CHRISTUS HEALTH CENTRAL LOUISIANA: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH CENTRAL LOUISIANA (EIN 72-0408984)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-06
IRS object ID: 202211269349301741
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-06T14:08:01-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 E WASHINGOTN ST STE 910	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	720408984	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christus Health Central Louisiana	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% LEE SONNE	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3184871122	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 MASONIC DR	AddressLine1Txt
City	ALEXANDRIA	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN P SHAUGHNESSY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3184466000	PhoneNum
Signature	2022-05-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOHN P	PersonFirstNm
Person Last	SHAUGHNESSY	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PATRICK SHIELDS	PreparerPersonNm
PTIN	P01508556	PTIN
Phone	6023223000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CHRISTOPHER KARAM	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 MASONIC DRIVE	AddressLine1Txt
City	ALEXANDRIA	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$320,924,442	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSSTFRANCESCABRINI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN COMFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2339	TotalEmployeeCnt
Total Volunteers	59	TotalVolunteersCnt
Total Gross UBI	-$106,265	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$366,552	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,213,112	PYContributionsGrantsAmt
CY Contributions Grants	$4,256,936	CYContributionsGrantsAmt
PY Program Service Revenue	$298,424,621	PYProgramServiceRevenueAmt
CY Program Service Revenue	$314,019,588	CYProgramServiceRevenueAmt
PY Investment Income	$1,347,962	PYInvestmentIncomeAmt
CY Investment Income	-$34,670	CYInvestmentIncomeAmt
PY Other Revenue	$1,821,419	PYOtherRevenueAmt
CY Other Revenue	$2,647,287	CYOtherRevenueAmt
PY Total Revenue	$308,807,114	PYTotalRevenueAmt
CY Total Revenue	$320,889,141	CYTotalRevenueAmt
PY Grants And Similar Paid	$16,191,304	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,500,288	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$113,724,150	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$121,513,475	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$247,360	CYTotalFundraisingExpenseAmt
PY Other Expenses	$170,683,915	PYOtherExpensesAmt
CY Other Expenses	$169,311,670	CYOtherExpensesAmt
PY Total Expenses	$300,599,369	PYTotalExpensesAmt
CY Total Expenses	$301,325,433	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,207,745	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,563,708	CYRevenuesLessExpensesAmt
Total Assets BOY	$162,866,217	TotalAssetsBOYAmt
Total Assets EOY	$154,396,538	TotalAssetsEOYAmt
Total Liabilities BOY	$249,752,983	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$52,263,147	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$86,886,766	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$102,133,391	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$46,252,512	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$128,513,370	RevenueAmt
Desc	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. IN 2016 ANOTHER SPONSORING CONGREGATION, THE SISTERS OF THE HOLY FAMILY OF NAZARETH, WAS ADDED. BISHOP CLAUDE MARIE DUBIS FOUNDED BOTH CONGREGATIONS 150 YEARS AGO, AND HIS ORIGINAL CALL TO THE SISTERS CONTINUES TO CHALLENGE CHRISTUS HEALTH TO FULFILL ITS MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST AND TO REACH OUT TO THOSE IN NEED IN THE MORE THAN 60 COMMUNITIES IT SERVES. THE VISION OF CHRISTUS HEALTH, A CATHOLIC, FAITH-BASED HEALTH MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. THE CENTRAL LOUISIANA REGION OF CHRISTUS HEALTH RESPONDS TO COMMUNITY NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. FRANCES CABRINI HOSPITAL IN ALEXANDRIA, LOUISIANA, A 293-BED FACILITY; 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 Dubuis Hospital of Alexandria; 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 NINE SURROUNDING CIVIL PARISHES, WHICH HAVE A TOTAL POPULATION OF MORE THAN 375,000, OF WHICH MORE THAN 18.7 PERCENT LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. IN FY 2021 ALONE, THE HOSPITAL ADMITTED 11,126 PATIENTS AND TREATED 168,375 PATIENTS IN ITS OUTPATIENT FACILITIES. THE HOSPITAL PERFORMED 2,107 INPATIENT SURGERIES AND 2,582 OUTPATIENT SURGERIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 45,682 INDIVIDUALS. CHRISTUS ST. FRANCES CABRINI IS CENTRAL LOUISIANA'S LEADER IN CARDIAC SERVICES, OFFERING A COMPLETE RANGE OF CARDIAC DIAGNOSTIC SERVICES INCLUDING CTA, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, AND ELECTROPHYSIOLOGY. THE HOSPITAL ALSO HOUSES THE REGION'S ONLY PEDIATRIC THERAPY CENTER. CHRISTUS CABRINI CANCER CENTER OFFERS COMPREHENSIVE CANCER CARE IN A HOSPITAL SETTING. PROTOCOLS FROM MD ANDERSON CANCER CENTER AT THE UNIVERSITY OF TEXAS AND FROM THE TULANE UNIVERSITY CANCER CENTER ARE AVAILABLE TO PATIENTS. CHRISTUS COUSHATTA HEALTH CARE CENTER IS LOCATED IN RED RIVER PARISH, ECONOMICALLY THE POOREST IN LOUISIANA. IN FY 2021, THE HOSPITAL ADMITTED 536 PATIENTS AND TREATED 21,507 PATIENTS IN ITS OUTPATIENT FACILITIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 4,972 INDIVIDUALS. THIS HOSPITAL OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING MINOR SURGERY; DAY SURGERY; CARDIOLOGY; DIABETES CARE; RESPIRATORY THERAPY; RADIOLOGY; PHYSICAL THERAPY; 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 THREE FACILITIES. WHETHER THE ISSUE IS THE LIFE OF A CHILD HOPING FOR A BRIGHT FUTURE, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS HEALTH CENTRAL LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. MOREOVER, THE CHRISTUS HEALTH CENTRAL LOUISIANA PROVIDES ITS SERVICES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, SEXUAL ORIENTATION, DISABILITY, AGE, OR NATIONALITY. THE THREE HIGHEST COST COMMUNITY BENEFIT PROGRAMS PROVIDED BY CHRISTUS ST. FRANCES CABRINI HOSPITAL ARE 1) SCHOOL BASED HEALTH CENTERS (SBHC), WHICH PROVIDE PRIMARY/PREVENTIVE HEALTH SERVICES TO STUDENTS LOCATED IN UNDERSERVED COMMUNITIES. THE SBHC'S PROVIDE A UNIQUE BLEND OF HEALTH AND EDUCATION SERVICES; 2) ELIGIBILITY VENDORS WHICH ASSIST COMMUNITY MEMBERS WITH ENROLLMENT IN PUBLIC PROGRAMS TO INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THEY PROVIDE EDUCATION AND ENROLLMENT ASSISTANCE TO THE UNINSURED POPULATION IDENTIFIED AT THE HOSPITAL; 3) CABRINI CLINICAL NURSES AND NURSE SUPERVISORS PROVIDE SUPERVISION, MENTORING, AND PRECEPTING AND ROTATION OF LSU-A NURSING STUDENTS FOR THEIR CLINICAL STUDIES. BY COLLABORATING WITH CHURCHES, BUSINESSES, COMMUNITIES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH CENTRAL LOUISIANA'S THREE FACILITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE, AND AFFORDABLE HEALTHCARE SERVICES. THESE PARTNERSHIPS HAVE EXTENDED THE REGION'S CAPACITY TO HELP THOSE IN NEED. THE SAME CAN BE SAID OF THE FACILITIES' DEDICATED EMPLOYEES AND VOLUNTEERS WHO REGULARLY REACH BEYOND TRADITIONAL WALLS TO HELP THEIR COMMUNITIES BECOME HEALTHIER. THESE ACTIVITIES FOSTER STRONG RELATIONSHIPS AND THEREBY CONTRIBUTE TO THE MISSION OF CHRISTUS HEALTH. FURTHERMORE, TO PROVIDE ACCESS TO HEALTH CARE TO AS MANY PEOPLE AS POSSIBLE, CHRISTUS HEALTH CENTRAL LOUISIANA PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, SUCH AS MEDICAID, MEDICARE, CHAMPUS, AND TRICARE. IN ADDITION, THE REGION PROVIDES DISCOUNTED SERVICES TO THOSE WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$152,422,300	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$122,487,635	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$63,987,697	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$64,175,462	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$14,461,800	$13,157,929	$0	Poor & Underserved
