4A (Expenses $ 170479549 including grants of $ 0) (Revenue $ 146042741)
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.

4B (Expenses $ 62984810 including grants of $ 0) (Revenue $ 69177402)
COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2016) AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. CHARITY CARE FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, THE ORGANIZATION PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS DEFINED AS SERVICES PROVIDED WITHOUT CHARGE OR AT A CHARGE LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT OF THE CHARGE, IF ANY, IS ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 300 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 300 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.

4C (Expenses $ 60259882 including grants of $ 0) (Revenue $ 150835019)
COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH CARE MINISTRIES TOGETHER. BISHOP CLAUDE MARIE DUBIS FOUNDED BOTH CONGREGATIONS 151 YEARS AGO, AND HIS ORIGINAL CALL TO THE SISTERS CONTINUES TO CHALLENGE CHRISTUS HEALTH TO FULFILL ITS MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST AND TO REACH OUT TO THOSE IN NEED IN THE MORE THAN 60 COMMUNITIES IT SERVES. IN 2016 ANOTHER SPONSORING CONGREGATION, THE SISTERS OF THE HOLY FAMILY OF NAZARETH, WAS ADDED. THE VISION OF CHRISTUS HEALTH, A CATHOLIC, FAITH-BASED HEALTH MINISTRY, IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. THE CENTRAL LOUISIANA REGION OF CHRISTUS HEALTH RESPONDS TO COMMUNITY NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. FRANCES CABRINI HOSPITAL IN ALEXANDRIA, LOUISIANA, A 293-BED FACILITY; AND CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LOUISIANA, A 25-BED, CRITICAL ACCESS HOSPITAL. CHRISTUS HEALTH CENTRAL LOUISIANA ALSO OWNS PARTS OF CHRISTUS CABRINI SURGERY CENTER, LLC, CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA; CHRISTUS HOSPICE AND PALLIATIVE CARE ST. FRANCES CABRINI; AND CENTRAL LOUISIANA SURGICAL HOSPITAL. EACH FACILITY IN THIS REGION SHARES THE ONE OBJECTIVE OF LEADING THE WAY TOWARD HEALTHIER COMMUNITIES. CHRISTUS ST. FRANCES CABRINI HOSPITAL SERVES RAPIDES AND NINE SURROUNDING CIVIL PARISHES, WHICH HAVE A TOTAL POPULATION OF MORE THAN 375,000, OF WHICH MORE THAN 18.7 PERCENT LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. IN FY 2022 ALONE, THE HOSPITAL ADMITTED 11,828 PATIENTS AND TREATED 189,107 PATIENTS IN ITS OUTPATIENT FACILITIES. THE HOSPITAL PERFORMED 2,014 INPATIENT SURGERIES AND 3,387 OUTPATIENT SURGERIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 39,025 INDIVIDUALS. CHRISTUS ST. FRANCES CABRINI WORKS TO LEAD CENTRAL LOUISIANA IN CARDIAC SERVICES, OFFERING A COMPLETE RANGE OF CARDIAC DIAGNOSTIC SERVICES INCLUDING CTA, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, AND ELECTROPHYSIOLOGY. THE HOSPITAL EXPANDED SPACE AND SERVICES IN PEDIATRIC THERAPY TO ACCOMODATE THE NEEDS OF THE COMMUNITY IN FY22. CHRISTUS CABRINI CANCER CENTER OFFERS COMPREHENSIVE CANCER CARE IN A HOSPITAL SETTING. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. CHRISTUS COUSHATTA HEALTH CARE CENTER IS LOCATED IN RED RIVER PARISH, ECONOMICALLY THE POOREST IN LOUISIANA. IN FY 2022, THE HOSPITAL ADMITTED 551 PATIENTS AND TREATED 26 PATIENTS IN ITS OUTPATIENT FACILITIES. IN ADDITION, THE HOSPITAL PROVIDED EMERGENCY SERVICES TO 5,799 INDIVIDUALS. THIS HOSPITAL OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING MINOR SURGERY; DAY SURGERY; CARDIOLOGY; DIABETES CARE; RESPIRATORY THERAPY; RADIOLOGY; PHYSICAL THERAPY; ONCOLOGY; GYNECOLOGY; EAR, NOSE, AND THROAT SERVICES; OPHTHALMOLOGY; HEMATOLOGY; INFUSION THERAPY; AND ADULT PSYCHIATRIC SERVICES. THE FEDERAL GOVERNMENT HAS DESIGNATED CHRISTUS COUSHATTA HEALTH CARE CENTER A CRITICAL ACCESS HOSPITAL DUE TO THE STRATEGIC LOCATION OF ITS EMERGENCY ROOM, WHICH REDUCES THE TRANSPORTATION TIME PATIENTS WOULD HAVE TO SPEND TRAVELING TO NATCHITOCHES OR SHREVEPORT, LOUISIANA, FOR TREATMENT. BOTH CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER PROVIDE 24-HOUR EMERGENCY ROOMS OPEN TO ALL NEEDING EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. THE CHRISTUS HEALTH CENTRAL LOUISIANA REGION ALSO SPONSORS MANY LOCAL COMMUNITY HEALTH SERVICES. THESE INCLUDE 17 SCHOOL-BASED HEALTH CENTERS IN FIVE CIVIL PARISHES AROUND CHRISTUS ST. FRANCES CABRINI HOSPITAL, A DENTAL CLINIC AT CHRISTUS COUSHATTA HEALTH CARE CENTER, AND RURAL HEALTH CLINICS IN RINGGOLD AND COUSHATTA. AS A NONPROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS HELPS GOVERN CHRISTUS HEALTH CENTRAL LOUISIANA. THE REGION HAS AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH ITS THREE FACILITIES TO PROVIDE CARE TO OUR COMMUNITIES. THESE PHYSICIANS RECEIVE THEIR PRIVILEGES ONLY AFTER A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. TOUCHING THE LIVES OF PEOPLE HELPS CHRISTUS HEALTH CENTRAL LOUISIANA STAND APART AND PROVIDES FURTHER MOTIVATION TO SERVE THE MEDICALLY NEEDY IN ALL OF THE COMMUNITIES SURROUNDING ITS THREE FACILITIES. WHETHER THE ISSUE IS THE LIFE OF A CHILD HOPING FOR A BRIGHT FUTURE, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS HEALTH CENTRAL LOUISIANA'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. MOREOVER, THE CHRISTUS HEALTH CENTRAL LOUISIANA PROVIDES ITS SERVICES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, SEXUAL ORIENTATION, DISABILITY, AGE, OR NATIONALITY. THE THREE HIGHEST COST COMMUNITY BENEFIT PROGRAMS PROVIDED BY CHRISTUS ST. FRANCES CABRINI HOSPITAL ARE 1) SCHOOL BASED HEALTH CENTERS (SBHC), WHICH PROVIDE PRIMARY/PREVENTIVE HEALTH SERVICES TO STUDENTS LOCATED IN UNDERSERVED COMMUNITIES. THE SBHC'S PROVIDE A UNIQUE BLEND OF HEALTH AND EDUCATION SERVICES; 2) ELIGIBILITY VENDORS WHICH ASSIST COMMUNITY MEMBERS WITH ENROLLMENT IN PUBLIC PROGRAMS TO INCREASE ACCESS TO QUALITY HEALTHCARE SERVICES. THEY PROVIDE EDUCATION AND ENROLLMENT ASSISTANCE TO THE UNINSURED POPULATION IDENTIFIED AT THE HOSPITAL; 3) CABRINI CLINICAL NURSES AND NURSE SUPERVISORS PROVIDE SUPERVISION, MENTORING, AND PRECEPTING AND ROTATION OF LSU-A NURSING STUDENTS FOR THEIR CLINICAL STUDIES. BY COLLABORATING WITH CHURCHES, BUSINESSES, COMMUNITIES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH CENTRAL LOUISIANA'S THREE FACILITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE, AND AFFORDABLE HEALTHCARE SERVICES. THESE PARTNERSHIPS HAVE EXTENDED THE REGION'S CAPACITY TO HELP THOSE IN NEED. THE SAME CAN BE SAID OF THE FACILITIES' DEDICATED EMPLOYEES AND VOLUNTEERS WHO REGULARLY REACH BEYOND TRADITIONAL WALLS TO HELP THEIR COMMUNITIES BECOME HEALTHIER. THESE ACTIVITIES FOSTER STRONG RELATIONSHIPS AND THEREBY CONTRIBUTE TO THE MISSION OF CHRISTUS HEALTH. FURTHERMORE, TO PROVIDE ACCESS TO HEALTH CARE TO AS MANY PEOPLE AS POSSIBLE, CHRISTUS HEALTH CENTRAL LOUISIANA PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, SUCH AS MEDICAID, MEDICARE, CHAMPUS, AND TRICARE. IN ADDITION, THE REGION PROVIDES DISCOUNTED SERVICES TO THOSE WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS.

