2025-05-13T13:53:00+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2023-07-01 720408984 Christus Health Central Louisiana CHRI 3184871122 3330 MASONIC DR ALEXANDRIA LA 71301 CHRISTOPHER KARAM SR VP & REG CEO 2025-05-13 true Patrick Shields P01508556 2149698000 2025-05-12 2023 2025-03-06 01:10:19Z SEE SCHEDULE O CHRISTOPHER KARAM 3330 MASONIC DR ALEXANDRIA LA 71301 426732939 false 0928 X WWW.CHRISTUSHEALTH.ORG/LOCATIONS/CABRINI X 1946 LA SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN COMFORMITY WITH THE ROMAN CATHOLIC CHURCH. 14 11 2412 31 368047 258049 3587984 1476249 411739596 417711858 2531792 1162517 1728501 6360974 419587873 426711598 12513405 2704226 0 0 144733319 143085308 0 0 303582 231275832 250776151 388522556 396565685 31065317 30145913 174270409 180687286 25734774 19530264 148535635 161157022 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. false false 209083445 0 167325175 OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE. THE NON-REIMBURSED COSTS OF THESE SERVICES ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEATH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS PER CASE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON ITS FEE SCHEDULE. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME. 59199643 0 80713723 COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2016) AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. CHARITY CARE FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, THE ORGANIZATION PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS DEFINED AS SERVICES PROVIDED WITHOUT CHARGE OR AT A CHARGE LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT OF THE CHARGE, IF ANY, IS ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 300 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 300 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. 56332711 0 175698673 COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH CARE MINISTRIES TOGETHER. BISHOP CLAUDE MARIE DUBIS FOUNDED BOTH CONGREGATIONS OVER 152 YEARS AGO, AND HIS ORIGINAL CALL TO THE SISTERS CONTINUES TO CHALLENGE CHRISTUS HEALTH TO FULFILL ITS MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST AND TO REACH OUT TO THOSE IN NEED IN THE MORE THAN 60 COMMUNITIES IT SERVES. IN 2016 ANOTHER SPONSORING CONGREGATION, THE SISTERS OF THE HOLY FAMILY OF NAZARETH, WAS ADDED. THE VISION OF CHRISTUS HEALTH, A CATHOLIC, FAITH-BASED HEALTH MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS ST. FRANCES CABRINI HEALTH SYSTEM PARTICIPATED IN THE AMERICORPS COMMUNITY HEALTH WORKERS PROGRAM BRINGING ON 3 (2 FOR FY24) TO WORK PATIENTS IN ADDRESSING THEIR SOCIAL DETERMINANTS OF HEALTH. THROUGH SCREENING, EDUCATION, REFERRAL AND NAVIGATION, THE PHACHWS WERE ABLE TO IMPACT MANY LIVES CONNECTING THEM TO RESOURCES DESPERATELY NEEDED. THE CENTRAL LOUISIANA REGION OF CHRISTUS HEALTH RESPONDS TO COMMUNITY NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. FRANCES CABRINI HOSPITAL IN ALEXANDRIA, LOUISIANA, A 293-BED FACILITY; AND CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LOUISIANA, A 25-BED, CRITICAL ACCESS HOSPITAL. CHRISTUS HEALTH CENTRAL LOUISIANA ALSO OWNS PARTS OF CHRISTUS CABRINI SURGERY CENTER, LLC; CHRISTUS HOSPICE AND PALLIATIVE CARE ST. FRANCES CABRINI; AND CENTRAL LOUISIANA SURGICAL HOSPITAL. EACH FACILITY IN THIS REGION SHARES THE ONE OBJECTIVE OF LEADING THE WAY TOWARD HEALTHIER COMMUNITIES. CHRISTUS ST. FRANCES CABRINI HOSPITAL SERVES RAPIDES AND TWELVE SURROUNDING CIVIL PARISHES, WHICH HAVE A TOTAL POPULATION OF MORE THAN 378,000, OF WHICH MORE THAN 22.1 PERCENT LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. IN FY 2024 ALONE, THE HOSPITAL ADMITTED 13,664 PATIENTS AND TREATED 274,356 PATIENTS IN ITS OUTPATIENT FACILITIES. THE HOSPITAL PERFORMED 2,139 INPATIENT SURGERIES AND 3,274 OUTPATIENT SURGERIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 51,818 INDIVIDUALS. CHRISTUS ST. FRANCES CABRINI WORKS TO LEAD CENTRAL LOUISIANA IN CARDIAC SERVICES, OFFERING A COMPLETE RANGE OF CARDIAC DIAGNOSTIC SERVICES INCLUDING CTA, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, AND ELECTROPHYSIOLOGY. THE HOSPITAL EXPANDED SPACE AND SERVICES IN PEDIATRIC THERAPY TO ACCOMODATE THE NEEDS OF THE COMMUNITY. CHRISTUS CABRINI CANCER CENTER OFFERS COMPREHENSIVE CANCER CARE IN A HOSPITAL SETTING. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. CHRISTUS COUSHATTA HEALTH CARE CENTER IS LOCATED IN RED RIVER PARISH, ECONOMICALLY ONE OF THE POOREST IN LOUISIANA. IN FY 2024, THE HOSPITAL ADMITTED 601 PATIENTS AND TREATED 24,332 PATIENTS IN ITS OUTPATIENT FACILITIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 6,444 INDIVIDUALS. THE HOSPITAL PERFORMED 53 OUTPATIENT SURGERIES. THIS HOSPITAL OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING MINOR SURGERY; DAY SURGERY; CARDIOLOGY; DIABETES CARE; RESPIRATORY THERAPY; RADIOLOGY; PHYSICAL THERAPY; ONCOLOGY; GYNECOLOGY; EAR, NOSE, AND THROAT SERVICES; OPHTHALMOLOGY; HEMATOLOGY; INFUSION THERAPY; AND ADULT PSYCHIATRIC SERVICES. THE FEDERAL GOVERNMENT HAS DESIGNATED CHRISTUS COUSHATTA HEALTH CARE CENTER A CRITICAL ACCESS HOSPITAL DUE TO THE STRATEGIC LOCATION OF ITS EMERGENCY ROOM, WHICH REDUCES THE TRANSPORTATION TIME PATIENTS WOULD HAVE TO SPEND TRAVELING TO NATCHITOCHES OR SHREVEPORT, LOUISIANA, FOR TREATMENT. BOTH CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER PROVIDE 24-HOUR EMERGENCY ROOMS OPEN TO ALL NEEDING EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. THE CHRISTUS HEALTH CENTRAL LOUISIANA REGION ALSO SPONSORS MANY LOCAL COMMUNITY HEALTH SERVICES. THESE INCLUDE 17 SCHOOL-BASED HEALTH CENTERS IN FIVE CIVIL PARISHES AROUND CHRISTUS ST. FRANCES CABRINI HOSPITAL, A DENTAL CLINIC AT CHRISTUS COUSHATTA HEALTH CARE CENTER, AND RURAL HEALTH CLINICS IN RINGGOLD AND COUSHATTA. AS A NONPROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS HELPS GOVERN CHRISTUS HEALTH CENTRAL LOUISIANA. THE REGION HAS AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH ITS THREE FACILITIES TO PROVIDE CARE TO OUR COMMUNITIES. THESE PHYSICIANS RECEIVE THEIR PRIVILEGES ONLY AFTER A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. TOUCHING THE LIVES OF PEOPLE HELPS CHRISTUS HEALTH CENTRAL LOUISIANA STAND APART AND PROVIDES FURTHER MOTIVATION TO SERVE THE MEDICALLY NEEDY IN ALL OF THE COMMUNITIES SURROUNDING ITS MULTIPLE FACILITIES. WHETHER THE ISSUE IS THE LIFE OF A CHILD HOPING FOR A BRIGHT FUTURE, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS HEALTH CENTRAL LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. MOREOVER, THE CHRISTUS HEALTH CENTRAL LOUISIANA PROVIDES ITS SERVICES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, SEXUAL ORIENTATION, DISABILITY, AGE, OR NATIONALITY. THE THREE HIGHEST COST COMMUNITY BENEFIT PROGRAMS PROVIDED BY CHRISTUS ST. FRANCES CABRINI HOSPITAL ARE 1) THROUGH MENTAL HEALTH SUPPORT SERVICES, AND HELP FOR PATIENTS WITH NEEDS DETERMINED BY THE SOCIAL DETERMINANTS OF HEALTH QUESTIONS AS WELL AS HEALTH FAIRS AND HEALTH EDUCATION WHERE OVER 1,500 PERSONS WERE SERVED; 2) ELIGIBILITY VENDORS WHICH ASSIST COMMUNITY MEMBERS WITH ENROLLMENT IN PUBLIC PROGRAMS TO INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THEY PROVIDE EDUCATION AND ENROLLMENT ASSISTANCE TO THE UNINSURED POPULATION IDENTIFIED AT THE HOSPITAL; 3) CABRINI STAFF PROVIDE SUPERVISION, MENTORING, AND PRECEPTING AND ROTATION OF LSU-A NURSING STUDENTS, RADIOLOGY STUDENTS AND LAB STUDENTS FOR THEIR CLINICAL STUDIES. BY COLLABORATING WITH CHURCHES, BUSINESSES, COMMUNITIES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH CENTRAL LOUISIANA'S MULTIPLE FACILITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE, AND AFFORDABLE HEALTHCARE SERVICES. THESE PARTNERSHIPS HAVE EXTENDED THE REGION'S CAPACITY TO HELP THOSE IN NEED. THE SAME CAN BE SAID OF THE FACILITIES' DEDICATED EMPLOYEES AND VOLUNTEERS WHO REGULARLY REACH BEYOND TRADITIONAL WALLS TO HELP THEIR COMMUNITIES BECOME HEALTHIER. THESE ACTIVITIES FOSTER STRONG RELATIONSHIPS AND THEREBY CONTRIBUTE TO THE MISSION OF CHRISTUS HEALTH. FURTHERMORE, TO PROVIDE ACCESS TO HEALTH CARE TO AS MANY PEOPLE AS POSSIBLE, CHRISTUS HEALTH CENTRAL LOUISIANA PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, SUCH AS MEDICAID, MEDICARE, CHAMPUS, AND TRICARE. IN ADDITION, THE REGION PROVIDES DISCOUNTED SERVICES TO THOSE WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. 