2022-05-12T14:56:17-05:00 2021-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2020-07-01 831683025 GAINESVILLE COMMUNITY HOSPITAL INC % THOMAS SLEDGE GAIN 9406651751 1900 HOSPITAL BLVD GAINESVILLE TX 76240 James Hill Treasurer 8778295500 2022-05-11 true James Hill XXX-XX-XXXX MELVA SCOTT P01207335 8173351900 2022-05-11 2 2020 2022-09-23 18:48:47Z SEE SCHEDULE O THOMAS SLEDGE 1900 HOSPITAL BLVD GAINSVILLE TX 76240 44924018 false X WWW.NTMCONLINE.NET X 2018 TX THE MISSION OF GAINESVILLE COMMUNITY HOSPITAL IS TO PROVIDE EXCEPTIONAL PATIENT CENTERED CARE. 3 0 374 40 0 0 3215000 1698910 38209667 42603347 0 0 613853 567074 42038520 44869331 0 0 0 0 19241073 19338863 0 0 0 19108800 22868434 38349873 42207297 3688647 2662034 19111234 14528916 14914921 8508749 4196313 6020167 X THE MISSION OF GAINESVILLE COMMUNITY HOSPITAL IS TO PROVIDE EXCEPTIONAL PATIENT CENTERED CARE. false false 28953102 0 42603347 GCH IS A COMMUNITY HEALTH PROVIDER THAT SERVES THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S RACE, CREED, NATIONALITY, OR ABILITY TO PAY FOR SERVICES INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE IN SUPPORT OF THE HOSPITAL'S HEALTHCARE MISSION. DURING THE YEAR ENDED JUNE 30, 2021, WE HAD 1,027 ADMISSIONS, 4,708 PATIENT DAYS, 13,278 ER VISITS, 283 INPATIENT SURGERIES AND 1,545 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 12.9 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 3.4 DAYS. GCH UTILIZES THE MOST ADVANCED TECHNOLOGIES RIVALING THOSE OF MAJOR CITIES IN A COMFORTABLE ENVIRONMENT CLOSE TO HOME. WE OFFER INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES WITH COMPASSIONATE CARE, FOCUSING ON RESPECT AND CARE FOR THE WHOLE PERSON. AT GCH, WE ARE DETERMINED TO BUILD AN UNRIVALED REPUTATION FOR OUR OUTSTANDING SERVICE AND DELIVERY OF CARE. WE OFFER ADVANCED SERVICES AND PROGRAMS INCLUDING A SERENE BIRTHING CENTER, SPECIALTY CLINICS, COMPREHENSIVE PUBLIC HEALTH SERVICES AND SPECIALIZED NUTRITION PROGRAMS FOR WOMEN, INFANTS AND CHILDREN. WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH 'ADVANCED HOMETOWN WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH "ADVANCED HOMETOWN HEALTHCARE." 28953102 true false false false false false false false false false true false false false true false true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 45 0 true 374 true false false false false false false false false false false false false X 3 0 false true false false true true true true true false false true true true true true true false false false X THOMAS SLEDGE 9406128616 1900 HOSPITAL BLVD GAINSVILLE TX 76240 Jim Kendrick Director 1.0 39.0 X 0 1200779 52853 BHUPINDER KHAIRA General Surgeon 40.0 0.0 X 818510 0 0 Christian F Vissers Orthopedic Surgeon 40.0 0.0 X 697119 0 0 Joe Thomason Director/President 1.0 39.0 X X 0 408439 51760 James Hill Treasurer 1.0 39.0 X 0 361422 41844 Linda Moore Secretary 1.0 39.0 X 0 310485 32144 Thomas Sledge CEO 40.0 0.0 X 0 270848 46610 Leah Dill General / Bariactric Surgeon 3.5 0.0 X 252606 0 0 Shelle Diehm CFO 40.0 0.0 X 0 209043 40108 Carrie Zbierski CNO (until 2/2021) 40.0 0.0 X 0 180153 29843 Molly Isola OB/GYN Physician 0.0 40.0 X 151905 0 0 Zaira Jorai-Khan OB/GYN Physician 40.0 0.0 X 150980 0 0 Andrew Anderson Director 1.0 0.0 X 0 0 0 2071120 2941169 295162 23 false true false MEDICAL SOLUTIONS LLC PO BOX 310737 DES