CONTINUECARE HOSPITAL OF TYLER INCORPORATED: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CONTINUECARE HOSPITAL OF TYLER INCORPORATED (EIN 20-0991990)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-13
IRS object ID: 202431349349305828
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-13T13:23:08+00:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON ST	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	200991990	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ContinueCare Hospital of Tyler Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CONT	BusinessNameControlTxt
Phone	9729436400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 LEGACY DRIVE 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE HYDE	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	9729436400	PhoneNum
Signature	2024-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	HILL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jodi Rosser	PreparerPersonNm
PTIN	P01255710	PTIN
Phone	8173351900	PhoneNum
Preparation	2024-04-30	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE HYDE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 LEGACY DRIVE 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$19,487,782	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://TYLER.CONTINUECARE.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	AS A "HOSPITAL WITH-IN A HOSPITAL", IT IS THE MISSION OF CONTINUECARE HOSPITAL OF TYLER, INC. TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTHCARE IN A LTACH ENVIRONMENT.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	151	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$100,091	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$21,602,878	PYProgramServiceRevenueAmt
CY Program Service Revenue	$19,464,358	CYProgramServiceRevenueAmt
PY Investment Income	$13,643	PYInvestmentIncomeAmt
CY Investment Income	$23,238	CYInvestmentIncomeAmt
PY Other Revenue	$54	PYOtherRevenueAmt
CY Other Revenue	$186	CYOtherRevenueAmt
PY Total Revenue	$21,716,666	PYTotalRevenueAmt
CY Total Revenue	$19,487,782	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$11,582,485	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$9,715,606	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,809,364	PYOtherExpensesAmt
CY Other Expenses	$11,194,643	CYOtherExpensesAmt
PY Total Expenses	$21,391,849	PYTotalExpensesAmt
CY Total Expenses	$20,910,249	CYTotalExpensesAmt
PY Revenues Less Expenses	$324,817	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,422,467	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,964,493	TotalAssetsBOYAmt
Total Assets EOY	$4,584,897	TotalAssetsEOYAmt
Total Liabilities BOY	$2,364,205	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,407,076	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,600,288	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,177,821	NetAssetsOrFundBalancesEOYAmt
Mission	AS A "HOSPITAL WITH-IN A HOSPITAL," IT IS THE MISSION OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$18,587,779	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$19,464,358	RevenueAmt
Desc	TYLER CONTINUECARE HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) OPERATING AS A "HOSPITAL WITHIN A HOSPITAL" AT CHRISTUS MOTHER FRANCES HOSPITAL IN TYLER, TEXAS. TYLER CONTINUECARE HOSPITAL OBTAINED A LICENSE TO OPERATE AN ACUTE CARE HOSPITAL ON MAY 14, 2004, AND BECAME CERTIFIED AS A LONG-TERM ACUTE CARE HOSPITAL ON JANUARY 1, 2005. AS AN LTACH, TYLER CONTINUECARE HOSPITAL PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN AN LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED JUNE 30, 2023, TYLER CONTINUECARE HOSPITAL'S TOTAL PATIENTS ADMITTED WERE 450 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 12,262. THE AVERAGE DAILY CENSUS WAS 33.6 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 26.2 DAYS.	Desc
Total Program Service Expenses	$18,587,779	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	18	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	151	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIKE MURRAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9729431225	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 LEGACY DRIVE SUITE 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHRIS GLENNEY
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
CRAIG CHESLEY
DIRECTOR	1.0	1.0	Yes (X)	$0	$30,750	$0
DAN HARDIMAN
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
Jeff Warr
DIRECTOR (start 7/2022)	1.0	0	Yes (X)	$0	$0	$0
JIM KENDRICK
DIRECTOR	0.2	39.8	Yes (X)	$0	$1,521,874	$138,727
JAMES HILL
TREASURER	0.4	39.6		$0	$394,083	$38,701	Yes (X)
LINDA MOORE
SECRETARY	0.1	39.9		$0	$424,165	$33,792	Yes (X)
STEPHANIE HYDE
CEO/PRESIDENT	40.0	0.0		$0	$202,728	$43,196	Yes (X)
Dawn Stiles
LVN	40.0	0		$149,357	$0	$8,325		Yes (X)
Jennifer Minchew
RN Charge Nurse	40.0	0		$126,298	$0	$17,335		Yes (X)
LADUANDA HILL
RN CHARGE NURSE	40.0	0		$203,098	$0	$30,612		Yes (X)
Lauren Menefee
REGISTERED NURSE	40.0	0		$133,267	$0	$16,197		Yes (X)
STEWARD SALMOND
REGISTERED NURSE	40.0	0		$127,543	$0	$17,735		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$739,562	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,573,600	TotReportableCompRltdOrgAmt
Total Other Compensation	$344,618	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
KRUCIAL STAFFING LLC
7240 W 98th Terrace	Overland Park	KS	66212	CONTRACT STAFFING	$752,411
NATHAN JACKSON PLLC
PO BOX 6336	TYLER	TX	75711	CONTRACT PT/OT	$493,796
CHRISTUS TRINITY CLINIC
1001 E Southeast loop 323	Tyler	TX	75701	CONTRACT PHYSICIANS	$342,254	ste 260
HHS ENVIRONMENTAL SERVICES
PO Box 734367	Dallas	TX	75373	Contract Cleaning	$257,321

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	INPATIENT REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$19,464,358	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,464,358	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$19,464,358	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,238	TotalRevenueColumnAmt
Exclusion	$23,238	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MEDICAL RECORDS	Desc
Business	900099	BusinessCd
Total Revenue Column	$186	TotalRevenueColumnAmt
Exclusion	$186	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$186	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,487,782	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,464,358	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$23,424	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,090,294	TotalAmt