4D (Expenses $ 12812973 including grants of $ 9055900) (Revenue $ 0)
COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR SCHOOL BASED HEALTH CENTERS (SBHC), WHICH PROVIDE PRIMARY/PREVENTIVE HEALTH SERVICES TO STUDENTS LOCATED IN UNDERSERVED COMMUNITIES. THE SBHC'S PROVIDE A UNIQUE BLEND OF HEALTH AND EDUCATION SERVICES. CHRISTUS ST. FRANCIS CABRINI ALSO SERVES THE BROADER COMMUNITY BY EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS ST. FRANCES CABRINI ALSO PROVIDES EDUCATIONAL ACTIVITIES INCLUDING STUDENT INTERNSHIPS, CLINICAL EXPERIENCE AND OTHER EDUCATION FOR NURSES, TECHNICIANS, ADMINISTRATORS, SOCIAL WORKERS, THERAPISTS AND PASTORAL CARE PROFESSIONALS. CHRISTUS ST. FRANCES CABRINI HOSPITAL ALSO PROVIDES MANY FREE HEALTH SCREENINGS AND HEALTH EDUCATION FOR LOCAL ORGANIZATIONS, BUSINESSES AND COMMUNITY GROUPS ON DISEASES INCLUDING DIABETES, PROSTATE CANCER, COLORECTAL CANCER AND OTHERS. THE HOSPITAL ALSO PROVIDES MEETING SPACE TO VARIOUS ORGANIZATIONS IN THE COMMUNITY. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2021, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGE IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, CLASSES FOR EXPECTANT MOTHERS TO SUPPORT NEW BORN HEALTH, EDUCATION AND SCREENING SERVICES FOR BETTER HEALTH OUTCOMES, SUPPORT GROUPS, AND A VARIETY OF OTHER SOCIAL SERVICES. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES.

