 0 SUSAN E KEMP MD DIRECTOR (AS OF 01/2018) 1.0 2.0 X 0 204173 16247 MICHAEL D STRATTON MD DIRECTOR (TERM 12/17) 1.0 2.0 X 0 0 0 HARRY R HAWTHORN MD DIRECTOR 1.0 2.0 X 0 0 0 ROBERT L RUMSEY DIRECTOR (THRU 12/2017) 1.0 2.0 X 0 0 0 DALLAS HIXSON CHAIRPERSON 1.0 2.0 X X 0 0 0 NANCY R HELLYER CHIEF EXEC OFFICER, PRESIDENT 1.0 39.0 X X 0 795865 95211 KIM M KELSCH Regional Corporate Secretary 20.0 20.0 X 87047 0 17231 SCOTT MERRYMAN CFO 1.0 39.0 X 0 574775 88493 RODNEY MOORE MD THRU 1117 VP, MED AFFAIRS & REGIONAL/CMO 1.0 39.0 X 0 641969 26056 STEPHEN F WRIGHT REGIONAL PRES/CEO, EX-OFFICIO 1.0 39.0 X 0 1147408 224561 WENDY WHITE CHANDLER GROUP VP, HUMAN RESOURCES 1.0 39.0 X 0 372306 74616 PHILIP COLE CHIEF MED OFFICER (THRU 07/17) 1.0 39.0 X 0 420216 5994 H LES TOMPKINS DIRECTOR MANAGED CARE 1.0 39.0 X 0 210028 10533 D KIRK SOILEAU CEO - NATCHITOCHES 1.0 39.0 X 0 355189 53926 Bert Tassin Exec Dir Support Svcs 40.0 0.0 X 177685 0 20758 CATHERINE BLISE CHIEF NURSE EXECUTIVE 1.0 39.0 X 0 250005 9429 EUGENE BURGE PRES SAVOY MEDICAL CENTER 1.0 39.0 X 124705 96512 7455 SHERMAN FOOKES VP ANCILLARY SERVICES 1.0 39.0 X 0 235500 31695 SCOTT JOHNSON VP, STRATEGY - BUS DEVELOPMENT 1.0 39.0 X 0 255498 53871 CLAIRE LAUZON-VALLONE VP, QUALITY AND SAFETY 1.0 39.0 X 0 221538 33495 TANYANIKA L PHILLIPS MD PHYSICIAN 40.0 0.0 X 476025 0 24531 STEVEN J SACCARO MD PHYSICIAN 40.0 0.0 X 416104 0 40393 ULLA ULE MD PHYSICIAN 40.0 0.0 X 334050 0 28886 EBENEZER BERKO MD Physician 40.0 0.0 X 329802 0 37607 JOSHUA R CASON MD PHYSICIAN 40.0 0.0 X 274807 0 42299 CORINNE FRANCIS Sys Dir Digital Engagement 0.0 40.0 X 0 359049 67974 CHRISTOPHER JANIK VP Finance Amb Svcs-PASC 0.0 40.0 X 0 260620 33107 2220225 6400651 1044368 90 true true false GJERSET AND LORENZ LLP 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 LEGAL SERVICES 3135615 MEDASSETS SUPPLY CHAIN SYSTEMS LLC PO BOX 742081 ATLANTA GA 303742081 MEDICAL SERVICES 2259165 CAPTURIS 3103 NYGREN DRIVE MANDAN ND 58554 BILLING SERVICES 1985011 PAT WILLIAMS CONSTRUCTION LLC 1601 SOUTH 5TH STREET LEESVILLE LA 71446 CONSTRUCTION SVCS 1939019 HOSPITAL HOUSEKEEPING SYSTEMS LLC 216 EAST 4TH STREET AUSTIN TX 78701 HSPTL HOUSEKEEPING 1877619 139 175592 3963587 197374 4336553 NET PATIENT SERVICE REVENUE 621990 297601141 297200852 400289 RENT RELATED TO EXEMPT FUNCTION 531120 2483967 2483967 PHARMACY REVENUE 446110 1073662 1073662 PROGRAM RELATED INVESTMENT INCOME 900099 997107 846664 150443 COMMUNITY HEALTH 621110 28950 28950 23224 23224 302208051 8553 8553 0 0 0 0 0 3500 50491 -46991 -46991 -46991 0 0 0 0 0 0 0 0 0 MANAGEMENT SERVICE 541610 771601 305114 466487 FOOD SERVICE REVENUE 722210 37184 37184 MED RECORDS TRANS 900099 21104 21104 1260970 1260970 2090859 308597025 302939393 855846 465233 X 6209146 6209146 0 0 0 389437 339956 48759 722 0 88508908 77263346 11081584 163978 724670 704057 20613 15840084 11674714 4143167 22203 6352987 5551890 788605 12492 986223 986223 1903674 2420 1901254 837038 837038 40495 40495 0 0 37625437 21364652 