HUNTSVILLE COMMUNITY HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: HUNTSVILLE COMMUNITY HOSPITAL INC (EIN 84-3654542)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-14
IRS object ID: 202531349349305578
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-14T11:37:05+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	843654542	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Huntsville Community Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HUNT	BusinessNameControlTxt
Phone	9362913411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 MEMORIAL HOSPITAL DR	AddressLine1Txt
City	HUNTSVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77340	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PATRICK SHANNON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9364352230	PhoneNum
Signature	2025-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melva Scott	PreparerPersonNm
PTIN	P01207335	PTIN
Phone	8173351900	PhoneNum
Preparation	2025-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTSVILLE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PATRICK SHANNON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 MEMORIAL HOSPITAL DR	AddressLine1Txt
City	HUNTSVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77340	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$93,823,931	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HUNTSVILLEMEMORIAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2019	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO CARE FOR OUR COMMUNITY WITH COMPASSION, INTEGRITY & EXCELLENCE.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	690	TotalEmployeeCnt
Total Volunteers	46	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$496,066	PYContributionsGrantsAmt
CY Contributions Grants	$97,628	CYContributionsGrantsAmt
PY Program Service Revenue	$81,587,486	PYProgramServiceRevenueAmt
CY Program Service Revenue	$85,241,465	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$3,685,254	PYOtherRevenueAmt
CY Other Revenue	$8,484,838	CYOtherRevenueAmt
PY Total Revenue	$85,768,806	PYTotalRevenueAmt
CY Total Revenue	$93,823,931	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,172,864	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$43,365,056	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$48,001,459	PYOtherExpensesAmt
CY Other Expenses	$47,787,370	CYOtherExpensesAmt
PY Total Expenses	$90,174,323	PYTotalExpensesAmt
CY Total Expenses	$91,152,426	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,405,517	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,671,505	CYRevenuesLessExpensesAmt
Total Assets BOY	$30,422,569	TotalAssetsBOYAmt
Total Assets EOY	$32,662,737	TotalAssetsEOYAmt
Total Liabilities BOY	$13,556,860	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,125,523	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$16,865,709	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$19,537,214	NetAssetsOrFundBalancesEOYAmt
Mission	NONE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$68,171,357	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$93,726,303	RevenueAmt
Desc	WE ARE DEVOTED TO THE HEALTH AND WELL-BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT EVERY DAY WITH A SPIRIT OF WARMTH, COMPASSION AND PERSONAL PRIDE. WE ACHIEVE THIS THROUGH ADVANCED AND EFFICIENT MEDICAL CARE WITH STRONG SELF-GOVERNANCE. DURING THE YEAR ENDED JUNE 30, 2024, WE HAD 3,432 ADMISSIONS, 17,036 PATIENT DAYS, 22,291 ER VISITS, 1,039 INPATIENT SURGERIES AND 1,379 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 46.5 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 4.96 DAYS.	Desc
Total Program Service Expenses	$68,171,357	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	120	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	690	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	1	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Paul Hanson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9362913411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 MEMORIAL HOSPITAL DR	AddressLine1Txt
City	HUNTSVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77340	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANNE WOODARD
DIRECTOR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JIM KENDRICK
DIRECTOR/PRESIDENT	0.2	39.8	Yes (X)	Yes (X)	$0	$1,577,721	$335,427
JOE THOMASON
DIRECTOR	1.0	39.0	Yes (X)		$0	$542,683	$72,410
Ian Gibson
COO	40.0	0		Yes (X)	$0	$185,504	$45,492
JAMES HILL
TREASURER	0.4	39.6		Yes (X)	$0	$414,920	$55,174
Jose Guerra
CNO	40.0	0		Yes (X)	$0	$176,581	$42,390
LINDA MOORE
SECRETARY	0.1	39.9		Yes (X)	$0	$451,065	$69,908
Mary Bevier
CFO	40.0	3.0		Yes (X)	$0	$226,393	$31,859
PATRICK SHANNON
CEO	39.0	2.3		Yes (X)	$0	$357,977	$25,485
AMANDA D WHORLEY
REGISTERED NURSE	40.0	0			$191,648	$0	$26,945	Yes (X)
ANNETTE S NAUDE
REGISTERED NURSE - CHARGE	40.0	0			$165,019	$0	$0	Yes (X)
Candace Hinkle
REGISTERED NURSE	40.0	0			$152,092	$0	$0	Yes (X)
JENNIFER L LOSEE
REGISTERED NURSE	40.0	0			$177,339	$0	$0	Yes (X)
KERRIE L DAVIS
REGISTERED NURSE - CHARGE	45.0	0			$162,008	$0	$0	Yes (X)
CRAIG SIMS
FORMER DIRECTOR	0.0	40.0			$0	$510,550	$60,536		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$848,106	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,443,394	TotReportableCompRltdOrgAmt
Total Other Compensation	$765,626	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	59	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WESTERN HEALTHCARE LLC
PO BOX 21228	DEPT 175	TULSA	OK	74121	Anesthesia/Medical Srvcs	$5,493,650
MORRISON MANAGEMENT SPECIALIST
400 NORTHRIDGE RD	STE 600	SANDY SPRINGS	GA	30350	Food/Nutrition/Support Srvcs	$3,983,651
HEALTH CAROUSEL LLC DBA PASSPORT USA
PO BOX 714216		CINCINNATI	OH	452714216	NURSE STAFFING/Support Srvcs	$3,577,124
AGILITI HEALTH INC
6625 WEST 78TH ST	SUITE 300	MINNEAPOLIS	MN	55349	BIOMED STAFFING AND EQUIPMNET	$1,450,022
CPS SOLUTIONS LLC
PO BOX 7410634		CHICAGO	IL	606740634	PHARMACY SERVICES	$1,295,463

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$97,628	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$97,628	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ROUTINE & ANCILLARY PATIENT SRVC	621990	$85,241,465	$85,241,465	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$85,241,465	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	900099	$284,026	$284,026	$0	$0
FITNESS MEMBERS	900099	$3,710	$3,710	$0	$0
MEDICAL RECORDS REVENUE	900099	$333	$333	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,196,769	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,196,769	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,484,838	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$93,823,931	TotalRevenueColumnAmt
Related Or Exempt Func Income	$93,726,303	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,907,000	TotalAmt
Program Services	$26,524,501	ProgramServicesAmt
Management And General	$9,382,499	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$590,547	TotalAmt
Program Services	$436,237	ProgramServicesAmt
Management And General	$154,310	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,097,760	TotalAmt
Program Services	$3,027,015	ProgramServicesAmt
Management And General	$1,070,745	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,769,749	TotalAmt
Program Services	$2,046,014	ProgramServicesAmt
Management And General	$723,735	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$840,000	TotalAmt
Program Services	$840,000	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$370,338	TotalAmt
Management And General	$370,338	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$37,182	TotalAmt
Management And General	$37,182	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$9,858	TotalAmt
Program Services	$9,858	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,738,729	TotalAmt
Program Services	$18,264,248	ProgramServicesAmt
Management And General	$4,474,481	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$52,757	TotalAmt
Program Services	$38,972	ProgramServicesAmt
Management And General	$13,785	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$453,601	TotalAmt
Program Services	$335,075	ProgramServicesAmt
Management And General	$118,526	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$828,774	TotalAmt
Management And General	$828,774	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$130,866	TotalAmt
Program Services	$96,671	ProgramServicesAmt
Management And General	$34,195	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$216,077	TotalAmt
Program Services	$159,616	ProgramServicesAmt
Management And General	$56,461	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$70,262	TotalAmt
Management And General	$70,262	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,497,806	TotalAmt
Program Services	$1,106,429	ProgramServicesAmt
Management And General	$391,377	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$706,919	TotalAmt
Program Services	$522,201	ProgramServicesAmt
Management And General	$184,718	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$11,831,113	$8,739,643	$3,091,470
LEASES	$4,035,487	$2,981,014	$1,054,473
SOFTWARE FEES	$2,536,997	$1,874,080	$662,917
EQUIPMENT RENTAL & MAINTENANCE	$652,166	$481,755	$170,411

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$778,438	TotalAmt
Program Services	$688,028	ProgramServicesAmt
Management And General	$90,410	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$91,152,426	TotalAmt
Program Services	$68,171,357	ProgramServicesAmt
Management And General	$22,981,069	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,743,990	BOYAmt
EOY	$3,098,911	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,104,385	BOYAmt
EOY	$12,351,541	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,702,548	BOYAmt
EOY	$2,154,794	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$873,564	BOYAmt
EOY	$1,363,347	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$13,636,657	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,009,581	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$10,931,014	BOYAmt
EOY	$10,627,076	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,067,068	BOYAmt
EOY	$3,067,068	EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,422,569	BOYAmt
EOY	$32,662,737	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,552,806	BOYAmt
EOY	$8,002,168	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,007,542	BOYAmt
EOY	$3,927,946	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$996,512	BOYAmt
EOY	$1,195,409	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,556,860	BOYAmt
EOY	$13,125,523	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,865,709	BOYAmt
EOY	$19,537,214	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$16,865,709	BOYAmt
EOY	$19,537,214	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,422,569	BOYAmt
EOY	$32,662,737	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,671,505	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$9,858	OtherActivitiesAmt
Total Lobbying Expenditures	$9,858	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	IN FISCAL YEAR 2024 HCH PAID: $17,293 TO TEXAS HOSPITAL ASSOCIATION, (THA) AND $26,084 to AMERICAN HOSPITAL ASSOCIATION, (AHA) THE PORTION OF DUES THAT WERE REPORTED FOR LOBBBYING PURPOSES WERE: THA: 8.74% AHA: 32% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: THA: $17,293 x 8.74% = $,1511 AHA: $26,084 x 32% = $8,347 Total= $9,858	ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,415	OtherCostOrOtherBasisAmt
