2013-05-10T13:50:31-05:00 2012-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2011-07-01 720408984 Christus Health Central Louisiana % TANA FREEMAN CHRI 3184871122 3330 Masonic Drive Alexandria LA 71301 Scott Merryman 2013-05-01 7137501500 2011 2016-02-24 21:20:13Z See Schedule O Stephen F Wright 3330 Masonic Drive Alexandria LA 71301 225947132 false 0928 X www.cabrini.org X 1946 LA SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH. 15 12 3147 103 485827 276031 4939594 3075020 216391651 220461920 11449 -2801 3886078 2403562 225228772 225937701 645072 1302456 0 0 92951089 89299081 0 0 105203 129129859 125429394 222726020 216030931 2502752 9906770 226546269 228359089 140134943 131867904 86411326 96491185 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND AS false false 42516021 0 97367300 COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH CARE MINISTRIES TOGETHER. BISHOP CLAUDE MARIE DUBUIS FOUNDED BOTH CONGREGATIONS MORE THAN 140 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 283-BED FACILITY; CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LOUISIANA, A 25-BED, CRITICAL ACCESS HOSPITAL; AND CHRISTUS ST. JOSEPH'S HOME IN MONROE, LOUISIANA, A LONG TERM CARE AND ASSISTED LIVING FACILITY WITH 130 LICENSED BEDS AND 60 RESIDENTIAL UNITS. CHRISTUS HEALTH CENTRAL LOUISIANA ALSO OWNS PARTS OF CHRISTUS CABRINI SURGERY CENTER, LLC, THE CENTRAL LOUISIANA IMAGING CENTER (CLIC), AND THE LOUISIANA ATHLETIC CLUB (LAC). 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 2012 ALONE, THE HOSPITAL ADMITTED 12,933 PATIENTS AND TREATED 187,907 PATIENTS IN ITS OUTPATIENT FACILITIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 45,547 INDIVIDUALS. CHRISTUS ST. FRANCES CABRINI IS CENTRAL LOUISIANA'S LEADER IN CARDIAC SERVICES, OFFERING A COMPLETE RANGE OF CARDIACE DIAGNOSTIC SERVICES INCLUDING CTA, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, AND ELECTROPHYSIOLOGY. CHRISTUS ST. FRANCES CABRINI ALSO LEADS THE WAY IN ORTHOPEDIC CARE IN CENTRAL LOUISIANA, OFFERING NEURO-MUSCULOSKELETAL SERVICES, A JOINT REPLACEMENT CENTER, AND A SPORTS MEDICINE CENTER. THE HOSPITAL ALSO HOUSES THE REGIONS'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 2012, THE HOSPITAL ADMITTED 1,178 PATIENTS AND TREATED 31,473 PATIENTS IN ITS OUTPATIENT FACILITIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 5,512 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; NEPHROLOGY; GYNECOLOGY; EAR, NOSE, AND THROAT SERVICES; OPHTHALMOLOGY; ORTHOPEDIC SERVICES; 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 TRAVELLING 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. CHRISTUS ST. JOSEPH'S HOME OF MONROE, LOUISIANA IS THE ONLY RELIGIOUSLY-BASED LONG TERM CARE FACILITY IN ITS AREA. THE FACILITY WORKS TO MEET THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF ALL RESIDENTS AND THEIR FAMILIES BY PROVIDING A COMPLETE RANGE OF SERVICES AND ACCOMMODATIONS FROM WHICH RESIDENTS AND THEIR FAMILIES MAY CHOOSE. THE LONG-TERM CARE FACILITY PROVIDES 24-HOUR LICENSED NURSING SERVICES AND PERSONAL CARE ASSISTANCE IN PRIVATE AND SEMI-PRIVATE ROOMS. THE ASSISTED LIVING FACILITY SUPPORTS PEOPLE NEEDING PHYSICAL ASSISTANCE WITH DAILY LIVING ACTIVITIES BUT NOT 24-HOUR CARE. BOTH FACILITIES PROVIDE THEIR SERVICES IN A HOME-LIKE ATMOSPHERE. 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, A SENIOR CITIZENS CENTER IN ALEXANDRIA, 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. 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 HEALTH CARE 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. 113126910 0 103346652 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. 26186905 0 19747968 COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2008) AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. 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 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 200 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME. CHRISTUS HEALTH CENTRAL LOUISIANA PARTNERS WITH THE STATE OF LOUISIANA IN A PILOT PROJECT FOR THE LOUISIANA CHILDREN'S HEALTH INSURANCE PROGRAM (LA CHIP). FUNDED THROUGH A GRANT MADE BY THE ROBERT WOOD JOHNSON FOUNDATION TO THE STATE OF LOUISIANA, CHRISTUS HEALTH CENTRAL LOUISIANA RECEIVES FUNDING FOR A FULL-TIME LA CHIP COORDINATOR AND ASSISTANT FOR A PERIOD OF THREE YEARS. CHRISTUS HEALTH CENTRAL LOUISIANA PROVIDES OVERSIGHT AND MANAGEMENT PLUS OFFICE SPACE AND BENEFITS FOR THE LA CHIP STAFF. THE LA CHIP COORDINATOR AND ASSISTANT ARE WORKING TO EDUCATE THE COMMUNITY ABOUT THE PROGRAM AND TO ENROLL CHILDREN AND TEENS WHOSE FAMILIES LACK HEALTH INSURANCE. THIS PROGRAM ENDED AT THE END OF FY 2012. 2129404 1302456 0 183959240 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true true false false true 1374 0 true 3147 true true true false false false false false false false false false X 15 12 false false false false true true true true true false false true true true true true true true true true true X TANA FREEMAN 3184666000 3330 MASONIC DRIVE Alexandria LA 71301 X W Gregory Baker 1.0 X 0 0 0 Johnnie L Clark Jr MD 1.0 X 0 815 0 J Michael Conerly MD 1.0 X 0 815 0 Moselle A Dearbone PhD 1.0 X 0 815 0 Sister Ricca Dimalibot MD CCVI 1.0 X 0 0 0 Curman L Gaines PhD 1.0 X X 0 815 0 Dallas L Hixson 1.0 X X 0 815 0 Martin W Johnson 1.0 X 0 0 0 Michael T Johnson 1.0 X 0 815 0 David P Manuel PhD 1.0 X 0 815 0 Sister Theresa B McGrath 1.0 X 0 0 0 Edan D Moran MD 1.0 X 0 815 0 Amarjit S Nijjar MD 1.0 X 0 815 0 Michael H Madison 1.0 X 