4A (Expenses $ 159024109 including grants of $ 0) (Revenue $ 114726501)
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 ITS MISSION, VALUES AND VISION, CHRISTUS HEALTH PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 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 HIS OR HER 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.

4B (Expenses $ 69881086 including grants of $ 0) (Revenue $ 144821256)
"COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH NORTHERN LOUISIANA IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 156-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION ""TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST,"" CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND OF LOCAL AND GLOBAL COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH NORTHERN LOUISIANA RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED BY CHRISTUS HIGHLAND MEDICAL CENTER, A 212-BED INTEGRATED HEALTH SYSTEM LOCATED IN SOUTH SHREVEPORT AND CHRISTUS BOSSIER EMERGENCY HOSPITAL, AN ELEVEN BED FACILITY UNDER THE LICENSE OF CHRISTUS HIGHLAND MEDICAL CENTER. THE FACILITIES OF CHRISTUS HEALTH NORTHERN LOUISIANA SHARES ONE OBJECTIVE -- TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH NORTHERN LOUISIANA IS LOCATED IN SHREVEPORT, LOUISIANA, WHICH IS IN THE NORTHWESTERN CORNER OF THE STATE. ITS SERVICE AREA EXTENDS TO NORTHEAST TEXAS AND SOUTHERN ARKANSAS, WHICH INCLUDES A POPULATION OF MORE THAN 1 MILLION INDIVIDUALS. IN FISCAL YEAR 2022, WE SERVED HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 45,689 VISITS TO OUR EMERGENCY DEPARTMENTS, 1,910 INPATIENT SURGERY PROCEDURES, 3,430 OUTPATIENT SURGERY PROCEDURES, 9,369 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 144,021 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES, ALTHOUGH THIS NUMBER MAY ALSO REFLECT REPEATED VISITS BY THE SAME PATIENT. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH NORTHERN LOUISIANA STAND APART. INTERACTING WITH COMMUNITY ORGANIZATIONS, INDIVIDUAL PATIENTS AND CLIENTS GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. CHRISTUS HEALTH NORTHERN LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH NORTHERN LOUISIANA'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS HAVE ASSISTED CHRISTUS HEALTH NORTHERN LOUISIANA TO FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED ASSOCIATES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS AMONG THE HOSPITALS, OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS HEALTH'S MISSION TO MEET THE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. CHRISTUS ASSOCIATES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO HELPING OUR COMMUNITIES MAINTAIN GOOD QUALITY HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MANY PEOPLE AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, CHRISTUS HEALTH NORTHERN LOUISIANA OFFERS SPECIFIC PROGRAMS WHICH PROVIDE DISCOUNT SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH NORTHERN LOUISIANA ALSO CONTRACTS WITH A COMPANY TO SCREEN INDIVIDUALS FOR GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICAID AND LACHIP. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH NORTHERN LOUISIANA OFFERS A BROAD SPECTRUM OF ADULT AND SURGICAL CARE SERVICES WITH THE LATEST TECHNOLOGY. THESE SERVICES INCLUDE COMPREHENSIVE CANCER TREATMENT, NEONATAL INTENSIVE CARE, CARDIOLOGY SERVICES, INPATIENT AND OUTPATIENT DIAGNOSTIC AND SURGERY SERVICES, AND ATHLETIC CLUBS. CHRISTUS HIGHLAND PROVIDES A 24-HOUR EMERGENCY ROOM ON-SITE AND OFF-SITE IN BOSSIER CITY THAT SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HIGHLAND PARTNERED WITH A LOCAL FQHC, DAVID RAINES COMMUNITY HEALTH CENTER TO HELP FUND THE RENOVATION OF CLASSROOM SPACE INTO HEALTH CENTER SPACE AND OPENING COSTS OF A FIFTH SCHOOL-BASED HEALTH CENTER IN AUGUST 2019. SERVICES OFFERED AT ALL FIVE SCHOOL-BASED HEALTH CENTERS INCLUDE TREATMENT FOR MINOR ILLNESSES/INJURIES; ROUTINE PHYSICAL AND/OR ATHLETIC EXAMINATIONS; IMMUNIZATIONS; INCREASED ACCESS TO PRIMARY CARE; SPECIAL AWARENESS OF STD AND TEEN PREGNANCY FOR HIGH SCHOOL STUDENTS; OBESITY REDUCTION; SCREENING TESTS FOR HEARING, VISION, SCOLIOSIS, ETC.; REFERRAL AND FOLLOW-UP FOR ACUTE AND CHRONIC ILLNESSES (EX. DIABETES, ASTHMA); AND MENTAL HEALTH SERVICES, SUCH AS CRISIS, INDIVIDUAL, FAMILY AND/OR GROUP COUNSELING. CHRISTUS HIGHLAND PROVIDES NUMEROUS COMMUNITY BENEFIT PROGRAMS, OF WHICH, THE TOP THREE HIGHEST COST PROGRAMS ARE 1) THE MLK HEALTH/SBHS FREE LAB SERVICES PROGRAM IS AN INITIATIVE WITH SBHS' COMMUNITY PARTNER, MLK HEALTH CENTER, TO PROVIDE ACCESS TO CARE FOR MLK HEALTH CENTER'S UNINSURED PATIENTS, WHO OTHERWISE WOULD MOST LIKELY GO WITHOUT APPROPRIATE HEALTH CARE. THE CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM LAB PROVIDED FREE LAB SERVICES FOR THE MLK HEALTH CENTER, WHICH IS A FREE CLINIC IN SHREVEPORT, LA FOR UNINSURED POVERTY LEVEL PATIENTS WITH CHRONIC DISEASES. THE SELF-PAY, ONE-YEAR COST OF THESE SERVICES WOULD HAVE COST A TOTAL OF $195,764. 2) OPERATIONS COSTS FOR CARA CENTER - IN COLLABORATION WITH THE LOUISIANA STATE UNIVERSITY HEALTH SCIENCE CENTER, THE CARA CENTER SERVES AS A MEDICAL TREATMENT LOCATION FOR ABUSED AND NEGLECTED CHILDREN. CARA CENTER PROVIDES SUSPECTED CHILD ABUSE VICTIMS WITH A MEDICAL EXAMINATION AND FOLLOW-UP COUNSELING AND PROVIDES COMMUNITY EDUCATION ON IDENTIFYING AND REPORTING SUSPECTED CHILD ABUSE. 3) ENROLLMENT ASSISTANCE - ELIGIBILITY VENDORS 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. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GUIDES CHRISTUS HEALTH NORTHERN LOUISIANA. CHRISTUS HEALTH NORTHERN LOUISIANA IS PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO PROVIDE CARE WITHIN OUR LOCAL COMMUNITIES. ALL QUALIFIED PHYSICIANS ARE GRANTED PRIVILEGES TO SERVE WITHIN CHRISTUS HOSPITALS AFTER UNDERGOING A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. CHRISTUS HOSPITALS AFTER UNDERGOING A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS."