1451439 2704226 0 COMMUNITY SERVICES FOR THE BROADER COMMUNITY CHRISTUS SCHOOL BASED HEALTH CENTERS (SBHC), PROVIDE PRIMARY/PREVENTIVE HEALTH SERVICES TO STUDENTS LOCATED IN UNDERSERVED COMMUNITIES. THE SBHC'S PROVIDE A UNIQUE BLEND OF HEALTH AND EDUCATION SERVICES. CHRISTUS ST. FRANCIS CABRINI ALSO SERVES THE BROADER COMMUNITY BY EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS ST. FRANCES CABRINI ALSO PROVIDES EDUCATIONAL ACTIVITIES INCLUDING STUDENT INTERNSHIPS, CLINICAL EXPERIENCE AND OTHER EDUCATION FOR NURSES, TECHNICIANS, ADMINISTRATORS, SOCIAL WORKERS, THERAPISTS AND PASTORAL CARE PROFESSIONALS. CHRISTUS ST. FRANCES CABRINI HOSPITAL ALSO PROVIDES MANY FREE HEALTH SCREENINGS AND HEALTH EDUCATION FOR LOCAL ORGANIZATIONS, BUSINESSES AND COMMUNITY GROUPS ON DISEASES INCLUDING DIABETES, PROSTATE CANCER, COLORECTAL CANCER AND OTHERS. FOR FY24, 17 HEALTH FAIRS AND EDUCATION EVENTS COVERED 1,514 PERSONS SERVED. 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 HOMELESS SUPPORT SERVICES, EARLY EDUCATION FOR LOWER INCOME FAMILIES, NURSING EDUCATION, FOOD ACCESS WITH HEALTHIER CHOICES, AND FEEDING OF HOMELESS, INDIVIDUALS AND FAMILIES IN NEED AS WELL AS OTHER EQUALLY WORTHY PURPOSES. DURING FY 2024, 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. CHRISTUS St. Frances Cabrini partnered with Access Health to expand the services offered through the CHRISTUS School Based Health Centers. CHRISTUS School Base Health Centers provide comprehensive primary medical, social, and behavioral health services, as well as health education, promotion, and prevention services designed to meet the psychosocial and physical health needs of students in the context of their family, culture, and environment. Our School Based Health Centers offer access to healthcare and mental health services to 17 area schools. The SBHCs coordinate with school staff, agency administrators, parents/caregivers, and youth themselves to ensure student access to health care and support services is both affordable and convenient. Through services that include pedi access, health education and prevention, pre-diabetes and diabetes prevention, obesity and heart disease prevention and mental health care the SBHCs impacted 8,474 children through 11,944 mental health and 22,722 medical visits. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGE IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, CLASSES FOR EXPECTANT MOTHERS TO SUPPORT NEW BORN HEALTH, EDUCATION AND SCREENING SERVICES FOR BETTER HEALTH OUTCOMES, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. CHRISTUS St. Frances Cabrini Health System participated in the AmeriCorps Community Health Workers program bringing on 3 (2 for FY24) to work with patients in addressing their social determinants of health. Through screening, education, referral and navigation the PHACHWs were able to impact many lives connecting them to resources desperately needed. 1451439 2704226 326067238 true true false true 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 true false false false false false true true true false false true 0 0 2412 true true true false false false false false false false false false false false X 14 11 false false false false true true true true true false false true true true true true true true true true true X LEE SONNE 4692822000 5101 N OCONNOR BLVD IRVING TX 75039 CHRISTOPHER KARAM SR VP & REG CEO 13.0 27.0 X X 0 1383146 99933 MONTE A WILSON CEO/PRESIDENT 40.0 0.0 X X 0 556888 106798 ALOYSIA C DUCOTE Director 1.0 2.0 X 0 0 0 CARLETTE B CHRISTMAS Director (Term 2/24) 1.0 2.0 X 0 0 0 Fadi Nasrallah MD Director (EFF 1/24) 40.0 0.0 X 0 1419838 280019 GAVIN F CHICO MD Director 1.0 2.0 X 0 0 0 HARRY HAWTHORNE MD Director (Term 2/24) 1.0 2.0 X 0 0 0 JAMES BARNES MD Director (Term 2/24) 1.0 2.0 X 0 0 0 LYN S SAVOIE Director (Term 2/24) 1.0 2.0 X 0 0 0 MARTIN W JOHNSON Director 1.0 2.0 X 0 0 0 MELVA WILLIAMS Director (Term 2/24) 1.0 2.0 X 0 0 0 MOSELLE A DEARBONE Director 1.0 2.0 X 0 0 0 NANCY STITCH Director 1.0 2.0 X 0 0 0 PHILIP A COLE II MD Director 1.0 2.0 X 0 0 0 ROBERT T CHANDLER Director 1.0 2.0 X 0 0 0 ROBERTO GARCIA MD Director (Term 2/24) 1.0 2.0 X 0 0 0 SISTER HELENA ADAKU OGBUJI Director 1.0 2.0 X 0 0 0 SISTER KRYSTYNA KRAWCZYK DIRECTOR 1.0 2.0 X 0 0 0 SISTER MIRIAM MILLER CCVI Director 1.0 2.0 X 0 0 0 SUSAN E KEMP MD Director (TERM 2/24) 1.0 39.0 X 0 280064 56179 TERRY E MOORE Director (Term 2/24) 1.0 2.0 X 0 0 0 WILLIE C WHITE III Director 1.0 2.0 X 0 0 0 WYCHE COLEMAN JR MD Director (Term 2/24) 1.0 2.0 X 0 0 0 Audrey Webber Regional Corporate Secretary (EFF 6/24) 10.0 30.0 X 0 0 0 CONNIE COLEMAN Regional Corporate Secretary (Term 2/24) 10.0 30.0 X 0 95576 13184 Jason Miller CFO (EFF 8/23) 40.0 0.0 X 0 420145 1383 SCOTT MERRYMAN CFO (Term 2/24) 40.0 0.0 X 0 0 0 D KIRK SOILEAU CEO - Nachitoches 40.0 0.0 X 0 401429 105547 HEATHER LEE VP PATIENT PLACEMENT 40.0 0.0 X 0 190202 34077 JOSE M ZAPATERO MD CMO, VPMA 40.0 0.0 X 0 506650 111222 LANCE ARMENTOR PRESIDENT SAVOY MEDICAL CENTER 40.0 0.0 X 0 240291 40084 MARY MERRYMAN ASSOCIATE CIO 40.0 0.0 X 0 238434 46024 MICHELLE AGUILLARD VP HUMAN RESOURCES 40.0 0.0 X 0 321444 103527 PATRICK BRAQUET VP MISSION INTEGRATION 40.0 0.0 X 0 151695 72160 SHANNON FORREST CNO 40.0 0.0 X 0 262171 46715 SHERMAN FOOKES COO 40.0 0.0 X 0 339433 79191 BAOCHONG B CHANG MD Physician 40.0 0.0 X 1212117 0 67375 HAFEZ HALAWANI MD Physician 40.0 0.0 X 751429 0 60696 JOSHUA R CASON MD Physician 40.0 0.0 X 292667 0 23897 MILAN D PATEL MD Physician 40.0 0.0 X 348714 0 31349 MONICA L BRODNAX RN 40.0 0.0 X 201313 0 34018 BERT J TASSIN Exec Director - Support Svcs (Term 6/23) 40.0 0.0 X 205871 0 26962 Claire Lauzon-Vallone VP Quality and Safety 40.0 0.0 X 0 458453 120101 JOHN P SHAUGHNESSY CFO & VP Finance (Term 6/23) 0.0 0.0 X 0 120519 24541 SCOTT B JOHNSON VP STRATEGY-BUS DEVELOPMENT 40.0 0.0 X 0 112142 28984 3012111 7498520 1613966 190 true true false 0 1063245 106404 306600 1476249 NET PATIENT SERVICE REVENUE 621990 406337766 406268145 69621 PHARMACY REVENUE 446110 5252327 5252327 RENT RELATED TO EXEMPT FUNCTION 531120 2928950 2928950 RESEARCH REVENUE 900099 434291 434291 2758524 2758524 0 0 417711858 1008510 1008510 1115 1115 0 0 175348 21341 0 154007 154007 154007 Payroll Reimbursement 900099 3802800 3802800 FMP Payments 900099 1611250 1611250 Management Service Fee Revenue 541610 334146 298426 35720 611663 611663 0 0 6359859 426711598 423667950 368047 1199352 X 2704226 2704226 0 0 117918104 114166685 3553890 197529 17188998 15195716 1958200 35082 7978206 7748944 214174 15088 444456 444456 39121 36371 2750 25899 25899 80824887 31732656 49088312 3919 549663 389793 157499 2371 22026315 21519216 501872 5227 1058138 953746 75992 28400 10372500 10280356 92144 199671 99087 90621 9963 121249 78155 38689 4405 6604643 6604643 14939212 14519056 420156 4363701 2687829 1675872 Medical Supplies 79949849 79908838 41011 Provision for Uncollectible Accounts 16904480 16904480 Tax Expense 11472728 19228 11453495 5 TLRA Collection Fee 689285 689285 190354 73757 115004 1593 396565685 326067238 70194865 303582 417188 493391 16779 16779 40505858 40257446 0 0 0 0 165351 1275379 9452782 11167641 1016068 747831 387038150 268909500 113189526 118128650 6285 6285 0 1666350 1638817 1694000 1210000 6140222 5745067 174270409 180687286 24017233 18387092 -232959 -22518 0 0 1950500 1165690 25734774 19530264 