TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CHRISTOPHER KARAM...................................................................... SVP/REGIONAL CHIEF EXECUTIVE OFFICER	13.0 ................. 27.0	X	X		1,324,227	55,752
(2) MONTE A WILSON...................................................................... CHIEF EXECUTIVE OFFICER/PRESIDENT	40.0 ................. 0.0	X	X		852,382	64,873
(3) ALOYSIA C DUCOTE...................................................................... Director	1.0 ................. 2.0	X			0	0
(4) Fadi Nasrallah MD...................................................................... Director	5.0 ................. 35.0	X			1,550,104	28,195
(5) SISTER HELENA ADAKU OGBUJI...................................................................... Director	1.0 ................. 2.0	X			0	0
(6) Audrey Webber...................................................................... Regional Corporate Secretary (TERM 12/24)	10.0 ................. 30.0		X		56,397	5,717
(7) Jason Miller...................................................................... CHIEF FINANCIAL OFFICER	40.0 ................. 0.0		X		395,931	1,467
(8) SONIA ACOSTA...................................................................... Corporate Secretary (EFF 1/25, TERM 12/25)	20.0 ................. 20.0		X		25,472	170
(9) Andrew Furman...................................................................... CHIEF MEDICAL OFFICER	40.0 ................. 0.0			X	276,725	13,080
(10) Brandon Hillman...................................................................... Administrator Coushatta	40.0 ................. 0.0			X	220,464	42,714
(11) Brian Denton...................................................................... President Savoy Medical Center	40.0 ................. 0.0			X	173,082	3,611
(12) D KIRK SOILEAU...................................................................... CHIEF EXECUTIVE OFFICER - Nachitoches	40.0 ................. 0.0			X	495,073	63,815
(13) HEATHER LEE...................................................................... VP PATIENT PLACEMENT	40.0 ................. 0.0			X	210,432	35,130
(14) John Anthony...................................................................... Associate CHIEF INVESTMENT OFFICER	40.0 ................. 0.0			X	230,116	41,145
(15) MICHELLE AGUILLARD...................................................................... VP HUMAN RESOURCES	40.0 ................. 0.0			X	358,557	53,017
(16) PATRICK BRAQUET...................................................................... VP MISSION INTEGRATION	40.0 ................. 0.0			X	168,358	45,394
(17) SHANNON FORREST...................................................................... CHIEF NURSING OFFICER	40.0 ................. 0.0			X	277,475	50,482

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization Christus Health Central Louisiana

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization Christus Health Central Louisiana		Employer identification number 72-0408984

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization Christus Health Central Louisiana			Employer identification number 72-0408984
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

10,292

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

10,292

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B LOBBYING DESCRIPTION	HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH CENTRAL LOUISIANA BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES.
Schedule C, Part II-B LINES 1d and 1g	DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY At the state level CHRISTUS Health Central Louisiana leadership had direct contact with members of the Louisiana Legislature and administration officials, through emails, telephone calls, and in person meetings to discuss issues important to their ministries. These issues include, but are not limited to, legislation on prior authorization, workers compensation, physician credentialing, hospital financing, and the state budget. At the federal level, CHRISTUS Health Central Louisiana leadership had direct contact with members of the Congress and administration officials, through written and in-person communications, to discuss issues important to our ministry. These issues include, but are not limited to, issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, violence against healthcare workers, women's health, budget proposals, reconciliation, provider taxes, non-profit status, and health care and insurance for retired services, and their families. 36 EXECUTIVE HOURS

Return Reference

Explanation

Schedule C, Part II-B LOBBYING DESCRIPTION

HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND CHRISTUS HEALTH CENTRAL LOUISIANA BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES.

Schedule C, Part II-B LINES 1d and 1g

DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY At the state level CHRISTUS Health Central Louisiana leadership had direct contact with members of the Louisiana Legislature and administration officials, through emails, telephone calls, and in person meetings to discuss issues important to their ministries. These issues include, but are not limited to, legislation on prior authorization, workers compensation, physician credentialing, hospital financing, and the state budget. At the federal level, CHRISTUS Health Central Louisiana leadership had direct contact with members of the Congress and administration officials, through written and in-person communications, to discuss issues important to our ministry. These issues include, but are not limited to, issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, violence against healthcare workers, women's health, budget proposals, reconciliation, provider taxes, non-profit status, and health care and insurance for retired services, and their families. 36 EXECUTIVE HOURS

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	13,052,174		13,052,174
b	Buildings ....	187,659,873	129,467,123	58,192,750
c	Leasehold improvements	10,732,189	7,904,630	2,827,559
d	Equipment ....	170,211,141	121,269,483	48,941,658
e	Other .....	12,402,783	7,842,274	4,560,509
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				127,574,650

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	151,069
Federal Income Taxes	151,069
LEASE LIABILITIES	1,130,286
OTHER TAXES	543,740






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,825,095
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2025 OR 2024.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			9,057,426		9,057,426	2.164 %
b	Medicaid (from Worksheet 3, column a) . . . . .			63,924,186	86,923,062	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	72,981,612	86,923,062	9,057,426	2.164 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	10	17,159	1,200,196	0	1,200,196	0.287 %
f	Health professions education (from Worksheet 5) . . .	3	3,956	184,074	600	183,474	0.044 %
g	Subsidized health services (from Worksheet 6) . . . .	2	330	27,479	0	27,479	0.007 %
h	Research (from Worksheet 7) .	0	0	0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4		7,457,792	0	7,457,792	1.782 %
j	Total. Other Benefits . .	19	21,445	8,869,541	600	8,868,941	2.119 %
k	Total. Add lines 7d and 7j .	19	21,445	81,851,153	86,923,662	17,926,367	4.283 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development	1		1,640		1,640	0 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building	1		14,006		14,006	0.003 %
7	Community health improvement advocacy	2		26,553		26,553	0.006 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	4	0	42,199	0	42,199	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

8,693,464

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

50,759

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

107,347,511

Enter Medicare allowable costs of care relating to payments on line 5.....

104,332,174

Subtract line 6 from line 5. This is the surplus (or shortfall)........

3,015,337

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1CHRISTUS CABRINI SURGERY CENTER LLC	SURGERY CENTER	42.45 %	0 %	31.4 %
2CENTRAL LA SURGICAL HOSPITAL	SURGICAL HOSPITAL	51 %	0 %	39 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	CHRISTUS ST FRANCES CABRINI HOSPITAL 3330 MASONIC DRIVE ALEXANDRIA,LA71301 https://www.christushealth.org/locations/cabrini 234	X	X		X	A
2	CHRISTUS COUSHATTA HEALTH CARE CENTER 1635 MARVEL STREET COUSHATTA,LA71019 https://www.christushealth.org/locations/coushatta 551			X	X	A

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 25

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): The URL for the Community Health Needs Assessments for Christus St. Frances Cabrini Hospital System

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 25

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): The URL for the Community Health Improvement Plan for Christus St. Frances Cabrini Hospital System i

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL INFO

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL INFO

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY'S MOST RECENT CHNA REPORT INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - FACILITY REPORITNG GROUP A. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT WAS COMPLETED, AND THE MINISTRY CEO/PRESIDENT AND EXECUTIVE LEADERSHIP TEAM REVIEWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON SEPTEMBER 9, 2025 (RATIFICATION DATE). THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY ACROSS CENTRAL LOUISIANA. FOR THIS COMPONENT, CHRISTUS ST. FRANCES CABRINI HEALTH SYSTEM CONDUCTED ITS CHNA USING A STRUCTURED, DATA DRIVEN PROCESS THAT INCORPORATED A LIFESPAN BASED FRAMEWORK. MORE THAN 660 SURVEYS WERE COMPLETED AND ANALYZED AS PART OF THE CHNA PROCESS. PRIMARY DATA WAS COLLECTED THROUGH MULTIPLE CHANNELS, INCLUDING: 1. COMMUNITY SURVEYS: DISTRIBUTED TO COMMUNITY RESIDENTS, PATIENTS, AND CHRISTUS ASSOCIATES TO GATHER INSIGHTS ON HEALTH CHALLENGES, BARRIERS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH ACROSS THE SERVICE AREA. 2. COMMUNITY FOCUS GROUPS AND STAKEHOLDER ENGAGEMENT: ENGAGED COMMUNITY MEMBERS AND ORGANIZATIONS REPRESENTING A BROAD RANGE OF INTERESTS, INCLUDING HEALTH CARE PROVIDERS, FAITH BASED ORGANIZATIONS, EDUCATORS, AND SOCIAL SERVICE AGENCIES, TO CONTEXTUALIZE DATA AND VALIDATE FINDINGS THROUGH LIVED EXPERIENCE. 3. WINDHSIELD SURVEYS: OFFERED DIRECT OBSERVATION OF COMMUNITY ENVIRONMENTS TO IDENTIFY PHYSICAL AND SOCIAL DETERMINANTS OF HEALTH IMPACTING COMMUNITY WELL BEING. SECONDARY DATA FOR THE CHNA WAS AGGREGATED AND ANALYZED AND INCLUDED: 1. HOSPITAL UTILIZATION AND INTERNAL HEALTH SYSTEM DATA. 2. PUBLICLY AVAILABLE SECONDARY SOURCES, INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, U.S. CENSUS DATA, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND STATE AND LOCAL PUBLIC HEALTH DATA SOURCES. INFORMATION FROM PRIMARY AND SECONDARY SOURCES WAS ANALYZED COLLECTIVELY TO IDENTIFY, VALIDATE, AND PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, WHICH ARE ORGANIZED ACROSS MATERNAL AND EARLY CHILDHOOD HEALTH, SCHOOL AGE CHILDREN AND ADOLESCENT HEALTH, ADULT HEALTH, AND OLDER ADULT HEALTH.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED IN PARTNERSHIP WITH: CHRISTUS ST. FRANCES CABRINI HOSPITAL; CHRISTUS COUSHATTA HEALTH CARE CENTER; AND CHRISTUS SAVOY MEDICAL CENTER.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. 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. CHRISTUS ST. FRANCES CABRINI HEALTH SYSTEM COMPLETED ITS PREVIOUS CHNA (FY2022) ON JUNE 30, 2022. WHICH WAS IN EFFECT ALONG WITH ITS IMPLEMENTATION STRATEGY FOR A THREE-YEAR PERIOD FY2023-FY2025). For this cycle, CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center are using a new structure for the identified needs, categorizing them under two domains with the overarching goal of achieving health equity. While the prioritization structure is new, CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center retained mental health as a priority issue from the previous CHNA. In this cycle, CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center unpacked "chronic illness specifically call out diabetes, heart disease and obesity. Newly identified issues include substance abuse, food access, reducing smoking and vaping and childhood well-being. Based on community input and analysis of a myriad of data, the priorities for the communities served by CHRISTUS St. Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center for Fiscal Years 2023-2025 fall into two domains underneath an overarching goal of achieving health equity. The two domains and corresponding health needs are: CHRISTUS St. Frances Cabrini Hospital: I. Advance Health and Wellbeing by addressing A. Specialty Care and Chronic Illness (Diabetes, Obesity and Heart Disease) 1. Provide screening and education opportunities about heart disease, diabetes - Expand free/subsidized screenings that include education components - Continue community education initiatives focused on chronic disease prevention 2. Empower community members to manage their heart disease, obesity and diabetes - CSFCHS Sponsored Health Fairs with the Holistic Approach to better health including healthy eating, healthy lifestyle changes, and managing health 3. Increase access to primary care - Assist patients with healthcare navigation - Encourage patients to establish care with a primary care physician - Support Education on Medications 4. Reduce inequities caused by cultural barriers to care - Train healthcare staff in cultural competency, shared decision-making and plain language B. Behavioral Health 1. Mental health - Provide early identification, resources, and follow-up care to mental health patients - Provide mental health risk screenings and referrals in School Based Health Centers - Provide screenings and treatment for depression to populations that face disparities in care C. Children's Health 1. Pediatric Access - All students enrolled in schools with SBHCs will have access to pediatric care, services and referrals as needed. 2. Expanding through partnerships, eye and dental services for students in schools with SBHCs II. Build Resilient Communities and Improve Social Determinants by A. Improving food access 1. Cultivate and maintain partnerships to improve access to health food in food deserts - Working with Local Organizations such as the Food Bank and Louisiana Central to ensure greater access to Healthy Choices Foods, through events such as CSFCH sponsored Health Fairs 2. Provide nutrition education for patients - Through Diabetes Care & Education, CHRISTUS Trinity Clinics and IWCC, patients will receive nutrition and healthy cooking education to improve social determinants 3. Provide resources - Promotion of Food Prescription, SNAP, Home Food Delivery and Community Garden (SBHCs) programs to patients throughout the CSFCHS PSA B. Reducing Smoking and Vaping 1. Increasing awareness of smoking and vaping effects - Providing Education through SBHCs and working with non-profits in partnerships to education the community and local schools on the dangers of smoking, vaping and cessation resources CHRISTUS St Frances Cabrini Hospital and CHRISTUS Coushatta Health Care Center acknowledge the wide range of priority health issues that emerged from the CHNA process and determined that it could effectively focus on only those health needs which are the most pressing, under- addressed and within its ability to influence. CHRISTUS St. Frances Cabrini Hospital does not intend to address the following health needs at this time but may address them within the three-year cycle: * Early Education * Reducing Smoking and Vaping CHRISTUS Coushatta Health Care Center does not intend to address the following health needs at this time but may address them in the three-year cycle: * Behavioral Health * Children's Health * Improving Food Access These implementation plans specify community health needs that the hospitals, in collaboration with community partners, has determined to address. The hospitals reserve the right to amend this implementation strategy as circumstances warrant. For example, certain needs may become more pronounced and require enhancements to the described strategic initiatives. During these three years, other organizations in the community may decide to address certain needs, indicating that the hospital then should refocus its limited resources to best serve the community. The most recent CHNA (FY 2025) informing the FY2026-FY2028 implementation strategy for CHRISTUS St.Frances Cabrini Health System identified significant community health needs across the lifespan. Based on community input and data analysis, priority needs include chronic disease prevention and management, behavioral health needs (including mental health and substance use), access to specialty and primary care services, and key social determinants of health such as food access and healthrelated behaviors. The CHNA uses a lifespanbased framework (addressing maternal and early childhood, schoolage, adult, and olderadult populations) and emphasizes improving access to care, strengthening prevention efforts, and addressing underlying social and behavioral factors to improve health outcomes and reduce disparities.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. 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/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 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 (Form 990) 2024