0 815 0 Glenda F Stock 1.0 X 0 815 0 Johnie M Varnado 1.0 X 0 815 0 Stephen F Wright 15.0 X X 270217 360082 129185 Scott Merryman 15.0 X 127088 248092 71731 Debbie White 23.0 X 151258 96859 70484 Vicie Buxton 40.0 X 54150 0 9917 Nancy Hellyer 16.0 X 76441 86169 40209 Lisa Lauve Robinson 40.0 X 321251 8952 75016 Susan Tudor 16.0 X 86243 95558 52332 Wendy White 16.0 X 77414 115692 42615 Steven J Saccaro MD 40.0 X 397721 0 39517 Ulla Ule MD 40.0 X 386146 0 31873 James Doolittle CRNA 40.0 X 175268 0 20445 2123197 1021184 583324 40 false true false MCKESSON HEALTH SOLUTIONS LLC LOCKBOX 848442 DALLAS TX 75284 INTEGRATED MED MGMT 10258682 GJERSET LOREZ LLP 2801 Via Fortuna Ste 500 AUSTIN TX 78746 LEGAL SERVICES 2074220 HUDSON STAFFING PLLC 6736 Sugar Hill Drive NASHVILLE TN 37211 STAFFING SERVICES 1058578 ROCHE DIAGNOSTIC CORP Mail Code 5021 PO Box 660367 DALLAS TX 75266 LAB SERVICES 1056373 CNTRL LOUISIANA IMAGING MNGRS LLC PO BOX 5725 ALEXANDRIA LA 71307 IMAGING SERVICES 1030132 126 182669 1926001 966350 3075020 Net Patient Service Revenue 621990 216242084 216176339 65745 Rent Related to Exempt Function 531120 2931431 2931431 Program Related Investment Income 900099 1061004 839947 221057 Research Revenue 900099 177691 177691 Seniors Program 621110 24789 24789 24921 24921 220461920 6630 6630 0 0 9431 -9431 -9431 -9431 0 0 0 Food Service Revenue 722210 1390034 1390034 Management Fee Revenue 541610 343503 199025 144478 Purchase Discounts 900099 222612 222612 447413 447413 2403562 225937701 220175118 485827 2201736 1300273 1300273 2183 2183 0 0 1223818 963973 258799 1046 0 72468285 57081592 15324769 61924 4156882 4156882 5548047 2954310 2587674 6063 5902049 4805744 1091528 4777 1637563 1522976 114587 874193 874193 19170 7924 11246 0 0 0 15633408 8745002 6882589 5817 172220 140206 32014 13909682 11652316 2236901 20465 8748343 8748343 0 5956885 5302698 654187 471011 137169 329728 4114 0 115462 49370 66092 5905689 5905689 0 19285711 18614795 670916 3759562 3759562 Medical Supplies 38436183 38216665 219518 PROV FOR UNCOLLECTABLE ACCTS 7757664 7757664 SALES & USE TAX 2154781 2154682 99 FEDERAL & STATE INCOME TAX 36286 36286 555581 -20778 575362 997 216030931 183959240 31966488 105203 42657407 46677867 3375 9289 0 0 18846590 20794743 0 0 0 0 460618 240796 4642480 4782895 408636 422444 391778151 244854047 156768787 146924104 0 0 0 0 379775 728774 1916881 1831947 461720 5946230 226546269 228359089 15424623 14542113 0 0 2493 430167 0 0 0 0 0 0 0 0 0 0 124707827 116895624 140134943 131867904 X 86210061 95324606 206313 1171627 -5048 -5048 86411326 96491185 226546269 228359089 X 9906770 173089 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 false true false true false false true 7197 false true 5010 12207 false LOBBYING DESCRIPTION Form 990, Schedule C, Part II-B, Lines 1b, 1d & 1g 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. MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC FORM 990, SCHEDULE C, PART II-B, LINE 1D CHRISTUS HEALTH CENTRAL LOUISIANA ASSOCIATES SENT EMAILS AND LETTERS TO LOUISIANA STATE LEGISLATORS IN SUPPORT OF USING THE "RAINY DAY FUND" TO PREVENT MORE CUTS IN HEALTH CARE APPROPRIATIONS AND REQUESTING SUPPORT FOR SCHOOL-BASED HEALTH CENTERS. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY FORM 990, SCHEDULE C, PART II-B, LINE 1G CHRISTUS HEALTH CENTRAL LOUISIANA HAD DIRECT CONTACT THROUGH MEETINGS ON MAY 14, 2012 WITH VARIOUS MEMBERS OF THE LOUISIANA STATE LEGISLATURE IN AN EFFORT TO PREVENT FURTHER REDUCTIONS AND INCREASE FUNDING FOR HEALTH CARE. THE REPORTED EXPENSES ASSOCIATED WITH THESE ACTIVITIES INCLUDE STAFF COMPENSATION AND RELATED ALLOCABLE OVERHEAD. OTHER ACTIVITIES FORM 990, SCHEDULE C, PART II-B, LINE 1I "OTHER ACTIVITIES" REPORTS THE PORTION OF FY 2012 PROFESSIONAL AND MEMBERSHIP ASSOCIATION DUES ALLOCATED TO LOBBYING EFFORTS BY THE RESPECTIVE ASSOCIATIONS TOTALING $5,010. CHRISTUS HEALTH CENTRAL LOUISIANA DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR 6-30-12. 11466121 11466121 182275136 87396441 94878695 149328468 125772088 23556380 48708426 31685518 17022908 146924104 0 DUE TO CHRISTUS HEALTH-BOND FUND 115848840 FIN 45 PHYSICIAN GUARNANTEES 1046784 116895624 CASH - NON-BEARING INTEREST FORM 990, PART X, LINE 1 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. Uncertain tax positions under ASC 740 SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2012 AND 2011. true true X true X true X true true true false true true 5313756 0 5313756 0.02550 24250670 23778414 472256 0.00230 0 0 0 0.00000 29564426 23778414 5786012 0.02780 25 12621 630211 1950 628261 0.00300 5 346 92940 0 92940 0.00040 2 1012 500969 436709 64260 0.00030 0 0 0 0 0.00000 11 22487 1155217 640 1154577 0.00550 43 36466 2379337 439299 1940038 0.00920 43 36466 31943763 24217713 7726050 0.03700 1 0 8224 0 8224 0.00000 1 40 1005 0 1005 0.00000 1 24 48 48 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 6 13037 26750 0 26750 0.00010 1 0 16978 0 16978 0.00010 3 201 21706 0 21706 0.00010 0 0 0 0 0.00000 13 13302 74711 0 74711 0.00030 true 7722522 292684 80027015 81197708 -1170693 X true true C CABRINI SURG CTR SURGERY CENTER 0.32380 0.44440 HEART CTR OF CTRA LA HEALTH CLINIC 0.61000 0.27000 3 1 CHRISTUS St Frances Cabrini Hospital

3330 Masonic Drive Alexandria LA 71301

X X X 2 Christus Coushatta Health Care Center

1635 Marvel Street Coushatta LA 71019

X X 3 Christus St Joseph Home

2301 Sterlington Road Monroe LA 71203