Schedule H, Part V, Section B, Line 3E
CHRISTUS HEALTH CENTRAL LOUISIANA HIRED THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO CONDUCT ITS 2019 CHNA. LPHI PROVIDED CHRISTUS ST. FRANCES CABRINI HOSPITAL (CSFCH) AND CHRISTUS COUSHATTA HEALTH CARE CENTER (CCHC) LEADERSHIP A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN EARLY JANUARY 2019. A VALIDATION MEETING WAS HELD WITH A GROUP OF EXPERTS ON JANUARY 23, 2019 FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND FOR CHRISTUS COUSHATTA HEALTH CARE CENTER, COMPRISED OF BOTH CHRISTUS LEADERS AND LEADERS OF DIFFERENT ORGANIZATIONS AND COALITIONS SERVING THE AREA COMMUNITIES. THESE GROUPS WERE TASKED WITH REVIEWING AND VALIDATING THE FINDINGS AND RANK-ORDERING THE SIGNIFICANT HEALTH NEEDS REPORTED IN THE DRAFT CHNA. ON FEBRUARY 12, 2019, THE CHNA ADVISORY COMMITTEES FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTHCARE CENTER, MET ON FEBRUARY 12, 2019, TO REVIEW THE DATA PRESENTED AT THE VALIDATION MEETINGS, RANKING RESULTS, AND OTHER INPUT PROVIDED BY THE MEETING PARTICIPANTS. THE COMMITTEES MADE RECOMMENDATIONS TO THE HOSPITALS' SENIOR LEADERSHIP TEAMS ON WHICH PRIORITY ISSUES SHOULD BE ADDRESSED AS PART OF THE CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE SENIOR LEADERSHIP TEAMS ACCEPTED THE CHNA ADVISORY COMMITTEE'S RECOMMENDATIONS AND THE GOVERNING BOARD APPROVED, FOR BOTH CABRINI AND COUSHATTA, THE PRIORITIES CHOSEN WHEN IT APPROVED THE CHNAS ON APRIL 24, 2019.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - FACILITY REPORTING GROUP A. TO ENSURE COMMUNITY INPUT INTO THE CHNA, THE CHNA ADVISORY COMMITTEES RECOMMENDED A SLATE OF COMMUNITY LEADERS AND COMMUNITY HEALTH EXPERTS TO BE INTERVIEWED AS KEY INFORMANTS AND TO SERVE AS FOCUS GROUP MEMBERS FOR THE CHNA. IN ADDITION, THEY ASSISTED IN CREATING AN INVITATION LIST OF 53 COMMUNITY LEADERS AND COMMUNITY HEALTH EXPERTS TO ATTEND THE CHNA VALIDATION MEETING ON JANUARY 23, 2019. FOLLOWING THE VALIDATION MEETING, THE GROUPS MET ON FEBRUARY 12, 2019 FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND ON FEBRUARY 12, 2019 FOR CHRISTUS COUSHATTA HEALTHCARE CENTER, TO REVIEW THE RESULTS OF THE VALIDATION MEETING AND TO DETERMINE WHICH PRIORITY ISSUES WOULD BE PRESENTED TO THE HOSPITAL'S SENIOR LEADERSHIP FOR ADOPTION IN THE 2019-2022 CHIP. IN ADDITION, THE CHNA ADVISORY COMMITTEES MET PERIODICALLY THROUGHOUT THIS PROCESS. THE COMMITTEES WERE INVOLVED IN THE REVIEW OF ALL DATA COLLECTION MATERIALS DEVELOPED BY LPHI, INCLUDING A LIST OF RECOMMENDED QUANTITATIVE INDICATORS, THE KEY INFORMANT INTERVIEW GUIDE, AND THE FOCUS GROUP INTERVIEW GUIDE. EXTERNAL COMMUNITY ORGANIZATIONS AND PUBLIC HEALTH ENTITIES REPRESENTED IN KEY INFORMANT, FOCUS GROUP, AND/OR VALIDATION MEETING INPUT PROCESSES: (CABRINI AND COUSHATTA CONDUCTED A JOINT VALIDATION MEETING) RAPIDES FOUNDATION CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE CITY OF ALEXANDRIA LIONS CLUB LONGLEAF BEHAVIORAL HOSPITAL CENLA PREGNANCY CENTER FAITH HOUSE RAPIDES PARISH SCHOOL BOARD LSUA ROTARY CLUB ALEXANDRIA RAPIDES REGIONAL MEDICAL CENTER LOUISIANA CAMPAIGN FOR TOBACCO FREE LIVING RAPIDES FOUNDATION OFFICE OF PUBLIC HEALTH, REGION 6 UNITED WAY HOMELESS COALITION FOOD BANK MINISTERS OF ECONOMIC DEVELOPMENT ALLEGIANCE HOSPITALS DIOCESE OF ALEXANDRIA LOUISIANA RENC AVOYELLES HOSPITAL RAPIDES PARISH SHERIFF'S OFFICE CHNA ADVISORY COMMITTEE MEMBERS: JUDY DESHOTELS, CHAIRPERSON, VICE PRESIDENT MISSION INTEGRATION WITH MEMBERSHIP INCLUDING CHRISTUS ST FRANCES CABRINI AND CHRISTUS COUSHATTA HEALTHCARE CLINIC EXECUTIVE AND SENIOR LEADERS, AND VARIOUS DIRECTORS WHOSE AREAS WERE DIRECTLY RELATED TO ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA. KEY INFORMANT INTERVIEW PARTICIPANTS: CHRISTUS ST. FRANCES CABRINI HOSPITAL: DAVID BRITT (PRESIDENT, UNITED WAY) GABRIELLE JUNO (EXECUTIVE DIRECTOR, CENTRAL LOUISIANA AHEC) DR. MICHAEL DECAIRE (EXECUTIVE DIRECTOR, CENTRAL LA. HUMAN SERVICES DISTRICT) DR. DAVID HOLCOMBE (DIRECTOR, OFFICE OF PUBLIC HEALTH REGION 6) BILLY MCRAE (DIRECTOR, CHRISTUS COMMUNITY CLINICS ALEXANDRIA AND PINEVILLE) JOANN DERBONNE, RN (DIRECTOR, CHRISTUS SCHOOL BASED HEALTH CENTERS) JOSH BLACKWELL (REGIONAL DIRECTOR, VOLUNTEERS OF AMERICA CENTRAL LA.) CLARENCE FIELDS (MAYOR, PINEVILLE, LA.) ASHLEY STEWARD (RAPIDES FOUNDATION) PASTOR FRANK JACKSON (MINISTERS OF ECONOMIC DEVELOPMENT) EXECUTIVE DIRECTOR FROM CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE CHRISTUS COUSHATTA HEALTHCARE CLINIC: CONNIE MABILE (MABILE'S PHARMACY) LARRY LOUD (BIENVILLE HEALTH BOARD) FOCUS GROUP MEMBERSHIP: CHRISTUS ST. FRANCES CABRINI HOSPITAL: A FORMER RESIDENT AND CURRENT BOARD MEMBER OF HOPE HOUSE, THE DIRECTOR OF HOPE HOUSE, THE LA. CAMPAIGN TOBACCO FREE LIVING REGION 6 MANAGER, A RETIREE, AN MSW INTERN, A REPRESENTATIVE FROM THE CENTRAL LA HOMELESS COALITION, THE LEAD PA CABRINI ED, A CHRISTUS COMMUNITY CLINIC NURSE, A MEMBER OF THE MINISTERS OF ECONOMIC DEVELOPMENT, A HOSPITAL CHAPLAIN, A BOARD MEMBER FROM UNITED WAY OF CENTRAL LA. CHRISTUS COUSHATTA HEALTHCARE CLINIC: SCHOOL SYSTEM EMPLOYEE WHO WORKS WITH PARENTS AND FAMILIES, OCCUPATIONAL THERAPY SOLUTIONS, A RETIRED SCHOOLTEACHER FROM RINGGOLD ELEMENTARY, A DEACON WHO SERVES ON THE BOARD OF THE COUNCIL ON AGING, A COUNCILMEMBER FROM RINGGOLD, LA, A DEACON FROM THE LOCAL COMMUNITY, A HOSPITAL SOCIAL WORKER, A NURSE, A MEMBER OF COUNCIL ON AGING, MAYOR OF COUSHATTA, COUSHATTA CHIEF OF POLICE, A DIRECTOR OF HOME HEALTH, A NURSE AND ADVOCATE FOR THE ELDERLY, EMPLOYEE FROM THE SCHOOL BOARD, A PARISH SCHOOL NURSE, A RETIREE WHO DOES PARENT OUTREACH/ ENGAGEMENT FOR A LOCAL MENTORING PROGRAM, A SCHOOL BOARD MEMBER WHO ALSO SERVES AS THE HOMELESS (STUDENT) LIAISON A COMMUNITY PASTOR, A VETERAN, A FORMER EDUCATOR.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - FACILITY REPORTING GROUP A. CHRISTUS ST. FRANCES CABRINI HOSPITAL CHRISTUS COUSHATTA HEALTH CARE CENTER CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA SAVOY MEDICAL CENTER, MAMOU

