2025-05-14T17:15:34+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2023-07-01 813048423 ContinueCare Hospital at Palmetto Health Baptist Inc CONT 9729436400 7950 LEGACY DRIVE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT 9729436400 2025-05-14 true Jodi Rosser P01255710 8173351900 2025-04-24 2023 2025-03-06 01:10:19Z APRIL MYERS 7950 LEGACY DRIVE 1000 PLANO TX 75024 10683175 false 9703 X HTTPS://PALMETTO.CONTINUECARE.ORG/ X 2016 DE AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CCH PALMETTO TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 3 2 138 0 0 0 0 0 13254099 10679637 5026 2511 5281 1027 13264406 10683175 0 0 0 0 6870942 6529220 0 0 0 5900291 5856648 12771233 12385868 493173 -1702693 6148603 5112394 14232250 14898734 -8083647 -9786340 AS A PARTNER IN THE HEALTHCARE CONTINUUM, THE CONTINUECARE TEAM IS COMMITTED TO ACHIEVING POSITIVE PATIENT OUTCOMES BY DELIVERING APPROPRIATE, SAFE, QUALITY CARE IN AN ETHICAL AND COMPASSIONATE MANNER. false false 11178350 10679637 CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. (CCH PALMETTO) WAS FORMED TO PROVIDE AN APPROPRIATE VENUE IN THE CONTINUUM OF CARE FOR PATIENTS REQUIRING AN EXTENDED STAY IN AN ACUTE CARE SETTING AND WHO RESIDE IN OR AROUND COLUMBIA, SOUTH CAROLINA. CCH PALMETTO WAS ESTABLISHED TO PROVIDE LONG-TERM ACUTE CARE SERVICES TO INDIVIDUALS WITH CRITICAL DISEASE OR DISORDERS INCLUDING BUT NOT LIMITED TO CHRONIC OR ACUTE INFECTION, CARDIOVASCULAR AND RESPIRATORY DISORDERS, POST SURGICAL AND CANCER PATIENTS, AND THOSE WEANABLE PATIENTS DEPENDENT UPON VENTILATOR CARE WHOSE CONDITION IS SO SIGNIFICANT THAT A HOSPITAL STAY OF AT LEAST 14-30 DAYS (AGGREGATE 25 DAYS) IS EXPECTED. THE HOSPITAL INTENDS TO MEET THE MEDICAL, THERAPEUTIC AND FAMILIAL NEEDS OF INDIVIDUALS IN THE COLUMBIA, SOUTH CAROLINA AREA USING AN INTERDISCIPLINARY TEAM APPROACH, EFFECTIVELY IMPLEMENTING A RESPONSIVE CONTINUUM OF CARE. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, CCH PALMETTO'S TOTAL PATIENTS ADMITTED WERE 235 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WERE 6,587. THE AVERAGE DAILY CENSUS WAS 18 AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 28.2 DAYS. SUBSEQUENTLY ON DECEMBER 4, 2024, CCH PALMETTO DISCHARGED ITS LAST PATIENT. THE HOSPITAL SOLD ITS LICENSE AND CERTAIN OTHER ASSETS ON FEBRUARY 7, 2025. 11178350 true false false true false false false false false true false false true 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 10 0 true 138 true false false false false false false false false false false false false X 3 2 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 DIRECTOR/PRESIDENT 0.1 39.9 X X 0 405688 66908 MICHAEL BUNDY DIRECTOR 1.0 0 X 0 0 0 Patrick McElderry DIRECTOR 1.0 0 X 0 0 0 THOMAS BROWN DIRECTOR (until 12/2023) 1.0 0 X 0 0 0 Holly Powell Interim CEO (start 1/2024) 20.0 20.0 X 0 249036 54971 JAMES HILL TREASURER 0.4 39.6 X 0 414920 55174 John Jones CEO (until 1/2024) 40.0 0.0 X 0 180439 47869 LINDA MOORE SECRETARY 0.1 39.9 X 0 451065 69908 Aran Ongtawco Clinical supervisor 40.0 0 X 102339 0 33967 Chad James REGISTERED NURSE 40.0 0 X 111024 0 1110 213363 1701148 329907 2 false true false THE HOSPITALIST SOLUTION 3129 CHAUCER DRIVE CHARLOTTE NC 28210 STAFFING 396000 Fusion Medical Staffing PO Box 82674 Lincoln NE 68501 CONTRACT NURSING 120159 2 0 INPATIENT REVENUE 623000 10679637 10679637 0 0 0 0 10679637 2511 2511 0 0 0 0 MEDICAL RECORDS 900099 1027 1027 0 0 0 0 1027 10683175 10679637 0 3538 X 0 0 0 0 0 0 5790756 5153773 636983 66905 66905 359870 359870 311689 311689 373911 373911 5300 5300 92610 92610 12532 12532 2183850 2180075 3775 0 100410 100410 22035 22035 251548 251548 774485 774485 130790 130790 1509 1509 13442 13442 46705 46705 495454 495454 MEDICAL SUPPLIES 884399 884399 EQUIPMENT LEASE 344516 344516 REPAIRS AND MAINTENANCE 34620 34620 LICENSES AND PERMITS 30075 30075 58457 90599 -32142 0 12385868 11178350 1207518 0 439066 485914 0 0 0 0 1848758 1472657 0 0 0 0 0 0 99172 102471 147726 137182 4020298 2378053 2341956 1642245 0 0 0 0 0 0 1271925 1271925 6148603 5112394 6954080 7384900 0 0 0 0 0 0 0 0 0 0 0 0 319600 537223 6958570 6976611 14232250 14898734 X -8083647 -9786340 -8083647 -9786340 6148603 5112394 -1702693 0 X false true X true false X Schedule A, Part I, Line 3 PUBLIC CHARITY STATUS CCH PALMETTO IDENTIFIES AS A HOSPITAL UNDER SECTION 170 (B)(1)(A)(III) IN SCHEDULE A. SUBSEQUENT TO YEAR END, THE HOSPITAL DISCHARGED ITS LAST PATIENT ON DECEMBER 4, 2024. THE HOSPITAL SOLD ITS LICENSE AND CERTAIN OTHER ASSETS ON FEBRUARY 7, 2025. false false false false false false false false true 12532 12532 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2024 CCH PALMETTO PAID: $5,555 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $6,671 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $16,000 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: NALTH: 14.35% AHA: 