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 22 MAXIMUM AMOUNTS THAT CAN BE CHARGED	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/25 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% OF THE FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part V, Section B, Line 17 EXTRAORDINARY COLLECTION ACTIONS	THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11.
Schedule H, Part 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 7k PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $427,218,325. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $8,693,464. THIS LEAVES A TOTAL EXPENSE OF $418,524,861 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/v2financial-assistance-application.ashx
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx
Schedule H, Part I, Line 7k FIN ASSISTANCE/ OTHER BENEFITS AS A PERCENTAGE OF COST	THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE, AS REPORTED IN PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF THE TOTAL EXPENSE, IS 4.2%, WHICH EXCEEDS THE AMOUNT REPORTED IN PART I, LINE 7K, COLUMN (F), WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part I, Line 7b UNREIMBURSED MEDICAID	THE HOSPITAL REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES.
Schedule H, Part VI, Line 7 CASH AND INKIND CONTRIBUTIONS	THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $305,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS HEALTH CENTRAL LOUISIANA. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS HEALTH CENTRAL LOUISIANA SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY.
Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 20 NOTIFICATION OF FINANCIAL ASSISTANCE POLICY	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 VI REV. PROC. 2015-21 DISCLOSURE	COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADOPTION AND PUBLIC AVAILABILITY SECTION 501(R)(3) REQUIRES EACH HOSPITAL FACILITY TO CONDUCT A CHNA AT LEAST ONCE EVERY THREE YEARS AND TO MAKE THE CHNA REPORT WIDELY AVAILABLE TO THE PUBLIC. A CHNA IS TREATED AS CONDUCTED ONLY AFTER ALL REQUIRED STEPS ARE COMPLETED, INCLUDING ADOPTION OF THE CHNA REPORT BY AN AUTHORIZED BODY AND MAKING THE CHNA REPORT WIDELY AVAILABLE (INCLUDING VIA WEBSITE POSTING). THE HOSPITAL'S THREE-YEAR CHNA PERIOD ENDED ON JUNE 30, 2025. THE CHNA REPORT FOR THE HOSPITAL WAS COMPLETED AND REVIEWED BY ITS CEO/PRESIDENT AND EXECUTIVE LEADERSHIP TEAM PRIOR TO JUNE 30, 2025. HOWEVER, FORMAL RATIFICATION BY THE HOSPITAL'S BOARD OF DIRECTORS OF THE CHNA REPORT'S ADOPTION OCCURRED SUBSEQUENTLY ON SEPTEMBER 9, 2025, AND THE HOSPITAL POSTED THE RATIFIED CHNA REPORT ON THEIR WEBSITES AS SOON AS PRACTICABLE THEREAFTER. ON SEPTEMBER 8, 2025, CHRISTUS HEALTH IDENTIFIED THAT THE HOSPITAL'S BOARD OF DIRECTORS PROVIDED RATIFICATION OF THE CHNA REPORT'S ADOPTION, AND THE CORRESPONDING PUBLIC POSTING OF THE RATIFIED CHNA REPORT, OCCURRED AFTER THE END OF THE JUNE 30, 2025 THREE-YEAR CHNA PERIOD. CHRISTUS HEALTH DETERMINED THAT RESPONSIBLE ASSOCIATES HAD INCORRECTLY ASSUMED THAT COVID-ERA IRS RELIEF EXTENDING CERTAIN §501(R)(3) CHNA-RELATED DEADLINES CONTINUED TO APPLY AND PERMITTED ADDITIONAL TIME TO COMPLETE THE REMAINING CHNA-RELATED STEPS. HOWEVER, TREASURY REGS. 1.501(R)-3(A)(2) AND 1.501(R)-1(B)(4)(I) REQUIRE ADOPTION OF THE CHNA REPORT BY THE HOSPITAL'S GOVERNING BODY (OR A PROPERLY DELEGATED AUTHORIZED BODY), AND NO DELEGATION OF AUTHORITY HAD BEEN MADE BY THE HOSPITAL'S GOVERNING BODY (ITS BOARD OF DIRECTORS) FOR EXECUTIVE LEADERSHIP TO ADOPT THE CHNA REPORT IN LIEU OF THE BOARD OF DIRECTORS. EXECUTIVE LEADERSHIP APPROVAL OF THE CHNA REPORT WAS RATIFIED BY THE HOSPITAL'S BOARD OF DIRECTORS ON SEPTEMBER 9, 2025. UPON IDENTIFICATION OF THE TIMING ISSUE, CHRISTUS HEALTH PROMPTLY IMPLEMENTED CORRECTIVE ACTIONS. THESE ACTIONS INCLUDED CONFIRMING THAT FORMAL GOVERNING-BODY ADOPTION/RATIFICATION HAD OCCURRED, ENSURING THAT THE RATIFIED CHNA REPORTS WERE POSTED AND PUBLICLY ACCESSIBLE ON THE APPLICABLE HOSPITAL'S WEBSITE, AND ADDING CLARIFYING LANGUAGE WITHIN THE CHNA REPORT DESCRIBING THE TIMING OF EXECUTIVE LEADERSHIP REVIEW (PRIOR TO JUNE 30, 2025) AND THE DATE OF FORMAL BOARD OF DIRECTOR APPROVAL (SEPTEMBER 9, 2025). ALL RELATED CHNA IMPLEMENTATION STRATEGIES WERE APPROVED BY THE HOSPITAL'S BOARD OF DIRECTORS ON SEPTEMBER 9, 2025, PRIOR TO THE NOVEMBER 15, 2025 DEADLINE. CHRISTUS HEALTH IS NOT AWARE OF ANY INDIVIDUALS WHO WERE ADVERSELY AFFECTED BY THE BOARD OF DIRECTORS' DELAY IN RATIFYING THE ADOPTION OF THEIR RESPECTIVE HOSPITAL'S CHNA REPORT. TO PREVENT RECURRENCE, CHRISTUS HEALTH HAS ENHANCED INTERNAL COMPLIANCE PROCEDURES FOR ITS HOSPITAL FACILITIES BY ESTABLISHING FORMAL APPROVAL PROCESSES AND TIMELINES, CLARIFYING RESPONSIBILITY FOR MONITORING SECTION 501(R) DEADLINES, AND DOCUMENTING GOVERNING-BODY APPROVALS AND ANY DELEGATED AUTHORITY FOR APPROVAL OF FUTURE CHNA REPORTS AND IMPLEMENTATION STRATEGIES.
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT - CONTINUED 2	Community Focus Groups: To better understand local health needs, CHRISTUS Health held community focus groups with people from all walks of life - case managers, students, church members, front-line staff and residents. These sessions took place at familiar community gatherings and were offered in multiple languages to make participation easier and more inclusive. Using data from earlier work sessions as a starting point, participants shared how health issues show up in their lives and communities. Their stories added depth and context to the numbers, helping us see the full picture and ensuring community voices directly shaped the health priorities moving forward. Windshield Survey: In addition to other data methods, CHRISTUS Health used windshield surveys to better understand the physical and social conditions of our communities. This involved driving through neighborhoods to observe things like housing, green spaces, transportation and overall community upkeep, factors that aren't always visible in the data. These surveys gave a clearer picture of how the environment helps or hinders health and well-being and allowed us to connect what we see with how people live. These insights help ensure our assessment reflects both the numbers and the everyday realities in the places we serve. COMMUNITY INDICATOR WORKGROUP PARTICIPANTS Included: Alexandria VA CHRISTUS Health Food Bank of Central Louisiana Louisiana Department of Health / Bureau of Family Health AmeriCorps VISTA CLA District Healthy Living Nutrition Natchitoches Parish Office of Community Services Catholic Charities of Central Louisiana CLASS - Central Louisiana AIDS Support Services LaSalle Family Medicine Clinic Savoy Medical Center CHRISTUS Cabrini Foundation Cabrini / CHRISTUS St. Frances Cabrini Louisiana Central Trinity Health PACE DATA DICTIONARY WORK SESSION PARTICIPANTS Included: Central Louisiana Hope House Central Louisiana Food Bank Louisiana Department of Health United Way Louisiana CHRISTUS St. Frances Cabrini Quality Department CHRISTUS St. Frances Cabrini Community Services CHRISTUS St. Frances Cabrini Health System Administrative Assistant CHRISTUS St. Frances Cabrini Health System Public Health AmeriCorps members COMMUNITY FOCUS GROUPS included: CHRISTUS St. Frances Cabrini Health System Department Assistants CHRISTUS St. Frances Cabrini Health System Social Workers CHRISTUS St. Frances Cabrini Health System Counselor Evangeline Parish Council on Aging CHRISTUS COUSHATTA Associates and Coushatta Community Members WINDSHIELD SURVEY PARTICIPANTS Included: CHRISTUS St. Frances Cabrini - Chief Nursing Executive CHRISTUS St. Frances Cabrini - VP of Mission Integration CHRISTUS St. Frances Cabrini - Chief Operating Officer Lifespan Areas and Leading Indicators To better understand and address community health needs, CHRISTUS St. Francis Cabrini Health System organized the assessment around four key life stages: maternal and early childhood, school-age children and adolescents, adults and older adults. Community indicator workgroups made-up of residents, community leaders and partners - helped identify what good health looks like at each stage of life and what signs (or "indicators") can help track our progress. Using a Results-Based Accountability (RBA) approach, each potential indicator was carefully reviewed to ensure it was meaningful, measurable and reflective of the community's priorities. The most important, or "leading," indicators were selected based on their ability to clearly communicate needs, represent broader health concerns and be backed by reliable data. These indicators will guide our efforts to improve health outcomes over the next three years. This life stage approach ensures that the needs of people at every age are considered. By focusing on the most urgent and meaningful indicators, we can better align our resources, programs and partnerships with the goals of the community. These leading indicators will serve as the foundation for the 2026-2028 Community Health Implementation Plan (CHIP), guiding program strategies, resource investments, and collaborative partnerships that aim to "turn the curve" on health outcomes in Central Louisiana and surrounding rural communities. For a detailed explanation of each indicator-including baseline data, trend analysis, and community context-please refer to the CHRISTUS Community Health Needs Assessment, available at: CHRISTUShealth.org/connect/community/community-needs For the 2026-2028 Community Health Needs Assessment (CHNA), CHRISTUS Health and our partners worked extensively to collect, review and analyze both primary and secondary data. While this effort provided valuable insights, there are key data needs and limitations to consider: Date Needs: * A major need was obtaining up-to-date and localized data on health indicators, particularly social determinants of health * Despite including community surveys, key informant interviews and focus groups, there remain gaps in data collection, especially regarding mental health, substance use and complex health issues. * Granular data on underrepresented populations, such as specific age groups, immigrant communities and low-income residents, is needed to address health disparities. Limitations: * Timeliness of data: Population health data is often delayed, meaning the most recent trends may not be fully captured. * Geographical variability: Data is reported at varying geographic levels (e.g., census tract, county, state), complicating comparisons across regions with differing socio-economic conditions. * Data gaps in specific health issues: Issues like mental health, substance use and education outcomes remain underrepresented, with existing data often framed from a deficit-based perspective. * Variations in data reporting: Inconsistent data availability across different regions and communities affects the comparability of datasets. Despite these challenges, the data collected, along with insights from community focus groups and key informant interviews, offers a comprehensive understanding of health needs. Moving forward, CHRISTUS Health will continue to address these gaps and collaborate with local partners to enhance data accuracy and inclusion in future assessments. Based on community input and analysis of a myriad of data. The top priorities selected to guide targeted action for the communities served by Christus St. Francis Cabrini Hospital and Christus Coushatta Health Care Center during the 2026-2028 implementation plan: LEADING INDICATORS Maternal Health and Early Childhood Health: Mothers and babies will have access to the care and support needed for healthy pregnancies, childbirth, growth and development. * Access to care * Prenatal care * Obstetric care * Healthy births * Behavioral health * Mental health School-Age Children and Adolescent Health: Children will be well-equipped with the care and support to grow up physically and mentally healthy. * Access to care * Education * Housing instability * Crime * Abuse and neglect Adult Health: Adults will have access to the care, support and opportunities needed to maintain physical and mental health throughout their lives. * Chronic diseases * Diabetes * Heart disease * Obesity * Behavioral health * Mental health * Substance use * Poverty Older Adult Health: Older adults will have accessible and empowering environments to ensure that every person can age with health and socioeconomic well-being. * Access to care * Medication affordability * Behavioral health * Mental health * Substance use * Crime * Food insecurity * Housing instability * Lack of broadband SEE BELOW CONTINUED AT 3
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT - CONTINUED 3	The CHRISTUS St. Frances Cabrini Health System 2026-2028 Community Health Needs Assessment (CHNA) identified a broad range of important health and social needs across our service area. However, not all of these needs fall within the direct scope of services or resources that CHRISTUS St. Frances Cabrini, Savoy Medical Center, or CHRISTUS Coushatta Health Care Center can lead or sustain independently. Some community issues require specialized focus, infrastructure, or mission alignment with other organizations, agencies, or collaborative groups that are better positioned to lead efforts in those areas. Examples of these needs may include, but are not limited to: * Housing and homelessness * Transportation barriers * Food insecurity * Family support for individuals with disabilities or special needs Although CHRISTUS may not serve as the primary lead on these issues, we recognize their direct impact on health outcomes and the overall well-being of our patients and communities. For this reason, we remain deeply committed to: * Collaborating with community partners who address these needs * Participating in coalitions and multi-sector initiatives * Supporting aligned programs and services * Ensuring our strategies complement and enhance broader community efforts CHRISTUS is playing a supportive or collaborative role in addressing these issues, including coordination with trusted organizations and multi-sector partners. These collaborative efforts are essential in developing a more comprehensive, equitable, and effective system of care across our region.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION - CONTINUED 2	Emergency Preparedness and Disaster Vulnerability As a rural parish, Red River is prone to severe weather events, including tornadoes, flooding and extended power outages. * Many residents rely on home-based oxygen, dialysis transport or refrigerated medications, but lack backup power or contingency plans. * Emergency planning and resource coordination for medically vulnerable populations remains an urgent need. FOR THE PRIMARY SERVICE AREA OF CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS SAVOY MEDICAL CENTER, CHANGES BETWEEN THE 2010 AND 2020 CENSUS SHOW THAT THE POPULATION DECREASED BY 1.9%. BASED ON THE 2020 DECENNIAL CENSUS, 378,747 PEOPLE LIVE IN THE CHRISTUS ST. FRANCES CABRINI Public Service Area (PSA). NON-HISPANIC WHITE INDIVIDUALS MAKE UP THE MAJORITY OF THE CHRISTUS ST. FRANCES CABRINI PSA AT 56.9%, WHILE, THE SECOND MOST PREVALENT RACIAL/ETHNIC DEMOGRAPHIC IS NON-HISPANIC BLACK PEOPLE AT 36.1% OF THE POPULATION. THE HISPANIC/LATINO POPULATIONS IN THE SERVICE AREA ARE 3.4% AND ASIAN OR PACIFIC ISLANDER INDIVIDUALS MAKE UP 0.8%. NATIVE AMERICANS ACCOUNT FOR 0.4% OF THE CHRISTUS ST. FRANCES CABRINI PSA. FEMALES REPRESENT 50.5% OF THE CHRISTUS ST. FRANCES CABRINI PSA AND MALES REPRESENT 49.6%. THE MEDIAN AGE IN THE CHRISTUS ST. FRANCES CABRINI PSA IS 37.1 YEARS OLD. THE PERCENTAGE OF RESIDENTS WITH A DISABILITY (DEFINED AS ONE OR MORE SENSORY DISABILITIES OR DIFFICULTIES WITH EVERYDAY TASKS) IN THE CHRISTUS ST. FRANCES CABRINI PSA IS 17.5% FOR THE CHRISTUS COUSHATTA HEALTH CARE CENTER (CHRISTUS COUSHATTA) PSA, CHANGES BETWEEN THE 2010 AND 2020 CENSUS SHOW THAT THE POPULATION DECREASED BY 10.2%. BASED ON THE 2020 DECENNIAL CENSUS, 40,054 PEOPLE LIVE IN THE CHRISTUS COUSHATTA PSA. THE DEMOGRAPHICS BY RACE/ETHNICITY FOR THE SERVICE AREAS SHOW THAT NON-HISPANIC WHITE INDIVIDUALS MAKE UP THE MAJORITY OF THE CHRISTUS COUSHATTA PSA POPULATION AT 48.6% WITH THE SECOND MOST PREVALENT RACIAL/ETHNIC DEMOGRAPHIC AS NON-HISPANIC BLACK PEOPLE AT 45.6% OF THE POPULATION. THE HISPANIC/LATINO POPULATIONS IN THE SERVICE AREA IS 2.3% WHILE ASIAN OR PACIFIC ISLANDER INDIVIDUALS MAKE UP 0.1% AND NATIVE AMERICANS ACCOUNT FOR 0.4% OF THE POPULATION. FEMALES REPRESENT 52.6% OF THE CHRISTUS COUSHATTA PSA POPULATION AND MALES REPRESENT 47.4% AND THE MEDIAN AGE IN THE CHRISTUS COUSHATTA PSA IS 33.5 YEARS OLD. THE PERCENTAGE OF RESIDENTS WITH A DISABILITY (DEFINED AS ONE OR MORE SENSORY DISABILITIES OR DIFFICULTIES WITH EVERYDAY TASKS) IN THE CHRISTUS COUSHATTA HEALTH CARE CENTER PSA IS 17.5%. The Hardship Index for CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, both located in the parishes of Louisiana, are 70.19 and 74.79 respectively. Louisiana has a statewide Hardship Index of 60.46, while the United States has a national average of 48.44. This indicates that both parishes experience higher levels of hardship compared to the state and national averages. The higher hardship indices in these parishes suggest greater economic and social challenges for their residents. The Social Vulnerability Index (SVI) data highlights the social vulnerability levels in CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta parishes in Louisiana compared to the state and national averages from 2016 to 2022. Both parishes consistently exhibit higher SVI scores than the Louisiana average, indicating greater social vulnerability. The United States average remains constant at 50.0 until 2022, when it increases to 58.4. CHRISTUS St. Frances Cabrini parish shows a slight decrease in SVI from 2016 to 2020, while CHRISTUS Coushatta parish's SVI fluctuates but remains relatively high. The poverty rate varies significantly across different racial and ethnic groups in the parishes served by CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, as well as in Louisiana and the United States overall. Non-Hispanic Black individuals experience the highest poverty rates in both service areas, with rates of 33.32% and 39.53%, respectively, compared to the national average of 21.28%. Hispanic or Latino individuals also face higher poverty rates, particularly in the parishes, with rates of 26.05% and 21.31%, compared to the national average of 16.89%. Additionally Pacific Islanders/Hawaiian individuals have significantly higher poverty rate in CHRISTUS St. Frances Cabrini, These disparities highlight the need for targeted interventions to address poverty in these communities. Also, The median household income in the parishes served by CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta have shown a slight increase over the years, though it remains significantly lower than the national average. CHRISTUS St. Frances Cabrini's parishes have seen a modest rise from $49,852 in 2015-2019 to $50,763 in 2019-2023. In contrast, CHRISTUS Coushatta's parishes experienced a more notable increase from $35,301 to $43,865 over the same period. Despite these gains, both areas lag behind Louisiana's median household income, which itself is below the national median. The high school graduation rate in the United States is 89.39%, with Louisiana slightly below the national average at 86.9%. Among the service area, CHRISTUS Coushatta has the highest graduation rate at 86.24%, followed closely by CHRISTUS St. Frances Cabrini at 83.23%. These rates indicate a strong performance in high school graduation within these regions, though there is still room for improvement compared to the national average. The higher degree graduation rate in the United States is 43.78%, significantly higher than the rate in Louisiana, which stands at 33.66%. Within Louisiana, CHRISTUS Coushatta (parishes) has a higher degree graduation rate of 27.49%, while CHRISTUS St. Frances Cabrini (Parishes) has a rate of 24.09%. This indicates a substantial disparity in educational attainment both within the state and compared to the national average. The uninsured rate varies significantly across different racial and ethnic groups in the United States, with the highest rates observed among Hispanic or Latino and Native American populations. In Louisiana, the overall uninsured rate is slightly below the national average, but certain parishes, such as those served by CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, have distinct patterns. Notably, the Asian population in CHRISTUS Coushatta has a remarkably low uninsured rate of 1.28%, contrasting sharply with the national average of 5.89% for this group. These disparities highlight the need for targeted health care interventions to address the varying needs of different communities. Private health insurance coverage varies across different regions. In Louisiana, 57.92% of the population has private health insurance. Nationally, the United States has a higher rate at 67.33%. Within Louisiana, CHRISTUS St. Frances Cabrini in the Parishes has a coverage rate of 52.14%, while CHRISTUS Coushatta in the Parishes has a slightly lower rate of 50.16%. Public health insurance coverage varies significantly across different regions. CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, both located in the Parishes of Louisiana, have higher rates of public health insurance at 53.5% and 55.52%, respectively. Louisiana as a whole has a public health insurance rate of 45.8%, while the United States overall has a lower rate of 36.31%. This indicates a notable regional disparity in public health insurance coverage. Medicaid coverage rates vary significantly across different regions. CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, both located in Louisiana, have coverage rates of 37.25% and 39.2% respectively. Louisiana as a whole has a Medicaid coverage rate of 30.79%, which is higher than the national average of 20.68%. The data indicates the percentage of Medicare coverage across different categories. CHRISTUS St. Frances Cabrini in the parishes has the highest coverage at 20.71%, followed closely by CHRISTUS Coushatta in the parishes at 20.34%. Louisiana and the United States have lower coverage rates, at 18.77% and 18.13% respectively. This suggests that the parishes have better Medicare coverage compared to the national average.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - CONTINUED 2	CHRISTUS CENTRAL LOUISIANA OFFERED HEALTH PROFESSIONS EDUCATION DURING FY 2025 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 ST. FRANCIS CABRINI HEALTH SYSTEM PARTICIPATED IN THE AMERICORPS COMMUNITY HEALTH WORKERS PROGRAM BRINGING ON 3 TO WORK WITH PATIENTS IN ADDRESSING THEIR SOCIAL DETERMINANTS OF HEALTH. THROUGH SCREENING, EDUCATION, REFERRAL AND NAVIGATION, THE PHACHW'S WERE ABLE TO IMPACT MANY LIVES CONNECTING THEM TO RESOURCES DESPERATELY NEEDED. Over the past three years CHNA cycle, CHRISTUS St. Frances Cabrini Health System and CHRISTUS Coushatta Healthcare Center, community partners, clinical teams and trusted local organizations have worked together to design and implement interventions aimed at reducing disparities and improving outcomes in these areas. Many of these efforts intentionally focused on reaching populations most impacted by health inequities. The following programs below highlight key initiatives, partnerships and outcomes that emerged from this work, demonstrating our continued commitment to building healthier, more resilient communities rooted in dignity, compassion and justice. CHRISTUS St. Frances Cabrini Health System, to name a couple of initiatives not already mentioned: 1. Improved Food Access by: Addressing food insecurity through clinic-based pantries, community gardens and partnerships. Through these efforts, food pantries opened at Alexandria and Pineville clinics, Community garden maintenance and education took place through the Good Food Project. and a strong partnership with the Food Bank of Central Louisiana supported these and other initiatives. 