C H R I S T U S M E D I C a L G R O U P

Clinics C H R I S T U S M e d i c a l G r o u p

CHRISTUS MEDICAL GROUP CLINIC LOCATIONS CHRISTUS Jasper Memorial (CMG) is a faith-based physician TEXAS Hospital–Family Practice Clinic, 1700 West Loop South, employment and practice Administrative Offices Kirbyville Suite 400B management organization 1700 West Loop South, CHRISTUS Jasper Memorial Houston, Texas 77027-3011 Hospital–Family Practice Clinic, 713.277.2200 employing family practice, Suite 400B Houston, Texas 77027-3011 Jasper www.christusmedicalgroup.org pediatric, obstetrical and gynecological physicians, CHRISTUS Medical Group – CHRISTUS Jasper Memorial specialists and other licensed Southwest Community Hospital–Family Practice Clinic, health care providers. CMG Health Center, Houston Sam Rayburn was established in 1994, and CHRISTUS Medical Group – LOUISIANA operates clinics in Louisiana Santa Rosa Clinic, Santa Rosa Human Resources and Texas. CHRISTUS Medical Group – 2108 Texas Ave, Suite 3080 Alexandria, Louisiana 71301 As a wholly-owned subsidiary Obstetrics and Gynecology of CHRISTUS Health, CMG has Associates, Kingsville CHRISTUS Medical Group – Family a deep-rooted mission of CHRISTUS Medical Group – Medicine Center, Alexandria extending the healing ministry Occupational Medicine Clinic, CHRISTUS Medical Group – of Jesus Christ. CMG’s clinics Beaumont Intensivist Group-Cabrini, focus on delivering excellent CHRISTUS Medical Group – Family Alexandria health care in a service-focused, Medicine Center-Mid-County, CHRISTUS Medical Group – compassionate environment. Port Arthur Alexandria Pediatrics, Alexandria CMG clinics and services include: CHRISTUS Medical Group - Point of Light Clinic, Dickinson CHRISTUS Medical Group – •Primary Care CHRISTUS Medical Group – Marksville Family Care Center, •Pediatric Care Beeville Surgery Group, Beeville Marksville •Obstetrical/Gynecological CHRISTUS Medical Group – CHRISTUS Medical Group – Primary Services Dr. Hector P. Garcia Family Care Associates, Shreveport •Medical and Surgical Medicine Center, Corpus Christi CHRISTUS Medical Group – Specialists CHRISTUS Medical Group – Fairfield Women’s Health •Rural Health Centers Multi-Specialty Clinic, Associates, Shreveport •Clinics for the Underserved Corpus Christi CHRISTUS Medical Group – Internal for Community Outreach CHRISTUS Medical Group – Medicine Associates-Fairfield, • Academic Medicine Women’s Care Clinic, Shreveport •Retail Medicine Corpus Christi CHRISTUS Medical Group – •Occupational Medicine CHRISTUS Medical Group – Cardiology Associates, Radiology Oncology Program, Lake Charles The foundation of CMG’s care Corpus Christi CHRISTUS Medical Group – is primary care and family Prien Lake Medical Clinic, medicine, which provides CHRISTUS Medical Group – Orthopedic Trauma Surgery, Lake Charles continuing and comprehensive Corpus Christi health care for patients of all RETAIL MEDICINE ages from infants to the elderly, CMG employs the Licensed Convenient Clinic, Healthcare Providers in the for all medical conditions Boerne, TX following clinics: including management of Convenient Clinic, Friendswood, TX diseases such as diabetes, high CHRISTUS Spohn Family Health Center-Padre Island, Convenient Clinic, blood pressure and chronic Corpus Christi Houston, TX health problems. CHRISTUS Spohn Family Health Convenient Clinic, CMG plays a key role in Center-Westside, Corpus Christi Katy, TX Convenient Clinic, CHRISTUS Health’s delivery CHRISTUS Spohn Family Health Kemah, TX network to carry out the mission Center-Northside, Corpus Christi of providing health care to all of Convenient Clinic, CHRISTUS Spohn Family Health League City, TX its community members. CMG Center-Robstown, Robstown clinics are the access point to Convenient Clinic, Lone Star Neurosurgery, primary care health services, and Pearland, TX San Antonio in many areas, assure that the Convenient Clinic, Spring, TX The Mission CHRISTUS vision of creating South Texas Health Alliance, Convenient Clinic, of CHRISTUS Health: healthy communities is fulfilled. San Antonio To Extend the Healing Sulphur, LA Ministry of Jesus Christ C H R I S T U S M e d i c a l G r o u p