32% PICARD GROUP: 60.0% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $5,555 * 14.35% = $797 AHA: $6,671 * 32% = $2,135 PICARD GROUP: $16,000 * 60.0% = $9,600 135392 134330 1062 423080 338126 84954 3461826 1905597 1556229 1642245 DUE FROM PRISMA HEALTH 1271925 1271925 INTERCOMPANY - CCC 2096002 OTHER LT LIABILITIES-ACQUIRED DEBT 1840056 LT LEASE OBLIGATIONS 838794 INTERCOMPANY - CHC 1432549 ST LEASE OBLIGATIONS 722296 EST THIRD PARTY PAYOR SETTLEMENTS 41904 INTERCOMPANY - MERCY RESTORATIVE CARE 2514 INTERCOMPANY - BAPTIST HEALTH 2144 LONG TERM DEBT ESCHEAT ACCOUNTS 352 6976611 true true X true X true X true true false true true 0 0.0 109740 206000 0 0.0 0 0.0 0 0 109740 206000 0 0.0 0 0.0 156512 0 156512 0.0126 0 0.0 0 0.0 0 0.0 0 0 156512 0 156512 0.0126 0 0 266252 206000 156512 0.0126 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 4965366 5859372 -894006 X true true 1 1 ContinueCare Hospital AT PALMETTO HEALTH BAPTIST TAYLOR AT MARION STREET 7TH FLOOR COLUMBIA SC 29220 HTTPS://PALMETTO.CONTINUECARE.ORG/ HTL-0939 X X ContinueCare Hospital AT PALMETTO HEALTH BAPTIST 1 false false true X X X X X X X X X 22 true false false true X SEE PART VI X true 22 true SEE PART VI false true X 200.0 400.0 X X X true true X X X true X SEE PART VI X SEE PART VI X SEE PART VI 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 PALMETTO HEALTH BAPTIST. CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, CCH PALMETTO, IS A 35-BED LONG TERM ACUTE CARE HOSPITAL (LTACH). LOCATED IN THE HEART OF COLUMBIA, S.C. THE HOSPITAL IS SPECIFICALLY LICENSED TO PROVIDE CARE FOR CRITICALLY ILL PATIENTS WHO REQUIRE DAILY PHYSICIAN AND STAFF ATTENTION FOR COMPLEX MEDICAL ISSUES. AS THE ONLY LTACH IN THE AREA, CCH PALMETTO ENJOYS THE BEST OF BOTH WORLDS BY BEING IN PARTNERSHIP WITH PRISMA HEALTH BAPTIST HOSPITAL, A 352-BED MEDICAL CENTER, WHILE STILL MAINTAINING A SMALL HOSPITAL ATMOSPHERE. SINCE LTACH PATIENTS HAVE A LONGER LENGTH OF STAY, THE STAFF HAS THE OPPORTUNITY TO GET TO KNOW PATIENTS AND FAMILIES. CCH PALMETTO PROVIDES CARE WITH AN INTERDISCIPLINARY APPROACH, DEVELOPING INDIVIDUALIZED CARE PLANS, ENCOURAGING FAMILY AND/OR CAREGIVER PARTICIPATION, TO ACHIEVE OPTIMAL PATIENT OUTCOMES. AS A SEPARATE, FULLY LICENSED AND STAFFED HOSPITAL, CCH PALMETTO IS ABLE TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT. THE HOSPITAL HAS SPECIALTY PROGRAMS DESIGNED TO MEET THE NEEDS OF LONG TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING 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. THE DEFINED SERVICE AREA OF CCH PALMETTO, IS LEXINGTON AND RICHLAND COUNTIES IN SOUTH CAROLINA. RICHLAND AND LEXINGTON COUNTIES COMPRISE 57.1% OF 2022 INPATIENT DISCHARGES. THE POPULATION OF LEXINGTON COUNTY IS EXPECTED TO INCREASE BY 3.8% FROM 2022 (302,012) TO 2027 (313,519), WHICH IS ABOVE THE 3.4% EXPECTED GROWTH FOR THE STATE OF SOUTH CAROLINA FROM 2022 (5,255,014) TO 2027 (5,434,182). WHEREAS, THE POPULATION OF RICHLAND COUNTY IS EXPECTED TO INCREASE 2.3% AS OF 2022, (425,177) TO 2027 (434,957), WHICH IS BELOW THE 3.4% EXPECTED GROWTH FOR THE STATE OF SOUTH CAROLINA. IN 2022, THE RACIAL/ETHNIC BREAKOUT OF LEXINGTON COUNTY WAS 71.8% WHITE NON- HISPANIC, 14.8% BLACK, 2.4% ASIAN, 0.5% AMERICAN INDIAN AND 10.6% ALL OTHERS. THE RACIAL/BREAKOUT IN RICHLAND COUNTY IN 2022 WAS 42.1% WHITE NON-HISPANIC, 46% BLACK, 2.8% ASIAN, 0.3% AMERICAN INDIAN AND 8.8% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE, IS CATERGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2027, THE WHITE NON-HISPANIC POPULATION IN LEXINGTON COUNTY IS EXPECTED TO INCREASE BY 1.8% AND DECREASE BY 0.9% IN RICHLAND COUNTY. BY 2027, THE BLACK POPULATION IS EXPECTED TO INCREASE BY 6.5% IN LEXINGTON COUNTY AND BY 3.5% IN RICHLAND COUNTY. ADDITIONALLY, THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 11.3% IN LEXINGTON COUNTY AND BY 8.0% IN RICHLAND COUNTY. THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 5.2% IN LEXINGTON COUNTY AND BY 1.8% IN RICHLAND COUNTY. ALL OTHERS RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 11.7% IN LEXINGTON COUNTY AND BY 9.5% IN RICHLAND COUNTY. THE HISPANIC POPULATION, OF 22,524 IN LEXINGTON COUNTY, IS EXPECTED TO INCREASE TO 23,840 BY 2027. THE HISPANIC POPULATION IN RICHLAND COUNTY, OF 26,606, IS EXPECTED TO INCREASE TO 27,195 BY 2027. AS OF 2022, LEXINGTON COUNTY (40.1 YEARS) HAS A HIGHER MEDIAN AGE THAN RICHLAND COUNTY (35.1 YEARS) AND THE STATE OF SOUTH CAROLINA (39.9 YEARS). THE MEDIAN AGE IN BOTH LEXINGTON AND RICHLAND COUNTIES AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). LEXINGTON COUNTY ($70,807) HAS A HIGHER MEDIAN HOUSEHOLD INCOME THAN RICHLAND COUNTY ($57,914) AND THE STATE OF SOUTH CAROLINA ($61,645) (2022). THE MEDIAN HOUSEHOLD INCOME IN BOTH COUNTIES AND THE STATE ARE PROJECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). LEXINGTON (34.1%) AND RICHLAND (43.3%) COUNTIES