X 148315573 160936960 220062 220062 148535635 161157022 174270409 180687286 X 30145913 -17524526 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false false true 25899 false false 25899 false Schedule C, Part II-B LOBBYING DESCRIPTION HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH CENTRAL LOUISIANA BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. Schedule C, Part II-B LINES 1d and 1g DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY At the state level CHRISTUS Health Central Louisiana leadership had direct contact with members of the Louisiana Legislature and administration officials, through emails, telephone calls, and in person meetings to discuss issues important to their ministries. These issues include, but are not limited to, legislation on prior authorization, workers compensation, physician credentialing, hospital financing, and the state budget. At the federal level, CHRISTUS Health Central Louisiana leadership had direct contact with members of the Congress and administration officials, through written and in-person communications, to discuss issues important to our ministry. These issues include, but are not limited to, issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, rural health program reauthorization, violence against healthcare workers, womens' health, and health care for veterans, service members, and their families. 94 EXECUTIVE HOURS 13052175 13052175 187654533 129424345 58230188 10078076 7555229 2522847 165488600 124197943 41290657 10764766 7731983 3032783 118128650 109109 LEASE LIABILITIES OTHER TAXES LEASE LIABILITIES 499566 OTHER TAXES 557015 1165690 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2024 OR 2023. true true X true X 300 true X true true true false true true 5527696 5527696 0.0146 59199643 80713723 0 0.0 0 0.0 0 0 64727339 80713723 5527696 0.0146 12 16023 1246129 0 1246129 0.0033 3 6657 148695 0 148695 0.0004 2 45 21436 0 21436 0.0001 0 0 0 0 0 0.0 5 2000 2813397 0 2813397 0.0074 22 24725 4229657 0 4229657 0.0111 22 24725 68956996 80713723 9757353 0.0257 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 8950 8950 0.0000 2 250 26229 26229 0.0001 0 0.0 0 0.0 3 250 35179 0 35179 0.0001 true 16904480 101783 100929769 102636766 -1706997 X true true CHRISTUS CABRINI SURGERY CENTER LLC SURGERY CENTER 0.4245 0.314 CENTRAL LA SURGICAL HOSPITAL SURGICAL HOSPITAL 0.51 0.39 2 1 CHRISTUS ST FRANCES CABRINI HOSPITAL 3330 MASONIC DRIVE ALEXANDRIA LA 71301 https://www.christushealth.org/locations/cabrini 234 X X X A 2 CHRISTUS COUSHATTA HEALTH CARE CENTER 1635 MARVEL STREET COUSHATTA LA 71019 https://www.christushealth.org/locations/coushatta 551 X X A A 2 false false true X X X X X X X X X 22 true true false true X The URLs for the Community Health Needs Assessments for Christus St. Frances Cabrini Hospital and CH X true 22 true The URLs for the Implementation Plans for Christus St. Frances Cabrini Hospital and CHRISTUS Coushat false true X 300.0 400.0 X X X X true true X X X X X true X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E CHRISTUS St. Frances Cabrini Health System, which includes CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center, conducted a Community Health Needs Assessment (CHNA) to assess areas of greatest need, which guides the hospital on selecting priority health areas and where to commit resources that can most effectively improve community members' health and wellness. To complete the 2023-2025 CHNA, CHRISTUS St. Frances Cabrini Health System partnered with Metopio, health departments, and regional and community-based organizations. The CHNA process involved engagement with multiple stakeholders to prioritize health needs. Stakeholders also worked to collect, curate and interpret the data. Stakeholder groups provided insight and expertise around the indicators to be assessed, types of focus group questions to be asked to the community, interpretation of results, and prioritization of areas of highest need. Primary data for the CHNA was collected via community input surveys, resident focus groups, key informant interviews. The process also included an analysis of secondary data from federal sources, local and state health departments, and community-based organizations. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. A critical part of robust, primary data collection for the CHNA involved speaking directly to community members, partners and leaders that live in and/or work in the CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center Primary Service Areas (PSAs). This was done through focus groups and key informant interviews, with over 40 participants. During this CHNA, CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center held two local focus groups, one covering Adult Health and the other Maternal and Child Health, and joined two systemwide focus groups. All focus groups were coordinated by CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center and the CHRISTUS system office and were facilitated by Metopio. The system sought to ensure groups included a broad range of individuals from underrepresented, priority populations in the PSA. Focus group health topic areas are listed below: Adult health Maternal and child health Health care and social service providers Behavioral health CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center conducted their focus groups virtually. Focus groups lasted 90 minutes and had up to 15 community members participate in each group. In addition to the focus groups, key informants were identified by the Hospital Management teams for one-on-one interviews. Key informants were chosen based on areas of expertise to further validate themes that emerged in the surveys and focus groups. Each interview was conducted virtually and lasted 30 minutes. Key Informant invitations included; President/CEO of United Way of Central Louisiana Sheriff, Rapides Parish OPH, Region 6 Director/Rapides Parish Health Unit Director of Outpatient Services (CHRISTUS Community Clinics) Chief of Staff, Pineville Mayors Office Director Community Outreach (CHRISTUS School Based Health Centers) Bishop, Diocese of Alexandria President, Ministers of Economic Development Executive Director, CLHC (Homeless Coalition) Department Chair, LSU of Alexandria Pastor, Second Union Missionary Baptist Church Executive Director for Farm and Food - Louisiana Central Chief of Staff, Alexandria Mayors Office CMO, CHRISTUS St. Frances Cabrini Hospital Administrator, CHRISTUS Coushatta Health Care Center Also, between October and December of 2021, 351 residents in the two PSAs provided input to the CHNA process by completing a community resident survey. The survey was available online and in paper form in English and Spanish. Survey dissemination happened through multiple channels led by CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center and its community partners. The survey sought input from priority populations in the PSA that are typically underrepresented in assessment processes, including communities of color, immigrants, persons with disabilities, and low-income residents. The survey was designed to collect information regarding: Demographics of respondents Health needs of the community for different age groups Perception of community strengths Utilization and perception of local health services Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. CHRISTUS ST. FRANCES CABRINI HOSPITAL CHRISTUS COUSHATTA HEALTH CARE CENTER CHRISTUS SAVOY MEDICAL CENTER Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. THE CHNA ADVISORY COMMITTEES TOOK A NUMBER OF THINGS INTO CONSIDERATION WHEN CHOOSING PRIORITIES. SOME PRIORITIES WERE SELECTED BASED ON ISSUE PREVALENCE AND SEVERITY ACCORDING TO PARISH AND REGIONAL SECONDARY DATA. INPUT PROVIDED BY KEY INFORMANTS, FOCUS GROUP PARTICIPANTS, AND OTHER COMMUNITY STAKEHOLDERS WAS ALSO