MOINES IA 50331 NURSING SVCS 3876933 AMERISOURCE BERGEN 1 West First Avenue CONSHOHOCKEN PA 19428 PHARMACY SERVICES 1734495 MEDLINE INDUSTRIES INC Three Lakes Dr NORTHFIELD IL 60093 HEALTHCARE SERVICES 1094480 GEBBS HEALTHCARE SOLUTIONS INC 600 CORPORATE POINT STE 1250 CULVER CITY CA 90292 COLLECTIONS AGENCY 918278 FARAHAT AND ASSOCIATES PLLC 8831 CEDAR RIDGE LANTANA TX 76226 ICU/ER/MED DIRECTOR 616925 11 0 1698910 0 1698910 PATIENT SERVICE REVENUE 622110 35829226 35829226 0 0 SUPPLEMENTAL STATE FUNDING 622110 6774121 6774121 0 0 42603347 0 0 0 204322 54687 149635 0 149635 149635 0 0 0 0 0 0 0 0 0 0 INSURANCE PROCEEDS 622110 1512 0 0 1512 TOBACCO FUND REVENUE 622110 215209 0 0 215209 INTEREST ON PATIENT PYMTS 622110 3685 0 0 3685 197033 0 0 197033 417439 44869331 42603347 0 567074 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15776778 11845794 3930984 0 296787 222839 73948 0 2170691 1629836 540855 0 1094607 821872 272735 0 780000 0 780000 0 33625 0 33625 0 243775 0 243775 0 0 0 0 0 0 0 0 0 0 0 9345215 7351765 1993450 0 228448 0 228448 0 0 0 0 0 251357 188518 62839 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297816 0 297816 0 0 0 0 0 378330 257264 121066 0 479630 276633 202997 0 MEDICAL SUPPLIES 4600618 4564962 35656 0 REPAIRS & MAINT/CONTRACT 1867638 938170 929468 0 COLLECTION FEES 1211427 0 1211427 0 LEASES/EQUIPMENT RENTAL 1121256 388157 733099 0 2029299 467292 1562007 42207297 28953102 13254195 0 0 14678599 8394950 0 0 0 0 2618251 4834360 0 0 0 0 0 0 581061 663275 599113 76261 1462690 902620 634210 560070 0 0 0 0 0 0 0 0 0 0 19111234 14528916 5656879 4775974 0 0 0 0 0 0 0 0 0 0 174397 0 0 0 9083645 3732775 14914921 8508749 X 4196313 6020167 0 0 4196313 6020167 19111234 14528916 X 2662034 0 0 0 0 -838180 X false true X true false X 0.00000 0 0 0 0 268021 48691 219330 154613 20596 134017 1040056 833333 206723 560070 0 DUE TO THIRD PARTY PAYERS 2572288 LIMITED PAYBACK TO GAINESVILLE HOSPITAL DISTRICT 1160487 3732775 44924019 0 0 44924019 -54688 -54688 44869331 42261985 0 0 42261985 -54688 -54688 42207297 PART XI, LINE 4B RENTAL EXPENSE: -54,688 PART XII, LINE 4B RENTAL EXPENSE: -54,688 true true true X true X true true true false true true 3771265 3771265 0.08930 2346489 1654910 691579 0.01630 6117754 1654910 4462844 0.10560 6117754 1654910 4462844 0.10560 true 14043274 13130461 912813 X true true 1 1 NORTH TEXAS MEDICAL CENTER 1900 Hospital Blvd GAINESVILLE TX 76240 HTTPS://NTMCONLINE.NET 100453 X X X NORTH TEXAS MEDICAL CENTER true true true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false false true X 200. 400. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X false X false X true X false false SCHEDULE H, PART V, SECTION B, LINE 2 GAINESVILLE COMMUNITY HOSPITAL, INC. (GCH), WAS FORMED ON AUGUST 10, 2018 IN THE STATE OF TEXAS AS A NOT FOR PROFIT CORPORATION. THE ORGANIZATION WAS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. GCH RECEIVED ITS EXEMPTION LETTER FROM THE IRS ON JULY 2, 2019 WITH AN EFFECTIVE DATE OF EXEMPTION OF AUGUST 10, 2018 WITH A PUBLIC CHARITY STATUS OF A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). GCH IS DOING BUSINESS AS NORTH TEXAS MEDICAL CENTER (NTMC), AND OPERATES A FULL SERVICE, 42 BED LICENSED, ACUTE CARE HOSPITAL IN GAINESVILLE, TX WHICH SERVES THE RESIDENTS OF COOKE, EASTERN MONTAGUE, WESTERN GRAYSON AND NORTHERN DENTON