2011-05-13T13:00:02-04:00 2010-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2009-07-01 720411322 Christus Health Southwestern Louisiana CHRI 3374917730 524 Dr Michael Debakey Drive Lake Charles LA 70601 DEBORAH F WHITE 2011-05-06 7137501500 2009 2016-02-24 21:20:13Z See Schedule O Stephen Wright 524 Dr Michael Debakey Drive Lake Charles LA 70601 131809282 false 0928 X www.stpartickhospital.org X 1921 LA Supporting the health care ministries of the Sponsoring Congregations in extending the healing ministry of Jesus Christ in conformity with the ethical and moral teachings of the Roman Catholic Church. 15 12 1229 47 3092702 0 1580100 1770977 129532445 127370661 224892 115672 59943 341251 131397380 129598561 194159 149922 0 0 53333923 52349073 0 0 523222 88130311 87117177 141658393 139616172 -10261013 -10017611 151822837 141538262 61800494 61960908 90022343 79577354 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 101277323 60557762 COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS Health Southwestern Louisiana is part of CHRISTUS Health, formed in 1999 to strengthen the 142-year-old, faith-based health care ministries of the Congregations of the Sisters of Charity of the Incarnate Word of Houston and San Antonio. Founded on the mission "to extend the healing ministry of Jesus Christ," CHRISTUS is challenged to reach out to, and beyond, the more than 60 communities we serve to help those in need. The vision of CHRISTUS Health as a Catholic, faith-based ministry, is to be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and of local and global communities so that all may experience God's healing presence and love. CHRISTUS Health Southwestern Louisiana responds to the health care needs through services provided at CHRISTUS St. Patrick Hospital, a 266 licensed bed acute care facility, dedicated to improving the health of the community and embracing the physical, spiritual and emotional needs of each patient. The CHRISTUS Health Southwestern Louisiana, located in Lake Charles, Louisiana in the southwestern part of the state, has a service area that includes parishes along the southern coast of Louisiana into the south central portions of the state, which includes a population of more than 288,983 individuals. In our 2010 fiscal year alone, we were privileged to serve hundreds of thousands of individuals in various ways including 24,973 visits to our emergency department, 2,038 inpatient surgery procedures, 3,293 outpatient surgery procedures, 8,661 patients who were admitted to our hospitals for care and 73,308 patients who received outpatient care at our facilities. Touching the lives of the people around us is what makes CHRISTUS Health Southwestern Louisiana stand apart. Allowing others to touch us gives us a vision for the medically needy in each of the communities we serve. Whether it is the life of a child expecting a future filled with miracles, the life of a man in need of a critical heart surgery, or the life of a woman in need of life-saving breast cancer treatment, CHRISTUS Health Southwestern Louisiana's health care services work to provide the best care possible regardless of an individual's ability to pay. By collaborating with communities, churches, businesses, and other health care organizations, CHRISTUS Health Southwestern Louisiana's various entities have strengthened their roles as major providers of comprehensive, accessible health care services. These partnerships with the community have been a blessing by helping CHRISTUS Health Southwestern Louisiana further care for those in need. Furthermore, investment in community services would not be possible without dedicated employees and volunteers. They help to build strong relationships between the hospitals and other health care ministries and the communities, nurturing CHRISTUS' mission to meet the needs and make a difference in the lives of others. Our employees work both inside and outside the walls of our health care facilities and are committed to reaching beyond the traditional hospital walls to help our communities maintain good health. Understanding the need to provide access to health care to as much of our public as possible, CHRISTUS Health participates in government-sponsored health care programs, including Medicaid, Medicare, CHAMPUS, TRICARE and others. In addition, we provide specific programs to provide discounted services to those in need who do not have medical insurance or who do not participate in government-sponsored programs. CHRISTUS Health Southwestern Louisiana provides a full range of inpatient and outpatient services to the people from the communities it serves. It conducts its activities and serves its communities without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. CHRISTUS St. Patrick Hospital offers the area's leading heart program, providing non-invasive diagnostic services; interventional catheterization procedures such as angioplasty, drug-coated stents and pacemaker implantation; heart and lung surgery; cardiovascular rehabilitation and research programs. The hospital's cancer center provides multidisciplinary cancer care, including radiation therapy, cancer surgery, chemotherapy, outpatient treatment, research, education and support. In addition, the hospital offers innovative surgery procedures including heartburn surgery, neurosurgery, orthopedic surgery and sinus surgery, as well as specialized programs in geropsychiatry, rehabilitation, joint replacement and a full range of outpatient diagnostic and surgical services. CHRISTUS St. Patrick Hospital also provides 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. Patrick Hospital also supports many local community health services, including five school-based clinics. As a not-for-profit organization and as part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the area we serve guides CHRISTUS Health Southwestern Louisiana. We have an open medical staff comprised of qualified physicians who work with us to provide care to our communities. All qualified physicians granted privileges to serve with us in our hospitals have undergone a thorough and comprehensive credentialing process. 