Program Services	$7,200,362	ProgramServicesAmt
Management And General	$889,932	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$136,550	TotalAmt
Program Services	$121,530	ProgramServicesAmt
Management And General	$15,020	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$942,802	TotalAmt
Program Services	$839,096	ProgramServicesAmt
Management And General	$103,706	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$545,960	TotalAmt
Program Services	$485,904	ProgramServicesAmt
Management And General	$60,056	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$769,204	TotalAmt
Management And General	$769,204	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$665	TotalAmt
Management And General	$665	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$88,897	TotalAmt
Management And General	$88,897	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$14,923	TotalAmt
Program Services	$14,923	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,261,365	TotalAmt
Program Services	$6,258,736	ProgramServicesAmt
Management And General	$2,629	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$16,814	TotalAmt
Management And General	$16,814	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,786	TotalAmt
Management And General	$31,786	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$180,000	TotalAmt
Management And General	$180,000	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,444,330	TotalAmt
Program Services	$1,444,330	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$43,773	TotalAmt
Management And General	$43,773	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,403	TotalAmt
Management And General	$1,403	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$192,991	TotalAmt
Program Services	$192,991	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$118,585	TotalAmt
Management And General	$118,585	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$1,583,484	$1,583,484
EQUIPMENT LEASE	$286,023	$286,023
REPAIRS & MAINTENANCE	$67,989	$67,989
DUES & SUBSCRIPTIONS	$35,297	$35,297

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,114	TotalAmt
Program Services	$57,114	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,910,249	TotalAmt
Program Services	$18,587,779	ProgramServicesAmt
Management And General	$2,322,470	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,197,569	BOYAmt
EOY	$535,407	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,197,591	BOYAmt
EOY	$2,723,650	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$247,351	BOYAmt
EOY	$196,056	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$309,764	BOYAmt
EOY	$318,681	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,415,846	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,604,743	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,012,218	BOYAmt
EOY	$811,103	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,964,493	BOYAmt
EOY	$4,584,897	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,262,620	BOYAmt
EOY	$1,312,398	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,101,585	BOYAmt
EOY	$94,678	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,364,205	BOYAmt
EOY	$1,407,076	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,600,288	BOYAmt
EOY	$3,177,821	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,600,288	BOYAmt
EOY	$3,177,821	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,964,493	BOYAmt
EOY	$4,584,897	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,422,467	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,923	OtherActivitiesAmt
Total Lobbying Expenditures	$14,923	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	IN FISCAL YEAR 2023 Tyler ContinueCare Hospital PAID: $14,804 TO THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $4,271 TO THE TEXAS HOSPITAL ASSOCIATION (THA) $10,476 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $16,000 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: NALTH: 11.69% THA: 17.16% AHA: 27.29% PICARD GROUP: 60% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $14,804 * 11.69% = $1,731 THA: $4,271 * 17.16% = $733 AHA: $10,476 * 27.29% = $2,859 PICARD GROUP: $16,000 * 60.0% = $9,600	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,642	OtherCostOrOtherBasisAmt
Depreciation	$166,642	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,910,633	OtherCostOrOtherBasisAmt
Depreciation	$2,283,194	DepreciationAmt
Book Value	$627,439	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$338,571	OtherCostOrOtherBasisAmt
Depreciation	$154,907	DepreciationAmt
Book Value	$183,664	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$811,103	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Long Term Lease Obligations	$92,950
Short Term Lease Obligations	$90,713
INTERCOMPANY- CCC	$12,505
INTERCOMPANY- Paducah	-$639
INTERCOMPANY- CHC	-$100,851

Field	Value	IRS element (for citing)
Total Liability	$94,678	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$152,168	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$152,168	NetCommunityBenefitExpnsAmt
Total Expense	0.0073	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$152,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$152,168	NetCommunityBenefitExpnsAmt
Total Expense	0.0073	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,897	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,897	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$15,897	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,897	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$168,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$168,065	NetCommunityBenefitExpnsAmt
Total Expense	0.0080	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$11,266,688	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,593,576	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,673,112	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CONTINUECARE HOSPITAL OF TYLER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 E DAWSON 4TH FLOOR	AddressLine1Txt
City	TYLER	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://TYLER.CONTINUECARE.ORG	WebsiteAddressTxt