COUNTIES IN TEXAS AS WELL AS SOUTHERN LOVE COUNTY, OKLAHOMA. COMMUNITY HOSPITAL CORPORATION IS THE CLASS A MEMBER OF GCH AND GAINESVILLE HOSPITAL DISTRICT IS THE CLASS B MEMBER. SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. SCHEDULE H, PART V, SECTION B, LINE 5 NORTH TEXAS MEDICAL CENTER, (NTMC), IS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TEXAS AND SERVES THE RESIDENTS OF COOKE, EASTERN MONTAGUE, WESTERN GRAYSON AND NORTHERN DENTON COUNTIES IN TEXAS AND SOUTHERN LOVE COUNTY, OKLAHOMA. COOKE COUNTY COMPRISES 81.1% OF FY 2019 INPATIENT DISCHARGES. THE 125,000-SQUARE-FOOT MEDICAL CENTER HOUSES 42 MEDICAL/SURGICAL BEDS, A 6-BED INTENSIVE CARE UNIT, AND A 12-BED WOMEN'S CENTER. ALSO INCLUDED IN THE MEDICAL FACILITY ARE A 15-BED OUTPATIENT SURGERY CENTER, AN EXPANDED SURGICAL DEPARTMENT, A VASCULAR LAB AND A GREATLY EXPANDED EMERGENCY DEPARTMENT (FIVE FASTTRACK, THREE TRAUMA AND THREE SPECIALTY ROOMS). THE MISSION OF NORTH TEXAS MEDICAL CENTER IS TO PROVIDE EXCEPTIONAL, PATIENT CENTERED CARE. NTMC IS OPERATED BY COMMUNITY HOSPITAL CORPORATION AND OWNED BY GAINESVILLE HOSPITAL DISTRICT. THE DEFINED SERVICE AREA OF NTMC IS COOKE COUNTY. THE POPULATION OF COOKE COUNTY IS EXPECTED TO INCREASE BY 3.0% FROM 2019 (41,283) TO 2024 (42,517), WHICH IS BELOW THE 8.2% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2019 (29,443,411) TO 2024 (31,853,753). IN 2019, THE RACIAL/ETHNIC BREAKOUT OF COOKE COUNTY WAS 82.7% WHITE NON HISPANIC, 3.3% BLACK, 1.1% ASIAN, 1.1% AMERICAN INDIAN AND 11.8% ALL OTHERS. BY 2024, THE WHITE POPULATION IN COOKE COUNTY IS EXPECTED TO INCREASE BY 0.7%. BY 2024, THE BLACK POPULATION AND THE ASIAN POPULATION IN COOKE COUNTY IS EXPECTED TO INCREASE BY 9.5% AND 27.9%, RESPECTIVELY. ADDITIONALLY, BY 2024, THE HISPANIC POPULATION AND THE AMERICAN INDIAN POPULATION IN COOKE COUNTY IS EXPECTED TO INCREASE BY 15.7% AND 5.7%, RESPECTIVELY. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 14.8% IN COOKE COUNTY BY 2024. AS OF 2019, COOKE COUNTY (40.3 YEARS) HAS AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (35.0 YEARS). THE MEDIAN AGE IN BOTH COOKE COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). COOKE COUNTY ($57,681) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE OF STATE TEXAS ($59,676) (2019). THE MEDIAN HOUSEHOLD INCOME IN BOTH COOKE COUNTY AND THE STATE IS PROJECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). UNEMPLOYMENT RATES IN COOKE COUNTY AND THE STATE DECREASED BETWEEN 2016 AND 2018. IN 2018, COOKE COUNTY (3.1) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE OF TEXAS (3.9). COOKE COUNTY (16.2%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY AS COMPARED TO THE STATE (19.6%) (2019). IN 2017, COOKE COUNTY (20.6%) HAS A SLIGHTLY LOWER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN TEXAS (21.0%). BETWEEN 2015 AND 2017, THE PERCENT OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN COOKE COUNTY REMAINED RELATIVELY STEADY WHILE RATES IN THE STATE DECREASED. COOKE COUNTY (23.8%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (30.1%) (2019). COOKE COUNTY (94.1%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.0%) AND THE NATION (86.8%)(2016-2017). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 15.6% OF COOKE COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.9% IN TEXAS. ADDITIONALLY, 23.9% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN COOKE COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.5% IN TEXAS (2017). IN 2016-2017, COOKE COUNTY (56.8%) HAS A SLIGHTLY LOWER PERCENTAGE OF PUBLIC-SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH THAN THE STATE (58.9%), BUT A HIGHER RATE THAN THE NATION (49.2%). COOKE COUNTY (94.1%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.0%) AND THE NATION (86.8%)(2016-2017). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE STATE OF TEXAS (2014-2018). BETWEEN 2014 AND 2018, HEART DISEASE MORTALITY RATES IN COOKE COUNTY AND THE STATE DECREASED. CANCER IS THE SECOND LEADING CAUSE OF DEATH IN THE COOKE COUNTY AND THE STATE (2014-2018). BETWEEN 2014 AND 2018, CANCER MORTALITY RATES INCREASED IN COOKE COUNTY AND DECREASED IN THE STATE. FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE OF TEXAS (2014-2018). BETWEEN 2014 AND 2018, ACCIDENT MORTALITY RATES DECREASED IN COOKE COUNTY AND INCREASED IN THE STATE. THE LEADING CAUSE OF FATAL ACCIDENTS IN COOKE COUNTY IS DUE TO MOTOR VEHICLE ACCIDENTS (2016-2018). CEREBROVASCULAR DISEASES ARE THE FOURTH LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2014-2018). BETWEEN 2014 AND 2018, CEREBROVASCULAR DISEASE MORTALITY RATES IN COOKE COUNTY AND THE STATE DECREASED. CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE FIFTH LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2014-2018). BETWEEN 2016 AND 2018, CLRD MORTALITY RATES INCREASED IN COOKE COUNTY AND SLIGHTLY DECREASED IN THE STATE. ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INTENTIONAL SELF-HARM (SUICIDE), DIABETES MELLITUS AND INFLUENZA AND PNEUMONIA ARE ALSO LEADING CAUSES OF DEATH IN COOKE COUNTY. ARTHRITIS IS A PREVALENT CHRONIC CONDITION IN NTMC 4-COUNTY AREA, WHICH INCLUDES COOKE, MONTAGUE, GRAYSON AND WISE COUNTIES. BETWEEN 2014 AND 2018, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN THE NTMC 4-COUNTY AREA AND THE STATE INCREASED IN 2016-2018, THE NTMC 4-COUNTY AREA THE NTMC 4-COUNTY AREA (59.9%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.5%). PHYSICAL INACTIVITY, OBESITY, DIABETES, SMOKING AND TOBACCO USE ARE HIGHLY PREVALENT HEALTH ISSUES IN THE AREA AS WELL. AS OF 2017, COOKE COUNTY (20.7%) HAS A SLIGHTLY HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (19.4%). COOKE COUNTY AND THE STATE DID NOT EXPERIENCE SIMILAR DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2017 (4.8% AND 5.4%, RESPECTIVELY). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR NTMC BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN COOKE COUNTY, TEXAS, AND IS THE FIRST CHNA CONDUCTED FOR NTMC DUE TO ITS TRANSITION TO TAX EXEMPT STATUS ON DECEMBER 1, 2018. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM FEBRUARY 6, 2020 - MARCH 4, 2020. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE NTMC BOARD REVIEWED AND ADOPTED THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 19, 2020. INTERVIEW METHODOLOGY: NTMC WORKED WITH COMMUNITY HOSPITAL CORPORATION, (CHC), IN THE DEVELOPMENT OF ITS CHNA. NTMC 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. THE STUDY AREA FOR NTMC IS BASED ON HOSPITAL INPATIENT DISCHARGE DATA FROM JULY 1, 2018 - JUNE 30, 2019 AND DISCUSSIONS WITH HOSPITAL STAFF. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS STATE DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE CARES ENGAGEMENT NETWORK, THE UNITED STATES CENSUS BUREAU, AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). BACKGROUND INFORMATION ABOUT NTMC INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WERE PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INCLUDE POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN INCOME ANALYSIS, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. DEMOGRAPHIC DATA SOURCES INCLUDE, BUT ARE NOT LIMITED TO, STRATASAN, THE U.S. CENSUS BUREAU, THE UNITED STATES BUREAU OF LABOR STATISTICS. NTMC PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE COOKE COUNTY AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, EIGHTEEN IN DEPTH INTERVIEWS WERE CONDUCTED, USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. BACKGROUND INFORMATION WAS GATHERED ON EACH INTERVIEWEE. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 94.4% 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. 5.6% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: -MEGAN ANDERLE: MARKETING DIRECTOR, RENAISSANCE CENTER OF GAINESVILLE -JASON BRINKLEY: COUNTY JUDGE, COOKE COUNTY -JI SCHEDULE H, PART V, SECTION B, LINE 11 THE CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY NORTH TEXAS MEDICAL CENTER, (NTMC), WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. NTMC LEADERSHIP PRIORITIZED THOSE NEEDS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. THE LIST OF PRIORITIZED NEEDS, IN ORDER OF IMPORTANCE, IS AS FOLLOWS: 1. CONTINUED EMPHASIS ON PHYSICIAN RECRUITMENT AND RETENTION 2. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE PROVIDERS AND SERVICES 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE RANKED HEALTH NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: CONTINUED EMPHASIS ON PHYSICIAN RECRUITMENT AND RETENTION OBJECTIVE: PROVIDE AND PROMOTE ACCESS TO PRIMARY HEALTH CARE SERVICES IN THE COMMUNITY 1.A. NTMC WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN REPORT TO DETERMINE THE PHYSICIAN NEEDS OF THE COUNTY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. 1.B. NTMC WILL CONTINUE TO STRENGTHEN THE CONTINUUM OF CARE BY INCREASING HEALTH INFORMATION EXCHANGE OPPORTUNITIES, SUCH AS ELECTRONICALLY EXCHANGING PATIENT SUMMARIES OF CARE WITH OTHER PHYSICIANS TO RECONCILE ANY MEDICATION CONCERNS AND CONDUCTING ROUTINE FOLLOW-UP PHONE CALLS WITH DISCHARGED PATIENTS. 1.C. NTMC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR HEALTH CARE STUDENTS FROM SEVERAL LOCAL ACADEMIC INSTITUTIONS TO ROTATE THROUGH THE FACILITY. 1.D. NTMC WILL CONTINUE TO HOST AREA HIGH SCHOOL STUDENTS DURING THE SUMMERTIME SO THAT THEY MAY OBSERVE DIFFERENT AREAS OF THE HOSPITAL. 1.E. NTMC WILL CONTINUE TO PROVIDE SPECIALTY SERVICES SUCH AS GENERAL SURGERY, BARIATRIC SURGERY, CARDIOLOGY, ORTHOPEDIC SURGERY, OB/GYN, OPHTHALMOLOGY, PAIN MANAGEMENT, PODIATRY AND PULMONOLOGY IN ORDER TO INCREASE ACCESS TO SPECIALTY CARE PROVIDERS AND SERVICES IN THE COMMUNITY. 1.F. NTMC WILL CONTINUE TO PROVIDE TELEHEALTH SERVICES, AND WILL EXPLORE EXPANDING TELEMEDICINE SERVICES AS OPPORTUNITIES ARISE. PRIORITY #2: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE PROVIDERS AND SERVICES OBJECTIVE: PROVIDE AND PROMOTE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES IN THE COMMUNITY 2.A. NTMC WILL CONTINUE TO STAFF A LICENSED SOCIAL WORKER WHO COUNSELS PATIENTS ON VARYING ISSUES AS APPROPRIATE. 