2026-05-11T18:05:35+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-07-01 720408982 Christus Health Northern Louisiana CHRI 3186815000 1453 EAST BERT KOUNS IND LOOP SHREVEPORT LA 71105 THOMAS TRAWICK CEO 2026-05-11 true Kristen Farr Capizzi P02176875 3128792000 2026-05-04 2024 2025-03-06 01:10:19Z SEE SCHEDULE O Casey Robertson 1453 EAST BERT KOUNS IND LOOP SHREVEPORT LA 71105 366372374 false 0928 X HTTPS://WWW.CHRISTUSHEALTH.ORG/CONNECT/MINISTRIES/SHREVEPORT-BOSSIER X 1913 LA SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATION IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 8 3 1624 66 57113 0 64045 1570548 330112656 358322597 1736135 1881360 1700865 4318234 333613701 366092739 875397 3235389 0 0 105872529 109308213 0 0 20434 231565754 240466240 338313680 353009842 -4699979 13082897 223601596 235027401 11378812 15168484 212222784 219858917 X THE CORPORATION'S MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST, CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS. DECREES, AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. false false 34179825 0 158777564 SEE SCHEDULE O 222075639 0 152121782 SEE SCHEDULE O 39847298 0 47423251 SEE SCHEDULE O 3417529 3235389 0 CHRISTUS HEALTH NORTHERN LOUISIANA ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. POOR & UNDERSERVED: EXPENSES OF $393,130; GRANTS OF $3,106,900 BROADER COMMUNITY: EXPENSES OF $640,295; GRANTS OF $128,489 OTHER: EXPENSES OF $2,384,104 3417529 3235389 299520291 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true true true false false true 0 0 1624 true true true false false false false false false false false false false false X 8 3 false false false false true true true true true false false false true true true true true true true true false false X LEE SONNE 4692822000 5101 N OCONNOR BLVD IRVING TX 75039 Casey Robertson President/Director Ex-Officio 40.0 0.0 X X 0 642723 38294 Chris Glenney Director/Chairperson (EFF 1/25) 40.0 0.0 X X 0 1661685 88961 Andria Cardinalli-Stein MD Director (Term 12/24) 0.0 40.0 X 0 493316 16049 Bill Chen PhD Director (Term 12/24) 1.0 0.0 X 0 17823 0 Dick Stone Director (Term 12/24) 1.0 0.0 X 0 0 0 Fred Harris Jr Director (Term 12/24) 1.0 0.0 X 0 0 0 Jean Coleman Director (Term 12/24) 1.0 0.0 X 0 0 0 Jeb Jones Director 1.0 0.0 X 0 0 0 Jeff Puckett Director (Term 12/24) 0.0 40.0 X 0 6823352 56703 Joe Bob Burgin Director (Term 12/24) 1.0 0.0 X 0 0 0 Mark Anderson MD Director 40.0 0.0 X 0 942905 101941 Michael Hallum Director (Term 12/24) 1.0 0.0 X 0 0 0 Preston Smith Director (Term 12/24) 1.0 0.0 X 0 0 0 Randy Childress Director (Term 12/24) 1.0 0.0 X 0 0 0 Shannon Dacus Director/Chairperson (EFF 12/24) 1.0 0.0 X 0 0 0 Sonja Yates Hubbard Director (Term 12/24) 1.0 0.0 X 0 0 0 Sr Guadalupe Ruiz Director (Term 12/24) 1.0 0.0 X 0 0 0 Sr Rita Fanning Director 1.0 0.0 X 0 0 0 Sr Rosanne Popp Director 1.0 39.0 X 0 262179 7720 Steven Keuer MD Director Ex-Officio 40.0 0.0 X 0 1383326 63590 Christopher Karam SVP Group Operations (TERM 12/24) 0.0 40.0 X 0 1324227 55752 Jaclynn Harrison CHIEF FINANCIAL OFFICER/Treasurer 10.0 30.0 X 0 778682 41355 Janna Garcia-Chapa Regional Corporate Secretary (Term 9/24) 10.0 30.0 X 0 71074 1509 Sonia Acosta Corporate Secretary (EFF 10/24) 10.0 30.0 X 0 25472 170 Alfonzo Savaleta CHIEF NURSING OFFICER 40.0 0.0 X 0 311843 38086 Bradley Harmon VP Mission Integration 40.0 0.0 X 0 174221 50305 Jim Gaton VP Operations 40.0 0.0 X 0 329963 9553 Suman Sinha MD CHIEF MEDICAL OFFICER 40.0 0.0 X 0 745653 49115 Donna J Hall Certified Registered Nurse Anesthetist 40.0 0.0 X 383194 0 51419 Floyd Vining Certified Registered Nurse Anesthetist 40.0 0.0 X 356861 0 44465 JANET SCOTT-WALKER Certified Registered Nurse Anesthetist 40.0 0.0 X 420001 0 34145 MONICA N COLLINSWORTH Certified Registered Nurse Anesthetist 40.0 0.0 X 355269 0 34437 PATRICK DOWNEY Certified Registered Nurse Anesthetist 40.0 0.0 X 341028 0 48427 Clint Wisdom Former COO (Term 6/24) 0.0 40.0 X 0 296066 41550 Jason Miller FORMER CFO (Term 8/23) 0.0 40.0 X 0 395931 1467 Thomas Trawick MD FORMER CEO/CMO (TERM 11/23) 0.0 40.0 X 0 689032 1733 1856353 17369473 876746 146 true true false 0 1570548 1570548 NET PATIENT SERVICE REVENUE 621990 347824370 347767257 57113 PHYSICIAN NON CONTRACT REVENUE 621110 6404919 6404919 RENT - EXEMPT FUNCTION 531120 3700979 3700979 RESEARCH REVENUE 541700 392329 392329 0 0 0 0 358322597 1959078 1959078 2829 2829 0 0 201917 279635 0 -77718 -77718 -77718 FMP Supplemental Payments 900099 2380896 2380896 REBATES 900099 1766441 1766441 CARDIAC JV MANAGEMENT FEE 900099 69000 69000 99068 0 0 99068 4315405 366092739 358265484 57113 6199594 X 3235389 3235389 0 0 