2017-05-09T16:33:46-05:00 2016-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST STE 600 FORT WORTH TX 76102 990 2015-07-01 742898615 CHRISTUS CONTINUING CARE % MICHAEL MURRAY CHRI 4692822000 919 Hidden Ridge Drive Irving TX 75038 MICHAEL MURRAY CFO 4692822000 2017-05-09 true KATHLEEN MOSELEY P00116760 8173351900 2015 2021-01-29 14:40:06Z SEE Schedule O PAUL GENERALE 919 HIDDEN RIDGE IRVING TX 75038 92033233 false 0928 X http://www.christuscontinuingcare.org X 1998 TX CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING HEALTH CARE SERVICES, INCLUDING HOME HEALTH, HOSPICE, AND LONG TERM ACUTE CARE HOSPITAL SERVICES. 4 1 1760 117 1246535 -979723 507753 255751 86942511 89506491 1041112 177006 5096481 2093985 93587857 92033233 18675 30309 0 0 61529652 58388077 0 0 0 42208532 36218181 103756859 94636567 -10169002 -2603334 20823631 19035034 42182846 43225874 -21359215 -24190840 X THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. false false 80776141 30309 89506491 CHRISTUS CONTINUING CARE IS A NONPROFIT CORPORATION PROVIDING HEALTH CARE AND HOSPICE SERVICES. THE MISSION OF CHRISTUS CONTINUING CARE IS TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE MISSION IS FULFILLED THROUGH COMMUNITY PROGRAMS, LONG TERM ACUTE CARE HOSPITAL SERVICES, AND QUALITY HOME CARE THAT CONSIDERS PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF THE PATIENTS SERVED. CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF CHRISTUS CONTINUING CARE. IN ORDER TO CONTINUE TO IMPROVE AND ENHANCE THE HOME CARE AND HOSPICE SERVICES PROVIDED TO PATIENTS, CHRISTUS CONTINUING CARE HAS CONSOLIDATED THE HOME CARE AND HOSPICE SERVICES IN SEVERAL CHRISTUS HEALTH REGIONS. DURING THE FISCAL YEAR ENDING JUNE 30, 2016, CHRISTUS CONTINUING CARE PROVIDED 112,094 HOME HEALTH VISITS, 105,874 HOSPICE PATIENT DAYS, 418,022 BILLABLE HOURS OF COMMUNITY BASED PROGRAMS AND 36,401 LONG-TERM ACUTE CARE PATIENT DAYS. CHRISTUS CONTINUING CARE IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 151-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. 80776141 true true false false 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 243 0 true 1760 true true true false false false false false false false false false X 4 1 false false false false true true true true true false false true true true true true true true true false X MICHAEL MURRAY 4692822299 919 HIDDEN RIDGE DRIVE IRVING TX 75038 ERNIE SADAU Dir Eff 7/15-Chair THRU 12/15 1.0 39.0 X X 0 3825120 737410 EUGENE WOODS DIRECTOR THRU 3/2016 1.0 39.0 X 0 2196107 391431 RANDY SAFADY DIRECTOR 1.0 39.0 X 0 1875304 384467 DENNIS STINE Director/Chair EFF 1/2016 1.0 0.0 X X 0 9678 0 PAUL GENERALE President/CEO/Director 1.0 39.0 X X 0 1294900 286580 MIKE MURRAY CFO/Treasurer EFF 7/2015 38.0 2.0 X 186385 9810 68507 MARIE MARQUEZ DEPUTY CORP SEC THRU 5/2016 1.0 40.0 X 0 50689 3301 Jenny Turner Secretary EFF 5/2016 1.0 39.0 X 0 63437 3202 MELISSA WILLIAMS Assistant Treasurer EFF 2/2016 1.0 39.0 X 0 305103 86501 JAN HAMILTON CRAWFORD Pres. Christus Dubuis Hlth Sys 40.0 0.0 X 253966 0 35148 PAMELA KENNEDY VP HUMAN RESOURCES 40.0 0.0 X 0 234110 64772 DEAN ALVERSON PRESIDENT, CHRISTUS HOME CARE 40.0 0.0 X 206588 0 363 JOSEPH E OJEMENI PHARMACY MANAGER 40.0 0.0 X 192316 0 2808 PETER B JOHNSON DIRECTOR OF PHARMACY 40.0 0.0 X 187101 0 2160 TROY D FELIX REG CLIN ADMIN QLTY/PT ST 40.0 0.0 X 180286 0 2160 RAQUEL A GLORIOSO CHARGE RN 40.0 0.0 X 173812 0 2829 GARY L KEMPF ADMINISTRATOR 40.0 0.0 X 170435 0 1320 CHRISTOPHER KARAM PRESIDENT/CEO TERMED 3/2015 0.0 40.0 X 0 1013002 255403 PATRICK CARRIER FMR PRES/CEO(TERM 2/27/10) 0.0 40.0 X 0 1234551 220170 LINDA MCCLUNG FMR BD MBR/INT CEO/PRES 0.0 40.0 X 0 1436480 336734 1550889 13548291 2885266 94 true true false GOSS BUILDING INCORPORATED 2455 WEST CARDINAL DRIVE BEAUMONT TX 77705 CONSTRUCTION SVCS 450918 HOMECARE HOMEBASE LLC 6688 N CENTRAL EXPRESSWAY Suite 80 DALLAS TX 75206 PURCHASED SERVICES 269596 DAYMARCK LLC 6405 METCALF suite 108 OVERLAND PARK KS 66202 PURCHASED SERVICES 261296 RENAL CENTER OF WEST BEAUMONT LLC 1626 COLE BOULEVARD Suite 100 LAKEWOOD CO 80401 MEDICAL SERVICES 203487 CAREFUSION SOLUTIONS LLC 3750 TORREY VIEW COURT SAN DIEGO CA 92130 MEDICAL SERVICES 203183 12 0 255751 0 255751 NET PATIENT SERVICE REVENUE 621610 89426579 89426579 0 0 EQUITY IN UNCONSOLIDATED SUB 900099 79912 79912 0 0 89506491 2382 2382 0 0 0 0 0 174624 174624 174624 174624 0 0 0 MANAGEMENT FEE REVENUE 561000 1869263 0 1246535 622728 Other Operating Revenue 900099 216183 0 0 216183 MEDICAL RECORDS TRANS 900099 4750 0 0 4750 3789 0 3789 2093985 92033233 89506491 1246535 1024456 30309 30309 0 0 0 0 0 0 548935 482943 65992 0 0 0 0 0 49066472 43167754 5898718 0 137568 296112 -158544 0 5131375 4620724 510651 0 3503727 3161478 342249 0 0 0 0 0 13621 2211 11410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9886955 6185022 3701933 36329 