State License	008065	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CONTINUECARE HOSPITAL OF TYLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://tyler.continuecare.org/CHNA/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://tyler.continuecare.org/CHNA/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://tyler.continuecare.org/for-families/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://tyler.continuecare.org/for-families/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://tyler.continuecare.org/for-families/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA OF CONTINUECARE HOSPITAL OF TYLER (TYLER CONTINUECARE HOSPITAL) ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CONTINUECARE HOSPITAL OF TYLER, INC.. TYLER CONTINUECARE HOSPITAL OPERATES A 51-BED LONG-TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE FOURTH FLOOR OF THE HOST HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IN TYLER, TEXAS. AS A "HOSPITAL WITHIN A HOSPITAL", TYLER CONTINUECARE HOSPITAL IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE CARE TO CRITICALLY ILL AND MEDICALLY COMPLEX PATIENTS REQUIRING LONGER ACUTE-CARE STAYS THAN REGULAR HOSPITALS. AS AN LTACH, TYLER CONTINUECARE HOSPITAL DEVELOPS A CONTINUUM OF CARE BETWEEN THE ACUTE AND LONG-TERM PHASES OF A PATIENT'S ILLNESS. A PATIENT IS USUALLY ADMITTED AFTER A SHORT-TERM, ACUTE-CARE HOSPITAL STAY. AFTER CARE IN AN LTACH, MANY PATIENTS ARE THEN ABLE TO TRANSITION FROM THE LTACH TO ACUTE REHAB, SKILLED NURSING OR GO HOME. HOSPICE CARE IS ALSO A POST-ACUTE TREATMENT OPTION FOR PATIENTS WITH A TERMINAL DISEASE WHO HAVE A LIFE EXPECTANCY OF SIX MONTHS OR LESS. TYLER CONTINUECARE HOSPITAL IS DESIGNED TO MEET THE NEEDS OF LONG-TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, INFECTIOUS DISEASE AND POST COVID RECOVERY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS INFECTION CONTROL AND PATIENT AND FAMILY EDUCATION. TYLER CONTINUECARE HOSPITAL IS LED BY A CLOSE-KNIT TEAM OF PROFESSIONALS WHO SHARE A PHILOSOPHY TO PROVIDE COMPASSIONATE, HIGH-QUALITY HEALTH CARE SERVICES. OUR MULTIDISCIPLINARY TEAM CONSISTS OF PHYSICIANS, NURSES, THERAPISTS, DIETITIANS, SOCIAL WORKERS, CASE MANAGERS, PHARMACISTS AND OTHER PROFESSIONALS WHO WORK TOGETHER ON EVERY ASPECT OF PATIENT CARE. THE DEFINED SERVICE AREA OF TYLER CONTINUECARE HOSPITAL IS SMITH COUNTY IN TEXAS. SMITH COUNTY COMPRISES 36.9% OF STUDY YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF SMITH COUNTY IS EXPECTED TO INCREASE BY 5.3% FROM 2021 (238,813) TO 2026 (251,488), WHICH IS BELOW THE 7.9% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2021 (29,969,514) TO 2026 (32,346,738). AS OF 2021, THE RACIAL/ETHNIC BREAKOUT OF SMITH COUNTY WAS 68.0% WHITE, 17.4% BLACK, 1.6% ASIAN, 0.5% AMERICAN INDIAN AND 12.5% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2026, THE WHITE POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE BY 3.6% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 2.7%. BY 2026, THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 21.2% AND THE AMERICAN INDIAN POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE BY 7.5% WITH ALL OTHER GROUPS EXPECTED TO INCREASE BY 16.1% BY 2026. THE HISPANIC ETHNIC POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE BY 16.3%. BETWEEN 2015 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN SMITH COUNTY, THE STATE AND THE NATION. IN 2019, SMITH COUNTY (8.4%) HAD A LOWER PERCENT OF FOREIGN-BORN RESIDENTS THAN THE STATE (17.1%) AND THE NATION (13.7%). SMITH COUNTY (37.2 YEARS) HAS AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (35.3 YEARS) (2021). THE MEDIAN AGES FOR SMITH COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). SMITH COUNTY ($58,291) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS ($63,524) (2021). THE MEDIAN HOUSEHOLD INCOME IN SMITH COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). SMITH COUNTY (27.7%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (31.3%) (2021). IN 2014-2018, 16.0% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.0% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, 24.5% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.2% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, THE DISTRESS SCORE IN SMITH COUNTY WAS 55.2 WHICH IS MORE PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN SMITH COUNTY AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, SMITH COUNTY (6.8) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN SMITH COUNTY OVERALL DECREASED. MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (5.2) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (9.1). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN SMITH COUNTY ARE WITHIN SALES AND RELATED OCCUPATIONS (11.6%). THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE AND SALES AND RELATED OCCUPATIONS, (11.6%); ADMINISTRATIVE SUPPORT OCCUPATIONS, (10.6%); MANAGEMENT OCCUPATIONS, (8.9%); CONSTRUCTION AND EXTRACTION OCCUPATIONS, (6.8%); AND FOOD PREPARATION AND SERVING RELATED OCCUPATIONS, (6.5%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH SMITH COUNTY AND THE STATE. IN 2015-2019, SMITH COUNTY (7.0%) HAD A HIGHER PERCENT OF PEOPLE WORKING AT HOME THAN THE STATE (6.0%). SMITH COUNTY (25.9 MINUTES) HAD A SHORTER MEAN TRAVEL TIME TO WORK THAN THE STATE (27.2 MINUTES) (2015-2019). THERE IS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY IN SMITH COUNTY (19.8%) AS COMPARED TO THE STATE OF TEXAS (18.0%) (2021). BETWEEN 2015 AND 2019, THE PERCENT OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN SMITH COUNTY AND THE STATE DECREASED. SMITH COUNTY (17.8%) HAD A LOWER PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY THAN TEXAS (19.2%) (2019). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 14.8% OF SMITH COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.1% IN TEXAS. ADDITIONALLY, 21.0% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN SMITH COUNTY ARE FOOD INSECURE, AS COMPARED TO 19.6% IN TEXAS (2019). THE AVERAGE MEAL COST FOR A SMITH COUNTY RESIDENT IS $2.95, AS COMPARED TO $2.68 IN TEXAS (2019). BETWEEN 2014 AND 2018, SMITH COUNTY MAINTAINED A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE. IN 2018, SMITH COUNTY (11.1%) HAD A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN THE STATE (12.2%). THE PERCENT OF PUBLIC SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN SMITH COUNTY (64.3%) IS HIGHER THAN THE STATE RATE (60.5%) AND THE NATIONAL RATE (49.5%) (2018-2019). IN 2018-2019, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN SMITH COUNTY (92.8%) WAS HIGHER THAN THE STATE (91.4%) AND NATIONAL (87.7%) RATES.