89670333 85327158 4343175 13423124 11687461 1735663 6214756 6039835 174921 8874 8874 459990 459990 762 762 78886749 45172561 33714188 0 413993 376983 32423 4587 22641074 21938814 690362 11898 7305617 7232998 72619 174898 123342 49097 2459 263744 67204 196540 10325275 10475708 -150433 3513873 2292763 1221110 Medical Expenses 80450600 80444900 5700 Provision for Uncollectable Accounts 24606417 24606417 OTHER TAX 7341475 7341475 SALES TAXES 3233843 31658 3202132 53 839056 -1764 839383 1437 353009842 299520291 53469117 20434 254641 30769 42048220 54915363 0 0 0 0 273996 1243366 10588104 11900538 1289128 1304645 408247051 250088496 161430570 158158555 0 2092699 2054160 2278040 2278040 3346198 3141965 223601596 235027401 8517713 13063051 61599 -60805 0 0 2799500 2166238 11378812 15168484 X 212121649 219757782 101135 101135 212222784 219858917 223601596 235027401 X 13082897 -5446764 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false false true 762 false false 762 false 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 Northern 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 Northern 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, violence against healthcare workers, women's health, budget proposals, reconciliation, provider taxes, non-profit status, and health care and insurance for retired services, and their families. 2 executive and 2 director/manager hours 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. 20222578 20222578 245152402 120594512 124557890 7662114 3776567 3885547 128691226 121549283 7141943 6518731 4168134 2350597 158158555 Federal Income Taxes LONG TERM PORTION-CAPITAL LEASE EQUIPMENT 1524939 SALES TAX PAYABLE 322460 NOTES PAYABLE 173600 INTERCOMPANY ACCOUNTS PAYABLE 138077 OTHER LT LIABILITIES 7162 2166238 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2025 OR 2024. true true X true X 300 true X 3542870 3542870 0.01079 39847298 47423251 0 0.0 0 0.0 0 0 43390168 47423251 3542870 0.01079 15 43080 985006 0 985006 0.00300 2 201 35798 0 35798 0.00011 0 0 0 0 0.0 0 0 0 0 0.0 7 6254 3704009 0 3704009 0.01128 24 49535 4724813 0 4724813 0.01439 24 49535 48114981 47423251 8267683 0.02518 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 12651 12651 0.00004 0 0.0 0 0.0 0 0 12651 0 12651 0.00004 true 24606417 157061 82046099 93800365 -11754266 X true true NL CARDIAC SRVS LLC OTPTNT CARDIAC CATHETERIZ LAB 0.51 0 0.49 1 1 CHRISTUS SHREVEPORT-BOSSIER HIGHLAND 1453 EAST BERT KOUNS IND LOOP SHREVEPORT LA 71105 https://www.christushealth.org/locations/highland-medical-center 2203781886 X X X CHRISTUS SHREVEPORT-BOSSIER HIGHLAND 1 false false true X X X X X X X X X 25 true false false true X https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve X true 25 true https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve false true X 300.0 400.0 X X X X true true X X X X X true X HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE 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 THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CHRISUTS SHREVEPORT-BOSSIER HIGHLAND. THE MOST RECENT CHNA & CHIP REPORT WAS COMPLETED, AND THE MINISTRY CEO/PRESIDENT AND EXECUTIVE LEADERSHIP TEAM OF CHRISTUS SHREVEPORT BOSSIER HEALTH SYSTEM (CSBH) REVIEWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025, WITH BOARD OF DIRECTORS' RATIFICATION ON JULY 31, 2025. CSBH IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS WITHIN EACH OF THE FOLLOWING FOUR LIFE STAGES. - MATERNAL AND EARLY CHILDHOOD - SCHOOL-AGE CHILDREN AND ADOLESCENTS - ADULTS - OLDER ADULTS KEY INDICATORS THAT CROSS THE LIFE SPAN APPROACH INCLUDE: PRIMARY CARE, BEHAVOIRAL HEALTH, SPECIALTY CARE, EDUCATION, FOOD INSECRUITY, CRIME, AND AFFORDABLE HOUSING. SEGMENTING OUR WORK IN THIS WAY ENSURES THAT INTERVENTIONS ARE AGE-APPROPRIATE, CULTURALLY RESPONSIVE AND ALIGNED WITH THE UNIQUE DEVELOPMENTAL, SOCIAL, AND HEALTH NEEDS OF EACH PHASE OF LIFE. AT THE SAME TIME, WE RECOGNIZE THAT HEALTH IS DEEPLY INTERCONNECTED - MATERNAL HEALTH AFFECTS INFANT OUTFCOMES, EARLY TRAUMA CAN INFLUENCE LONG-TERM WELL-BEING AND INVESTMENTS IN ONE LIFE STAGE OFTEN RIPPLES INTO THE NEXT. THIS PROCESS INCLUDED TOOLS FROM THE RESULTS BASED ACCOUNTING MODEL, FOCUSING ON USING TREND DATA TO UNDERSTAND WHETHER COMMUNITY CONDITIONS ARE IMPROVING OVER TIME, RATHER THAN FOCUSING ON YEAR-TO-YEAR FLUCTUATIONS. BASED ON THESE DISCUSSIONS, EACH WORK GROUP IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS FOR THEIR RESPECTIVE LIFE STAGES. THEY NOW SERVE AS A SHARED FOCUS FOR CSBH STRATEGIES, INVESTMENTS, AND PARTNERSHIPS OVER THE NEXT THREE YEARS. THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. THIS PLAN WAS