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - FACILITY REPORTING GROUP A. LEADERSHIP FOR CHRISTUS HEALTH CENTRAL LOUISIANA WAS PROVIDED WITH A DRAFT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN JANUARY 2019. A VALIDATION MEETING WAS HELD WITH A GROUP OF EXPERTS ON JANUARY 23, 2019 COMPRISED OF BOTH CHRISTUS LEADERS AND LEADERS OF DIFFERENT ORGANIZATIONS AND COALITIONS SERVING THE AREA COMMUNITIES. THIS GROUP WAS TASKED WITH REVIEWING AND VALIDATING THE FINDINGS AND RANK-ORDERING THE SIGNIFICANT HEALTH NEEDS REPORTED IN THE DRAFT CHNA. THE CHNA ADVISORY COMMITTEES MET ON FEBRUARY 12, 2019 FOR CHRISTUS ST. FRANCES CABRINI HOSPITAL AND ON FEBRUARY 12, 2019 FOR CHRISTUS COUSHATTA HEALTH CARE CENTER. THE ADVISORY COMMITTEES REVIEWED THE FINDINGS FROM THE VALIDATION MEETING AND MADE DETERMINATIONS AS TO WHICH PRIORITY ISSUES WOULD BE SELECTED TO ADDRESS OVER THE NEXT THREE YEARS AS PART OF A COMMUNITY HEALTH IMPLEMENTATION PLAN. THE CHNA ADVISORY COMMITTEES TOOK A NUMBER OF THINGS INTO CONSIDERATION WHEN CHOOSING PRIORITIES. SOME PRIORITIES WERE SELECTED BASED ON ISSUE PREVALENCE AND SEVERITY ACCORDING TO PARISH AND REGIONAL SECONDARY DATA. INPUT PROVIDED BY KEY INFORMANTS, FOCUS GROUP PARTICIPANTS, AND OTHER COMMUNITY STAKEHOLDERS WAS ALSO HEAVILY CONSIDERED, ESPECIALLY FOR PRIORITY AREAS WHERE SECONDARY DATA WAS LESS AVAILABLE. THE ADVISORY COMMITTEES THEN MADE RECOMMENDATIONS TO THE SENIOR LEADERSHIP OF CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTHCARE CENTER ON WHICH PRIORITY ISSUES SHOULD BE ADDRESSED AS PART OF THE CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). BOTH SENIOR LEADERSHIP TEAMS ACCEPTED THE CHNA ADVISORY COMMITTEE'S RECOMMENDATIONS AND THE HOSPITAL GOVERNING BOARD APPROVED THE PRIORITIES CHOSEN WHEN IT APPROVED THE CHNA ON APRIL 24, 2019. BASED ON THE PROCESS DESCRIBED ABOVE, THE PRIORITY HEALTH NEEDS SELECTED BY CHRISTUS HEALTH CENTRAL LOUISIANA ARE: CHRISTUS ST. FRANCES CABRINI HOSPITAL: 1. MENTAL AND BEHAVIORAL HEALTH: PROVIDE INTERDISCIPLINARY CARE LED BY A BOARD-CERTIFIED PSYCHIATRIST FOR COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY FOR SERVICES. PROVIDE EARLY IDENTIFICATION AND APPROPRIATE CARE FOR INDIVIDUALS WHO HAVE A SUBSTANCE USE DISORDER. IDENTIFY AND OFFER SMOKING CESSATION SUPPORT TO ALL PATIENTS SEEN IN THE CHRISTUS COMMUNITY CLINICS IN ALEXANDRIA AND PINEVILLE AS WELL AS THE EMERGENCY DEPARTMENT. IDENTIFY AND PROVIDE RESOURCES TO HELP BEHAVIORAL HEALTH UNIT PATIENTS STOP SMOKING AND/OR USING NICOTINE PRODUCTS. SUB-ACTIONS WERE REVISED AND APPROVED BY THE BOARD THIS YEAR, WHILE THE ABOVE MAJOR ACTIONS REMAINED THE SAME. SUB-ACTION REVISIONS INCLUDED EXPOUNDING ON THE PROCESS FOLLOWED IN PROVIDING INTERDISCIPLINARY CARE AND DUE TO COVID RESTRICTIONS SHIFTING MORE FOCUS ON PATIENT CARE THEN STAFF EDUCATION. 