2023-05-09T19:30:51+00:00 2022-06-30 346565596 ERNST YOUNG US LLP 425 HOUSTON ST SUITE 600 FT WORTH TX 76102 990 2021-07-01 465032999 ContinueCare Hospital at Baptist Health Paducah Inc CONT 9729436400 7950 LEGACY DRIVE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT 9729436400 2023-05-09 true JAMES HILL 999009999 Jodi Rosser P01255710 8173351900 2021 2023-04-26 12:10:37Z APRIL MYERS 7950 LEGACY DRIVE 1000 PLANO TX 75024 13626698 false 9703 X HTTPS://PADUCAH.CONTINUECARE.ORG/ X 2014 DE AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CCHBHP TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 5 4 102 0 0 0 424232 2514385 10558722 11090098 33844 18928 572 3287 11017370 13626698 0 0 0 0 5113738 5330013 0 0 0 4971360 4929224 10085098 10259237 932272 3367461 6687879 6001716 10901246 6847622 -4213367 -845906 AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CONTINUECARE HOSPITAL AT BAPITST HEALTH PADUCAH, INC. (CCHBHP) TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 9471989 11090098 CCHBHP WAS ESTABLISHED AS A LONG TERM ACUTE CARE HOSPITAL (LTACH) OPERATING AS A 'HOSPITAL WITH-IN A HOSPITAL' AT BAPTIST HEALTH PADUCAH IN PADUCAH, KENTUCKY ON JUNE 15, 2015. CCHBHP 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, 2022, CCHBHP'S TOTAL PATIENTS ADMITTED WERE 263 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 6,034. THE AVERAGE DAILY CENSUS WAS 16.5 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS WERE 22.7 DAYS. 9471989 true false false true false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 7 0 true 102 true false false false false false false false false false false false false X 5 4 false true false false true true true true false false false true true true true true true false false false X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT/DIRECTOR 0.1 39.9 X X 0 388101 85058 CARLA BERRY DIRECTOR 1.0 0 X 0 0 0 CHRIS ROTY DIRECTOR (Termed 11/2021) 1.0 0 X 0 0 0 DAVID HOUSMAN DIRECTOR 1.0 0 X 0 0 0 Matthew Bailey Director (Begin 12/2021) 1.0 0 X 0 0 0 MELANIE MCNEILL DIRECTOR 1.0 0 X 0 0 0 JAMES HILL TREASURER 0.4 39.6 X 0 397284 32639 LEE GENTRY CEO 40.0 40.0 X 0 182978 51024 LINDA MOORE SECRETARY 0.1 39.9 X 0 365303 35016 RODNEY CARPENTER RN CHARGE NURSE 40.0 0 X 112733 0 16687 112733 1333666 220424 1 false true false MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 CONTRACT NURSING 376991 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 CONTRACT NURSING 316614 HUDSON STAFFING PLLC 4409 IVAN CREEK DRIVE FRANKLIN TN 37064 STAFFING SERVICES 127170 3 2514385 2514385 INPATIENT REVENUE 623000 11090098 11090098 0 0 0 0 11090098 18928 18928 0 0 0 0 MEDICAL RECORDS 900099 362 362 OTHER INCOME 900099 2925 2925 0 0 0 0 3287 13626698 11090098 0 22215 X 4381830 3899829 482001 69937 62244 7693 588758 523995 64763 289488 257644 31844 493584 493584 1145 1145 74169 74169 12277 12277 1994278 1991886 2392 0 9493 9493 78643 78643 499995 499395 600 26835 26835 1184 1066 118 1251 1251 20218 20218 114089 112948 1141 MEDICAL SUPPLIES 1335538 1335538 EQUIPMENT LEASE 120724 120724 STATE INCOME TAX 83624 83624 DUES SUBSCRIPTIONS 16810 15129 1681 45367 39492 5875 0 10259237 9471989 787248 0 5199727 2923344 0 0 1275726 1695507 0 0 0 0 54504 51891 64126 75753 1690986 435765 93796 1255221 0 0 0 0 6687879 6001716 7173723 5603128 0 0 0 0 0 3727523 1244494 10901246 6847622 X -4213367 -845906 -4213367 -845906 6687879 6001716 3367461 0 X false true X true false X false false false false false false false false true 12277 12277 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2022 CCHBHP PAID: $ 5,236 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $ 2,375 