13397896 4332242 OTHER GOVERNMENT-SPONSORED PROGRAMS In addition to the provision of Charity Care and other community services CHRISTUS Health provides services to persons covered under government-sponsored programs, including Medicare, Department of Defense (DOD) 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 on a case rate, calculated based on the diagnostic-related group (DRG) into which the patient is categorized. Outpatient services are reimbursed per the Medicare fee schedule. CHRISTUS Health dba US Family Health Plan also provides the uniform medical benefit for 12,210 military family members under contract with the DOD. Under this program, comprehensive medical services are provided to families of active duty military personnel, and to retirees and their families in all age categories including those over age 65. 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. 9450369 59387955 COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS adheres to the Catholic Health Association's A Guide for Planning and Reporting Community Benefit( 2008), 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. This falls into two categories: Charity Care and Unpaid Government Indigent Care. In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Health provides Charity Care services in a manner that respects the dignity of the patients and their families. Charity Care is provided without charge or at a charge that is less than the usual charge for such services. The determination as to the amount to be charged, if any, is made according to a patient's ability to pay as determined by the established eligibility criteria. For uninsured patients whose economic circumstances place them at or under 200 percent of the Federal Poverty Level (FPL), services are provided without any expectation of payment. Uninsured patients whose economic circumstances place them between 200 and 400 percent of FPL are charged based on a sliding scale, and those above 400 percent receive discounts based on the uninsured fee schedule. No patient is refused necessary medical care due to inability to pay. CHRISTUS Health is an active participant in the States of Texas and Louisiana Medicaid programs. Those programs seek to provide payment for health care services to individuals who meet certain financial and other requirements. Financial requirements include evaluation of both assets and income. 1692466 149922 125818054 true true false true false false false false false true false true false false true false false false true true true true true true false false false false false false false true false false false false false true true false false true 171 2 true 1229 true true true false false false false true true false false false 15 12 false false false false true true true true true false false true true true true true true true true true true X Debbie White 3374917730 524 Dr Michael DeBakey Drive Lake Charles LA 70601 Ernest Broussard Jr AOCPCEcD 1.0 X 0 0 0 Yang-Tze Broussard MD 1.0 X 28450 0 0 Bob Chandler 1.0 X 0 0 0 Keith DeSonier MD 1.0 X 0 0 0 Sister Mary Patricia Driscoll 1.0 X 0 0 0 Michael G Eason CFP CFM 1.0 X 0 0 0 Leslie Harless 1.0 X 0 0 0 Ronald S Johns 1.0 X 0 0 0 Ricardo M McCall MD 1.0 X 0 0 0 Andrea L Miller PhD 1.0 X 0 0 0 Sister Audrey O'Mahony 1.0 X 0 0 0 Jim Serra 1.0 X 0 0 0 Russell Stutes Jr 1.0 X 0 0 0 Adrian Wallace 1.0 X 0 0 0 Ellen Jones 6.0 X X 52709 482053 212005 Stephen F Wright 11.0 X X 0 408440 206555 William Hecht 7.0 X 36455 321508 102728 Debbie White 16.0 X 0 179938 54742 Lila H Hicks 40.0 X 37343 0 14799 Bernard J Leger 55.0 X 231191 0 56452 Douglas T Castille 78.0 X 141530 0 21686 Gordon G Gilley 47.0 X 135818 0 30029 Marvin J Holland 43.0 X 160706 0 24670 Kenneth C Marchand 51.0 X 147430 0 39035 Joy Huff 40.0 X 131600 0 29662 Geraldine Turner 0.0 X 122495 0 1329 Percival Kane MD 0.0 X 26000 0 0 1251727 1391939 793692 42 true true false Bio-Medical Applications of LA PO Box 62760 NEW ORLEANS LA 70162 Dialysis Services 525795 Champeaux Evans Hotard 2000 Lake Street LAKE CHARLES LA 70601 Architectural SVCS 599248 Hospital Medicine Associates LLC PO Box 634850 CINCINNATI OH 452634850 Hospitalists 1277094 Sodexo Inc Affiliates PO Box 536922 ATLANTA GA 303536922 Housekeeping/Food Sv 4579932 Southwest Louisiana Imaging 1800 Ryan St Ste 105 LAKE CHARLES LA 70601 Imaging Services 1363290 32 30050 229385 677911 833631 14595 1770977 Net Patient Service Revenue 621990 122416671 122416671 Rent related to Exempt Function 531390 1777198 1777198 Reference Lab 621500 2366987 2366987 Fitness Center 713940 725715 725715 Physician support services 611710 42990 42990 41100 41100 127370661 14130 14130 0 0 5193 2260627 6459 2157819 -1266 102808 101542 101542 11109 30050 28658 -17549 -17549 30653 17785 12868 12868 0 Contract Revenue 900099 202947 202947 Vending Machine 900099 44799 44799 Lawsuit settlement proceeds 900099 47808 47808 50378 50378 345932 129598561 124277959 3092702 456923 143905 143905 6017 6017 0 0 484583 424204 57143 3236 0 40993834 35886030 4834053 273751 2310913 2238505 72408 5575402 4909916 638500 26985 2984341 2631075 333359 19907 97695 97695 12838 1000 11838 0 0 0 0 12462253 8305195 4133385 23673 742611 1364 741097 150 41793766 39973888 1699182 120696 4713137 4713137 0 3011836 2753697 253959 4180 123976 44792 72349 6835 0 90834 36958 52695 1180 2580238 2580238 0 10503085 10503085 2195642 2195642 PROVISION UNCOLLECT ACCTS 6381595 6381595 SALES TAX 1904382 1852592 51790 RECRUITMENT/PLACEMENT FEES 255081 80 255001 AWARDS & GIFTS-NON EMPLOYEE 49228 427 4219 44582 FEDERAL & STATE INCOME TAX 16150 16150 182831 120867 63916 -1953 139616172 125818054 13274894 523222 52962994 55507046 