30710 5619 0 7615576 5942608 1672968 0 1514210 1514210 0 0 0 0 0 0 4444633 4037380 407253 0 1485592 1246994 238598 0 0 0 0 0 172557 89887 82670 0 1022 1022 0 0 0 0 0 0 1295035 721169 573866 0 741085 234042 507043 0 MEDICAL SUPPLIES 6742879 6742879 0 0 PROVISION FOR UNCOLL ACCT 1445359 1445359 0 0 Loss-Impairment Goodwill 280958 280958 0 0 RECRUITMENT/PLACEMENT FEES 155101 155101 387269 387269 94636567 80776141 13860426 0 0 737158 3403 0 0 0 0 13270693 12897270 0 0 0 0 28961 0 592902 438307 921187 274471 24839001 20120805 3810996 4718196 128566 121759 0 0 724676 581628 608492 0 0 0 20823631 19035034 12489907 10757155 0 0 2831326 2864104 0 0 0 0 0 0 0 0 0 0 26861613 29604615 42182846 43225874 X -21513750 -24334229 136469 125323 18066 18066 -21359215 -24190840 20823631 19035034 X -2603334 0 0 0 0 -228291 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1689990 1408272 281718 4149529 3717196 432333 15899943 12986199 2913744 3099539 2009138 1090401 4718196 0 CASH MANAGEMENT SYSTEM ALLOCATION 27838730 Due to Related Organizations 1765885 29604615 X FORM 990, PART X, LINE 1 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. FORM 990, SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2016 AND 2015. true true X true X true X true true true false true true 1006805 1006805 0.01080 12714318 11120443 1593875 0.01710 13721123 11120443 2600680 0.02790 19 29622 67687 67687 0.00070 4 686 11033 11033 0.00010 3 20 6042 6042 0.00010 26 30328 84762 84762 0.00090 26 30328 13805885 11120443 2685442 0.02880 2 330 1028 1028 0.00000 2 7908 7908 0.00010 4 330 8936 8936 0.00010 true 1445359 53912 37181497 48340127 -11158630 X true true 7 1 DUBUIS HOSPITAL OF BEAUMONT 2830 CALDER AVE 4TH FLOOR BEAUMONT LA 77702 WWW.CHRISTUSDUBUIS.ORG 100022 X LONG-TERM ACUTE CARE FACILITY A 2 DUBUIS HOSPITAL OF ALEXANDRIA 3330 MASONIC DRIVE 4TH FLOOR ALEXANDRIA LA 71301 WWW.CHRISTUSDUBUIS.ORG 664 X LONG-TERM ACUTE CARE FACILITY A 3 DUBUIS HOSPITAL OF BRYAN 1600 ST JOSEPH DR 2ND FLOOR BRYAN TX 77802 WWW.CHRISTUSDUBUIS.ORG 100024 X LONG-TERM ACUTE CARE FACILITY A 4 DUBUIS HOSPITAL OF PORT ARTHUR 3600 GATES BLVD 3RD FLOOR PORT ARTHUR TX 77643 WWW.CHRISTUSDUBUIS.ORG 100022 X LONG-TERM ACUTE CARE FACILITY A 5 DUBUIS HOSPITAL OF PARIS 820 CLARKSVILLE 6TH FLOOR PARIS TX 75460 WWW.CHRISTUSDUBUIS.ORG 100178 X LONG-TERM ACUTE CARE FACILITY A 6 DUBUIS HOSPITAL OF FORT SMITH 7301 ROGERS AVE 4TH FLOOR FORT SMITH AR 72903 WWW.CHRISTUSDUBUIS.ORG/FORTSMITH AR5071 X LONG-TERM ACUTE CARE FACILITY A 7 CHRISTUS DUBUIS OF HOT SPRINGS 300 WERNER ST 3RD FLOOR HOT SPRINGS AR 71913 WWW.CHRISTUSDUBUIS.ORG/HOTSPRINGS AR5070 X LONG-TERM ACUTE CARE FACILITY A A 17 false false true X X X X X X X X X 15 true false false true X WWW.CHRISTUSCONTINUINGCARE.ORG X true 15 true WWW.CHRISTUSCONTINUINGCARE.ORG true false true X 200. 400. X X X X false true X X X X X true X X X false X false X X false X X X false false PART V, SECTION A DUBUIS HOSPITAL OF BRYAN CLOSED IN JANUARY 2016. PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY COMMUNITY ASSESSMENT WAS CONDUCTED FOR THE 1.4 MILLION RESIDENTS OF THE FOUR AREAS DEFINING CHRISTUS CONTINUING CARE (CCC). CCC IS COMPRISED OF CHRISTUS DUBUIS PARIS, ALEXANDRIA COMMUNITY, BEAUMONT PORT ARTHUR, AND BRYAN COMMUNITY. CHRISTUS DUBUIS HOSPITAL OF PARIS PARIS REGIONAL MEDICAL CENTER - NORTH, PARIS REGIONAL MEDICAL CENTER - SOUTH CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA AVOYELLES HOSPITAL, BUNKIE GENERAL HOSPITAL, NO HOSPITALS IN PARISH, ALEXANDRIA VA HEALTH CARE SYSTEM, CENTRAL LOUISIANA STATE HOSPITAL, CENTRAL LOUISIANA SURGICAL HOSPITAL, CHRISTUS ST. FRANCES CABRINI HOSPITAL, CROSSROADS REGIONAL HOSPITAL, HEALTHSOUTH REHABILITATION HOSPITAL, HUEY P. LONG MEDICAL CENTER, OCEANS BEHAVIORAL HOSPITAL OF ALEXANDRIA, RAPIDES REGIONAL MEDICAL CENTER, RIVERSIDE HOSPITAL OF LA CHRISTUS DUBUIS HOSPITAL OF BRYAN COLLEGE STATION MEDICAL CENTER, ST. JOSEPH REGIONAL HEALTH CENTER, THE PHYSICIANS CENTRE HOSPITAL, BURLESON ST. JOSEPH CENTER, GRIMES SAINT JOSEPH HEALTH CENTER, MADISON SAINT JOSEPH HEALTH CENTER, CENTRAL TEXAS HOSPITAL, RICHARDS MEMORIAL HOSPITAL, ASPIRE BEHAVIORAL HOSPITAL, CONROE REGIONAL MEDICAL CENTER, HEALTH SOUTH REHABILITATION HOSPITAL, KINGWOOD MEDICAL CENTER, MEMORIAL HERMANN THE WOODLANDS HOSPITAL, NEXUS SPECIALTY HOSPITAL, NEXUS SPECIALTY HOSPITAL RELIANT NORTH HOUSTON, SAINT LUKE'S COMMUNITY MEDICAL CENTER, SAINT LUKE'S LAKESIDE HOSPITAL, SOLARA HOSPITAL, TOUCHSTONE NEURORECOVERY CENTER, SCOTT & WHITE HOSPITAL CHRISTUS DUBUIS HOSPITAL OF BEAUMONT PORT ARTHUR HARBOR HOSPITAL, HEALTHSOUTH, KATE DISHMAN REHAB HOSPITAL, MID-JEFFERSON HOSPITAL, THE MEDICAL CENTER OF SOUTHEAST TEXAS, VICTORY MEDICAL CENTER, BEAUMONT BONE AND JOINT INSTITUTE, BAPTIST HOSPITAL OF SOUTHEAST TEXAS THIS SUMMARY IS DOCUMENTATION THAT CHRISTUS CONTINUING CARE, IS IN COMPLIANCE WITH THE IRS REQUIREMENTS