SHAPED THROUGH BOTH DATA AND DIALOGUE. USING THE METOPIO PLATFORM AND PUBLIC HEALTH DATASETS, WE ANALYZED DOZENS OF INDICATORS TIED TO HEALTH OUTCOMES AND SOCIAL DETERMINANTS. BUT WE DIDN'T STOP AT NUMBERS - WE LISTENED DEEPLY THROUGH FOCUS GROUPS, COMMUNITY SURVEYS AND DIRECT CONVERSATIONS WITH LOCAL LEADERS, SERVICE PROVIDERS AND RESIDENTS ACROSS THE REGION. WE MADE A FOCUSED EFFORT TO HEAR FROM THOSE WHOSE VOICES ARE TOO OFTEN LEFT OUT: RURAL FAMILIES, LOW-INCOME RESIDENTS, CAREGIVERS, YOUTH AND INDIVIDUALS WITH LIVED EXPERIENCE NAVIGATING HEALTH CHALLENGES. PRIMARY DATA WAS COLLECTED THROUGH FIVE CHANNELS: 1.COMMUNITY RESIDENT SURVEY: DISTRIBUTED TO ASSOCIATES, PATIENTS AND RESIDENTS TO GATHER INSIGHTS ON SOCIAL NEED AND HEALTH CHALLENGES (645 RESIDENT SURVEYS RETURNED). 2.COMMUNITY FOCUS GROUPS: 4 COMMUNITY FOCUS GROUPS WITH PEOPLE FROM ALL WALKS OF LIFE-CASE MANAGERS, STUDENTS, CHURCH MEMBERS, FRONT-LINE STAFF AND RESIDENTS. THESE SESSIONS TOOK PLACE AT FAMILIAR COMMUNITY GATHERINGS TO MAKE PARTICIPATION EASIER AND MORE INCLUSIVE. EXAMPLES OF COMMUNITY GROUPS INCLUDED COMMUNITY RENEWAL AND CADDO PARISH SHERIFF OFFICE. 3.DATA DICTIONARY WORKGROUPS: ENGAGED STAKEHOLDERS IN IDENTIFYING MEANINGFUL INDICATORS ALIGNED WITH COMMUNITY PRIORITIES. 4.COMMUNITY FOCUS GROUPS: BROUGHT TOGETHER DIVERSE VOICES TO CONTEXTUALIZE THE DATA AND VALIDATE FINDINGS THROUGH LIVED EXPERIENCE. 5. WINDSHIELD SURVEYS: OFFERED DIRECT OBSERVATIONS OF COMMUNITY ENVIRONMENTS TO IDENTIFY PHYSICAL AND SOCIAL DETERMINANTS OF HEALTH. SECONDARY DATA FOR THE CHNA WAS AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1.HOSPITAL UTILIZATION DATA 2.SECONDARY SOURCES INCLUDING, BUT NOT LIMITED TO, THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. FY2023-2025 CHNA Prioritized Needs and Implementation Activities CHRISTUS Shreveport Bossier Health System completed its prior Community Health Needs Assessment (CHNA) on June 30, 2022 (FY2022), establishing priorities for the FY2023-2025 implementation period. Based on community input and data analysis, the Health System identified advancing health and well being as its overarching goal, with a specific focus on specialty care and chronic disease management, behavioral health, children's health, food access, and smoking and vaping reduction. To address specialty care and chronic disease management, the Health System implemented screening and education initiatives focused on heart disease, diabetes, and obesity; partnered with the American Heart Association; and supported community health fairs and CPR training events. Behavioral health strategies included providing transportation for uninsured patients requiring inpatient behavioral health services, awarding grant funding to The Gingerbread House Children's Advocacy Center, and partnering with the Council on Alcoholism and Drug Abuse (CADA) to support substance use prevention and recovery efforts. The Health System supported children's health by providing free physicals for youth in the community and addressed food insecurity by cultivating community partnerships to improve access to healthy foods in food desert areas, delivering nutrition education to patients and families, and partnering with Shreveport Green to provide heart healthy food to individuals living with heart disease. Additionally, CHRISTUS Shreveport Bossier contributed to community based smoking and vaping cessation efforts throughout the FY2023-2025 cycle. FY2023-2025 CHNA Identified Needs Not Being Addressed The FY2023-2025 CHNA also identified a number of needs related to broader social, economic, and environmental conditions. Certain needs (including needs related to broader social, economic, and environmental conditions such as housing instability, transportation barriers, community safety, and economic challenges) were not selected as areas where the Health System could serve as the primary lead or achieve the greatest measurable impact through direct hospital intervention. These needs extend beyond the scope of hospital based clinical services and operational programming. While CHRISTUS Shreveport Bossier Health System did not serve as the primary lead on these issues, it recognized their significant impact on health outcomes and community well being. Accordingly, throughout the FY2023-2025 implementation period, the Health System remained committed to collaborating with community partners, participating in coalitions, and supporting aligned initiatives through community benefit investments in order to complement and strengthen the broader community response. FY2026-2028 CHNA Prioritized Needs and Implementation Approach The most recent CHNA for