Comprehensive Senior Campus; Skilled Nursing Facility CHRISTUS St Frances Cabrini Hospital 1 true true 200. true true X X X X X true true X X X false false true X false false Christus Coushatta Health Care Center 2 true true 200. true true X X X X X true true X X X false false true X false false Christus St Joseph Home 3 true true 200. true true X X X X X true true X X X false false true X false false 2 CHRISTUS CABRINI SURGERY CENTER LLC

15305 DALLAS PARKWAY STE 1600 LB ADDISON TX 75001

SURGERY CENTER HEART CENTER OF CENTRAL LOUISIANA LP

2108 TEXAS AVENUE SUITE 2081 ALEXANDRIA LA 71301

HEALTH CLINIC PART I, LINE 5 BUDGETED CHARITY CARE The organization budgets charity care for internal financial review purposes only. The provision of charity care is not limited to amounts established for budgetary purposes. Part I, Line 6a Annual Community Benefit Report A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NON PROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. Part I, Line 7, column (f) Percent of Total Expense TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $216,030,931. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $7,722,522. THIS LEAVES A TOTAL EXPENSE OF $208,308,409 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Part I, Line 7, Column (f) Description of Financial Assistance and Other Community Benefits as Percentage of Total Costs The organization's total community benefit expense as reported on Part I, Line 7k, Column (c) as a percentage of total expense is 15.33%, which exceeds the amount reported on Part I, Line 7k Column (f) which is computed using net community benefit expense. Part I, Line 7I CASH AND IN-KIND CONTRIBUTIONS CHRISTUS HEALTH CENTRAL LOUISIANA MADE OVER $1,100,000 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2012. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NON-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $25,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH CENTRAL LOUISIANA. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS HEALTH CENTRAL LOUISIANA SERVES. THE CHRISTUS FUND GRANTS WERE USED TO INTRODUCE THE CARE MANAGEMENT PROGRAM NAMED CARE TRANSITIONS, WHICH IS AIMED AT CHRONIC DISEASE MANAGEMENT FOR UNDERSERVED IN-PATIENTS. THIS PROGRAM HAS PROVEN TO BE INSTRUMENTAL IN REDUCING THE NUMBER OF PREVENTABLE HOSPITALIZATIONS FOR OUR PATIENTS. THE CHRISTUS FUND GRANTS ALSO HELPED TO FUND 17 SCHOOL-BASED HEALTH CENTERS LOCATED IN FIVE PARISHES SERVED BY CHRISTUS HEALTH CENTRAL LOUISIANA. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS VIA THE CHRISTUS FUND ARE MADE TO NON-PROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). Indigent Funding Expense of $986,000 is included in Schedule H, Part I, Line 7(i). 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 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 BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, CHRISTUS HEALTH CENTRAL LOUISIANA'S OUTSTANDING CDI LOAN BALANCE AT THE END OF FISCAL YEAR 2012 WAS $0. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY DRIVEN INITIATIVES, PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE FOREGONE INTEREST FOR CHRISTUS HEALTH CENTRAL LOUISIANA IN THE FISCAL YEAR ENDING JUNE 30, 2012 WAS $8,224. 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. Part III, Section A, Line 1 Bad Debt Reporting in Accordance with HFMA Statement 15 CHRISTUS Health follows in principle Healthcare Financial Management Association Statement No. 15. The system has adopted an uncompensated care policy where revenue from services provided to the uninsured is recognized at the time of payment, rather than at the time of service. This policy is the result of a lack of reasonable assurance of collection for services provided to the uninsured due to the system's historically low collection rate. Management has estimated that the difference between recording revenue from the uninsured on a cash basis, rather than the accrual basis, is immaterial. Accordingly, all accounts receivable from the uninsured have been fully reserved in the allowance for uncompensated care. PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT The organization's total bad debt expense (total of all hospital facilities) is in accordance with the organization's financial statements, which is computed as bad debt net of contractual allowance, payments received and recoveries of bad debt previously written off. Part III, Section A, Line 3 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. In order to assess the bad debt accounts that would likely qualify for charity care, the following criteria were established based on an analysis of historical data of Christus Health and its related organizations: 1. PARO Score of less than or equal to 586, which is a predictor defining the likely socioeconomic conditions for the patient; 2. Estimated Federal Poverty Level of less than or equal to 226%, which is based on estimated household size and household estimated income; and 3. Third party data available on patient accounts which indicate that the patient is not a homeowner or a probable homeowner. For the fiscal year ending June 30, 2011, 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, 2012, 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 26.21% of such accounts were likely eligible for financial assistance. The organization granted presumptive eligibility for these accounts and they were reclassified under our financial assistance policy. These amounts were not reported as bad debt. The amount reported