$331,273	$0	$0	Broader community
	-$2,657,641		Additional grants

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$14,793,073	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$10,500,288	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$277,455,582	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	185	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2339	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LEE SONNE	PersonNm
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE	AddressLine1Txt
City	Irving	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER KARAM
SR VP & REG CEO	1.0	39.0	Yes (X)	Yes (X)	$0	$1,677,078	$560,510
STEPHEN WRIGHT
Former Reg Pres/CEO	0.0	0.0			$0	$711,838	$15,976	Yes (X)
D KIRK SOILEAU
CEO - NATCHITOCHES	40.0	0.0			$0	$475,153	$139,847		Yes (X)
Hafez Halawani
Physician	40.0	0.0			$536,298	$0	$20,584			Yes (X)
SCOTT JOHNSON
VP, STRATEGY-BUS DEVELOPMENT	40.0	0.0			$0	$409,959	$126,603		Yes (X)
SCOTT MERRYMAN
CFO (Thru 04/20)	1.0	39.0			$0	$372,761	$79,271	Yes (X)
CLAIRE LAUZON-VALLONE
VP, QUALITY AND SAFETY	40.0	0.0			$0	$366,510	$56,667		Yes (X)
JOSE M ZAPATERO MD
CMO, VPMA	40.0	0.0			$0	$371,269	$47,446		Yes (X)
EBENEZER BERKO
PHYSICIAN	40.0	0.0			$397,791	$0	$19,637			Yes (X)
SHERMAN FOOKES
VP ANCILLARY SERVICES	40.0	0.0			$0	$272,927	$52,382		Yes (X)
SUSAN E KEMP MD
DIRECTOR	40.0	0.0	Yes (X)		$0	$292,072	$20,610
MICHELLE AGUILLARD
VP, HUMAN RESOURCES	40.0	0.0			$0	$242,514	$44,735		Yes (X)
EUGENE BURGE
PRES SAVOY MEDICAL CENTER	40.0	0.0			$0	$263,109	$10,918		Yes (X)
JOSHUA R CASON
PHYSICIAN	40.0	0.0			$229,305	$0	$23,444			Yes (X)
JAMES M DOOLITTLE
CRNA	40.0	0.0			$225,715	$0	$19,589			Yes (X)
Dennis Clay
CRNA	40.0	0.0			$221,748	$0	$17,984			Yes (X)
JOHN P SHAUGHNESSY
CFO & VP Finance	40.0	0.0		Yes (X)	$0	$199,314	$19,328
BERT TASSIN
EXEC DIRECTOR - SUPPORT SVS	40.0	0.0			$179,643	$0	$15,582		Yes (X)
CATHERINE BLISE
CNO (Thru 03/20)	40.0	0.0			$0	$179,516	$10,913		Yes (X)
Linda Rittermeyer
Interim CNO	40.0	0.0			$0	$147,416	$1,240		Yes (X)
NANCY HELLYER
FORMER CHIEF EXEC OFFICER/PRES	1.0	39.0			$0	$136,187	$663	Yes (X)
Monte A Wilson
CEO (Thru 5/21)	1.0	39.0	Yes (X)	Yes (X)	$0	$125,685	$9,455
KIM M KELSCH
REGIONAL CORPORATE SECRETARY	13.0	27.0		Yes (X)	$88,158	$0	$12,330
ALOYSIA C DUCOTE
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
AMARJIT S NIJJAR
DIRECTOR (Thru 12/20)	1.0	2.0	Yes (X)		$0	$0	$0
BERNARD S JOHNSON
CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
GAVIN CHICO MD
director	1.0	2.0	Yes (X)		$0	$0	$0
MARTIN W JOHNSON
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
MICHELE M COLLINS
DIRECTOR (Term 12/20)	1.0	2.0	Yes (X)		$0	$0	$0
MOSELLE A DEARBONE
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
NANCY STICH
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
ROBERT T CHANDLER
DIRRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
SISTER MIRIAM MILLER CCVI
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
STEVEN SCOTT BONIOL MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
WILLIE C WHITE III
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,878,658	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,243,308	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,325,714	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	101	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MID-LOUISIANA ANESTHESIA
1444 Peterman Dr	ALEXANDRIA	LA	71301	Medical Services	$136,040
NEUROLOGY GROUP OF CENLA LLC
3311 Prescott Road Suite 216	ALEXANDRIA	LA	71301	Medical Services	$132,200
COUSHATTA ER PHYSICIANS LLC
1635 Marvel St	COUSHATTA	LA	71019	Medical Services	$129,035
THE DELTA PATHOLOGY GROUP LLC
1 ST MARY PL	SHREVEPORT	LA	71101	Medical Services	$127,362
MID LOUISIANA SURGICAL SPECIALIST
3311 PRESCOTT RD 201	ALEXANDRIA	LA	71301	Medical Services	$110,930

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,526,962	RelatedOrganizationsAmt
Government Grants	$93,486	GovernmentGrantsAmt
All Other Contributions	$2,636,488	AllOtherContributionsAmt
Total Contributions	$4,256,936	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621990	$307,596,650	$307,459,583	$137,067	$0
PHARMACY REVENUE	446110	$3,344,859	$3,344,859	$0	$0
RENT RELATED TO EXEMPT FUNCTION	531120	$2,232,151	$2,232,151	$0	$0
PROGRAM RELATED INV INCOME	900099	$518,688	$1,147,686	-$628,998	$0
All other program service revenue	900099	$327,240	$327,240	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$314,019,588	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$631	TotalRevenueColumnAmt
Exclusion	$631	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$97,210	TotalRevenueColumnAmt
Exclusion	$97,210	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$35,301	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$35,301	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$35,301	TotalRevenueColumnAmt
Exclusion	-$35,301	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
BUSINESS INTERRUPTION REVENUE	900099	$938,291	$0	$0	$938,291
MANAGEMENT SERVICE REVENUE	541610	$416,848	$0	$385,666	$31,182
MERCHANDISE REVENUE	900099	$38,059	$0	$0	$38,059

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,156,879	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,156,879	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,550,077	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$320,889,141	TotalRevenueColumnAmt
Related Or Exempt Func Income	$315,668,398	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$106,265	UnrelatedBusinessRevenueAmt
Exclusion	$1,070,072	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$10,500,288	TotalAmt
Program Services	$10,500,288	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$267,801	TotalAmt
Program Services	$245,006	ProgramServicesAmt
Management And General	$21,622	ManagementAndGeneralAmt
Fundraising	$1,173	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$100,639,330	TotalAmt
Program Services	$92,317,846	ProgramServicesAmt
Management And General	$8,147,074	ManagementAndGeneralAmt
Fundraising	$174,410	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,278,235	TotalAmt
Program Services	$12,215,831	ProgramServicesAmt
Management And General	$2,030,988	ManagementAndGeneralAmt
Fundraising	$31,416	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,328,109	TotalAmt
Program Services	$5,708,172	ProgramServicesAmt
Management And General	$606,917	ManagementAndGeneralAmt
Fundraising	$13,020	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$516,381	TotalAmt
Program Services	$516,381	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,536,167	TotalAmt
Program Services	$657	ProgramServicesAmt
Management And General	$1,535,510	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$82,887	TotalAmt
Program Services	$34,974	ProgramServicesAmt
Management And General	$47,913	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,718	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,718	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$59,791,582	TotalAmt