960807 16304880 13433330 568686 633194 4949473 4804097 702069 685845 246550053 182903964 74284547 63646089 31231 1257 112100 112100 1694397 1487202 212460 267295 151822837 141538262 7976650 9489089 833646 653620 52990198 51818199 61800494 61960908 X 89494755 78616081 499138 932824 28450 28449 90022343 79577354 151822837 141538262 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 11947 false false true 3587 true 471 true 175 16180 false Lobbying Description Form 990, Schedule C, Part II-B HEALTH CARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH SOUTHWESTERN 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. The reported expenses associated with these activities include staff compensation and related allocable overhead. Schedule C, Part II-B, Line 1d Employees of CHRISTUS HEALTH SOUTHWESTERN LOUISIANA had written and electronic contact with Senators Landrieu, Vitter and Representative Boustany on Medicare rules in S. 177 and matters such as the Federal Medical Assistance Percentage and Health Care Reform. Emails were sent to members of Louisiana Senate Finance committee asking support for SB 1 and SB 2 Budget Stabilization Fund, SB 391 and SB 392 funding reductions, and SB 410 and SB 434 on utilizing tobacco settlement to fund healthcare. Emails were sent to Governor Jindal and members of the Commission on Streamlining Government to an Enterprise Zone program. FORM 990, SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES REPORTS THE PORTION OF FY 2010 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $175. Schedule C, Part II-B, Line 1g CHRISTUS HEALTH SOUTHWESTERN LOUISIANA Had direct contact with Senator Willie Mount and Representative Mike Danahay regarding anticipated state funding decreases for medical care and Senators Landrieu and Vitter, and City Councilman Marshall Semien regarding School based health centers. Schedule C, Part II-B, Line 1h Sen. Willie Mount and Rep. Mike Danahay spoke at the State Legislative Meeting held at St. Patrick Hospital, where the following topics were discussed: health care budget cuts and the future of charity care in the region. CHRISTUS Health Southwestern Louisiana did not substantially lobby during the fiscal year 6-30-10. 6582298 6582298 107942085 75331911 32610174 1784648 980174 804474 128659579 106524326 22135253 1581443 67553 1513890 63646089 0 Due to Related Organizations 5323553 Due to Christus Health Bond Fund 46319565 Other Long Term Obligations 175081 51818199 Cash - Non-Bearing Interest 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. Uncertain Tax Positions Under FIN 48/ASC 740 Form 990, Schedule D, Part X Per footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2009 and 2010. Central America and the Caribbean 0 0 Program Services Post Haiti Earthquake 16803 0 0 16803 LA Tavern on Green 26625 15516 11109 3781 12407 400 11172 CMN Miracle Pen 10986 10986 162 0 37611 26502 11109 3781 12407 400 11334 27922 -16813 30653 5510 12275 false 30653 5510 12275 17785 12868 LA true false false false 1.00000 Chuck O'Connor 524 Dr Michael DeBakey Drive Lake Charles LA 70601 false true 12868 true true X true X true X true true true false true true 3728787 0 3728787 0.02790 10184226 4932047 5252179 0.03930 0 0 0 13913013 4932047 8980966 0.06720 17 45848 1417944 111045 1306899 0.00980 4 205 31580 31580 0.00020 1 157990 157990 0.00120 18 4030 81646 81646 0.00060 40 50083 1689160 111045 1578115 0.01180 40 50083 15602173 5043092 10559081 0.07900 2 21203 21203 0.00020 1 1522 1522 2 1350 3034 3034 6 21163 21163 0.00020 11 1350 46922 46922 0.00040 true 1400170 841 52838487 60958694 -8120207 X true true South Ryan MRI LLC Medical screening and testing 0.51000 0.44920 LA PETCT IMAGING LC Medical screening and testing 0.24500 0.23380 Christus St Patrick Hospital

524 Dr Michael DeBakey Drive Lake Charles LA 70601

X X X N/A 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 the 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 the health which includes proactive community health services. However, the Annual Report is only a snapshot of how the organization is distinguished by 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 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: Ratio of patient care cost to charges based on Schedule H, worksheet 2 Line 7i: Actual expense of the contributions Reported on Schedule H, Part I, Line 7 g Subsidized health services are the unreimbursed patient account balances at cost with patient income of greater than 200% and less than 400% of the Federal Poverty Level (FPL). The reported amount is calculated using the cost-to-charge ratio determined at Schedule H, worksheet 2. These accounts do not qualify as charity care as defined by the organization's charity care guidelines because the patients' income is above 200% FPL. The patient account balances were multiplied by the cost to charge ratio computed using Schedule H, worksheet 2. The total expense from Form 990, Part IX, line 25, column (A) is $139,616,170. The bad debt expense included in this amount was $5,912,879. This leaves a total expense of $133,703,291 for purposes of calculating line 7, column (f). Description of gross charity care as % 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 11.67% which exceeds the amount reported on Part I, Line 7k column (f) which is computed using net community benefit expense. The footnote to the CHRISTUS Health consolidated financial statements says, "The preparation of financial statements in conformity with generally accepted accounting principles in the United States requires management of the System to make assumptions, estimates, and adjustments that affect the amounts reported in the financial statements, including the notes thereto, and related disclosures of commitments and contingencies, if any. The system considers critical accounting policies to be those that require more significant judgements and estimates in the preparation of its financial statements, including the following: recognition of net patient revenues, which includes contractual allowances; provisions for bad debt; reserves for losses and expenses related to health care professional and general liabilities; determination of fair values of certain financial instruments; 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 judgment and estimates. Actual results could differ materially from these estimates." In order to determine the bad debt expense at cost (Schedule H, Part III, Section A, Line 2), the organization's total bad debt expense (total of all hospital facilities) in accordance with the organization's financial statements was multiplied by the cost-to-charge ratio. The shortfall on Part III, Line 7 is not counted as a community benefit. 