FOR CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. PART V, SECTION B, LINE 11 CHRISTUS DUBUIS HEALTH SYSTEM FACILITIES CONDUCTED INDIVIDUAL COMMUNITY HEALTH NEEDS ASSESSMENTS IDENTIFYING THE NEEDS FROM THE RESPECTIVE COMMUNITIES. FOR STRATEGIC PURPOSES THE IDENTIFIED NEEDS THAT WOULD BE ADDRESSED WERE COORDINATED ACROSS THE ENTIRE HEALTH SYSTEM INTO ONE COMMUNITY HEALTH IMPLEMENTATION PLAN. CHRISTUS DUBUIS HEALTH SYSTEM COMMITTED TO ADDRESS THE FOLLOWING HEALTH NEEDS: ACCESS TO CARE, HEART DISEASE, DIABETES, OBESITY, RESPIRATORY / ASTHMA. CHRISTUS DUBUIS HEALTH SYSTEM DETERMINED NOT TO ADDRESS THESE IDENTIFIED HEALTH NEEDS: AFFORDABLE CARE, SMOKING / TOBACCO, COPD, ARTHRITIS, MENTAL HEALTH, STROKE, CANCER, SUBSTANCE ABUSE, RENAL, PREVENTION AND HIV. IN AN EFFORT TO MAXIMIZE ANY RESOURCES AVAILABLE FOR THE PRIORITY AREAS, LEADERS AND STAFF AT CHRISTUS CONTINUING CARE DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN THEIR CHIP: -AGING POPULATION -UNEMPLOYMENT AND ECONOMIC INSTABILITY -LACK OF SOCIAL OR EMOTIONAL SUPPORT -CANCER -INFANT MORTALITY UNEMPLOYMENT, CANCER, INFANT MORTALITY, LACK OF SOCIAL/EMOTIONAL SUPPORT, AND THE AGING POPULATION RECEIVED THE FEWEST HIGH-PRIORITY VOTES FROM THE DATA-BASED PRIORITY LIST. WHILE THE NEEDS OF THE PRIORITIZATION COMMITTEE STRESSED THAT THESE NEEDS REMAIN PRESSING, THEY WERE NOT RANKED HIGH ENOUGH FOR INCLUSION IN THE FINAL PRIORITY LIST BECAUSE COMMITTEE MEMBERS EITHER (A) DID NOT FEEL CHRISTUS CONTINUING CARE WAS OPTIMALLY POSITIONED TO ADDRESS THE NEED IN AN IMPACTFUL WAY, (B) PERCEIVED A RELATIVE ABUNDANCE OF CAPACITY AND RESOURCES ALREADY BEING DIRECTED AT THE NEED, OR (C) FAVORED THE COMPARATIVE VALUE OF PURSUING PREVENTION-FOCUSED EFFORTS AIMED AT RISKY BEHAVIORS OR SYSTEMIC BARRIERS, RATHER THAN INTERVENING ON PARTICULAR HEALTH OUTCOMES. PART V, SECTION B, LINE 14 EXPLANATION OF THE BASIS FOR CALCULATING THE AMOUNTS CHARGED TO PATIENTS During the tax year, CHRISTUS Dubuis Hospitals gave all charity care patients free care so there was no basis for calculating amounts charged that was applicable to charity care patients. PART V, SECTION B, LINE 15E HOW THE HOSPITAL FACILITY'S FAP OR APPLICATION EXPLAINS CERTAIN ITEMS All patients were preliminarily assessed for possible financial assistance eligibility during the registration process. If a patient seemed to qualify, the patient was asked to complete the financial assistance application and offered assistance in completing such application. PART V, SECTION B, LINE 16I 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. (The signs did not specifically reference the policy (FAP), which is why THE HOSPITAL DID NOT SELECT "YES" IN RESPONSE TO LINE 16F.) In addition, a summary of the policy and documents needed to apply for assistance was widely available at www.christushealth.org/charitycare. (This website was the first result in Google when patients searched for the hospital name and charity care or financial assistance.) Effective July 1, 2016, the Dubuis Health System homepage (http://christusdubuis.org) had a Financial Assistance link including the FAP, application, and plain language summary. PART V, SECTION B, LINE 17 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? The hospital did not engage in any extraordinary collection actions during the tax year. In the event of nonpayment, the hospital and its collections groups would send statements and make phone calls. PART V, SECTION B, LINE 20E INDICATE WHICH EFFORTS THE HOSPITAL FACILITY OR OTHER AUTHORIZED PARTY MADE BEFORE INITIATING ANY OF THE ACTIONS LISTED IN LINE 19 Other efforts to notify patients of the FAP before initiating ECAs -- As stated above in Line 15e, patients were preliminarily assessed for financial assistance eligibility during registration. PART V, SECTION B, LINE 21d DID THE HOSPITAL HAVE IN PLACE DURING THE YEAR A WRITTEN POLICY RELATING TO EMERGENCY CARE? CHRISTUS Dubuis hospitals are long-term acute care hospitals that do not have emergency departments. In general, Dubuis hospitals do not treat emergent medical conditions. If an individual needs emergency care while at a Dubuis hospital, hospital personnel will appraise the emergency, provide minor first aid care, and will transfer the patient to an emergency facility as appropriate. Appraisal, first aid treatment, and transfer are provided in a non-discriminatory manner, consistent with federal regulations, regardless of whether individuals are eligible for financial assistance. PART V, SECTION B, LINE 22D DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE During the tax year, the maximum amount charged to FAP-eligible individuals was $0. 