Program Services	$52,012,815	ProgramServicesAmt
Management And General	$7,784,087	ManagementAndGeneralAmt
Fundraising	-$5,320	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,036,692	TotalAmt
Program Services	$2,277	ProgramServicesAmt
Management And General	$1,031,392	ManagementAndGeneralAmt
Fundraising	$3,023	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,093,576	TotalAmt
Program Services	$11,000,443	ProgramServicesAmt
Management And General	$1,067,250	ManagementAndGeneralAmt
Fundraising	$25,883	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,127,611	TotalAmt
Program Services	$2,127,611	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,007,041	TotalAmt
Program Services	$7,178,368	ProgramServicesAmt
Management And General	$828,673	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$99,781	TotalAmt
Program Services	$69,837	ProgramServicesAmt
Management And General	$29,118	ManagementAndGeneralAmt
Fundraising	$826	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$102,101	TotalAmt
Program Services	$52,469	ProgramServicesAmt
Management And General	$49,632	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,606,440	TotalAmt
Program Services	$6,606,440	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,552,291	TotalAmt
Program Services	$12,403,976	ProgramServicesAmt
Management And General	$148,315	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,129,217	TotalAmt
Program Services	$3,129,217	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$50,439,983	$50,233,235	$206,748	$0
PROV FOR UNCOLLECT ACCT	$5,896,898	$5,896,898	$0	$0
TAXES	$5,129,503	$5,129,503	$0	$0
MEALS & ENTERTAINMENT	$50,110	$5,804	$43,562	$744

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$107,691	TotalAmt
Program Services	$67,534	ProgramServicesAmt
Management And General	$37,972	ManagementAndGeneralAmt
Fundraising	$2,185	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$301,325,433	TotalAmt
Program Services	$277,455,582	ProgramServicesAmt
Management And General	$23,622,491	ManagementAndGeneralAmt
Fundraising	$247,360	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,571,050	BOYAmt
EOY	$155,496	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,779	BOYAmt
EOY	$16,779	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,111,002	BOYAmt
EOY	$28,960,077	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$446,592	BOYAmt
EOY	$1,120,038	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,248,980	BOYAmt
EOY	$6,538,321	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,842,377	BOYAmt
EOY	$1,023,045	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$345,488,305	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$235,498,242	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$113,844,689	BOYAmt
EOY	$109,990,063	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,285	BOYAmt
EOY	$6,285	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,043,224	BOYAmt
EOY	$1,613,413	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$189,344	BOYAmt
EOY	$82,755	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,545,895	BOYAmt
EOY	$4,890,266	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$162,866,217	BOYAmt
EOY	$154,396,538	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$203,863,060	BOYAmt
EOY	$10,999,738	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$41,199,399	BOYAmt
EOY	$21,977,086	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,690,524	BOYAmt
EOY	$19,286,323	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$249,752,983	BOYAmt
EOY	$52,263,147	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$87,125,397	BOYAmt
EOY	$101,913,329	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$238,631	BOYAmt
EOY	$220,062	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$86,886,766	BOYAmt
EOY	$102,133,391	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$162,866,217	BOYAmt
EOY	$154,396,538	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,563,708	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,520	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$9,947,207	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$179,398,136	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$5,718	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$5,718	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 Throughout this past reporting year, CHRISTUS Health Louisiana has had several contacts, direct and indirect, with representatives of the Louisiana State Legislature and their respective staff members. These contacts have occurred through various means of correspondence that include e-mails, telephone calls, conference calls, letters, and in-person meetings. The issues we have discussed relate to reimbursement-related matters including Medicaid, public-private partnership, community health needs, rural hospital, telehealth and telemedicine, mental and behavioral health, insurance health plans, non-compete agreements, CAREs Act Funding, the American Rescue Plan Act, and staffing needs for our providers across our Louisiana ministries. We have also been engaged with our legislators on all matters related to COVID-19, which include such issues as staffing, Remdesivir, emergency rules and orders, testing, reporting requirements, and PPE. In Central Louisiana, we have engaged our Louisiana Legislative delegation on issues relating to financing our public-private partnership and budget-related matters. At the federal level, CHRISTUS Louisiana has had direct contact with our Louisiana Congressmen, U.S. Senators and their staff through various avenues of correspondence including emails, letters, calls, conference calls, and in-person meetings. During these interactions, we have discussed issues that are important to our ministries including safety-net providers, access to care, rural hospitals, remote medical technology, telehealth-related initiatives, the 340b Drug Pricing Program, balance billing issues, health care for veterans and payment-related issues through Veterans Affairs, the CARES Act, the American Rescue Plan, price transparency, and proposed regulations that impact our industry, including the Medicaid Fiscal Accountability Rule (MFAR). We have also spent time engaging our Congressional delegation in matters related to COVID-19 including supplies and PPE, staffing issues, Remdesivir dosages, flexibility with treatment, prisoner care, and federal emergency declaration-related issues. 26 Executive Hours

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,015,819	OtherCostOrOtherBasisAmt
Book Value	$13,015,819	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$175,664,707	OtherCostOrOtherBasisAmt
Depreciation	$116,933,868	DepreciationAmt
Book Value	$58,730,839	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,281,910	OtherCostOrOtherBasisAmt
Depreciation	$6,685,273	DepreciationAmt
Book Value	$2,596,637	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$137,522,551	OtherCostOrOtherBasisAmt
Depreciation	$105,362,564	DepreciationAmt
Book Value	$32,159,987	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,003,318	OtherCostOrOtherBasisAmt
Depreciation	$6,516,537	DepreciationAmt
Book Value	$3,486,781	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$109,990,063	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$297,652	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED MEDICARE PAYABLE	$14,942,976
LEASE LIABILITIES	$3,797,058
STATE & LOCAL SALES TAX PAYABLE	$248,637