2. Expanded access to specialty Care which helped to improve chronic disease management through real-time diagnostics, education and partnerships which included: * Installing hemoglobin A1C machines in all clinics for real-time diabetes monitoring * Supporting access to Freestyle Libre for continuous glucose monitoring * Referring patients to hospital-based diabetes educators * Monitoring BMI and referred patients to hospital nutritionists * Increasing cardiology appointment availability for Medicaid and uninsured patients * Partnering with St. Mary's (a homebased program for children and adults with disabilities) to provide on-site specialty care (e.g., cardiology, endocrinology, podiatry, gynecology) * Savoy Medical Center (part of CSFCHS) opening two new rural clinics bringing their total to 10 to serve the Medicaid population. * Savoy Medical Center actively participating in the Oberlin Health Fairs as well as the Council on Aging Health Fairs to better support Medicare and Medicaid patients. Because of these efforts: CSFCHS made significant strides in addressing chronic diseases among adults. Real-time A1C testing has enabled immediate education and treatment adjustments. Many patients now use Freestyle Libre for better glucose control. Our cardiology team expanded access for Medicaid and uninsured patients, and we've implemented follow-up protocols for elevated blood pressure. At St. Mary's, CHRISTUS Trinity Clinic has become the provider of choice, with 37 cardiology referrals, six gynecology visits conducted on-site and two endocrinology referrals (with four pending). Through diabetes education events, over 900 participants were reached in FY25. School-based health centers conducted 6,816 pre-diabetic screenings and 6,194 BMI screenings. CHRISTUS Coushatta Healthcare Center to name a couple of initiatives: 1. Expand access to specialty services and providers to improve overall access to care by: * Adding ear, nose and throat (ENT) clinic and procedures. * Adding podiatry to rural health clinic (RHC) to assist in management of chronic foot problems. * Including General surgery for endoscopy procedures to diagnose colon cancer sooner. * Adding a family medicine physician to the RHC that will improve access to management of chronic diseases. 2. Provide behavioral health services through the rural health clinics (RHCs) as there are no other behavioral health services offered in our community. By offering a behavioral health clinic once every other week in Coushatta and once per week at the Boyce RHC. CHRISTUS Coushatta was able to expand service to telemedicine to improve access to the service. This translated to over 600 behavioral health visits per year. 3. Improved access to pediatric centered services in their rural community by: * Implementing CHRISTUS Coushatta Kids Clinic in August 2024 * Offering Kids Clinic with PT/OT/ST services five days per week. Kids clinic quickly expanded from two days per week to five days a week. Patients were previously driving over an hour one way to receive these services out of town or not getting them at all because of the distance. 4. Improved access to care and educational support to all early childhood patients and families by: Beginning a telemedicine school-based program in the elementary, junior, and high schools in their community. These provided easy access to care and health education to both students and faculty. Hundreds of visits and educational opportunities provided in the school setting. 5. Identifying a partner to assist in helping improve food insecurity in our community by: Meeting with Northwest Louisiana Food Bank to partner and distribute food to qualifying families/individuals in their community. 6. Reducing risk of lung cancer and smoking rates through education by: Implementing a low dose CT lung cancer screening program to identify lung cancer sooner. Smoking session education was also provided to the patient during the screening. Over 100 patient screenings and education provided. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK IN THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2025, 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. Last year CHRISTUS CLA organized 17 health fairs and education events that reached 1,514 people. FY25 saw over 30 food-related events, including garden maintenance, food drives and diabetes-focused outreach. The Good Food Project and Food Bank partnerships continued to support nutrition access and education. To address poverty-related barriers, we placed financial counselors and Medicaid representatives in clinics and opened food pantries in Alexandria and Pineville. 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.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	8693464
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2025, THE ORGANIZATION REPORTED THAT 15.65% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. 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, 2025. THUS, THE ORGANIZATION ESTIMATES THAT ONLY .5839% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2025 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 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 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. ANY SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHRISTUS ST FRANCES CABRINI HOSPITAL: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE;
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 2 Needs assessment	To determine the most pressing community health needs for the 2026-2028 Community Health Implementation Plan (CHIP), CHRISTUS St. Frances Cabrini Health System-including Savoy Medical Center-and CHRISTUS Coushatta Health Care Center used a data-informed, community-driven approach grounded in the Results-Based Accountability (RBA) framework. This method ensures that decisions are rooted in both quantitative data and the lived experiences of community members. A series of community indicator workgroups, organized by life stage, brought together residents, partners, and subject matter experts to explore what good health looks like across the lifespan: * Maternal and early childhood * School-age children and adolescents * Adults * Older adults During these sessions, participants reviewed CHNA data, discussed emerging health trends, and assessed indicators from the previous implementation cycle. They examined local conditions and asked key questions to guide prioritization: The 2026-2028 Community Health Needs Assessment (CHNA) process began with a thorough review of data from previous assessment cycles to evaluate progress on the health priorities identified in earlier years. This retrospective analysis helped shape the foundation for a comprehensive, forward-looking approach. Aligned with the Results Based Accountability (RBA) framework, the CHNA process focused on outcomes across the lifespan and integrated input from community members and stakeholders at every step. Using tools from the RBA model-including the concept of "Turn the Curve"-participants focused on trend data to assess whether community conditions are improving over time. Rather than reacting to short-term fluctuations, this approach emphasizes long-term progress and strategic impact. To ensure a full picture of community health needs, CHRISTUS Health collected both quantitative and qualitative data from a variety of sources, engaging key stakeholders including residents, health care providers, local leaders and nonprofit organizations. This process emphasized the importance of listening to those who live and work in the community-individuals with deep insight into the social, economic and environmental conditions that impact health. Metopio, a data platform designed for community engagement, supported the CHNA by enabling real-time data visualization and exploration. Through Metopio, participants could better understand indicators and provide meaningful input on which issues were most relevant to their communities. The data collection steps included the following: * Community survey Distributed to Associates, patients and residents to gather insights on social needs and health challenges * Community indicator workgroups Engaged stakeholders in identifying meaningful indicators aligned with community priorities * Data dictionary work sessions Refined each leading indicator with both lay and technical definitions, ensuring clarity and alignment * Community focus groups Brought together diverse voices to contextualize the data and validate findings through lived experience * Windshield surveys Offered direct observations of community environments to identify physical and social determinants of health This multi-step, mixed-methods approach was designed to ensure the CHNA was community-informed, data-driven and aligned with local health priorities. Together, the findings serve as a powerful foundation for the development of targeted implementation strategies that reflect the voices and experiences of the people CHRISTUS Health is called to serve. Below includes more information on the data collection methods and a summary of the participants involved in the process: Quantitative Data Collection Quantitative data for this Community Health Needs Assessment was collected in collaboration with Metopio, an advanced analytics platform that aggregates and visualizes data from reputable state, regional and national sources. Metopio partners closely with CHRISTUS St. Frances Cabrini Health System and CHRISTUS Coushatta Health Care Center to deliver comprehensive and accurate health-related data. Key data sources integrated by Metopio include: * Bureau of Vital Records and Health Statistics (BVRHS) * Youth Risk and Resiliency Surveys (YRRS) * Centers for Disease Control and Prevention (CDC) * National Center for Health Statistics * CDC WONDER * Behavioral Risk Factor Surveillance System (BRFSS) To further enrich our understanding of community health indicators, supplementary data sources were utilized, providing deeper context and additional insights. These additional sources include, but are not limited to: * Department of Housing and Urban Development (HUD) * Central repositories from statewide law enforcement agencies * National Health and Nutrition Examination Survey (NHANES) This comprehensive data approach provides a robust foundation for effectively identifying and addressing community health priorities. Qualitative Data Collection Qualitative data were gathered to provide context and deeper insight into the quantitative findings. These qualitative insights illuminate the root causes behind the statistics by drawing upon the lived experiences, knowledge and expertise of community members. Participants shared firsthand stories of how these issues impact their own lives or those they serve within our community. The qualitative data collection process focused intentionally on those who know the community best - residents, direct service providers and influential community leaders. Their perspectives deepen our understanding of the social, economic and environmental conditions that shape health outcomes, enriching the narrative behind the quantitative data. Below is a description of each qualitative data collection method, along with the sources used to capture these valuable community perspectives: Community Survey: As part of the 2026-2028 CHNA, CHRISTUS Health and Metopio created a community survey to hear directly from Associates, patients and residents about the social and health-related challenges they face. The survey was offered online and on paper, in English, Spanish, Vietnamese and Marshallese, to reach as many people as possible. It included questions aligned with clinical social needs screening tools -covering issues like food, housing, transportation and the ability to pay for care. While not designed to be statistically representative, the survey gave a valuable look into real-life concerns across diverse communities. These insights help shape a more inclusive implementation plan that reflects both the data and the voices of the people we serve. Community Indicator Work-groups: The community indicator work-groups brought together residents, local leaders and partners to define what good health looks like at every life stage - from early childhood to older adulthood. Participants discussed the signs, or indicators, that show whether communities are meeting those health goals. Together, they selected the most important indicators by asking: Can we trust the data? Is it easy to understand and talk about? And does it represent something bigger? The indicators that stood out became the top priorities and will guide our focus for the next three years on improving health where it matters most. Each work group identified three to five leading health indicators for their respective life stage. These indicators reflect the areas of greatest need, concern, and opportunity for impact. They now serve as a shared focus for CHRISTUS Cabrini and CHRISTUS Coushatta's strategies, investments, and partnerships over the next three years-ensuring that improvement efforts are targeted, measurable, and responsive to the communities we serve. Data Dictionary Work Session: The data dictionary work sessions were a key part of the CHNA process, where community members and stakeholders came together to make sure each health measure was clear, meaningful and easy to understand. For every leading indicator identified, participants reviewed both simple and technical definitions, along with graphs and charts, to ensure the data made sense and reflected community priorities. These sessions helped confirm that the data we use is not only accurate but also truly represents the issues that matter most to the people we serve- laying the groundwork for deeper conversations in the focus groups that followed. SEE BELOW CONTINUED AT 2 & 3
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	The communities served by CHRISTUS St. Francis Cabrini Health System and CHRISTUS Coushatta Health Care Center exhibit unique demographic and socioeconomic characteristics compared to Louisiana overall. Notably, the majority of parishes show a negative change in population compared to Louisiana. Birth rates vary significantly, the majority of parishes showing a higher birth rate than Louisiana with the exception of Winn, Natchitoches and Red River Parishes. Poverty rates in the region exceed state averages, particularly in Concordia, Tensas and Bienville, indicating economic vulnerabilities that could lead to disparities in health outcomes and access to care. Furthermore, the notably higher mortality rates across all these counties highlight substantial health burdens faced by Central Louisiana, underscoring the need for targeted health care interventions and community support strategies. CRISTUS St. Frances Cabrini Health System comprises of the Civil Parishes Allen, Avoyelles, Concordia, Grant, LaSalle, Rapides, St. Landry, Tensas Parish, Vernon Parish and Winn Parish. CRISTUS Coushatta Health comprises of the Civil Parishes Bienville, Natchitoches, and Red River. CHRISTUS St. Frances Cabrini Health System - a largely rural region marked by deep-rooted poverty, provider shortages and persistent health inequities. While rich in culture and community resilience, the area faces distinct and intergenerational barriers to health shaped by geography, economy and longstanding disparities in access to care. Rural Isolation and Transportation Gaps Most of the region outside Alexandria is considered medically underserved. In rural towns like Marksville, Colfax, Jena and Leesville, residents must often travel 30-90 minutes to access primary care or specialty services. * Lack of public transportation in rural parishes severely limits health care access for low-income families and older adults. * Patients without reliable vehicles often miss appointments, delay follow-ups and struggle to access pharmacies or labs. High Rates of Uninsurance and Underinsurance * Many residents work in agriculture, forestry, service industries or seasonal jobs that do not provide health benefits. * Louisiana's Medicaid expansion has improved coverage, but insurance literacy and provider participation remain low in rural areas. * Families often forgo care due to cost uncertainty, especially for dental, vision and specialty referrals. Behavioral Health and Substance Use Crisis The region has seen significant increases in mental health crises, suicide rates and substance use disorders - particularly methamphetamine and prescription opioids. * Behavioral health provider shortages in parishes like Grant and LaSalle mean wait times for therapy or psychiatric care can exceed six weeks. * Youth mental health needs are rising, with many schools lacking full-time counselors or mental health partnerships. * Inpatient psychiatric beds are limited, resulting in patients boarding in emergency departments or being transferred long distances. Chronic Disease Burden and Health Literacy Barriers Central Louisiana reports some of the highest rates of obesity, diabetes and hypertension in the state. * Low health literacy, especially in older and low-income populations, makes disease management and medication adherence difficult. * Many residents are unaware of preventive care options, recommended screenings, or how to navigate follow-up care. * Food insecurity and limited access to fresh produce contribute to poor nutrition and chronic disease risk, particularly in food deserts across rural parishes. Maternal and Child Health Disparities * High teen birth rates in Rapides and Avoyelles parishes point to limited access to reproductive health education, contraception and prenatal services. * Rural residents often experience delayed or no prenatal care due to transportation and appointment availability. * Pediatricians and OB/GYNs are concentrated in Alexandria, leaving gaps in outlying communities and requiring long travel for maternity care or pediatric specialists. Community Violence and Gun-Related Trauma * Alexandria has experienced increasing rates of violent crime, including shootings and assaults. * Gun violence is a leading contributor to trauma-related hospitalizations and long-term psychological harm, especially among youth. * Exposure to violence reduces residents' willingness to engage in outdoor physical activity, attend community events or seek care during evening hours. Aging Population and Senior Care Needs Rural parishes have an aging population with high rates of chronic disease, mobility limitations and social isolation. * Home health and geriatric services are limited, placing additional strain on family caregivers. * Many older adults face transportation barriers and fixed incomes, limiting access to specialty care, medications and wellness programs. CHRISTUS Coushatta Healthcare Center serves as a vital rural access point for residents of Red River Parish and surrounding areas, including the communities of Coushatta, Hall Summit, Edgefield and unincorporated parts of Northwest Louisiana. This region is marked by deep-rooted community ties, strong faith-based networks and generational resilience - but also faces serious, unique health challenges tied to its rural isolation, aging population and limited health care infrastructure. Rural Isolation and Limited Access to Care Red River Parish is one of the most medically underserved areas in Louisiana. * There are no hospitals within a 40-mile radius beyond CHRISTUS Coushatta, making the facility a critical anchor for emergency and routine care. * Specialty care is not available locally, requiring residents to travel to Shreveport or Natchitoches for cardiology, orthopedics, obstetrics or advanced diagnostics. * Many residents, particularly seniors, lack reliable transportation, causing missed appointments and untreated conditions. Aging Population with Complex Medical Needs Nearly one in five residents is over the age of 65, and most live on fixed incomes in rural or semi-rural areas. * High rates of chronic disease such as heart disease, diabetes, arthritis and COPD require consistent, coordinated care. * Limited access to in-home care, geriatric services and rehabilitation means many older adults rely on emergency rooms or delay treatment until health deteriorates. * Loneliness and social isolation are also significant concerns for aging residents, contributing to mental health challenges and poor self-management of health conditions. Behavioral Health and Substance Use Gaps Behavioral health resources in Red River Parish are nearly nonexistent. * There are no full-time behavioral health professionals in the immediate community. Residents experiencing anxiety, depression, trauma or substance use disorders face long wait times or must travel hours for care. * Methamphetamine and prescription opioid misuse are emerging issues, particularly among younger adults and residents experiencing economic hardship. * Mental health stigma and lack of access to early intervention tools make prevention and recovery more difficult to achieve. Economic Insecurity and Health Literacy Red River Parish has a poverty rate nearly double the national average, and many residents work in low-wage or seasonal jobs without access to health benefits. * This economic instability contributes to high rates of uninsurance and underinsurance, limiting access to preventive care, prescriptions and follow-up visits. * Low health literacy in the region means many patients struggle to understand care plans, manage medications or navigate the health care system. * Patients often present at advanced stages of illness due to delays in care-seeking, leading to higher hospitalization and complication rates. Food Deserts and Preventable Chronic Illness * Large portions of the parish are designated food deserts, with no nearby grocery stores or access to affordable, healthy food. * This contributes to elevated rates of obesity, hypertension and type 2 diabetes, especially among low-income and elderly residents. * Nutritional counseling, access to produce and chronic disease self-management resources are limited and underutilized. SEE BELOW CONTINUED AT 2
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 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 PARTNERS WITH ACCESS HEALTH TO EXPAND THE SERVICES OFFERED THROUGH THE CHRISTUS SCHOOL BASED HEALTH CENTERS. CHRISTUS SCHOOL BASED HEALTH CENTERS (SBHCS) PROVIDE COMPREHENSIVE PRIMARY MEDICAL, SOCIAL, AND BEHAVIORAL HEALTH SERVICES, AS WELL AS HEALTH EDUCATION, PROMOTION, AND PREVENTION SERVICES DESIGNED TO MEET THE PSYCHOSOCIAL AND PHYSICAL HEALTH NEEDS OF STUDENTS IN THE CONTEXT OF THEIR FAMILY, CULTURE, AND ENVIRONMENT. OUR SCHOOL BASED HEALTH CENTERS OFFER ACCESS TO HEALTHCARE AND MENTAL HEALTH SERVICES TO 17 AREA SCHOOLS. THE SBHCS COORDINATE WITH SCHOOL STAFF, AGENCY ADMINISTRATORS, PARENTS/CAREGIVERS, AND YOUTH THEMSELVES TO ENSURE STUDENT ACCESS TO HEALTH CARE AND SUPPORT SERVICES IS BOTH AFFORDABLE AND CONVENIENT. CHRISTUS SBHCs provided 12,531 mental health visits in the 2024-2025 school year, including 5,126 depression screenings. Of those, 1,829 students received psychosocial assessments and follow-up. Services addressed a wide range of issues including abuse, substance use, emotional and academic challenges and crisis intervention. Group counseling and referrals to offsite providers ensured continuity of care. CHRISTUS SBHCs enrolled 8,805 students in 2024-2025, delivering 24,906 medical visits. Services included 2,235 wellness exams, 3,552 immunizations and 570 asthma visits. All students received BMI and pre-diabetic screenings, with 6,216 screenings completed. The SBHCs also provided physical activity education and nutritional counseling. These efforts ensure that students receive timely, holistic care in a familiar environment. Health education is embedded in every student visit. SBHCs send quarterly newsletters to parents covering topics such as flu prevention, substance abuse, smoking/vaping, nutrition, stroke awareness and suicide prevention. These efforts are tailored to each school's population and needs, ensuring relevance and impact. 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. 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. SEE BELOW CONTINUED AT 2
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, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, COLOMBIA, AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HEALTH CENTRAL LOUISIANA, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Christus Health Central Louisiana