HEAVILY CONSIDERED, ESPECIALLY FOR PRIORITY AREAS WHERE SECONDARY DATA WAS LESS AVAILABLE. THE ADVISORY COMMITTEES THEN MADE RECOMMENDATIONS TO THE SENIOR LEADERSHIP OF CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTHCARE CENTER ON WHICH PRIORITY ISSUES SHOULD BE ADDRESSED AS PART OF THE CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). BOTH SENIOR LEADERSHIP TEAMS ACCEPTED THE CHNA ADVISORY COMMITTEE'S RECOMMENDATIONS AND THE HOSPITAL GOVERNING BOARD APPROVED THE PRIORITIES CHOSEN WHEN IT APPROVED THE CHNA. For this cycle, CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center are using a new structure for the identified needs, categorizing them under two domains with the overarching goal of achieving health equity. While the prioritization structure is new, CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center retained mental health as a priority issue from the previous CHNA. In this cycle, CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center unpacked "chronic illness specifically call out diabetes, heart disease and obesity. Newly identified issues include substance abuse, food access, reducing smoking and vaping and childhood well-being. Based on community input and analysis of a myriad of data, the priorities for the communities served by CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center for Fiscal Years 2023-2025 fall into two domains underneath an overarching goal of achieving health equity. The two domains and corresponding health needs are: CHRISTUS St. Frances Cabrini Hospital: I. Advance Health and Wellbeing by addressing A. Specialty Care and Chronic Illness (Diabetes, Obesity and Heart Disease) 1. Provide screening and education opportunities about heart disease, diabetes - Expand free/subsidized screenings that include education components - Continue community education initiatives focused on chronic disease prevention 2. Empower community members to manage their heart disease, obesity and diabetes - CSFCHS Sponsored Health Fairs with the Holistic Approach to better health including healthy eating, healthy lifestyle changes, and managing health 3. Increase access to primary care - Assist patients with healthcare navigation - Encourage patients to establish care with a primary care physician - Support Education on Medications 4. Reduce inequities caused by cultural barriers to care - Train healthcare staff in cultural competency, shared decision-making and plain language B. Behavioral Health 1. Mental health - Provide early identification, resources, and follow-up care to mental health patients - Provide mental health risk screenings and referrals in School Based Health Centers - Provide screenings and treatment for depression to populations that face disparities in care C. Children's Health 1. Pediatric Access - All students enrolled in schools with SBHCs will have access to pediatric care, services and referrals as needed. 2. Expanding through partnerships, eye and dental services for students in schools with SBHCs II. Build Resilient Communities and Improve Social Determinants by A. Improving food access 1. Cultivate and maintain partnerships to improve access to health food in food deserts - Working with Local Organizations such as the Food Bank and Louisiana Central to ensure greater access to Healthy Choices Foods, through events such as CSFCH sponsored Health Fairs 2. Provide nutrition education for patients - Through Diabetes Care & Education, CHRISTUS Trinity Clinics and IWCC, patients will receive nutrition and healthy cooking education to improve social determinants 3. Provide resources - Promotion of Food Prescription, SNAP, Home Food Delivery and Community Garden (SBHCs) programs to patients throughout the CSFCHS PSA B. Reducing Smoking and Vaping 1. Increasing awareness of smoking and vaping effects - Providing Education through SBHCs and working with non-profits in partnerships to education the community and local schools on the dangers of smoking, vaping and cessation resources CHRISTUS St Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center acknowledge the wide range of priority health issues that emerged from the CHNA process and determined that it could effectively focus on only those health needs which are the most pressing, under- addressed and within its ability to influence. CHRISTUS St. Frances Cabrini Hospital does not intend to address the following health needs at this time but may address them within the three-year cycle: * Early Education * Reducing Smoking and Vaping CHRISTUS Coushatta Health Care Center does not intend to address the following health needs at this time but may address them in the three-year cycle: * Behavioral Health * Children's Health * Improving Food Access These implementation plans specify community health needs that the hospitals, in collaboration with community partners, has determined to address. The hospitals reserve the right to amend this implementation strategy as circumstances warrant. For example, certain needs may become more pronounced and require enhancements to the described strategic initiatives. During these three years, other organizations in the community may decide to address certain needs, indicating that the hospital then should refocus its limited resources to best serve the community. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. FAP APPLICATION FORM'S METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE: IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY, AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT https://www.christushealth.org/plan-care/bill-pay/financial-assistance. (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 INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: "YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN." 2 CHRISTUS CABRINI SURGERY CENTER LLC 15305 DALLAS PARKWAY STE 1600 LB-28 ADDISON TX 75001 SURGERY CENTER CHRISTUS Hospice St Frances Cabrini 6501 Coliseum Blvd Suite 700D ALEXANDRIA LA 71303 HOSPICE Schedule H, Part V, Section B, Line 22 MAXIMUM AMOUNTS THAT CAN BE CHARGED THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/24 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% OF THE FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. Schedule H, Part V, Section B, Line 17 EXTRAORDINARY COLLECTION ACTIONS THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part I, Line 5a BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH (EIN: 76-0590551), 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. Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. Schedule H, Part VI, Line 7 COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015 WITH 2017 UPDATE. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. CHRISTUS HEALTH'S NON-PROFIT HOSPITALS LOCATED IN TEXAS FILE A COMMUNITY BENEFIT REPORT IN THE STATE OF TEXAS. THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AND AN ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN ARE FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS), AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN STANDARDIZED FORMAT. Schedule H, Part I, Line 7 COSTING METHODOLOGY 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 Schedule H, Part II COMMUNITY BUILDING ACTIVITIES THE COMMUNITY BUILDING ACTIVITIES REPORTED AT SCHEDULE H, PART II INCLUDE INNER CITY REVITALIZATION PROJECTS, LEADERSHIP DEVELOPMENT, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN, SENIORS AND OTHER VULNERABLE POPULATIONS, AND THEY WORK TO PROMOTE PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AS WELL AS IMMUNIZATIONS. Schedule H, Part I, Line 7f BAD DEBT EXPENSE PERCENT OF TOTAL EXPENSE FORM 990, PART IX, LINE 25, COLUMN (A) IS $396,565,685 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $16,904,480. THIS LEAVES A TOTAL EXPENSE OF $379,661,205 