CHRISTUS Shreveport Bossier Health System was completed on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period. Based on updated community input and data, the Health System prioritized needs related to primary care and specialty care access, education and workforce development, food insecurity, affordable housing, and crime. Through its FY2026-2028 Community Health Implementation Plan, the Health System is addressing these priorities using a systems of care approach that includes hospital led initiatives, community benefit funding, and strategic partnerships with community based organizations. Strategies emphasize expanding access to care, strengthening the health workforce pipeline, improving food access through targeted initiatives, and supporting community partners working to address housing stability and public safety. FY2026-2028 CHNA Identified Needs Not Being Addressed The FY2026-2028 CHNA identified additional health and social needs affecting individuals and families across Caddo, Bossier, and surrounding parishes. Certain needs are not being directly addressed during this implementation cycle because they extend beyond the scope of services or resources that an acute care hospital can reasonably lead or sustain. These include housing and homelessness, transportation barriers, early childhood education, poverty and crime and family support for individuals with disabilities or special needs. Although CHRISTUS Shreveport Bossier Health System does not serve as the primary lead organization for these issues, the Health System acknowledges their influence on health outcomes and quality of life. Consistent with the systems of care framework outlined in the CHNA and Implementation Plan, the Health System remains committed to ongoing collaboration with community partners, participation in coalitions, and support of aligned initiatives through community benefit investments to ensure these needs are addressed by organizations best positioned to lead them. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. UNINSURED PATIENTS WHO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM MAY ALSO QUALIFY FOR ASSISTANCE UNDER THE POLICY, REGARDLESS OF INCOME LEVEL, IF THEY HAVE MEDICAL OR HOSPITAL BILLS THAT EXCEED 10% OF THEIR GROSS FAMILY INCOME. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. 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 , 1 Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY, AND ADMISSION AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH 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 , 1 Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. 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 DON'T QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN." 0 Schedule H, Part V, Section B, Line 18 Actions regarding eligibility under FAP THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 22 MAXIMUM AMOUNTS THAT CAN BE CHARGED THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/25 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 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 2013 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A 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 Based on Schedule H, Worksheet 2 Line 7E: Actual Expenses Less Any Direct Offsetting Revenue Line 7F: Actual Expenses Less Any Direct Offsetting Revenue Worksheet 2 Line 7I: Actual Expense of the Contributions Schedule H, Part I, Line 7k Percent of Total Expense Percent of Total Expense Total Expense From Form 990, Part IX, Line 25, Column (A) is $353,009,842. The Bad Debt Expense included in this amount is $24,606,417. This leaves a total expense of $328,403,425 for purposes of calculating Line 7, Column (F). Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $275,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH NORTHERN LOUISIANA. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS HEALTH NORTHERN LOUISIANA SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES AMOUNTS REPORTED AT SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, 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, INCLUDING SCHOOL-BASED HEALTH CENTERS AND SENIORS, AS WELL AS OTHER VULNERABLE POPULATIONS. THE EFFORTS ARE PROMOTING PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE, DIABETES AND IMMUNIZATIONS. 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 7k FIN ASSISTANCE/ OTHER BENEFITS AS A PERCENTAGE OF COST THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE, AS REPORTED IN PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF THE TOTAL EXPENSE, IS 13.55%, WHICH EXCEEDS THE AMOUNT REPORTED IN PART I, LINE 7K, COLUMN (F), WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11. Schedule H, Part VI Rev. Proc. 2015-21 Disclosure Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on July 31, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on July 31, 2025 . Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (July 31, 2025 ). All related CHNA implementation strategies were approved by the hospital's board of directors on July 31, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies. Schedule H, Part I, Line 7b UNREIMBURSED MEDICAID THE HOSPITAL REINVESTS SURPLUS FUNDS BACK IN TO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 24606417 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, 2025, THE ORGANIZATION REPORTED THAT 17.11% 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, 2025, 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. THESE 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, 2025. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.6383% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2025 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, 2025 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 AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS.SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $11,754,266 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A 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 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN EVERY THREE YEARS, CHRISTUS HEALTH NORTHERN LOUISIANA LEARNS ABOUT GAPS IN SERVICE FOR THE UNDERSERVED, UNINSURED, UNDERSURED AND VULNERABLE POPULATIONS THROUGH ITS RELATIONSHIPS AND COLLABORATIONS WITH COMMUNITY ORGANIZATIONS, SUCH AS CHURCHES, BUSINESSES, AGENCIES, LOCAL COLLEGES AND UNIVERSITIES, STATE INDIGENT PROGRAMS, THE COUNCIL OF ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA, UNITED WAY, FOOD BANK OF NORTHERN LOUISIANA, SHREVEPORT GREEN, CATHOLIC CHARITIES, DAVID RAINES COMMUNITY HEALTH, LOCAL PHARMACIES, LOCAL SCHOOL SYSTEM, OFFICE OF PUBLIC HEALTH, REGION 7, RESCUE MISSION, HOPE CONNECTIONS, AND VARIOUS OTHER ORGANIZATIONS AND NON-PROFIT AGENCIES. WORKING INTERNALLY AND WITH OUR COMMNUNITY PARTNERS, CHRISTUS HEALTH NORTHERN LOUISIANA IDENTIFIES OPPORTUNITIES TO PARTNER WITH OTHERS TO MEET THE NEWLY IDENTIFIED NEEDS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS HEALTH NORTHERN LOUISIANA MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information CHRISTUS HEALTH NORTHERN LOUSIANA'S PRIMARY SERVICE AREA INCLUDES THE PREDOMINANTLY RURAL PARISHES OF BOSSIER, CADDO, CLAIBORNE, DESOTO, LINCOLN, NATCHITOCHES, SABINE, WEBSTER, AND WINN, WHICH ALSO COMPRISES REGION VII OF THE OFFICE OF PUBLIC HEALTH; HOWEVER, ITS SERVICE AREA EXTENDS TO NORTHEAST TEXAS AND SOUTHERN ARKANSAS. ALTOGETHER, THE LARGER SERVICE AREA INCLUDES A POPULATION OF MORE THAN 1.1 MILLION PEOPLE AND serving a population of 388,713 individuals in fiscal year 2025. LOUISIANA'S POPULATION TICKED UP BY ALMOST 3% FROM 2010 TO 2020, BUT GROWTH WAS VERY UNEVEN ACROSS THE PARISHES IN SBHS PSA: BOSSIER JUMPED 10%, WHILE CADDO, NATCHITOCHES, WEBSTER AND RED RIVER ALL SAW POPULATION LOSSES (DOWN AS MUCH AS 16% IN RED RIVER). BIRTH RATES ALSO VARY WIDELY - FROM ROUGHLY 19 BIRTHS PER 1,000 WOMEN IN RED RIVER TO 61 IN WEBSTER - YET EVERY PARISH HAS A HIGHER DEATH RATE THAN THE STATE AVERAGE OF ABOUT 975 PER 100,000 RESIDENTS. HOUSING OCCUPANCY FALLS BELOW THE STATE'S 86% MARK IN SEVERAL PARISHES (JUST 76% IN NATCHITOCHES), AND POVERTY LEVELS ARE ESPECIALLY PRONOUNCED IN RED RIVER (29% OF RESIDENTS) AND WEBSTER (27%), WITH OVER ONE IN THREE YOUNG CHILDREN IN CADDO LIVING IN POVERTY. OVERALL, THESE DATA POINT TO AGING, SHRINKING COMMUNITIES FACING ECONOMIC AND HEALTH CHALLENGES THAT EXCEED STATEWIDE NORMS. THE PSA INCLUDES 52% NON-HISPANIC WHITE, 39% NON-HISPANIC BLACKS, NEARLY 5% HISPANIC/LATINO AND SLIGHTLY ABOVE 1% ASIAN. FEMALES MAKE UP 52% AND MALES 48%. THE LARGEST AGE GROUP IS INDIVIDUALS AGED 40-64. IN THE CSBH SERVICE AREA 1.7 % OF THE RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY. There are three other hospitals serving the community and one federally qualified health center (FQHC). Schedule H, Part VI, Line 5 Promotion of community health DESCRIPTION: CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM RESPONDS TO THE HEALTH CARE NEEDS OF ITS COMMUNITY THROUGH SERVICES PROVIDED AT CHRISTUS HIGHLAND MEDICAL CENTER, LOCATED IN SHREVEPORT, LOUISIANA, THE NORTHWESTERN CORNER OF THE STATE. CHRISTUS HIGHLAND MEDICAL CENTER IS A 220-BED ACUTE CARE HOSPITAL THAT INCLUDES BIRTHING SUITES, NEONATAL ICU, MEDICAL AND SURGICAL CARE, A REHABILITATION UNIT, COMPREHENSIVE CORONARY CARE, A