Employer identification number
72-0408984

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Ctr LA Community Fdn PO Box 7432 Alexandria,LA71306	72-1446378	501C(3)	150,000	Rapides Parish Funding
(2) Northwestern St Univ PO Box 5656 Natchitoches,LA71497	72-6000783	School	97,200	Faculty Grant
(3) Northwestern St Univ Fdn 535 University Pkwy Natchitoches,LA71497	72-6021495	501C(3)	90,000	Grant & Scholarship
(4) Manna House 2655 Lee Street Alexandria,LA71301	26-0737060	501C(3)	80,975	Donation for Kitchen Equip.
(5) ST FRANCES CAB HSL FND ALEX 3330 Masonic Dr Alexandria,LA71301	72-0998302	501C(3)	80,454	Donation for Fdn.
(6) LA St Univ at Alexandria 8100 Hwy 71 S Alexandria,LA71302	72-6000848	School	50,000	Nursing salaries for FY25
(7) Natchitoches Rg Medical Ctr Fdn 501 Keyser Ave Natchitoches,LA71457	76-0803931	501C(3)	20,500	Sponsorship
(8) Ctr LA Homeless Coalition 1515 Jackson St Alexandria,LA71301	72-1247718	501C(3)	14,006	Heat/Showers Homeless
(9) CENLA Pregnancy Ctr Inc PO Box 13907 Alexandria,LA71315	82-1338688	501C(3)	10,000	Fundr. Banquet P'ship