Depreciation	$6,340	DepreciationAmt
Book Value	$51,075	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,066,752	OtherCostOrOtherBasisAmt
Depreciation	$1,882,292	DepreciationAmt
Book Value	$6,184,460	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,512,490	OtherCostOrOtherBasisAmt
Depreciation	$1,120,949	DepreciationAmt
Book Value	$4,391,541	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$10,627,076	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO CHC	$764,080
ASBESTOS ABATEMENT	$121,679
ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS	$309,650

Field	Value	IRS element (for citing)
Total Liability	$1,195,409	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$93,823,931	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$93,823,931	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$93,823,931	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$91,152,426	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$91,152,426	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$91,152,426	TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,224,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,983,478	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,240,564	NetCommunityBenefitExpnsAmt
Total Expense	0.2001	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,472,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,598,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,874,017	NetCommunityBenefitExpnsAmt
Total Expense	0.0425	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,696,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,581,478	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,114,581	NetCommunityBenefitExpnsAmt
Total Expense	0.2426	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,423	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,423	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$984,253	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$984,253	NetCommunityBenefitExpnsAmt
Total Expense	0.0108	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,032,676	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,032,676	NetCommunityBenefitExpnsAmt
Total Expense	0.0113	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$35,728,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,581,478	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,147,257	NetCommunityBenefitExpnsAmt
Total Expense	0.2539	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$22,224,042	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,983,478	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$18,240,564	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTSVILLE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 MEMORIAL HOSPITAL DR	AddressLine1Txt
City	HUNTSVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77340	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/	WebsiteAddressTxt
State License	100511	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTSVILLE MEMORIAL HOSPITAL	BusinessNameLine1Txt

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

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA FOR HUNTSVILLE COMMUNITY HOSPITAL INC. ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HUNTSVILLE MEMORIAL HOSPITAL. HUNTSVILLE COMMUNITY HOSPITAL (HCH) IS DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL (HMH), AND OPERATES A FULL SERVICE, 123 BED LICENSED, ACUTE CARE HOSPITAL IN HUNTSVILLE, TEXAS WHICH SERVES THE RESIDENTS OF WALKER COUNTY AND SURROUNDING AREAS. THE HOSPITAL PROVIDES A WIDE ARRAY HEALTHCARE SERVICES TO MEET THE NEEDS OF ITS COMMUNITY. THROUGH ADVANCED TECHNOLOGY AND THE PROFESSIONAL EXPERTISE OF HMH'S MEDICAL STAFF, THE HOSPITAL PROVIDES QUALITY CARE, IN BOTH AN INPATIENT AND OUTPATIENT ENVIRONMENT, FOR A WIDE RANGE OF MEDICAL CONDITIONS IN A FRIENDLY, CARING ENVIRONMENT. BASED ON HOSPITAL INPATIENT DISCHARGE DATA, THE DEFINED SERVICE AREA OF HCH IS WALKER COUNTY, TEXAS WHICH COMPRISES 65.6% OF STUDY YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF WALKER COUNTY IS EXPECTED TO INCREASE 5.0% FROM 2021 (76,807) TO 2026 (80,682), WITH THE EXPECTED GROWTH RATE FALLING BELOW THE 7.9% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2021 (29,969,514) TO 2026 (32,346,738). THE POPULATION OF WALKER COUNTY INCLUDES THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE (TDCJ) POPULATION OF 11,989 AND THE SAM HOUSTON STATE UNIVERSITY DORMITORY POPULATION OF APPROXIMATELY 3,400. AS OF 2021, THE RACIAL/ETHNIC BREAKOUT OF WALKER COUNTY WAS 65.0% WHITE, 23.5% BLACK, 1.1%, ASIAN, 0.5% AMERICAN INDIAN AND 10.0% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2026, THE WHITE NON-HISPANIC POPULATION IN WALKER COUNTY IS EXPECTED TO INCREASE BY 3.4% BY 2026 AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 5.8% IN THE COUNTY. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 12.4% IN WALKER COUNTY AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 12.5% IN THE COUNTY. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 12.6% IN WALKER COUNTY BY 2026. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 9.8% IN WALKER COUNTY BY 2026. BETWEEN 2015 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN WALKER COUNTY, THE STATE AND THE NATION. IN 2019, WALKER COUNTY (8.6%) HAD A LOWER PERCENT OF FOREIGN-BORN RESIDENTS THAN THE STATE (17.1%) AND THE NATION (13.7%). AS OF JULY 31ST 2021, THE VAST MAJORITY OF THE TDCJ PRISON POPULATION IS BLACK, FOLLOWED BY HISPANIC AND WHITE INMATES. AS OF JULY 31ST 2021, THE AVERAGE SENTENCE LENGTH BY YEARS FOR MALES IS 23.3 YEARS, AND 13.2 YEARS FOR FEMALES. AS OF JULY 31ST 2021, THE TDCJ PRISON POPULATION IS MAJORITY MALE (99.9%), AND MINORITY FEMALE (0.1%). AS OF JULY 31ST 2021, THE MAJORITY OF THE TDCJ PRISON POPULATION IS 40-44 YEARS OLD, FOLLOWED CLOSELY BY THE 35-39 YEAR AGE GROUP AND THE 30-34 YEAR AGE GROUP. AS OF JULY 31ST 2021, THE AVERAGE AGE OF THE TDCJ MALE INMATE POPULATION IS 42.1 YEARS, WHILE THE AVERAGE AGE OF THE FEMALE INMATE POPULATION IS 43.2. THE MEDIAN AGE IN WALKER COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). WALKER COUNTY (35.9 YEARS) HAS AN OLDER MEDIAN AGE THAN TEXAS. (35.3 YEARS) (2021). WALKER COUNTY ($48,746) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS ($63,524) (2021). THE MEDIAN HOUSEHOLD INCOMES IN WALKER COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). WALKER COUNTY (21.9%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (31.3%) (2021). IN 2014-2018, 16.0% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.0% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, 24.5% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.2% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, THE DISTRESS SCORE IN WALKER COUNTY WAS 71.8 WHICH FALLS WITHIN THE AT RISK ECONOMIC CATEGORY AND IS LESS PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN WALKER COUNTY AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, WALKER COUNTY (7.2) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN WALKER COUNTY OVERALL DECREASED. AUGUST 2020 AND MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (6.5) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (9.2). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN WALKER COUNTY ARE WITHIN SALES AND RELATED OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS ARE SALES AND RELATED OCCUPATIONS, (11.1%); LAW ENFORCEMENT WORKERS INCLUDING SUPERVISORS, (9.9%); EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS, (9.2%); OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS, (9.2%) AND FOOD PREPARATION & SERVING RELATED OCCUPATIONS, (7.3%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH WALKER COUNTY AND THE STATE. IN 2015-2019, WALKER COUNTY (5.0%) HAD A LOWER PERCENT OF PEOPLE WORKING AT HOME THAN THE STATE (6.0%). WALKER COUNTY (27.5 MINUTES) HAD A LONGER MEAN TRAVEL TIME TO WORK THAN THE STATE (27.2 MINUTES) (2015-2019). WALKER COUNTY (27.1%) HAS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVEL AS COMPARED TO THE STATE OF TEXAS (18.0%) (2021). BETWEEN 2015 AND 2019, THE PERCENT OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN WALKER COUNTY AND THE STATE OVERALL DECREASED. IN 2019, WALKER COUNTY (22.4%) HAD A HIGHER PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY THAN TEXAS (19.2%). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 15.1% OF WALKER COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.1% IN THE STATE OF TEXAS. ADDITIONALLY, 21.6% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN WALKER COUNTY ARE FOOD INSECURE, AS COMPARED TO 19.6% IN TEXAS (2019). THE AVERAGE MEAL COST FOR A WALKER COUNTY RESIDENT IS $2.81, AS COMPARED TO $2.68 IN TEXAS (2019). BETWEEN 2014 AND 2018, ECTOR COUNTY MAINTAINED A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE. IN 2018, WALKER COUNTY (8.6%) HAD A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN THE STATE (12.2%). IN 2018-2019, WALKER COUNTY (57.4%) HAD A LOWER PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH THAN THE STATE (60.5%), AND A HIGHER PERCENTAGE THAN THE NATION (49.5%). WALKER COUNTY (87.4%) HAS A LOWER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.4%) AND THE NATION (87.7%) (2018-2019). WALKER COUNTY (32.3%) HAS A HIGHER PERCENT OF HOUSEHOLDS WHERE HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME THAN THE STATE (29.5%) AND THE NATION (30.9%) (2015-2019). THE PERCENT OF HOMES THAT RECEIVED AN EVICTION JUDGEMENT IN WHICH RENTERS WERE ORDERED TO LEAVE IN WALKER COUNTY (2.2%) IS COMPARABLE TO THE STATE (2.2%) AND LOWER THAN THE NATION (2.3%) (2016). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE STATE (2015-2019). BETWEEN 2015 AND 2019, HEART DISEASE MORTALITY RATES OVERALL INCREASED IN WALKER COUNTY AND DECREASED IN THE STATE. IN 2017-2019, THE HEART DISEASE MORTALITY RATE IN WALKER COUNTY (164.9 PER 100,000) WAS LOWER THAN THE STATE (167.5 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE STATE (2015-2019). BETWEEN 2015 AND 2019, CANCER MORTALITY RATES DECREASED IN BOTH WALKER COUNTY AND THE STATE. IN 2017- 2019, THE CANCER MORTALITY RATE IN WALKER COUNTY (134.7 PER 100,000) WAS LOWER THAN THE STATE (143.5 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASE, (CLRD), IS THE THIRD LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE. BETWEEN 2015-2019, CLRD MORTALITY RATES SLIGHTLY INCREASED IN WALKER COUNTY AND SLIGHTLY DECREASED IN THE STATE. IN 2017-2019, THE CLRD MORTALITY RATE IN WALKER COUNTY (53.0 PER 100,000) WAS HIGHER THAN THE STATE (39.6 PER 100,000). CEREBROVASCULAR DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN WALKER COUNTY, AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2015-2019). BETWEEN 2015 AND 2019, CEREBROVASCULAR DISEASE MORTALITY RATES OVERALL DECREASED IN BOTH WALKER COUNTY AND THE STATE. IN 2017-2019, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN WALKER COUNTY (42.0 PER 100,000) WAS HIGHER THAN THE STATE (40.2 PER 100,000). FATAL ACCIDENTS ARE THE FIFTH LEADING CAUSE OF DEATH IN WALKER COUNTY AND IN THE STATE (2015-2019). BETWEEN 2015 AND 2019, ACCIDENT MORTALITY RATES INCREASED IN WALKER COUNTY AND THE STATE. IN 2017-2019, THE ACCIDENT MORTALITY RATE IN WALKER COUNTY (33.8 PER 100,000) WAS LOWER THAN THE RATE IN THE STATE (38.7 PER 100,000). THE LEADING CAUSE OF FATAL ACCIDENTS IN WALKER COUNTY IS DUE TO MOTOR VEHICLE ACCIDENTS (2017-2019).