Schedule H, Part V, Section B, Line 5 Facility , 2	Facility , 2 - CONTINUECARE HOSPITAL OF TYLER, INC. (continued). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH SMITH COUNTY AND THE STATE (2017-2019). HEART DISEASE MORTALITY RATES IN BOTH SMITH COUNTY AND THE STATE DECREASED BETWEEN 2017 AND 2019. IN 2019, THE HEART DISEASE MORTALITY RATE IN SMITH COUNTY (189.7 PER 100,000) WAS HIGHER THAN THE STATE (163.4 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH SMITH COUNTY AND THE STATE (2017- 2019). BETWEEN 2017 AND 2019, CANCER MORTALITY RATES IN SMITH COUNTY INCREASED, WHILE RATES IN THE STATE OF TEXAS DECREASED. IN 2019, THE CANCER MORTALITY RATE IN SMITH COUNTY (157.5 PER 100,000) WAS HIGHER THAN THE STATE (141.4 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASE (CLRD) IS THE THIRD LEADING CAUSE OF DEATH IN SMITH COUNTY, AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, CLRD MORTALITY RATES IN BOTH SMITH COUNTY AND THE STATE DECREASED. IN 2019, THE CLRD MORTALITY RATE IN SMITH COUNTY(44.8 PER 100,000) WAS HIGHER THAN THE STATE (38.6 PER 100,000). FATAL ACCIDENTS IS THE FOURTH LEADING CAUSE OF DEATH IN SMITH COUNTY AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, ACCIDENT MORTALITY RATES IN BOTH SMITH COUNTY AND THE STATE OF TEXAS INCREASED. IN 2019, THE ACCIDENT MORTALITY RATE IN SMITH COUNTY (44.1 PER 100,000) WAS HIGHER THAN THE STATE (39.7 PER 100,000). IN 2019, THE LEADING CAUSE OF FATAL ACCIDENTS IN SMITH COUNTY WAS DUE TO MOTOR VEHICLE ACCIDENTS. CEREBROVASCULAR DISEASES ARE THE FIFTH LEADING CAUSE OF DEATH IN SMITH COUNTY AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, CEREBROVASCULAR DISEASE MORTALITY RATES IN SMITH COUNTY INCREASED, WHILE RATES IN THE STATE DECREASED. IN 2019, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN SMITH COUNTY (40.1 PER 100,000) WAS SLIGHTLY HIGHER THAN THE STATE (39.0 PER 100,000). DIABETES MELLITUS, INTENTIONAL SELF-HARM (SUICIDE), ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS AND CHRONIC LIVER DISEASE AND CIRRHOSIS ARE ALSO LEADING CAUSES OF DEATH IN SMITH COUNTY. AS OF SEPTEMBER 11, 2021, SMITH COUNTY (72.5 PER 1,000) HAS A LOWER RATE OF TOTAL COVID-19 CASES THAN THE STATE (106.4 PER 1,000). AS OF NOVEMBER 17, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED IN SMITH COUNTY (46.7%) IS LOWER THAN THE STATE (60.2%). BETWEEN 2014 AND 2020, OBESITY PREVALENCE RATES IN ADULTS (AGE 18+) IN SMITH COUNTY AND THE STATE INCREASED. IN 2016-2020, SMITH COUNTY (34.2%) HAD A CONSISTENT PERCENTAGE OF OBESE ADULTS (AGE 18 +) AS THE STATE (34.2%). SMITH COUNTY (63.6%) HAS A HIGHER RATE OF MEDICARE FEEFORSERVICE RESIDENTS WITH HYPERTENSION THAN THE STATE (59.9%) AND THE NATION (57.2%) (2018). BETWEEN 2014 AND 2020, ASTHMA PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE SLIGHTLY INCREASED. IN 2015-2019, THE PREVALENCE RATE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA IN SMITH COUNTY (10.0%) WAS LOWER THAN THE STATE (12.6%). BETWEEN 2014 AND 2020, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN SMITH COUNTY AND THE STATE INCREASED. IN 2016-2020, SMITH COUNTY (24.2%) HAD A HIGHER PERCENT OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.2%). BETWEEN 2014 AND 2020, THE RATE OF ADULTS (AGE 18+) IN SMITH COUNTY THAT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER STAYED CONSISTENT, WHILE THE RATES IN THE STATE OF TEXAS INCREASED. IN 2016-2020, THE PERCENT OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER IN SMITH COUNTY (12.1%) WAS LOWER THAN THE STATE (16.1%). BETWEEN 2014 AND 2020, ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN SMITH COUNTY AND THE STATE INCREASED. THE PERCENT OF ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN SMITH COUNTY (24.9%) WAS LOWER THAN THE STATE (26.3%) (2016-2020). AS OF 2019, SMITH COUNTY (25.1%) HAD A SLIGHTLY HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (24.3%). BOTH SMITH COUNTY AND THE STATE EXPERIENCED SLIGHT INCREASES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2019. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR TYLER CONTINUECARE HOSPITAL BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN SMITH COUNTY, TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE FROM OCTOBER 12, 2021-NOVEMBER 2, 2021. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE TYLER CONTINUECARE HOSPITAL BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 5, 2022. INTERVIEW METHODOLOGY: TYLER CONTINUECARE HOSPITAL WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. TYLER CONTINUECARE HOSPITAL PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT TYLER CONTINUECARE HOSPITAL, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING SOURCES WHICH INCLUDED STRATASAN, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE TEXAS CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. TYLER CONTINUECARE HOSPITAL PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE SMITH COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, ELEVEN IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 90.9% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 9.1% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.