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/financial-assistance-policy-english.ashx Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/v2financial-assistance-application.ashx Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 16904480 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2024, THE ORGANIZATION REPORTED THAT 16.14% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2024, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2024. THUS, THE ORGANIZATION ESTIMATES THAT ONLY .6021% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2024 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS "The preparation of the accompanying consolidated financial statements in conformity with United States generally accepted accounting principles (U.S. GAAP) requires management of the System to make assumptions, estimates, and judgements, that affect the amounts of assets, liabilities, revenues, and expenses reported in the consolidated financial statements, including the notes thereto, and related disclosures of commitments and contingencies, if any, at the date of the consolidated financial statements. Management relies on historical experience and on other assumptions believed to be reasonable under the circumstances in making its judgements and estimates. Actual results could differ materially from these estimates." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY 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. Schedule H, Part V, Section B, Line 16a FAP website A - CHRISTUS ST FRANCES CABRINI HOSPITAL: Line 16a URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16b FAP Application website A - CHRISTUS ST FRANCES CABRINI HOSPITAL: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - CHRISTUS ST FRANCES CABRINI HOSPITAL: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment CHRISTUS St. Frances Cabrini Health System, which includes CHRISTUS St. Frances Cabrini Hospital, CHRISTUS Savoy Medical Center and CHRISTUS Coushatta Health Care Center, conducted a Community Health Needs Assessment (CHNA) to assess areas of greatest need, which guides the hospital on selecting priority health areas and where to commit resources that can most effectively improve community members' health and wellness. To complete the 2023-2025 CHNA, CHRISTUS St. Frances Cabrini Health System partnered with Metopio, health departments, and regional and community-based organizations. The CHNA process involved engagement with multiple stakeholders to prioritize health needs. Stakeholders also worked to collect, curate and interpret the data. Stakeholder groups provided insight and expertise around the indicators to be assessed, types of focus group questions to be asked to the community, interpretation of results, and prioritization of areas of highest need. Primary data for the CHNA was collected via community input surveys, resident focus groups, key informant interviews. The process also included an analysis of secondary data from federal sources, local and state health departments, and community-based organizations. For secondary data, the CHNA report for CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center used a common set of health indicators to understand the prevalence of morbidity and mortality in the Primary Service Areas (PSAs) and compare them to benchmark regions at the state and the full CHRISTUS Health service area. Building on previous CHNA work, these measures have been adapted from the County Health Rankings model. Where possible, the CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center used data with stratifications so that health inequities could be explored and better articulated. Given the community input on economic conditions and community safety, the CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center sought more granular datasets to illustrate hardship. Primary sources of this data come from: American Community Survey Behavioral Risk Factor Surveillance System Centers for Disease Control PLACES data Centers for Disease Control WONDER database Centers for Medicare and Medicaid Services: Provider of Services Files, National Provider Identifier Decennial Census (2010 and 2020 census data) Diabetes Atlas Environmental Protection Agency FBI Crime Data Explorer National Vital Statistics System The New York Times State health department COVID dashboards Louisiana Department of Public Health United States Department of Agriculture: Food Access Research Atlas Based on community input and analysis of a myriad of data, the priorities for the communities served by CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center for Fiscal Years 2023-2025 fall into two domains underneath an overarching goal of achieving health equity. The two domains and corresponding health needs are: CHRISTUS St. Frances Cabrini Hospital: Advance Health and Wellbeing 1. Specialty Care and Chronic Disease Management, including; a. Diabetes b. Obesity c. Heart Disease 2. Behavioral Health including; d. Mental Health e. Substance Abuse 3. Pediatric Access 4. Early Education Build Resilient Communities and Improve Social Determinants 1. Improving Food Access 2. Reduce Smoking and Vaping CHRISTUS Coushatta Health Care Center: Advance Health and Wellbeing 1. Specialty Care and Chronic Disease Management, including; a. Diabetes b. Obesity c. Heart Disease 2. Behavioral Health including; d. Mental Health e. Substance Abuse f. Children's Health Build Resilient Communities and Improve Social Determinants 1. Improving Food Access 2. Reduce Smoking and Vaping CHRISTUS St Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center acknowledge the wide range of priority health issues that emerged from the CHNA process and determined that it could effectively focus on only those health needs which are the most pressing, under- addressed and within its ability to influence. CHRISTUS St. Frances Cabrini Hospital does not intend to address the following health needs at this time but may address them within the three-year cycle: * Early Education * Reducing Smoking and Vaping CHRISTUS Coushatta Health Care Center does not intend to address the following health needs at this time but may address them in the three-year cycle: * Behavioral Health * Children's Health * Improving Food Access These implementation plans specify community health needs that the hospitals, in collaboration with community partners, has determined to address. The hospitals reserve the right to amend this implementation strategy as circumstances warrant. For example, certain needs may become more pronounced and require enhancements to the described strategic initiatives. During these three years, other organizations in the community may decide to address certain needs, indicating that the hospital then should refocus its limited resources to best serve the community. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS HEALTH CENTRAL LOUISIANA MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information Based on data from the most recent CHNA, CHRISTUS St. Frances Cabrini Health System's primary service area includes 32 zip codes. The primary service area (PSA) is the geographic region with 80% of hospital utilization. The primary service area zip codes are located in the following parishes: Acadia, Allen, Avoyelles, Calcasieu, Catahoula, Concordia, Grant, LaSalle, Natchitoches, Rapides, St. Landry, Vernon and Winn. While CHRISTUS Coushatta Health Care Center primary service area coverage includes Natchitoches, Bienville and Red River Parishes. For the primary service area of CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Savoy Medical Center, changes between the 2010 and 2020 Census show that the population decreased by 1.9%. Based on the 2020 decennial Census, 378,747 people live in the CHRISTUS St. Frances Cabrini PSA. Non-Hispanic White individuals make up the majority of the CHRISTUS St. Frances Cabrini PSA at 56.9%, while, the second most prevalent racial/ethnic demographic is non-Hispanic Black people at 36.1% of the population. The Hispanic/Latino populations in the service area are 3.4% and Asian or Pacific Islander individuals make up 0.8%. Native Americans account for 0.4% of the CHRISTUS St. Frances Cabrini PSA. Females represent 50.5% of the CHRISTUS St. Frances Cabrini PSA and males represent 49.6%. The median age in the CHRISTUS St. Frances Cabrini PSA is 37.1 years old. The percentage of residents with a disability (defined as one or more sensory disabilities or difficulties with everyday tasks) in the CHRISTUS St. Frances Cabrini PSA is 17.5%. For the CHRISTUS Coushatta Health Care Center (CHRISTUS Coushatta) PSA, changes between the 2010 and 2020 Census show that the population decreased by 10.2%. Based on the 2020 decennial Census, 40,054 people live in the CHRISTUS Coushatta PSA. The demographics by race/ethnicity for the service areas show that non-Hispanic White individuals make up the majority of the CHRISTUS Coushatta PSA population at 48.6% with the second most prevalent racial/ethnic demographic as non-Hispanic Black people at 45.6% of the population. The Hispanic/Latino populations in the service area is 2.3% while Asian or Pacific Islander individuals make up 0.1% and Native Americans account for 0.4% of the population. Females represent 52.6% of the CHRISTUS Coushatta PSA population and males represent 47.4% and the median age in the CHRISTUS Coushatta PSA is 33.5 years old. The percentage of residents with a disability (defined as one or more sensory disabilities or difficulties with everyday tasks) in the CHRISTUS Coushatta Health Care Center PSA is 17.5%. The Hardship Index, which is a composite score reflecting hardship in the community, where the higher values indicate greater hardship, incorporates unemployment, age dependency, education, per capita income, crowded housing, and poverty into a single score. The Hardship Index score for the CHRISTUS St. Frances Cabrini PSA is 70.0, which is higher than the measure of the state of Louisiana at 59.5. The Hardship Index score for the CHRISTUS Coushatta PSA is 81.2, which is significantly higher than the measure of the state of Louisiana at 59.5. In the CHRISTUS St. Frances Cabrini PSA the poverty rate is 22.1% and the median household income is $44,951. In comparison, the state of Louisiana is $53,539 and 18.7%, respectively. The poverty rate in the CHRISTUS St. Frances Cabrini PSA is even more pronounced for non-Hispanic Black residents (34.5%). For comparison, in the Cabrini PSA, 14.2% of non-Hispanic White residents live in poverty, 11.3% of Asian or Pacific Islanders, and 20.9% of Hispanic or Latinos. In the CHRISTUS Coushatta PSA, the poverty rate is 31.4% and the median household income is $33,203. Also for comparison, in the Coushatta PSA, the non-Hispanic Black residents 43.7% live in poverty, 19.9% of non-Hispanic White residents live in poverty, as well as 9.6% of Asian or Pacific Islanders, and 38.2% of Hispanic or Latinos. For residents 25 or older with any post-secondary education, the higher degree graduation rate in the CHRISTUS St. Frances Cabrini PSA is 26.4% compared to 31.4% in Louisiana. For residents 25 or older with any post-secondary education, the higher degree graduation rate in the CHRISTUS Coushatta PSA is 15.9% The percentage of residents covered by Medicaid in the CHRISTUS St. Frances Cabrini PSA 32.9% is higher than the state of Louisiana at 27.7%, while the uninsured rate of CHRISTUS St. Frances Cabrini PSA is 9.0% which is similar to the state of Louisiana at a rate of 8.7%. The percentage of residents covered by Medicaid in the CHRISTUS Coushatta PSA is 44.8% while the uninsured rate in the CHRISTUS Coushatta PSA is 9.9%. Schedule H, Part VI, Line 5 Promotion of community health THE CENTRAL LOUISIANA REGION OF CHRISTUS HEALTH RESPONDS TO COMMUNITY NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. FRANCES CABRINI HOSPITAL IN ALEXANDRIA, LA, A 293-BED FACILITY; CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LA, A 25-BED CRITICAL ACCESS HOSPITAL. ALL TWO FACILITIES IN THIS REGION SHARE ONE OBJECTIVE OF LEADING THE WAY TOWARD HEALTHIER COMMUNITIES. CHRISTUS HEALTH CENTRAL LOUISIANA'S OTHER HEALTH CARE FACILITIES INCLUDE PARTIAL OWNERSHIP OF CHRISTUS CABRINI SURGERY CENTER; CHRISTUS HOSPICE AND PALLIATIVE CARE ST. FRANCES CABRINI; AND CENTRAL LOUISIANA SURGICAL HOSPITAL. CHRISTUS HEALTH CENTRAL LOUISIANA ACTIVELY PARTNERS WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. THE ORGANIZATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND PROVIDES ITS HEALTH CARE SERVICES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE, OR NATIONAL ORIGIN. BOTH CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER PROVIDE A 24 HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS St. Frances Cabrini partnered with Access Health to expand the services offered through the CHRISTUS School Based Health Centers. CHRISTUS School Based Health Centers provide comprehensive primary medical, social, and behavioral health services, as well as health education, promotion, and prevention services designed to meet the psychosocial and physical health needs of students in the context of their family, culture, and environment. Our School Based Health Centers offer access to healthcare and mental health services to 17 area schools. The SBHCs coordinate with school staff, agency administrators, parents/caregivers, and youth themselves to ensure student access to health care and support services is both affordable and convenient. Through services that include pedi access, health education and prevention, pre-diabetes and diabetes prevention, obesity and heart disease prevention and mental health care the SBHCs impacted 8,474 children through 11,944 mental health and 22,722 medical visits. CHRISTUS ST. FRANCES CABRINI HOSPITAL IS THE ONLY CANCER CENTER IN CENTRAL LOUISIANA TO OFFER COMPREHENSIVE CANCER CARE IN A HOSPITAL SETTING. CHRISTUS ST. FRANCIS CABRINI FOLLOWS THE SAME NATIONAL COMPREHENSIVE CANCER NETWORK GUIDELINES AS THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER. CHRISTUS ST. FRANCES CABRINI WORKS TO LEAD CENTRAL LOUISIANA IN CARDIAC SERVICES, OFFERING A COMPLETE RANGE OF CARDIAC DIAGNOSTIC SERVICES INCLUDING CTA, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, AND ELECTROPHYSIOLOGY. CHRISTUS COUSHATTA HEALTH CARE CENTER ALSO OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING MINOR SURGERY; DAY SURGERY; CARDIOLOGY; DIABETES CARE; RESPIRATORY THERAPY; RADIOLOGY; PHYSICAL THERAPY; GYNECOLOGY; EAR, NOSE, AND THROAT SERVICES; INFUSION THERAPY; ADULT PSYCHIATRIC SERVICES; ONCOLOGY; HEMATOLOGY; WOUNDCARE; AND PODIATRY. CHRISTUS CENTRAL LOUISIANA OFFERED HEALTH PROFESSIONS EDUCATION DURING FY 2024 INCLUDING CLINICAL ROTATIONS AND TRAINING FOR LABORATORY STUDENTS, EDUCATION AND CLINICAL EXPERIENCE FOR RADIOLOGY STUDENTS AND SUPERVISION, MENTORING, PRECEPTING AND ROTATIONS FOR NURSING STUDENTS IN THEIR CLINICAL STUDIES. CHRISTUS ST. FRANCES CABRINI HOSPITAL ALSO PROVIDES MANY FREE HEALTH SCREENINGS AND HEALTH EDUCATION FOR LOCAL ORGANIZATIONS, BUSINESSES, SCHOOLS, AND COMMUNITY GROUPS IN REGARD TO SUCH TOPICS AS DIABETES, PROSTATE CANCER, COLORECTAL CANCER, AND OTHERS. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK IN THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2024, CHRISTUS HEALTH ADVOCATED FOR IMPROVED POLICIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. FOR FY 2024; 17 HEALTH FAIRS AND EDUCATION EVENTS COVERED 1,514 PERSONS SERVED. AS A NON-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING A CROSS-SECTION OF THE STATE SERVED GUIDES CHRISTUS HEALTH CENTRAL LOUISIANA. CHRISTUS ST. FRANCIS CABRINI HEALTH SYSTEM PARTICIPATED IN THE AMERICORPS COMMUNITY HEALTH WORKERS PROGRAM BRINGING ON 3 (2 FOR FY24) TO WORK WITH PATIENTS IN ADDRESSING THEIR SOCIAL DETERMINANTS OF HEALTH. THROUGH SCREENING, EDUCATION, REFERRAL AND NAVIGATION, THE PHACHW'S WERE ABLE TO IMPACT MANY LIVES CONNECTING THEM TO RESOURCES DESPERATELY NEEDED. THE HOSPITAL'S OPEN MEDICAL STAFF IS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK TO PROVIDE CARE TO COMMUNITIES IN CENTRAL LOUISIANA. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN THESE HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS CENTRAL LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. Schedule H, Part VI, Line 6 Affiliated health care system CHRISTUS HEALTH CENTRAL LOUISIANA IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN THE STATES OF ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, COLOMBIA, AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH CENTRAL LOUISIANA, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. Schedule H, Part VI, Line 7 State filing of community benefit report TX true Ctr LA Community Fdn PO Box 7432 Alexandria LA 71306 721446378 501C(3) 150000 Rapides Parish Funding ST FRANCES CAB HSL FND ALEX 3330 Masonic Dr Alexandria LA 71301 720998302 501C(3) 69030 Donation for Fdn. LA St Univ at Alexandria 8100 Hwy 71 S Alexandria LA 71302 726000848 School 50000 Nursing salaries for FY24 Northwestern St Univ PO Box 5656 Natchitoches LA 71497 726000783 School 59720 Faculty & Nursing Grants LA Troopers Charities 8120 Jefferson Hwy Baton Rouge LA 70809 203455646 501C(3) 32466 LA Police Air support Ctr LA Econ Devel Alliance 1302 Murray St Alexandria LA 71301 651267691 501C(3) 25000 Talent Campaign Northwestern St Univ Fdn 535 University Pkwy Natchitoches LA 71497 726021495 501C(3) 30000 Grant & Scholarship Ochsner Clinic Fdn 1201 S Clrv Prk B500 New Orleans LA 70121 720502505 501(C)(3) 10399 Donations via Concur CENLA Pregnancy Ctr Inc PO Box 13907 Alexandria LA 71315 821338688 501C(3) 10000 Fundr. Banquet P'ship Ctr LA Homeless Coalition 1515 Jackson St Alexandria LA 71301 721247718 501C(3) 8950 AC for Women's shelter 10 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE A 501(C)(3) ORGANIZATION OR AN ORGANIZATION THAT FURTHERS THE HEALTH SYSTEM'S OVERALL EXEMPT PURPOSES AND PROVIDES DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT, BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO CERTAIN COUNTIES VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. X true true true true false false false false false false false CHRISTOPHER KARAM SR VP & REG CEO 0 616874 0 489957 0 276315 0 87004 0 12929 0 1483079 0 0 MONTE A WILSON CEO/PRESIDENT 0 415436 0 133723 0 7729 0 93570 0 13228 0 663686 0 7729 Fadi Nasrallah MD Director (EFF 1/24) 0 728008 0 521181 0 170649 0 267539 0 12480 0 1699857 0 167458 SUSAN E KEMP MD Director (TERM 2/24) 0 189678 0 14709 0 75677 0 40366 0 15813 0 336243 0 0 JOHN P SHAUGHNESSY CFO & VP Finance (Term 6/23) 0 119957 0 0 0 562 0 19916 0 4625 0 145060 0 0 Jason Miller CFO (EFF 8/23) 0 256226 0 136278 0 27641 0 0 0 1383 0 421528 0 0 Claire Lauzon-Vallone VP Quality and Safety 0 300566 0 114560 0 43327 0 112262 0 7839 0 578554 0 0 BERT J TASSIN Exec Director - Support Svcs (Term 6/23) 114617 0 296 0 90958 0 24196 0 2766 0 232833 0 0 0 SCOTT B JOHNSON VP STRATEGY-BUS DEVELOPMENT 0 70407 0 0 0 41735 0 0 0 28984 0 141126 0 41650 JOSE M ZAPATERO MD CMO, VPMA 0 361105 0 114151 0 31394 0 108698 0 2524 0 617872 0 30594 D KIRK SOILEAU CEO - Nachitoches 0 311840 0 48584 0 41005 0 76374 0 29173 0 506976 0 41005 SHERMAN FOOKES COO 0 236728 0 78184 0 24521 0 65899 0 13292 0 418624 0 23622 MICHELLE AGUILLARD VP HUMAN RESOURCES 0 217726 0 81455 0 22263 0 80387 0 23140 0 424971 0 21455 SHANNON FORREST CNO 0 198221 0 63950 0 0 0 39797 0 6918 0 308886 0 0 MARY MERRYMAN ASSOCIATE CIO 0 182883 0 54901 0 650 0 35321 0 10703 0 284458 0 0 LANCE ARMENTOR PRESIDENT SAVOY MEDICAL CENTER 0 186300 0 52502 0 1489 0 27395 0 12689 0 280375 0 0 HEATHER LEE VP PATIENT PLACEMENT 0 152700 0 36852 0 650 0 21685 0 12392 0 224279 0 0 PATRICK BRAQUET VP MISSION INTEGRATION 0 118625 0 32771 0 299 0 21074 0 51086 0 223855 0 0 BAOCHONG B CHANG MD Physician 498395 0 701532 0 12190 0 65701 0 1674 0 1279492 0 0 0 HAFEZ HALAWANI MD Physician 592289 0 500 0 158640 0 48396 0 12300 0 812125 0 0 0 MILAN D PATEL MD Physician 293174 0 55278 0 262 0 19784 0 11565 0 380063 0 0 0 JOSHUA R CASON MD Physician 185576 0 104669 0 2422 0 10547 0 13350 0 316564 0 0 0 MONICA L BRODNAX RN 106713 0 500 0 94100 0 22216 0 11802 0 235331 0 0 0 Schedule J, Part I, Line 1a Travel for companions TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. Schedule J, Part I, Line 4a Severance or change-of-control payment Bert Tassin: Severance Pay 90,303. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2023: FADI NASRALLAH, MD - $170,649 CHRISTOPHER KARAM - $171,348 MONTE A WILSON - $7,729 JOSE M ZAPATERO, MD - $30,594 D KIRK SOILEAU - $41,005 MICHELLE AGUILLARD - $21,455 SHERMAN FOOKES - $23,622 SCOTT B JOHNSON - $41,650 CLAIRE LAUZON-VALLONE - $43,227 Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION 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. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION 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. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION 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: CHRISTOPHER KARAM, D. KIRK SOILEAU, JOSE M. ZAPATERO, MD, MONTE A. WILSON, FADI NASRALLAH, MD, JASON MILLER, SUSAN E. KEMP, CONNIE COLEMAN, CLAIRE LAUZON-VALLONE, SHERMAN FOOKES, MICHELLE AGUILLARD, SHANNON FORREST, MARY MERRYMAN, LANCE ARMENTOR, PATRICK BRAQUET, AND HEATHER LEE. Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2023. Schedule J, Part II, Column (C) DEFERRED COMPENSATION 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. Gavin Chico Partial Owner of Integra Health Services 355563 Employee Compensation false DOING BUSINESS AS CHRISTUS CABRINI PHYSICAL REHABILITATION CENTER CHRISTUS COMMUNITY CLINIC - ALEXANDRIA CHRISTUS COMMUNITY CLINIC - PINEVILLE CHRISTUS COMMUNITY HEALTH CLINIC CHRISTUS COMMUNITY SPECIALTY CLINIC CHRISTUS COUSHATTA HEALTH CARE CENTER CHRISTUS COUSHATTA RURAL HEALTH CENTER CHRISTUS PRIMARY CARE SPECIALISTS - PRESCOTT ROAD CHRISTUS ST. FRANCES CABRINI COMMUNITY CLINIC CHRISTUS ST. FRANCES CABRINI HEALTH SYSTEM CHRISTUS ST. FRANCES CABRINI HOSPITAL CHRISTUS ST. JOSEPH'S HOME Form 990, Part III, Line 1 ORGANIZATION'S MISSION, CONTINUED 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 AND THE SYSTEM PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS, AND THE LOCAL ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID AND ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THESE PURPOSES, AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT LAW. Form 990, Part III, Line 4d OTHER PROGRAM SERVICES POOR & UNDERSERVED EXPENSES: $1,126,006 GRANTS: $2,548,729 REVENUE: $0 BROADER COMMUNITY EXPENSES: $325,433 GRANTS: $264,668 REVENUE: $0 ADDITIONAL GRANTS EXPENSES: $0 GRANTS: -$109,171 REVENUE: $0 Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,451,439 including grants of $ 2,704,226)(Revenue $ 0) COMMUNITY SERVICES FOR THE BROADER COMMUNITY CHRISTUS SCHOOL BASED HEALTH CENTERS (SBHC), PROVIDE PRIMARY/PREVENTIVE HEALTH SERVICES TO STUDENTS LOCATED IN UNDERSERVED COMMUNITIES. THE SBHC'S PROVIDE A UNIQUE BLEND OF HEALTH AND EDUCATION SERVICES. CHRISTUS ST. FRANCIS CABRINI ALSO SERVES THE BROADER COMMUNITY BY EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS ST. FRANCES CABRINI ALSO PROVIDES EDUCATIONAL ACTIVITIES INCLUDING STUDENT INTERNSHIPS, CLINICAL EXPERIENCE AND OTHER EDUCATION FOR NURSES, TECHNICIANS, ADMINISTRATORS, SOCIAL WORKERS, THERAPISTS AND PASTORAL CARE PROFESSIONALS. CHRISTUS ST. FRANCES CABRINI HOSPITAL ALSO PROVIDES MANY FREE HEALTH SCREENINGS AND HEALTH EDUCATION FOR LOCAL ORGANIZATIONS, BUSINESSES AND COMMUNITY GROUPS ON DISEASES INCLUDING DIABETES, PROSTATE CANCER, COLORECTAL CANCER AND OTHERS. FOR FY24, 17 HEALTH FAIRS AND EDUCATION EVENTS COVERED 1,514 PERSONS SERVED. 