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds

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

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHRISTOPHER KARAM SVP/REGIONAL CHIEF EXECUTIVE OFFICER	(i) (ii)	0 ------------- 714,490	0 ------------- 418,002	0 ------------- 191,735	0 ------------- 41,365	0 ------------- 14,387	0 ------------- 1,379,979	0 ------------- 0
2MONTE A WILSON CHIEF EXECUTIVE OFFICER/PRESIDENT	(i) (ii)	0 ------------- 455,421	0 ------------- 243,563	0 ------------- 153,398	0 ------------- 48,477	0 ------------- 16,396	0 ------------- 917,255	0 ------------- 92,907
3Fadi Nasrallah MD Director	(i) (ii)	0 ------------- 763,257	0 ------------- 572,327	0 ------------- 214,520	0 ------------- 13,801	0 ------------- 14,394	0 ------------- 1,578,299	0 ------------- 178,970
4Jason Miller CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 288,661	0 ------------- 107,270	0 ------------- 0	0 ------------- 0	0 ------------- 1,467	0 ------------- 397,398	0 ------------- 0
5Claire Lauzon-Vallone VP Quality and Safety	(i) (ii)	0 ------------- 317,291	0 ------------- 120,605	0 ------------- 46,661	0 ------------- 41,959	0 ------------- 9,238	0 ------------- 535,754	0 ------------- 46,561
6JOSE M ZAPATERO MD FORMER CMO/VPMA Term (2/24)	(i) (ii)	0 ------------- 100,508	0 ------------- 0	0 ------------- 0	0 ------------- 2,988	0 ------------- 42,744	0 ------------- 146,240	0 ------------- 0
7SHANNON FORREST CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 198,598	0 ------------- 78,527	0 ------------- 350	0 ------------- 35,537	0 ------------- 14,945	0 ------------- 327,957	0 ------------- 0
8MICHELLE AGUILLARD VP HUMAN RESOURCES	(i) (ii)	0 ------------- 241,222	0 ------------- 92,184	0 ------------- 25,151	0 ------------- 30,073	0 ------------- 22,944	0 ------------- 411,574	0 ------------- 24,371
9PATRICK BRAQUET VP MISSION INTEGRATION	(i) (ii)	0 ------------- 126,208	0 ------------- 42,150	0 ------------- 0	0 ------------- 23,648	0 ------------- 21,746	0 ------------- 213,752	0 ------------- 0
10SHERMAN FOOKES CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 252,531	0 ------------- 99,627	0 ------------- 33,030	0 ------------- 35,687	0 ------------- 15,148	0 ------------- 436,023	0 ------------- 32,380
11HEATHER LEE VP PATIENT PLACEMENT	(i) (ii)	0 ------------- 155,057	0 ------------- 54,525	0 ------------- 850	0 ------------- 21,107	0 ------------- 14,023	0 ------------- 245,562	0 ------------- 0
12D KIRK SOILEAU CHIEF EXECUTIVE OFFICER - Nachitoches	(i) (ii)	0 ------------- 316,930	0 ------------- 142,634	0 ------------- 35,509	0 ------------- 31,807	0 ------------- 32,008	0 ------------- 558,888	0 ------------- 35,509
13Andrew Furman CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 118,005	0 ------------- 20,000	0 ------------- 138,720	0 ------------- 10,215	0 ------------- 2,865	0 ------------- 289,805	0 ------------- 0
14Brandon Hillman Administrator Coushatta	(i) (ii)	0 ------------- 168,346	0 ------------- 51,247	0 ------------- 871	0 ------------- 25,445	0 ------------- 17,269	0 ------------- 263,178	0 ------------- 0
15Brian Denton President Savoy Medical Center	(i) (ii)	0 ------------- 51,609	0 ------------- 0	0 ------------- 121,473	0 ------------- 2,462	0 ------------- 1,149	0 ------------- 176,693	0 ------------- 0
16John Anthony Associate CHIEF INVESTMENT OFFICER	(i) (ii)	0 ------------- 145,389	0 ------------- 21,546	0 ------------- 63,181	0 ------------- 27,550	0 ------------- 13,595	0 ------------- 271,261	0 ------------- 0
17MONICA L BRODNAX REGISTERED NURSE	(i) (ii)	117,324 ------------- 0	1,121 ------------- 0	97,841 ------------- 0	14,848 ------------- 0	14,658 ------------- 0	245,792 ------------- 0	0 ------------- 0
18JOSHUA R CASON MD Physician	(i) (ii)	186,283 ------------- 0	104,669 ------------- 0	9,284 ------------- 0	29,021 ------------- 0	11,424 ------------- 0	340,681 ------------- 0	0 ------------- 0
19BAOCHONG B CHANG MD Physician	(i) (ii)	516,483 ------------- 0	409,399 ------------- 0	9,090 ------------- 0	13,801 ------------- 0	3,546 ------------- 0	952,319 ------------- 0	0 ------------- 0
20HAFEZ HALAWANI MD Physician	(i) (ii)	596,292 ------------- 0	500 ------------- 0	101,190 ------------- 0	20,522 ------------- 0	14,440 ------------- 0	732,944 ------------- 0	0 ------------- 0
21SARAH HERBEL MD Physician	(i) (ii)	235,180 ------------- 0	500 ------------- 0	1,279 ------------- 0	10,824 ------------- 0	15,205 ------------- 0	262,988 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a Travel for companions	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: CLAIRE LAUZON-VALLONE - $46,561 MICHELLE AGUILLARD - $24,371 SHERMAN FOOKES - $32,380 CHRISTOPHER KARAM - $191,735 FADI NASRALLAH, MD - $214,520 D KIRK SOILEAU - $35,509 MONTE A WILSON - $153,398 JOSE M ZAPATERO, MD - $44,877
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Return Reference	Explanation
DOING BUSINESS AS	CHRISTUS CABRINI PHYSICAL REHABILITATION CENTER CHRISTUS COMMUNITY CLINIC - ALEXANDRIA CHRISTUS COMMUNITY CLINIC - PINEVILLE CHRISTUS COMMUNITY HEALTH CLINIC CHRISTUS COMMUNITY SPECIALTY CLINIC CHRISTUS COUSHATTA HEALTH CARE CENTER CHRISTUS COUSHATTA RURAL HEALTH CENTER CHRISTUS PRIMARY CARE SPECIALISTS - PRESCOTT ROAD CHRISTUS ST. FRANCES CABRINI COMMUNITY CLINIC CHRISTUS ST. FRANCES CABRINI HEALTH SYSTEM CHRISTUS ST. FRANCES CABRINI HOSPITAL
Form 990, Part III, Line 1 ORGANIZATION'S MISSION, CONTINUED	IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS, AND THE LOCAL ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION, in addition to aligning with priorities identified through our Community Health Needs Assessment (CHNA), SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID AND ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THESE PURPOSES, AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT LAW.
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	PATIENT CARE SERVICES CHRISTUS Health Central Louisiana responds to the health care needs of the community through services provided at 2 campuses: - CHRISTUS St Frances Cabrini Hospital, a 290-bed hospital in Alexandria - CHRISTUS Coushatta Health Care Center, a 25-bed hospital in Coushatta Each facility shares the objective of leading the way to a healthier community. CHRISTUS Health Central Louisiana is located in Louisiana, serving a population of 252,285 individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 52,706 visits to our emergency department 2,283 inpatient surgery procedures 3,109 outpatient surgery procedures 15,519 patients admitted for care 239,513 patients who received outpatient care
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	OTHER GOVERNMENT PROGRAMS CHRISTUS Health Central Louisiana provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. In FY2025, CHRISTUS Health Central Louisiana served 294,504 patients under these programs, with unreimbursed costs totaling $53,141,771. Medicare is the largest single payor classification of patients served by this hospital. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	CHARITY CARE AND COMMUNITY BENEFIT ACTIVITY In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Health Central Louisiana provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS Health Central Louisiana provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. In FY2025, 3,440 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 2 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. CHRISTUS Health Central Louisiana actively participates in Louisiana Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. CHRISTUS Health Central Louisiana also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, CHRISTUS Health Central Louisiana invested $8,911,140 in community benefit programs, impacting 21,445 individuals.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 7,430,242 including grants of $ 7,430,242)(Revenue $ 0) CHRISTUS HEALTH CENTRAL LOUISIANA ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDERSERVED AND BROADER COMMUNITY. POOR & UNDERSERVED: EXPENSES OF $6,764,019; GRANTS OF $6,764,019 BROADER COMMUNITY: EXPENSES OF $472,402; GRANTS OF $330,975 ADDITIONAL GRANTS: GRANTS OF $335,248
Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 MILLON PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2026 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING FORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING FORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Other Fees and Commission Revenue - Total Revenue: 13172, Related or Exempt Function Revenue: 13172, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Physician Services - Total Expense: 46651226, Program Service Expense: 38372747, Management and General Expenses: 8278479, Fundraising Expenses: ; Medical Services - Total Expense: 1767333, Program Service Expense: 1478407, Management and General Expenses: 288926, Fundraising Expenses: ; Consulting Services - Total Expense: 17301053, Program Service Expense: , Management and General Expenses: 17301053, Fundraising Expenses: ; Marketing Services - Total Expense: 6929908, Program Service Expense: 9422, Management and General Expenses: 6920486, Fundraising Expenses: ; Other Professional Services (less lobbying) - Total Expense: 21961375, Program Service Expense: 2067476, Management and General Expenses: 19893899, Fundraising Expenses: ; Collection and Billing Services - Total Expense: 1729677, Program Service Expense: 1543936, Management and General Expenses: 185741, Fundraising Expenses: ; Repairs & Maintenance Services - Total Expense: 5106372, Program Service Expense: 5081528, Management and General Expenses: 19719, Fundraising Expenses: 5125; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part X, Line 1 CASH - NON-BEARING INTEREST	CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -23780118; Total - -23780118;
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT	Community Focus Groups: To better understand local health needs, CHRISTUS Health held community focus groups with people from all walks of life - case managers, students, church members, front-line staff and residents. These sessions took place at familiar community gatherings and were offered in multiple languages to make participation easier and more inclusive. Using data from earlier work sessions as a starting point, participants shared how health issues show up in their lives and communities. Their stories added depth and context to the numbers, helping us see the full picture and ensuring community voices directly shaped the health priorities moving forward. Windshield Survey: In addition to other data methods, CHRISTUS Health used windshield surveys to better understand the physical and social conditions of our communities. This involved driving through neighborhoods to observe things like housing, green spaces, transportation and overall community upkeep, factors that aren't always visible in the data. These surveys gave a clearer picture of how the environment helps or hinders health and well-being and allowed us to connect what we see with how people live. These insights help ensure our assessment reflects both the numbers and the everyday realities in the places we serve. COMMUNITY INDICATOR WORKGROUP PARTICIPANTS Included: Alexandria VA CHRISTUS Health Food Bank of Central Louisiana Louisiana Department of Health / Bureau of Family Health AmeriCorps VISTA CLA District Healthy Living Nutrition Natchitoches Parish Office of Community Services Catholic Charities of Central Louisiana CLASS - Central Louisiana AIDS Support Services LaSalle Family Medicine Clinic Savoy Medical Center CHRISTUS Cabrini Foundation Cabrini / CHRISTUS St. Frances Cabrini Louisiana Central Trinity Health PACE DATA DICTIONARY WORK SESSION PARTICIPANTS Included: Central Louisiana Hope House Central Louisiana Food Bank Louisiana Department of Health United Way Louisiana CHRISTUS St. Frances Cabrini Quality Department CHRISTUS St. Frances Cabrini Community Services CHRISTUS St. Frances Cabrini Health System Administrative Assistant CHRISTUS St. Frances Cabrini Health System Public Health AmeriCorps members COMMUNITY FOCUS GROUPS included: CHRISTUS St. Frances Cabrini Health System Department Assistants CHRISTUS St. Frances Cabrini Health System Social Workers CHRISTUS St. Frances Cabrini Health System Counselor Evangeline Parish Council on Aging CHRISTUS COUSHATTA Associates and Coushatta Community Members WINDSHIELD SURVEY PARTICIPANTS Included: CHRISTUS St. Frances Cabrini - Chief Nursing Executive CHRISTUS St. Frances Cabrini - VP of Mission Integration CHRISTUS St. Frances Cabrini - Chief Operating Officer Lifespan Areas and Leading Indicators To better understand and address community health needs, CHRISTUS St. Francis Cabrini Health System organized the assessment around four key life stages: maternal and early childhood, school-age children and adolescents, adults and older adults. Community indicator workgroups made-up of residents, community leaders and partners - helped identify what good health looks like at each stage of life and what signs (or "indicators") can help track our progress. Using a Results-Based Accountability (RBA) approach, each potential indicator was carefully reviewed to ensure it was meaningful, measurable and reflective of the community's priorities. The most important, or "leading," indicators were selected based on their ability to clearly communicate needs, represent broader health concerns and be backed by reliable data. These indicators will guide our efforts to improve health outcomes over the next three years. This life stage approach ensures that the needs of people at every age are considered. By focusing on the most urgent and meaningful indicators, we can better align our resources, programs and partnerships with the goals of the community. These leading indicators will serve as the foundation for the 2026-2028 Community Health Implementation Plan (CHIP), guiding program strategies, resource investments, and collaborative partnerships that aim to "turn the curve" on health outcomes in Central Louisiana and surrounding rural communities. For a detailed explanation of each indicator-including baseline data, trend analysis, and community context-please refer to the CHRISTUS Community Health Needs Assessment, available at: CHRISTUShealth.org/connect/community/community-needs For the 2026-2028 Community Health Needs Assessment (CHNA), CHRISTUS Health and our partners worked extensively to collect, review and analyze both primary and secondary data. While this effort provided valuable insights, there are key data needs and limitations to consider: Date Needs: * A major need was obtaining up-to-date and localized data on health indicators, particularly social determinants of health * Despite including community surveys, key informant interviews and focus groups, there remain gaps in data collection, especially regarding mental health, substance use and complex health issues. * Granular data on underrepresented populations, such as specific age groups, immigrant communities and low-income residents, is needed to address health disparities. Limitations: * Timeliness of data: Population health data is often delayed, meaning the most recent trends may not be fully captured. * Geographical variability: Data is reported at varying geographic levels (e.g., census tract, county, state), complicating comparisons across regions with differing socio-economic conditions. * Data gaps in specific health issues: Issues like mental health, substance use and education outcomes remain underrepresented, with existing data often framed from a deficit-based perspective. * Variations in data reporting: Inconsistent data availability across different regions and communities affects the comparability of datasets. Despite these challenges, the data collected, along with insights from community focus groups and key informant interviews, offers a comprehensive understanding of health needs. Moving forward, CHRISTUS Health will continue to address these gaps and collaborate with local partners to enhance data accuracy and inclusion in future assessments. Based on community input and analysis of a myriad of data. The top priorities selected to guide targeted action for the communities served by Christus St. Francis Cabrini Hospital and Christus Coushatta Health Care Center during the 2026-2028 implementation plan: LEADING INDICATORS Maternal Health and Early Childhood Health: Mothers and babies will have access to the care and support needed for healthy pregnancies, childbirth, growth and development. * Access to care * Prenatal care * Obstetric care * Healthy births * Behavioral health * Mental health School-Age Children and Adolescent Health: Children will be well-equipped with the care and support to grow up physically and mentally healthy. * Access to care * Education * Housing instability * Crime * Abuse and neglect Adult Health: Adults will have access to the care, support and opportunities needed to maintain physical and mental health throughout their lives. * Chronic diseases * Diabetes * Heart disease * Obesity * Behavioral health * Mental health * Substance use * Poverty Older Adult Health: Older adults will have accessible and empowering environments to ensure that every person can age with health and socioeconomic well-being. * Access to care * Medication affordability * Behavioral health * Mental health * Substance use * Crime * Food insecurity * Housing instability * Lack of broadband CONTINUED ON SCHEDULE O