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 provision of services to Medicare patients. Schedule H, Part III, Line 7 would equal a shortfall of $(16,105,276) if total expenses allocable to medicare services were substituted on Schedule H, Part III, Line 6. 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 the 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. The organization budgets charity care for internal financial purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. Cash and In-Kind Contributions Part I, Line 7i CHRISTUS Health Southwestern Louisiana made over $81,000 in cash and in kind contributions. The aforementioned amount is determined in accordance with reporting rules as outlined in the Catholic Health Association Guide to Planning and Reporting Community Benefit, copyright 2008. As such, this amount differs from grants reported at Form 990, Schedule I, Grants and Other Assistance to Organizations, Governments, and Individuals and Part IX, Lines 1 through 3 Grants and Other Assistance. CHRISTUS Health established the CHRISTUS Fund, a grant fund to provide resources to nonprofit agencies and groups whose vision, mission, and goals are consistent with CHRISTUS Health's mission, values and philosophy of a healthy community. CHRISTUS Fund grants totaling $50,000 benefited the community that CHRSTUS Health Southwestern Louisiana serves. The grant dollars were used by CHRISTUS Health Southwestern Louisiana to support programs that promote the health of the community. The CHRISTUS Fund grant amount also includes grants made by CHRISTUS Health to nonprofit organizations located in the communities served by the Southwestern Louisiana region, as well as grants made by CHRISTUS Health Southwestern Louisiana to other nonprofit organizations. All grants made to outside organizations through the CHRISTUS Fund are made to nonprofit organizations that support the health of the community. 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 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. The organization uses Form 990, Schedule H, Worksheet A to determine the bad debt expense at cost reported at Schedule H, Part III, Section A, Line 2 using the cost-to-charge ratio calculated at Form 990, Schedule H, worksheet 2, Line 11. The organization's total bad debt expense attributable to patient charges (total of all hospital facilities) is in accordance with the organization's financial statements. Bad debt expense is net of: (1) contractual allowances;(2) payments received and (3) recoveries of bad debt previously written off. PART III, SECTION A, LINE 3 In order 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 following criteria were used to determine the inclusion of a patient account: (1) The accounts had no patient payments noted; (2) The accounts are all true self-pay where the individual lacks insurance coverage; (3) The patients/guarantor are unemployed for the most part; (4) The accounts have limited contact information with repeated return mail and a possible phone number or no phone number with an address; (5) The account is in the BRONZE category of the organization's scoring model which indicates that the accounts have little to no contact information and they score very low on the collectability/probability scale. The BRONZE section usually represents only 5 percent of all monies recovered. The amount of the organization's bad debt expense at cost attributable to patients who are eligible under the organization's charity care policy is determined using the cost-to-charge ratio calculated on Form 990, Schedule H, Worksheet 2. In addition to screening patients to determine the applicability of financial assistance and charity care at the time of admission and discharge, CHRISTUS Health 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 reviewing the attending hospital's records including patient submitted charity care applications or other financial information, making contact with patients through mailed notice followed by phone call, using a financial assistance questionnaire, using software that provides household/income data statistics and credit reports. As a result of the aforementioned steps, the amount reported as bad debt expense at cost attributable to patients who are eligible under the organization's charity care policy is relatively small. States where the organization, or a related organization, filed a community benefit report Part VI, Line 8 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 CHRISTUS Health system office. CHRISTUS Health's nonprofit hospitals located in Texas file a community benefit report with the State of Texas. The Annual Statement of Community Benefits Standard (ASCBS) form and 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 2009 ASCBS form is expanded to collect the information on charity care policies and community benefits in a standardized format. Part VI, Line 2 The organization's community health plan was developed based on a needs assessment done in collaboration with local school districts, churches, regional public health departments, state