Field	Value	IRS element (for citing)
Total Liability	$19,286,323	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	UNCERTAIN TAX POSITIONS PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2021 AND 2020.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,329,354	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,329,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,987,697	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,175,462	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,317,051	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,175,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,329,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	10678	PersonsServedCnt
Total Community Benefit Expns	$3,946,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,600,919	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,345,558	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1730	PersonsServedCnt
Total Community Benefit Expns	$260,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$260,232	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$8,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,160	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,158,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,158,754	NetCommunityBenefitExpnsAmt
Total Expense	0.04450	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	12408	PersonsServedCnt
Total Community Benefit Expns	$17,373,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,600,919	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,772,704	NetCommunityBenefitExpnsAmt
Total Expense	0.05000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	12408	PersonsServedCnt
Total Community Benefit Expns	$83,690,674	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,776,381	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,102,058	NetCommunityBenefitExpnsAmt
Total Expense	0.05790	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$20,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$20,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,896,898	BadDebtExpenseAmt
Bad Debt Expense Attributable	$44,299	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$81,686,722	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$83,368,456	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,681,734	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
C CABRINI SURG CTR
SURGERY CENTER	0.4046	0.3333
C DUBIUS HSPTL
LTAC	0.4
C HOSPICE & PALLIA
HOSPICE CARE	0.4
CNRL LA SURG HOSP
SURGICAL HOSPITAL(April 2021)	0.51	0.39

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
CHRISTUS ST FRANCES CABRINI HOSPITAL
1	3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	WWW.CHRISTUSSTFRANCESCABRINI.ORG	234	Yes (X)	Yes (X)	Yes (X)	A
CHRISTUS COUSHATTA HEALTH CARE CENTER
2	1635 MARVEL STREET	COUSHATTA	LA	71019	WWW.CHRISTUSCOUSHATTA.ORG	551			Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H, Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H, Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	ADDRESSING SIGNIFICANT COMMUNITY NEEDS: CHRISTUS HEALTH CENTRAL LOUISIANA HIRED THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO CONDUCT ITS 2019 CHNA. LPHI PROVIDED CHRISTUS ST. FRANCES CABRINI HOSPITAL (CSFCH) AND CHRISTUS COUSHATTA HEALTH CARE CENTER (CCHC) LEADERSHIP A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN EARLY JANUARY 2019. A VALIDATION MEETING WAS HELD WITH A GROUP OF EXPERTS ON JANUARY 23, 2019 FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND FOR CHRISTUS COUSHATTA HEALTH CARE CENTER, COMPRISED OF BOTH CHRISTUS LEADERS AND LEADERS OF DIFFERENT ORGANIZATIONS AND COALITIONS SERVING THE AREA COMMUNITIES. THESE GROUPS WERE TASKED WITH REVIEWING AND VALIDATING THE FINDINGS AND RANK-ORDERING THE SIGNIFICANT HEALTH NEEDS REPORTED IN THE DRAFT CHNA. ON FEBRUARY 12, 2019, THE CHNA ADVISORY COMMITTEES FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTHCARE CENTER, MET ON February 12, 2019, TO REVIEW THE DATA PRESENTED AT THE VALIDATION MEETINGS, RANKING RESULTS, AND OTHER INPUT PROVIDED BY THE MEETING PARTICIPANTS. THE COMMITTEES MADE RECOMMENDATIONS TO THE HOSPITALS' SENIOR LEADERSHIP TEAMS ON WHICH PRIORITY ISSUES SHOULD BE ADDRESSED AS PART OF THE CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE SENIOR LEADERSHIP TEAMS ACCEPTED THE CHNA ADVISORY COMMITTEE'S RECOMMENDATIONS AND THE GOVERNING BOARD APPROVED, FOR BOTH CABRINI AND COUSHATTA, THE PRIORITIES CHOSEN WHEN IT APPROVED THE CHNAS ON APRIL 24, 2019. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FOR PERSONS WHO REPRESENT THE COMMUNITY: TO ENSURE COMMUNITY INPUT INTO THE CHNA, THE CHNA ADVISORY COMMITTEES RECOMMENDED A SLATE OF COMMUNITY LEADERS AND COMMUNITY HEALTH EXPERTS TO BE INTERVIEWED AS KEY INFORMANTS AND TO SERVE AS FOCUS GROUP MEMBERS FOR THE CHNA. IN ADDITION, THEY ASSISTED IN CREATING AN INVITATION LIST OF 53 COMMUNITY LEADERS AND COMMUNITY HEALTH EXPERTS TO ATTEND THE CHNA VALIDATION MEETING ON JANUARY 23, 2019. FOLLOWING THE VALIDATION MEETING, THE GROUPS MET ON FEBRUARY 12, 2019 FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND ON February 12, 2019 FOR CHRISTUS COUSHATTA HEALTHCARE CENTER, TO REVIEW THE RESULTS OF THE VALIDATION MEETING AND TO DETERMINE WHICH PRIORITY ISSUES WOULD BE PRESENTED TO THE HOSPITAL'S SENIOR LEADERSHIP FOR ADOPTION IN THE 2019-2022 CHIP. IN ADDITION, THE CHNA ADVISORY COMMITTEES MET PERIODICALLY THROUGHOUT THIS PROCESS. THE COMMITTEES WERE INVOLVED IN THE REVIEW OF ALL DATA COLLECTION MATERIALS DEVELOPED BY LPHI, INCLUDING A LIST OF RECOMMENDED QUANTITATIVE INDICATORS, THE KEY INFORMANT INTERVIEW GUIDE, AND THE FOCUS GROUP INTERVIEW GUIDE. EXTERNAL COMMUNITY ORGANIZATIONS AND PUBLIC HEALTH ENTITIES REPRESENTED IN KEY INFORMANT, FOCUS GROUP, AND/OR VALIDATION MEETING INPUT PROCESSES: (CABRINI AND COUSHATTA CONDUCTED A JOINT VALIDATION MEETING) RAPIDES FOUNDATION CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE CITY OF ALEXANDRIA LIONS CLUB LONGLEAF BEHAVIORAL HOSPITAL CENLA PREGNANCY CENTER FAITH HOUSE RAPIDES PARISH SCHOOL BOARD LSUA ROTARY CLUB ALEXANDRIA RAPIDES REGIONAL MEDICAL CENTER LOUISIANA CAMPAIGN FOR TOBACCO FREE LIVING RAPIDES FOUNDATION OFFICE OF PUBLIC HEALTH, REGION 6 UNITED WAY HOMELESS COALITION FOOD BANK MINISTERS OF ECONOMIC DEVELOPMENT ALLEGIANCE HOSPITALS DIOCESE OF ALEXANDRIA LOUISIANA RENC AVOYELLES HOSPITAL RAPIDES PARISH SHERIFF'S OFFICE CHNA ADVISORY COMMITTEE MEMBERS: JUDY DESHOTELS, CHAIRPERSON, VICE PRESIDENT MISSION INTEGRATION WITH MEMBERSHIP INCLUDING CHRISTUS ST FRANCES CABRINI AND CHRISTUS COUSHATTA HEALTHCARE CLINIC EXECUTIVE AND SENIOR LEADERS, AND VARIOUS DIRECTORS WHOSE AREAS WERE DIRECTLY RELATED TO ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA. KEY INFORMANT INTERVIEW PARTICIPANTS: CHRISTUS ST. FRANCES CABRINI HOSPITAL: DAVID BRITT (PRESIDENT, UNITED WAY) GABRIELLE JUNO (EXECUTIVE DIRECTOR, CENTRAL LOUISIANA AHEC) DR. MICHAEL DECAIRE (EXECUTIVE DIRECTOR, CENTRAL LA. HUMAN SERVICES DISTRICT) DR. DAVID HOLCOMBE (DIRECTOR, OFFICE OF PUBLIC HEALTH REGION 6) BILLY MCRAE (DIRECTOR, CHRISTUS COMMUNITY CLINICS ALEXANDRIA AND PINEVILLE) JOANN DERBONNE, RN (DIRECTOR, CHRISTUS SCHOOL BASED HEALTH CENTERS) JOSH BLACKWELL (REGIONAL DIRECTOR, VOLUNTEERS OF AMERICA CENTRAL LA.) CLARENCE FIELDS (MAYOR, PINEVILLE, LA.) ASHLEY STEWARD (RAPIDES FOUNDATION) PASTOR FRANK JACKSON (MINISTERS OF ECONOMIC DEVELOPMENT) EXECUTIVE DIRECTOR FROM CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE CHRISTUS COUSHATTA HEALTHCARE CLINIC: CONNIE MABILE (MABILE'S PHARMACY) LARRY LOUD (BIENVILLE HEALTH BOARD) FOCUS GROUP MEMBERSHIP: CHRISTUS ST. FRANCES CABRINI HOSPITAL: A FORMER RESIDENT AND CURRENT BOARD MEMBER OF HOPE HOUSE, THE DIRECTOR OF HOPE HOUSE, THE LA. CAMPAIGN TOBACCO FREE LIVING REGION 6 MANAGER, A RETIREE, AN MSW INTERN, A REPRESENTATIVE FROM THE CENTRAL LA HOMELESS COALITION, THE LEAD PA CABRINI ED, A CHRISTUS COMMUNITY CLINIC NURSE, A MEMBER OF THE MINISTERS OF ECONOMIC DEVELOPMENT, A HOSPITAL CHAPLAIN, A BOARD MEMBER FROM UNITED WAY OF CENTRAL LA. CHRISTUS COUSHATTA HEALTHCARE CLINIC: SCHOOL SYSTEM EMPLOYEE WHO WORKS WITH PARENTS AND FAMILIES, OCCUPATIONAL THERAPY SOLUTIONS, A RETIRED SCHOOLTEACHER FROM RINGGOLD ELEMENTARY, A DEACON WHO SERVES ON THE BOARD OF THE COUNCIL ON AGING, A COUNCILMEMBER FROM RINGGOLD, LA, A DEACON FROM THE LOCAL COMMUNITY, A HOSPITAL SOCIAL WORKER, A NURSE, A MEMBER OF COUNCIL ON AGING, MAYOR OF COUSHATTA, COUSHATTA CHIEF OF POLICE, A DIRECTOR OF HOME HEALTH, A NURSE AND ADVOCATE FOR THE ELDERLY, EMPLOYEE FROM THE SCHOOL BOARD, A PARISH SCHOOL NURSE, A RETIREE WHO DOES PARENT OUTREACH/ ENGAGEMENT FOR A LOCAL MENTORING PROGRAM, A SCHOOL BOARD MEMBER WHO ALSO SERVES AS THE HOMELESS (STUDENT) LIAISON A COMMUNITY PASTOR, A VETERAN, A FORMER EDUCATOR.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHRISTUS ST. FRANCES CABRINI HOSPITAL CHRISTUS COUSHATTA HEALTHCARE CLINIC CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA SAVOY MEDICAL CENTER, MAMOU SCHEDULE H, PART V, SECTION B, LINE 7A THE URL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH SYSTEM: https://www.christushealth.org/-/media/files/homepage/giving-back/c hna/cabrini_communityhealthneedsassessment2019.ashx?la=en Schedule H, Part V, Section B, Line 10a THE URL FOR THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS: CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH SYSTEM: https://www.christushealth.org/-/media/about/christus-cla-chip--2019.ashx? la=en SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA: LEADERSHIP FOR CHRISTUS HEALTH CENTRAL LOUISIANA WAS PROVIDED WITH A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN JANUARY 2019. A VALIDATION MEETING WAS HELD WITH A GROUP OF EXPERTS ON JANUARY 23, 2019 COMPRISED OF BOTH CHRISTUS LEADERS AND LEADERS OF DIFFERENT ORGANIZATIONS AND COALITIONS SERVING THE AREA COMMUNITIES. THIS GROUP WAS TASKED WITH REVIEWING AND VALIDATING THE FINDINGS AND RANK-ORDERING THE SIGNIFICANT HEALTH NEEDS REPORTED IN THE DRAFT CHNA. THE CHNA ADVISORY COMMITTEES MET ON FEBRUARY 12, 2019 FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND ON FEBRUARY 12, 2019 FOR CHRISTUS COUSHATTA HEALTH CARE CENTER. THE ADVISORY COMMITTEES REVIEWED THE FINDINGS FROM THE VALIDATION MEETING AND MADE DETERMINATIONS AS TO WHICH PRIORITY ISSUES WOULD BE SELECTED TO ADDRESS OVER THE NEXT THREE YEARS AS PART OF A COMMUNITY HEALTH IMPLEMENTATION PLAN. 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 ON APRIL 24, 2019. BASED ON THE PROCESS DESCRIBED ABOVE, THE PRIORITY HEALTH NEEDS SELECTED BY CHRISTUS HEALTH CENTRAL LOUISIANA ARE: CHRISTUS ST. FRANCES CABRINI HOSPITAL: 1. MENTAL AND BEHAVIORAL HEALTH: PROVIDE INTERDISCIPLINARY CARE LED BY A BOARD-CERTIFIED PSYCHIATRIST FOR COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY FOR SERVICES. PROVIDE EARLY IDENTIFICATION AND APPROPRIATE CARE FOR INDIVIDUALS WHO HAVE A SUBSTANCE USE DISORDER. IDENTIFY AND OFFER SMOKING CESSATION SUPPORT TO ALL PATIENTS SEEN IN THE CHRISTUS COMMUNITY CLINICS IN ALEXANDRIA AND PINEVILLE AS WELL AS THE EMERGENCY DEPARTMENT. IDENTIFY AND PROVIDE RESOURCES TO HELP BEHAVIORAL HEALTH UNIT PATIENTS STOP SMOKING AND/OR USING NICOTINE PRODUCTS. SUB-ACTIONS WERE REVISED AND APPROVED BY THE BOARD THIS YEAR, WHILE THE ABOVE MAJOR ACTIONS REMAINED THE SAME. SUB-ACTION REVISIONS INCLUDED EXPOUNDING ON THE PROCESS FOLLOWED IN PROVIDING INTERDISCIPLINARY CARE AND DUE TO COVID RESTRICTIONS SHIFTING MORE FOCUS ON PATIENT CARE THEN STAFF EDUCATION. 2. CHRONIC DISEASES AND CONDITIONS - DIABETES: INCREASE THE NUMBER AND AVAILABILITY OF DIABETES SCREENINGS AS WELL AS DIABETES COMPLICATIONS SCREENINGS. RAISE AWARENESS OF AND INCREASE AVAILABILITY OF DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) AND HEALTHY LIFESTYLE EDUCATION. SUB-ACTIONS INCLUDE, WORKING WITH CHRISTUS SCHOOL BASED HEALTH CENTERS TO PROVIDE SCREENINGS AND MONITORING SERVICES FOR THE STUDENTS NEEDING CARE, AND PARTNERING WITH LOCAL ENTITIES AND HEALTH FAIRS TO PROVIDE EDUCATION AND SUPPORT. 3. ACCESS TO CARE: ENSURE PATIENTS HAVE ACCESS TO THE APPROPRIATE MEDICINES TO MEET THEIR MEDICAL NEEDS. INCREASE HEALTH LITERACY THROUGH PARTNERSHIPS IN EDUCATION. EXPAND SPECIALTY CARE TO THE MEDICAID AND UNINSURED POPULATION. ADDRESS THE COST OF CARE FOR PATIENTS IN OUR AREA. ADDRESS TRANSPORTATION NEEDS FOR PATIENTS. INCREASE COORDINATION OF CARE BETWEEN MULTIPLE PROVIDERS. COORDINATE CARE BETWEEN THE EMERGENCY DEPARTMENT OF THE HOSPITAL, CHRISTUS COMMUNITY CLINICS AND PRIMARY CARE PROVIDERS. CHRISTUS COUSHATTA HEALTH CARE CENTER: 1. ACCESS TO CARE: ESTABLISH CHEMOTHERAPY OUTPATIENT IV INFUSION CENTER AT CHRISTUS COUSHATTA. RECRUIT AN ENT PROVIDER TO OFFER SERVICES FOR THE LOCAL COMMUNITY. ADDRESS TRANSPORTATION NEEDS FOR PATIENTS. EXPAND 340B DISCOUNTS TO PATIENTS THROUGH THE CHRISTUS COMMUNITY CLINIC OF BOYCE. EXPAND SCHOOL-BASED SERVICES THROUGH A TELEMEDICINE PROGRAM. ENHANCE THE EXISTING DIABETES EDUCATION PROGRAM TO EXPAND REACH AND IMPACT. 2. SOCIAL DETERMINANTS OF HEALTH: IMPROVE TRANSPORTATION OPTIONS FOR PATIENTS TO PROMOTE UTILIZATION OF HEALTHCARE SERVICES AND IMPROVEMENT OF HEALTH OUTCOMES. IDENTIFY COMMUNITY RESOURCES AND SHARE WITH COMMUNITY STAKEHOLDERS. 3. MENTAL AND BEHAVIORAL HEALTH: RECRUIT A MENTAL HEALTH NURSE PRACTIONER FOR THE RURAL HEALTH CLINIC LOCATED IN COUSHATTA TO EXPAND MENTAL HEALTH SERVICES TO THE LOCAL POPULATION. WORK WITH THE GERI-PSYCH MANAGEMENT COMPANY TO IDENTIFY POTENTIAL PATIENTS WHO DO NOT MEET THEIR AGE LIMITS AND REQUIREMENTS. IMPROVE TRANSPORTATION OPTIONS FOR PATIENTS SEEKING MENTAL AND BEHAVIORAL HEALTH CARE. OTHER COMMUNITY NEEDS THAT CANNOT BE ADDRESSED: IN AN EFFORT TO MAXIMIZE ANY RESOURCES AVAILABLE FOR THE DETERMINED ABOVE MENTIONED PRIORITY AREAS, THE CHNA ADVISORY COMMITTEE AND EXECUTIVE LEADERS OF THE FACILITIES LISTED, DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP): - CHRISTUS ST. FRANCES CABRINI HOSPITAL: SOCIAL DETERMINANTS OF HEALTH, CANCER, STROKE, WATER QUALITY, INFANT MORTALITY, AND SEXUAL HEALTH. - CHRISTUS COUSHATTA HEALTH CARE CENTER: CANCER, STROKE, CHRONIC DISEASE, QUALITY OF WATER, INFANT MORTALITY, AND SEXUAL HEALTH. WHILE ALL EXCLUDED PRIORITY AREAS DISCUSSED ARE OF COMMUNITY CONCERN AND IMPORTANT ISSUES, CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER DETERMINED THERE ARE OTHER HEALTH CARE FACILITIES AND ORGANIZATIONS IN THE REGION WHO ARE BETTER EQUIPPED, ARE ALREADY ADDRESSING THESE NEEDS, POSSESS MORE SPECIALIZED RESOURCES, AND/OR HAVE DESIGNATED RESOURCES AT THEIR DISPOSAL TO SPECIFICALLY ADDRESS THESE NEEDS. VIEW APPENDIX C IN THE SEPARATE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT FOR A LIST OF LOCAL ORGANIZATIONS AND COMMUNITY ASSETS MENTIONED BY STAKEHOLDERS. SCHEDULE H, PART V, SECTION B, LINE 15E 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 16a-c	THE FAP, FAP APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT: HTTPS://WWW.CHRISTUSHEALTH.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY: THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY, AND ADMISSIONS AREAS. (THE SIGNS DID NOT SPECIFICALLY REFERENCE THE POLICY (FAP), WHICH IS WHY THE HOSPITAL DID NOT SELECT "YES" IN RESPONSE TO LINE 16F). IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE 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 17	DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