Schedule H, Part V, Section B, Line 5 Facility , 2	Facility , 2 - HUNTSVILLE MEMORIAL HOSPITAL. ALZHEIMER'S DISEASE, DIABETES MELLITUS, SEPTICEMIA, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, AND INTENTIONAL SELF HARM, (SUICIDE), ARE ALSO, LEADING CAUSES OF DEATH IN WALKER COUNTY. AS OF DECEMBER 6, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED FOR COVID-19 IN WALKER COUNTY (46.7%) IS LOWER THAN THE STATE (59.7%). BETWEEN 2014 AND 2020, OBESITY PREVALENCE RATES IN ADULTS (AGE 18+) IN WALKER COUNTY DECREASED AND INCREASED IN THE STATE. IN 2016-2020, WALKER COUNTY (28.8%) HAD A LOWER PERCENTAGE OF OBESE ADULTS (AGE 18 +) THAN THE STATE (34.2%). WALKER COUNTY (61.3%) HAS THE HIGHEST RATE OF MEDICARE FEE-FOR-SERVICE RESIDENTS WITH HYPERTENSION AS COMPARED TO THE STATE (59.9%) AND THE NATION (57.2%) (2018). BETWEEN 2014 AND 2020, ASTHMA PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE INCREASED. IN 2015-2019, WALKER COUNTY (31.8%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA THAN THE STATE (12.6%). BETWEEN 2014 AND 2020, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN WALKER COUNTY DECREASED AND SLIGHTLY INCREASED IN THE STATE. IN 2016-2020, WALKER COUNTY (25.3%) HAD A LOWER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.2%). BETWEEN 2014 AND 2020, THE RATE OF ADULTS (AGE 18+) WHO SELF REPORTED THAT THEY HAD A DISABILITY IN WALKER COUNTY DECREASED WHILE THE PERCENT IN THE STATE INCREASED. THE PERCENT OF ADULTS (AGE 18+) WHO SELF REPORTED THAT THEY HAD A DISABILITY IN WALKER COUNTY (37.4%) WAS HIGHER THAN THE STATE (26.3%)(2016-2020). BETWEEN 2014 AND 2020, THE RATE OF ADULTS (AGE 18+) IN WALKER COUNTY AND THE STATE THAT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER INCREASED. IN 2016-2020, WALKER COUNTY (24.1%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER THAN THE STATE (16.1%). AS OF 2019, WALKER COUNTY (21.1%) HAD A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (24.3%). WALKER COUNTY AND THE STATE EXPERIENCED AN INCREASE IN UNINSURED RATES BETWEEN 2015 AND 2019. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR HUNTSVILLE COMMUNITY HOSPITAL, INC., (HCH), BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN WALKER COUNTY, TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC FROM SEPTEMBER 9, 2021-OCTOBER 13, 2021. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE HCH BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MARCH 24, 2022. INTERVIEW METHODOLOGY: HCH WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. HCH PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT HCH, 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 USING SOURCES WHICH INCLUDED STRATASAN, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. HCH PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN WALKER COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, TWENTY-FIVE IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 84.0% 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. 8.0% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AND 8.0% OF THOSE PROVIDING INPUT ARE COMMUNTIY LEADERS. INTERVIEWEES INCLUDED: ANDY BRAUNINGER: MAYOR, CITY OF HUNTSVILLE ERICA BUMPURS: DIRECTOR, SAM HOUSTON STATE UNIVERSITY STUDENT HEALTH CENTER MEREDITH CRYER: WALKER COUNTY EXTENSION AGENT, TEXAS A&M AGRILIFE EXTENSION OFFICE LAWRENCE EDE, MD: PHYSICIAN, LONESTAR FEDERALLY QUALIFIED HEALTH CENTER RHONDA ELLISOR: DIRECTOR, SAM HOUSTON STATE UNIVERSITY SMALL BUSINESS CENTER DAROL HAIL, MD: SUPERINTENDENT, NEW WAVERLY INDEPENDENT SCHOOL DISTRICT KATHY HAZLEWOOD: EXECUTIVE DIRECTOR, CARE CENTER KIMBERLY HEIMBECKER, RN: PUBLIC HEALTH NURSE, TEXAS DEPARTMENT OF HUMAN SERVICES -WALKER COUNTY CHARLES HENLEY, MD: DEAN, SAM HOUSTON STATE UNIVERSITY SCHOOL OF DOCTOR OF OSTEOPATHIC MEDICINE RAY HERNANDEZ: PRESIDENT & CHIEF EXECUTIVE OFFICER, HUNTSVILLE-WALKER COUNTY CHAMBER OF COMMERCE; CHAIRMAN OF THE BOARD, HUNTSVILLE MEMORIAL HOSPITAL ANNE KARR-WOODARD: CHAIRMAN OF THE BOARD OF MANAGERS, WALKER COUNTY HOSPITAL DISTRICT; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL JOHN KAUFMAN: SUPERINTENDENT, TRINITY INDEPENDENT SCHOOL DISTRICT LANETTE LINTHICUM, MD: DIVISION DIRECTOR, TEXAS DEPARTMENT OF CRIMINAL JUSTICE -HEALTH SERVICES DIVISION LEE MILLER: DIRECTOR, SAM HOUSTON STATE UNIVERSITY CENTER FOR COMMUNITY ENGAGEMENT RENE MURPHY: EXECUTIVE CLIENT SERVICES DIRECTOR, SAAFE HOUSE HUNTSVILLE RACHEL PARKER: DIRECTOR, WALKER COUNTY EMERGENCY MEDICAL SERVICE DANNY PIERCE: JUDGE, WALKER COUNTY SUJESH PILLAI, MD: CHIEF OF STAFF, HUNTSVILLE MEMORIAL HOSPITAL; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL EVAN ROBERSON: EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH DAVID SMITH: EXECUTIVE DIRECTOR, GOOD SHEPHERD MISSION TERESA STAPLETON: SUPERVISOR, TEXAS WORKFORCE SOLUTIONS RON STEFFA: CHIEF FINANCIAL OFFICER, TEXAS DEPARTMENT OF CRIMINAL JUSTICE -BUSINESS & FINANCE DIVISION JESSICA TWARDESKI: PUBLIC HEALTH PREVENTION SPECIALIST, TEXAS DEPARTMENT OF HUMAN SERVICES -WALKER COUNTY JUDY UPSHAW: ASSOCIATE PROFESSOR, SAM HOUSTON STATE UNIVERSITY NURSING SCHOOL; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL *TREY WHARTON: OWNER, WHARTON INSURANCE NETWORK; PRESIDENT OF THE BOARD OF TRUSTEES, HUNTSVILLE INDEPENDENT SCHOOL DISTRICT; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL
Schedule H, Part V, Section B, Line 5 Facility , 3	Facility , 3 - HUNTSVILLE MEMORIAL HOSPITAL. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: YOUTH POPULATION, OB POPULATION, ELDERLY, RACIAL/ETHNIC GROUPS, UN/UNDERINSURED, LOW INCOME/WORKING POOR, HOMELESS AND VETERANS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: YOUTH POPULATION -HEALTHY LIFESTYLE EDUCATION -RECREATIONAL SUBSTANCE USE -DEPRESSION, ANXIETY, STRESS -DIABETES, OBESITY -SEX EDUCATION -SMOKING, VAPING -GENERATIONAL VIOLENCE, GANG AFFILIATION OB POPULATION -NEED FOR ADDITIONAL EDUCATION ON RAISING A FAMILY, FAMILY PLANNING -MENTAL HEALTH CONCERNS (MEDICAID) ELDERLY -TRANSPORTATION BARRIERS -COST AND INSURANCE BARRIERS -LACK OF ACCESS TO LOCAL SPECIALTY SERVICES -FOOD INSECURITY -SOCIAL ISOLATION -DIFFICULTY USING TELEHEALTH OPTIONS RACIAL/ETHNIC -GROWING NON-ENGLISH-SPEAKING POPULATION -TRANSLATION ISSUES (NON-ENGLISH SPEAKING) -HEALTHY LIFESTYLE EDUCATION UN/UNDERINSURED -LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, DENTAL CARE -COST OF INSURANCE, PARTICULARLY DEDUCTIBLES AND AFFORDING PRESCRIPTIONS -OVERUSE OF EMERGENCY ROOM AS PRIMARY CARE PROVIDER -LIMITED ACCESS TO AFTER HOURS CARE LOW INCOME/WORKING POOR -TRANSPORTATION BARRIERS -FOOD INSECURITY -LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, DENTAL CARE -COST OF INSURANCE, PARTICULARLY DEDUCTIBLES AND AFFORDING PRESCRIPTIONS -OVERUSE OF EMERGENCY ROOM AS PRIMARY CARE PROVIDER -LIMITED ACCESS TO AFTER HOURS CARE HOMELESS - ACK OF RESOURCES -GROWING POPULATION VETERANS -TRANSPORTATION BARRIERS -MENTAL HEALTH CONCERNS -LACK OF ACCESS TO LOCAL SERVICES