2. CHRONIC DISEASES AND CONDITIONS - DIABETES: INCREASE THE NUMBER AND AVAILABILITY OF DIABETES SCREENINGS AS WELL AS DIABETES COMPLICATIONS SCREENINGS. RAISE AWARENESS OF AND INCREASE AVAILABILITY OF DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) AND HEALTHY LIFESTYLE EDUCATION. SUB-ACTIONS INCLUDE, WORKING WITH CHRISTUS SCHOOL BASED HEALTH CENTERS TO PROVIDE SCREENINGS AND MONITORING SERVICES FOR THE STUDENTS NEEDING CARE, AND PARTNERING WITH LOCAL ENTITIES AND HEALTH FAIRS TO PROVIDE EDUCATION AND SUPPORT. 3. ACCESS TO CARE: ENSURE PATIENTS HAVE ACCESS TO THE APPROPRIATE MEDICINES TO MEET THEIR MEDICAL NEEDS. INCREASE HEALTH LITERACY THROUGH PARTNERSHIPS IN EDUCATION. EXPAND SPECIALTY CARE TO THE MEDICAID AND UNINSURED POPULATION. ADDRESS THE COST OF CARE FOR PATIENTS IN OUR AREA. ADDRESS TRANSPORTATION NEEDS FOR PATIENTS. INCREASE COORDINATION OF CARE BETWEEN MULTIPLE PROVIDERS. COORDINATE CARE BETWEEN THE EMERGENCY DEPARTMENT OF THE HOSPITAL, CHRISTUS COMMUNITY CLINICS AND PRIMARY CARE PROVIDERS. CHRISTUS COUSHATTA HEALTH CARE CENTER: 1. ACCESS TO CARE: ESTABLISH CHEMOTHERAPY OUTPATIENT IV INFUSION CENTER AT CHRISTUS COUSHATTA. RECRUIT AN ENT PROVIDER TO OFFER SERVICES FOR THE LOCAL COMMUNITY. ADDRESS TRANSPORTATION NEEDS FOR PATIENTS. EXPAND 340B DISCOUNTS TO PATIENTS THROUGH THE CHRISTUS COMMUNITY CLINIC OF BOYCE. EXPAND SCHOOL-BASED SERVICES THROUGH A TELEMEDICINE PROGRAM. ENHANCE THE EXISTING DIABETES EDUCATION PROGRAM TO EXPAND REACH AND IMPACT. 2. SOCIAL DETERMINANTS OF HEALTH: IMPROVE TRANSPORTATION OPTIONS FOR PATIENTS TO PROMOTE UTILIZATION OF HEALTHCARE SERVICES AND IMPROVEMENT OF HEALTH OUTCOMES. IDENTIFY COMMUNITY RESOURCES AND SHARE WITH COMMUNITY STAKEHOLDERS. 3. MENTAL AND BEHAVIORAL HEALTH: RECRUIT A MENTAL HEALTH NURSE PRACTIONER FOR THE RURAL HEALTH CLINIC LOCATED IN COUSHATTA TO EXPAND MENTAL HEALTH SERVICES TO THE LOCAL POPULATION. WORK WITH THE GERI-PSYCH MANAGEMENT COMPANY TO IDENTIFY POTENTIAL PATIENTS WHO DO NOT MEET THEIR AGE LIMITS AND REQUIREMENTS. IMPROVE TRANSPORTATION OPTIONS FOR PATIENTS SEEKING MENTAL AND BEHAVIORAL HEALTH CARE. OTHER COMMUNITY NEEDS THAT CANNOT BE ADDRESSED: IN AN EFFORT TO MAXIMIZE ANY RESOURCES AVAILABLE FOR THE DETERMINED ABOVE MENTIONED PRIORITY AREAS, THE CHNA ADVISORY COMMITTEE AND EXECUTIVE LEADERS OF THE FACILITIES LISTED, DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP): - CHRISTUS ST. FRANCES CABRINI HOSPITAL: SOCIAL DETERMINANTS OF HEALTH, CANCER, STROKE, WATER QUALITY, INFANT MORTALITY, AND SEXUAL HEALTH. - CHRISTUS COUSHATTA HEALTH CARE CENTER: CANCER, STROKE, CHRONIC DISEASE, QUALITY OF WATER, INFANT MORTALITY, AND SEXUAL HEALTH. WHILE ALL EXCLUDED PRIORITY AREAS DISCUSSED ARE OF COMMUNITY CONCERN AND IMPORTANT ISSUES, CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER DETERMINED THERE ARE OTHER HEALTH CARE FACILITIES AND ORGANIZATIONS IN THE REGION WHO ARE BETTER EQUIPPED, ARE ALREADY ADDRESSING THESE NEEDS, POSSESS MORE SPECIALIZED RESOURCES, AND/OR HAVE DESIGNATED RESOURCES AT THEIR DISPOSAL TO SPECIFICALLY ADDRESS THESE NEEDS. VIEW APPENDIX C IN THE SEPARATE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT FOR A LIST OF LOCAL ORGANIZATIONS AND COMMUNITY ASSETS MENTIONED BY STAKEHOLDERS.