Schedule H, Part V, Section B, Line 5 Facility , 3	Facility , 3 - CONTINUECARE HOSPITAL OF TYLER, INC. (continued). INTERVIEWEES INCLUDED: LEROY BIGGERS: BOARD MEMBER, TYLER FAMILY CIRCLE OF CARE CRAIG CHESLEY: RETIRED PRESIDENT, APPRAISAL ASSOCIATES; BOARD MEMBER, TYLER CONTINUECARE HOSPITAL; BOARD MEMBER, COMMUNITY HOSPITAL CORPORATION GINA DAUGHTRY: CHIEF EXECUTIVE OFFICER, HEART TO HEART HOSPICE JOHN ENGLISH, MD: CHIEF EXECUTIVE OFFICER, BETHESDA HEALTH CLINIC DAWN FRANKS: OWNER, YOUR PHILANTHROPY DAN HARDIMAN: OWNER, THE HARDIMAN AGENCY; BOARD PRESIDENT, TYLER CONTINUECARE HOSPITAL KATHY HARRY: CHIEF EXECUTIVE OFFICER, CATHOLIC CHARITIES PAUL MCGAHA, MD: ASSOCIATED PROFESSOR OF COMMUNITY HEALTH AND PREVENTATIVE MEDICINE, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER ROBERT OWENS: OWNER, TRADITIONS/CORNER BAKERY; BOARD MEMBER, TYLER CONTINUECARE HOSPITAL GEORGE ROBERTS, JR.: CHIEF EXECUTIVE OFFICER, NORTHEAST TEXAS PUBLIC HEALTH DISTRICT *SHERRI SOCHASKI: DIRECTOR OF HOSPITAL CASE MANAGEMENT, CHRISTUS TRINITY MOTHER FRANCES HOSPITAL - TYLER POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: RACIAL/ETHNIC GROUPS, LOW INCOME, HOMELESS, VETERANS. ELDERLY AND YOUTH. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: RACIAL/ETHNIC - LANGUAGE BARRIERS - TRANSPORTATION BARRIERS - OVERUSE OF EMERGENCY ROOM LOW INCOME - TRANSPORTATION BARRIERS - OVERUSE OF EMERGENCY ROOM - LACK OF AFFORDABLE MEDICAL CARE AND MEDICATIONS - LACK OF ACCESS TO TECHNOLOGY TO ACCESS MEDICAL HEALTH RECORDS - LACK OF AWARENESS AND UNDERSTANDING OF EXISTING HEALTHCARE SERVICES - GENERATIONAL HABITS REGARDING SEEKING MEDICAL CARE HOMELESS - MENTAL HEALTH CONCERNS - OVERUSE OF THE EMERGENCY ROOM VETERANS - LONG WAIT TIME AT VA FACILITIES - TRANSPORTATION ISSUES ELDERLY - EDUCATION ON INSURANCE BENEFITS, SPECIFICALLY MEDICARE/MEDICAID - TRANSPORTATION BARRIERS - EDUCATION ON TELEMEDICINE AND COMPUTER USE - LACK OF ACCESS TO AFFORDABLE NURSING HOME/ASSISTED LIVING - AWARENESS OF SERVICES YOUTH - LIMITED ACCESS TO PEDIATRIC SPECIALTIES - SUPPORT FOR SPECIAL NEEDS (EX. FEEDING TUBES, NUTRITION SUPPLEMENTS) - TRANSPORTATION BARRIERS
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - CONTINUECARE HOSPITAL OF TYLER, INC.. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY TYLER CONTINUECARE HOSPITAL. THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM TYLER CONTINUECARE HOSPITAL, MET WITH CHC CONTINUECARE TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. CONTINUED FOCUS ON COVID-19 PREVENTION & RESPONSE 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 5. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FOUR OF THE FIVE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PARTICIPATE IN INITIATIVES TO IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 1.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 1.B. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO SHARE AVAILABLE LOCAL COUNSELING RESOURCES WITH MENTAL AND BEHAVIORAL HEALTH RELATED PATIENTS AS NEEDED. THROUGH ITS ESTABLISHED RELATIONSHIP WITH ALETHIA, TYLER CONTINUECARE HOSPITAL IS ABLE TO PROVIDE INPATIENT COUNSELING FOR APPLICABLE PATIENTS. 1.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO ADDRESS MENTAL HEALTH CONDITIONS AMONG ITS PATIENTS THROUGH MEDICATION MANAGEMENT. PRIMARY CARE PHYSICIANS ARE ABLE TO PROMOTE MEDICATION MANAGEMENT AND REFER PATIENTS TO THE APPROPRIATE MENTAL HEALTH SETTINGS UPON DISCHARGE. 1.D. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER CHAPLAIN SERVICES TO SUPPORT PATIENTS AND THEIR FAMILIES. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PROVIDE ACCESS TO HEALTHCARE AND SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE ELDERLY AND THE INDIGENT 2.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. 2.B. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, TYLER CONTINUECARE HOSPITAL ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO IMPLEMENT A VARIETY OF AWARENESS, EDUCATION AND SCREENING PROGRAMS FOCUSED ON AGING AND ON RISK FACTORS, PREVENTION AND TREATMENT OF HEART DISEASE AND RESPIRATORY DISEASE, INCLUDING PARTICIPATING IN ELDER CONFERENCES HELD IN TYLER AND LONGVIEW AND IN LOCAL HEALTH FAIRS AND OFFER BLOOD PRESSURE HEALTH SCREENINGS AS OPPORTUNITIES ARISE. 2.D. TYLER CONTINUECARE HOSPITAL WILL HELP PROVIDE COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING THE LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND SCHOOL SUPPLY DRIVE AS OPPORTUNITIES ARISE. 