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT	The CHRISTUS St. Frances Cabrini Health System 2026-2028 Community Health Needs Assessment (CHNA) identified a broad range of important health and social needs across our service area. However, not all of these needs fall within the direct scope of services or resources that CHRISTUS St. Frances Cabrini, Savoy Medical Center, or CHRISTUS Coushatta Health Care Center can lead or sustain independently. Some community issues require specialized focus, infrastructure, or mission alignment with other organizations, agencies, or collaborative groups that are better positioned to lead efforts in those areas. Examples of these needs may include, but are not limited to: * Housing and homelessness * Transportation barriers * Food insecurity * Family support for individuals with disabilities or special needs Although CHRISTUS may not serve as the primary lead on these issues, we recognize their direct impact on health outcomes and the overall well-being of our patients and communities. For this reason, we remain deeply committed to: * Collaborating with community partners who address these needs * Participating in coalitions and multi-sector initiatives * Supporting aligned programs and services * Ensuring our strategies complement and enhance broader community efforts CHRISTUS is playing a supportive or collaborative role in addressing these issues, including coordination with trusted organizations and multi-sector partners. These collaborative efforts are essential in developing a more comprehensive, equitable, and effective system of care across our region.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION	Emergency Preparedness and Disaster Vulnerability As a rural parish, Red River is prone to severe weather events, including tornadoes, flooding and extended power outages. * Many residents rely on home-based oxygen, dialysis transport or refrigerated medications, but lack backup power or contingency plans. * Emergency planning and resource coordination for medically vulnerable populations remains an urgent need. FOR THE PRIMARY SERVICE AREA OF CHRISTUS ST. FRANCES CABRINI HOSPITAL AND CHRISTUS SAVOY MEDICAL CENTER, CHANGES BETWEEN THE 2010 AND 2020 CENSUS SHOW THAT THE POPULATION DECREASED BY 1.9%. BASED ON THE 2020 DECENNIAL CENSUS, 378,747 PEOPLE LIVE IN THE CHRISTUS ST. FRANCES CABRINI Public Service Area (PSA). NON-HISPANIC WHITE INDIVIDUALS MAKE UP THE MAJORITY OF THE CHRISTUS ST. FRANCES CABRINI PSA AT 56.9%, WHILE, THE SECOND MOST PREVALENT RACIAL/ETHNIC DEMOGRAPHIC IS NON-HISPANIC BLACK PEOPLE AT 36.1% OF THE POPULATION. THE HISPANIC/LATINO POPULATIONS IN THE SERVICE AREA ARE 3.4% AND ASIAN OR PACIFIC ISLANDER INDIVIDUALS MAKE UP 0.8%. NATIVE AMERICANS ACCOUNT FOR 0.4% OF THE CHRISTUS ST. FRANCES CABRINI PSA. FEMALES REPRESENT 50.5% OF THE CHRISTUS ST. FRANCES CABRINI PSA AND MALES REPRESENT 49.6%. THE MEDIAN AGE IN THE CHRISTUS ST. FRANCES CABRINI PSA IS 37.1 YEARS OLD. THE PERCENTAGE OF RESIDENTS WITH A DISABILITY (DEFINED AS ONE OR MORE SENSORY DISABILITIES OR DIFFICULTIES WITH EVERYDAY TASKS) IN THE CHRISTUS ST. FRANCES CABRINI PSA IS 17.5% FOR THE CHRISTUS COUSHATTA HEALTH CARE CENTER (CHRISTUS COUSHATTA) PSA, CHANGES BETWEEN THE 2010 AND 2020 CENSUS SHOW THAT THE POPULATION DECREASED BY 10.2%. BASED ON THE 2020 DECENNIAL CENSUS, 40,054 PEOPLE LIVE IN THE CHRISTUS COUSHATTA PSA. THE DEMOGRAPHICS BY RACE/ETHNICITY FOR THE SERVICE AREAS SHOW THAT NON-HISPANIC WHITE INDIVIDUALS MAKE UP THE MAJORITY OF THE CHRISTUS COUSHATTA PSA POPULATION AT 48.6% WITH THE SECOND MOST PREVALENT RACIAL/ETHNIC DEMOGRAPHIC AS NON-HISPANIC BLACK PEOPLE AT 45.6% OF THE POPULATION. THE HISPANIC/LATINO POPULATIONS IN THE SERVICE AREA IS 2.3% WHILE ASIAN OR PACIFIC ISLANDER INDIVIDUALS MAKE UP 0.1% AND NATIVE AMERICANS ACCOUNT FOR 0.4% OF THE POPULATION. FEMALES REPRESENT 52.6% OF THE CHRISTUS COUSHATTA PSA POPULATION AND MALES REPRESENT 47.4% AND THE MEDIAN AGE IN THE CHRISTUS COUSHATTA PSA IS 33.5 YEARS OLD. THE PERCENTAGE OF RESIDENTS WITH A DISABILITY (DEFINED AS ONE OR MORE SENSORY DISABILITIES OR DIFFICULTIES WITH EVERYDAY TASKS) IN THE CHRISTUS COUSHATTA HEALTH CARE CENTER PSA IS 17.5%. The Hardship Index for CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, both located in the parishes of Louisiana, are 70.19 and 74.79 respectively. Louisiana has a statewide Hardship Index of 60.46, while the United States has a national average of 48.44. This indicates that both parishes experience higher levels of hardship compared to the state and national averages. The higher hardship indices in these parishes suggest greater economic and social challenges for their residents. The Social Vulnerability Index (SVI) data highlights the social vulnerability levels in CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta parishes in Louisiana compared to the state and national averages from 2016 to 2022. Both parishes consistently exhibit higher SVI scores than the Louisiana average, indicating greater social vulnerability. The United States average remains constant at 50.0 until 2022, when it increases to 58.4. CHRISTUS St. Frances Cabrini parish shows a slight decrease in SVI from 2016 to 2020, while CHRISTUS Coushatta parish's SVI fluctuates but remains relatively high. The poverty rate varies significantly across different racial and ethnic groups in the parishes served by CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, as well as in Louisiana and the United States overall. Non-Hispanic Black individuals experience the highest poverty rates in both service areas, with rates of 33.32% and 39.53%, respectively, compared to the national average of 21.28%. Hispanic or Latino individuals also face higher poverty rates, particularly in the parishes, with rates of 26.05% and 21.31%, compared to the national average of 16.89%. Additionally Pacific Islanders/Hawaiian individuals have significantly higher poverty rate in CHRISTUS St. Frances Cabrini, These disparities highlight the need for targeted interventions to address poverty in these communities. Also, The median household income in the parishes served by CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta have shown a slight increase over the years, though it remains significantly lower than the national average. CHRISTUS St. Frances Cabrini's parishes have seen a modest rise from $49,852 in 2015-2019 to $50,763 in 2019-2023. In contrast, CHRISTUS Coushatta's parishes experienced a more notable increase from $35,301 to $43,865 over the same period. Despite these gains, both areas lag behind Louisiana's median household income, which itself is below the national median. The high school graduation rate in the United States is 89.39%, with Louisiana slightly below the national average at 86.9%. Among the service area, CHRISTUS Coushatta has the highest graduation rate at 86.24%, followed closely by CHRISTUS St. Frances Cabrini at 83.23%. These rates indicate a strong performance in high school graduation within these regions, though there is still room for improvement compared to the national average. The higher degree graduation rate in the United States is 43.78%, significantly higher than the rate in Louisiana, which stands at 33.66%. Within Louisiana, CHRISTUS Coushatta (parishes) has a higher degree graduation rate of 27.49%, while CHRISTUS St. Frances Cabrini (Parishes) has a rate of 24.09%. This indicates a substantial disparity in educational attainment both within the state and compared to the national average. The uninsured rate varies significantly across different racial and ethnic groups in the United States, with the highest rates observed among Hispanic or Latino and Native American populations. In Louisiana, the overall uninsured rate is slightly below the national average, but certain parishes, such as those served by CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, have distinct patterns. Notably, the Asian population in CHRISTUS Coushatta has a remarkably low uninsured rate of 1.28%, contrasting sharply with the national average of 5.89% for this group. These disparities highlight the need for targeted health care interventions to address the varying needs of different communities. Private health insurance coverage varies across different regions. In Louisiana, 57.92% of the population has private health insurance. Nationally, the United States has a higher rate at 67.33%. Within Louisiana, CHRISTUS St. Frances Cabrini in the Parishes has a coverage rate of 52.14%, while CHRISTUS Coushatta in the Parishes has a slightly lower rate of 50.16%. Public health insurance coverage varies significantly across different regions. CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, both located in the Parishes of Louisiana, have higher rates of public health insurance at 53.5% and 55.52%, respectively. Louisiana as a whole has a public health insurance rate of 45.8%, while the United States overall has a lower rate of 36.31%. This indicates a notable regional disparity in public health insurance coverage. Medicaid coverage rates vary significantly across different regions. CHRISTUS St. Frances Cabrini and CHRISTUS Coushatta, both located in Louisiana, have coverage rates of 37.25% and 39.2% respectively. Louisiana as a whole has a Medicaid coverage rate of 30.79%, which is higher than the national average of 20.68%. The data indicates the percentage of Medicare coverage across different categories. CHRISTUS St. Frances Cabrini in the parishes has the highest coverage at 20.71%, followed closely by CHRISTUS Coushatta in the parishes at 20.34%. Louisiana and the United States have lower coverage rates, at 18.77% and 18.13% respectively. This suggests that the parishes have better Medicare coverage compared to the national average.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	CHRISTUS CENTRAL LOUISIANA OFFERED HEALTH PROFESSIONS EDUCATION DURING FY 2025 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 ST. FRANCIS CABRINI HEALTH SYSTEM PARTICIPATED IN THE AMERICORPS COMMUNITY HEALTH WORKERS PROGRAM BRINGING ON 3 TO WORK WITH PATIENTS IN ADDRESSING THEIR SOCIAL DETERMINANTS OF HEALTH. THROUGH SCREENING, EDUCATION, REFERRAL AND NAVIGATION, THE PHACHW'S WERE ABLE TO IMPACT MANY LIVES CONNECTING THEM TO RESOURCES DESPERATELY NEEDED. Over the past three years CHNA cycle, CHRISTUS St. Frances Cabrini Health System and CHRISTUS Coushatta Healthcare Center, community partners, clinical teams and trusted local organizations have worked together to design and implement interventions aimed at reducing disparities and improving outcomes in these areas. Many of these efforts intentionally focused on reaching populations most impacted by health inequities. The following programs below highlight key initiatives, partnerships and outcomes that emerged from this work, demonstrating our continued commitment to building healthier, more resilient communities rooted in dignity, compassion and justice. CHRISTUS St. Frances Cabrini Health System, to name a couple of initiatives not already mentioned: 1. Improved Food Access by: Addressing food insecurity through clinic-based pantries, community gardens and partnerships. Through these efforts, food pantries opened at Alexandria and Pineville clinics, Community garden maintenance and education took place through the Good Food Project. and a strong partnership with the Food Bank of Central Louisiana supported these and other initiatives. 2. Expanded access to specialty Care which helped to improve chronic disease management through real-time diagnostics, education and partnerships which included: * Installing hemoglobin A1C machines in all clinics for real-time diabetes monitoring * Supporting access to Freestyle Libre for continuous glucose monitoring * Referring patients to hospital-based diabetes educators * Monitoring BMI and referred patients to hospital nutritionists * Increasing cardiology appointment availability for Medicaid and uninsured patients * Partnering with St. Mary's (a homebased program for children and adults with disabilities) to provide on-site specialty care (e.g., cardiology, endocrinology, podiatry, gynecology) * Savoy Medical Center (part of CSFCHS) opening two new rural clinics bringing their total to 10 to serve the Medicaid population. * Savoy Medical Center actively participating in the Oberlin Health Fairs as well as the Council on Aging Health Fairs to better support Medicare and Medicaid patients. Because of these efforts: CSFCHS made significant strides in addressing chronic diseases among adults. Real-time A1C testing has enabled immediate education and treatment adjustments. Many patients now use Freestyle Libre for better glucose control. Our cardiology team expanded access for Medicaid and uninsured patients, and we've implemented follow-up protocols for elevated blood pressure. At St. Mary's, CHRISTUS Trinity Clinic has become the provider of choice, with 37 cardiology referrals, six gynecology visits conducted on-site and two endocrinology referrals (with four pending). Through diabetes education events, over 900 participants were reached in FY25. School-based health centers conducted 6,816 pre-diabetic screenings and 6,194 BMI screenings. CHRISTUS Coushatta Healthcare Center to name a couple of initiatives: 1. Expand access to specialty services and providers to improve overall access to care by: * Adding ear, nose and throat (ENT) clinic and procedures. * Adding podiatry to rural health clinic (RHC) to assist in management of chronic foot problems. * Including General surgery for endoscopy procedures to diagnose colon cancer sooner. * Adding a family medicine physician to the RHC that will improve access to management of chronic diseases. 2. Provide behavioral health services through the rural health clinics (RHCs) as there are no other behavioral health services offered in our community. By offering a behavioral health clinic once every other week in Coushatta and once per week at the Boyce RHC. CHRISTUS Coushatta was able to expand service to telemedicine to improve access to the service. This translated to over 600 behavioral health visits per year. 3. Improved access to pediatric centered services in their rural community by: * Implementing CHRISTUS Coushatta Kids Clinic in August 2024 * Offering Kids Clinic with PT/OT/ST services five days per week. Kids clinic quickly expanded from two days per week to five days a week. Patients were previously driving over an hour one way to receive these services out of town or not getting them at all because of the distance. 4. Improved access to care and educational support to all early childhood patients and families by: Beginning a telemedicine school-based program in the elementary, junior, and high schools in their community. These provided easy access to care and health education to both students and faculty. Hundreds of visits and educational opportunities provided in the school setting. 5. Identifying a partner to assist in helping improve food insecurity in our community by: Meeting with Northwest Louisiana Food Bank to partner and distribute food to qualifying families/individuals in their community. 6. Reducing risk of lung cancer and smoking rates through education by: Implementing a low dose CT lung cancer screening program to identify lung cancer sooner. Smoking session education was also provided to the patient during the screening. Over 100 patient screenings and education provided. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK IN THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2025, 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. Last year CHRISTUS CLA organized 17 health fairs and education events that reached 1,514 people. FY25 saw over 30 food-related events, including garden maintenance, food drives and diabetes-focused outreach. The Good Food Project and Food Bank partnerships continued to support nutrition access and education. To address poverty-related barriers, we placed financial counselors and Medicaid representatives in clinics and opened food pantries in Alexandria and Pineville. 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Christus Health Central Louisiana