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $ 8,038.29 TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) $16,500 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES FOR NALTH WERE: NALTH: 15.10% AHA: 26.47% KHA: 11.9% PICARD GROUP: 60.0% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $5,236 * 15.10% = $791 AHA: $2,375 * 26.47% = $629 KHA: $8,038 * 11.9% = $957 PICARD GROUP: $16,500 * 60.0% = $9,900 60000 60000 0 205871 44708 161163 1425115 331057 1094058 1255221 ST LEASE OBLIGATIONS 513891 LT LEASE OBLIGATIONS 422344 THIRD PARTY SETTLEMENTS 102478 HHS STIMULUS 102338 INTERCOMPANY - CHC 80436 INTERCOMPANY - CCC 36244 INTERCOMPANY - ODESSA -142 INTERCOMPANY - MADISONVILLE -13095 MEDICARE ADVANCES 1244494 true true true X true X true true false true true 6996 6996 0.0007 2001004 2093903 0 0.0 0 0.0 0 0 2008000 2093903 6996 0.0007 0 0.0 30000 30000 0.0029 0 0.0 0 0.0 9475 9475 0.0009 0 0 39475 0 39475 0.0038 0 0 2047475 2093903 46471 0.0045 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 5227574 4699670 527904 X true true 1 1 CCH AT BAPTIST HEALTH PADUCAH INC 2501 KENTUCKY AVE 5TH FLOOR PADUCAH KY 42003 HTTPS://PADUCAH.CONTINUECARE.ORG 100313 X X CCH AT BAPTIST HEALTH PADUCAH INC 1 false false true X X X X X X X X X 19 true false false true X https://paducah.continuecare.org/chna/ X true 19 true https://paducah.continuecare.org/chna/ false true X 200.0 400.0 X X X true true X X X true X https://paducah.continuecare.org/for-families/financial-assistance/ X https://paducah.continuecare.org/for-families/financial-assistance/ X https://paducah.continuecare.org/for-families/financial-assistance/ X X X X X X true X false X false X X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH. CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, (CCHBHP), OPENED IN THE SUMMER OF 2015 AS A 37-BED LONG TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE FIFTH FLOOR OF THE HOST HOSPITAL, BAPTIST HEALTH PADUCAH. AS THE ONLY LTACH IN THE AREA, THE HOSPITAL ENJOYS THE BEST OF BOTH WORLDS BY BEING IN PARTNERSHIP WITH A 373-BED ACUTE AND SKILLED-CARE FACILITY WHILE MAINTAINING ITS' SMALL HOSPITAL ATMOSPHERE. AS A "HOSPITAL-WITHIN-A-HOSPITAL," CCHBHP IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO PATIENTS REQUIRING LONGER LENGTHS OF STAY FOR ACUTE-CARE. AS AN LTACH, CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH 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. CCHBHP HAS SPECIALTY PROGRAMS DESIGNED TO MEET THE NEEDS OF LONG TERM, ACUTELY ILL PATIENTS WITH CONDITIONS WHICH INCLUDE VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIONS REQUIRING LONG TERM ANTIBIOTIC THERAPY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. CCHBHP EMPLOYEES ARE A DEDICATED TEAM WHO WORK TOGETHER DELIVERING THE BEST POSSIBLE CARE FOR THE HOSPITAL'S PATIENTS. SINCE LTACH PATIENTS HAVE A LONGER LENGTH OF STAY, THE STAFF HAS THE OPPORTUNITY TO GET TO KNOW PATIENTS AND FAMILIES. THE DEFINED SERVICE AREA OF CCHBHP IS MCCRACKEN COUNTY, KENTUCKY. THE POPULATION OF MCCRACKEN COUNTY IS EXPECTED TO INCREASE BY 0.7% FROM 2019 (65,409) TO 2024 (65,891), WHICH IS BELOW THE 1.9% EXPECTED GROWTH FOR THE STATE OF KENTUCKY FROM 2019 (4,477,100) TO 2024 (4,562,461). AS OF 2019, THE RACIAL/ETHNIC BREAKOUT OF MCCRAKEN COUNTY WAS 83.3% WHITE NON HISPANIC, 10.6% BLACK, 2.6% HISPANIC, 0.9% ASIAN, 0.3% AMERICAN INDIAN AND 2.4% ALL OTHERS. BY 2024 THE WHITE NON-HISPANIC POPULATION IN MCCRACKEN COUNTY IS EXPECTED TO INCREASE BY 0.3% AND THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 11.6%. THE ASIAN POPULATION IN MCCRACKEN COUNTY BY 2024 IS EXPECTED TO INCREASE BY 4.9% AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 