on Schedule H, Part III, Line 3 is the difference between the presumptive charity care benchmark established in the previous 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, 2012. Thus, the organization estimates that only 3.79% of the bad debt expenses in fiscal year ending June 30, 2012 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. Part III, Section A, Line 4 Bad Debt Expense Footnote The footnote to the CHRISTUS Health consolidated financial statements says, "The preparation of the accompanying consolidated financial statements in conformity with accounting principles generally accepted in the United States requires management of the system to make assumptions, estimates, and judgments that affect the amounts reported in the financial statements, including the notes thereto, and related disclosures of commitments and contingencies, if any. The system considers critical accounting policies to be those that require more significant judgments and estimates in the preparation of its financial statements, including the following: recognition of net patient revenues, which include contractual allowances; provisions for bad debt; reserves for losses and expenses related to health care professional and general liabilities; determination of fair values of certain financial instruments; determination of fair value of certain goodwill and long-lived assets; and risks and assumptions for measurement of pension and retiree medical liabilities. Management relies on historical experience and on other assumptions believed to be reasonable under the circumstances in making its judgment and estimates. Actual results could differ materially from these estimates." Part III, Section B, Line 8 Extent to which shortfall should be treated as community benefit Costing Methodology The shortfall on Part III, Line 7 is not counted as a community benefit. The amount on Schedule H, Part III, Line 6 is determined by calculating Medicare Allowable Costs using worksheet A of the Medicare Cost Report. Worksheet A of the Medicare Cost Report requires the organization to remove non-allowable expenses from total expenses via the adjustments to expenses worksheets within the Medicare Cost Report. The amount reported on Schedule H, Part III, Line 6 does not take into account all costs incurred by the filing organization associated with the filing organization's provisions of services to Medicare patients. Schedule H, Part III, Line 7 would equal a shortfall of ($12,182,298) if total expenses allocable to Medicare services were substituted on Schedule H, Part III, Line 6. Part III, Section C, Line 9b Collection Policy It is the policy of the organization to pursue collections of patient balances from patients who have the ability to pay for these services. CHRISTUS Health applies its collection efforts consistently and fairly to all patients regardless of insurance. If a patient does not have the financial resources to pay their outstanding balances, the goal of the organization is to qualify these patients through the organization's charity policy 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. Part V, Section B, Line 10 Determination of eligibility for discounted care The hospital facility provides discounted care to all uninsured patients. In order to determine discounts for uninsured patients, the facility utilizes a sliding scale based on federal poverty guidelines and other criteria applied to a uniform fee schedule. The facility has implemented a 3 tier uninsured fee schedule wherein individuals between 201-300% of the Federal Poverty Level receive a specific discount percentage off of the uninsured discounted price; individuals between 301%-400% of the Federal Poverty Level receive a specific discount percentage off of the uninsured discounted price; and individuals above 401% of the Federal Poverty Level receive no additional discount off of the uninsured discounted price. There is no Federal Poverty Limit for the uninsured population to receive discounted care because all charges by the facility are based on the uninsured discounted price. The uninsured discounted price is based on the FY 2009 managed care average reimbursement rate, excluding implant and drug contribution dollars. Part V, Section B, Lines 13 & 13g How the hospital facility publicizes the financial assistance policy The hospital facility's complete financial assistance policy is not posted in the facility's emergency rooms, waiting rooms or admissions offices; however, a notice that the financial assistance policy is available at the business office and online is posted in the facility's emergency rooms, waiting rooms and admission offices. Part V, Section B, Line 14 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 organization does not have a policy that addresses actions in the event of non-payment. The organization does not pursue any of the listed actions at lines 15 or 16 in pursuit of collections from individuals prior to making a reasonable effort to determine the patient's eligibility for financial assistance under CHRISTUS Health Management Directive 11. Part V PART VI, LINE 2 NEEDS ASSESSMENT COMMUNITY HEALTH NEEDS WERE ASSESSED BASED ON A 2009 COLLABORATION WITH 16 HEALTH CARE LEADERS FROM 14 COMMUNITY ORGANIZATIONS INCLUDING HEALTH CARE PROVIDERS, STATE DENTAL ASSOCIATIONS, LOCAL UNIVERSITIES, STATE MENTAL HEALTH OFFICES, PARISH COUNCIL ON AGING, AND LOCAL VETERANS ADMINISTRATIONS. THIS COLLABORATION RESULTED IN THE