16239851 20934 26086 11604 13935 547 20799640 14944538 5850860 4242 11691304 11691304 0 6349137 5825587 523550 498761 271646 227115 0 204659 75741 128320 598 8350192 8350192 0 14554919 14514285 40634 3359057 3359057 MEDICAL SUPPLIES 42516582 42238932 277650 PROV-UNCOLLECTIBLE ACCTS 8189965 8189965 TAXES 3750962 3639193 111769 MEALS & ENTERTAINMENT 695318 623200 70861 1257 805288 325704 429819 49765 281209969 238157352 42548764 503853 191090661 209187572 3375 3375 0 0 24522445 25453187 0 0 0 0 199250 27670 5553020 5712366 1325220 1228499 399091921 276748642 127124477 122343279 0 6285 0 0 1634500 1548611 594855 445653 98085 190933 352145888 366147430 32683610 19846118 0 0 213006 219649 0 0 0 0 0 0 0 0 0 0 111588949 111098812 144485565 131164579 X 207442052 234744220 223319 238631 -5048 0 207660323 234982851 352145888 366147430 X 27387056 133681 -198209 X false true X true true true X false false false true false false true 40495 false false 40495 false 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. 13015819 13015819 178430444 109754093 68676351 9430376 5963765 3466611 189601474 156086156 33515318 8613808 4944628 3669180 122343279 166377 DUE TO CHRISTUS HEALTH BOND FUND 102716495 DUE TO RELATED ORGANIZATION 7726121 STATE SALES TAX PAYABLE 231785 OTHER LONG TERM LIABILITIES 151916 SECURED MORTGAGE 106118 111098812 X FORM 990, PART X, LINE 1 CASH - NON-BEARING INTEREST CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS UNDER ASC 740 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2018 AND 2017. true true X true X true X true true true false true true 4851895 4851895 0.01780 46763607 31043199 15720408 0.05760 51615502 31043199 20572303 0.07540 27 51008 1616062 6201 1609861 0.00590 3 1587 81522 81522 0.00030 1 15471 15471 0.00010 5 35 6203183 6203183 0.02270 36 52630 7916238 6201 7910037 0.02900 36 52630 59531740 31049400 28482340 0.10440 2 45786 45786 0.00020 2 45786 45786 0.00020 true 8189965 56374 89241400 85006368 4235032 X true true C CABRINI SURG CTR SURGERY CENTER 0.3387 0.4194 C DUBIUS HSPTL LTAC 0.4 C HOSPICE & PALLIA HOSPICE CARE 0.4 3 1 CHRISTUS ST FRANCES CABRINI HOSPITAL 3330 MASONIC DRIVE ALEXANDRIA LA 71301 WWW.CHRISTUSSTFRANCESCABRINI.ORG 234 720408984 X X X A 2 CHRISTUS ST JOSEPH HOME 2301 STERLINGTON ROAD MONROE LA 71203 WWW.CHRISTUSSTJOSEPHSHOME.ORG 874 COMPREHENSIVE SENIOR CAMPUS; SKILLED NURSING FACILITY A 3 CHRISTUS COUSHATTA HEALTH CARE CENTER 1635 MARVEL STREET COUSHATTA LA 71019 WWW.CHRISTUSCOUSHATTA.ORG 551 X X A A 13 false false true X X X X X X X X X 15 true false false true X SEE SECTION C X true 15 true SEE SECTION C false true X 200. 400. X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X X false X false X X X X X true X false false 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. 