14 CHRISTUS VNA HOSPICE&PALLIATIVE CARE- SA 4241 WOODCOCK DRIVE STE A-100 SAN ANTONIO TX 78228 hospice outpatient CHRISTUS HOSP&PALL C ST FRANCES CABRINI 4801 JACKSON ST EXT STE B ALEXANDRIA LA 71303 HOSPICE OUTPATIENT GRACE HOME SHREVEPORT 1035 MARGARET PLACE SHREVEPORT LA 71101 HOSPICE inpatient CHRISTUS HOMECARE - LAKE CHARLES 444 LAKE STREET LAKE CHARLES LA 70605 hospice outpatient GRACE HOME ALEXANDRIA 3330 MASONIC DRIVE 3RD FLOOR ALEXANDRIA LA 71301 HOSPICE inpatient CHRISTUS SISTER MARY HOSPICE CENTER 5131 MEDICAL DRIVE STE 310 SAN ANTONIO TX 78229 hospice inpatient CHRISTUS HOSPICE & PALLIATIVE CARE - SCHUMPERT 1700 BUCKNER SQUARE STE SHREVEPORT LA 71101 HOSPICE OUTPATIENT CHRISTUS HOSPICE & PALLIATIVE CARE - SPOHN 6200 SARATOGA BLVD CORPUS CHRISTI TX 78414 HOSPICE OUTPATIENT CHRISTUS HomeCare - Coppell 1205 E Sandy Lake Road Suite 330 COPPELL TX 75019 HOME HEALTH CHRISTUS HomeCare - New Braunfels 750 Landa Street NEW BRAUNFELS TX 78130 HOME HEALTH CHRISTUS VNA HOMECARE-SAN ANTONIO 4241 WOODCOCK SUITE A-100 SAN ANTONIO TX 782281337 HOME HEALTH CHRISTUS HOMECARE-SPOHN 6200 SARATOGA BLVD SUITE 104 CORPUS CHRISTI TX 784143478 HOME HEALTH CHRISTUS HOMECARE-ST PATRICK 4444 LAKE STREET LAKE CHARLES LA 706054312 HOME HEALTH CHRISTUS HOMECARE-SCHUMPERT 1700 BUCKNER SQUARE SUITE 200 SHREVEPORT LA 711014400 HOME HEALTH PART I, LINE 5 BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. PART I, LINE 7B UNREIMBURSED MEDICAID CHRISTUS CONTINUING CARE REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $94,636,567. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $1,445,359. THIS LEAVES A TOTAL EXPENSE OF $93,191,208 FOR PURPOSES OF CALCULATING LINE 7, COLUMN(F). PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 14.81%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS CHRISTUS CONTINUING CARE MADE OVER $6,042 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2016. 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. PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT WORKS IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH THROUGH IMPROVED ACCESS TO HEALTH SERVICES AND ADVANCED GENERAL KNOWLEDGE. DURING THE FY 2016, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES BY WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASS ROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN AND SENIORS, AS WELL AS OTHER VULNERABLE POPULATIONS, TO PROMOTE PROGRAMS SUCH AS HEALTH SCREENINGS, EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE, AND IMMUNIZATIONS. PART III, SECTION A, LINE 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. PART III, SECTION A, LINE 3 ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE ORGANIZATION REVIEWS PATIENT FILES THAT WERE INITIALLY DEEMED AS INCOMPLETE TO DETERMINE WHETHER A PATIENT WOULD BE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. TO THE EXTENT THE FILE HAS SUFFICIENT DOCUMENTATION INDICATING FINANCIAL AND/OR MEDICAL INDIGENCE, THE BAD DEBT ASSOCIATED WITH SUCH PATIENT ACCOUNT COULD BE DEEMED CHARITY CARE. IN ADDITION TO SCREENING PATIENTS TO DETERMINE THE APPLICABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE AT THE TIME OF ADMISSION AND DISCHARGE, CHRISTUS CONTINUING CARE FOLLOWS A POLICY AND SUPPORTING PROCEDURES FOR REVIEWING ALL ACTIVE SELF-PAY PATIENT RECEIVABLES. THE SCREENING PROCEDURES SUBSEQUENT TO DISCHARGE TO DETERMINE CHARITY CARE AND DISCOUNT APPLICABILITY INCLUDE REQUESTING THE REFERRING HOSPITAL'S RECORDS OF PATIENTS WHO SUBMITTED CHARITY CARE APPLICATIONS OR OTHER FINANCIAL INFORMATION, MAKING CONTACT WITH PATIENTS THROUGH MAILED NOTICE FOLLOWED BY PHONE CALL, AND USING A FINANCIAL ASSISTANCE QUESTIONNAIRE. PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITIAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES AND THE PROVISION FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLAN; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND long-lived assets, including assets acquired; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTs AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." PART III, SECTION B, LINE 8 EXTENT TO WHICH SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT COSTING METHODOLOGY - THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $11,158,630 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. PART III, SECTION C, LINE 9B COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY. IF THE PATIENT QUALIFIES THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. PART VI, LINE 2 NEEDS ASSESSMENT CHRISTUS CONTINUING CARE HAS DEVELOPED A COMMUNITY BENEFIT PLAN BASED UPON PRIORITIZATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHRISTUS CONTINUING CARE STRIVES TO ENSURE BEST PRACTICES AND STANDARDS OF CARE ARE MET. CHRISTUS CONTINUING CARE PROVIDES CARE TO PATIENTS WHO REQUIRE ACUTE CARE OVER AN EXTENDED PERIOD OF TIME. OUR STAFF PROVIDES SPECIALTY CARE THAT IS TAILORED TO THE INDIVIDUAL NEEDS OF EVERY PATIENT, RESULTING IN EXCELLENT CLINICAL OUTCOMES. CHRISTUS CONTINUING CARE WORKS WITH EACH CHRISTUS REGION IN IDENTIFYING AND PRIORITIZING THE SERVICES TO BE PROVIDED IN ORDER TO MEET THE COMMUNITY NEEDS. THE SERVICES PROVIDED ARE VERY NARROW, SO THE TARGET POPULATIONS WILL BE LIMITED TO THE SERVICES WHICH CHRISTUS CONTINUING CARE PROVIDES. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS CONTINUING CARE MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING THE REGISTRATION PROCESS. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED AT THE FACILITIES. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. AFTER THE REGISTRATION PROCESS, PATIENTS THAT ARE UNABLE TO PAY ARE PROVIDED CHARITY CARE INFORMATION. IN KEEPING WITH THE MISSION, VISION AND CORE VALUES OF CHRISTUS HEALTH, CHRISTUS CONTINUING CARE PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS OFFERED WITH THE RESOURCES AVAILABLE AND MEETS THE LEGAL REQUIREMENTS FOR SERVING FINANCIALLY AND/OR MEDICALLY INDIGENT PATIENTS. THE DETERMINATION AS TO THE AMOUNT CHARGED, IF ANY, IS MADE IN ACCORDANCE WITH THE PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ELIGIBILITY CRITERIA ESTABLISHED WITHIN PROCEDURAL GUIDELINES AND IN ACCORDANCE WITH APPLICABLE LAWS AND REGULATIONS. PART VI, LINE 4 COMMUNITY INFORMATION CHRISTUS CONTINUING CARE SERVICES AREAS IN TEXAS INCLUDE LONG TERM ACUTE CARE HOSPITALS LOCATED IN ALEXANDRIA, BRYAN, BEAUMONT, PARIS AND PORT ARTHUR. HOME HEALTH AND HOSPICE SERVICE AREAS IN TEXAS INCLUDE CORPUS CHRISTI, COPPELL, NEW BRAUNFELS AND SAN ANTONIO. THE ORGANIZATION'S SERVICE AREA IN LOUISIANA INCLUDES A LONG TERM ACUTE CARE HOSPITAL IN ALEXANDRIA, AS WELL AS HOME HEALTH AND HOSPICE SERVICES IN ALEXANDRIA AND LAKE CHARLES. CHRISTUS Continuing Care provides long term acute care hospital services in the state of Arkansas in both Hot Springs and Fort Smith. THE PATIENT SERVICE AREAS ALSO INCLUDE MANAGED LONG TERM ACUTE CARE LOCATIONS IN TEXAS, LOUISIANA, IOWA, AND GEORGIA. CHRISTUS CONTINUING CARE'S ALEXANDRIA, LOUISIANA SERVICE AREA INCLUDES RAPIDES PARISH AND THE CONTIGUOUS PARISHES OF AVOYELLES AND GRANT. APPROXIMATELY 26.9% OF THE POPULATION IN THE SERVICE AREA HAS INCOME AT OR BELOW THE FEDERAL POVERTY INCOME LEVEL AS DEFINED BY THE FEDERAL GOVERNMENT, AND THE AREA HAS A POPULATION OF APPROXIMATELY 14% OF PERSONS AGES 65 YEARS AND OVER. ALL OF THE PARISHES IN CENTRAL LOUISIANA HAVE BEEN DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). THE ORGANIZATION'S SHREVEPORT, LOUISIANA SERVICE AREA INCLUDES THE NORTHWESTERN CORNER OF LOUISIANA. THE SHREVEPORT SERVICE AREA, CONSISTENT WITH NATIONAL TRENDS, IS ANTICIPATING ITS LARGEST GROWTH IN POPULATION OF PERSONS AGES 65 AND OLDER, AND PERSONS FALLING IN SUCH AGE RANGE MAKE UP APPROXIMATELY 13.2% OF THE POPULATION. THE SERVICE AREA'S POVERTY RATE IS APPROXIMATELY 21.1%, WHICH IS HIGHER THAN THE STATE POVERTY RATE OF APPROXIMATELY 18.7%. LAKE CHARLES, LOUISIANA'S SERVICE AREA IS COMPOSED OF A FIVE-PARISH REGION (ALLEN, BEAUREGARD, CAMERON, CALCASIEU, AND JEFF DAVIS) WITH A POPULATION OF NEARLY 300,000. THE POPULATION IS MADE UP OF APPROXIMATELY 13.9% OF INDIVIDUALS AGES 65 YEARS AND OLDER, AND THE SERVICE AREA'S POVERTY RATE IS APPROXIMATELY 21.5%. THE REGION HAS HIGH POVERTY RATES AS COMPARED TO THE STATE AND NATION, DUE TO A COMBINATION OF LOW WAGE PER JOB AND HIGH UNEMPLOYMENT. THE REGION AND STATE HAVE A HIGHER RATE OF UNINSURED PERSONS THAN THE NATION. CHRISTUS CONTINUING CARE'S BEAUMONT AND PORT ARTHUR FACILITIES SERVICE SOUTHEAST TEXAS, ROUGHLY A NINE COUNTY SERVICE AREA. THE NINE COUNTY AREA INCLUDES A POPULATION OF APPROXIMATELY 12.2% OF PERSONS AGES 65 AND ABOVE. APPROXIMATELY 22.3% OF HOUSEHOLDS ARE AT OR BELOW THE FEDERAL POVERTY LEVEL IN THIS NINE COUNTY AREA. THE BRYAN, TEXAS FACILITY SERVES BRAZOS COUNTY, WHERE THE POPULATION IS COMPOSED OF APPROXIMATELY 9.1% OF PERSONS AGES 65 AND OLDER, AND WHERE APPROXIMATELY 27.4% OF INDIVIduALS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. THE PARIS, TEXAS FACIILTY SERVES LAMAR COUNTY, WHERE THE POPULATION IS COMPOSED OF APPROXIMATELY 16.6% OF PERSONS AGES 65 AND OLDER, AND WHERE APPROXIMATELY 22.7% OF INDIVIDUALS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. CHRISTUS CONTINUING CARE'S CORPUS CHRISTI, TEXAS SERVICE AREA IS LOCATED ALONG THE LOWER TEXAS COASTAL AREA (OFTEN CALLED THE COASTAL BEND), AND ITS SERVICE AREA INCLUDES A 14-COUNTY AREA WITH A POPULATION OF MORE THAN 602,000 INDIVIDUALS. APPROXIMATELY 11.9% OF THE POPULATION IS COMPOSED OF PERSONS AGES 65 AND OVER, AND THE LARGEST GROWTH IN THIS AGE GROUP. APPROXIMATELY 18% OF PERSONS IN THE REGION LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, WITH THE MEDIAN HOUSEHOLD INCOME IN THE REGION BEING APPROXIMATELY $45,267. NEARLY 50 PERCENT OF THE POPULATION IS ON MEDICAID OR UNINSURED. THE COPPELL, TEXAS SERVICE AREA IS LOCATED IN NORTH TEXAS JUST OUTSIDE OF DALLAS, TEXAS, WHICH IS THE NINTH LARGEST CITY IN THE UNITED STATES. THE POPULATION IN THE CITY OF DALLAS IS COMPOSED OF APPROXIMATELY 5.3% OF INDIVIDUALS AGES 65 AND OLDER, AND APPROXIMATELY 3.3% OF THE POPULATION LIVES AT OR BELOW THE FEDERAL POVERTY LEVEL. THE NEW BRAUNFELS, TEXAS SERVICE AREA IS LOCATED JUST OUTSIDE OF SAN ANTONIO, TEXAS, WHICH IS THE SEVENTH LARGEST CITY IN THE UNITED STATES AND THE SECOND LARGEST CITY IN THE STATE OF TEXAS. THE POPULATION IN THE CITY OF SAN ANTONIO IS COMPOSED OF APPROXIMATELY 10.4% OF INDIVIDUALS AGES 65 AND OLDER, AND APPROXIMATELY 20.1% OF THE POPULATION LIVES AT OR BELOW THE FEDERAL POVERTY LEVEL. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CHRISTUS CONTINUING CARE RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY PROVIDING LONG-TERM ACUTE CARE, HOME HEALTH AND HOME HOSPICE SERVICES THAT ARE DELIVERED BY INTERDISCIPLINARY TEAMS OF HEALTH CARE PROFESSIONALS. THE ORGANIZATION OWNS SEVEN LONG-TERM ACUTE CARE HOSPITALS FOCUSING ON VENTILATOR DEPENDENCY, WOUND CARE AND REHABILITATION, AND SUCH FACILITIES ARE LOCATED IN ALEXANDRIA, LA; BEAUMONT, TX; BRYAN, TX; PARIS, TX; PORT ARTHUR, TX; FORT SMITH, AR; AND HOT SPRINGS, AR. CHRISTUS CONTINUING CARE MANAGES LONG TERM ACUTE CARE FACILITIES FOR OTHER HEALTH SYSTEMS LOCATED IN GEORGIA, IOWA, AND TEXAS. IN ADDITION THE ORGANIZATION PROVIDES HOME HEALTH AND HOSPICE SERVICES IN CORPUS CHRISTI, TX; NEW BRAUNFELS, TX; SAN ANTONIO, TX; COPPELL, TX; ALEXANDRIA, LA; LAKE CHARLES, LA; AND SHREVEPORT, LA. CHRISTUS HOME HEALTH AGENCIES ARE ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP), TEXAS AGENCIES ARE LICENSED AND CERTIFIED BY THE TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES (DADS,) AND LOUISIANA AGENCIES ARE LICENSED AND CERTIFIED BY THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS. CHRISTUS CONTINUING CARE LONG TERM ACUTE CARE HOSPITALS ARE ACCREDITED BY THE JOINT COMMISSION. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2016, CHRISTUS HEALTH ADVOCATED FOR IMPROVEMENT IN PUBLIC POLiCIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS CONTINUING CARE ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. THE LEADERSHIP OF CHRISTUS CONTINUING CARE, INCLUDING THE BOARD, ARE ALL COMMITTED TO ENSURE THAT THE ORGANIZATION FULFILLS ITS REGULATORY OBLIGATIONS AS WELL AS ITS MISSION RELATED OBLIGATIONS TO THE COMMUNITIES AND HAVE DETERMINED THAT COMMUNITY BENEFIT SHOULD FOCUS ON THE AREAS IN WHICH EACH FACILITY DETERMINES NEEDS BASED ON THE TYPES OF PATIENTS SERVICED. LONG TERM ACUTE CARE IS TARGETING HEART DISEASE AND DIABETES. THE COMPASSION OF THE CHRISTUS CONTINUING CARE STAFF REACHES FAR BEYOND THE WALLS OF OUR FACILITIES. EACH YEAR, OUR EMPLOYEES VOLUNTEER HUNDREDS OF HOURS AND RAISE THOUSANDS OF DOLLARS FOR THE BETTERMENT OF THE COMMUNITIES WE SERVE. AS WE MOVE TOWARD THE FUTURE, WE AT CHRISTUS CONTINUING CARE ARE FOREVER MINDFUL OF OUR PAST. FOR IT IS THE TRADITION OF BISHOP DUBUIS AND THE SISTERS THAT EMPOWERS US TO CONTINUE THIS HEALING MINISTRY AND IT IS THEIR LEGACY OF JUSTICE, COMPASSION AND TRUST THAT, IN PARTNERSHIP WITH GOD, HELPS US CREATE OUR UNIQUE ENVIRONMENT. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CHRISTUS CONTINUING CARE IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, MISSOURI, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS CONTINUING CARE, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS CONTINUING CARE, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. PART VI, LINE 7 COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2013 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT: TX true Community Healthworx 1543 MCGINNIS ST ALEXANDRIA LA 71301 721444312 501(c)(3) 7500 GENERAL PURPOSE TAMUK 750 Agronomy Road Suite 3100 College Station TX 77843 746001530 5046 GENERAL PURPOSE TAMUCC 750 Agronomy Rd College Station TX 77843 741760663 5046 GENERAL PURPOSE 1 2 FORM 990, 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 CRITERIAs ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. X true true false true false false false false false false false MIKE MURRAY CFO/Treasurer EFF 7/2015 177754 9356 8631 454 0 0 38762 2040 26320 1385 251467 13235 0 0 JAN HAMILTON CRAWFORD Pres. Christus Dubuis Hlth Sys 198303 0 55663 0 0 0 23785 0 11363 0 289114 0 0 0 PAMELA KENNEDY VP HUMAN RESOURCES 0 183383 0 50727 0 0 0 49923 0 14849 0 298882 0 0 ERNIE SADAU Dir Eff 7/15-Chair THRU 12/15 0 1682578 0 1682553 0 459989 0 680407 0 57003 0 4562530 0 443528 EUGENE WOODS DIRECTOR THRU 3/2016 1222503 891753 81851 347412 44019 2587538 0 80984 RANDY SAFADY DIRECTOR 0 1043670 0 748548 0 83086 0 345534 0 38933 0 2259771 0 82219 PAUL GENERALE President/CEO/Director 0 720666 0 555702 0 18532 0 253196 0 33384 0 1581480 0 18532 MELISSA WILLIAMS Assistant Treasurer EFF 2/2016 0 231744 0 73359 0 0 0 71310 0 15191 0 391604 0 86051 LINDA MCCLUNG FMR BD MBR/INT CEO/PRES 0 751663 0 552453 