Employer identification number

72-0408984

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER,TX75701 46-5720165	HEALTHCARE SERVICES	TX	501(c)(3)	3	MFH REG	Yes
(2)CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON,TX77027 76-0422435	HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(3)CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW,TX75602 75-2747708	HEALTHCARE SERVICES	TX	501(c)(3)	10	MFH REG	Yes
(4)CHRISTUS CONNECTED CARE NETWORK 5101 N OCONNOR BLVD IRVING,TX75039 47-3403356	SUPP HEALTHCARE SERVICES	TX	501(c)(4)		CH	Yes
(5)CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON,TX77027 74-2898615	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(6)CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON,TX77251 74-6074210	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes
(7)CHRISTUS FOUNDATION SHREVEPORT-BOSSIER ONE ST MARY PLACE SHREVEPORT,LA71101 72-1219280	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	NOLA	Yes
(8)CHRISTUS GOOD SHEPHERD MEDICAL CENTER 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 75-0974351	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes
(9)CHRISTUS HEALTH 5101 N OCONNOR BLVD IRVING,TX75039 76-0590551	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	NA		No
(10)CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 75-2796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes
(11)CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT,TX77702 76-0136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes
(12)CHRISTUS HEALTH FOUNDATION 5101 N OCONNOR BLVD IRVING,TX75039 61-1500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(13)CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON,TX77292 76-0591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CCC	Yes
(14)CHRISTUS HEALTH INTERNATIONAL 5101 N OCONNOR BLVD IRVING,TX75039 46-2811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes
(15)CHRISTUS HEALTH LATIN AMERICA 5101 N OCONNOR BLVD IRVING,TX75039 46-2816604	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes
(16)CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT,LA75039 72-0408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes
(17)CHRISTUS HEALTH PLAN 5101 N OCONNOR BLVD IRVING,TX75039 45-2106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes
(18)CHRISTUS HEALTH PLAN LOUISIANA 5101 N OCONNOR BLVD IRVING,TX75039 46-4617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes
(19)CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT,TX77726 76-0591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(20)CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 72-0411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes
(21)CHRISTUS HEALTH STRATEGIC GROWTH 5101 N OCONNOR BLVD IRVING,TX75039 46-2798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes
(22)CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS,TX75482 81-1708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes
(23)CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2616975	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	CH	Yes
(24)CHRISTUS PEDIATRIC PHYSICIAN GROUP 5101 N OCONNOR BLVD IRVING,TX75039 46-5203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(25)CHRISTUS SANTA ROSA FAMILY HEALTH CENTER 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-2806531	HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes
(26)CHRISTUS SANTA ROSA HEALTH CARE CORPORATION 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-1109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(27)CHRISTUS SANTA ROSA MED CTR AUXILIARY 2827 BABCOCK ROAD SAN ANTONIO,TX78229 73-1655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes
(28)CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION PO Box 912 SAN MARCOS,TX78667 74-2259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes
(29)CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(30)CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1906005	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	SPOHN HS	Yes
(31)CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC 3330 MASONIC DRIVE ALEXANDRIA,LA71301 23-7255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes
(32)CHRISTUS ST MICHAEL FOUNDATION 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 47-1655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes
(33)CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 47-1496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes
(34)Chritus Trinity Clinic Texas 1315 DOCTORS DRIVE TYLER,TX75701 75-2616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes
(35)CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes
(36)FRIENDS OF SANTA ROSA FOUNDATION 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-2723391	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CSRHCC	Yes
(37)GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(38)GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW,TX75601 23-7203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes
(39)GOOD SHEPHERD MED CENTER - LINDEN INC 700 E MARSHALL AVE LONGVIEW,TX75601 01-0829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes
(40)GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC 404 N KAUFMAN LINDEN,TX75563 20-0845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(41)GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW,TX75601 86-1132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(42)HOPKINS CTY PHYSICIAN SERVICES 115 AIRPORT RD SULPHUR SPRINGS,TX75482 26-0637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes
(43)MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 75-2605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes
(44)MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER,TX75701 75-1976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes
(45)MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER,TX75701 75-2771569	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes
(46)MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 1315 DOCTORS DRIVE TYLER,TX75701 75-0818167	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes
(47)OTERO COUNTY HOSPITAL ASSOCIATION 2669 SCENIC DRIVE ALAMOGORDO,NM88310 85-0138775	HOSPITAL	NM	501(c)(3)	3	CH	Yes
(48)REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2511459	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes
(49)SPECIALTY PHYSICIANS OF CENTRAL TEXAS 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 20-8814408	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes
(50)ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA 3330 MASONIC DRIVE ALEXANDRIA,LA71301 72-0998302	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	CHCL	Yes
(51)ST VINCENT HOSPITAL PO BOX 2107 SANTA FE,NM87504 85-0106941	HOSPITAL	NM	501(c)(3)	3	CH	Yes
(52)ST VINCENT HOSPITAL FOUNDATION 455 ST MICHAELS DRIVE SANTA FE,NM87505 85-0282847	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	SVH	Yes
(53)THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-1041154	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes
(54)TRINCARE INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2161369	HEALTHCARE SERVICES	TX	501(c)(3)	10	CCC	Yes
(55)Gerald Champion Regional Medical Center Foundation 2669 SCENIC DRIVE ALAMOGORDO,NM88310 85-0352051	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	OCHA	Yes
(56)Santa Rosa Children's Hospital Foundation PO Box 1661 SAN ANTONIO,TX78296 74-1224362	FUNDRAISING ACTIVITIES	TX	501(c)(3)	7	SRHCC	Yes
(57)Christus St Joseph Village 5101 N OCONNOR BLVD IRVING,TX75039 01-0829282	Senior living	TX	501(c)(3)	10	GSMC Linden	Yes
(58)Continue Care Hospital of Tyler Inc 7950 Legacy Drive 1000 Plano,TX75024 20-0991990	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CENTRAL LOUISIANA SURGICAL HOSPITAL LLC 651 NORTH BOLTON AVE ALEXANDRIA,LA71301 26-4732398	SURGICAL CENTER	LA	NA
(2) CHRISTUS SURGERY CENTER - VILLAGES LLC 1453 E BERT KOUNS SHREVEPORT,LA71108 84-4975265	SURGICAL CENTER	LA	NA
(3) CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC 13525 CENTERBROOK 100 UNIVERSAL CITY,TX78148 38-4092858	SURGICAL CENTER	TX	NA
(4) CHRISTUS CENTER FOR SPECIAL SURGERY 14603 HUEBNER RD SAN ANTONIO,TX78240 99-0686547	SURGICAL CENTER	TX	NA
(5) CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC 1927 ROGERS RD SAN ANTONIO,TX78251 85-1975909	SURGICAL CENTER	TX	NA
(6) NEW BRAUNFELS SURGICAL CENTER LLC 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571408	HEALTHCARE SERVICES	TX	NA
(7) CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC 333 N SANTA ROSA ST SAN ANTONIO,TX78207 41-2092141	HEALTHCARE SERVICES	TX	NA
(8) CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571409	HEALTHCARE SERVICES	TX	NA
(9) GOOD SHEPHERD NORTH PARK LP 700 E MARSHALL AVE LONGVIEW,TX75601 46-4834106	HEALTHCARE SERVICES	TX	NA
(10) GOOD SHEPHERD AMBULATORY SURGICAL LTD 700 E MARSHALL AVE LONGVIEW,TX75601 90-0259782	HEALTHCARE SERVICES	TX	NA
(11) GSHS CUSTOMER SERVICE BUILDING I LTD 700 E MARSHALL AVE LONGVIEW,TX75601 02-0636726	CUSTOMER SERVICES	TX	NA
(12) ST ELIZABETH REHAB PARTNERS LLP 2830 CALDER STREET BEAUMONT,TX77702 20-5657181	HEALTHCARE SERVICES	TX	NA
(13) NORTHERN LOUISIANA CARDIAC SERVICES LLC 1751 IMPERIAL BLVD LAKE CHARLES,LA70605 81-3198914	SURGICAL CENTER	LA	NA
(14) SOUTH RYAN MRI LLC 650 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 74-3103662	IMAGING SERVICES	LA	NA
(15) ALAMOGORDO IMAGING CENTER LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88310 20-1451281	IMAGING SERVICES	NM	NA
(16) CHAMPION HEALTH CARE LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88310 85-0860214	HEALTHCARE SERVICES	NM	NA
(17) WHITE SANDS HEALTH CARE SYSTEMS LLC 2669 SCENIC DRIVE ALAMOGORDO,NM88310 85-0438529	HEALTHCARE SERVICES	NM	NA
(18) SANTA FE IMAGING LLC 1640 HOSPITAL DR SANTA FE,NM87505 85-0465936	IMAGING CENTER	NM	NA
(19) SANTA FE MEDICAL PROPERTIES LLC 455 SAINT MICHAELS DR SANTA FE,NM87505 20-1480795	LEASING	NM	NA
(20) IMPERIAL CALCASIEU SURGICAL CENTER LLC 1757 IMPERIAL RD LAKE CHARLES,LA70605 20-5109610	ASC	LA	NA
(21) GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW,TX75601 72-0896055	CUSTOMER SERVICES	TX	NA
(22) Christus Cardiac Surgery Center LLC 5101 N OCONNOR BLVD IRVING,TX75039 99-0803350	SURGICAL CENTER	TX	NA
(23) Christus Latam Hub Center of Excellence and Innovation 5101 N OCONNOR BLVD IRVING,TX75039 99-9999999	HEALTHCARE SERVICES	TX	NA
(24) CHC Community Care LLC 5101 N OCONNOR BLVD IRVING,TX75039 37-1485773	HEALTHCARE SERVICES	TX	NA