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - HUNTSVILLE MEMORIAL HOSPITAL. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY HUNTSVILLE MEMORIAL HOSPITAL, (HMH). THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM HMH, MET WITH STAFF FROM COMMUNITY HOSPITAL CORPORATION, (CHC), TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. FOCUS ON HOSPITAL SUSTAINABILITY AND COMMUNITY INFRASTRUCTURE 2. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 5. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL FIVE OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: FOCUS ON HOSPITAL SUSTAINABILITY AND COMMUNITY INFRASTRUCTURE OBJECTIVE: FOCUS ON EFFORTS TO IMPROVE THE HOSPITAL'S INFRASTRUCTURE AND MAINTAIN SUSTAINABILITY IN THE COMMUNITY 1.A. HMH IS FOCUSED ON SUSTAINABILITY AND FINDING THE BEST PATH TO MOVE FORWARD. 1.B. HMH IS EXPLORING OPPORTUNITIES TO EXPAND INFUSION SERVICES. 1.C. HMH IS DEDICATED TO INCREASING QUALITY THROUGH IMPROVING HCAHPS SCORES. 1.D. HMH IS DEDICATED TO INCREASING QUALITY THROUGH REDUCING EMPLOYEE TURNOVER. 1.E. HMH CONTINUES TO PARTICIPATE IN THE AHRQ CULTURE OF SAFETY SURVEY AND ACTION PLAN BASED ON RESULTS. 1.F. HMH WILL CONTINUE TO IMPLEMENT ITS CHRONIC DISEASE MANAGMENT PROCESS UPON DISCHARGE TO REDUCE READMISSIONS BY UTILIZING THE COMMUNITY CASE MANAGER IN ENGLISH AND SPANISH FOR PATIENTS AS APPROPIATE. 1.G. HMH WILL CONTINUE TO WORK WITH GREATER HOUSTON HEALTH CONNECT IN THE HEALTH INFORMATION EXCHANGE (HIE) WHICH ALLOWS EMPLOYED AND STAFF PHYSICIANS ACCESS TO THEIR RESPECTIVE PATIENTS HEALTH INFORMATION TO HELP IMPROVE EFFICIENCY AND EFFECTIVENESS OF PATIENT CARE AMONG HANDOFFS TO COMMUNITY PROVIDERS. PRIORITY #2: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY THROUGH RECRUITMENT AND RETENTION EFFORTS 2.A. HMH WILL WORK TO CONTINUOUSLY IMPROVE PHYSICIAN ENGAGEMENT. THIS INCLUDES SUPPORTING LOCAL PROVIDER GROWTH INITIATIVES, AND STRATEGIC ALIGNMENT WITH LARGER PRACTICES IN SURROUNDING COUNTIES. HMH WILL RECRUIT PRIMARY AND SPECIALTY CARE PROVIDERS AND ADVANCED PRACTITIONERS AS NEEDED. HMH WILL OFFER SPACE FOR ROTATING SPECIALTIES TO INCREASE LOCAL ACCESS AND REDUCE THE HARDSHIP OF TRANSPORTATION WITHIN THE COMMUNITY AS APPROPRIATE. 2.B. HMH WILL CONTINUE TO OFFER EXTENDED HOURS AT THE HUNTSVILLE RHC TO INCREASE ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS FOR THOSE WHO ARE UNABLE TO SEEK CARE DURING NORMAL WORK HOURS. 2.C. HMH AND THE HMH RHC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR STUDENTS AT PARTNER UNIVERSITIES AND EDUCATION CENTERS, INCLUDING THE NEWLY-OPENED OSTEOPATHIC SCHOOL OF MEDICINE AT SAME HOUSTON STATE UNIVERSITY. 2.D. HMH PROVIDES OB/GYN CARE AS APPROPRIATE THROUGH PROVIDERS OR NURSE PRACTITIONERS IN THE HMH RHC. 2.E. HMH WILL EXPLORE OPPORTUNITIES TO COLLABORATE WITH THE RECENTLY ESTABLISHED FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE COMMUNITY IN ORDER TO INCREASE ACCESS TO LOCAL PRIMARY CARE SERVICES. 2.F. HMH WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN REPORT TO DETERMINE THE PHYSICIAN NEEDS OF THE COMMUNITY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. HMH EXPLORES THE FEASIBILITY OF EXPANDING SERVICES IDENTIFIED WITHIN THE MARKET ASSESSMENT ON AN ANNUAL BASIS. 2.G. HMH PROVIDES TELENEUROLOGY CONSULTATION SERVICES THROUGH THE UNIVERSITY OF TEXAS. ADDITIONALLY, HMH PROVIDES PRIMARY CARE TELEHEALTH SERVICES IN THE HMH RHC. 2.H. UPON DISCHARGE FROM INPATIENT CARE, PATIENTS RECEIVE A COPY OF THEIR WRITTEN DISCHARGE SUMMARY AND AN ELECTRONIC SUMMARY IS SENT TO THEIR PRIMARY CARE PROVIDER AS WELL. UPON DISCHARGE FROM THE EMERGENCY ROOM, PATIENTS PRIMARY CARE PROVIDERS ARE PROVIDED WITH A SUMMARY OF THEIR EMERGENT VISIT. ADDITIONALLY, HMH WILL ASSIST IN SETTING UP A FOLLOW UP APPOINTMENT WITH A PRIMARY CARE PROVIDER THROUGH THE RHC FOR PATIENTS WHO DO NOT YET HAVE AN ESTABLISHED PROVIDER. 2.I. HMH WILL CONTINUE TO INCREASE AWARENESS OF ITS PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS. PRIORITY #3: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY 3.A. HMH WILL CONTINUE TO PARTICIPATE AND SUPPORT THE LOCAL MULTIDISCIPLINARY BEHAVIORAL HEALTH TEAM, INCLUDING LAW ENFORCEMENT, THE LOCAL SHERIFF, SAM HOUSTON STATE UNIVERSITY POLICE, HUNTSVILLE POLICE DEPARTMENT, DISPATCH, JUDGES, AND THE DISTRICT ATTORNEY, THAT MEETS ON A PERIODIC BASIS TO TRACK ANY MENTAL AND BEHAVIORAL HEALTH ISSUES AND IMPROVE PROCESSES TO HANDLE APPLICABLE SITUATIONS. 3.B. HMH WILL CONTINUE TO OFFER PSYCHIATRIC TELEHEALTH SERVICES TO APPLICABLE PATIENTS WHO PRESENT TO THE EMERGENCY DEPARTMENT. THROUGH CRISIS SCREENING, LICENSED COUNSELORS ARE ABLE TO ASSESS WHETHER PATIENTS REQUIRE A MORE THOROUGH EVALUATION OF THEIR MENTAL AND BEHAVIORAL STATE. 3.C. HMH WILL CONTINUE TO STAFF SANE (SEXUAL ASSAULT NURSE EXAMINER)/FORENSIC NURSE EXAMINERS (FNE) THAT ARE TRAINED SPECIFICALLY TO EXAMINE AND TREAT SURVIVORS OF SEXUAL ASSAULT, INTERPERSONAL VIOLENCE, DOMESTIC VIOLENCE, CHILD AND ELDER ABUSE. HMH FORENSIC NURSING PROGRAM WILL CONTINUE TO PARTICIPATE IN THE WALKER COUNTY SART (SEXUAL ASSAULT RESPONSE TEAM) IN AN EFFORT TO REVIEW CASES, OUTCOMES AND FURTHER COLLABORATE WITH VARIOUS AGENCIES INVOLVED IN THE CARE OF SURVIVORS OF VIOLENCE ACROSS THE LIFESPAN. HMH WILL CONTINUE TO PROVIDE ON-CALL COVERAGE OF SANE/FORENSIC NURSE EXAMINERS. 3.D. HMH WILL CONTINUE TO PROVIDE CASE MANAGEMENT SERVICES AND APPROPRIATE REFERRALS FOR PATIENTS WHO PRESENT TO THE HOSPITAL OR EMERGENCY DEPARTMENT WITH MENTAL OR BEHAVIORAL HEALTH CONDITIONS ON AN AS NEEDED BASIS. 