3 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 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 true ALLEN CLINICAL SERVICES 3330 MASONIC DRIVE ALEXANDRIA LA 71301 463081235 137660 INDIGENT CARE FUNDING EASTERN LOUISIANA CLINICAL SERVICES 3330 MASONIC DRIVE ALEXANDRIA LA 71301 451779607 189283 INDIGENT CARE FUNDING METAIRIE PHYSICIAN SERVICES 8585 PICARDY AVENUE BATON ROUGE LA 70809 461434300 501(C)(3) 1101280 INDIGENT CARE FUNDING OCHSNER CLINIC FOUNDATION 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720502505 501(c)(3) 4129800 INDIGENT CARE FUNDING LOUISIANA CLINICAL SERVICES 3330 MASONIC DRIVE ALEXANDRIA LA 71301 272869360 120453 INDIGENT CARE FUNDING ORLEANS HEALTH SERVICES 80 VERSAILLES BLVD STE C ALEXANDRIA LA 71303 473924329 103245 INDIGENT CARE FUNDING VERMILLION HEALTH SERVICES 80 VERSAILLES BLVD STE C ALEXANDRIA LA 71303 811644563 344150 INDIGENT CARE FUNDING NATCHITOCHES REGIONAL MED CTR FDN 501 KEYSER AVENUE NATCHITOCHES LA 71457 760803931 501(C)(3) 15000 SPONSORSHIP 3 6 SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE 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. X true true true true false false false false false false false SUSAN E KEMP MD DIRECTOR (AS OF 01/2018) 0 185876 0 0 0 18297 0 0 0 16247 0 220420 0 0 NANCY R HELLYER CHIEF EXEC OFFICER, PRESIDENT 0 636398 0 134413 0 25054 0 81469 0 13742 0 891076 0 0 RODNEY MOORE MD THRU 1117 VP, MED AFFAIRS & REGIONAL/CMO 0 464759 0 103638 0 73572 0 8883 0 17173 0 668025 0 0 STEPHEN F WRIGHT REGIONAL PRES/CEO, EX-OFFICIO 0 797193 0 325366 0 24849 0 200529 0 24032 0 1371969 0 0 WENDY WHITE CHANDLER GROUP VP, HUMAN RESOURCES 0 291067 0 81168 0 71 0 51884 0 22732 0 446922 0 0 PHILIP COLE CHIEF MED OFFICER (THRU 07/17) 0 284966 0 135250 0 0 0 5994 0 0 0 426210 0 0 H LES TOMPKINS DIRECTOR MANAGED CARE 0 163846 0 46032 0 150 0 7794 0 2739 0 220561 0 0 TANYANIKA L PHILLIPS MD PHYSICIAN 342697 0 0 0 133328 0 0 0 24531 0 500556 0 0 0 STEVEN J SACCARO MD PHYSICIAN 370549 0 0 0 45555 0 19033 0 21360 0 456497 0 0 0 ULLA ULE MD PHYSICIAN 334050 0 0 0 0 0 19920 0 8966 0 362936 0 0 0 EBENEZER BERKO MD Physician 214802 0 0 0 115000 0 16492 0 21115 0 367409 0 0 0 D KIRK SOILEAU CEO - NATCHITOCHES 0 280253 0 74936 0 0 0 37797 0 16129 0 409115 0 0 SCOTT MERRYMAN CFO 0 431168 0 138465 0 5142 0 78583 0 9910 0 663268 0 0 JOSHUA R CASON MD PHYSICIAN 170638 0 0 0 104169 0 16701 0 25598 0 317106 0 0 0 Bert Tassin Exec Dir Support Svcs 151364 0 26321 0 0 0 12631 0 8127 0 198443 0 0 0 CORINNE FRANCIS Sys Dir Digital Engagement 0 253550 0 104896 0 603 0 52824 0 15150 0 427023 0 0 CHRISTOPHER JANIK VP Finance Amb Svcs-PASC 190168 70452 0 9716 23391 293727 0 CATHERINE BLISE CHIEF NURSE EXECUTIVE 0 202854 0 15000 0 32151 0 0 0 9429 0 259434 0 0 EUGENE BURGE PRES SAVOY MEDICAL CENTER 124705 96512 0 0 0 0 6640 0 815 0 132160 96512 0 0 SHERMAN FOOKES VP ANCILLARY SERVICES 0 183876 0 51249 0 375 0 8304 0 23391 0 267195 0 0 SCOTT JOHNSON VP, STRATEGY - BUS DEVELOPMENT 0 210348 0 45150 0 0 0 29167 0 24704 0 309369 0 0 CLAIRE LAUZON-VALLONE VP, QUALITY AND SAFETY 0 195995 0 10000 0 15543 0 22932 0 10563 0 255033 0 0 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. 