Improving the Health of the Communities We Serve is a Primary Focus A Synopsis of Community Benefit in Fiscal Year 2009 Community Services – Indigent Community CHRISTUS Medical Group, a part Community Services – 4.4% of the CHRISTUS Health system, Broader Community continues our journey to excellence 0.2% that began ten years ago by improving the health of the communities we serve. The CHRISTUS Medical Group Unpaid Government works closely with the communities Indigent Care Charity Care to ensure identified needs are 84.5% 10.9% incorporated in the community- owned plan as well as the CHRISTUS Health system’s strategic plan. We actively fulfill our mission of Unpaid Cost in FY2009 as a extending the healing ministry of Jesus Percent of Total Community Benefit Christ by supporting a broad array of community-based services and Charity Care, which is 32.6 percent of Medical Group reinvests all profits we programs that facilitates access to care the region's net patient revenue. Of earn back into the community with special attention given to the this amount, Unpaid Government through expanded health services, health status of the low income, Indigent Care for the underserved, new technologies and better facilities. uninsured and underinsured predominately Medicaid, comprises In addition, cost of Unpaid populations. This report of community more than $4.1 million of unpaid Government Sponsored Programs, benefit is only a snapshot of the costs for fiscal year 2009, which is mostly Medicare is reported to the support and value provided to the 28.8 percent of net patient revenue. state of Texas following the state's communities we serve. CHRISTUS Health Medical Group also Community Benefit reporting CHRISTUS Medical Group follows the contributed more than $225,626 in requirements. This year, that amount Catholic Health Association (CHA) and Community Services to the Medical for CHRISTUS Health Medical Group State of Texas guidelines for reporting Group community in fiscal year 2009. was more than $5.2 million, or 36.2 community benefit. Thus, CHRISTUS Health Medical percent of the region's net patient Charity Care is defined as the unpaid Group provided $4.9 million in total revenue. In accordance with CHA cost of medical services provided to community benefit, which is 34.2 Guidelines, CHRISTUS Health Medical the uninsured and underinsured, percent of net patient revenue earned Group does not include this amount including Medicaid. During fiscal year in fiscal year 2009. This equates to in reports of community benefit 2009, CHRISTUS Health Medical Group more than $13,500 a day in provided to other agencies. provided more than $4.7 million in community benefit. CHRISTUS Health

YEAR ENDED 06/30/08 YEAR ENDED 6/30/09 CHRISTUS MEDICAL GROUP AS A AS A COMMUNITY BENEFIT FY2008 vs FY2009 UNPAID UNPAID COSTS $ % OF NPR* COSTS $ % OF NPR* CHARITY CARE Charity Care 1,450,855 15.2 543,347 3.8 Unpaid Government Indigent Care (predominately Medicaid) 3,836,632 40.2 4,177,377 28.8 Charity Care Subtotal 5,287,487 55.4 4,720,724 32.6 COMMUNITY SERVICES 169,896 1.8 255,626 1.6 Total Community Benefit as per CHA Guidelines 5,457,383 57.1 4,946,350 34.2 UNPAID GOVERNMENT SPONSORED PROGRAMS (predominately Medicare) 2,268,549 23.7 5,247,235 36.2 Total Community Benefit plus unpaid Medicare costs per State of Texas rules 7,725,932 80.9 10,193,585 70.4 NET PATIENT REVENUE (NPR)* 9,552,172 14,478,591 *All numbers are taken from the consolidated financial statements.