DEVELOPMENT OF A STRATEGIC COMMUNITY HEALTH PLAN FOR CENTRAL LOUISIANA WHICH FOCUSES ON THE HEALTH NEEDS OF LOW-INCOME, UNINSURED, AND VULNERABLE POPULATIONS. CHRISTUS HEALTH CENTRAL LOUISIANA WAS INSTRUMENTAL IN THE ORGANIZATION OF THE COMMUNITY LEADERS ENSURING THAT THE COMMUNITY HEALTH NEEDS WERE THE FOCUS OF THE GROUP. THE GROUP WAS LED BY AN INDEPENDENT COMMUNITY LEADER WHO CHAIRS THE DEPARTMENT OF ALLIED HEALTH SCIENCES AT LSU, ALEXANDRIA. THE TOP TEN PRIMARY COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND DOCUMENTED IN THE STRATEGIC COMMUNITY HEALTH PLAN. THE STRATEGIC COMMUNITY HEALTH PLAN WAS INCORPORATED INTO THE STRATEGIC GOALS OF CHRISTUS HEALTH CENTRAL LOUISIANA. THE RESULTS OF THE NEEDS ASSESSMENT WERE USED TO DESIGN AND PRIORITIZE EFFECTIVE PLANS AND STRATEGIES TO ADDRESS THE IDENTIFIED NEEDS. CENTRAL LOUISIANA WILL NEED GREATER ACCESS TO HEALTH CARE, MORE CARE FOR THE MENTALLY ILL, AND ADEQUATE FUNDING FOR ALL PROVIDERS, BOTH PUBLIC AND PRIVATE. CHRISTUS HEALTH CENTRAL LOUISIANA WORKS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, ESPECIALLY THE VULNERABLE AND UNDERSERVED POPULATIONS. THE COMMUNITY GROUP OF STAKEHOLDERS CONTINUES TO MEET TO ENSURE ASSESSED NEEDS ARE UPDATED AND ADDRESSED WITH AVAILABLE RESOURCES. THE GROUP HAS COMMITTED TO CONTINUE WORK RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IN CENTRAL LOUISIANA FOR THE LONG-TERM. 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. Part VI, Line 4 Community Information CHRISTUS HEALTH CENTRAL LOUISIANA INCLUDES THE PREDOMINATELY RURAL PARISHES OF RAPIDES, VERNON, AVOYELLES, ALLEN, GRANT, CATAHOULA, CONCORDIA, LASALLE, WINN, NATCHITOCHES, RED RIVER, BIENVILLE, AND OUICHITA. WITH THE EXCEPTION OF NATCHITOCHES, ALLEN, AND OUICHITA, THIS SAME AREA COMPRISES REGION VI OF THE OFFICE OF PUBLIC HEALTH. CHRISTUS HEALTH CENTRAL LOUISIANA IS COMPRISED OF TWO HOSPITALS, CHRISTUS ST. FRANCES CABRINI HOSPITAL, WHICH SERVES RAPIDES AND THE NINE SURROUNDING CIVIL PARISHES AND CHRISTUS COUSHATTA HEALTH CARE CENTER, WHICH IS LOCATED IN RED RIVER PARISH, THE ECONOMICALLY POOREST PARISH IN LOUISIANA. CHRISTUS ST FRANCES CABRINI HOSPITAL SERVES RAPIDES AND ITS NINE SURROUNDING CIVIL PARISHES, WHICH HAVE A TOTAL POPULATION OF MORE THAN 379,000, MORE THAN 21.1% OF WHOM LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, BASED ON THE 2011 LOUISIANA STATE CENSUS. THE AVERAGE INCOME WITHIN THE AREA FOR THE PERIOD 2007-2011 WAS APPROXIMATELY $18,821 PER CAPITA, AND THE MEDIAN HOUSEHOLD INCOME WAS APPROXIMATELY $36,773. FOR ALL OF LOUISIANA, THE AVERAGE INCOME FOR THE PERIOD 2007-2011 WAS $23,853 PER CAPITA, AND THE MEDIAN HOUSEHOLD INCOME WAS APPROXIMATELY $44,086. RAPIDES PARISH, THE NINTH LARGEST PARISH IN THE STATE, IS LOCATED IN THE CENTER OF THE REGION AND INCLUDES THE ONLY URBAN COMMUNITIES. THE CITIES OF ALEXANDRIA AND PINEVILLE SERVE AS THE MAJOR HEALTH, BANKING, AND MERCHANDISING CENTERS FOR A CULTURALLY DIVERSE POPULATION. ALL OF THE PARISHES IN CENTRAL LOUISIANA HAVE BEEN DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). RAPIDES AND AVOYELLES LACK PRIMARY CARE HEALTH PROFESSIONALS, BUT ALL OF THE OTHER PARISHES ALSO LACK MENTAL AND DENTAL HEALTH PROFESSIONALS. CHRISTUS COUSHATTA HEALTH CARE CENTER IS LOCATED IN RED RIVER PARISH AND PREDOMINANTLY SERVES RED RIVER PARISH, BIENVILLE PARISH AND OUCHITA PARISH, WHICH HAVE A TOTAL POPULATION OF 178,244, MORE THAN 22% OF WHOM LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, BASED ON THE 2011 LOUISIANA STATE CENSUS. 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 TIME THAT PATIENTS WOULD HAVE TO SPEND TRAVELING TO NATCHITOCHES OR SHREVEPORT, LA, FOR TREATMENT. THE PARISHES THAT CHRISTUS HEALTH CENTRAL LOUISIANA SERVE HAVE A LARGE POPULATION OF PERSONS OVER 71 YEARS OF AGE. LACK OF HIGHER EDUCATION IS AN ADDITIONAL FACTOR IN SERVING THE POPULATION OF CHRISTUS HEALTH CENTRAL LOUISIANA, AS AN AVERAGE OF ONLY 14% OF THE POPULATION HAS A COLLEGE DEGREE COMPARED TO A 28% NATIONAL AVERAGE. ADDITIONALLY, 76% OF THE PERSONS LIVING IN THE PARISHES SERVED BY CHRISTUS HEALTH CENTRAL LOUISIANA GRADUATE FROM HIGH SCHOOL AS COMPARED TO THE NATIONAL AVERAGE OF 85%. 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 283-BED FACILITY; CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LA, A 25-BED CRITICAL ACCESS HOSPITAL; AND CHRISTUS ST. JOSEPH'S HOME IN MONROE, LA, A LONG-TERM CARE AND ASSISTED LIVING FACILITY WITH 130 LICENSED BEDS AND 60 RESIDENTIAL UNITS. ALL THREE 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, LLC. 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. MD ANDERSON CANCER CENTER AT THE UNIVERSITY OF TEXAS AND TULANE UNIVERSITY CANCER CENTER PROTOCOLS ARE AVAILABLE AT CHRISTUS ST. FRANCES CABRINI HOSPITAL, AND AN ACTIVE RESEARCH PROGRAM MAKES CLINICAL TRIALS AVAILABLE TO ELIGIBLE PATIENTS. IT IS ALSO CENTRAL LOUISIANA'S LEADER IN CARDIAC SERVICES, ORTHOPEDIC CARE, NEURO MUSCULOSKELETAL SERVICES, AND JOINT REPLACEMENT. CHRISTUS COUSHATTA HEALTH CARE CENTER ALSO OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING CARDIOLOGY, DIABETES CARE, PHYSICAL THERAPY, OPHTHALMOLOGY, ORTHOPEDIC SERVICES, INFUSION THERAPY, AND ADULT PSYCHIATRIC SERVICES. IT IS ALSO A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL DUE TO THE STRATEGIC LOCATION OF ITS EMERGENCY ROOM, WHICH REDUCES THE TIME PATIENTS WOULD HAVE TO SPEND TRAVELING TO NATCHITOCHES, LOUISIANA OR SHREVEPORT, LOUISIANA FOR TREATMENT. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY2012, THE TOTAL GRANT MONEY DISTRIBUTED TO THE CENTRAL LOUISIANA REGION WAS $25,000. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH CENTRAL LOUISIANA. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" IS ALSO A PART OF CHRISTUS HEALTH CENTRAL LOUISIANA'S OVERALL COMMUNITY BENEFIT. CHRISTUS HEALTH CENTRAL LOUISIANA USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. IT MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, DIABETES, HEART DISEASE, THE PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, THOSE SUFFERING FROM HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. CHRISTUS HEALTH CENTRAL LOUISIANA PROVIDES FINANCIAL SUPPORT AND CLINICAL PARTICIPATION IN THE LOUISIANA STATE UNIVERSITY MEDICAL CENTER SCHOOL OF MEDICINE'S FAMILY PRACTICE RESIDENCY PROGRAM IN ALEXANDRIA. THE INVESTMENT OF FUNDING AND RESOURCES INTO THE FAMILY PRACTICE RESIDENCY PROGRAM ADDRESSES THE SHORTAGE OF PRIMARY CARE PHYSICIANS IN CENTRAL LOUISIANA. CHRISTUS CENTRAL LOUISIANA OFFERED MORE THAN $92,000 IN HEALTH PROFESSIONS EDUCATION DURING FY2012 INCLUDING STUDENT INTERNSHIPS, CLINICAL EXPERIENCE, AND OTHER EDUCATION FOR PHYSICIANS, 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 IN REGARD TO SUCH TOPICS AS DIABETES, PROSTATE CANCER, COLORECTAL CANCER, AND OTHERS. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK IN THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2012, CHRISTUS HEALTH ADVOCATED FOR IMPROVED PUBLIC 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 REGION 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. Part VI, Line 6 Affiliated health care system CHRISTUS Health Central Louisiana is part of CHRISTUS Health, an international, Catholic, faith-based, nonprofit health system comprised of almost 350 services and facilities including more than 60 hospitals and long term care facilities, 175 clinics and outpatient centers, and other community health ministries and community development ventures. CHRISTUS services can be found in: Arkansas, Georgia, Iowa, Louisiana, Missouri, New Mexico, Texas, and in six provinces of Mexico. A common mission, core values, and vision unite the health system. Each region, including CHRISTUS 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. 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 2008. 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 a standardized format. State Filing of Community Benefit Report: Texas true Louisiana Clinical Services 2801 Via Fortuna Ste 500 Austin TX 78746 272869360 686000 Indigent Funding Southern Louisiana Clinical Services 2801 Via Fortuna Ste 500 Austin TX 78746 274193861 20000 Indigent Funding Eastern Louisiana Clinical Services 2801 Via Fortuna Ste 500 Austin TX 78746 441779607 160000 Indigent Funding Louisiana Children's Medical Center 200 Henry Clay Avenue New Orleans LA 70118 943480131 501(c)(3) 118000 Indigent Funding UNITED WAY OF CENTRAL LOUISIANA PO BOX 749 Alexandria LA 71309 720462338 501(c)(3) 15325 SUPPORT AREA ORGANIZATIONS CATHOLIC DIOCESE OF ALEXANDRIA PO BOX 7417 Alexandria LA 71306 720491102 501(c)(3) 8650 SUPPORT CATHOLIC MISSION HOLY SAVIOR MENARD HIGH SCHOOL 4603 COLISEUM BLVD Alexandria LA 71303 726036138 501(c)(3) 5100 SUPPORT EDUCATION LOUISIANA STATE UNIVERSITY AT LSUA PO BOX 100 Lecompte LA 71346 582024467 Govt 10300 SUPPORT EDUCATION NORTHWESTERN STATE UNIVERSITY 715 University Parkway Natchitoches LA 71497 726000783 Govt 54000 SUPPORT EDUCATION AMERICAN HEART ASSOCIATION 126 ARLINGTON DRIVE Lake Charles LA 70605 135613797 501(c)(3) 7500 SUPPORT HEART HEALTH CENTRAL LOUISIANA ARTS AND HEALTHCARE INC PO BOX 12802 Alexandria LA 71315 611509687 501(c)(3) 11000 PROMOTE HEALING THROUGH ART IN HOSPITAL SETTING SPECIAL OLYMPICS LOUISIANA PO Box 19074 Baton Rouge LA 70893 520889518 501(c)(3) 10000 PROGRAM SUPPORT LOUISIANA STATE UNIVERSITY 800 Highway 71 South Alexandria LA 71302 582024467 Govt 50700 SUPPORT EDUCATION GLOBUS RELIEF 1776 West 1500 Salt Lake City UT 84104 841369453 501(c)(3) 77576 FMV Medical Supplies GLOBAL RELIEF 11 3 Form 990, Schedule I, Part I, Line 2 Description of Organization's Procedures for Monitoring the Use of Grants THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO CERTAIN COUNTIES VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. X X X true true false true false false false false false false false Stephen F Wright 193998 305460 0 53067 76219 1555 53074 50780 25331 0 348622 410862 46382 0 Scott Merryman 73979 218892 25000 23300 28109 5900 21834 39738 2449 7710 151371 295540 0 0 Debbie White 131150 89224 0 7635 20108 0 39864 20816 9804 0 200926 117675 0 0 Nancy Hellyer 55797 85846 0 0 20644 323 16369 14979 8861 0 101671 101148 0 0 Lisa Lauve Robinson 257574 0 0 8952 63677 0 62146 0 12870 0 396267 8952 35507 0 Susan Tudor 86112 90290 0 5137 131 131 23055 19827 9450 0 118748 115385 0 0 Wendy White 71768 109795 0 5365 5646 532 16235 19756 6624 0 100273 135448 0 0 Steven J Saccaro MD 382344 0 15377 0 0 0 21704 0 17813 0 437238 0 0 0 Ulla Ule MD 386146 0 0 0 0 0 22816 0 9057 0 418019 0 0 0 James Doolittle CRNA 175168 0 100 0 0 0 14789 0 5656 0 195713 0 0 0 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. The related compensation reported to the following persons was for Ipads provided to such persons by Christus Health as a requisite for serving as a board member of the filing entity: Johnnie Clark, Jr. MD, J. Michael Converly, MD, Moselle Dearbone, PhD, Curman Gaines, PhD, Dallas Hixson, Michael Johnson, David