HAVE A HIGHER PERCENTAGE OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE THAN THE STATE (31.7%) (2022). IN 2016-2020, 14.8% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 25.6% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2016-2020, 20.6% OF THE POPULATION IN SOUTH CAROLINA LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 19.8% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2016-2020, THE DISTRESS SCORE IN LEXINGTON COUNTY WAS 9.6, WHICH FALLS WITHIN THE PROSPEROUS ECONOMIC CATEGORY AND IS LESS DISTRESSED COMPARED TO THE HIGHER SCORE OF RICHLAND COUNTY (38.5), WHICH IS IN THE COMFORTABLE CATEGORY. WITH RESPECT TO UNEMPLOYMENT, RATES IN BOTH LEXINGTON AND RICHLAND COUNTIES AND THE STATE OVERALL INCREASED BETWEEN 2019 AND 2021. IN 2021, LEXINGTON COUNTY (3.0%) HAD THE LOWEST UNEMPLOYMENT RATE AS COMPARED TO RICHLAND COUNTY (4.1%) AND THE STATE (4.0%). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES FOR LEXINGTON AND RICHLAND COUNTIES FLUCTUATED. FOR LEXINGTON AND RICHLAND COUNTIES, APRIL 2022 WAS THE LOWEST UNEMPLOYMENT RATES (2.1, 2.7, RESPECTIVELY) AS COMPARED TO FEBRUARY 2022 WITH THE HIGHEST RATES (3.3, 4.0, RESPECTIVELY). AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN LEXINGTON AND RICHLAND COUNTIES WERE WITHIN OFFICE & ADMINISTRATION SUPPORT. THE MOST COMMON EMPLOYED GROUPINGS WERE WITHIN OFFICE & ADMINISTRATION SUPPORT (12.8% LEXINGTON COUNTY AND 12.5% RICHLAND COUNTY); MANAGEMENT OCCUPATIONS (11.4% LEXINGTON COUNTY AND 9.7% RICHLAND COUNTY); SALES & RELATED OCCUPATIONS (10.3% RICHLAND COUNTY AND 10.1% LEXINGTON COUNTY); EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS (7.9% RICHLAND COUNTY AND 6.5% LEXINGTON COUNTY); FOOD PREPARATION & SERVING RELATED OCCUPATIONS (6.2% RICHLAND COUNTY); & PRODUCTION OCCUPATIONS (5.8% LEXINGTON COUNTY). LEXINGTON COUNTY (15.6%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN RICHLAND COUNTY (19.7%) AND THE STATE (18.2%) (2022). BETWEEN 2017 AND 2021, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN BOTH COUNTIES AND THE STATE OVERALL DECREASED. IN 2021, LEXINGTON COUNTY (14.3%) AND RICHLAND COUNTY (19.6%) HAD A LOWER PERCENTAGE OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (19.7%). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 8.1% OF LEXINGTON COUNTY RESIDENTS AND 9.4% OF RICHLAND COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 9.6% IN SOUTH CAROLINA (2020). ADDITIONALLY, 8.8% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN LEXINGTON COUNTY ARE FOOD INSECURE AS COMPARED TO 17.8% IN RICHLAND COUNTY AND 13.8% IN SOUTH CAROLINA (2020). THE AVERAGE MEAL COST FOR LEXINGTON COUNTY ($3.26) AND RICHLAND COUNTY ($3.41) ARE HIGHER THAN THE STATE ($3.09) (2020). BETWEEN 2015 AND 2019, LEXINGTON COUNTY MAINTAINED A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN RICHLAND COUNTY AND THE STATE. IN 2019, RICHLAND COUNTY (11.7%) AND THE STATE (11.4%) HAD A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN LEXINGTON COUNTY (9.3%). THE PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN RICHLAND COUNTY (67.7%) IS HIGHER THAN LEXINGTON COUNTY (48.1%), THE STATE (62.0%), AND THE NATION (42.2%) (2020-2021). LEXINGTON (86.3%) AND RICHLAND (86.3%) COUNTIES HAVE A CONSISTENT HIGH SCHOOL GRADUATION RATE AND IS SLIGHTLY HIGHER THAN THE STATE (85.3%) AND SLIGHTLY LOWER THAN THE NATION (87.7%) (2018-2019). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, CONTINUED. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH LEXINGTON AND RICHLAND COUNTIES AND IN THE STATE OF SOUTH CAROLINA (2018-2020). BETWEEN 2018 AND 2020, HEART DISEASE MORTALITY RATES IN LEXINGTON AND RICHLAND COUNTIES AND THE STATE INCREASED. IN 2020, THE HEART DISEASE MORTALITY RATE IN RICHLAND COUNTY (180.1 PER 100,000) WAS HIGHER THAN LEXINGTON COUNTY (162.1 PER 100,000) AND THE STATE (170.9 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH LEXINGTON AND RICHLAND COUNTIES AND THE STATE (2018-2020). CANCER MORTALITY RATES IN RICHLAND COUNTY AND THE STATE SLIGHTLY DECREASED, WHILE LEXINGTON COUNTY SLIGHTLY INCREASED BETWEEN 2018 AND 2020. IN 2020, THE CANCER MORTALITY RATE IN RICHLAND COUNTY (161.9 PER 100,000) WAS HIGHER THAN THE RATE IN LEXINGTON COUNTY (151.3 PER 100,000) AND THE STATE (153.9 PER 100,000). FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN LEXINGTON AND RICHLAND COUNTIES AND THE STATE (2018-2020) ACCIDENT MORTALITY RATES OVERALL INCREASED IN LEXINGTON AND RICHLAND COUNTIES AND THE STATE BETWEEN 2018 AND 2020. IN 2020, THE LEADING CAUSE OF FATAL ACCIDENTS IN BOTH COUNTIES WAS DUE TO ACCIDENTAL POISONING AND EXPOSURE TO NOXIOUS SUBSTANCES. ALZHEIMER'S DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN RICHLAND COUNTY, THE FIFTH LEADING CAUSE OF DEATH IN LEXINGTON COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN THE STATE (2018-2020). BETWEEN 2018 AND 2020, ALZHEIMER'S