17.0%. BY 2024, THE BLACK POPULATION IS EXPECTED TO DECREASE BY 1.2%. ALL OTHER RACIAL ETHNIC GROUPS IN MCCRACKEN COUNTY ARE EXPECTED TO INCREASE BY 9.7% BY 2024. AS OF 2019, MCCRACKEN COUNTY (42.3 YEARS) HAS A SLIGHTLY OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (41.2 YEARS). THE MEDIAN AGE IN BOTH MCCRACKEN COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). MCCRACKEN COUNTY ($42,470) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF KENTUCKY ($43,631) (2019). THE MEDIAN HOUSEHOLD INCOME IN BOTH MCCRACKEN COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). UNEMPLOYMENT RATES IN THE COUNTY AND THE STATE DECREASED BETWEEN 2016 AND 2018. IN 2018, MCCRACKEN COUNTY (5.6%) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (4.3%). MCCRACKEN COUNTY (14.5%) HAS A CONSISTENT PERCENTAGE OF FAMILIES LIVING BELOW POVERTY WITH THE STATE OF KENTUCKY (14.1%) (2019). BETWEEN 2016 AND 2018, THE PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN MCCRACKEN COUNTY AND THE STATE DECREASED. IN 2018, MCCRACKEN COUNTY (21.7%) HAD A SLIGHTLY LOWER PERCENTAGE OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (22.3%). MCCRACKEN COUNTY (21.9%) HAS A SLIGHTLY LOWER PERCENTAGE OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE THAN THE STATE OF KENTUCKY (23.2%) (2019). THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN MCCRACKEN COUNTY (88.7%) IS SLIGHTLY LOWER THAN THE STATE RATE (90.7%) AND SLIGHTLY HIGHER THAN THE NATIONAL RATE (86.8%) (2016-2017). THE PERCENTAGE OF PUBLIC-SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN MCCRACKEN COUNTY (55.3%) IS LOWER THAN THE STATE RATE (58.7%) AND SLIGHTLY HIGHER THAN THE NATIONAL RATE (49.2%) (2016-2017). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH MCCRACKEN COUNTY AND THE STATE OF KENTUCKY (2013-2017). HEART DISEASE MORTALITY RATES IN MCCRACKEN COUNTY AND THE STATE DECREASED BETWEEN 2013 AND 2017. CANCER IS THE SECOND LEADING CAUSE OF DEATH OVERALL IN BOTH MCCRACKEN COUNTY AND THE STATE (2013-2017). CANCER MORTALITY RATES IN MCCRACKEN COUNTY OVERALL INCREASED BETWEEN 2013 AND 2017, WHILE RATES IN THE STATE DECREASED. CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE THIRD LEADING CAUSE OF DEATH IN MCCRACKEN COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2013-2017). CLRD MORTALITY RATES IN MCCRACKEN COUNTY FLUCTUATED BETWEEN 2013 AND 2017, WHILE RATES IN THE STATE SLIGHTLY INCREASED. FATAL ACCIDENTS ARE THE FOURTH LEADING CAUSE OF DEATH IN MCCRACKEN COUNTY AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2013-2017). ACCIDENT MORTALITY RATES OVERALL INCREASED IN BOTH MCCRACKEN COUNTY AND THE STATE BETWEEN 2013 AND 2017. IN 2015-2017, THE LEADING CAUSE OF FATAL ACCIDENTS IN MCCRACKEN COUNTY WAS DUE TO MOTOR VEHICLE ACCIDENTS. CEREBROVASCULAR DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN MCCRACKEN COUNTY AND THE STATE (2013-2017). BETWEEN 2013 AND 2017, CEREBROVASCULAR DISEASE MORTALITY RATES IN MCCRACKEN COUNTY OVERALL INCREASED, WHILE RATES IN THE STATE SLIGHTLY DECREASED. ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, ATHEROSCLEROSIS, DIABETES MELLITUS AND INFLUENZA AND PNEUMONIA ARE ALSO LEADING CAUSES OF DEATH IN MCCRACKEN COUNTY. OBESITY IS A PREVALENT CHRONIC CONDITION IN MCCRACKEN COUNTY, WITH 30.0% OF RESIDENTS REPORTING A BODY MASS INDEX GREATER THAN 30.0 (OBESE), WHICH IS SLIGHTLY LESS, HOWEVER, THAN THE STATE RATE AT 33.7% AND SLIGHTLY HIGHER THAN THE NATIONAL RATE AT 28.8%. SMOKING AND TOBACCO USE ARE ALSO HIGHLY PREVALENT ISSUES IN THE AREA. AS OF 2018, MCCRACKEN COUNTY (7.3%) HAS A SLIGHTLY LOWER PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE OF KENTUCKY, (7.8%). MCCRACKEN COUNTY AND THE STATE EXPERIENCED SIMILAR DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2014 AND 2018. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH (CCHBHP), BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN MCCRACKEN COUNTY, KENTUCKY. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM FEBRUARY 3, 2020 - FEBRUARY 18, 2020. 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 CCHBHP BOARD REVIEWED AND ADOPTED THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 6, 2020. INTERVIEW METHODOLOGY: CCHBHP WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CCHBHP 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. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, COMMUNITY COMMONS, THE KENTUCKY DEPARTMENT OF STATE HEALTH SERVICES, THE KENTUCKY CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT CCHBHP, 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 THE IBM WATSON HEALTH MARKET EXPERT, CARES ENGAGEMENT NETWORK, THE ANNIE E. CASEY FOUNDATION KIDS COUNT DATA CENTER, 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. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, CONTINUED. CHBHP PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, EIGHT IN DEPTH INTERVIEWS WERE CONDUCTED, USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN 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 90.0% 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. 10.0% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: - CARLA BERRY: MORTGAGE LENDER, PADUCAH BANK; BOARD MEMBER, CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH - BETSY BURKEEN: EXECUTIVE DIRECTOR, UNITED WAY OF PADUCAH MCCRACKEN COUNTY - KAYLENE CORNELL: HEALTH EDUCATION COORDINATOR, MCCRACKEN COUNTY HEALTH DEPARTMENT - BRANDI HARLESS: MAYOR, CITY OF PADUCAH - SHARON JONES: VICE PRESIDENT OF COMMUNITY SUPPORT, FOUR RIVERS BEHAVIORAL - CANDACE MELLOY: ADMINISTRATOR, PADUCAH FAMILY SERVICES - CAROLYN ROBERTS: PRESIDENT, CARING PEOPLE SERVICES - HEIDI SUHRHEINRICH: EXECUTIVE DIRECTOR, PADUCAH COOPERATIVE MINISTRY EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. AN EVALUATION OF THE HOSPITAL'S IMPACT WAS ALSO ASSESSED USING A DESCRIPTION OF THE PROGRESS AND/OR COMPLETION OF COMMUNITY BENEFIT ACTIVITIES DOCUMENTED IN THE PREVIOUS IMPLEMENTATION PLAN AND THE PREVIOUS CHNA PROVIDED TO CCHBHP. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: EARLY CHILDHOOD/PEDIATRIC, YOUTH, LOW INCOME/WORKING POOR, VETERANS, ELDERLY AND HOMELESS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: EARLY CHILDHOOD/PEDIATRIC - LIMITED DAY CARE OPTIONS YOUTH - MENTAL HEALTH CONCERNS - E-CIGARETTE, TOBACCO USE - SEXUALLY TRANSMITTED INFECTIONS - LACK OF PARENTAL INVOLVEMENT - GROWING NUMBER OF HOMELESS STUDENTS LOW INCOME / WORKING POOR - SIGNIFICANT POPULATION - LIMITED ACCESS TO DAY CARE SERVICES - LIMITED EMPLOYMENT OPPORTUNITIES VETERANS - ROOM FOR IMPROVEMENT IN PROVIDING CARE ELDERLY - LIMITED HOUSING OPTIONS - TRANSPORTATION BARRIERS - DIFFICULTY NAVIGATING THE HEALTH CARE SYSTEM - LIMITED ACCESS TO MENTAL HEALTH CARE SERVICES HOMELESS - GROWING POPULATION - LIMITED SHELTERS IN THE COMMUNITY - MENTAL HEALTH CONCERNS - DRUG ISSUES Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH (CCHBHP), WHICH WERE DETERMINED BY ASSESSING THE SIZE AND PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. CCHBHP LEADERSHIP PARTICIPATED IN AN ELECTRONIC BALLOT 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. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 5. ACCESS TO DENTAL CARE SERVICES AND PROVIDERS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS THREE OF THE FIVE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: INCREASE HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY 1.A. CCHBHP WILL CONTINUE TO PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF EDUCATION AND HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 1.B. CCHBHP PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCHBHP WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. 1.C. CCHBHP WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. INITIATIVES INCLUDE THE PROMOTION OF EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH (FORMERLY ACCOUNTABLE HEALTH), OFFERING NEED SPECIFIC SPECIAL PROGRAMS, CHIP (CORONARY HEALTH IMPROVEMENT PLAN), SMOKING CESSATION OPPORTUNITIES, WEIGHT MANAGEMENT AND ACCESS TO HEALTHY OPTIONS IN THE HOST HOSPITAL'S CAFETERIA, AND PROMOTING FITNESS OPPORTUNITIES. ADDITIONALLY, CCHBHP WILL CONTINUE TO INCENTIVIZE EMPLOYEES TO MAINTAIN HEALTHY LIFESTYLES ON THEIR HEALTH PLANS THROUGH OFFERING A REDUCTION ON A PORTION OF THEIR PREMIUMS IF EMPLOYEES MEET CERTAIN CRITERIA. 1.D. CCHBHP CONTINUES TO HOST INTERDISCIPLINARY TEAM (IDT) MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENT-CENTERED APPROACH. IN ADDITION, CASE MANAGERS WILL DISCUSS THE PLAN OF CARE AND TENTATIVE DISCHARGE PLAN WITH ATTENDING PHYSICIANS AND THE PATIENT AND PATIENT'S FAMILY. 1.E. CCHBHP FOLLOWS UP WITH PATIENTS POST DISCHARGE AND PROVIDES PATIENTS OTHER PHYSICIANS WITH A COPY OF HIS/HER DISCHARGE SUMMARIES, AS REQUESTED, IN ORDER TO INCREASE COLLABORATION ACROSS THE CONTINUUM OF CARE. IN ADDITION, PATIENTS OTHER PHYSICIANS RECEIVE REGULAR UPDATES ON THEIR PATIENT'S HEALTH DURING THEIR STAY AT THE LTACH. 1.F. CCHBHP WILL CONTINUE TO CONDUCT OUTREACH TO REFERRAL RESOURCES IN ORDER TO EDUCATE THEM ABOUT THE ROLE OF THE LONG TERM ACUTE CARE HOSPITAL (LTACH), AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. 1.G. CCHBHP EDUCATES PATIENTS AND FAMILIES ABOUT LTACHS AND WHAT SERVICES CAN BE PROVIDED IN CONJUNCTION WITH COMMUNITY RESOURCES THROUGH SPEAKING AT LOCAL EVENTS, PROVIDING EDUCATIONAL BROCHURES, AND INTERACTING WITH FAMILIES IN THE FACILITY. 1.H. CCHBHP NURSING STAFF WILL CONTINUE TO PROVIDE PROPER MEDICATION MANAGEMENT AND SELF CARE EDUCATION TO PATIENTS IN PLAIN LANGUAGE UPON DISCHARGE. 1.I. CCHBHP IS A TOBACCO-FREE FACILITY. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO INCREASE ACCESS TO AFFORDABLE CARE AND REDUCE HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 2.A. CCHBHP WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN OUR 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. IN ADDITION, CCHBHP OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCHBHP ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.B. CCHBHP WILL CONTINUE TO SUPPORT AND PARTICIPATE IN FUNDRAISING EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 2.C. CCHBHP PROVIDES HEALTH EDUCATION AND PREVENTION RESOURCES IN MULTIPLE LANGUAGES, AS WELL AS A TRANSLATOR PHONE THROUGH PACIFIC INTERPRETERS, ON AN AS NEEDED BASIS. 2.D. CCHBHP WILL CONNECT PATIENTS WITH AFFORDABLE RESOURCES UPON DISCHARGE AS APPROPRIATE, SUCH AS TRANSPORTATION SERVICES AND/OR DISCOUNT PHARMACY INFORMATION. 