Manuel, PhD, Edan Moran, MD, Amarjit Nijjar, MD, Michael Madison, Glenda Stock and Johnie Varnado. Companion Travel Form 990, Schedule J, Part I, Line 1a TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. HEALTH/SOCIAL CLUB DUES OR INITIATION FEES FORM 990, SCHEDULE J, PART I, QUESTIONS 1-2 STEPHEN WRIGHT RECEIVED $105 AS A HEALTH CLUB BENEFIT IN CALENDAR YEAR 2011. LISA LAUVE ROBINSON RECEIVED $262 AS A HEALTH CLUB BENEFIT IN CALENDAR YEAR 2011. SUSAN TUDOR RECEIVED $262 AS A HEALTH CLUB BENEFIT IN CALENDAR YEAR 2011. VICIE BUXTON RECEIVED $153 AS A HEALTH CLUB BENEFIT IN CALENDAR YEAR 2011. PER POLICY, CHRISTUS HEALTH CENTRAL LOUISIANA CONTRIBUTES A SET AMOUNT TO ASSOCIATES TO PAY FOR A HEALTH CLUB MEMBERSHIP. ALL FULL-TIME ASSOCIATES OF CHRISTUS HEALTH CENTRAL LOUISIANA ARE OFFERED THE BENEFIT. TAX INDEMNIFICATION AND GROSS UP PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTIONS 1-2 NANCY HELLYER RECEIVED $2,805 IN TAX ASSISTANCE FOR RELOCATION DURING CALENDAR YEAR 2011. RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, QUESTION 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTION 4B and Form 990, Schedule J, Part II, Column (f), Compensation Reported as Deferred In Prior Form 990 STEPHEN WRIGHT RECEIVED $46,382 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. LISA LAUVE ROBINSON RECEIVED $35,507 DURING CALENDAR YEAR 2011 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. 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: Stephen Wright, Scott Merryman, Debbie White, Lisa Lauve Robinson, Susan Tudor and Wendy White. SUPPLEMENTAL COMPENSATION INFORMATION Form 990, Schedule J, Part II, Column (B)(ii) Bonus and Incentive Compensation may include amounts that were deferred in a prior year but paid out in Calendar Year 2011. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. CLECO SEE PART V 215397 SEE PART V false ALEXANDRIA WOMEN'S CENTER SEE PART V 134988 SEE PART V false SUPPLEMENTAL INFORMATION SCHEDULE L, PART IV, LINE 1 Christus Health Central Louisiana purchased utilities from CLECO. Michael Madison is a board member of Christus Health Central Louisiana and the Vice Chairperson of CLECO. SCHEDULE L, PART IV, LINE 2 Alexandria Women's Clinic paid rent and reimbursed utilities expenses to Christus Health Central Louisiana. Dr. Edan Moran is a board member of Christus Health Central Louisiana and a Member of Alexandria Women's Center. DOING BUSINESS AS FORM 990, PART I, LINE C CHRISTUS HEALTH CENTRAL LOUISIANA OPERATES UNDER THE FOLLOWING NAMES: Christus Coushatta Health Care Center Christus Coushatta Ringgold Rural Health Center Christus Cabrini Cancer Center Hardtner Christus Cabrini Wound Care and Hyperbaric Center Christus Health Louisiana Christus Health Louisiana Ministries Christus Cabrini Stroke Center Christus Coushatta Dental Clinic Christus Cabrini Women's and Children's Hospital 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 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 HOSPITAL PROVIDES FINANCIAL SUPPORT AND CLINICAL PARTICIPATION IN THE LOUISIANA STATE UNIVERSITY MEDICAL CENTER SCHOOL OF MEDICINE'S FAMILY PRACTICE RESIDENCY PROGRAM AT ALEXANDRIA. THE INVESTMENT OF FUNDING AND RESOURCES INTO THE FAMILY PRACTICE RESIDENCY PROGRAM ADDRESSES THE SHORTAGE OF PRIMARY CARE PHYSICIANS IN CENTRAL LOUISIANA. CHRISTUS ST. FRANCES CABRINI ALSO PROVIDES EDUCATIONAL ACTIVITIES INCLUDING STUDENT INTERNSHIPS, CLINICAL EXPERIENCE AND OTHER EDUCATION FOR PHYSICIANS, 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. BOTH OF THESE PROGRAMS ENDED IN MID FY 2012. 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 2012, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. TOTAL PROGRAM SERVICE EXPENSES - $1,102,906 GRANTS & ALLOCATIONS - $316,273 REVENUE - $ 0 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 HEATH 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 CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS, AND A VARIETY OF OTHER SOCIAL SERVICES. ONE EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED IS THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY THE LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH CENTRAL LOUISIANA. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THERE WAS NO OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2012. THE FOREGONE INTEREST FOR CHRISTUS HEALTH CENTRAL LOUISIANA REGION IN FY2012 WAS $8,224. 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. DURING FY 2012, THE TOTAL GRANT MONEY DISTRIBUTED TO THE CENTRAL LOUISIANA REGION BY CHRISTUS HEALTH WAS $25,000. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICES EXPENSES OF CHRISTUS HEALTH CENTRAL LOUISIANA. TOTAL PROGRAM SERVICE EXPENSES - $1,026,498 GRANTS & ALLOCATIONS - $986,183 REVENUE - $0 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 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 2013 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH 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 INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, QUESTION 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. RELATED COMPENSATION FORM 990, PART VII AVERAGE HOURS PER WEEK LISTED ON FORM 990, PART VII, SECTION A ARE THE AVERAGE HOURS DEVOTED TO THE RESPECTIVE PERSON'S POSITION WHILE SERVING THE ORGANIZATION. STEPHEN WRIGHT DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO ST. FRANCES CABRINI FOUNDATION OF ALEXANDRIA, A RELATED ORGANIZATION OF THE FILING ENTITY. STEPHEN IS THE PRESIDENT/CEO OF