2.E. TYLER CONTINUECARE HOSPITAL WILL COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS AS OPPORTUNITIES ARISE. 2.F. TYLER CONTINUECARE HOSPITAL PROVIDES ACCESS TO A TELEPHONE LANGUAGE LINE AND A VIDEO LANGUAGE LINE FOR TRANSLATION SERVICES, AND FLAT SCREEN TELEVISIONS ARE INSTALLED THROUGHOUT THE FACILITY TO AID HEARING IMPAIRED PATIENTS AS APPROPRIATE. 2.G. TYLER CONTINUECARE HOSPITAL WILL SHARE THE RECENTLY DEVELOPED COMMUNITY RESOURCE LIST OF AVAILABLE LOCAL SERVICES FOR APPLICABLE SITUATIONS. 2.H. IN CONJUNCTION WITH THE HOST, TYLER CONTINUECARE HOSPITAL PARTICIPATES IN THE LOCAL PROVIDER PARTICIPATION FUNDS PROGRAM THAT FUNDS SMITH COUNTY'S DELIVERY OF INDIGENT CARE. PRIORITY #3: CONTINUED FOCUS ON COVID-19 PREVENTION & RESPONSE OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC 3.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO PROVIDE EDUCATION ON COVID-19 AS OPPORTUNITIES ARISE. 3.B. TYLER CONTINUECARE HOSPITAL CONTINUES FOLLOWING CDC GUIDELINES AND COMMUNITY STANDARDS TO CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION WHEN DISCHARGING PATIENTS TO A LOWER LEVEL OF CARE AND THEIR HOME ENVIRONMENT. 3.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO DONATE PPE (EX. MASKS, FACE SHIELDS, SURGICAL GOWNS, ETC.) TO LOCAL ORGANIZATIONS TO HELP CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION AS OPPORTUNITIES ARISE. 3.D. TYLER CONTINUECARE HOSPITAL CONTINUES TO REPORT COVID-19 TEST AND PATIENT ADMISSIONS DATA TO THE STATE AND CENTERS FOR DISEASE CONTROL (CDC) IN AN ONGOING EFFORT TO SHARE TIMELY INFORMATION AND RESEARCH REGARDING THE PANDEMIC. VACCINATION RATES AT THE HOSPITAL ARE ALSO PROVIDED. PRIORITY #4: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: PROVIDE A VARIETY OF EDUCATION AND AWARENESS OPPORTUNITIES THAT AIM TO PROMOTE COMMUNITY WELLNESS, PROVIDE SUPPORT TO COMMUNITY MEMBERS, AND ASSIST PATIENTS AND EMPLOYEES IN CHANGING UNHEALTHY LIFESTYLES 4.A. THE EMPLOYEES OF TYLER CONTINUECARE HOSPITAL ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS BY SUPPORTING LOCAL NURSING SCHOOLS, RESPIRATORY, DPT AND PT ASSISTANT SCHOOLS BY PRESENTING TO STUDENTS ENROLLED IN THESE PROGRAMS AND DONATING EQUIPMENT TO THE FACILITIES. ADDITIONALLY, TYLER CONTINUECARE HOSPITAL HAS AFFILIATION AGREEMENTS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL WITHIN THE NURSING, PHARMACY AND RESPIRATORY AREAS. 4.B. TYLER CONTINUECARE HOSPITAL WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING: PROMOTING EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH; OFFERING NEED SPECIFIC SPECIAL PROGRAMS; ENCOURAGING PARTICIPATION IN QUARTERLY WELLNESS CHALLENGES; SMOKING CESSATION; COLLABORATING WITH HOSPITAL CAFETERIA PROVIDERS TO HIGHLIGHT HEALTHY FOOD OPTIONS; PROVIDING MENTAL HEALTH EDUCATION VIA THE EMPLOYEE ASSISTANCE PROGRAM THROUGH BEACON HEALTH OPTIONS; AND CONTINUING TO IMPLEMENT THE TOBACCO-FREE NEW HIRE POLICY. 4.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO MAINTAIN A SMOKE FREE CAMPUS AND PROVIDES EDUCATIONAL LITERATURE ON SMOKING CESSATION AS REQUESTED. 4.D. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, AND MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. PRIORITIES NOT ADDRESSED: TYLER CONTINUECARE HOSPITAL DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS." BASED ON TYLER CONTINUECARE HOSPITAL'S STATUS AS A LONG-TERM ACUTE-CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS" IS NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE TYLER CONTINUECARE HOSPITAL ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THIS AREA, THE IDENTIFIED PRIORITY WILL NOT BE ADDRESSED BY THE HOSPITAL SINCE IT IS NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING FOUR PRIORITIZED NEEDS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - CONTINUECARE HOSPITAL OF TYLER, INC.. TYLER CONTINUECARE HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7f EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	SINCE TYLER CONTINUECARE HOSPITAL IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	Texas
Schedule H, Part I PAYMENT FOR CHARITY CARE	PAYMENT FOR CHARITY CARE IN THE STATE OF TEXAS, IT IS PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. TYLER CONTINUECARE HOSPITAL DID NOT PAY ANOTHER PROVIDER FOR THE PROVISION OF CHARITY CARE IN FISCAL YEAR 2023.