3.E. HMH WILL CONTINUE TO PROVIDE INDIVIDUAL AND FAMILY GUIDANCE COUNSELING FOR EMPLOYEES THROUGH THE EMPLOYEE ASSISTANCE PROGRAM. ADDITIONALLY, HMH WILL CONTINUE TO SUPPORT EMPLOYEE WELLNESS THROUGH VARIOUS BENEFITS SUCH AS RELAXATION ZONES THROUGHOUT THE HOSPITAL, ROUTINE STAFF APPRECIATION MEALS AND OFFERING COUNSELING THROUGH LOCAL PASTORS.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HUNTSVILLE MEMORIAL HOSPITAL. PRIORITY #4: 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 4.A. HMH WILL CONTINUE TO PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES AND OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY AT LOW COST. 4.B. HMH CONTINUES TO OFFER EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS, AS WELL AS VARIOUS SUPPORT AND EDUCATIONAL GROUPS AT THE FACILITY. 4.C. HMH WILL EXPLORE RELATIONSHIPS AND MEET WITH LEADERS AT LOCAL NURSING HOMES, SKILLED NURSING FACILITIES AND LONG-TERM CARE FACILITIES IN ORDER TO STRENGTHEN THE TRANSITION OF CARE BETWEEN THE HMH AND LOCAL NURSING FACILITIES. 4.D. HMH EMPLOYEES HAVE ACCESS TO THE HEALTHIER OPTIONS IN THE CAFETERIA, AS WELL AS NUTRITIONAL FACTS FOR FOOD THAT IS SERVED. HMH EMPLOYEES ALSO HAVE FREE ACCESS TO THE REAL APPEAL WEIGHTLOSS PROGRAM THROUGH UMR. 4.E. HMH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. 4.F. HMH WILL MAINTAIN ITS CURRENT ACCREDITATIONS AND WILL CONTINUE TO PURSUE APPROPRIATE FACILITY CERTIFICATIONS. 4.G. HMH WILL CONTINUE TO PARTNER WITH AND MEET WITH LOCAL EMS TO PROMOTE BETTER HEALTH IN THE COMMUNITY AND DISCUSS PERFORMANCE IMPROVEMENT, TRANSFER TIMES AND EDUCATION NEEDS. 4.H. HMH EMERGENCY DEPARTMENT PROVIDES TRAUMA COMMUNITY EDUCATION/PREVENTION INCLUDING STOP THE BLEED TRAINING TO LOCAL SCHOOLS AND VARIOUS COMMUNITY AGENCIES. PRIORITY #5: 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 5.A. HMH HOSPITAL AND CLINICS WILL CONTINUE TO PROVIDE FINANCIAL COUNSELORS WHO ARE AVAILABLE TO ASSIST UNINSURED PATIENTS WITH PATHWAYS TO AFFORDABLE HEALTHCARE. THIS PROCESS INCLUDES SCREENING PATIENTS FOR GOVERNMENT PROGRAM QUALIFICATION, INCLUDING MEDICAID, SSI, MEDICARE, CRIME VICTIMS, AND VETERAN'S BENEFITS. IF THE UNINSURED PATIENT DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS, THE PATIENT WILL BE SCREENED FOR THE HOSPITAL CHARITY PROGRAM. IF THE UNINSURED PATIENT DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS OR CHARITY CARE, THE PATIENT WHO RESIDES IN WALKER COUNTY WILL BE SCREENED FOR THE WALKER COUNTY INDIGENT CARE PROGRAM. PATIENTS WHO QUALIFY FOR THE WALKER COUNTY INDIGENT CARE PROGRAM WILL RECEIVE ACCESS TO BASIC HEALTHCARE SERVICES AS DEFINED WITHIN CHAPTER 61 OF THE HEALTH AND SAFETY CODE FOR THE STATE OF TEXAS. 5.B. HMH OFFERS DISCOUNTS FOR UNINSURED PATIENTS WHO ARE AT OR ABOVE 200% OF THE FEDERAL POVERTY LIMIT. THIS INCLUDES DISCOUNTED SERVICES, AVAILABLE TO PATIENTS AT DISCOUNTED SELF PAY RATES. 5.C. HMH OWNS AND OPERATES A RURAL HEALTH CLINIC WITHIN WALKER COUNTY TO PROVIDE ACCESS TO PRIMARY CARE SERVICES ON A SLIDING FEE SCALE. 5.D. HMH WILL CONTINUE TO HOST AND/OR PARTICIPATE IN DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS EDUCATIONAL EVENTS. 5.E. HMH WILL CONTINUE TO PROVIDE TRANSLATION SERVICES IN SIGN LANGUAGE AND MULTIPLE LANGUAGES TO APPLICABLE PATIENTS. ADDITIONALLY, FACE TO FACE VIDEOS FOR TRANSLATION WILL BE PROVIDED ON AN AS NEEDED BASIS. 5.F. HMH WILL EXPLORE PARTICIPATING IN THE 340B PHARMACY PROGRAM WHICH PROVIDES DISCOUNTED PHARMACY PRICING TO INDIGENT PATIENTS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - HUNTSVILLE MEMORIAL HOSPITAL. HUNTSVILLE COMMUNITY HOSPITAL, DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL, DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c SCHEDULE H, PART I, LINE 3C	ALL PATIENTS (INSURED AND UNINSURED) MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE CONTINUUM OF CARE OR AFTER CARE IS RECEIVED. EACH PATIENT'S SITUATION WILL BE EVALUATED ACCORDING TO RELEVANT CIRCUMSTANCES, SUCH AS INCOME, ASSETS OR OTHER RESOURCES AVAILABLE TO THE PATIENT OR PATIENT'S FAMILY WHEN DETERMINING THE ABILITY TO PAY THE OUTSTANDING PATIENT ACCOUNT BALANCE. THE LEVEL OF FINANCIAL ASSISTANCE WILL BE BASED ON A CLASSIFICATION AS "FINANCIALLY INDIGENT "MEDICALLY INDIGENT "CATASTROPHICALLY MEDICALLY INDIGENT," AS DEFINED BELOW. IN ALL SITUATIONS, ONCE THE PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THAT INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE ("AGB"). "FINANCIALLY INDIGENT" MEANS A PATIENT WHOSE YEARLY HOUSEHOLD INCOME (AS DEFINED BELOW) IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). THESE FINANCIALLY INDIGENT PATIENTS ARE ELIGIBLE FOR A 100% DISCOUNT ON OUTSTANDING PATIENT ACCOUNT BALANCES AS SET FORTH IN PART 1 OF THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. "MEDICALLY INDIGENT" MEANS A PATIENT WHOSE MEDICAL OR HOSPITAL BILLS FROM ALL RELATED OR UNRELATED PROVIDERS, AFTER PAYMENT BY ALL THIRD PARTIES, EXCEED 10% OF SUCH PATIENT'S YEARLY HOUSEHOLD INCOME, WHOSE YEARLY HOUSEHOLD INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 400% OF THE FPG, AND WHO IS UNABLE TO PAY THE OUTSTANDING PATIENT ACCOUNT BALANCE. THESE MEDICALLY INDIGENT PATIENTS ARE ELIGIBLE FOR A DISCOUNT ON OUTSTANDING PATIENT ACCOUNT BALANCES AS SET FORTH IN PART 2 OF THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. "CATASTROPHICALLY MEDICALLY INDIGENT" MEANS A PATIENT WHOSE MEDICAL OR HOSPITAL BILLS FROM ALL RELATED OR UNRELATED PROVIDERS, AFTER PAYMENT BY ALL THIRD PARTIES, EXCEED 10% OF SUCH PATIENT'S YEARLY HOUSEHOLD INCOME, WHOSE YEARLY HOUSEHOLD INCOME IS GREATER THAN 400% OF THE FPG, AND WHO IS UNABLE TO PAY THE OUTSTANDING PATIENT ACCOUNT BALANCE. THESE CATASTROPHICALLY MEDICALLY INDIGENT PATIENTS ARE ELIGIBLE FOR A DISCOUNT ON OUTSTANDING PATIENT ACCOUNT BALANCES AS SET FORTH IN PART 3 OF THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. AFTER THE PATIENT'S ACCOUNT IS REDUCED BY THE DISCOUNTS BASED ON THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES, THE PATIENT IS RESPONSIBLE FOR THE REMAINDER OF THE OUTSTANDING PATIENT ACCOUNT BALANCE WHICH SHALL BE NO MORE THAN AGB.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	TEXAS - SUPPLEMENT TO THE AHA SURVEY.