ST. FRANCES CABRINI FOUNDATION OF ALEXANDRIA. STEPHEN WRIGHT DEVOTES AN AVERAGE OF 1 HOUR PER WEEK TO SCHUMPERT FOUNDATION, A RELATED ORGANIZATION OF THE FILING ENTITY. STEPHEN IS A BOARD MEMBER OF SCHUMPERT FOUNDATION. STEPHEN WRIGHT DEVOTES AN AVERAGE OF 15 HOURS PER WEEK TO CHRISTUS HEALTH NORTHERN LOUISIANA, A RELATED ORGANIZATION OF THE FILING ENTITY. STEPHEN IS THE PRESIDENT/CEO OF CHRISTUS HEALTH NORTHERN LOUISIANA. STEPHEN WRIGHT DEVOTES AN AVERAGE OF 8 HOURS PER WEEK TO CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, A RELATED ORGANIZATION OF THE FILING ENTITY. STEPHEN IS THE PRESIDENT/CEO OF CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. THROUGH 9/18/11, DEBBIE WHITE DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO ST. FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA, A RELATED ORGANIZATION OF THE FILING ENTITY. DEBBIE WAS THE CFO OF ST. FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA. THROUGH 9/18/11, DEBBIE WHITE DEVOTED AN AVERAGE OF 16 HOURS PER WEEK TO THE CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, A RELATED ORGANIZATION OF THE FILING ENTITY. DEBBIE WAS THE CFO OF CHRISTUS HEALTH SOUTHWESTERN LOUISIANA. THROUGH 9/18/11, DEBBIE WHITE DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO CHRISTUS HEALTH UTAH, A RELATED ORGANIZATION OF THE FILING ENTITY. DEBBIE WAS THE TREASURER OF CHRISTUS HEALTH UTAH. Effective 9/19/11, Scott Merryman devotes an average of 1 hour per week to St. Frances Cabrini Hospital Foundation of Alexandria, a related organization of the filing entity. Scott is the CFO of St. Frances Cabrini Hospital Foundation of Alexandria. Effective 9/19/11, Scott devotes an average of 16 hours per week to Christus Health Northern Louisiana, a related organization of the filing entity. Scott is the CFO of Christus Health Northern Louisiana. Effective 9/19/11, Scott devotes an average of 8 hours per week to Christus Health Southwestern Louisiana, a related organization of the filing entity. Scott is the CFO of Christus Health Southwestern Louisiana. Through 9/18/11, Scott devoted an average of 1 hour per week to Christus Health Plan, a related organization of the filing entity. Scott was the Treasurer and a Director of Christus Health Plan. Nancy Hellyer devotes an average of 16 hours per week to Christus Health Northern Louisiana, a related organization of the filing entity. Nancy is the Chief Administrative Officer of Christus Health Northern Louisiana. Nancy Hellyer devotes an average of 8 hours per week to Christus Health Southwestern Louisiana, a related organization of the filing entity. Nancy is the Chief Administrative Officer of Christus Health Southwestern Louisiana. Susan Tudor devotes an average of 16 hours per week to Christus Health Northern Louisiana, a related organization of the filing entity. Susan is the Regional VP, Strategy, Business Dev, Mktg/Comm of Christus Health Northern Louisiana. Susan Tudor devotes an average of 8 hours per week to christus health southwestern Louisiana, a related organization of the filing entity. Susan is the regional vp, strategy, business dev, mktg/comm of Christus Health Southwestern Louisiana. OTHER CHANGES IN NET ASSETS AND FUND BALANCES FORM 990, PART XI, LINE 5 Transfer of Restricted Donations to Revenue = 17,085; Pension Liability/Expense = 3,941,488; Pension Funding = (3,775,908); Reclass of contribution income out net assets = (56,903); True Up I/C Revenue = 38,694; Prayer Walk Expenses booked to Net Assets = (34,108); Grant Activity Reclass = 73,031; Contribution booked to Liability Account = (30,290); Total = $173,089 CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVC TX 501(c)(3) 3 CH true CHRISTUS HEALTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 760590551 SUPT HLTH SVC TX 501(c)(3) 11 - TYPE 1 NA false CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER ST BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 Dr Michael DeBakey Drive LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH UTAH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 870231682 HLTHCARE SVCS UT 501(c)(3) 9 CH true CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(c)(3) 3 CH true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(c)(3) 11 - Type I CH true ST JOSEPH COMMUNITY FOUNDATION 2800 LAMAR AVE CAPITAL ONE PARIS TX 75460 421619230 Supt Hlth SVC TX 501(c)(3) 11 - Type I CH true CHRISTUS STEHLIN FNDFOR CANCER RESEARCH 10301 STELLA LINK SUITE A HOUSTON TX 77025 741622404 CANCER RSCH TX 501(c)(3) 9 CH true DUBUIS HEALTH SYSTEM INC 1700 WEST LOOP SOUTH STE 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING TX 75038 611500100 SUPT HLTH SVC TX 501(c)(3) 11 - Type I CH true ST FRANCES CABRINI HOSPFDN OF ALEXANDR 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720998302 SUPT HLTH SVC LA 501(c)(3) 7 CNLA true Christus Health Liability Retention Trst 919 HIDDEN RIDGE DRIVE IRVING TX 75038 760259623 Self Ins Trst TX 501(c)(3) 11 - Type 1 CH true St Frances Cabrini Hospital Auxiliary 3330 Masonic Drive Alexandria LA 71301 237255175 SUPT HLTH SVC LA 501(c)(3) 9 CNLA true LA ATHLET CLUB LLC 1140 College Drive Box 511 Pineville LA 71359 721461793 HEALTH CLUB LA CNLA UNRELATED 233200 271095 false 0 false 0.60000 HEART CTROF CNLA 2108 Texas Avenue Suite 2081 Alexandria LA 71301 721325012 HLTHCARE SVC LA CNLA RELATED 518272 181344 false 0 false 0.61000 CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 COL. 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