4C (Expenses $ 29748335 including grants of $ 0) (Revenue $ 21916296)
OTHER GOVERNMENT SPONSORED PROGRAMS IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, 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.

4D (Expenses $ 6546440 including grants of $ 7011759) (Revenue $ 0)
COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, 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, CHRISTUS HEALTH STRIVES TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE SERVICES WHERE THEY ARE NEEDED THE MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES INCLUDING COMMUNITY CLINICS, EDUCATION AND WELLNESS FOR TEEN MOMS, BACK TO SCHOOL CHILDREN'S PROGRAM, COMMUNITY IMPROVEMENT, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH NORTHERN LOUISIANA OPENS ITS DOORS TO VARIOUS COMMUNITY ORGANIZATIONS, MEDICAL STUDENTS, GROUPS, CLUBS, STATE AGENCIES, AND SUPPORT GROUPS WHICH NEED MEETING AND/OR OFFICE SPACE. THIS SERVICE IS PROVIDED AT NO COST TO THESE COMMUNITY, NON-PROFIT ORGANIZATIONS OR STATE AGENCIES. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES NEEDED OFFICE SPACE AT LITTLE TO NO EXPENSE TO VARIOUS NON-PROFIT ORGANIZATIONS SUCH AS THE GINGERBREAD HOUSE-A CHILDREN'S ADVOCACY CENTER. ONE EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE 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 LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME LOST FROM THE DIFFERENCE IN THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH NORTHERN LOUISIANA. ALL REMAINING LOANS WERE FORGIVEN ON 7/31/2018 SO THERE WAS NO OUTSTANDING LOANS AT THE END OF THE YEAR. THE FOREGONE INTEREST FOR CHRISTUS HEALTH NORTHERN LOUISIANA IN FISCAL YEAR ENDING JUNE 30, 2022 WAS $0. 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 FY 2022, THE TOTAL GRANT MONEY DISTRIBUTED BY CHRISTUS HEALTH TO THE NORTHERN LOUISIANA REGION WAS $175,000. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF CHRISTUS HEALTH NORTHERN LOUISIANA'S OTHER PROGRAM SERVICES. 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 NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED, TO BOY SCOUTS OF AMERICA, NORWEL COUNCIL, MLK HEALTH CENTER, HEART ASSOCIATION-GO RED FOR WOMEN, AMERICAN CANCER SOCIETY, KOMEN OF NWLA, DAVID RAINES COMMUNITY CENTER, CATHOLIC DIOCESE - PROLIFE BANQUET, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2022, 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.