legislators, physicians, United Way, private businesspersons, local police and fire departments. CHRISTUS Health Southwestern Louisiana continues to identify the community's needs in two ways: access to health care services and early screenings and detection services. Part VI, Line 3 CHRISTUS Health Southwestern 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. Information regarding CHRISTUS Health's Charity Care and Discount policy, describing the availability of financial assistance, who qualifies, and how to apply is also posted on the Website of CHRISTUS Health and available upon request. Part VI, Line 4 A five-parish region (Allen, Beauregard, Cameron, Calcasieu, and Jeff Davis) with a population of nearly 300,000 is served by CHRISTUS Health Southwestern Louisiana. The following demographics characterize this region: The five-parish area is predominately a Caucasian population, with an African-American population that is higher than the national average. 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. Recently, more Louisiana families are receiving health care coverage because of the expansion of the LA CHIP program. Compared to the nation, the five-parish area has high rates of oral cavity, melanoma, prostate, breast and uterine cancers, diabetes, hypertension, STDs (sexually transmitted diseases) and tuberculosis. Part VI, Line 5 The CHRISTUS Health Board of Directors approved funding of a Community Direct Investment (CDI) loan program to ensure that the work of social accountability and moral and ethical stewardship continues in spite of challenging fiscal conditions faced by local operating entities. The purpose of the CDI program is to support community driven initiatives, primarily for affordable housing and economic development, by providing financing at below market interest rates to nonprofit organizations at terms not exceeding more than five years. The income earned at the market rate less the loan rate (foregone income) is considered a community benefit for reporting purposes. Though outstanding loan balances vary throughout the year, the outstanding loan balance at the end of Fiscal Year 2010 was $500,000. The foregone interest for CHRISTUS Health Southwestern Louisiana in fiscal year ending June 30, 2010 was $21,081. 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. These are some of the main community building activities that are improving access to health services, enhancing public health, and advancing knowledge. The community priorities for the area include, but are not limited to: Growth of the community by increasing the wellness of the population; Keeping the community free of diseases and controllable health conditions; Assisting the community with resources that are available to help with community members' day-to-day care and health needs; Provide health screenings and resource information for self care; Empower the community to become more aware of its members' health needs and expected outcomes; and Promote avoidable injury for the five parishes served. Part VI, Line 6 CHRISTUS Health Southwestern Louisiana collaborates with communities, churches, businesses, and other health care organizations to facilitate and strengthen accessibility to quality comprehensive health care services for all, particularly the vulnerable and underserved populations. CHRISTUS Health Southwestern Louisiana responds to the health care needs through services provided at CHRISTUS St. Patrick Hospital, a 266-bed licensed acute care facility, dedicated to improving the health of the community, as well as embracing the physical, spiritual, and emotional needs of each patient. CHRISTUS Health Southwestern Louisiana provides a full range of inpatient and outpatient services to the people from the communities it serves. It conducts its activities and serves its health care purpose without regard to race, color, creed, religion, gender, orientation, disability, age or national origin. CHRISTUS Health Southwestern Louisiana has part ownership in two diagnostic imaging organizations- Louisiana P.E.T. Imagining of Lake Charles, L.L.C., and South Ryan MRI, L.L.C. CHRISTUS Health Southwestern Louisiana also added a focus on Community Health Workers who offer assistance with coordination of basic health care services and health access for uninsured adults (ages 19 to 64) who are not eligible for government sponsored or employee sponsored health insurance, have limited household income and suffer from chronic illnesses. CHRISTUS Health Southwestern Louisiana provides a 24 hour emergency room that is open to serve all those in need of emergent care, regardless of ability to pay. CHRISTUS Health Southwestern Louisiana offers the area's leading heart program, providing non invasive diagnostic services, interventional catheterization procedures, multidisciplinary cancer care, innovative surgery procedures, and specialized geropsychiatry, rehabilitation, and joint replacement. One of the greatest expenses is community health improvement services which include community clinics, immunizations for underserved children and seniors, meals on wheels, transportation services, various other social service programs, and community health education including seminars and health screenings for identified health issues. The target populations for CHRISTUS Health Southwestern Louisiana's community plan are: Children in Pre-kindergarten through grade 12 in Lake Charles and Cameron Parish; Education and early screening and detection of chronic diseases including heart, cancer, and diabetes; Injury prevention of children under 14 years of age in the five-parish area; and Uninsured and underinsured members of the community. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" is also a part of CHRISTUS Health Southwestern Louisiana's overall community benefit. CHRISTUS Health Southwestern Louisiana used cash donations as a vehicle to help its communities. It made cash donations, in addition to grants awarded through the CHRISTUS Fund, to support causes like the fight against cancer, diabetes, heart disease, the provision of a continuum of care for our elderly, those suffering from HIV/AIDS, and for many other equally worthy purposes. CHRISTUS Health and its related entities, including CHRISTUS Health Southwestern Louisiana, reinvests all surplus funds back in to the communities it serves through expanded health services, new technologies, and better facilities. During FY 2010, 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 it serves. As a nonprofit organization and as a part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the makeup of the area it serves guides CHRISTUS Health Southwestern Louisiana. CHRISTUS Health Southwestern Louisiana is privileged to have an open medical staff comprised of qualified physicians who work with the Southwestern Louisiana region to provide care to its communities. All qualified physicians who are granted privileges to serve within its hospitals must undergo a thorough and comprehensive credentialing and orientation process. All persons employed and affiliated with CHRISTUS Southwestern Louisiana are required to complete annual conflict of interest statements. Part VI, Line 7 CHRISTUS Health Southwestern Louisiana is part of CHRISTUS Health, an international, Catholic, faith based, nonprofit health system comprised of almost 350 services and facilities including more than 50 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 allied health system. Each region, including CHRISTUS Southwestern 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, including 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. In addition, CHRISTUS Health Southwestern Louisiana works closely with the CHRISTUS Community Health Council to meet system wide initiatives for addressing community needs. Currently, these initiatives include increasing access to primary care, avoiding over-utilization of Emergency Departments, preventable hospitalizations, a case management program for patients of our clinics with chronic illnesses, diabetes education, and creating affordable senior housing opportunities in the region. 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 Southwestern 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. TX true Multimedia Ministries 117 Summer Lane Lake Charles LA 70607 721211080 501(c)(3) 6000 Self Esteem program Kidpower of SWLA 711 Dr Michael DeBakey Dr Lake Charles LA 70601 201983776 501(c)(3) 25000 Childhood Obesity program Beauregard Buddy Ball Inc 876 Bozo Road Lake Charles LA 70611 562566942 501(c)(3) 6239 To purchase Adaptive Water Ski Equipment and Adaptive Beeping Balls Friends of Therapeutic Riding Inc 7036 Greathouse Lake Charles LA 70607 202408823 501(c)(3) 5536 To purchase Equicizer GI and portable Mounting Ram Trinity Baptist Church 1800 Country Club Road Lake Charles LA 706055202 726001406 501(c)(3) 17530 FMV Drugs&Medical Supply Foreign Mission healing mission trip to Africa, Kenya The FoundationSWLA PO Box 3110 Lake Charles LA 70602 721015934 501(c)(3) 10000 Regional programs for workforce development, mentoring business recruitment and retention programs, and economic opportunities Calcasieu Parish School Board PO Box 3090 Lake Charles LA 70602 10577 FMV 4 AEDs Purchase Automated External Defibrillators for schools 7 0 services 124 6017 FMV taxi,svcs,gas,pharm 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 criteria are addressed: (1) Organization Test and (2) IRS Tests. 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 tests 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. true true false false false false false false false Ellen Jones 42503 385238 5047 47873 5159 48942 18811 169297 0 23897 71520 675247 0 0 Stephen F Wright 0 399178 0 0 0 9262 0 182039 0 24515 0 614994 0 0 William Hecht 27832 241838 2440 22539 6183 57131 7878 70898 0 23952 44333 416358 0 0 Debbie White 0 172713 0 0 0 7225 0 46404 0 8338 0 234680 0 0 Bernard J Leger 207080 0 0 0 24111 0 37633 0 18819 0 287643 0 0 0 Douglas T Castille 141223 0 308 0 0 0 14890 0 6796 0 163216 0 0 0 Gordon G Gilley 135461 0 358 0 0 0 15002 0 15027 0 165847 0 0 0 Marvin J Holland 160506 0 200 0 0 0 3214 0 21456 0 185376 0 0 0 Kenneth C Marchand 146923 0 508 0 0 0 17636 0 21399 0 186465 0 0 0 Joy Huff 129945 0 0 0 1655 0 24378 0 5284 0 161262 0 0 0 Geraldine Turner 0 0 0 0 122495 0 1329 0 0 0 123824 0 0 0 Percival Kane MD 26000 0 0 0 0 0 0 0 0 0 26000 0 0 0 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. Yang-Tze Broussard, MD received $28,450 for services as a Medical Director. Percival Kane, MD received $26,000 for services as a Medical Director. They received no compensation for serving as a directors. Related Org determining CEO/Executive Director's compensation Form 990, Schedule J, Part I, Question 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. 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. Supplemental Nonqualified Retirement Plan Form 990, Schedule J, Part I, Question 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. severance payment or change-of-control payment Form 990, Schedule J, Part I, Question 4a Under the severance plan, all or a portion of the base salary of a participating executive will continue to be paid to the executive for a limited period of time if the executive's employment with CHRISTUS and its affiliates is involuntarily terminated. Geraldine Turner received $122,495 in severance payment during Calendar Year 2009. payment from a supplemental nonqualified retirement plan Form 990, Schedule J, Part I, Question 4b Bill Hecht was paid $56,114 during Calendar Year 2009 under a supplemental nonqualified retirement plan. 