Schedule H, Part V, Section B LINE 16H	ERRORS AND OMISSIONS NOTIFIED MEMBERS OF THE COMMUNITY REGARDING FINANCIAL ASSISTANCE AVAILABLE It was discovered that members of the community most likely to require financial assistance had inadvertently not been notified about the availability of Huntsville Memorial Hospital FAPs. However, this requirement was satisfied before the filing of this Form 990 return for fiscal year 2022. Copies of the FAPs were distributed to the below organizations in April 2023 as together they cover a large swath of the community Huntsville Memorial Hospital serves that would likely require financial assistance. SAAFE House - Non Profit Housing for Sexually Abused/Domestic Abuse for Women and Children Care Center - Non Profit Organization to make informed healthcare decisions centered around Pregnancy, etc. Lone Star FQHC - Non Profit Federally Qualified Healthcare Clinic Good Shepherd Mission - Non Profit Home Shelter
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2024 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION.
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 REALIZABLE 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 THIRD-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 HUNTSVILLE COMMUNITY HOSPITAL QUALIFIES FOR ITS FINANCIAL ASSISTANCE 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 REASONABLE PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. THE HOSPITAL WILL REFUND TO THE PATIENT ANY EXCESS PAYMENT (IF ANY) THAT EXCEEDS THE AMOUNT THE PATIENT IS DETERMINED TO BE PERSONALLY RESPONSIBLE FOR PAYING AS A FINANCIAL ASSISTANCE PROGRAM ELIGIBLE PATIENT (UNLESS SUCH AMOUNT IS LESS THAN $5.00).
Schedule H, Part V, Section B, Line 16a FAP website	- HUNTSVILLE MEMORIAL HOSPITAL: Line 16a URL: https://www.huntsvillememorial.com/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- HUNTSVILLE MEMORIAL HOSPITAL: Line 16b URL: https://www.huntsvillememorial.com/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- HUNTSVILLE MEMORIAL HOSPITAL: Line 16c URL: https://www.huntsvillememorial.com/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, HUNTSVILLE COMMUNITY HOSPITAL, DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL, (HMH), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 6/30/2022. HMH'S LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE TOP 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 UPDATES AND PROGRESS, AND KEY RESULTS (AS APPROPRIATE). THE CHNA AND IMPLEMENTATION STRATEGY FOR TAX YEAR 2021, WAS REVIEWED AND ADOPTED BY HMH'S GOVERNING BOARD ON MARCH 24, 2022. 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. THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE ASSESSED BY A REVIEW OF THE STATISTICS GATHERED FROM THE TEXAS HEALTH PROMOTION UNIT OF THE TEXAS DEPARTMENT OF STATE HEALTH. INTERVIEWS WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN WALKER COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS ARE ALSO CONDUCTED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS ARE EDUCATED REGARDING ELIGIBILITY FOR ASSISTANCE DURING THE SCREENING PROCESS FOR CHARITY CARE. THIS SCREENING PROCESS IS CONDUCTED BY A THIRD-PARTY ELIGIBILITY VENDOR AND INCLUDES UNINSURED AND UNDERINSURED PATIENTS THAT ARE SCREENED FOR, OR MAY QUALITY FOR, PRIOR TO CONSIDERATION FOR CHARITY CARE ELIGIBILITY THE FOLLOWING PROGRAMS: - EXISTING HEALTHCARE INSURANCE OR ABILITY TO PURCHASE HEALTHCARE INSURANCE/AND OR OTHER LIABILITY AT OR BELOW 8% OF TOTAL ANNUAL INCOME AND OR OTHER LIABILITY - SELF PAY DISCOUNTED PROGRAMS - TEXAS MEDICAID AND /OR MEDICARE AND/OR SSI; OTHER GOVERNMENT PROGRAMS; WORKERS COMPENSATION - WALKER COUNTY INDIGENT CARE PROGRAM THIS INCLUDES THE ASSISTANCE OF A THIRD-PARTY ON-SITE MEDICAID ELIGIBILITY VENDOR, WHO ASSISTS ELIGIBLE PATIENTS IN COMPLETING APPLICATION FOR MEDICAID, MEDICARE, AND/OR DISABILITY AS APPLICABLE. PATIENTS WITH THIRD PARTY COVERAGE (I.E., INSURANCE, MEDICARE, ETC.) MAY QUALIFY FOR CHARITY CARE AS SECONDARY TO PRIMARY INSURANCE IF THE PATIENT HAS RESPONSIBILITY FOR PAYMENT, HAS AN ABILITY TO PAY AND MEETS PROGRAM QUALIFICATIONS. IF A PATIENT DOES NOT QUALIFY FOR ONE OF THE PROGRAMS LISTED ABOVE, THE PATIENT MAY MAKE FORMAL APPLICATION FOR CHARITY CARE BY COMPLETING THE REQUIRED FINANCIAL ASSISTANCE FORMS, LOCATED ON THE HOSPITAL'S WEBSITE AT WWW.HUNTSVILLEMEMORIAL.COM THE ON-SITE ELIGIBILITY REPRESENTATIVE, OR A MEMBER OF THE HOSPITAL PATIENT ACCESS DEPARTMENT WILL ASSIST THE PATIENT IN PRINTING AND COMPLETING THE FINANCIAL APPLICATION AND SUPPLEMENTAL FORMS AND WILL DIRECT THE PATIENT TO THE FINANCIAL COUNSELING DEPARTMENT WHERE THE COMPLETED APPLICATION MUST BE SUBMITTED FOR REVIEW. PATIENTS APPROVED FOR CHARITY CARE WILL RECEIVE BASIC CARE AT HUNTSVILLE MEMORIAL HOSPITAL AND/OR THE HUNTSVILLE CLINIC FOLLOWING RECEIPT OF PRIOR QUALIFY FOR CHARITY CARE AS SECONDARY TO PRIMARY INSURANCE IF THE PATIENT HAS RESPONSIBILITY FOR PAYMENT, HAS AN ABILITY TO PAY, AND MEETS PROGRAM QUALIFICATIONS. IF A PATIENT DOES NOT QUALIFY FOR ONE OF THE PROGRAMS LISTED ABOVE, THE PATIENT MAY MAKE FORMAL APPLICATION FOR CHARITY CARE BY COMPLETING THE REQUIRED FINANCIAL ASSISTANCE FORMS, LOCATED ON THE HOSPITAL'S WEBSITE AT WWW.HUNTSVILLEMEMORIAL.COM THE ON-SITE ELIGIBILITY REPRESENTATIVE, OR A MEMBER OF THE HOSPITAL PATIENT ACCESS DEPARTMENT WILL ASSIST THE PATIENT IN PRINTING AND COMPLETING THE FINANCIAL APPLICATION AND SUPPLEMENTAL FORMS AND WILL DIRECT THE PATIENT TO THE FINANCIAL COUNSELING DEPARTMENT WHERE THE COMPLETED APPLICATION MUST BE SUBMITTED FOR REVIEW. PATIENTS APPROVED FOR CHARITY CARE WILL RECEIVE BASIC CARE AT HUNTSVILLE MEMORIAL HOSPITAL AND/OR THE HUNTSVILLE CLINIC FOLLOWING RECEIPT OF PRIOR APPROVAL. APPLICANTS MUST FULLY COOPERATE AND COMPLY WITH ELIGIBILITY REQUIREMENTS FOR ANY OTHER HEALTHCARE PROGRAM(S) FOR WHICH THEY MAY BE QUALIFIED PRIOR TO THEIR EVALUATION FOR CHARITY CARE. FEDERAL AND/ OR STATE ASSISTANCE MAY BE AVAILABLE TO THOSE WHO MEET QUALIFICATIONS.