Schedule H, Part V, Section B, Line 3E
CHRISTUS HEALTH NORTHERN LOUISIANA HIRED THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO CONDUCT ITS 2022 CHNA. LPHI PROVIDED CHRISTUS HEALTH NORTHERN LOUISIANA LEADERSHIP A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN EARLY FEBRUARY 2022. A VALIDATION MEETING WAS HELD WITH A GROUP OF EXPERTS IN LATE FEBRUARY 2022 COMPRISED OF BOTH CHRISTUS LEADERS AND LEADERS OF DIFFERENT ORGANIZATIONS AND COALITIONS SERVING THE AREA COMMUNITY. THIS GROUP WAS TASKED WITH REVIEWING AND VALIDATING THE FINDINGS AND RANK-ORDERING THE SIGNIFICANT HEALTH NEEDS REPORTED IN THE DRAFT CHNA. IN MARCH 2022, THE CHNA ADVISORY COMMITTEE MET TO REVIEW THE DATA PRESENTED AT THE VALIDATION MEETING, RANKING RESULTS, AND OTHER INPUT PROVIDED BY THE MEETING PARTICIPANTS. THE COMMITTEE THEN MADE RECOMMENDATIONS TO THE HOSPITAL'S SENIOR LEADERSHIP ON WHICH PRIORITY ISSUES SHOULD BE ADDRESSED AS PART OF THE CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE SENIOR LEADERSHIP TEAM ACCEPTED THE CHNA ADVISORY COMMITTEE'S RECOMMENDATION AND THE HOSPITAL GOVERNING BOARD APPROVED THE PRIORITIES CHOSEN WHEN IT APPROVED THE CHNA IN MAY 2022.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - CHRISUTS SHREVEPORT-BOSSIER HIGHLAND. TO ENSURE COMMUNITY INPUT INTO THE CHNA, THE CHNA ADVISORY COMMITTEE 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 58 COMMUNITY LEADERS AND COMMUNITY HEALTH EXPERTS TO ATTEND THE CHNA VALIDATION MEETING IN FEBRUARY 2022. FOLLOWING THE VALIDATION MEETING, THE GROUP MET IN MARCH 2022 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 2023-2025 CHIP. IN ADDITION, THE CHNA ADVISORY COMMITTEE MET PERIODICALLY THROUGHOUT THIS PROCESS. THE COMMITTEE WAS 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: CADDO COUNCIL ON AGING THE HUB URBAN MINISTRIES (HOMELESS FOCUS) VOLUNTEERS OF AMERICA, NORTH LA OFFICE OF PUBLIC HEALTH, REGION 7 DEPARTMENT OF CHILDREN & FAMILY SERVICES; PROTECTION SERVICES CADDO PARISH HEALTH UNIT UNITED WAY CADDO PARISH SHERIFF'S OFFICE SHREVEPORT BEHAVIORAL HEALTH CLINIC; NORTHWEST LA HUMAN SERVICES DISTRICT MLK HEALTH CENTER & PHARMACY (SERVES UNINSURED WITH CHRONIC ILLNESSES) DAVID RAINES COMMUNITY HEALTH CENTER (FQHC) DAVID RAINES HEALTH CENTERS IN SCHOOLS DEPARTMENT OF HEALTH & HOSPITALS OF LA THE HUB URBAN MINISTRIES (HOMELESS)/PURCHASED, NOT FOR SALE (PROSTITUTION AND HUMAN TRAFFICKING) REGIONAL MEDICAL DIRECTOR, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE UNITED WAY, SHREVEPORT SHREVEPORT-BOSSIER RESCUE MISSION HOPE CONNECTION AMERICAN CANCER SOCIETY NORTHWESTERN STATE UNIVERSITY NURSING PROGRAM PROVIDENCE HOUSE CHRISTUS HOSPICE LSU HEALTH PEDIATRIC PROGRAM SENATOR PEACOCK'S OFFICE CHNA ADVISORY COMMITTEE MEMBERS BRADLEY HARMON, CHAIRPERSON, VICE PRESIDENT MISSION INTEGRATION OTHER MEMBERS OF THE ADVISORY COMMITTEE INCLUDE CHRISTUS HEALTH NORTHERN LOUISIANA EXECUTIVE AND SENIOR LEADERS, AND VAROUS DIRECTORS WHOSE AREAS ARE DIRECTLY RELATED TO ADDRESSING NEEDS IDENTIFIED IN THE CHNA. KEY INFORMANT INTERVIEW PARTICIPANTS: WILLIE WHITE (CEO, DAVID RAINES COMMUNITY HEALTH CENTER) MONICA WRIGHT (CEO, CADDO COUNCIL ON AGING) CASSIE HAMMETT (THE HUB URBAN MINISTRIES, HOMELESS FOCUS) CHUCK MEEHAN (PRES, VOLUNTEERS OF AMERICA, NORTH LA) DR. MARTHA WHYTE (OFFICE OF PUBLIC HEALTH, REGION 7) DEBORAH RENEE CLARY (DEPARTMENT OF CHILDREN & FAMILY SERVICES; PROTECTION SERVICES) STAFF MEMBER (DEPARTMENT OF CHILDREN & FAMILY SERVICES; PLACEMENT SERVICES) YOLANDA CHANDLER (REGIONAL NURSE MANAGER, CADDO PARISH HEALTH UNIT) DOUG EFFERSON (EXECUTIVE DIRECTOR, SHREVEPORT BEHAVIORAL HEALTH CLINIC; NORTHWEST LA HUMAN SERVICES DISTRICT) JOSEPH BOCCHINI JR, MD (MEDICAL DIRECTOR, CHILDREN'S HOSPITAL) FOCUS GROUP MEMBERS: LEADER, MLK HEALTH CENTER & PHARMACY, A FREE CLINIC AND PHARMANCY FOR UNINSURED DAVID RAINES COMMUNITY HEALTH CENTERS, SCHOOL-BASED HEALTH CENTERS TWO PATIENTS WHO USE THE MLK HEALTH CENTER & PHARMACY MLK HEALTH CENTER NURSE & FACULTY MEMBER, NORTHWESTERN STATE UNIVERSITY STAFF MEMBER, SENATOR PEACOCK'S OFFICE