Schedule H, Part II Community Building Activities	THE ORGANIZATION PROVIDES VARIOUS CHARITABLE SERVICES TO THE LOCAL COMMUNITY. THESE CHARITABLE SERVICES INCLUDE PROVIDING COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING WITH LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND A ONCE A YEAR SCHOOL SUPPLY DRIVE. THE HOSPITAL ALSO COLLABORATED WITH VARIOUS ORGANIZATIONS THAT PROVIDED SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE INDIGENT. THIS INCLUDES ST. PAUL'S CHILDREN'S FOUNDATION, WHICH OFFERS ADULT AND CHILDREN'S MEDICAL AND DENTAL CLINICS, AND EAST TEXAS CRISIS CENTER, WHICH SERVES BATTERED WOMEN IN THE COMMUNITY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET RECEIVABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THRID-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE RATIO COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IF A PATIENT OF TYLER CONTINUECARE HOSPITAL QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENTS ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF.
Schedule H, Part V, Section B, Line 16a FAP website	- CONTINUECARE HOSPITAL OF TYLER: Line 16a URL: https://tyler.continuecare.org/for-families/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CONTINUECARE HOSPITAL OF TYLER: Line 16b URL: https://tyler.continuecare.org/for-families/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CONTINUECARE HOSPITAL OF TYLER: Line 16c URL: https://tyler.continuecare.org/for-families/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE ASSESSED BY A REVIEW OF THE PRIMARY AND TERTIARY SERVICE AREAS FOR DISEASE SPECIFIC MORTALITY RATES. DISEASE STATISTICS ARE GATHERED FROM THE HEALTH PROMOTION UNIT OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES. INTERVIEWS WITH LOCAL HEALTH CARE AND ELDERLY SERVICE PROVIDERS ARE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO TYLER CONTINUECARE HOSPITAL. A FACE-TO-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION.
Schedule H, Part VI, Line 4 Community information	TYLER CONTINUECARE HOSPITAL SERVES SMITH COUNTY. THE POPULATION IN SMITH COUNTY IS 238,813 (2021) AND IS EXPECTED TO INCREASE BY 5.3% BY THE YEAR 2026. THE MAJORITY OF RESIDENTS IN SMITH COUNTY IDENTIFY AS WHITE-NON HISPANIC AT 68.0%. (2021). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. AS OF 2021, THE HISPANIC POPULATION HAD 49,508 RESIDENTS IN SMITH COUNTY AND IT IS EXPECTED TO INCREASE 16.3% BY 2026. THE FASTEST GROWING POPULATION IN SMITH COUNTY IS THE ASIAN POPULATION. BY 2026, THE ASIAN POPULATION IS EXPECTED TO INCREASE 21.2%. SMITH COUNTY (37.2 YEARS) HAS AN OLDER MEDIUM AGE THAT THE STATE OF TEXAS. (35.3 YEARS) 2021. THE MEDIUM AGES IN BOTH SMITH COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS. IN 2020, SMITH COUNTY (6.8) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN SMITH COUNTY OVERALL DECREASED. MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (5.2) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (9.1). IN 2021, THE MEDIAN HOUSEHOLD INCOME IN SMITH COUNTY IS $58,291 WHICH IS LOWER THAN THE STATE OF TEXAS AT $63,524. SMITH COUNTY HAS LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE. SMITH COUNTY ALSO HAS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE. AS OF 2019, THERE WERE HIGHER RATES OF OVERALL FOOD INSECURITY, CHILD FOOD INSECURITY AND A HIGHER AVERAGE MEAL COST IN SMITH COUNTY THAN IN THE STATE. AS OF 2019, SMITH COUNTY (25.1%) HAS A SLIGHTLY HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE (24.3%). HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN SMITH COUNTY. OVERALL MORTALITY RATES IN SMITH COUNTY REMAINED HIGHER THAN STATE RATES BETWEEN 2017 AND 2019. ADDITIONALLY, SMITH COUNTY HAS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS DIABETES, OBESITY, HIGH BLOOD PRESSURE FOR MEDICARE BENEFICIARIES AS WELL AS HIGHER PERCENTAGES OF ADULTS WITH ARTHRITIS THAN THE STATE. SEDENTARY LIFESTYLE AND CULTURAL FACTORS ARE ALL CONTRIBUTORS TO THESE CHRONIC HEALTH CONDITIONS. SMITH COUNTY ALSO HAS A LOWER PERCENTAGE OF ITS POPULATION (AGE 5+) WHO ARE FULLY VACCINATED WITH THE COVID-19 VACCINE (46.7%) AS COMPARED TO STATE (60.2%) (INFORMATION AS OF DECEMBER 17, 2021). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS TOBACCO USE IN SMITH COUNTY THAN THE STATE. WITH REGARD TO MATERNAL AND CHILD HEALTH, SMITH COUNTY HAS HIGHER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE AND HIGHER TEEN (AGE 0-19 YEARS) BIRTH RATES THAN THE STATE.
Schedule H, Part VI, Line 5 Promotion of community health	THE HEALTH OF THE COMMUNITY IS PROMOTED BY PARTNERING WITH LOCAL HEALTH CARE PROVIDERS TO GIVE ASSISTANCE IN WHATEVER IS NECESSARY TO MEET THE NEEDS OF THEIR CONSTITUENTS. Tyler ContinueCare Hospital also participates in events to support local nonprofit organizations as they arise. Current examples include: Children's Miracle Network, Back to School Bash Family Circle of Care, Back to School Healthfair BNR, Dash & Dine Transitional Care American Heart Association raffle, and the Kyle Lake Foundation. Additionally, Tyler ContinueCare Hospital PARTICIPATES IN REGULAR FOOD DRIVES FOR A LOCAL FOOD PANTRY AND ASSISTS WITH GATHERING SUPPLIES FOR THEIR ANNUAL BACK TO SCHOOL DRIVE WHERE SCHOOL SUPPLIES ARE COLLECTED FOR FILLING BACKPACKS PRIOR TO GOING BACK TO SCHOOL. Current example includes: St. Paul's Children Foundation. THE HOSPITAL STAFF ALSO PARTICIPATES IN HEALTH FAIRS THAT PRESENT INFORMATION ON HEALTHY LIFESTYLES TO THE ELDERLY OR UNDERSERVED POPULATION. Current examples include: St. Paul's Children's Foundation, East Texas Crisis Center, Hangers for Hope, Bethesda Health Clinic. IN ORDER TO BETTER SERVE THE PATIENTS SEEKING CARE Tyler ContinueCare HOSPITAL PROMOTES AN OPEN MEDICAL STAFF and ALSO HAS A COMMUNITY BOARD STRUCTURE SO THAT THE HOSPITAL CAN BE GOVERNED BY THE COMMUNITY IN WHICH IT SERVES.