0 132364 0 298835 0 37899 0 1773214 0 131572 CHRISTOPHER KARAM PRESIDENT/CEO TERMED 3/2015 0 497491 0 391809 0 123702 0 227471 0 27932 0 1268405 0 247403 PATRICK CARRIER FMR PRES/CEO(TERM 2/27/10) 0 835921 0 139629 0 259001 0 193528 0 26642 0 1454721 0 247837 JOSEPH E OJEMENI PHARMACY MANAGER 192316 0 0 0 0 0 0 0 0 0 192316 0 0 0 PETER B JOHNSON DIRECTOR OF PHARMACY 187101 0 0 0 0 0 2160 0 0 0 189261 0 0 0 TROY D FELIX REG CLIN ADMIN QLTY/PT ST 180286 0 0 0 0 0 2160 0 0 0 182446 0 0 0 RAQUEL A GLORIOSO CHARGE RN 173812 0 0 0 0 0 2829 0 0 0 176641 0 0 0 GARY L KEMPF ADMINISTRATOR 170435 0 0 0 0 0 1320 0 0 0 171755 0 0 0 DEAN ALVERSON PRESIDENT, CHRISTUS HOME CARE 166172 0 20000 0 20416 0 0 0 363 0 206951 0 0 0 COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. PROCESS TO ESTABLISH COMPENSATION OF THE ORGANIZATION'S CEO FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990 SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 4B AND FORM 990, SCHEDULE J, PART II, COLUMN(F) PAUL GENERALE RECEIVED $18,532 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. ERNIE SADAU RECEIVED $443,528 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. RANDY SAFADY RECEIVED $82,219 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. EUGENE WOODS RECEIVED $80,984 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Patrick Carrier RECEIVED $247,837 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Christopher Karam RECEIVED $247,403 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Linda McClung RECEIVED $131,572 DURING CALENDAR YEAR 2015 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: CHRIS KARAM, LINDA MCCLUNG AND PATRICK CARRIER. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2015. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. FORM 990, PAGE 1, ITEM C Doing business as: CHRISTUS VISITING NURSE ASSOCIATION COMMUNITY CARE SAN ANTONIO CHRISTUS VNA HOSPICE AND PALLIATIVE CARE SAN ANTONIO CHRISTUS HOMECARE SPOHN CHRISTUS HOSPICE AND PALLIATIVE CARE SPOHN CHRISTUS VNA HOMECARE SAN ANTONIO CHRISTUS HOMECARE ST. MICHAEL CHRISTUS HOMECARE PHARMACY CHRISTUS VNA HOSPICE AND PALLIATIVE CARE OF HOUSTON CHRISTUS DUBUIS HEALTH SYSTEM CHRISTUS DUBUIS HOSPITAL OF HOUSTON CHRISTUS DUBUIS HOSPITAL OF BEAUMONT CHRISTUS DUBUIS HOSPITAL OF PORT ARTHUR CHRISTUS DUBUIS HOSPITAL OF BRYAN DUBUIS HOSPITAL OF PARIS CHRISTUS AT HOME CHRISTUS SISTER MARY HOSPICE CENTER CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA CHRISTUS HOMECARE CHRISTUS HOSPICE AND PALLIATIVE CARE - SCHUMPERT Christus Ambulatory & Continuing Care Christus Continuing Care, Inc. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE POWERS RESERVED FOR CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER, ARE: TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION, AND VISION OF CHRISTUS CONTINUING CARE (THE "CORPORATION"), AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, OR THE PRESIDENT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR NOMINATING COMMITTEE, IF ANY, OF THE CORPORATION; TO APPROVE THE INCURRING, INCLUDING THROUGH THE GUARANTEE OF THE DEBT OF ANOTHER, RENEWING OR FORGIVENESS OF ANY INDEBTEDNESS BY THE CORPORATION, IN EXCESS OF $10,000 WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE CAPITAL AND OPERATIONAL BUDGETS OF THE CORPORATION AND ANY FINANCIAL REVIEW OF THE BOOKS AND RECORDS OF THE CORPORATION, INCLUDING AUDIT OR SOME LESSER FINANCIAL REVIEW OF THE BOOKS AS DEEMED NECESSARY BY THE MEMBER; TO APPROVE THE STRATEGIC PLANS OF THE CORPORATION; TO APPROVE ANY GIFT OF PROPERTY (OTHER THAN CASH, MARKETABLE SECURITIES, OR BONDS) TO THE CORPORATION AND THE APPROVAL OF ANY RESTRICTIONS IMPOSED AS A CONDITION OF ACCEPTING SUCH GIFT; TO APPROVE ANY LOAN, GIFT, GRANT, OR CONTRIBUTION TO A QUALIFYING TAX-EXEMPT ORGANIZATION OR ANY OTHER ORGANIZATION; TO APPROVE ANY CHANGE OF THE PRINCIPAL OFFICE OF THE CORPORATION; ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION, PROVIDED THAT SUCH CORPORATION OR LOCAL ENTITY DOES NOT OWN DESIGNATED MINISTRY PROPERTY; AND ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION, THE EFFECT OF WHICH IS (A) TO CREATE A NEW LOCAL ENTITY, (B) ANY TRANSACTION INVOLVING THE CORPORATION OR A LOCAL ENTITY THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, OR (C) ANY CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY APPROVED UNDER (A) OR LEGAL ENTITY OR JOINT VENTURE APPROVED UNDER (B). THE POWERS RESERVED TO THE MEMBER AND THE MEMBERS OF CHRISTUS IN THE EVENT THAT EITHER (1) CHRISTUS HAS DESIGNATED THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION AS A SYSTEM PARTICIPANT, OR (2) THE CORPORATION OR A LEGAL ENTITY CONTROLLED BY THE CORPORATION OWNS DESIGNATED MINISTRY PROPERTY: THE SALE, LEASE, MORTGAGE, TRANSFER, OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD AMOUNT AS REQUIRED BY CANON LAW; ANY COURSE