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CHRISTUS TEXARKANA UNIT OWNERS ASSOCIATION 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 47-2486362	BUILDING ASSOCIATION	TX	NA	C Corporation				Yes
(2) CHRISTUS AMBULATORY SERVICES HOLDINGS 5101 N OCONNOR BLVD IRVING,TX75039 47-2897722	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(3) DEDICATED SYSTEM SUPPORT INC 5101 N OCONNOR BLVD IRVING,TX75039 81-0861043	MANAGEMENT SERVICES	TX	NA	C Corporation				Yes
(4) SAN MARCOS REGIONAL MRI 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 77-0597968	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(5) CHRISTUS LOUISIANA QUALITY ALLIANCE 5101 N OCONNOR BLVD IRVING,TX75039 47-4618648	ACO	LA	NA	C Corporation				Yes
(6) CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 G40G0 OBISPADO MONTERRE MX	HEALTHCARE SERVICES	MX	NA	C Corporation				Yes
(7) EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMANKY11102 CJ 98-0407545	INSURANCE	CJ	NA	C Corporation				Yes
(8) ARK-LA-TEX HEALTH NETWORK PO BOX 2911 TEXARKANA,TX75504 75-2562459	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(9) CHRISTUS CHILE SPA MIRAFLORES 222 28TH FLOOR SANTIAGO8320198 CI	INVESTING	CI	NA	C Corporation				Yes
(10) CHRISTUS SOUTHEAST TEXAS PHO 3010 HARRISON STREET SUITE 202 BEAUMONT,TX77702 76-0429902	MEDICAL SERVICES	TX	NA	C Corporation				Yes
(11) HEALTH VENTURES OF SOUTHEAST TEXAS INC 3000 GATES BLVD PORT ARTHUR,TX77640 76-0397263	BUILDING RENT	TX	NA	C Corporation				Yes
(12) AMATISTA FINANCING COMPANY LTD 3RD FL1ST CARIBBEAN HOUSE GEORGETOWNKY11104 CJ	FINANCING	CJ	NA	C Corporation				Yes
(13) OCCUPATIONAL HEALTH SERVICES INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1217389	MEDICAL SERVICES	LA	NA	C Corporation				Yes
(14) SOUTH RYAN DEVELOPMENT CORPORATION 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1183790	LEASING BULDINGS	LA	NA	C Corporation				Yes
(15) SOUTHWESTERN LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1274256	HEALTHCARE SERVICES	LA	NA	C Corporation				Yes
(16) CH COLUMBIA SAS CL 70 A 4 41 BOGOTA CO	HEALTHCARE SERVICES	CO	NA	C Corporation				Yes
(17) CLINICA PALMA REAL SAS CARRERA 28 44 35 CALI CO	HEALTHCARE SERVICES	CO	NA	C Corporation				Yes
(18) SINERGIA GLOBAL EN SALUD SAS CARRERA 44 A 9 C 67 CALI CO	HEALTHCARE SERVICES	CO	NA	C Corporation				Yes
(19) HCMH RETAIL CLINIC 115 AIRPORT RD SULPHUR SPRINGS,TX75482 47-5417965	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(20) EVANGELINE CLINICAL SERVICES INC 3330 MASONIC DRIVE ALEXANDIRA,LA71301 46-3977886	HEALTHCARE SERVICES	LA	CNLA	C Corporation			100 %	Yes
(21) GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW,TX75601 75-2554695	INACTIVE	TX	NA	C Corporation				Yes
(22) GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW,TX75601 51-0412465	HOLDING COMPAY	DE	NA	C Corporation				Yes
(23) GSHS ENTERPRISES OPERATING 1 INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2954772	HEALTHCARE SERVICES	DE	NA	C Corporation				Yes
(24) GSHS ENTERPRISES OPERATING 2 INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2954777	HEALTHCARE SERVICES	DE	NA	C Corporation				Yes
(25) GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2027162	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(26) MARSHALL PHYSICIAN HOSPITAL ORGANIZATION INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2580689	INACTIVE	TX	NA	C Corporation				Yes
(27) HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2636862	THIRD PARTY ADMINISTRATION	TX	NA	C Corporation				Yes
(28) THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER,TX75701 75-2484109	PREFER PROVIDER	TX	NA	C Corporation				Yes
(29) SCH MANAGEMENT SOLUTIONS INC ONE ST MARY PLACE SHREVEPORT,LA71101 72-1270625	MANAGEMENT JOINT VENTURES	LA	NA	C Corporation				Yes
(30) CENTRAL TEXAS PROVIDERS NETWORK 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 74-2827652	PHYSICIAN HOSPITAL	TX	NA	C Corporation				Yes
(31) LTACH CONDOMINIUM UNIT OWNERS ASSOC 600 ELIZABETH STREET CORPUS CHRISTI,TX77726 47-2404808	BUILDING ASSOCIATION	TX	NA	C Corporation				Yes
(32) SPOHN HEALTH NETWORK 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-2616328	HEALTH PLAN	TX	NA	C Corporation				Yes
(33) SPOHN INVESTMENT CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-2322574	RENTALS	TX	NA	C Corporation				Yes
(34) CENTRAL TX HEALTHCARE COLLABORATIVE 1301 Wonderland Dr San Marcos,TX78666 45-3739929	SUPPORT	TX	NA	C Corporation				Yes
(35) HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC 5101 N OCONNOR BLVD IRVING,TX75039 99-9999999	SUPPORT	TX	NA	C Corporation				Yes
(36) RELIANCE BENEFITS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2642104	HEALTHCARE SERVICES	TX	NA	C Corporation				Yes
(37) Otero County Medical Group Inc 2669 SCENIC DRIVE ALAMOGORDO,NM88310 99-9999999	HEALTHCARE SERVICES	NM	NA	C Corporation				Yes
(38) Alamogordo Home Health Care and Hospice Inc PO Drawer 29 ALAMOGORDO,NM88310 26-1674556	HEALTHCARE SERVICES	NM	NA	C Corporation				Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CH Wilkinson Physician Network CHRISTUS Physicians Group	M	799,319	Accrual
(2) CH Wilkinson Physician Network CHRISTUS Physicians Group	L	767,916	Accrual
(3) CH Wilkinson Physician Network CHRISTUS Physicians Group	P	147,320	Accrual
(4) CHRISTUS Health Northern Louisiana	O	506,870	Accrual
(5) CHRISTUS Health Northern Louisiana	Q	210,156	Accrual
(6) CHRISTUS Health Southwestern Louisiana	O	489,431	Accrual
(7) CHRISTUS Health Southwestern Louisiana	Q	202,926	Accrual
(8) Christus Trinity Clinic Texas	L	18,743,856	Accrual
(9) Christus Trinity Clinic Texas	M	9,251,369	Accrual
(10) Christus Trinity Clinic Texas	J	232,690	Accrual
(11) St Frances Cabrini Hospital Foundation of Alexandria	C	705,634	Accrual
(12) St Frances Cabrini Hospital Foundation of Alexandria	B	80,454	Accrual
(13) Trincare Inc	M	79,573	Accrual

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN COMFORMITY WITH THE ROMAN CATHOLIC CHURCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	2
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	2,496
6	Total number of volunteers (estimate if necessary) .............	6	35
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	682,933
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	290,152

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,476,249	792,535
9	Program service revenue (Part VIII, line 2g) .........	417,711,858	459,227,735
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,162,517	-325,805
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,360,974	11,632,333
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	426,711,598	471,326,798
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,704,226	7,430,242
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	143,085,308	153,769,000
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 148,686
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	250,776,151	266,019,083
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	396,565,685	427,218,325
19	Revenue less expenses. Subtract line 18 from line 12.......	30,145,913	44,108,473
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	180,687,286	211,062,741
21	Total liabilities (Part X, line 26).............	19,530,264	29,577,364
22	Net assets or fund balances. Subtract line 21 from line 20.....	161,157,022	181,485,377

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 56,636,786 including grants of $ 0 ) (Revenue $ 212,953,553 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ 223,844,335 including grants of $ 0 ) (Revenue $ 170,702,565 )
	SEE SCHEDULE O

4c	(Code: ) (Expenses $ 63,924,186 including grants of $ 0 ) (Revenue $ 86,923,062 )
	SEE SCHEDULE O

	(Code: ) (Expenses $ 7,430,242 including grants of $ 7,430,242 ) (Revenue $ 0 )
	CHRISTUS HEALTH CENTRAL LOUISIANA ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDERSERVED AND BROADER COMMUNITY. POOR & UNDERSERVED: EXPENSES OF $6,764,019; GRANTS OF $6,764,019 BROADER COMMUNITY: EXPENSES OF $472,402; GRANTS OF $330,975 ADDITIONAL GRANTS: GRANTS OF $335,248

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 7,430,242 including grants of $ 7,430,242 ) (Revenue $ )
4e	Total program service expenses351,835,549

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) SHERMAN FOOKES........................................................................ CHIEF OPERATING OFFICER	40.0 .......................0.0	X			0	385,188	50,835
(19) BAOCHONG B CHANG MD........................................................................ Physician	40.0 .......................0.0		X		934,972	0	17,347
(20) HAFEZ HALAWANI MD........................................................................ Physician	40.0 .......................0.0		X		697,982	0	34,962
(21) JOSHUA R CASON MD........................................................................ Physician	40.0 .......................0.0		X		300,236	0	40,445
(22) MONICA L BRODNAX........................................................................ REGISTERED NURSE	40.0 .......................0.0		X		216,286	0	29,506
(23) SARAH HERBEL MD........................................................................ Physician	40.0 .......................0.0		X		236,959	0	26,029
(24) Claire Lauzon-Vallone........................................................................ VP Quality and Safety	40.0 .......................0.0			X	0	484,557	51,197
(25) JOSE M ZAPATERO MD........................................................................ FORMER CMO/VPMA Term (2/24)	40.0 .......................0.0			X	0	100,508	45,732

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,386,435	7,585,048	800,615

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	664,520
e	Government grants (contributions)		1e	94,424

f	All other contributions, gifts, grants, and similar amounts not included above		1f	33,591

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		792,535

		Business Code
2a	NET PATIENT SERVICE REVENUE	621990	442,232,486	441,828,926	403,560
b	Physician Non Contract Revenue	621110	8,741,047	8,741,047
c	PHARMACY REVENUE	456110	4,900,338	4,900,338
d	RENT RELATED TO EXEMPT FUNCTION	531120	2,781,448	2,781,448
e	RESEARCH REVENUE	541700	559,244	559,244
f	All other program service revenue.		13,172	13,172	0	0
g	Total. Add lines 2a–2f .....		459,227,735

3 Investment income (including dividends, interest, and othersimilar amounts) ......			-10,593			-10,593
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			1,363			1,363
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		8,741
b	Less: cost or other basis and sales expenses	7b		323,953
c	Gain or (loss)	7c	0	-315,212
d	Net gain or (loss).........			-315,212			-315,212
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	Other Operating Revenue		900099	11,351,445	11,351,445
b	Management Service Fee Revenue		541610	279,525		279,373	152
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			11,630,970
12	Total revenue. See instructions.....			471,326,798	470,175,620	682,933	-324,290

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	7,430,242	7,430,242
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	124,897,078	119,796,309	5,085,346	15,423
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	20,447,045	18,149,698	2,294,286	3,061
10	Payroll taxes ...........	8,424,877	8,127,251	296,445	1,181
11	Fees for services (non-employees):
a	Management ......	455,498	455,498
b	Legal .........	29,649	11,497	18,152
c	Accounting ...........
d	Lobbying ...........	10,292		10,292
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	101,446,944	48,553,516	52,888,303	5,125
12	Advertising and promotion ....	728,325	585,495	133,479	9,351
13	Office expenses .......	25,219,594	24,571,160	571,022	77,412
14	Information technology ......	956,607	842,867	85,326	28,414
15	Royalties ..
16	Occupancy ...........	9,621,096	9,515,448	105,648
17	Travel ............	203,354	93,427	108,177	1,750
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	376,059	131,728	243,213	1,118
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	8,571,888	8,115,071	456,817
23	Insurance ...	4,754,999	3,087,276	1,667,723
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	93,573,568	93,505,019	68,232	317
b	Tax Expense	10,077,704	71,660	10,006,044
c	Provision for Uncollectable Accounts	8,693,464	8,693,464
d	TLRA Collection Fee	967,880		967,880
e	All other expenses	332,162	98,923	227,705	5,534
25	Total functional expenses. Add lines 1 through 24e	427,218,325	351,835,549	75,234,090	148,686
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			493,391	1	1,376,860
2	Savings and temporary cash investments .........			16,779	2	16,779
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			40,257,446	4	60,198,213
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			1,275,379	7	721,602
8	Inventories for sale or use ............			11,167,641	8	12,248,656
9	Prepaid expenses and deferred charges ......			747,831	9	1,185,998
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	394,058,160
b	Less: accumulated depreciation	10b	266,483,510	118,128,650	10c	127,574,650
11	Investments—publicly traded securities .			6,285	11	6,285
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			1,638,817	13
14	Intangible assets ...............			1,210,000	14	2,869,200
15	Other assets. See Part IV, line 11 ...........			5,745,067	15	4,864,498
16	Total assets. Add lines 1 through 15 (must equal line 33)...			180,687,286	16	211,062,741

17	Accounts payable and accrued expenses .....	18,387,092	17	27,719,704
18	Grants payable ...		18
19	Deferred revenue .........	-22,518	19	32,565
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,165,690	25	1,825,095
26	Total liabilities. Add lines 17 through 25..	19,530,264	26	29,577,364

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	160,936,960	27	181,485,377
28	Net assets with donor restrictions ...........	220,062	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	161,157,022	32	181,485,377
33	Total liabilities and net assets/fund balances ........	180,687,286	33	211,062,741