SCHEDULE H, PART V, SECTION B, LINE 20E	EFFORTS MADE BEFORE INITIATING EXTRAORDINARY COLLECTION ACTIONS: WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: "YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN." SCHEDULE H, PART V, SECTION B, LINE 22B DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/09 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 45% 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.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHRISTUS CABRINI SURGERY CENTER LLC
15305 DALLAS PARKWAY STE 1600 LB	ADDISON	TX	75001	SURGERY CENTER
CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA
3330 MASONIC DRIVE - 4TH FLOOR	ALEXANDRIA	LA	71301	LTAC
CH HSPC & PALLATIVE CARE ST FRANCES CAB
4801 JACKSON STREET SUITE B	ALEXANDRIA	LA	71301	HOSPICE
Central Louisiana Surgical Hospital
651 N Bolton Ave	Alexandria	LA	71301	Surgery Hospital

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 5	BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
SCHEDULE H, PART I, LINE 6A	ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH (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 I, LINE 7, COLUMN (F)	PERCENT OF TOTAL EXPENSE FORM 990, PART IX, LINE 25, COLUMN (A) IS $301,325,433 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $5,896,898. THIS LEAVES A TOTAL EXPENSE OF $295,428,535 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
SCHEDULE H, PART I, LINE 7	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE Line 7g: 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 III, SECTION A, LINE 1	BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
SCHEDULE H, PART III, SECTION A, LINE 2	METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
SCHEDULE H, PART III, SECTION A, LINE 3	ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2021, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2021, 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, 2021. THUS, THE ORGANIZATION ESTIMATES THAT ONLY .75% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2021 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, SECTION A, LINE 4	BAD DEBT 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 judgments that affect the amounts reported in the consolidated financial statements, including the notes thereto, and related disclosures of commitments and contingencies, if any. The System considers critical accounting policies to be those that require more significant judgments and estimates in the preparation of its consolidated financial statements, including the following: recognition of net patient service revenues, which include price concessions; estimates for reimbursement under the upper payment limit, disproportionate share, and Medicaid 1115 waiver programs; recognition of government relief funding; reserves for losses and expenses related to healthcare professional and general liabilities; accruals for claims incurred but not yet reported and for risk-sharing liabilities related to the System's health plan; determination of fair values of certain financial instruments; determination of fair value of certain goodwill and long-lived assets, including assets acquired; determination of lease right-of-use assets and liabilities; and risks and assumptions for measurement of pension and retiree medical liabilities. Management relies on historical experience and on other assumptions believed to be reasonable under the circumstances in making its judgments and estimates. Actual results could differ materially from these estimates."
SCHEDULE H, PART III, SECTION B, LINE 8	THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY 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 VI, LINE 2	NEEDS ASSESSMENT THE CHNA REPORT CONTAINS SECONDARY DATA FROM EXISTING SOURCES, SUCH AS THE AMERICAN COMMUNITY SURVEY (ACS), BEHAVIOR RISK FACTOR SURVEILLANCE SURVEY (BRFSS), LOUISIANA TUMOR REGISTRY, AND DATA FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS, AMONG OTHERS. THIS REPORT ALSO INCLUDES INPUT FROM KEY INFORMANTS IN THE REGION, PARTICULARLY THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH, THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL, AND/OR VULNERABLE POPULATIONS IN THE COMMUNITIES SERVED BY THE HOSPITAL. THIS INPUT WAS GATHERED THROUGH INDIVIDUAL INTERVIEWS, FOCUS GROUP DISCUSSIONS, A PUBLICALLY-ADVERTISED COMMUNITY VALIDATION MEETING, AND CHNA ADVISORY COMMITTEE MEETINGS. AS A RESULT, THREE COMMUNITY HEALTH NEEDS WERE IDENTIFIED FOR BOTH FACILITIES AS TOP PRIORITIES. THESE PRIORITIES WERE SELECTED BASED OFF OF ISSUE PREVALENCE AND SEVERITY ACCORDING TO PARISH AND REGIONAL SECONDARY DATA IN ADDITION TO THE STAKEHOLDER INPUT PROVIDED. THE TOP NEEDS IDENTIFIED THROUGH THE PROCESS ARE AS FOLLOWS: ACCESS TO CARE, CHRONIC DISEASES - DIABETES, AND MENTAL AND BEHAVORIAL HEALTH FOR CSFCH AND ACCESS TO CARE, SOCIAL DETERMINANTS AND MENTAL AND BEHAVORIAL HEALTH FOR CCHC. CHRISTUS HEALTH CENTRAL LOUISIANA WORKS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, ESPECIALLY THE VULNERABLE AND UNDERSERVED, UNINSURED AND UNDERINSURED POPULATIONS. THIS IS ACCOMPLISHED THROUGH THE CHNA AND CHIP AS WELL AS ONGOING RELATIONSHIPS AND COLLABORATIONS WITH COMMUNITY ORGANIZATIONS, SUCH AS CHURCHES, AGENCIES, LOCAL COLLEGE PROGRAMS, STATE INDIGENT PROGRAMS, UNITED WAY, HOPE HOUSE, MANNA HOUSE, CENTRAL LOUISIANA HEALTHY COMMUNITY COALITION, FOOD BANK OF CENTRAL LOUISIANA, LOCAL PHARMACIES, LOCAL SCHOOL SYSTEMS, MINISTERS OF ECONOMIC DEVELOPMENT, HOMELESS COALITION OF CENTRAL LOUISIANA, THE SALVATION ARMY, OFFICE OF PUBLIC HEALTH REGION VI, AND VARIOUS OTHER ORGANIZATIONS AND NON-PROFIT AGENCIES. IN RESPONSE TO THE CORONAVIRUS PANDEMIC, CSFCHS WORKED WITH THE OFFICE OF PUBLIC HEALTH, NON-PROFIT ORGANIZATIONS AND LOCAL CHURCHES IN OFFERING TESTING AS WELL AS VACCINATIONS TO THE MOST VUNERABLE NEIGHBORHOODS AND POPULATIONS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS HEALTH CENTRAL LOUISIANA MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	Based on our 2019 CHNA, CLA covers the parishes of Allen, Avoyelles, Bienville, Evangeline, Grant, Rapides, Red River, Vernon. ACCORDING TO CENSUS TRACTS OF 2020 AS STATED THROUGH THE METOPIO POPULATION HEALTH ONLINE DATA TOOL,THE TOTAL POPULATION OF THESE EIGHT PARISHES WAS 316,336. ACCORDING TO THE 2013-2017 FIVE YEAR AMERICAN COMMUNITY SURVEY (ACS) Central Louisiana was 55.3% rural, 25.0% urban, and 19.7% suburban with Rapides being the only designated urban parish in the Region. In the Central Louisiana Region, 84% of ninth graders graduated high school in 4 years, which was above both the Louisiana and U.S. percentage. However, less than half (44%) of adults ages 25-44 had some post-secondary education across the Region, which was far below the State average at 56% and U.S. at 65%. Approximately one in three children under 18 were in poverty across the Region. Since 2016, United Way has produced an Asset Limited, Income Constrained, Employed (ALICE) report for Louisiana. In the Region, over half of households (52%) did not meet the ALICE threshold. The ALICE threshold is the average income a household needs to afford the basic necessities.