Schedule H, Part VI, Line 4 Community information	HUNTSVILLE COMMUNITY HOSPITAL, INC. (HCH), IS DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL (HMH), AND OPERATES A FULL SERVICE, 123 BED LICENSED, ACUTE CARE HOSPITAL IN HUNTSVILLE, TEXAS WHICH SERVES THE RESIDENTS OF WALKER COUNTY AND SURROUNDING AREAS IN TEXAS. AS OF 2021, THERE WERE 76,807 RESIDENTS IN WALKER COUNTY AND THE POPULATION IS EXPECTED TO INCREASE 5.0% BY 2026. AS OF SEPTEMBER 2021, THE POPULATION OF THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE, (TDCJ), IN WALKER COUNTY WAS 11,989 AND THE DORMITORY POPULATION AT SAM HOUSTON STATE UNIVERSITY WAS APPROXIMATELY 3,400. THE MAJORITY OF RESIDENTS IN WALKER COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 65.0% (2021). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. AS OF 2021, THE HISPANIC POPULATION HAD 14,026 RESIDENTS IN WALKER COUNTY AND IS EXPECTED TO INCREASE 9.8% BY 2026. THE FASTEST GROWING POPULATION IN WALKER COUNTY IS THE AMERICAN INDIAN POPULATION. BY 2026, THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE 12.5%. AS OF JULY 31ST 2021, THE VAST MAJORITY OF THE TDCJ PRISON POPULATION IS BLACK, FOLLOWED BY HISPANIC AND WHITE INMATES. AS OF JULY 31ST 2021, THE TDCJ PRISON POPULATION IS MAJORITY MALE (99.9%), AND MINORITY FEMALE (0.1%). WALKER COUNTY (35.9 YEARS) HAS AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (35.2 YEARS) (2021). THE MEDIAN AGES IN WALKER COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). AS OF JULY 31ST 2021, THE AVERAGE AGE OF THE TDCJ MALE INMATE POPULATION IS 42.1 YEARS, WHILE THE AVERAGE AGE OF THE FEMALE INMATE POPULATION IS 43.2. AS OF JULY 31ST 2021, THE MAJORITY OF THE TDCJ PRISON POPULATION IS 40-44 YEARS OLD, FOLLOWED CLOSELY BY THE 35-39 YEAR AGE GROUP AND THE 30-34 YEAR AGE GROUP. WALKER COUNTY ($48,746) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS ($63,524) (2021). AS OF 2021, WALKER COUNTY HAS LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE. ADDITIONALLY, WALKER COUNTY HAS A HIGHER PERCENTAGE OF FAMILIES AND A HIGHER PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW THE POVERTY LEVEL THAN THE STATE. AS OF 2019, THERE ARE HIGHER RATES OF OVERALL FOOD INSECURITY AND CHILD FOOD INSECURITY IN ADDITION TO HIGHER AVERAGE MEAL COSTS IN WALKER COUNTY THAN IN THE STATE OF TEXAS. OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN WALKER COUNTY OVERALL DECREASED. IN 2020, WALKER COUNTY (7.2) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). AUGUST 2020 AND MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (6.5) AS COMPARED TO JULY 2020 WITH THE HIGHEST RATE (9.2). AS OF 2019, WALKER COUNTY (21.1%) COUNTY HAD A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (24.3%). WALKER COUNTY AND THE STATE EXPERIENCED AN INCREASE IN UNINSURED RATES BETWEEN 2015 AND 2019. CANCER AND HEART DISEASE ARE THE TWO LEADING CAUSES OF DEATH IN WALKER COUNTY. BETWEEN 2017 AND 2019 OVERALL MORTALITY RATES IN WALKER COUNTY DECREASED AND WERE LOWER THAN OVERALL MORTALITY RATES IN THE STATE OF TEXAS. ADDITIONALLY, WALKER COUNTY HAS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS HYPERTENSION FOR MEDICARE BENEFICIARIES THAN THE STATE. IN 2016-2020, THE PERCENTAGE OF ADULTS (AGE 18+) THAT DID NOT PARTICIPATE IN PHYSICAL ACTIVITY IN WALKER COUNTY (32.6%) WAS HIGHER THAN THE STATE (27.0%) A SEDENTARY LIFESTYLE, AND CULTURAL FACTORS ARE ALL CONTRIBUTORS TO THIS CHRONIC HEALTH CONDITION. THE PREVELANCE RATES OF ADULTS (18+) WITH ASTHMA IS ALSO GREATER IN WALKER COUNTY THAN THE STATE. AS OF NOVEMBER OF 2021, WALKER COUNTY (46.7%) HAD A LOWER PERCENTAGE OF ITS POPULATION WHO ARE FULLY VACCINATED AS COMPARED TO THE STATE OF TEXAS (59.7%). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS BINGE DRINKING AND TOBACCO USE IN WALKER COUNTY THAN IN THE STATE. WITH REGARD TO MATERNAL AND CHILD HEALTH, WALKER COUNTY HAS SLIGHTLY LOWER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE AND A HIGHER PERCENTAGE OF LOW BIRTH RATES THAN THE STATE. AS OF 2017, THE PERCENTAGE OF TEEN BIRTHS (AGE 17 AND YOUNGER) IN WALKER COUNTY (6.4%) WAS LOWER THAN THE STATE OF TEXAS (7.1%).
Schedule H, Part VI, Line 5 Promotion of community health	HUNTSVILLE MEMORIAL HOSPITAL, (HMH), RECENTLY CONDUCTED ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. THE CHNA IDENTIFIED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY SERVED BY HMH, WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF ISSUES IDENTIFIED FROM HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE HOSPITAL IS DEDICATED TO SERVING THE NEEDS OF THE RESIDENTS OF WALKER COUNTY AND SURROUNDING COMMUNITIES BY DELIVERING SUPERIOR SERVICES WITH A COLLABORATIVE SPIRIT. THE HOSPITAL IS WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AND CONDUCT VARIOUS COMMUNITY ACTIVITES TO AND WITHIN THE LOCAL COMMUNITY. THESE ACTIVITIES INCLUDE INCREASING AWARENESS OF ITS PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS AS WELL AS THROUGH BUSINESS DEVELOPMENT MEETINGS WITH PRIMARY CARE DOCTORS IN THE AREA. HMH WILL ALSO CONTINUE TO PARTICIPATE IN HEALTH-RELATED EVENTS TO FURTHER PROMOTE HOSPITAL SERVICES AND OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY AT LOW COST. ADDITIONALLY, THE HOSPITAL CONTINUES TO OFFER EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS, AS WELL AS VARIOUS SUPPORT AND EDUCATIONAL GROUPS AT THE FACILITY. HMH WILL EXPLORE RELATIONSHIPS AND MEET WITH LEADERS AT LOCAL NURSING HOMES, SKILLED NURSING FACILITIES AND LONG-TERM CARE FACILITIES IN ORDER TO STRENGTHEN THE TRANSITION OF CARE BETWEEN THE HMH AND LOCAL NURSING FACILITIES. HMH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, INCLUDING THE ROTARY CLUB, SAAFE HOUSE, CHAMBER OF COMMERCE, CHAMBERS OF CHAMPIONS AND THE LEC COMMITTEE. HMH WILL CONTINUE TO PARTNER WITH AND MEET WITH LOCAL EMS TO PROMOTE BETTER HEALTH IN THE COMMUNITY AND DISCUSS PERFORMANCE IMPROVEMENT, TRANSFER TIMES AND EDUCATION NEEDS. HMH EMERGENCY DEPARTMENT PROVIDES TRAUMA COMMUNITY EDUCATION/PREVENTION INCLUDING STOP THE BLEED TRAINING TO LOCAL SCHOOLS AND VARIOUS COMMUNITY AGENCIES. THE HOSPITAL WILL CONTINUE TO HOST AND/OR PARTICIPATE IN DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, CONDUCT SITTERCIZE CLASSES (STANDING AND SEATED EXCISE), IN COORDINATION WITH THE HUNTSVILLE PUBLIC LIBRARY, AS WELL AS EDUCATIONAL EVENTS, INCLUDING SOCKTOBER, DIVA NIGHT, GIVEAWAYS AND STROKE INFORMATION AT FAIR ON THE SQUARE AND STOP THE BLEED CLASSES. Huntsville Memorial Hospital is currently working with the Sam Houston State University Residence Program to provide more access to providers. The hospital is entering their third round of residences. By the third year, the resident can work mostly independently with physician oversight, which allows HMH to offer more openings to schedule patients.