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

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

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

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

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

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

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

Schedule H, Part VI, Line 7 COMMUNITY BENEFIT REPORT
ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015 WITH 2017 UPDATE. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. CHRISTUS HEALTH'S NON-PROFIT HOSPITALS LOCATED IN TEXAS FILE A COMMUNITY BENEFIT REPORT IN THE STATE OF TEXAS. THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AND AN ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN ARE FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS), AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN STANDARDIZED FORMAT.

Schedule H, Part I, Line 7 COSTING METHODOLOGY
LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS

Schedule H, Part II COMMUNITY BUILDING ACTIVITIES
THE COMMUNITY BUILDING ACTIVITIES REPORTED AT SCHEDULE H, PART II INCLUDE INNER CITY REVITALIZATION PROJECTS, LEADERSHIP DEVELOPMENT, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. ADVOCACY EFFORTS FOCUS ON THE NEEDS OF CHILDREN, SENIORS AND OTHER VULNERABLE POPULATIONS, AND THEY WORK TO PROMOTE PROGRAMS SUCH AS HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION OF CANCER AND HEART DISEASE AS WELL AS IMMUNIZATIONS.

Schedule H, Part I, Line 7f BAD DEBT EXPENSE
PERCENT OF TOTAL EXPENSE FORM 990, PART IX, LINE 25, COLUMN (A) IS $361,801,672 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $9,456,434. THIS LEAVES A TOTAL EXPENSE OF $352,345,238 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).

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

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

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

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
9456434

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

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.