2.B. NTMC WILL CONTINUE TO EVALUATE AND TRANSFER ANY PATIENTS THAT PRESENT TO THE EMERGENCY ROOM WITH A MENTAL OR BEHAVIORAL HEALTH ISSUE TO APPLICABLE FACILITIES AS APPROPRIATE. ADDITIONALLY, NTMC SOCIAL WORKERS WILL CONTINUE TO PROVIDE A BROCHURE OF COMMUNITY RESOURCES TO APPLICABLE PATIENTS AND WILL WORK TO UPDATE THE INFORMATION BASED ON NEW AGENCIES IN THE AREA. 2.C. NTMC WILL CONTINUE TO PROVIDE SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN THE HOSPITAL FOR APPROPRIATE PATIENTS. 2.D. NTMC WILL CONTINUE TO EDUCATE LOCAL HIGH SCHOOL STUDENTS ON MENTAL AND BEHAVIORAL HEALTH TOPICS. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 3.A. NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN FUNDRAISING EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS EDUCATIONAL EVENTS. 3.B. NTMC WILL CONTINUE STRENGTHENING ITS PARTNERSHIPS WITH LOCAL NURSING HOMES TO PROVIDE LAB AND IMAGING SERVICES. 3.C. NTMC WILL CONTINUE TO WORK WITH SELF PAY PATIENTS ON PAYMENT PLANS AND/OR INSURANCE COVERAGE THROUGH FINANCIAL COUNSELING. 3.D. NTMC WILL CONTINUE TO PROVIDE TRANSLATION SERVICES AND RESOURCES IN MULTIPLE LANGUAGES, INCLUDING SERVICES FOR THOSE WHO MAY BE VISION AND/OR HEARING IMPAIRED. 3.E. NTMC WILL CONTINUE TO CONNECT PATIENTS TO AFFORDABLE RESOURCES, SUCH AS DISCOUNT PHARMACY SERVICES WHEN AVAILABLE. 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 THATSEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY 4.A. NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN LOCALHEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT OR PARTNER WITH LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 4.B. NTMC WILL CONTINUE TO INCREASE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS. 4.C. NTMC PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, NTMC WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES AND IN LOCAL CONSORTIUMS FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. 4.D. NTMC WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERINGS IN THE COMMUNITY THROUGH LOCAL MEDIA OUTLETS, SUCH AS THE RADIO, BILLBOARDS, DIRECT MAIL ADVERTISEMENTS, FACEBOOK AND UPDATING THE HOSPITAL'S WEBSITE. 4.E. NTMC WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT RESOURCES TO PATIENTS UPON DISCHARGE AS NEEDED. SCHEDULE H, PART V, SECTION B, LINES 16A-16C THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTPS://NTMCONLINE.NET/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 20E GAINESVILLE COMMUNITY HOSPITAL, INC. (NORTH TEXAS MEDICAL CENTER) DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. SCHEDULE H, PART V, SECTION B, LINE 22 DURING THE FISCAL YEAR ENDED JUNE 30, 2021 NTMC USED A COMBINATION OF THE LOOKBACK METHOD AND THE PRESUMPTIVE MEDICARE AND MEDICAID METHOD IN DETERMINING THE MAXIMUM AMOUNTS TO BE CHARGED TO FAPS ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. LOOKING BACK AT WHAT MEDICARE AND MEDICAID REIMBURSEMENT / CONTRACTUALS WERE BEING CALCULATED AT OVER THE PRIOR 12 MONTH PERIOD, A WEIGHTED AVERAGE WAS THEN TAKEN. THIS RESULT LED TO THE APPLICATION OF A 75% DISCOUNT FOR ALL SELF-PAY PATIENTS. 