DISEASE MORTALITY RATES IN BOTH COUNTIES AND THE STATE DECREASED. IN 2020, THE ALZHEIMER'S DISEASE MORTALITY RATE IN RICHLAND COUNTY (36.1 PER 100,000) IS LOWER THAN LEXINGTON COUNTY (38.4 PER 100,000) AND THE STATE (40.4 PER 100,000). CEREBROVASCULAR DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN RICHLAND COUNTY AND THE STATE AND THE SIXTH LEADING CAUSE OF DEATH IN LEXINGTON COUNTY (2018-2020). CHRONIC LOWER RESPIRATORY DISEASES, DIABETES MELLITUS, COVID-19, SEPTICEMIA, AND NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN LEXINGTON AND RICHLAND COUNTIES. AS OF JANUARY 7, 2023, BOTH LEXINGTON COUNTY (34.9 PER 100,000) AND RICHLAND COUNTY (46.8 PER 100,000) HAVE A HIGHER RATE OF COVID-19 CASES THAN THE STATE (21.0 PER 100,000). AS OF JANUARY 7, 2023, THE PERCENT OF THE POPULATION THAT IS FULLY VACCINATED IN LEXINGTON COUNTY (54.8%) AND RICHLAND COUNTY (56.3%) ARE HIGHER THAN THE STATE (53.8%). BETWEEN 2016 AND 2020, OBESITY PREVALENCE RATES IN ADULTS (AGE 18+) IN LEXINGTON AND RICHLAND COUNTIES AND THE STATE INCREASED. IN 2018-2020, LEXINGTON (33.9%) AND RICHLAND COUNTIES (34.6%) HAD A LOWER PERCENT OF OBESE ADULTS (AGE 18+) WHEN COMPARED TO THE STATE (35.0%). IN 2018-2020, LEXINGTON COUNTY (13.8%) HAD A HIGHER RATE OF ADULTS (AGE 18+) WHO HAD EVER BEEN DIAGNOSED WITH DIABETES WHEN COMPARED TO RICHLAND COUNTY (9.5%) AND THE STATE (13.4%). BETWEEN 2016 AND 2020, DIABETES PREVALENCE RATES IN ADULTS (AGE 18+) IN LEXINGTON COUNTY AND THE STATE INCREASED WHILE RICHLAND COUNTY DECREASED. RICHLAND COUNTY (29.3%) HAD A HIGHER RATE OF MEDICARE BENEFICIARIES WITH DIABETES THAN LEXINGTON COUNTY (26.0%), THE STATE (27.4%), AND THE NATION (27.0%) (2018). In 2018, Lexington County (60.9%) HAD A LOWER RATE OF MEDICARE BENEFICIARIES WITH HIGH BLOOD PRESSURE WHEN COMPARED TO RICHLAND COUNTY (61.5%), THE STATE (62.0%), BUT NOT LOWER THAN THE NATION (57.2%). THE PERCENTAGE OF THE MEDICARE FEE-FOR- SERVICE POPULATION WITH DEPRESSION IN LEXINGTON COUNTY (18.5%) IS HIGHER THAN RICHLAND COUNTY (16.3%) AND THE STATE (16.9%) AND IS CONSISTENT WITH THE NATION (18.4%) (2018). AS OF 2020, BOTH LEXINGTON (10.9%) AND RICHLAND (11.7%) COUNTIES HAVE LOWER RATES OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE (12.8%). BOTH COUNTIES AND THE STATE EXPERIENCED INCREASES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2016 AND 2020. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR CCH PALMETTO, BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN LEXINGTON AND RICHLAND COUNTIES, SOUTH CAROLINA. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM SEPTEMBER 14, 2022 - OCTOBER 6, 2022. 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 CCH PALMETTO BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 31, 2023. INTERVIEW METHODOLOGY: CCH PALMETTO WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CCH PALMETTO 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, SPARKMAP, THE SOUTH CAROLINA DEPARTMENT OF STATE HEALTH SERVICES, THE SOUTH CAROLINA CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT CCH PALMETTO, 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 STRATSAN, SPARKMAP, 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. CCH PALMETTO 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, FIVE 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 60.0% 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. 40.0% 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: - LINDA ADDISON: COMMUNITY SYSTEMS TEAM MIDLANDS REGION SOCIAL WORK LEAD, SOUTH CAROLINA DEPARTMENT OF HEALTH & ENVIRONMENTAL CONTROL - TOM BROWN: BOARD MEMBER, CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST - LYNDA CHRISTISON: DIRECTOR, LEXINGTON COUNTY RECREATION AND AGING COMMISSION - KAYLEN GLOVER: NURSE TEAM LEAD PH/MCH/IMZ/INTERIM SITE SUPERVISOR, LEXINGTON COUNTY HEALTH DEPARTMENT - SOUTH CAROLINA DEPARTMENT OF HEALTH & ENVIRONMENTAL CONTROL - FREDDIE STRANGE: EXECUTIVE DIRECTOR, FREE MEDICAL CLINIC 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 CHC CONTINUECARE BY CCH PALMETTO. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: YOUTH, LOW INCOME/WORKING POOR, VETERANS, HOMELESS, ELDERLY AND RACIAL/ETHNIC GROUPS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: YOUTH - TRANSPORTATION BARRIERS - LACK OF PARENTAL EDUCATION LEADING TO LACK OF CARE FOR DEPENDENTS - APPREHENSION TO TELL PARENTS ABOUT HEALTH ISSUES (SEXUALLY TRANSMITTED INFECTIONS) LOW INCOME / WORKING POOR - LACK OF SAFE, AFFORDABLE HOUSING OPTIONS - TRANSPORTATION BARRIERS - INSURANCE/AFFORDABILITY OF SERVICES - LIMITED ACCESS TO HEALTHCARE VETERANS - HOMELESSNESS - TRANSPORTATION BARRIERS HOMELESS - LIMITED NUMBER OF SHELTERS FOR GENERAL HOMELESS POPULATION Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, CONTINUED. ELDERLY - TRANSPORTATION BARRIERS - SOCIAL ISOLATION/LIVING ALONE - NEED FOR EDUCATION ON INSURANCE - AVAILABILITY OF ADULT DAYCARE RACIAL/ETHNIC - COMMUNICATION BARRIERS (HISPANIC) - CULTURAL PRACTICES LEADING TO POTENTIAL BARRIERS (MISTRUST) - TRANSPORTATION BARRIERS - LIMITED AFTER-HOUR CARE OPTIONS THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST (CCH PALMETTO), WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. CCH PALMETTO LEADERSHIP PRIORITIZED THOSE NEEDS 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. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 2. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 5. ACCESS TO DENTAL CARE SERVICES AND PROVIDERS 6. CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE AND CONCERNS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FOUR OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY 1.A. CCH PALMETTO WILL CONTINUE TO HOST A CLINICAL EMPLOYEE SKILLS FAIR AND POST ABOUT CLINICAL AND NONCLINICAL AVAILABLE POSITIONS ON FACEBOOK IN ORDER TO INCREASE AWARENESS OF OPPORTUNITIES WITHIN THE HOSPITAL. 1.B. CCH PALMETTO LIAISONS MEET WITH LOCAL PHYSICIANS TO ESTABLISH SUPPORTING RELATIONSHIPS AS WELL AS TO EDUCATE THE PHYSICIANS ABOUT THE ROLE OF THE LTAC FACILITY, WHAT KIND OF PATIENTS QUALIFY FOR LTAC SERVICES, AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. 1.C. CCH PALMETTO SUPPORTS THE HOST HOSPITAL IN ANY RECRUITMENT OF PRIMARY AND/OR SPECIALTY CARE PHYSICIANS THROUGH DISCUSSION OF LTAC BENEFITS FOR PATIENTS AND OPPORTUNITIES TO BE ON THE CCH PALMETTO MEDICAL STAFF. CCH PALMETTO ORIENTS ANY PHYSICIANS HIRED BY THE HOST IN ORDER TO CREDENTIAL THEM WITH THE LTAC FACILITY. 1.D. CCH PALMETTO IS EXPLORING OPPORTUNITIES TO INCREASE COVERAGE OF LOCAL SPECIALTY SERVICES. 1.E. CCH PALMETTO EMPLOYEES WILL CONTINUE TO CALL A PATIENT'S PHYSICIAN - WHETHER PRIMARY OR SPECIALTY, WHICHEVER IS NECESSARY - UPON DISCHARGE TO PROVIDE THE PHYSICIAN'S OFFICE WITH THE NECESSARY INFORMATION AND TO SET UP THEIR FOLLOW UP APPOINTMENT. CCH PALMETTO WILL FIND A PRIMARY OR SPECIALTY CARE PROVIDER FOR ANY PATIENTS WHO CURRENTLY DO NOT HAVE ONE. 1.F. CCH PALMETTO HAS AFFILIATION AGREEMENTS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL WITHIN THE NURSING, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, RESPIRATORY THERAPY, SPEECH REHABILITATION, AND PHARMACEUTICAL AREAS. PRIORITY #2: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY 2.A. CCH PALMETTO 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. 2.B. CCH PALMETTO PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCH PALMETTO WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. 2.C. CCH PALMETTO 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. CCH PALMETTO 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 PROMOTING FITNESS OPPORTUNITIES. 2.D. CCH PALMETTO 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, CCH PALMETTO PARTICIPATES IN MULTIDISCIPLINARY ROUNDS (MDRS) THAT REQUIRES THE IDT TO VISIT EACH PATIENT'S ROOM AND REPORT ON THE CURRENT STATUS OF THE PATIENT. PATIENT FAMILIES ARE ENCOURAGED TO ATTEND THE MDR MEETINGS TO HAVE THEIR QUESTIONS ANSWERED AND ADDRESSED. 2.E. CCH PALMETTO 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. ADDITIONALLY, CCH PALMETTO PROVIDES EDUCATION TO PHYSICIANS AND CASE MANAGERS FROM THEIR HOST AND OTHER SHORT TERM ACUTE CARE HOSPITALS REGARDING LTACH CRITERIA. 2 F. CCH PALMETTO WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT RESOURCES THROUGH THE LTACH'S PHARMACY. CCH PALMETTO CASE MANAGEMENT AND PHARMACY STAFF WILL MEET WITH THE PATIENT TO DISCUSS MEDICATION INSTRUCTIONS AND DETAILS PRIOR TO DISCHARGE. 2 G. CCH PALMETTO FOLLOWS UP WITH PATIENTS DURING 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. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 3.A. CCH PALMETTO WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE 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, CCH PALMETTO OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCH PALMETTO ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 3.B. CCH PALMETTO WILL CONTINUE TO SUPPORT AND PARTICIPATE IN HEALTH-RELATED EDUCATION EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 3.C. CCH PALMETTO WILL CONTINUE TO PROVIDE TRANSLATION SERVICES TO APPLICABLE PATIENTS, AS WELL AS INTERPRETATION SERVICES FOR HEARING-IMPAIRED PATIENTS. 3.D. CCH PALMETTO WORKS TO CONNECT PATIENTS TO AFFORDABLE RESOURCES UPON DISCHARGE. EMPLOYEES WILL ALSO ASSIST IN SETTING UP TRANSPORTATION, PRESCRIPTIONS, NECESSARY EQUIPMENT, OR ANY OTHER RESOURCES NEEDED IN THE PATIENT'S PLAN OF CARE BEFORE THE PATIENT IS DISCHARGED. PRIORITY #4: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY 4.A. CCH PALMETTO WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH OPTUM TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 4.B. CCH PALMETTO STAFF CONTINUE TO GO ABOVE AND BEYOND TO CARE FOR THEIR PATIENTS WELLBEING, BOTH DURING WORKING HOURS AND AFTER HOURS, PARTICULARLY SERVING AS PATIENTS' SUPPORT WHEN THEIR FAMILIES CANNOT VISIT THEM. 4.C. CCH PALMETTO PROVIDES CASE MANAGEMENT SERVICES AND REFERRALS THAT RELATE TO MENTAL OR BEHAVIORAL HEALTH CONDITIONS ON AN AS NEEDED BASIS. 