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 CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER ST BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 Dr Michael DeBakey Drive LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(C)(3) 3 CH true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(C)(3) 12 - Type I CH true DUBUIS HEALTH SYSTEM INC 1700 WEST LOOP SOUTH STE 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING TX 75038 611500100 SUPp HTH SVCs TX 501(C)(3) 12-Type I CH true ST FRANCES CABRINI HOSPFDN OF ALEXANDR 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720998302 SUPP HTH SVCS LA 501(C)(3) 7 CNLA true ST FRANCES CABRINI HOSPITAL AUXILIARY 3330 Masonic Drive Alexandria LA 71301 237255175 SUPP HTH SVCS LA 501(C)(3) 10 CNLA true CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 462798043 SUPP HTH SVCS TX 501(C)(3) 12-TYPE I CH true CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE DRIVE IRVING TX 75038 464617988 MEDICAID HMO LA 501(C)(4) CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE ROAD IRVING TX 75038 465203505 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HEALTH SVCS TX 501(C)(3) 3 CH true CHRISTUS TRINITY MOTHER FRANCES HS 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HLTHCARE SVCS TX 501(C)(3) 12, TYPE II CH true GSHS INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 HLTHCARE SVCS TX 501(C)(3) 12, TYPE II CH true LA ATHLETIC CLUB LLC 1140 COLLEGE DR PINEVILLE LA 71360 721461793 HEALTH CLUB LA CNLA N/A 139826 869111 false false 0.60000 CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 COL OBISPADO MONTERREY N.L. MX 64060 HEALTHCARE SV MX CH C-CORP true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN CJ KY1-1-1102 980407545 INSURANCE CJ CH C-CORP true EVANGELINE CLINICAL SERVICES INC 3330 MASONIC DRIVE ALEXANDRIA LA 71301 463977886 HEALTHCARE SVC LA CNLA C-CORP 845830 119665 1.00000 true CHRISTUS LOUISIANA QUALITY ALLIANCE 919 HIDDEN RIDGE DRIVE IRVING TX 75038 474618648 ACO LA CH C CORP true Christus Connected Care Network 919 Hidden Ridge Irving TX 75035 473403356 SPT HLTH SVCS TX CH C-CORP true false true true false false false false false false true false true true false true true true true false CH WILKINSON PHYSICIAN NETWORK J 213510 ACCRUAL CH WILKINSON PHYSICIAN NETWORK L 5678235 ACCRUAL CH WILKINSON PHYSICIAN NETWORK M 5588504 ACCRUAL CHRISTUS HEALTH NORTHERN LOUISIANA M 254635 ACCRUAL CHRISTUS HEALTH NORTHERN LOUISIANA O 1031233 ACCRUAL CHRISTUS HEALTH NORTHERN LOUISIANA Q 445299 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS O 237417 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS Q 182949 ACCRUAL CHRISTUS HEALTH SOUTHWESTERN LOUISIANA M 169668 ACCRUAL CHRISTUS HEALTH SOUTHWESTERN LOUISIANA O 568004 ACCRUAL CHRISTUS HEALTH SOUTHWESTERN LOUISIANA Q 264785 ACCRUAL CHRISTUS CONTINUING CARE J 82386 ACCRUAL CHRISTUS CONTINUING CARE M 163699 ACCRUAL ST FRANCIS CABRINI HOSPITAL FOUNDATION B 175592 ACCRUAL ST FRANCIS CABRINI HOSPITAL FOUNDATION C 77034 ACCRUAL