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 Dubuis Hospital of Alexandria; 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 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 CANCER CENTER. IT IS ALSO CENTRAL LOUISIANA'S LEADER IN CARDIAC SERVICES AND NEURO MUSCULOSKELETAL SERVICES. CHRISTUS COUSHATTA HEALTH CARE CENTER ALSO OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING 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 MORE THAN $260,232 IN HEALTH PROFESSIONS EDUCATION DURING FY 2021 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. CSFCH WORKING WITH THE OFFICE OF PUBLIC HEALTH AND NON-PROFIT ORGANIZATIONS OFFERED TESTING SITES AND VACCINE CLINICS AROUND THE CENTRAL LOUISIANA AREA. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK IN THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2021, 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. AS A NON-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING A CROSS-SECTION OF THE STATE SERVED GUIDES CHRISTUS HEALTH CENTRAL LOUISIANA. THE HOSPITAL'S OPEN MEDICAL STAFF IS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK TO PROVIDE CARE TO COMMUNITIES IN CENTRAL LOUISIANA. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN THESE HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS CENTRAL LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM DESCRIPTION CHRISTUS HEALTH CENTRAL LOUISIANA IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN THE STATES OF ARKANSAS, GEORGIA, IOWA, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, COLUMBIA, AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH CENTRAL LOUISIANA, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES)TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
SCHEDULE H, PART VI, LINE 7	COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015 WITH 2017 UPDATE. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. CHRISTUS HEALTH'S NON-PROFIT HOSPITALS LOCATED IN TEXAS FILE A COMMUNITY BENEFIT REPORT IN THE STATE OF TEXAS. THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AND AN ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN ARE FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS), AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN STANDARDIZED FORMAT. STATE FILING OF COMMUNITY BENEFIT REPORT: TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ALLEN CLINICAL SERVICES
8585 Picardy Avenue	Baton Rouge	LA	70809	463081235	501(C)(3)	$577,216	INDIGENT CARE FUNDING
OCHSNER CLINIC FOUNDATION
1201 S Clearview Parkway Bldg B	New Orleans	LA	70121	720502505	501(c)(3)	$9,779,125	Community Benefit
Louisiana State Univ at Alexandria Fdn
8100 HWY 71 SOUTH	ALEXANDRIA	LA	71302	582024467	501(C)(3)	$75,000	Nursing salaries/Nurses Program
CHRISTUS Trinity Mother Frances Foundation
800 E Dawson St	Tyler	TX	75701	752028241	501(c)(3)	$55,000	Allocated expenses of TMF Foundation

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE A 501(C)(3) ORGANIZATION OR AN ORGANIZATION THAT FURTHERS THE HEALTH SYSTEM'S OVERALL EXEMPT PURPOSES AND PROVIDE DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT, BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO CERTAIN COUNTIES VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BERT TASSIN
EXEC DIRECTOR - SUPPORT SVS	$169,355	$0	$9,938	$0	$350	$0	$11,782	$0	$3,800	$0	$195,225	$0	$0	$0
CATHERINE BLISE
CNO (Thru 03/20)	$0	$59,431	$0	$0	$0	$120,085	$0	$2,465	$0	$8,448	$0	$190,429	$0	$5,616
CHRISTOPHER KARAM
SR VP & REG CEO	$0	$1,118,010	$0	$292,267	$0	$266,801	$0	$551,737	$0	$8,773	$0	$2,237,588	$0	$66,229
CLAIRE LAUZON-VALLONE
VP, QUALITY AND SAFETY	$0	$256,710	$0	$84,392	$0	$25,408	$0	$49,587	$0	$7,080	$0	$423,177	$0	$0
D KIRK SOILEAU
CEO - NATCHITOCHES	$0	$332,207	$0	$129,356	$0	$13,590	$0	$98,795	$0	$41,052	$0	$615,000	$0	$0
EBENEZER BERKO
PHYSICIAN	$370,553	$0	$0	$0	$27,238	$0	$12,586	$0	$7,051	$0	$417,428	$0	$0	$0
EUGENE BURGE
PRES SAVOY MEDICAL CENTER	$0	$200,290	$0	$60,478	$0	$2,341	$0	$10,538	$0	$380	$0	$274,027	$0	$0
JAMES M DOOLITTLE
CRNA	$171,823	$0	$500	$0	$53,392	$0	$11,544	$0	$8,045	$0	$245,304	$0	$0	$0
JOHN P SHAUGHNESSY
CFO & VP Finance	$0	$168,700	$0	$30,614	$0	$0	$0	$9,139	$0	$10,189	$0	$218,642	$0	$0
JOSE M ZAPATERO MD
CMO, VPMA	$0	$308,230	$0	$63,039	$0	$0	$0	$45,274	$0	$2,172	$0	$418,715	$0	$0
JOSHUA R CASON
PHYSICIAN	$172,222	$0	$52,883	$0	$4,200	$0	$11,025	$0	$12,419	$0	$252,749	$0	$0	$0
MICHELLE AGUILLARD
VP, HUMAN RESOURCES	$0	$190,153	$0	$51,711	$0	$650	$0	$35,076	$0	$9,659	$0	$287,249	$0	$0
NANCY HELLYER
FORMER CHIEF EXEC OFFICER/PRES	$0	$0	$0	$0	$0	$136,187	$0	$663	$0	$0	$0	$136,850	$0	$1,896
SCOTT JOHNSON
VP, STRATEGY-BUS DEVELOPMENT	$0	$327,513	$0	$82,026	$0	$420	$0	$88,744	$0	$37,859	$0	$536,562	$0	$0
SCOTT MERRYMAN
CFO (Thru 04/20)	$0	$220,222	$0	$101,635	$0	$50,904	$0	$75,851	$0	$3,420	$0	$452,032	$0	$0
SHERMAN FOOKES
VP ANCILLARY SERVICES	$0	$224,508	$0	$47,622	$0	$797	$0	$40,994	$0	$11,388	$0	$325,309	$0	$0
STEPHEN WRIGHT
Former Reg Pres/CEO	$0	$0	$0	$0	$0	$711,838	$0	$15,976	$0	$0	$0	$727,814	$0	$16,716
SUSAN E KEMP MD
DIRECTOR	$0	$201,720	$0	$0	$0	$90,352	$0	$9,890	$0	$10,720	$0	$312,682	$0	$0
Linda Rittermeyer
Interim CNO	$0	$98,131	$0	$40,000	$0	$9,285	$0	$0	$0	$1,240	$0	$148,656	$0	$0
Dennis Clay
CRNA	$160,516	$0	$500	$0	$60,732	$0	$6,419	$0	$11,565	$0	$239,732	$0	$0	$0
Hafez Halawani
Physician	$529,298		$0		$7,000		$9,871		$10,713		$556,882		$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COMPANION TRAVEL	SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION	SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. Supplemental Compensation Information Schedule J, Part I, Line 4A The following individuals received severance payments: STEPHEN WRIGHT - $536,157 Nancy Hellyer - $134,291 CATHERINE BLISE - $114,439 PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR YEAR 990. CHRISTOPHER KARAM RECEIVED $66,229 DURING CALENDAR YEAR 2020 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. STEPHEN F. WRIGHT RECEIVED $16,716 DURING CALENDAR YEAR 2020 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. D. KIRK SOILEAU RECEIVED $13,590 DURING CALENDAR YEAR 2020 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. CATHERINE BLISE RECEIVED $5,616 DURING CALENDAR YEAR 2020 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NANCY HELLYER RECEIVED $1,896 DURING CALENDAR YEAR 2020 UNDER A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, LINE 1A & SCH J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
SUPPLEMENTAL COMPENSATION INFORMATION	FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: CHRISTOPHER KARAM, CLAIRE LAUZON-VALLONE, D. KIRK SOILEAU, EUGENE BURGE, JOHN P SHAUGHNESSY, JOSE M. ZAPATERO, MD, MICHELLE AGUILLARD, SCOTT JOHNSON, SCOTT MERRYMAN, AND SHERMAN FOOKES.