Schedule H, Part VI, Line 6 Affiliated health care system	HCH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JIM KENDRICK
DIRECTOR/PRESIDENT	$0	$1,057,220	$0	$455,090	$0	$65,411	$0	$294,497	$0	$40,930	$0	$1,913,148	$0	$0
CRAIG SIMS
FORMER DIRECTOR	$0	$418,364	$0	$63,901	$0	$28,285	$0	$29,752	$0	$30,784	$0	$571,086	$0	$0
JOE THOMASON
DIRECTOR	$0	$431,718	$0	$66,246	$0	$44,719	$0	$30,480	$0	$41,930	$0	$615,093	$0	$15,454
PATRICK SHANNON
CEO	$0	$354,176	$0	$0	$0	$3,801	$0	$24,099	$0	$1,386	$0	$383,462	$0	$0
Mary Bevier
CFO	$0	$222,746	$0	$0	$0	$3,647	$0	$16,190	$0	$15,669	$0	$258,252	$0	$0
Ian Gibson
COO	$0	$183,836	$0	$0	$0	$1,668	$0	$13,486	$0	$32,006	$0	$230,996	$0	$0
Jose Guerra
CNO	$0	$175,012	$0	$0	$0	$1,569	$0	$9,384	$0	$33,006	$0	$218,971	$0	$0
JAMES HILL
TREASURER	$0	$339,865	$0	$51,674	$0	$23,381	$0	$23,940	$0	$31,234	$0	$470,094	$0	$0
LINDA MOORE
SECRETARY	$0	$355,018	$0	$52,572	$0	$43,475	$0	$26,433	$0	$43,475	$0	$520,973	$0	$8,363
KERRIE L DAVIS
REGISTERED NURSE - CHARGE	$150,961	$0	$11,000	$0	$47	$0	$0	$0	$0	$0	$162,008	$0	$0	$0
AMANDA D WHORLEY
REGISTERED NURSE	$183,780	$0	$7,800	$0	$68	$0	$3,008	$0	$23,937	$0	$218,593	$0	$0	$0
JENNIFER L LOSEE
REGISTERED NURSE	$177,339	$0	$0	$0	$0	$0	$0	$0	$0	$0	$177,339	$0	$0	$0
ANNETTE S NAUDE
REGISTERED NURSE - CHARGE	$148,514	$0	$16,500	$0	$5	$0	$0	$0	$0	$0	$165,019	$0	$0	$0
Candace Hinkle
REGISTERED NURSE	$152,092	$0	$0	$0	$0	$0	$0	$0	$0	$0	$152,092	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	COMPENSATION OF CEO/EXECUTIVE DIRECTOR THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION (CHC), AND THEREFORE FOLLOW 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 RESPONSIBILITY, 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 THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2024 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $284,597 LINDA MOORE - $24,895 JAMES HILL - $16,258 CRAIG SIMS - $19,851 JOE THOMASON - $36,034
Schedule J, Part I, Line 7 Non-fixed payments	A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE CONSOLIDATED EBIDA OF THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 3 Delegation of management duties	COMMUNITY HOSPITAL CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE CORPORATION HAS TWO CLASSES OF MEMBERS: THE CLASS A MEMBER AND CLASS B MEMBER. COMMUNITY HOSPITAL CORPORATION ("CHC") SHALL BE THE CLASS A MEMBER AND WALKER COUNTY HOSPITAL DISTRICT SHALL BE THE CLASS B MEMBER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHC, AS THE CLASS A MEMBER OF HUNTSVILLE COMMUNITY HOSPITAL, SHALL APPOINT TWO (EACH A "CLASS A BOARD DESIGNEE") OF THE THREE MEMBERS OF THE BOARD OF DIRECTORS FOR A TERM OF UP TO THREE YEARS. ONE DIRECTOR, WHO SHALL BE A MEMBER OF THE BOARD OF MANAGERS OF THE CLASS B MEMBER, SHALL BE APPOINTED BY THE CLASS B MEMBER, WALKER COUNTY HOSPITAL DISTRICT, (THE "CLASS B BOARD DESIGNEE", AND TOGETHER WITH THE CLASS A BOARD DESIGNEE, COLLECTIVELY, THE "BOARD DESIGNEES") FOR A TERM OF UP TO THREE YEARS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	A. CLASS A AND CLASS B MEMBER APPROVALS: AN ACTION, APPROVAL OR RESOLUTION BY THE BOARD OF DIRECTORS FOR EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF BOTH THE CLASS A MEMBER AND THE CLASS B MEMBER BEFORE IT IS EFFECTIVE AND CONSTITUTES AN ACTION OF THE CORPORATION: I. THE ESTABLISHMENT OF OR ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBERS, INCLUDING BUT NOT LIMITED TO THE PROVISION OF CHARITY CARE; II. ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OR THE CERTIFICATE OF FORMATION, BYLAWS OR OTHER GOVERNING DOCUMENT OF ANY SUBSIDIARIES OF THE CORPORATION, IF ANY (INCLUDING, WITHOUT LIMITATION, HMH PHYSICIAN ORGANIZATION (THE "PO")); III. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION (INCLUDING, WITHOUT LIMITATION, THE PO); IV. THE APPROVAL OF MAJOR (IN EXCESS OF $3,000,000.00) DEVELOPMENT CAMPAIGNS AND FUND-RAISING; V. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT TO MEET ITS STATUTORY OR CONSTITUTIONAL OBLIGATIONS WITH REGARD TO INDIGENT CARE; VI. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT'S BOND RATING OR ABILITY TO MEET ITS OBLIGATIONS UNDER ANY BONDS; AND VII. MAJOR CHANGES WITH SERVICE LINES PROVIDED BY THE FACILITIES OPERATED BY THE CORPORATION. B. CLASS A APPROVALS. AN ACTION, APPROVAL OR RESOLUTION BY THE BOARD OF DIRECTORS FOR EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE CLASS A MEMBER BEFORE IT IS EFFECTIVE AND CONSTITUTES AN ACTION OF THE CORPORATION: I. ANNUAL BUDGETS OF THE CORPORATION (EACH, AN "ANNUAL BUDGET"), WHICH WILL INCLUDE AN ANNUAL OPERATING BUDGET (THE "ANNUAL OPERATING BUDGET") AND AN ANNUAL CAPITAL EXPENDITURE BUDGET (THE "ANNUAL CAPITAL EXPENDITURE BUDGET"); II. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL OPERATING BUDGET GREATER THAN TWENTY-FIVE THOUSAND DOLLARS ($25,000) IN ANY SINGLE OR SERIES OF TRANSACTIONS; III. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL EXPENDITURE BUDGET; IV. SETTLEMENTS OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000) BUT LESS THAN FIVE HUNDRED THOUSAND DOLLARS ($500,000); V. EMPLOYMENT DECISIONS WHERE ANNUAL COMPENSATION EXCEEDS FIFTY THOUSAND DOLLARS ($50,000) OR AGGREGATE COMPENSATION EXCEEDS ONE HUNDRED THOUSAND DOLLARS ($100,000); AND, VI. DEBTS/GRANTS NOT APPROVED IN THE ANNUAL BUDGET AND IN AMOUNTS IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000); AND VII. THE SALE, LEASE OR MORTGAGE OF ANY PERSONAL PROPERTY IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000) BUT LESS THAN FIVE HUNDRED THOUSAND DOLLARS ($500,000).
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. ELECTRONIC COPIES ARE PROVIDED TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	CONFLICT OF INTEREST STATEMENTS ARE FILED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE PRESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD/COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING FURTHER INVESTIGATION IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, THEN APPROPRIATE DISCIPLINARY ACTION IS TAKEN WHICH CAN INCLUDE WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW 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 RESPONSIBILITY, 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 PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR.
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 VIII, Line 11d Other Miscellaneous Revenue	GRANT - Total Revenue: 2825000, Related or Exempt Function Revenue: 2825000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISC - Total Revenue: 148600, Related or Exempt Function Revenue: 148600, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; RENTS - Total Revenue: 92785, Related or Exempt Function Revenue: 92785, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SUPPORT - Total Revenue: 5130384, Related or Exempt Function Revenue: 5130384, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PURCHASE SERVICES - Total Expense: 9574279, Program Service Expense: 7072520, Management and General Expenses: 2501759, Fundraising Expenses: ; CONTRACT FEES - Total Expense: 6727799, Program Service Expense: 4969825, Management and General Expenses: 1757974, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 5760657, Program Service Expense: 5760657, Management and General Expenses: 0, Fundraising Expenses: ; Supplies - Total Expense: 624402, Program Service Expense: 461246, Management and General Expenses: 163156, Fundraising Expenses: ; UTILITY - Total Expense: 51592, Program Service Expense: 0, Management and General Expenses: 51592, Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591	BEAUMONT	TX	77704	741303720	HOSPITAL	TX	501(c)(3)	3	SWCH INC	false
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE ST	BEAUMONT	TX	77701	760453250	PRIMARY CARE	TX	501(c)(3)	3	BHSET	false
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235	BEAUMONT	TX	77701	611557670	SUPPORT ORG	TX	501(c)(3)	7	BHSET	false
CAROLINAS COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	465590355	SUPPORT ORG	DE	501(c)(3)	Type II	CHC	false
CHC COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	371485773	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(c)(3)	Type III-FI	NA	false
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FL	PADUCAH	KY	42003	465032999	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FL	ABILENE	TX	79601	463607347	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FL	MADISONVILLE	KY	42431	465033192	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY	CORBIN	KY	40701	200925675	HOSPITAL	KY	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREET	ODESSA	TX	79761	473539943	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	813048423	HOSPITAL	TX	501(c)(3)	3	CCC	false
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	PLANO	TX	75024	560691100	HOSPITAL	NC	501(c)(3)	3	CAR CC	false	SUITE 1000
GAINESVILLE COMMUNITY HOSPITAL INC
1900 HOSPITAL BLVD	GAINESVILLE	TX	76240	831683025	HOSPITAL	TX	501(c)(3)	3	CHC	false
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	760500960	PUBLIC CHARI.	TX	501(c)(3)	10	HUNTSVILLE	false
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	HUNTSVILLE	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITAL CORPORATION
P	$9,390,008	COST
Baptist Physician Network
N	$2,248,221	COST