2.E. CCHBHP WILL PROVIDE TRACH AND VENTILATOR EDUCATION AND TRAINING TO LOCAL PHYSICIANS AND ORGANIZATIONS ON HOW TO PROPERLY TREAT COMPLEX PATIENTS WHO ARE DISCHARGED FROM THE LTACH. PRIORITY #3: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PARTICIPATE IN INITIATIVES AND SUPPORT OPPORTUNITIES TO INCREASE LOCAL ACCESS TO PRIMARY AND SPECIALTY CARE SERVICE AND PROVIDERS IN THE COMMUNITY 3.A. CCHBHP HAS AFFILIATION AGREEMENTS WITH LOCAL ACADEMIC INSTITUTIONS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL. 3.B. CCHBHP WILL EXPLORE PROVIDING TELEMEDICINE SERVICES TO THE PUBLIC IN ORDER TO REDUCE OR ELIMINATE ANY TRANSPORTATION BARRIERS TO ACCESSING CARE. 3.C. CCHBHP WILL CONTINUE TO SUPPORT LOCAL EFFORTS FOR THE RECRUITMENT OF SPECIALTY PHYSICIANS TO THE COMMUNITY TO INCREASE LOCAL ACCESS TO CARE. PRIORITIES NOT ADDRESSED: CCHBHP DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS AND "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS." BASED ON CCHBHP'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 MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS AND "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS" ARE NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CCHBHP ACKNOWLEDGES THAT THESE ARE SIGNIFICANT NEEDS IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THESE AREAS, THE IDENTIFIED PRIORITIES WILL NOT BE ADDRESSED BY THE HOSPITAL SINCE THEY ARE NOT CORE BUSINESS FUNCTIONS OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING PRIORITIZED NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH. CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT NOT APPLICABLE Schedule H, Part I, Line 7 PAYMENT FOR CHARITY CARE IN THE STATE OF KENTUCKY, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance SINCE CCHBHP IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. 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 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 CCHBHP QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENT'S 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 - CCH AT BAPTIST HEALTH PADUCAH, INC.: Line 16a URL: https://paducah.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CCH AT BAPTIST HEALTH PADUCAH, INC.: Line 16b URL: https://paducah.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CCH AT BAPTIST HEALTH PADUCAH, INC.: Line 16c URL: https://paducah.continuecare.org/for-families/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION C, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN THE FISCAL YEAR ENDING JUNE 30, 2020. THE CHNA WAS ADOPTED BY ITS GOVERNING BOARD ON MAY 6, 2020. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. CCHBHP WILL BE WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AND TO CONDUCT VARIOUS COMMUNITY ACTIVITIES TO AND WITHIN THE LOCAL 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 CCHBHP. 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 CCHBHP OPENED IN THE SUMMER OF 2015 AS A 37-BED LONG TERM ACUTE-CARE HOSPITAL (LTACH) LOCATED IN PADUCAH, KENTUCKY. PADUCAH IS KNOWN AS A CREATIVE CENTER WITH MANY LOCAL ARTISTS, MUSICIANS AND ARTISANS WHO CREATE A UNIQUE CULTURE AND SUPPORT THE LOCAL ECONOMY. QUALITY EDUCATION, OUTSTANDING NEIGHBORHOODS, HEALTHY BUSINESS CLIMATE AND ACTIVE CULTURE AND ENTERTAINMENT OPPORTUNITIES ARE TOP PRIORITIES FOR PADUCAH RESIDENTS. THE COMMUNITY WAS FOUNDED BY WILLIAM CLARK, OF LEWIS CLARK, AND THE COMMUNITY HISTORY IS CLOSELY TIED TO ITS LOCATION AT THE CONFLUENCE OF THE OHIO AND TENNESSEE RIVERS. PADUCAH IS LOCATED HALFWAY BETWEEN ST. LOUIS, MISSOURI TO THE NORTHWEST AND NASHVILLE, TENNESSEE TO THE SOUTHEAST. THE ORGANIZATION SERVES THE ADULT POPULATION OF KENTUCKY, THIS INCLUDES URBAN, SUBURBAN, AND RURAL AREAS. HOWEVER, MCCRACKEN COUNTY COMPRISED 22.1% OF FISCAL YEAR 2019 INPATIENT DISCHARGES. AS OF 2019, THE ADULT POPULATION OF KENTUCKY IS APPROXIMATELY 4.48 MILLION. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN KENTUCKY, AS OF 2019, IS APPROXIMATELY $43,631. THE UNEMPLOYMENT RATE FOR THE STATE IN 2018 WAS 4.3%. APPROXIMATELY 14.1% OF FAMILIES AND 22.3% OF THE CHILDREN IN THE STATE OF KENTUCKY LIVE BELOW THE POVERTY LEVEL. THE RACIAL/BREAKOUT IN THE STATE, AS OF 2019, WAS 84.2% WHITE NON-HISPANIC, 8.2% BLACK, 3.8% HISPANIC, 1.6% ASIAN, 0.2% AMERICAN INDIAN AND 2.0% ALL OTHERS. IN 2019, APPROXIMATELY 23.2% OF THE RESIDENTS OF KENTUCKY HAD A BACHELORS OR ADVANCED DEGREE. Schedule H, Part VI, Line 5 Promotion of community health CCHBHP IS WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES TO THE LOCAL COMMUNITY. THE HOSPITAL IS EXPLORING PARTICIPATING IN THE COLLECTION OF GOODS SUCH AS SCHOOL SUPPLIES, CLOTHING AND FOOD TO DONATE TO LOCAL SCHOOLS OR ORGANIZATIONS IN NEED. THE HOSPITAL CONTINUES TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. CCHBHP EDUCATES PATIENTS AND FAMILIES ABOUT LTACHS AND ABOUT WHAT SERVICES CAN BE PROVIDED IN CONJUNCTION WITH COMMUNITY RESOURCES THROUGH SPEAKING AT LOCAL EVENTS AND BY PROVIDING EDUCATIONAL BROCHURES. DUE TO THE PANDEMIC AND RELATED COVID RESTRICTIONS, MANY OF THE COMMUNITY HEALTH ACTIVITIES PREVIOUSLY PERFORMED WERE LARGELY CURTAILED DURING FISCAL YEAR ENDED JUNE 30, 2022. Schedule H, Part VI, Line 6 Affiliated health care system CCHBHP IS AN AFFILIATE OF BAPTIST HEALTH, A LOUISVILLE, KENTUCKY BASED HEALTH SYSTEM. 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. false true false false false false false true false APRIL MYERS PRESIDENT/DIRECTOR 0 312656 0 48168 0 27277 0 47575 0 37483 0 473159 0 8907 LEE GENTRY CEO 0 153975 0 26564 0 2439 0 13645 0 37379 0 234002 0 0 JAMES HILL TREASURER 0 327262 0 49537 0 20485 0 3854 0 28785 0 429923 0 0 LINDA MOORE SECRETARY 0 302507 0 41778 0 21018 0 14293 0 20723 0 400319 0 2412 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CCHBHP DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE, LLC (CCC) COMPENSATES THE CCHBHP 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 6/30/22 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: LINDA MOORE - $13,982 JAMES HILL - $15,607 APRIL MYERS - $23,891 Schedule J, Part I, Line 7 Non-fixed payments A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION WAS BASED ON THE EBIDA OF THE ORGANIZATION. Form 990, Part VI, Line 15 COMPENSATION THE ORGANIZATION'S EXECUTIVES ARE EMPLOYED BY CCC, WHICH FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT A 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, 2022 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 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 AT BAPTIST HEALTH PADUCAH, INC. IS CHC COMMUNITY CARE, LLC ('CCC'). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. THE BOARD OF MANAGERS SHALL BE COMPRISED OF FIVE VOTING MEMBERS, ONE FROM CHC, ONE FROM ITS COOPERATIVE PARTNER, BAPTIST HEALTH, AND THREE COMMUNITY MEMBERS. EACH VOTING MEMBER CARRIES EQUAL WEIGHT AND CONSIDERATION WHEN TAKING ANY OFFICIAL BOARD ACTION. 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, CHC COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION, 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 6-30-18. 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: 1887989, Program Service Expense: 1887989, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - OTHER - Total Expense: 95151, Program Service Expense: 93010, Management and General Expenses: 2141, Fundraising Expenses: ; PURCHASED SERVICES - ADMIN - Total Expense: 11138, Program Service Expense: 10887, Management and General Expenses: 251, Fundraising Expenses: ; 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 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 CONTINUECARE HOSPITAL OF TYLER INC 800 E DAWSON ST TYLER TX 75701 200991990 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. 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