Schedule H, Part V, Section B, Line 16a FAP website
A - CHRISTUS ST FRANCES CABRINI HOSPITAL: Line 16a URL: SEE SUPPLEMENTAL INFO;

Schedule H, Part 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, 2022, 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. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2022. THUS, THE ORGANIZATION ESTIMATES THAT ONLY .6416% 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, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.

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

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

Schedule H, Part V, Section B, Line 16b FAP Application website
A - CHRISTUS ST FRANCES CABRINI HOSPITAL: Line 16b URL: SEE SUPPLEMENTAL INFO;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - CHRISTUS ST FRANCES CABRINI HOSPITAL: Line 16c URL: SEE SUPPLEMENTAL INFO;

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

Schedule H, Part VI, Line 2 Needs assessment
THE CHNA REPORT CONTAINS SECONDARY DATA FROM EXISTING SOURCES, SUCH AS THE AMERICAN COMMUNITY SURVEY (ACS), BEHAVIOR RISK FACTOR SURVEILLANCE SURVEY (BRFSS), LOUISIANA TUMOR REGISTRY, AND DATA FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS, AMONG OTHERS. THIS REPORT ALSO INCLUDES INPUT FROM KEY INFORMANTS IN THE REGION, PARTICULARLY THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH, THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL, AND/OR VULNERABLE POPULATIONS IN THE COMMUNITIES SERVED BY THE HOSPITAL. THIS INPUT WAS GATHERED THROUGH INDIVIDUAL INTERVIEWS, FOCUS GROUP DISCUSSIONS, A PUBLICALLY ADVERTISED COMMUNITY VALIDATION MEETING, AND CHNA ADVISORY COMMITTEE MEETINGS. AS A RESULT, THREE COMMUNITY HEALTH NEEDS WERE IDENTIFIED FOR BOTH FACILITIES AS TOP PRIORITIES. THESE PRIORITIES WERE SELECTED BASED OFF OF ISSUE PREVALENCE AND SEVERITY ACCORDING TO PARISH AND REGIONAL SECONDARY DATA IN ADDITION TO THE STAKEHOLDER INPUT PROVIDED. THE TOP NEEDS IDENTIFIED THROUGH THE PROCESS ARE AS FOLLOWS: ACCESS TO CARE, CHRONIC DISEASES - DIABETES, AND MENTAL AND BEHAVORIAL HEALTH FOR CSFCH AND ACCESS TO CARE, SOCIAL DETERMINANTS AND MENTAL AND BEHAVORIAL HEALTH FOR CCHC. CHRISTUS HEALTH CENTRAL LOUISIANA WORKS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, ESPECIALLY THE VULNERABLE AND UNDERSERVED, UNINSURED AND UNDERINSURED POPULATIONS. THIS IS ACCOMPLISHED THROUGH THE CHNA AND CHIP AS WELL AS ONGOING RELATIONSHIPS AND COLLABORATIONS WITH COMMUNITY ORGANIZATIONS, SUCH AS CHURCHES, AGENCIES, LOCAL COLLEGE PROGRAMS, STATE INDIGENT PROGRAMS, UNITED WAY, HOPE HOUSE, MANNA HOUSE, CENTRAL LOUISIANA HEALTHY COMMUNITY COALITION, FOOD BANK OF CENTRAL LOUISIANA, LOCAL PHARMACIES, LOCAL SCHOOL SYSTEMS, MINISTERS OF ECONOMIC DEVELOPMENT, HOMELESS COALITION OF CENTRAL LOUISIANA, THE SALVATION ARMY, OFFICE OF PUBLIC HEALTH REGION VI, AND VARIOUS OTHER ORGANIZATIONS AND NON-PROFIT AGENCIES. IN RESPONSE TO THE CORONAVIRUS PANDEMIC, CSFCHS WORKED WITH THE OFFICE OF PUBLIC HEALTH, NON-PROFIT ORGANIZATIONS AND LOCAL CHURCHES IN OFFERING TESTING AS WELL AS VACCINATIONS TO THE MOST VUNERABLE NEIGHBORHOODS AND POPULATIONS.

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

Schedule H, Part VI, Line 4 Community information
BASED ON OUR 2019 CHNA, CLA COVERS THE PARISHES OF ALLEN, AVOYELLES, BIENVILLE, EVANGELINE, GRANT, RAPIDES, RED RIVER, VERNON. ACCORDING TO CENSUS TRACTS OF 2020 AS STATED THROUGH THE METOPIO POPULATION HEALTH ONLINE DATA TOOL,THE TOTAL POPULATION OF THESE EIGHT PARISHES WAS 316,336. ACCORDING TO THE 2013-2017 FIVE YEAR AMERICAN COMMUNITY SURVEY (ACS) CENTRAL LOUISIANA WAS 55.3% RURAL, 25.0% URBAN, AND 19.7% SUBURBAN WITH RAPIDES BEING THE ONLY DESIGNATED URBAN PARISH IN THE REGION. IN THE CENTRAL LOUISIANA REGION, 84% OF NINTH GRADERS GRADUATED HIGH SCHOOL IN 4 YEARS, WHICH WAS ABOVE BOTH THE LOUISIANA AND U.S. PERCENTAGE. HOWEVER, LESS THAN HALF (44%) OF ADULTS AGES 25-44 HAD SOME POST-SECONDARY EDUCATION ACROSS THE REGION, WHICH WAS FAR BELOW THE STATE AVERAGE AT 56% AND U.S. AT 65%. APPROXIMATELY ONE IN THREE CHILDREN UNDER 18 WERE IN POVERTY ACROSS THE REGION. SINCE 2016, UNITED WAY HAS PRODUCED AN ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) REPORT FOR LOUISIANA. IN THE REGION, OVER HALF OF HOUSEHOLDS (52%) DID NOT MEET THE ALICE THRESHOLD. THE ALICE THRESHOLD IS THE AVERAGE INCOME A HOUSEHOLD NEEDS TO AFFORD THE BASIC NECESSITIES.