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. COMPENSATION FOR WILLIAM HECHT INCLUDES PAYMENTS FROM SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN EARNED AND PAID IN 2009 UNDER TERMS OF THE AFOREMENTIONED PLAN. COMPENSATION FOR THE FOLLOWING PEOPLE INCLUDES PAYMENTS FROM EXECUTIVE DEFERRED INCOME ACCOUNT VESTED AND DUE IN 2009 UNDER TERMS OF THE PLAN: Ellen Jones, Bernard Leger and Joy Huff. Supplemental Compensation Information Form 990, Schedule J, Part II, Column B(II) Bonus and incentive compensation includes amounts that were deferred in a prior year but paid out in calendar year 2009. JAMES SERRA BOARD MEMBER 281653 TV ADVERTISING & PROD SVCS false Doing Business As Form 990, Page 1, Item C Christus Health Southwestern Louisiana operates under the following names: Christus St. Patrick Hospital Christus St. Patrick Foundation 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 most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. Community Services for the poor and underserved represent the unpaid cost of services provided for which a patient is not billed, or for which a fee has been assessed that recovers only a portion of the cost of the rendered service. This category includes initiatives that reach out to those in need through community health and social programs. These programs seek justice for the vulnerable and work to bring about changes in our political and economic systems. The programs cover a broad spectrum of services from community clinics to immunizations for children and seniors, meals on wheels, transportation services, home repair projects and a variety of other social services. Some examples of CHRISTUS Health Community Benefits accounted for under Community Services for the poor and underserved include the CHRISTUS Community Direct Investment Program (CDI) and the CHRISTUS Fund. The CHRISTUS Board of Directors approved the funding of a CDI loan program to ensure that the work of social accountability and moral and ethical stewardship, which continues in spite of challenging fiscal conditions faced by local operating entities. The purpose of the CDI program is to support community-driven initiatives primarily for affordable housing and economic development by providing financing at below-market interest rates to not-for-profit organizations at terms not exceeding more than five years. The income lost at the market rate less our loan rate (forgone income) is considered a community benefit for reporting purposes. The cost of the investments is not included in the Program Service Expenses for CHRISTUS Health Southwestern Louisiana. Though outstanding loan balances vary throughout the year, the outstanding loan balance at the end of Fiscal Year 2010 was $500,000. CHRISTUS Health has established the CHRISTUS Fund to provide resources to not-for-profit agencies and groups whose vision, mission and goals are consistent with CHRISTUS Health's mission, values and philosophy of a healthy community. We believe that by working together, we can make a profound difference in the quality of peoples' lives and create sustainable health in our communities. During FY2010, the total grant money distributed to the Southwestern Louisiana region was $50,000. The cost of these grants is not included in the Program Service Expenses for CHRISTUS Health Southwestern Louisiana. Total other program expenses - $1,436,000 Grants and allocations - $6,017 Revenue - $0 Description of Other Program Services Form 990, Part III, Line 4d COMMUNITY SERVICES FOR THE BROADER COMMUNITY Most of these expenses are for educating health professionals. Helping to prepare future health care professionals is a distinguishing characteristic of not-for-profit health care and constitutes a significant community benefit. CHRISTUS Health Southwestern Louisiana takes an active role in educating the public. The hospital provides regularly scheduled community health education, such as seminars and screenings. CHRISTUS Health Southwestern Louisiana also supports the community through participation with various agencies. 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 FY2010, 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. Total other program expenses - $256,466 Grants and allocations - $143,905 Revenue - $0 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 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, Question 11A 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 2011 via a web portal polling tool by the Audit and/or Finance subcommittees of 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 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, 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 Southwestern Louisiana. The Executive Compensation Committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. CHRISTUS Health CEO's compensation is subject to approval by the CHRISTUS Health board, after discussion by the Executive Compensation Committee. 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. completes a review of the compensation and benefits of the CEO of Christus Health and provides a written report, and appears in person with the committee to address the annual compensation review and any decisions related to such compensation for the CEO. The consultant also provides all of the comparable market data to support recommendations and decisions. 2. develops the merit increase recommendations for all Designated System Executives based on market comparability. 3. recommends the changes in the Compensation Structure (grades) based on the market changes. 4. 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 the aforementioned procedure, the Secretary's compensation is not reviewed by a compensation committee. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public 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 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 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. Hours worked for related organization Form 990, Part VII, Section A Average hours per week listed on Form 990, Part VII, Section A are the average hours devoted to the respective person's position while serving the organization. Through 2/28/10 Ellen Jones devoted an average of 50 hours per week to CHRISTUS Health Southeast Texas, a related organization of the filing entity. Ellen is the President/CEO of CHRISTUS Health Southeast Texas. Effective 2/28/10, Ellen devoted an average of 33 hours per week to Christus Health Southeast Texas. Ellen is the President/CEO of Christus Health Southeast Texas. Effective 2/28/10, Ellen devoted an average of 22 hours per week to Christus Health Gulf Coast, a related entity of the filing organization. Ellen is the CEO/President of Christus Health Gulf Coast. Through 5/8/10, William Hecht devoted an average of 59 hours per week to CHRISTUS Health Southeast Texas, a related organization of the filing entity. William is the CFO of CHRISTUS Health Southeast Texas. Effective 5/9/10, William devotes an average of 39 hours to Christus Health Southeast Texas. William is the CFO of Christus Health Southeast Texas. Effective 5/9/10, William devotes an average of 26 hours per week to Christus Health Gulf Coast, a related entity of the filing organization. William is the CFO of Christus Health Gulf Coast. Through 3/7/10, Debbie White devoted an average of 40 hours per week to CHRISTUS Health Central Louisiana, a related organization of the filing entity. Debbie is the CFO of CHRISTUS Health Central Louisiana. Effective 3/8/10, Debbie devoted an average of 24 hours per week to CHRISTUS Health Central Louisiana. Debbie is the CFO of CHRISTUS Health Central Louisiana. Effective 9/13/09, Debbie devotes an average of 5 hours per week to CHRISTUS Health Utah, a related organization of the filing entity. Debbie is the CFO of CHRISTUS Health Utah. From 2/1/09 through 3/8/10, Stephen Wright devoted an average of 27 hours per week to CHRISTUS Health Central Louisiana, a related organization of the filing entity. Stephen is the President/CEO of CHRISTUS Health Central Louisiana. Effective 3/8/10, Stephen devoted an average of 21 hours to CHRISTUS Health Central Louisiana. Stephen is the President/CEO of CHRISTUS Health Central Louisiana. From 2/1/09 through 3/8/10, Stephen Wright devoted an average of 27 hours per week to CHRISTUS Health Northern Louisiana, a related organization of the filing entity. Stephen is the President/CEO of CHRISTUS Health Northern Louisiana. Effective 3/8/10, Stephen devoted an average of 21 hours to CHRISTUS Health Northern Louisiana. Stephen is the President/CEO of CHRISTUS Health Northern Louisiana. Fundraising Events- description less than $5,000 Form 990, Part VIII, Line 8a, 8b, and 8c Per Form 990, Schedule G, Part II instructions, fundraisers with gross receipts of less than $5,000 are not to be included on Schedule G, Part II. Therefore, the amounts on Part VIII, Line 8 and Schedule G, Part II are different. Breakdown of Required Distributions Schedule G, Part III, Line 17b Only operating gaming in Louisiana. 100% of gross revenue in Louisiana. CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVC TX 501(C)(3) 3 NA CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100A HOUSTON TX 77027 742898615 HLTHCARE SVC TX 501(C)(3) 3 NA CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH SUITE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(C)(3) 11-TYPE 1 NA ST JOSEPH COMMUNITY FOUNDATION 2800 LAMAR AVE CAPITAL ONE 2ND F PARIS TX 75460 421619230 SUPT HLTH SVC TX 501(C)(3) 11-TYPE 1 NA CHRISTUS ST JOSEPH'S HEALTH SYSTEM 2707 NORTH LOOP WEST HOUSTON TX 77008 750800674 HLTHCARE SVC TX 501(C)(3) 3 NA CHRISTUS STEHLIN FDN FOR CANCER RESEARCH 10301 STELLA LINK SUITE A HOUSTON TX 77025 741622404 HLTHCRE RSRCH TX 501(C)(3) 9 NA DUBUIS HEALTH SYSTEM INC 10333 RICHMOND AVE SUITE 300 HOUSTON TX 77042 721270964 HLTHCARE SVC TX 501(C)(3) 3 N/A CHRISTUS HEALTH FOUNDATION 2707 NORTH LOOP WEST HOUSTON TX 77008 611500100 SUPT HLTH SVC TX 501(C)(3) 11-TYPE 1 NA CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVC LA 501(C)(3) 3 NA CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVC TX 501(C)(3) 3 NA CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVC LA 501(C)(3) 3 NA CHRISTUS SPOHN HEALTH SYSTEM CORP 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVC TX 501(C)(3) 3 NA CHRISTUS HEALTH SOUTHEAST TEXAS 3010 HARRISON STREET BEAUMONT TX 77702 760591590 HLTHCARE SVC TX 501(C)(3) 3 NA CHRISTUS Health 2707 NORTH LOOP WEST HOUSTON TX 77008 760590551 SUPT HLTH SVC TX 501(C)(3) 11 - Type I NA CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVC TX 501(C)(3) 3 NA CHRISTUS HEALTH UTAH 451 BISHOP FEDERAL LANE SALT LAKE CITY UT 84115 870231682 HLTHCARE SVC UT 501(C)(3) 9 NA CHRISTUS Health Liability Retention TrST 2707 North Loop West Houston TX 77008 760259623 SELF INS TRST TX 501(C)(3) 11-TYPE 1 NA SOUTH RYAN MRI LLC 650 DR MICHAEL DEBAKEY LAKE CHARLES LA 70601 743103662 IMAGING SERVICES LA NA N/A false false OCCUPATIONAL HEALTH SERVICES INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 721217389 MEDICAL SERVICES LA NA C Corp 207547 3816280 1.00000 Southwestern Louisiana PHO 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 721274256 Health Services LA NA C Corp 7051 504269 1.00000 SOUTH RYAN DEVELOPMENT CORPORATION 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 721183790 Leasing Buildings LA NA C Corp 21915 2464255 1.00000 CHRISTUS Muguerza SAPI de CV Carretera Nacional No 6501 Col E Monterrey N.L. MX 64988 HEALTHCARE SRVCS MX NA C Corp Emerald Assurance Cayman Ltd PO BOX 1051 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980407545 Insurance CJ NA C CORP true false true false false false false false true false true false false false true true true false CHRISTUS Health Liability Retention Trust p 120559 Emerald Assurance Cayman Ltd c 147185 Southwestern LA PHO i 75032 South Ryan MRI LLC a 143937 South Ryan MRI LLC i 331424 Dubuis Health System Inc i 836604 Dubuis Health System Inc k 1078848