7 NTMC HOME HEALTH 1615 HOSPITAL BLVD SUITE B GAINESVILLE TX 76240 HOME HEALTH AGENCY COOKE COUNTY MEDICAL CENTER 1902 HOSPITAL BOULEVARD GAINESVILLE TX 76240 RURAL HEALTH CLINIC NTMC SPECIALTY CLINIC 2024 US-82 GAINESVILLE TX 76240 PAIN MANAGEMENT/OCCUPATINAL MEDICINE CLINIC SURGICAL SPECIALISTS OF NORTH TEXAS 1627 N GRAND AVE GAINESVILLE TX 76240 SURGICAL SERVICES CLINIC NTMC ORTHOPEDICS CLINIC 1615 HOSPITAL BLVD GAINESVILLE TX 76240 ORTHOPEDICS CLINIC ADVANCED SURGERY & BARIATRICS 2024 US-82 GAINESVILLE TX 76240 BARIATRICS SURGERY AND CLINIC PEDIATRIC & ADULT SLEEP WELLNESS CENTER 1900 HOSPITAL BLVD GAINESVILLE TX 76240 SLEEP STUDY CLINIC SCHEDULE H, PART I, line 3C CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE CALCULATION OF YEARLY HOUSEHOLD INCOME PERCENTAGE OF FPG, SCALE THEN ALLOWS A PERCENTAGE OF THE BALANCE AVAILABLE FOR WRITE-OFF. SCHEDULE H, PART I, LINE 6A THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2021 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE FOOTNOTE Patient accounts receivable are recorded in the accompanying balance sheets 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 COSTING METHODOLOGY 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 ALL PATIENTS WITHOUT INSURANCE, AND OR AFTER INSURANCE IS BILLED AND COLLECTED, ARE SENT A LETTER FROM OUR EARLY OUT VENDOR FOR THEIR PATIENT BALANCE. ALL STATEMENTS SENT INDICATE NTMC HAS A FINANCIAL ASSISTANCE POLICY AND THAT PATIENTS THINK IT APPLIES TO THEM TO CALL THE NUMBER INDICATED. ALL EMERGENT SERVICES ARE PROVIDED WITHOUT ASKING FOR MONEY AND PATIENT IS BILLED AFTER THE SERVICES ARE PROVIDED. THE ONLY DIFFERENCE ON PATIENTS WITH FINANCIAL ASSISTANCE IS RELATED TO ELECTIVE (NON-EMERGENT) SERVICES. THOSE HAVE TO BE APPROVED PRIOR TO PROVIDING / SCHEDULING THE SERVICE. IF PATIENTS HAVE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE, THE SELF-PAY PERCENT (IS APPLIED FIRST IF TRUE SELF PAY) THEN IF THEY QUALIFY FOR FINANCIAL ASSISTANCE THE APPLICABLE PERCENT IS APPLIED AND ANY REMAINING BALANCE (IF LESS THAN 100% FA) IS THEN BILLED TO THE PATIENT. ONLY THE PART THEY ARE RESPONSIBLE FOR IS BILLED TO THEM. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT GCH WAS FORMED ON AUGUST 10, 2018 AS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TX AND SERVING THE RESIDENTS OF COOKE COUNTY, TEXAS. AS REPORTED IN SCHEDULE H, PART V, SECTION C, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THE FISCAL YEAR ENDING JUNE 30, 2020. THE CHNA WAS ADOPTED BY ITS GOVERNING BOARD ON MAY 19, 2020. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE IN SCHEDULE H, PART V, 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 ORGANIZATION SPEAKS WITH MEMBERS OF THE COMMUNITY AND LOCAL LEADERS TO SEE WHAT THEY FEEL ARE MAJOR NEEDS OF THE COMMUNITY. THE MISSION OF THE NTMC FAMILY IS TO PROVIDE EXCEPTIONAL, PATIENT CENTERED CARE. THE NTMC VISION IS TO EXPAND HEALTHCARE SERVICES TO THE COMMUNITY WE SERVE. NTMC OPERATES UNDER THE VALUES OF "HEART" HONESTY, EXCELLENCE, ACCOUNTABILITY, RESPECT AND TEAMWORK. BASED ON THE FINDINGS FROM THE NTMC 2020 CHNA THAT WAS RECENTLY COMPLETED, NTMC WILL FOCUS ON THE IDENTIFIED ISSUES AND ADDRESS THOSE IDENTIFIED NEEDS THROUGH ITS IMPLEMENTATION PLAN. A FEW EXAMPLES OF ACTIONS BEING TAKEN BY THE HOSPITAL TO PROMOTE THE HEALTH OF THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: WEIGHT LOSS SURGERY SEMINARS, MONTHLY EDUCATION SESSIONS AT THE STANFORD HOUSE, THE ANNUAL HALLOWEEN HUSTLE, THE HEART HUSTLE, BACK TO SCHOOL WELLNESS EVENTS, BLOOD DRIVES AND LOCAL MEDIAL OUTLET