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. LPHI PROVIDED CHRISTUS HEALTH NORTHERN LOUISIANA LEADERSHIP A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN FEBRUARY 2022. A VALIDATION MEETING WAS HELD WITH A GROUP OF EXPERTS ON JANUARY 24, 2019 COMPRISED OF BOTH CHRISTUS LEADERS AND LEADERS OF DIFFERENT ORGANIZATIONS AND COALITIONS SERVING THE AREA COMMUNITY. THIS GROUP WAS TASKED WITH REVIEWING AND VALIDATING THE FINDINGS AND RANK-ORDERING THE SIGNIFICANT HEALTH NEEDS REPORTED IN THE DRAFT CHNA. IN MARCH 2022, THE CHNA ADVISORY COMMITTEE MET TO REVIEW THE DATA PRESENTED AT THE VALIDATION MEETING, RANKING RESULTS, AND OTHER INPUT PROVIDED BY THE MEETING PARTICIPANTS. THE CHNA ADVISORY COMMITTEE TOOK SEVERAL 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 COMMUNITY VALIDATION MEETING PARTICIPANTS WAS ALSO HEAVILY CONSIDERED, ESPECIALLY FOR PRIORITY AREAS WHERE SECONDARY DATA WERE LESS AVAILABLE. THE COMMITTEE THEN MADE RECOMMENDATIONS TO THE HOSPITAL'S SENIOR LEADERSHIP ON WHICH PRIORITY ISSUES SHOULD BE ADDRESSED AS PART OF THE CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE SENIOR LEADERSHIP TEAM ACCEPTED THE CHNA ADVISORY COMMITTEE'S RECOMMENDATION AND THE HOSPITAL GOVERNING BOARD APPROVED THE PRIORITIES CHOSEN WHEN IT APPROVED THE CHNA IN MAY 2022. BASED ON THE PROCESS DESCRIBED ABOVE, THE PRIORITY HEALTH NEEDS SELECTED BY CHRISTUS HEALTH NORTHERN LOUISIANA ARE: ADVANCE HEALTH AND WELLBEING BY ADDRESSING: - CHRONIC ILLNESS --- HEART DISEASE --- DIABETES --- OBESITY - BEHAVIORAL HEALTH --- MENTAL HEALTH --- SUBSTANCE ABUSE - CHILDREN'S HEALTH - ONCOLOGY 2. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS BY: - IMPROVE FOOD ACCESS - REDUCING SMOKING AND VAPING OTHER COMMUNITY NEEDS THAT CANNOT BE ADDRESSED: IN AN EFFORT TO MAXIMIZE ANY RESOURCES AVAILABLE FOR THE FOUR PRIORITY AREAS, THE CHRISTUS HEALTH NORTHERN LOUISIANA CHNA ADVISORY COMMITTEE DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP): -SOCIAL DETERMINANTS OF HEALTH -HUMAN TRAFFICKING -SEXUALLY TRANSMITTED INFECTIONS WHILE ALL FOUR AREAS ARE A COMMUNITY CONCERN, IT WAS DETERMINED THAT FOR SOME OF THESE NEEDS THERE ARE OTHER HEALTH CARE FACILITIES AND ORGANIZATIONS IN THE REGION WHO ARE BETTER EQUIPPED OR HAVE DESIGNATED RESOURCES AT THEIR DISPOSAL TO SPECIFICALLY ADDRESS THESE NEEDS. THIS IS ESPECIALLY TRUE FOR MENTAL HEALTH IN THE NORTHWEST LOUISIANA REGION. IN THE AREA OF SOCIAL DETERMINANTS OF HEALTH, THE ADVISORY COMMITTEE ACKNOWLEDGED THAT MOST EFFORTS TO IMPROVE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED POPULATIONS WOULD LIKELY INCORPORATE STRATEGIES TO ADDRESS TRANSPORTATION. THERE ARE SEVERAL PROGRAMS ALREADY OFFERED BY CHRISTUS HEALTH SHREVEPORT-BOSSIER THAT SEEK TO ADDRESS THIS NEED. THE SAME CAN BE SAID FOR ENVIRONMENTAL HEALTH AND HUMAN TRAFFICKING. WHILE CHRISTUS HEALTH SHREVEPORT-BOSSIER DOES NOT PLAN TO EXPLICITLY TACKLE ENVIRONMENTAL HEALTH ISSUES, CHRISTUS HEALTH NORTHERN LOUISIANA LEADERSHIP ACKNOWLEDGED THAT MANY OF THE STUDENTS SERVED BY SCHOOL-BASED HEALTH CENTERS RECEIVE ASTHMA TREATMENT AND CARE AND CHRISTUS HEALTH NORTHERN LOUISIANA IS COMMITTED TO WORKING WITH DAVID RAINES COMMUNITY HEALTH CENTERS AND CADDO PARISH SCHOOL BOARD TO CONTINUE TO EXPAND THE NUMBER OF SCHOOL-BASED HEALTH CENTERS IN TITLE 1 SCHOOLS. LIKEWISE, CHRISTUS HEALTH NORTHERN LOUISIANA ALREADY ACTIVELY PARTNERS WITH LOCAL CHILD ADVOCACY CENTERS IN THE AREA COMMITTED TO COMBATING HUMAN TRAFFICKING AND HAS INITIATIVES IN PLACE TO IDENTIFY AND REPORT VICTIMS OF HUMAN TRAFFICKING WHO ARE SEEN AS PATIENTS IN ITS HOSPITALS.