SUPPLEMENTAL COMPENSATION INFORMATION	SCHEDULE J, PART II, COLUMN (B)(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2020.
DEFERRED COMPENSATION	SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE C	DOING BUSINESS AS CHRISTUS CABRINI PHYSICAL REHABILITATION CENTER CHRISTUS CABRINI STROKE CENTER CHRISTUS CABRINI WOUND CARE AND HYPERBARIC CENTER CHRISTUS COMMUNITY CLINIC - ALEXANDRIA CHRISTUS COMMUNITY CLINIC - PINEVILLE CHRISTUS Community Health Clinic CHRISTUS COMMUNITY SPECIALTY CLINIC CHRISTUS COUSHATTA HEALTH CARE CENTER CHRISTUS COUSHATTA RINGGOLD RURAL HEALTH CENTER CHRISTUS Coushatta Rural Health Center CHRISTUS HEALTH LOUISIANA CHRISTUS HEALTH LOUISIANA Ministries CHRISTUS St. Frances Cabrini Community Clinic CHRISTUS St. Frances Cabrini Health System Christus St. Frances Cabrini Hospital CHRISTUS Primary Care Specialists - Prescott Road
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR SCHOOL BASED HEALTH CENTERS (SBHC), WHICH PROVIDE PRIMARY/PREVENTIVE HEALTH SERVICES TO STUDENTS LOCATED IN UNDERSERVED COMMUNITIES. THE SBHC'S PROVIDE A UNIQUE BLEND OF HEALTH AND EDUCATION SERVICES. 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. THE HOSPITAL ALSO PROVIDES MEETING SPACE TO VARIOUS ORGANIZATIONS IN THE COMMUNITY. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2021, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE.
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT 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, SUPPORT GROUPS, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINE 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, SECTION A, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, SECTION A, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO) AND THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2022 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, SECTION B, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
COMPENSATION DETERMINATION PROCESS	FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING 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.
PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	FORM 990, PART VI, SECTION C, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
avail of gov docs, conflict of interest policy, & fin stmts to ge	FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. CASH - NON-BEARING INTEREST FORM 990, PART X, LINE 1 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
OTHER CHANGES IN NET ASSETS AND FUND BALANCES	FORM 990, PART XI, LINE 9 INTERCOMPANY 182,917,169 RESTRICTED CONTRIBUTIONS (18,569) NA RELEASED FROM RESTRICTIONS FOR CAPITAL 23,617 CONTRIBUTED CAPITAL (3,514,966) OTHER (9,115) TOTAL 179,398,136
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:11326276
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:1640197
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:10209290
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING SERVICES TOTAL FEES:4892481
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:20470769
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:7833502
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:1557248
FORM 990 PART IX LINE 11G	DESCRIPTION:OCCUPANCY RELATED SERVICES TOTAL FEES:1861819

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER ST	BEAUMONT	TX	77726	760591590	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 Dr Michael DeBakey Drive	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORP
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	12-Type I	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	611500100	SUPp HTH SVCs	TX	501(C)(3)	12-Type I	CH	Yes (true)
ST FRANCES CABRINI HOSPFDN OF ALEXANDR
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HTH SVCS	LA	501(C)(3)	7	CNLA	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE I	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
919 HIDDEN RIDGE ROAD	IRVING	TX	75038	465203505	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HEALTH SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS TRINITY MOTHER FRANCES HS
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
GSHS INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE	IRVING	TX	75038	473403356	SPT HLTH SVCS	TX	501(4)	12-TYPE II	CH	Yes (true)
Christus Ark-la-tex HEALTH SYSTEM
919 HIDDEN RIDGE DR	IRVING	TX	75038	822109465	HLTHCARE SVCS	TX	501(C)(3)	12-TPYE II	CH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
CHRISTUS MUGUERZA SAPI DE CV
HIDALGO PTE 2525	COL OBISPADO MONTERREY	N.L.	MX	64060	HEALTHCARE SVCS	MX	CH	C-CORP	0.86559	Yes (true)
EMERALD ASSURANCE CAYMAN LTD
PO BOX 1051	GRAND CAYMAN		CJ	KY1-1-1102	INSURANCE	CJ	CH	C-CORP	1.00000	Yes (true)	980407545
EVANGELINE CLINICAL SERVICES INC
					HEALTHCARE SVCS		CNLA	C-CORP	1.00000	Yes (true)	463977886	3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	LA
CHRISTUS LOUISIANA QUALITY ALLIANCE
					ACO		CH	C-CORP	1.00000	Yes (true)	474618648	919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	LA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CH WILKINSON PHYSICIAN NETWORK
A	$160,450	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
J	$160,235	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
L	$8,362,567	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
M	$4,223,980	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
P	$256,130	ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
Q	$256,130	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
O	$606,177	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
P	$305,824	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
Q	$595,186	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
O	$173,099	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
P	$78,650	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
Q	$152,521	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
O	$578,887	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
P	$286,829	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Q	$566,403	ACCRUAL
MOTHER FRANCES HOSPT REGIONAL HLTH CARE CNTR
B	$55,000	ACCRUAL
ST FRANCES CABRINI HOSPITAL FND OF ALEXANDRIA
B	$204,478	ACCRUAL
ST FRANCES CABRINI HOSPITAL FND OF ALEXANDRIA
C	$1,526,962	ACCRUAL
TRINITY CLINIC
A	$79,359	ACCRUAL
TRINITY CLINIC
J	$79,359	ACCRUAL
TRINITY CLINIC
L	$4,371,448	ACCRUAL
TRINITY CLINIC
M	$2,339,290	ACCRUAL
TRINITY CLINIC
P	$163,355	ACCRUAL
TRINITY CLINIC
Q	$163,355	ACCRUAL