Schedule H, Part VI, Line 6 Affiliated health care system	TYLER CONTINUECARE HOSPITAL IS AN AFFILIATE OF CHRISTUS MOTHER FRANCES HEALTH SYSTEM IN TYLER, TEXAS. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR REACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JIM KENDRICK
DIRECTOR	$0	$976,164	$0	$437,586	$0	$108,124	$0	$99,909	$0	$38,818	$0	$1,660,601	$0	$38,242
JAMES HILL
TREASURER	$0	$323,943	$0	$49,687	$0	$20,453	$0	$9,150	$0	$29,551	$0	$432,784	$0	$0
LINDA MOORE
SECRETARY	$0	$338,309	$0	$50,550	$0	$35,306	$0	$12,304	$0	$21,488	$0	$457,957	$0	$5,208
STEPHANIE HYDE
CEO/PRESIDENT	$0	$178,662	$0	$0	$0	$24,066	$0	$13,508	$0	$29,688	$0	$245,924	$0	$0
LADUANDA HILL
RN CHARGE NURSE	$191,903	$0	$11,150	$0	$45	$0	$6,082	$0	$24,530	$0	$233,709	$0	$0	$0
Dawn Stiles
LVN	$148,207	$0	$1,150	$0	$0	$0	$1,508	$0	$6,816	$0	$157,682	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

TYLER CONTINUECARE HOSPITAL DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE (CCC) COMPENSATES THE TYLER CONTINUECARE HOSPITAL PRESIDENT. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/23 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

NON QUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $186,178 JAMES HILL - $15,502 LINDA MOORE - $20,980

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN	THE ORGANIZATIONS EXECUTIVES ARE EMPLOYED BY CCC WHICH FOLLOWS THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED JUNE 30, 2023 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR.
Form 990, Part VI, Line 3 Delegation of management duties	CHC COMMUNITY CARE, LLC (CCC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) IS CCC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	THERE WERE NO COMMITTEES OF THE GOVERNING BODY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CCC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION (CHC), WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED JUNE 30, 2011. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - MEDICAL - Total Expense: 5948804, Program Service Expense: 5948804, Management and General Expenses: , Fundraising Expenses: ; FEES - PHYSICIAN - Total Expense: 285149, Program Service Expense: 285149, Management and General Expenses: , Fundraising Expenses: ; FEES - OTHER SERVICES - Total Expense: 27412, Program Service Expense: 24783, Management and General Expenses: 2629, Fundraising Expenses: ;
Form 990, Box C Doing Business As	Tyler ContinueCare Hospital Tyler ContinueCare Hospital at Mother Frances Hospital

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591	BEAUMONT	TX	77704	741303720	HOSPITAL	TX	501(c)(3)	3	SWCH INC	false
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE ST	BEAUMONT	TX	77701	760453250	PRIMARY CARE	TX	501(c)(3)	3	BHSET	false
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235	BEAUMONT	TX	77701	611557670	SUPPORT ORG	TX	501(c)(3)	7	BHSET	false
CAROLINAS COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	465590355	SUPPORT ORG	DE	501(c)(3)	Type II	CHC	false
CHC COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	371485773	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(c)(3)	Type III-FI	NA	false
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FL	PADUCAH	KY	42003	465032999	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FL	ABILENE	TX	79601	463607347	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FL	MADISONVILLE	KY	42431	465033192	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY	CORBIN	KY	40701	200925675	HOSPITAL	KY	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREET	ODESSA	TX	79761	473539943	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	813048423	HOSPITAL	TX	501(c)(3)	3	CCC	false
CRAWLEY MEMORIAL HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	560691100	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
GAINESVILLE COMMUNITY HOSPITAL INC
1900 HOSPITAL BLVD	GAINESVILLE	TX	76240	831683025	HOSPITAL	TX	501(c)(3)	3	CHC	false
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	760500960	PUBLIC CHARI.	TX	501(c)(3)	10	HUNTSVILLE	false
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	843654542	HOSPITAL	TX	501(c)(3)	3	CHC	false
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROAD	CHARLOTTE	NC	26210	753054855	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
RURAL AND COMMUNITY HEALTHCARE COLLABORA
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	814337246	SUPPORT ORG	TX	501(c)(3)	7	CHC	false
SOUTHWEST COMMUNITY HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752725353	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACE	LA GRANGE	TX	78945	743019849	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	742323822	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	453609830	SUPPORT ORG	TX	501(c)(3)	Type I	YCH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GT	GRAND CAYMAN	CJ	CAPTIVE INSURANCE	CJ	CHC	C Corporation	false
COMMUNITY HOSPITAL CONSULTING INC
			MGMT CONSULTING		CHC	C Corporation	false	7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	204710183	TX

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITAL CORPORATION
P	$1,516,720	Cost
CHC COMMUNITY CARE LLC
P	$1,085,022	Cost
CHC COMMUNITY CARE LLC
O	$388,290	Cost