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 HOMELESS SUPPORT SERVICES, EARLY EDUCATION FOR LOWER INCOME FAMILIES, NURSING EDUCATION, FOOD ACCESS WITH HEALTHIER CHOICES, AND FEEDING OF HOMELESS, INDIVIDUALS AND FAMILIES IN NEED AS WELL AS OTHER EQUALLY WORTHY PURPOSES. DURING FY 2024, 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. CHRISTUS St. Frances Cabrini partnered with Access Health to expand the services offered through the CHRISTUS School Based Health Centers. CHRISTUS School Base Health Centers provide comprehensive primary medical, social, and behavioral health services, as well as health education, promotion, and prevention services designed to meet the psychosocial and physical health needs of students in the context of their family, culture, and environment. Our School Based Health Centers offer access to healthcare and mental health services to 17 area schools. The SBHCs coordinate with school staff, agency administrators, parents/caregivers, and youth themselves to ensure student access to health care and support services is both affordable and convenient. Through services that include pedi access, health education and prevention, pre-diabetes and diabetes prevention, obesity and heart disease prevention and mental health care the SBHCs impacted 8,474 children through 11,944 mental health and 22,722 medical visits. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGE IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, CLASSES FOR EXPECTANT MOTHERS TO SUPPORT NEW BORN HEALTH, EDUCATION AND SCREENING SERVICES FOR BETTER HEALTH OUTCOMES, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. CHRISTUS St. Frances Cabrini Health System participated in the AmeriCorps Community Health Workers program bringing on 3 (2 for FY24) to work with patients in addressing their social determinants of health. Through screening, education, referral and navigation the PHACHWs were able to impact many lives connecting them to resources desperately needed. Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T 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. Form 990, Part VI, Line 6 Classes of members or stockholders CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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 CERTIFICATE OF FORMATION/ 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; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY 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 $20 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 ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH 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 $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 MILLON PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF 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. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 2025 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. Form 990, Part VI, Line 12c Conflict of interest policy 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. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING FORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING FORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part VIII, Line 2f Other Program Service Revenue Alloc Chargeout Phys Contract Rev - Total Revenue: 12000, Related or Exempt Function Revenue: 12000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Alloc Chargeout Phys Non Contract Rev - Total Revenue: 2488909, Related or Exempt Function Revenue: 2488909, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Shared Savings - Total Revenue: 243286, Related or Exempt Function Revenue: 243286, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Fees and Commission Revenue - Total Revenue: 14329, Related or Exempt Function Revenue: 14329, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue LTACH (Dubois) - expense reimbursement - Total Revenue: 314688, Related or Exempt Function Revenue: 314688, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Nursing/Clinical Education - Total Revenue: 157248, Related or Exempt Function Revenue: 157248, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Savoy Medical Center & Trinity Medical - Total Revenue: 33600, Related or Exempt Function Revenue: 33600, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Edward Via College of Osteopathic Meidicine - Total Revenue: 32000, Related or Exempt Function Revenue: 32000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Food Service Revenue - Total Revenue: 27608, Related or Exempt Function Revenue: 27608, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; All other revenue - Total Revenue: 27332, Related or Exempt Function Revenue: 27332, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Meditech BAR - Total Revenue: 19187, Related or Exempt Function Revenue: 19187, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Physician Services - Total Expense: 30584931, Program Service Expense: 21643405, Management and General Expenses: 8941526, Fundraising Expenses: ; Medical Services - Total Expense: 2092442, Program Service Expense: 1648111, Management and General Expenses: 444331, Fundraising Expenses: ; Consulting Services - Total Expense: 15560766, Program Service Expense: , Management and General Expenses: 15560766, Fundraising Expenses: ; Marketing Services - Total Expense: 6255971, Program Service Expense: 26710, Management and General Expenses: 6227521, Fundraising Expenses: 1740; Other Professional Services (Less Lobbying) - Total Expense: 19403095, Program Service Expense: 1493965, Management and General Expenses: 17908380, Fundraising Expenses: 750; Repairs & Maintenance Services - Total Expense: 4982025, Program Service Expense: 4974808, Management and General Expenses: 5788, Fundraising Expenses: 1429; Collection Services - Total Expense: 1945657, Program Service Expense: 1945657, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part X, Line 1 CASH - NON-BEARING INTEREST CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY - -17304464; Restricted Contributions - -220062; ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE SERVICES TX 501(c)(3) 3 MFH REG true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HEALTHCARE SERVICES TX 501(c)(3) Type I CH true CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 HEALTHCARE SERVICES TX 501(c)(3) 10 MFH REG true CHRISTUS CONNECTED CARE NETWORK 5101 N OCONNOR BLVD IRVING TX 75039 473403356 SUPP HEALTHCARE SERVICES TX 501(c)(4) CH true CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON TX 77251 746074210 SUPP HEALTHCARE SERVICES TX 501(c)(3) 7 CH true CHRISTUS FOUNDATION SHREVEPORT-BOSSIER ONE ST MARY PLACE SHREVEPORT LA 71101 721219280 SUPP HEALTHCARE SERVICES LA 501(c)(3) 7 NOLA true CHRISTUS GOOD SHEPHERD MEDICAL CENTER 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 750974351 HEALTHCARE SERVICES TX 501(c)(3) 3 NETXNL true CHRISTUS HEALTH 5101 N OCONNOR BLVD IRVING TX 75039 760590551 SUPP HEALTHCARE SERVICES TX 501(c)(3) 10 NA false CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HEALTHCARE SERVICES TX 501(c)(3) Type II NETXNL true CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT TX 77702 760136274 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I SETX true CHRISTUS HEALTH FOUNDATION 5101 N OCONNOR BLVD IRVING TX 75039 611500100 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HEALTHCARE SERVICES TX 501(c)(3) 7 CH true CHRISTUS HEALTH INTERNATIONAL 5101 N OCONNOR BLVD IRVING TX 75039 462811167 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CH STRA GRTH true CHRISTUS HEALTH LATIN AMERICA 5101 N OCONNOR BLVD IRVING TX 75039 462816604 SUPP HEALTHCARE SERVICES 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