BROAD VARIETY OF SURGICAL SERVICES, AND EMERGENCY SERVICES. WHILE WE SERVE AS A VITAL ACCESS POINT FOR CARE IN CADDO AND BOSSIER PARISHES AND EXTEND OUR REACH INTO NEIGHBORING PARISHES, SUCH AS WEBSTER, DESOTO AND RED RIVER, A PARTICULARLY RURAL AND UNDERSERVED AREA, THROUGH OUR LOCAL COMMUNITY ORGANIZATIONS. BY COLLABORATING WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH NORTHERN LOUISIANA HAS STRENGTHENED ITS ROLE AS A MAJOR PROVIDER OF COMPREHENSIVE ACCESSIBLE HEALTH CARE SERVIES. THESE PARTNERSHIPS CARE FOR THOSE IN NEED AND FOCUS ON ADDRESSING THE NEED FOR ACCESS TO HEALTH, IN PREVENTION. CHRISTUS HEALTH IS DEEPLY COMMITTED TO PROACTIVELY IMPROVING THE HEALTH OF UNDERINSURED PEOPLE. THE COMMUNITY BENEFIT ADVISORY COUNCIL INCLUDES PUBLIC MEMBERS. THE GROUP MEETS AT LEAST THREE TIMES A YEAR TO INFLUNCE THE ALLOCATION OF COMMUNITY BENEFIT FUNDING ACCORDING TO THE COMMUNITY HEALTH GOALS AND IMPLEMENTATION STRATEGIES IDENTIFIED IN THE CHNA AND CHIP. SAMPLES OF KEY PROGRAMS AND PROJECTS ARE INCLUDED, BUT ARE NOT LIMITED TO, THOSE LISTED BELOW: 1. PARTNERING FOR COMMUNITY GARDEN INITIATIVE AND RENEWAL PROGRAMS RECOGNIZING THE NEED FOR SUSTAINABLE SOLUTIONS CONCERNING FOOD INSECURITY IN UNDERSERVED AREAS, WHICH WAS INSPIRED BY A COMMUNITY FOCUS GROUP HELD DURING OUR CHNA, WE COLLABORATED WITH COMMUNITY RENEWAL AND SHREVEPORT GREEN TO CURATE A GARDEN SPACE. SHREVEPORT GREEN WILL CONTINUE TO SUPPORT THE GARDEN AND ENGAGE WITH THE CHILDREN IN COMMUNITY RENEWAL'S AFTERSCHOOL PROGRAMS WHO WILL CULTIVATE THE GARDEN. SHREVEPORT GREEN'S EXPERTISE IN URBAN AGRICULTURE, MASTER GARDENING, AND ENVIRONMENTAL EDUCATION REINFORCES THE GARDEN'S ROLE AS A TOOL FOR NOURISHMENT AND EMPOWERMENT. THROUGH HANDS-ON LEARNING, CHILDREN WILL EXPLORE THE CONNECTIONS BETWEEN SOIL, FOOD, AND HEALTH, BUILDING RESILIENCE IN THE FACE OF SYSTEMATIC CHALLENGES. 2. EMERGENCY EDUCATION DESCRIPTION: DETAILED INSTRUCTION AND HANDS-ON PARTICIPATION IS OFFERED FOR CERTIFICATION IN AREAS INCLUDING CPR, FIRST AID, STOP THE BLEED, AND AED USE. COURSES ARE OFFERED TO SCHOOL DISTRICTS AND SPONSORS FOR UIL PROGRAMS ON AN AS-NEEDED BASIS. HUNDREDS OF PEOPLE WERE TRAINED ACROSS MULTIPLE COUNTIES, ISDS, CHURCHES, AND ATHLETIC PROGRAMS. 3. HEALTH EDUCATION/SCREENING PROGRAMS DESCRIPTION: COMMUNITY EDUCATION FOR HEALTH LIFESTYLES WAS OFFERED THROUGHOUT THE REGION FOR A VARIETY OF CONDITIONS, VARIOUS WALKS ARE INCLUDED, AS WELL AS STRESS MANAGEMENT, DIEBETES EDUCATION, HEART HEALTH, CANCER AWARENESS, AND HEALTHY EATING. THE WOMEN WITH HEART PROGRAM WAS TRANSITIONED TO A COMMUNITY EDUCATION EVENT AT A PUBLIC BUILDING. 4. SCHOOL ASSISTANCE DESCRIPTION: OVER A THOUSAND JUNIOR HIGH AND HIGH SCHOOL PRE-PARTICIPATION EXAMS WERE DONE AT NO COST TO THE SCHOOLS AND ASSIST WITH MEDICAL NEEDS AS REQUESTED. 5. SOCIAL DETERMINANTS OF HEALTH DESCRIPTION: CHRISTUS HEALTH RAISED THE FOCUS ON SDOH ACROSS THE ENTIRE SYSTEM AND TIED MUCH OF THE WORK WITH HEART DISEASE AND HEALTHY FOOD ACCESS. THIS PAST YEAR, THE NEED TO SUPPORT THOSE WHO PROVIDE ACCESS TO HEALTHY FOOD TO HELP INDIVIDUALS EXPERIENCING FOOD INSECURITY WAS HIGH. CONSEQUENTLY, VOLUNTEERS AND DONATIONS WERE INCLUDED IN MANY INSTANCES. 6. CHRISTUS FUND CSBH DEDICATES SURPLUS FUNDS TO PROVIDE COMMUNITY BENEFIT GRANTS TO COMMUNITY PARTNERS ADDRESSING THE HEALTH AND SOCIAL DETERMINANT NEEDS IDENTIFIED IN OUR CHNA. CHRISTUS HEALTH, THE SYSTEM SPONSOR OF CSBH, AWARDED $305,000 IN CHRISTUS COMMUNITY IMPACT FUND GRANTS TO SIX PROGRAMS IN THE CSBH PSA INCREASING ACCESS TO EDUCATION, HEALTHY FOOD, ADDICTION RECOVERY, THE OUTDOORS, AND BEHAVIORAL HEALTH SERVICES SPONSORED BY LSU AG CENTER, COMMUNITY RENEWAL, NORTHWEST LOUISIANA FOOD BANK, COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA, SHREVEPORT GREEN, AND ST LUKE EPISCOPAL MEDICAL MINISTRY. Schedule H, Part VI, Line 6 Affiliated health care system CHRISTUS HEALTH NORTHERN 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 NORTHERN 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 NORTHERN 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 CHRISTUS Fdn Shreveport-Bossier 721219280 501(C)(3) 193076 Donation to Fdn Northwestern State Univ 362167817 501(C)(3) 137000 faculty support Louisiana Tech Univ 726000792 School 65000 faculty support Northwestern State Univ Fdn Inc 726021495 501(C)(3) 30000 2024 BCBS nursing grant Shreveport - Bossier Sports Commission 720695867 Gov't 10000 Sponsorship Bossier Parish School Board 726000185 Gov't 7000 Community Program Bossier Chamber Of Commerce 720382231 501(C)(6) 12260 Spnsrshps and Comm Prgm LSU Hlth Sciences Fdn Shrvprt 920 Pierremont Rd Shrvprt LA 71106 721402222 501(c)(3) 10000 Comm Prgm