Schedule H, Part V, Section B, Line 15 Facility , 1
Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. FAP APPLICATION FORM'S METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.

Schedule H, Part V, Section B, Line 16 Facility , 1
Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY, AND ADMISSION AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS.

Schedule H, Part V, Section B, Line 20 Facility , 1
"Facility , 1 - CHRISTUS SHREVEPORT-BOSSIER HIGHLAND. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: ""YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DON'T QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN."""

Schedule H, Part V, Section B, Line 17 EXTRAORDINARY COLLECTION ACTIONS
THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.

Schedule H, Part V, Section B, Line 22 MAXIMUM AMOUNTS THAT CAN BE CHARGED
THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/22 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% OF THE FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.

Schedule H, Part I, Line 5a BUDGETED CHARITY CARE
THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.

Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT
"A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH (EIN: 76-0590551), THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION ""TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST."" THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES."

Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15
CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.

Schedule H, Part VI, Line 7 COMMUNITY BENEFIT REPORT
ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015 WITH 2017 UPDATE. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. CHRISTUS HEALTH'S NON-PROFIT HOSPITALS LOCATED IN TEXAS FILE A COMMUNITY BENEFIT REPORT IN THE STATE OF TEXAS. THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AND AN ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN ARE FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS), AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE 2013 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT.

Schedule H, Part I, Line 7 COSTING METHODOLOGY
Line 7A: Ratio of Patient Care Cost to Charges Based on Schedule H, Worksheet 2 Line 7B: Ratio of Patient Care Cost to Based on Schedule H, Worksheet 2 Line 7E: Actual Expenses Less Any Direct Offsetting Revenue Line 7F: Actual Expenses Less Any Direct Offsetting Revenue Worksheet 2 Line 7H: Actual Expenses Less Any Direct Offsetting Revenue Line 7I: Actual Expense of the Contributions

Schedule H, Part I, Line 7f BAD DEBT EXPENSE
Percent of Total Expense Total Expense From Form 990, Part IX, Line 25, Column (A) is $301,049,813. The Bad Debt Expense included in this amount is $15,084,112. This leaves a total expense of $285,965,701 for purposes of calculating Line 7, Column (F).

Schedule H, Part II COMMUNITY BUILDING ACTIVITIES
AMOUNTS REPORTED AT SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN, INCLUDING SCHOOL-BASED HEALTH CENTERS AND SENIORS, AS WELL AS OTHER VULNERABLE POPULATIONS. THE EFFORTS ARE PROMOTING PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE, DIABETES AND IMMUNIZATIONS.

Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE
https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/financial-assistance-policy-english.ashx

Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE
https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/v2financial-assistance-application.ashx

Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE
https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
15084112

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.