4.D. CCH PALMETTO WILL CONTINUE TO PROMOTE MENTAL HEALTH SELF-CARE EDUCATION TO STAFF MEMBERS, INCLUDING SELF-COMPASSION, MINDFULNESS, COPING WITH STRESS AND SUICIDE PREVENTION STRATEGIES. PRIORITIES NOT ADDRESSED: CCH PALMETTO DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS "CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE AND CONCERNS". BASED ON CCH PALMETTO'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 DENTAL CARE SERVICES AND PROVIDERS " CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE AND CONCERNS " ARE NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CCH PALMETTO 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 LEADERSHIP FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING PRIORITIZED NEEDS. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, CONTINUED. SUBSEQUENTLY ON DECEMBER 4, 2024, CCH PALMETTO DISCHARGED ITS LAST PATIENT. THE HOSPITAL SOLD ITS LICENSE AND CERTAIN OTHER ASSETS ON FEBRUARY 7, 2025. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST. CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE SINCE CCH PALMETTO IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Schedule H, Part I PAYMENT FOR CHARITY CARE IN THE STATE OF SOUTH CAROLINA, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE UNTIL DECEMBER 4, 2024, WHEN CCH PALMETTO CEASED OPERATIONS, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST. Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE UNTIL DECEMBER 4, 2024, WHEN CCH PALMETTO CEASED OPERATIONS, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST. Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE SUMMARY FAP WEBSITE UNTIL DECEMBER 4, 2024, WHEN CCH PALMETTO CEASED OPERATIONS, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST. Schedule H, Part V, Section B, Line 7 CHNA AVAILABLE WEBSITE UNTIL DECEMBER 4, 2024, WHEN CCH PALMETTO CEASED OPERATIONS, THEIR CHNA WAS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF THE CHNA IS AVAILABLE UPON REQUEST. Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY AVAILABLE WEBSITE UNTIL DECEMBER 4, 2024, WHEN CCH PALMETTO CEASED OPERATIONS, THEIR IMPLEMENTATION STRATEGY WAS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF THE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENTS ACCOUNTS RECEIVABLE CONSIST OF AMOUNTS DUE FOR THE PROVISION OF HEALTH CARE SERVICES WHICH ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS AT AMORTIZED COST AT THE NET AMOUNT EXPECTED TO BE COLLECTED. IN EVALUATION THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, MANAGEMENT REGULARLY REVIEWS DATA AND DEVELOPS A LOSS RATE TO DETERMINE EXPECTED CREDIT LOSSES BASED ON SEVERAL FACTORS INCLUDING WHETHER A PATIENT HAS THIRD PARTY PAYOR COVERAGE OR IS UNINSURED, THE AGING OF RECEIVABLES, HISTORICAL COLLECTIONS AND LOSS EXPERIENCE, CURRENT CONTRACT PRICES OR CLAIMS PAID DATA, AND TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES OF ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. MANAGEMENT BELIEVES THE COMPOSITION OF RECEIVABLES AT YEAR-END IS CONSISTENT WITH HISTORICAL CONDITIONS AS CREDIT TERMS AND PRACTICES AND THE CUSTOMER BASE HAS NOT CHANGED SIGNIFICANTLY; THEREFORE, THE ORGANIZATION HAS MAINTAINED CONSISTENT METHODOLOGY IN ESTIMATE OF CREDIT LOSSES. MANAGEMENT HAS DETERMINED THE ESTIMATE OF EXPECTED CREDIT LOSSES IS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. 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 CCH PALMETTO 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 - ContinueCare Hospital AT PALMETTO HEALTH BAPTIST: Line 16a URL: SEE PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - ContinueCare Hospital AT PALMETTO HEALTH BAPTIST: Line 16b URL: SEE PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ContinueCare Hospital AT PALMETTO HEALTH BAPTIST: Line 16c URL: SEE PART VI; 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) DURING THE FISCAL YEAR ENDING JUNE 30, 2023. THE CCH PALMETTO BOARD REVIEWED AND ADOPTED THE 2023 CHNA AND IMPLEMENTATION PLAN ON MAY 31, 2023. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE HAS BEEN ABLE TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF ITS COMMUNITY THROUGH A REVIEW OF COUNTY LEVEL HEALTH DATA GATHERED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) THROUGH SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL, BRFSS ANNUAL SURVEY RESULTS. ADDITIONALLY, THE COMMITTEE REVIEWED NATIONAL HEALTH DATA AND CONDUCTED INTERVIEWS WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN LEXINGTON AND RICHLAND COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. HOSPITAL LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE IDENTIFIED PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, RESPONSIBLE LEADERS, ANNUAL STATUS, AND PROGRESS UPDATES (AS APPROPRIATE). THE CCH PALMETTO BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 31, 2023. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN DISCUSSED ABOVE, THE HOSPITAL WILL BE WORKING WITH ITS OTHER COMMUNITY RESOURCES AND LOCAL ORGANIZATIONS TO ENSURE IT IS RESPONSIVE TO THE HEALTH NEEDS OF ITS 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 CCH PALMETTO. 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 THE HOSPITAL IS LOCATED IN THE HEART OF COLUMBIA, SOUTH CAROLINA WHICH IS ALSO THE CAPITAL OF SOUTH CAROLINA. COLUMBIA ALSO BOASTS HISTORICAL SITES, MUSEUMS, GALLERIES, AND LIVELY MUSIC VENUES. NATURAL AMENITIES AVAILABLE IN COLUMBIA AND RICHLAND COUNTY INCLUDE A NATIONAL PARK, LAKE, CANAL, CITY PARKS AND THREE RIVERS. CCH PALMETTO SERVES THE ADULT POPULATION OF SOUTH CAROLINA, THIS INCLUDES URBAN, SUBURBAN, AND RURAL AREAS. HOWEVER, RICHLAND AND LEXINGTON COUNTIES COMPRISED 57.1% OF CALENDAR YEAR 2022 INPATIENT DISCHARGES. AS OF 2022, THERE WERE 302,012 RESIDENTS IN LEXINGTON COUNTY AND THE POPULATION IS EXPECTED TO INCREASE 3.8% BY 2027. IN RICHLAND COUNTY, AS OF 2022, THERE WERE 425,177 RESIDENTS WITH THE POPULATION EXPECTED TO INCREASE 2.3% BY 2027. THE MAJORITY OF RESIDENTS IN LEXINGTON COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 71.8% (2022). IN RICHLAND COUNTY THE MAJORITY OF RESIDENTS IDENTIFY AS BLACK AT 46.0% (2022). BY 2027, THE WHITE POPULATION IN LEXINGTON COUNTY IS EXPECTED TO INCREASE BY 1.8% AND DECREASE BY 0.9% IN RICHLAND COUNTY. BY 2027, THE BLACK POPULATION IS EXPECTED TO INCREASE BY 6.5% IN LEXINGTON COUNTY AND BY 3.5% IN RICHLAND COUNTY. ADDITIONALLY, THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 11.3% IN LEXINGTON COUNTY AND BY 8.0% IN RICHLAND COUNTY. THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 5.2% IN LEXINGTON COUNTY AND BY 1.8% IN RICHLAND COUNTY. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 5.8% IN LEXINGTON COUNTY AND BY 2.2% IN RICHLAND COUNTY. ALL OTHERS RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 11.7% IN LEXINGTON COUNTY AND BY 9.5% IN RICHLAND COUNTY. AS OF 2022, THE MAJORITY OF RESIDENTS IN LEXINGTON AND RICHLAND COUNTIES WERE BETWEEN THE AGES OF 18-44 YEARS OLD. AS OF 2022, LEXINGTON COUNTY (40.1 YEARS) HAS A HIGHER MEDIAN AGE THAN RICHLAND COUNTY (35.1 YEARS) AND THE STATE OF SOUTH CAROLINA (39.9 YEARS). LEXINGTON COUNTY ($70,807) HAS A HIGHER MEDIAN HOUSEHOLD INCOME THAN RICHLAND COUNTY ($57,914) AND THE STATE OF SOUTH CAROLINA ($61,645) (2022). BOTH LEXINGTON (34.1%) AND RICHLAND (43.3%) COUNTIES HAVE A HIGHER PERCENTAGE OF RESIDENTS WITH A BACHELOR'S DEGREE THAN THE STATE OF SOUTH CAROLINA (31.7%) (2022). LEXINGTON COUNTY (15.6%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN RICHLAND COUNTY (19.7%) AND THE STATE (18.2%) (2022). IN 2021, LEXINGTON COUNTY (14.3%) AND RICHLAND COUNTY (19.6%) HAD A LOWER PERCENTAGE OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (19.7%). AN ESTIMATED 8.1% OF LEXINGTON COUNTY RESIDENTS AND 9.4% OF RICHLAND COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 9.6% IN SOUTH CAROLINA (2020). ADDITIONALLY, 8.8% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN LEXINGTON COUNTY ARE FOOD INSECURE AS COMPARED TO 17.8% IN RICHLAND COUNTY AND 13.8% IN SOUTH CAROLINA (2020). THE AVERAGE MEAL COST FOR LEXINGTON COUNTY AND RICHLAND COUNTY ARE HIGHER THAN THE STATE OF SOUTH CAROLINA (2020). UNEMPLOYMENT, RATES IN BOTH LEXINGTON AND RICHLAND COUNTIES AND THE STATE OVERALL INCREASED BETWEEN 2019 AND 2021. IN 2021, LEXINGTON COUNTY (3.0%) HAD THE LOWEST UNEMPLOYMENT RATE AS COMPARED TO RICHLAND COUNTY (4.1%) AND THE STATE (4.0%). AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN LEXINGTON AND RICHLAND COUNTIES WERE WITHIN OFFICE & ADMINISTRATION SUPPORT. AS OF 2020, BOTH LEXINGTON (10.9%) AND RICHLAND (11.7%) COUNTIES HAVE LOWER RATES OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE (12.8%). BOTH COUNTIES AND THE STATE EXPERIENCED INCREASES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2016 AND 2020. HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN LEXINGTON AND RICHLAND COUNTIES AND IN THE STATE OF SOUTH CAROLINA (2018-2020). OVERALL MORTALITY RATES IN LEXINGTON AND RICHLAND COUNTIES REMAINED LOWER THAN THE STATE BETWEEN 2018 AND 2020. ADDITIONALLY, OVERALL MORTALITY RATES IN LEXINGTON AND RICHLAND COUNTIES, ALONG WITH THE STATE, INCREASED BETWEEN 2018 AND 2020. IN 2018-2020, THE PERCENT OF ADULTS (AGE 18+) THAT REPORTED NOT PARTICIPATING IN LEISURE TIME PHYSICAL ACTIVITY IN THE PAST MONTH IN LEXINGTON COUNTY (28.7%) WAS HIGHER THAN RICHLAND COUNTY (22.4%) AND THE STATE (27.4%). AS OF JANUARY 7, 2023, THE PERCENT OF THE POPULATION THAT WAS FULLY VACCINATED FOR COVID-19 IN LEXINGTON COUNTY (54.8%) AND RICHLAND COUNTY (56.3%) ARE HIGHER THAN THE STATE (53.8%). WITH REGARDS TO MATERNAL AND CHILD HEALTH, BETWEEN 2017-2019, THE PERCENTAGE OF BIRTHS TO TEEN MOTHERS WAS LOWER IN RICHLAND COUNTY THAN IN LEXINGTON COUNTY AND THE STATE OF SOUTH CAROLINA. BETWEEN 2017-2019, THE PERCENT OF BABIES BORN WITH LOW BIRTH RATES WAS LOWER IN LEXINGTON COUNTY THAN IN RICHLAND COUNTY AND THE STATE. DURING THE SAME PERIOD, RICHLAND COUNTY HAD HIGHER LOW BIRTH RATE PERCENTAGES THAN THE STATE OF SOUTH CAROLINA. Schedule H, Part VI, Line 5 Promotion of community health CCH PALMETTO 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 SUCH AS THE AMERICAN HEART ASSOCIATION AND HARVEST HOPE FOOD BANK AND SUSAN G. KOMEN. HOSPITAL PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCH PALMETTO WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES, LOCAL PHYSICIAN MEETINGS AND HOSPITAL MEETINGS, FOCUSED ON ITS PATIENT POPULATION'S NEEDS IN ITS EFFORTS TO PROMOTE COMMUNITY HEALTH. SUBSEQUENTLY ON DECEMBER 4, 2024, CCH PALMETTO DISCHARGED ITS LAST PATIENT. THE HOSPITAL SOLD ITS LICENSE AND CERTAIN OTHER ASSETS ON FEBRUARY 7, 2025. Schedule H, Part VI, Line 6 Affiliated health care system CCH PALMETTO IS AN AFFILIATE OF BAPTIST HEALTH AND OPERATES IN COLLABORATION WITH ITS HOST HOSPITAL PRISMA HEALTH BAPTIST HOSPITAL, A 352 BED MEDICAL CENTER LOCATED IN COLUMBIA SOUTH CAROLINA. 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 H, Part VI, Line 7 State filing of community benefit report SC false true false false false false false false false APRIL MYERS DIRECTOR/PRESIDENT 0 334082 0 51753 0 19853 0 25978 0 40930 0 472596 0 0 JAMES HILL TREASURER 0 339865 0 51674 0 23381 0 23940 0 31234 0 470094 0 0 John Jones CEO (until 1/2024) 0 173365 0 5000 0 2074 0 13163 0 34706 0 228308 0 0 LINDA MOORE SECRETARY 0 355018 0 52572 0 43475 0 26433 0 43475 0 520973 0 8363 Holly Powell Interim CEO (start 1/2024) 0 234385 0 12236 0 2415 0 17791 0 37180 0 304007 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. (CCH PALMETTO) DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE, LLC ('CCC') COMPENSATES THE CCH PALMETTO 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 6/30/24 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 - $24,895 JAMES HILL - $16,258 APRIL MYERS - $16,078 Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATION'S EXECUTIVES ARE EMPLOYED BY CCC, WHICH FOLLOWS THE COMPENSATION POLICY OF 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 6-30-24 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 AT PALMETTO HEALTH BAPTIST, INC. (CCH PALMETTO) 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. THE BOARD OF DIRECTORS SHALL BE COMPRISED OF AT LEAST FIVE VOTING DIRECTORS ('VOTING DIRECTORS') PLUS TWO NONVOTING EX OFFICIO DIRECTORS ('EX OFFICIO DIRECTORS'). THE EX OFFICIO DIRECTORS SHALL CONSIST OF THE ADMINISTRATOR OF THE HOSPITAL AND THE MEDICAL DIRECTOR OF THE HOSPITAL. THE EX OFFICIO DIRECTORS SHALL BE AFFORDED THE PRIVILEGES OF DIRECTORS, BUT THEY SHALL NOT HAVE A VOTE OR BE COUNTED IN DETERMINING THE QUORUM OF THE BOARD OF DIRECTORS. AT ALL TIMES, A MAJORITY OF THE VOTING DIRECTORS SHALL BE INDEPENDENT DIRECTORS. THE REMAINDER OF THE VOTING DIRECTORS SHALL BE CORPORATE DIRECTORS. 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 6-30-16. 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: 1216348, Program Service Expense: 1213064, Management and General Expenses: 3284, Fundraising Expenses: ; PURCHASED SERVICES - PHARMACY - Total Expense: 402154, Program Service Expense: 402154, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - LAB - Total Expense: 306003, Program Service Expense: 306003, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - ADMIN - Total Expense: 14487, Program Service Expense: 14487, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - OTHER - Total Expense: 181773, Program Service Expense: 181282, Management and General Expenses: 491, Fundraising Expenses: ; PURCHASED SERVICES - IT - Total Expense: 63085, Program Service Expense: 63085, Management and General Expenses: , 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 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 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 CHARITY TX 501(c)(3) 10 HCH 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 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 HUNTSVILLE COMMUNITY HOSPITAL INC FOUNDATION 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 320771710 SUPPORT ORG TX 501(c)(3) 7 HCH false COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corporation false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corporation false false false false false false false false false false false false false false false true true false false false COMMUNITY HOSPITAL CORPORATION P 1196246 COST CHC COMMUNITY CARE LLC P 285202 COST CHC COMMUNITY CARE LLC O 705844 COST