and Donation 7 1 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 AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH CHRISTUS HEALTH SYSTEM HOSPITALS SERVE 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 Thomas Trawick MD FORMER CEO/CMO (TERM 11/23) 0 18851 0 0 0 670181 0 1163 0 570 0 690765 0 149192 Casey Robertson President/Director Ex-Officio 0 411949 0 178636 0 52138 0 23560 0 14734 0 681017 0 0 Chris Glenney Director/Chairperson (EFF 1/25) 0 852427 0 632258 0 177000 0 70531 0 18430 0 1750646 0 176296 Jeff Puckett Director (Term 12/24) 0 1659819 0 2929083 0 2234450 0 39670 0 17033 0 6880055 0 1954259 Andria Cardinalli-Stein MD Director (Term 12/24) 0 397136 0 95510 0 670 0 13801 0 2248 0 509365 0 0 Mark Anderson MD Director 0 575731 0 268639 0 98535 0 34301 0 67640 0 1044846 0 0 Sr Rosanne Popp Director 0 225619 0 0 0 36560 0 1026 0 6694 0 269899 0 0 Steven Keuer MD Director Ex-Officio 0 712901 0 429357 0 241068 0 51823 0 11767 0 1446916 0 240068 Jason Miller FORMER CFO (Term 8/23) 0 288661 0 107270 0 0 0 0 0 1467 0 397398 0 0 Jaclynn Harrison CHIEF FINANCIAL OFFICER/Treasurer 0 396737 0 363741 0 18204 0 25473 0 15882 0 820037 0 17274 Christopher Karam SVP Group Operations (TERM 12/24) 0 714490 0 418002 0 191735 0 41365 0 14387 0 1379979 0 0 Clint Wisdom Former COO (Term 6/24) 0 115051 0 0 0 181015 0 32906 0 8644 0 337616 0 0 Bradley Harmon VP Mission Integration 0 133917 0 40304 0 0 0 38864 0 11441 0 224526 0 0 Alfonzo Savaleta CHIEF NURSING OFFICER 0 226254 0 79197 0 6392 0 35532 0 2554 0 349929 0 0 Jim Gaton VP Operations 0 213531 0 79203 0 37229 0 0 0 9553 0 339516 0 0 Suman Sinha MD CHIEF MEDICAL OFFICER 0 589867 0 48645 0 107141 0 27549 0 21566 0 794768 0 0 JANET SCOTT-WALKER Certified Registered Nurse Anesthetist 220719 0 500 0 198782 0 17975 0 16170 0 454146 0 0 0 Donna J Hall Certified Registered Nurse Anesthetist 202436 0 500 0 180258 0 31968 0 19451 0 434613 0 0 0 PATRICK DOWNEY Certified Registered Nurse Anesthetist 232220 0 500 0 108308 0 42305 0 6122 0 389455 0 0 0 MONICA N COLLINSWORTH Certified Registered Nurse Anesthetist 221395 0 500 0 133374 0 31424 0 3013 0 389706 0 0 0 Floyd Vining Certified Registered Nurse Anesthetist 220382 0 500 0 135979 0 32512 0 11953 0 401326 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/PRESIDENT 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/PRESIDENT COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/PRESIDENT. 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 THOMAS TRAWICK RECEIVED $387,776 IN SEVERANCE DURING CALENDAR YEAR 2024. CLINT WISDOM RECEIVED $112,980 IN SEVERANCE DURING CALENDAR YEAR 2024. 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 2024: CHRISTOPHER KARAM - $191,735 THOMAS TRAWICK, MD - $259,180 CLINT WISDOM - $47,175 STEVEN KEUER, MD - $240,068 MARK ANDERSON - $98,481 JEFF PUCKETT - $2,234,450 JACLYNN HARRISON - $17,274 CHRIS GLENNEY - $176,296 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, 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 2024. 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. DOING BUSINESS AS CHRISTUS HEALTH NORTHERN LOUISIANA IS DOING BUSINESS AS: ASHLEY RIDGE IMAGING CENTER CHRISTUS ADVANCED DIAGNOSTICS CHRISTUS BOSSIER EMERGENCY HOSPITAL CHRISTUS BOSSIER EMERGENCY CENTER CHRISTUS BOSSIER IMAGING & LAB CHRISTUS BREAST CENTER - SHREVEPORT - BOSSIER CHRISTUS CARDIOVASCULAR & THORACIC SURGERY CHRISTUS INPATIENT REHABILITATION CENTER SHREVEPORT-BOSSIER CHRISTUS KIDS CLINIC SHREVEPORT-BOSSIER CHRISTUS OUTPATIENT NEURO THERAPY - SHREVEPORT CHRISTUS OUTPATIENT THERAPY - BOSSIER CHRISTUS OUTPATIENT THERAPY - SHREVEPORT Christus Outpatient Therapy - Stonewall CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM Christus Highland Medical Center Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION Patient Care Services CHRISTUS Health Northern Louisiana responds to the health care needs of the community through services provided at 1 campus: -CHRISTUS Shreveport-Bossier Highland, a 215-bed hospital in Shreveport Each facility shares the objective of leading the way to a healthier community. CHRISTUS Health Northern Louisiana is located in Northern Louisiana, Southern Arkansas, and Norther Texas, serving a population of 388,713 individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 56,255 visits to our emergency department 1,995 inpatient surgery procedures 3,535 outpatient surgery procedures 11,703 patients admitted for care 167,476 patients who received outpatient care Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION Other Government Programs CHRISTUS Health Northern Louisiana provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. In FY2025, CHRISTUS Health Northern Louisiana served 249,148 patients under these programs, with unreimbursed costs totaling $69,953,857. Medicare is the largest single payor classification of patients served by this hospital. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule. Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION Charity Care and Community Benefit Activity In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Health Northern Louisiana provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS Health Northern Louisiana provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. In FY2025, 3,280 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 0 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. CHRISTUS Health Northern Louisiana actively participates in Louisiana Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. CHRISTUS Health Northern Louisiana also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, CHRISTUS Health Northern Louisiana invested $4,737,434 in community benefit programs, impacting 49,535 individuals. Form 990, Part III, Line 4d Description of other program services (Expenses $ 3,417,529 including grants of $ 3,235,389)(Revenue $ 0) CHRISTUS HEALTH NORTHERN LOUISIANA ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. POOR & UNDERSERVED: EXPENSES OF $393,130; GRANTS OF $3,106,900 BROADER COMMUNITY: EXPENSES OF $640,295; GRANTS OF $128,489 OTHER: EXPENSES OF $2,384,104 Form 990, Part VI, Line 18 PUBLIC DISCLOSURE CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF ITS INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. 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 2026 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, OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH NORTHERN LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. 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, OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH NORTHERN LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. 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 11d Other Miscellaneous Revenue OTHER OPEARTING REVENUE - Total Revenue: 99068, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 99068; Form 990, Part IX, Line 11g Other Fees Repairs & Maintenance Services - Total Expense: 7210569, Program Service Expense: 7204342, Management and General Expenses: 6227, Fundraising Expenses: ; Other Professional Services (less lobbying) - Total Expense: 1767838, Program Service Expense: 1757024, Management and General Expenses: 10814, Fundraising Expenses: ; Collection and Billing Services - Total Expense: 1219710, Program Service Expense: 1219710, Management and General Expenses: , Fundraising Expenses: ; Medical Services - Total Expense: 34624170, Program Service Expense: 34429629, Management and General Expenses: 194541, Fundraising Expenses: ; Consulting Services - Total Expense: 688654, Program Service Expense: 558741, Management and General Expenses: 129913, Fundraising Expenses: ; Marketing Fees - Total Expense: 1658, Program Service Expense: 1658, Management and General Expenses: , Fundraising Expenses: ; Admin Expenses - Total Expense: 33374150, Program Service Expense: 1457, Management and General Expenses: 33372693, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , 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 - -5446764; Total - -5446764; 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 CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HEALTHCARE SERVICES LA 501(c)(3) 3 CH 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 CCC true CHRISTUS HEALTH INTERNATIONAL 5101 N OCONNOR BLVD IRVING TX 75039 462811167 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CH STRA GRTH 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HEALTHCARE SERVICES TX 501(c)(3) Type II CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 5101 N OCONNOR BLVD IRVING TX 75039 465203505 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS SANTA ROSA FAMILY HEALTH CENTER 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 742806531 HEALTHCARE SERVICES TX 501(c)(3) 10 CSRHCC true CHRISTUS SANTA ROSA HEALTH CARE CORPORATION 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS SANTA ROSA MED CTR AUXILIARY 2827 BABCOCK ROAD SAN ANTONIO TX 78229 731655493 SUPP HEALTHCARE SERVICES TX 501(c)(3) 10 CSRHCC true CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION PO Box 912 SAN MARCOS TX 78667 742259907 SUPPORT TX 501(c)(3) 7 SRHCC true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741906005 SUPP HEALTHCARE SERVICES TX 501(c)(3) 7 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