OF ACTION PROPOSED BY THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION THAT OWNS DESIGNATED MINISTRY PROPERTY, THE EFFECT OF WHICH WOULD BE TO CHANGE: (A) OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY, EXCEPT ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES, (B) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY OBTAINING, MODIFYING, OR RELINQUISHING A TYPE OF HEALTH FACILITY LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF THE FACILITY, OR (C) IF THESE SERVICES ARE APPLICABLE TO THE CORPORATION OR A LOCAL ENTITY CONTROLLED BY THE CORPORATION, THE ELIMINATION OF OBSTETRICAL, PEDIATRIC, PSYCHOLOGICAL OR EMERGENCY SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY; ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION, OR DISSOLUTION OF THE CORPORATION OR ANY LOCAL ENTITY CONTROLLED BY THE CORPORATION THAT OWNS DESIGNATED MINISTRY PROPERTY; AND POLICIES APPLICABLE AND ANY AMENDMENT, MODIFICATION OR RESTATEMENT THEREOF, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2017 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS CONTINUING CARE CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, QUESTIONS 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND ONE KEY EMPLOYEE OF THE FILING ORGANIZATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. EFFECTIVE 12/7/11, THE FILING ORGANIZATION DETERMINED THE COMPENSATION OF THE ASSISTANT CORPORATE 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. BASED ON THE AFOREMENTIONED PROCEDURE, THE ASSISTANT CORPORATE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, QUESTION 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 PENSION FUNDING -(600,886) PENSION LIABILITY/EXPENSE - 403,363 ASSETS RELEASED FROM RESTRICTIONS - (241,143) CONTRIBUTIONS - 239,375 Temporary Restricted Contributions - (29,000) TOTAL -(228,291) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4830132 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:52849 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:5003974 CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS 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 Street BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH 919 Hidden Ridge Drive Irving TX 75038 760590551 SUPT HLTH SVC TX 501(C)(3) 9 NA false CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(C)(3) 11 - Type I CH true DUBUIS HEALTH SYSTEM INC 1700 W 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 SUPT HLTH SVC TX 501(C)(3) 11 - TYPE I CH true CHRISTUS Health Liability Retention Trst 919 Hidden Ridge Drive Irving TX 75038 760259623 Self Ins Trst TX 501(C)(3) 11 - Type I CH true Christus Health Strategic Growth 919 Hidden Ridge Drive Irving TX 75038 462798043 supt hlth svc TX 501(c)(3) 11 - type I ch true CHRISTUS HEALTH PLAN LOUiSIANA 919 hidden ridge drive irving TX 75038 464617988 medicaid hmo LA 501(c)(3) 9 CH true CHRISTUS HEALTH PLAN NEW MEXICO 919 HIDDEN RIDGE DRIVE IRVING TX 75038 464487295 MEDICAID HMO NM 501(C)(3) 9 ch true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE DRIVE IRVING TX 75038 465203505 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS CONNECTED Care NETWORK 919 HIDDEN RIDGE DR IRVING TX 75038 473403356 SPT HLTH SVCS TX 501(C)(3) 11-TYPE 1 CH true CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS TRINITY MOTHER FRANCES HS 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HLTHCARE SVCS TX 501(C)(3) 11, TYPE II CH true ASPG LOUISIANA LLC 919 HIDDEN RG IRVNG TX 75038 383981731 AMB SURG CENTER LA ASPG INC RELATED -105868 5500284 false false 0.51000 PROMPTU IMAGING OF CORP CHRSTI 5638 SARATOGA C C TX 78414 813074600 IMAGING SVCS TX ASPG INC RELATED 0 0 false false 1.00000 CHRISTUS Muguerza SAPI de CV Hidalgo PTE 2525 Col. Obispado, Monterrey N.L. MX 64060 HLTHCARE SERV MX CH C corp true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN CJ KY1-1102 980407545 INSURANCE CJ CH C CORP true AMBULATORY STRATEGIES PHYSICIAN GROUP 919 HIDDEN RIDGE DRIVE IRVING TX 75038 472897722 Healthcare Svcs LA CCC C CORP 6982128 11426772 1.00000 true Dedicated System Support Inc 919 HIDDEN RIDGE DRIVE IRVING TX 75038 810861043 MGMT SVCS TX CCC C Corp 0 0 1.00000 true CHRISTUS LA QUALITY ALLIANCE 919 HIDDEN RIDGE DRIVE IRVING TX 75038 474618648 ACO TX CH C Corp true false false false false false false false false false true false true true false true true true false false CH WILKINSON PHYSICIAN NETWORK L 313258 ACCRUAL CHRISTUS HEALTH ARK-LA-TEX O 109904 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA J 652236 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA L 1127270 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA P 257553 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS J 672119 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS L 2280152 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS O 52424 ACCRUAL