Schedule H, Part VI, Line 5 Promotion of community health
THE CENTRAL LOUISIANA REGION OF CHRISTUS HEALTH RESPONDS TO COMMUNITY NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS ST. FRANCES CABRINI HOSPITAL IN ALEXANDRIA, LA, A 293-BED FACILITY; CHRISTUS COUSHATTA HEALTH CARE CENTER IN COUSHATTA, LA, A 25-BED CRITICAL ACCESS HOSPITAL. ALL TWO FACILITIES IN THIS REGION SHARE ONE OBJECTIVE OF LEADING THE WAY TOWARD HEALTHIER COMMUNITIES. CHRISTUS HEALTH CENTRAL LOUISIANA'S OTHER HEALTH CARE FACILITIES INCLUDE PARTIAL OWNERSHIP OF CHRISTUS CABRINI SURGERY CENTER; CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA; CHRISTUS HOSPICE AND PALLIATIVE CARE ST. FRANCES CABRINI; AND CENTRAL LOUISIANA SURGICAL HOSPITAL. CHRISTUS HEALTH CENTRAL LOUISIANA ACTIVELY PARTNERS WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. THE ORGANIZATION PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND PROVIDES ITS HEALTH CARE SERVICES WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE, OR NATIONAL ORIGIN. BOTH CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS COUSHATTA HEALTH CARE CENTER PROVIDE A 24 HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ST. FRANCES CABRINI HOSPITAL IS THE ONLY CANCER CENTER IN CENTRAL LOUISIANA TO OFFER COMPREHENSIVE CANCER CARE IN A HOSPITAL SETTING. CHRISTUS ST. FRANCIS CABRINI FOLLOWS THE SAME NATIONAL COMPREHENSIVE CANCER NETWORK GUIDELINES AS THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER. CHRISTUS ST. FRANCES CABRINI WORKS TO LEAD CENTRAL LOUISIANA IN CARDIAC SERVICES, OFFERING A COMPLETE RANGE OF CARDIAC DIAGNOSTIC SERVICES INCLUDING CTA, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, AND ELECTROPHYSIOLOGY TO HELP AIDE THE WORK OF THE OFFICE OF PUBLIC HEALTH AT THE LOCAL MEGA-SHELTER FOR HURRICANE IDA EVACUEES CHRISTUS ST. FRANCES CABRINI HOSPITAL DONATED MEDICAL SUPPLIES UTILIZED FOR THE CARE OF EVACUEES NEEDING MEDICAL ATTENTION AND HELP THE OVERWHELMED STAFF. CHRISTUS COUSHATTA HEALTH CARE CENTER ALSO OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING MINOR SURGERY; DAY SURGERY; CARDIOLOGY; DIABETES CARE; RESPIRATORY THERAPY; RADIOLOGY; PHYSICAL THERAPY; GYNECOLOGY; EAR, NOSE, AND THROAT SERVICES; INFUSION THERAPY; ADULT PSYCHIATRIC SERVICES; ONCOLOGY; HEMATOLOGY; WOUNDCARE; AND PODIATRY. CHRISTUS CENTRAL LOUISIANA OFFERED MORE THAN $182,480 IN HEALTH PROFESSIONS EDUCATION DURING FY 2022 INCLUDING CLINICAL ROTATIONS AND TRAINING FOR LABORATORY STUDENTS, EDUCATION AND CLINICAL EXPERIENCE FOR RADIOLOGY STUDENTS AND SUPERVISION, MENTORING, PRECEPTING AND ROTATIONS FOR NURSING STUDENTS IN THEIR CLINICAL STUDIES. CHRISTUS ST. FRANCES CABRINI HOSPITAL ALSO PROVIDES MANY FREE HEALTH SCREENINGS AND HEALTH EDUCATION FOR LOCAL ORGANIZATIONS, BUSINESSES, SCHOOLS, AND COMMUNITY GROUPS IN REGARD TO SUCH TOPICS AS DIABETES, PROSTATE CANCER, COLORECTAL CANCER, AND OTHERS. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDSBACK IN THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2022, CHRISTUS HEALTH ADVOCATED FOR IMPROVED POLICIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. AS A NON-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING A CROSS-SECTION OF THE STATE SERVED GUIDES CHRISTUS HEALTH CENTRAL LOUISIANA. THE HOSPITAL'S OPEN MEDICAL STAFF IS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK TO PROVIDE CARE TO COMMUNITIES IN CENTRAL LOUISIANA. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN THESE HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS CENTRAL LOUISIANA ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS.

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