Schedule H, Part V, Section B, Line 16a FAP website
- CHRISTUS SHREVEPORT-BOSSIER HIGHLAND: Line 16a URL: SEE SUPPLEMENTAL INFO;

Schedule H, Part V, Section B, Line 16b FAP Application website
- CHRISTUS SHREVEPORT-BOSSIER HIGHLAND: Line 16b URL: SEE SUPPLEMENTAL INFO;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- CHRISTUS SHREVEPORT-BOSSIER HIGHLAND: Line 16c URL: SEE SUPPLEMENTAL INFO;

Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS
Christus Health Northern Louisiana Made Over $5,837,010 in Cash and In-kind contributions during fiscal year 2022. 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 to organizations, governments, and individuals. Christus Health established the christus fund, a grant fund to provide resources to nonprofit agencies and groups whose vision, mission, and goals are consistent with christus health's mission, values and philosophy of a healthy community. The grant dollars were used by NOLA to support programs that promote the Health of the Community that Christus Health Northern Louisiana serves, such as the provision of support to a free clinic and pharmacy (Martin Luther King Health Center) that provides Healthcare Services to the uninsured. All grants made to outside organizations through the Christus Fund are made to nonprofit organizations that use the grant money to support the health of the community. These grant dollars are not included on schedule H, Part I, Line 7(I). Indigent Funding expense of $4,341,582 is included in schedule H, Part I, Line 7(I).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 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, 2022, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THESE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2022. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.6988% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2022 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, 2022 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
"THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, ""The preparation of the accompanying consolidated financial statements in conformity with United States generally accepted accounting principles (U.S. GAAP) requires management of the System to make assumptions, estimates, and judgements, that affect the amounts of assets, liabilities, revenues, and expenses reported in the consolidated financial statements, including the notes thereto, and related disclosures of commitments and contingencies, if any, at the date of the consolidated financial statements. Management relies on historical experience and on other assumptions believed to be reasonable under the circumstances in making its judgements and estimates. Actual results could differ materially from these estimates."""

Schedule H, Part VI, Line 7 State filing of community benefit report
TX

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS.SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $14,924,961 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.

Schedule H, Part VI, Line 2 Needs assessment
IN ADDITION TO CONDUCTING THE EVERY THREE YEAR COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN, CHRISTUS HEALTH NORTHERN LOUISIANA LEARNS ABOUT GAPS IN SERVICE FOR THE UNDERSERVED, UNINSURED, UNDERSURED AND VULNERABLE POPULATIONS THROUGH ITS RELATIONSHIPS AND COLLABORATIONS WITH COMMUNITY ORGANIZATIONS, SUCH AS CHURCHES, BUSINESSES, AGENCIES, LOCAL COLLEGES AND UNIVERSITIES, STATE INDIGENT PROGRAMS, THE COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA, UNITED WAY, FOOD BANK OF NORTHERN LOUISIANA, THE HUB URBAN MINISTRIES, CATHOLIC CHARITIES, ST. VINCENT DE PAUL SOCIETY, DAVID RAINES COMMUNITY HEALTH, LOCAL PHARMACIES, LOCAL SCHOOL SYSTEM, OFFICE OF PUBLIC HEALTH, REGION 7, RESCUE MISSION, HOPE CONNECTIONS, AND VARIOUS OTHER ORGANIZATIONS AND NON-PROFIT AGENCIES. WORKING INTERNALLY AND WITH OUR COMMUNITY PARTNERS, CHRISTUS HEALTH NORTHERN LOUISIANA IDENTIFIES WAYS IT CAN PARTNER WITH OTHERS TO MEET THE NEWLY IDENTIFIED NEEDS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
CHRISTUS HEALTH NORTHERN LOUISIANA MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.

Schedule H, Part VI, Line 4 Community information
CHRISTUS HEALTH NORTHERN LOUISIANA IS LOCATED IN SHREVEPORT, LOUISIANA, WHICH IS IN THE NORTHWESTERN CORNER OF THE STATE. CHRISTUS HEALTH NORTHERN LOUISIANA'S PRIMARY SERVICE AREA INCLUDES THE PREDOMINANTLY RURAL PARISHES OF BOSSIER, CADDO, CLAIBORNE, DESOTO, LINCOLN, NATCHITOCHES, SABINE, WEBSTER, AND WINN, WHICH ALSO COMPRISES REGION VII OF THE OFFICE OF PUBLIC HEALTH; HOWEVER, ITS SERVICE AREA EXTENDS TO NORTHEAST TEXAS AND SOUTHERN ARKANSAS. ALTOGETHER, THE LARGER SERVICE AREA INCLUDES A POPULATION OF MORE THAN 1.1 MILLION PEOPLE AND THE PRIMARY SERVICE AREA (NINE LOUISIANA PARISHES) WAS 571,404 ACCORDING TO THE 2019 ESTIMATE BY THE UNITED STATES CENSUS BUREAU. THE LARGEST CHANGE IN POPULATION SINCE 2010 WAS THE INCREASE SEEN IN BOSSIER PARISH WITH A POPULATION OF 116,979 IN 2010 COMPARED TO 145,669 PERSONS ESTIMATED FOR 2022. DURING THE SAME TIME PERIOD CADDO EXPERIENCED A 5.8% DECLINE IN POPULATION. CADDO, BOSSIER, AND WEBSTER PARISHES ARE THE ONLY DESIGNATED URBAN PARISHES IN THE NORTHWEST REGION. THE POPULATION IN THE ORGANIZATION'S SERVICE AREA, CONSISTENT WITH NATIONAL TRENDS, IS ANTICIPATING ITS LARGEST GROWTH IN ITS POPULATION OF PERSONS AGE 65 AND OLDER. THE PRIMARY SERVICE AREA'S POVERTY RATE IS 26.3 PERCENT, AND THE UNEMPLOYMENT RATE WAS APPROXIMATELY 7.3 PERCENT BEFORE THE COVID PANDEMIC CREATED A LARGER UNEMPLOYMENT RATE. AGE DISTRIBUTIONS IN NORTHWEST LA WERE SIMILAR TO THE STATE WITH APPROXIMATELY 24% UNDER 18 YEARS OF AGE, 61% BETWEEN 18 AND 64 YEARS, AND 15% OVER 65 YEARS. RACE WAS PREDOMINANTLY WHITE AT 57% AND THOSE IDENTIFYING AS HISPANIC ETHNICITY WAS ESTIMATED TO BE 3%. SEX DISTRIBUTION WAS 51% MALE AND 49% FEMALE ACROSS THE PRIMARY SERVICE AREA.

Schedule H, Part VI, Line 5 Promotion of community health
"CHRISTUS HEALTH NORTHERN LOUISIANA RESPONDS TO THE HEALTH CARE NEEDS OF ITS COMMUNITY THROUGH SERVICES PROVIDED AT CHRISTUS HIGHLAND MEDICAL CENTER (CHRISTUS HIGHLAND), A 220-BED ACUTE CARE HOSPITAL THAT INCLUDES BIRTHING SUITES, NEONATAL ICU, MEDICAL AND SURGICAL CARE, A REHABILITATION UNIT, COMPREHENSIVE CORONARY CARE, A BROAD VARIETY OF SURGICAL SERVICES, AND EMERGENCY SERVICES WELLNESS CENTERS. EACH OF THE FACILITIES OF CHRISTUS HEALTH NORTHERN LOUISIANA HAS ONE OBJECTIVE, WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HIGHLAND AND OUR NEW BOSSIER EMERGENCY HOSPITAL, IN THE CHRISTUS HEALTH NORTHERN LOUISIANA REGION, PROVIDE 24 HOUR EMERGENCY ROOMS THAT ARE OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS HEALTH NORTHERN LOUISIANA PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS HEALTH NORTHERN LOUISIANA WORKS TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH NORTHERN LOUISIANA HAS STRENGTHENED ITS ROLE AS A MAJOR PROVIDER OF COMPREHENSIVE ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS HAVE SERVED TO ASSIST CHRISTUS HEALTH NORTHERN LOUISIANA TO CARE FOR THOSE IN NEED AND FOCUS ON ADDRESSING THE NEED FOR ACCESS TO HEALTH SERVICES, IN ADDITION TO ASSURING HEALTH IMPROVEMENT THROUGH HEALTH PROMOTION AND DISEASE PREVENTION. CHRISTUS HEALTH IS DEEPLY COMMITTED TO PROACTIVELY IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES AND PARTICULARLY THE LARGE NUMBER OF UNINSURED AND UNDERINSURED PEOPLE. EVIDENCE FROM HUNDREDS OF COMMUNITIES AROUND THE COUNTRY DEMONSTRATES THE EFFECTIVENESS OF ENGAGING THE ENTIRE COMMUNITY IN EFFORTS TO EXPAND ACCESS TO HEALTH CARE. THEREFORE, CHRISTUS HEALTH STRIVES TO COLLABORATE WITH COMMUNITY PARTNERS. BY WORKING WITH AND/OR INITIATING COMMUNITY LED PARTNERSHIPS IN ALL THE COMMUNITIES SERVED BY CHRISTUS HEALTH, WE CAN ACHIEVE MEASURABLE AND SUSTAINABLE IMPROVEMENT IN OUR WELL BEING. CHRISTUS HEALTH NORTHERN LOUISIANA SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING THE CARA CENTER FOR VICTIMS OF CHILD ABUSE AND/OR NEGLECT IN COLLABORATION WITH LOCAL UNIVERSITY HEALTH SCIENCE CENTER. ""COMMUNITY SERVICES FOR A BROADER COMMUNITY"" IS ALSO A PART OF CHRISTUS HEALTH NORTHERN LOUISIANA'S OVERALL COMMUNITYBENEFIT. CHRISTUS HEALTH NORTHERN LOUISIANA 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, DIABETES, HEART DISEASE, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. IN FY20, CHRISTUS HEALTH NORTHERN LOUISIANA MADE AN $80,000 DONATION TO DAVID RAINES COMMUNITY HEALTH, A LOCAL FQHC, TO ASSIST IN THE COST OF RENOVATING AND OPENING TWO ADDITIONAL SCHOOL BASED HEALTH CENTERS IN TITLE I SCHOOLS IN CADDO PARISH. THE FIVE CURRENT DAVID RAINES SCHOOL BASED HEALTH CENTERS IN CADDO PARISH TITLE I SCHOOLS, PROVIDE SERVICES INCLUDING TREATMENT FOR MINOR ILLNESSES/INJURIES, ROUTINE PHYSICALS, ATHLETIC EXAMINATIONS, IMMUNIZATIONS, SCREENINGS FOR HEARING, VISION, SCOLIOSIS, REFERRALS AND FOLLOW UP FOR ACUTE AND CHRONIC ILLNESSES SUCH AS DIABETES AND ASTHMA, AND MENTAL HEALTH SERVICES SUCH AS COUNSELING FOR CRISIS FOR INDIVIDUALS AND FAMILIES. MORE THAN 2,000 STUDENTS (ELEMENTARY, MIDDLE AND HIGH SCHOOLS) ARE SERVED DURING THE SCHOOL YEAR. CHRISTUS HEALTH'S HEALTHY COMMUNITIES MODEL INCORPORATES THESE KEY PRINCIPLES: (1) COMMUNITY OWNERSHIP: SUCCESSFUL INITIATIVES BRING TOGETHER BUSINESS, GOVERNMENT, NONPROFIT, HEALTHCARE, FAITH COMMUNITIES AND CITIZEN LEADERS TO ADDRESS COMMUNITY ISSUES. EVERYONE SHOULD FEEL EMPOWERED. (2) WELL BEING OF THE COMMUNITY: THE UNIVERSAL DEFINITION OF HEALTH AND WHOLENESS EMBRACES THE PHYSICAL, EMOTIONAL, MENTAL AND SPIRITUAL DIMENSIONS OF LIFE. (3) GOALS AND MEASURES: USE BENCHMARKS AND MEASURE PROGRESS AND OUTCOMES. (4) PARTNERSHIPS AND COLLABORATIONS: BUILDING CAPACITY USING EXISTING COMMUNITY ASSETS HELPS TO MAGNIFY THE RESOURCES AVAILABLE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES IN WHICH CHRISTUS HEALTH NORTHERN LOUISIANA PARTICIPATES TO IMPROVE ACCESS TO HEALTH SERVICES, ENHANCE PUBLIC HEALTH, AND ADVANCE KNOWLEDGE INCLUDE: (1) PROMOTE HEALTHY LIVING, AWARENESS OF HEART HEALTH AND SIGNS OF STROKE TO THE COMMUNITY THROUGH A 12 MONTH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION WITH ""GO RED FOR WOMEN"" (PERIODIC HEALTH PROMOTION ACTIVITIES AND AN ANNUAL BIOMETRIC SCREENING FOR OVER 300), ALTHOUGH, THE SCREENING WAS CANCELLED THIS YEAR DUE TO COVID. (2) DEVELOP PARTNERSHIPS AND OPPORTUNITIES FOR COLLABORATION WITH NONPROFIT AND RELIGIOUS ORGANIZATIONS, PARISH AND CIVIC OFFICES, INDUSTRIES AND BUSINESSES, PRIVATE AND PUBLIC SCHOOL SYSTEMS, HEALTH CARE PROVIDERS, AND SOCIAL SERVICE AGENCIES IN THE PROMOTION OF HEALTHY LIFESTYLES AND THE EXPLORATION OF HEALTH NEEDS WITHIN THE COMMUNITY. (3) PROMOTE AWARENESS AND UNDERSTANDING OF LACHIP THROUGH THE SCHOOL BASED HEALTH CLINICS AND OTHER HOSPITALS, THEREBY INCREASING THE ENROLLMENT OF ALL ELIGIBLE CHILDREN. (4) PROVIDE FREE LAB SERVICES FOR MLK PATIENTS, A PARTNERSHIP BETWEEN CHRISTUS HEALTH AND THE MARTIN LUTHER KING HEALTH CLINIC, IN THE PROMOTION OF SELF-CARE MANAGEMENT OF HIGH RISK PATIENTS. (5) PROMOTE COLLABORATION AMONG LOCAL CHILD ABUSE AGENCIES BY HOUSING THESE GROUPS IN A SINGLE DWELLING (CARA CENTER AND GINGERBREAD HOUSE). THE CARA CENTER IS A PARTNERSHIP BETWEEN CHRISTUS HEALTH NORTHERN LOUISIANA AND LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER WHICH PROVIDES MEDICAL EXAMINATIONS FOR SUSPECTED CASES OF CHILD ABUSE AND NEGLECT. CHRISTUS HEALTH NORTHERN LOUISIANA REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. AS A NOT FOR PROFIT ORGANIZATION AND AS A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD, COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE, GUIDES CHRISTUS HEALTH NORTHERN LOUISIANA. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS HEALTH NORTHERN LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS."

Schedule H, Part VI, Line 6 Affiliated health care system
AFFILIATED HEALTH CARE SYSTEM CHRISTUS HEALTH NORTHERN LOUISIANA IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN THE STATES OF ARKANSAS, 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 NORTHERN LOUISIANA, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH NORTHERN LOUISIANA, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.