EDUCATIONAL SEGMENTS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED UPON ADMISSION TO THE HOSPITAL BY A FACE TO FACE VISIT WITH THE HOSPITAL/ADMISSIONS STAFF. THE PATIENT FINANCIAL OBLIGATION IS DISCUSSED WITH THE RESPONSIBLE PARTY. THE HOSPITAL CHARITY CARE POLICY IS DISCUSSED WITH EACH RESPONSIBLE PARTY AND IF IT IS FELT THAT THE PATIENT WOULD QUALIFY FOR THE CHARITY PROGRAM THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY THE RESPONSIBLE PARTY TO THE BUSINESS OFFICE ASSOCIATE FOR REVIEW. THE CHARITY CARE POLICY IS ALSO POSTED IN THE ADMISSIONS OFFICE AND ON ITS WEBSITE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION NORTH TEXAS MEDICAL CENTER (NTMC) IS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TEXAS WHICH IS IN COOKE COUNTY TEXAS. THE 125,000-SQUARE-FOOT MEDICAL CENTER HOUSES 42 MEDICAL/SURGICAL BEDS, A 6-BED INTENSIVE CARE UNIT, AND A 12-BED WOMEN'S CENTER. ALSO INCLUDED IN THE MEDICAL FACILITY ARE A 15-BED OUTPATIENT SURGERY CENTER, AN EXPANDED SURGICAL DEPARTMENT, A VASCULAR LAB AND A GREATLY EXPANDED EMERGENCY DEPARTMENT (FIVE FAST-TRACK, THREE TRAUMA AND THREE SPECIALTY ROOMS). NTMC SERVES THE RESIDENTS OF COOKE, EASTERN MONTAGUE, WESTERN GRAYSON AND NORTHERN DENTON COUNTIES IN TEXAS AND SOUTHERN LOVE COUNTY, OKLAHOMA. NTMC IS OPERATED BY COMMUNITY HOSPITAL CORPORATION AND OWNED BY GAINESVILLE HOSPITAL DISTRICT. GAINESVILLE, TEXAS IS PART OF THE TEXOMA REGION. LAKE TEXOMA IS SITUATED ON THE BORDER BETWEEN OKLAHOMA AND TEXAS AND INCLUDES GRAYSON AND COOKE COUNTIES ON THE TEXAS SIDE. THE LAKE IS ONE OF THE LARGEST RESERVOIRS IN THE COUNTRY AND DRAWS MILLIONS OF VISITORS EACH YEAR DUE TO THE DIVERSE RECREATIONAL ACTIVITIES INCLUDING FISHING, BOATING, SAILING, STATE PARKS AND MUSEUMS. THE CITY OF GAINESVILLE HAS NUMEROUS CITY PARKS AND AN INTEGRATED SOCCER COMPLEX WHICH HOSTS YEAR-ROUND SOFTBALL. THE CITY ALSO HAS A POPULAR ZOO, MUSEUMS, DINING AND SHOPPING. THE CITY OF GAINESVILLE ALSO HAS A HISTORIC TRAIN DEPOT WHICH OPERATES DAILY BETWEEN OKLAHOMA CITY AND FORT WORTH AND A MUNICIPAL AIRPORT. GAINESVILLE HAS AN EXCELLENT ECONOMY AND A NUMBER OF LARGE MANUFACTURING COMPANIES HEADQUARTERED IN THE CITY. THE CITY OFFERS RESIDENTS A QUIET SUBURBAN LIVING WITH A LOW COST OF LIVING, LOW UNEMPLOYMENT, A GOOD PUBLIC SCHOOL SYSTEM AND A PUBLIC COLLEGE WHICH SERVES ALL OF COOKE COUNTY. THE DEFINED SERVICE AREA OF NTMC FOR PURPOSES OF THEIR CHNA IS COOKE COUNTY, TEXAS. DURING FISCAL YEAR ENDED JUNE 30, 2019, COOKE COUNTY COMPRISED 81.1% OF ALL INPATIENT DISCHARGES FROM NTMC. THE POPULATION OF COOKE COUNTY IS EXPECTED TO GROW BY 3.0% FROM 2019 (41,283) TO 2024 (42,517), WHICH IS BELOW THE 8.2% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2019 (29,443,411) TO 2024 (31,853,753). AS OF 2019, THE RACIAL/ETHNIC BREAKOUT OF COOKE COUNTY WAS 82.7% WHITE, 3.3% BLACK, 1.1% ASIAN, 1.1% AMERICAN INDIAN, 11.8% ALL OTHERS AND 18.9% HISPANIC. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN COOKE COUNTY, AS OF 2019, WAS APPROXIMATELY $57,681 WHICH WAS SLIGHTLY LOWER THAN THE STATE OF TEXAS AT $59,676. THE UNEMPLOYMENT RATE FOR COOKE COUNTY IN 2018 WAS 3.1%. AS OF 2019, APPROXIMATELY 16.2% OF FAMILIES IN COOKE COUNTY LIVED BELOW THE POVERTY LEVEL COMPARED TO THE STATE AT 19.6%. IN 2017, 20.6% OF THE CHILDREN, (<18 YEARS OLD), IN COOKE COUNTY LIVED BELOW THE POVERTY LEVEL, WHICH WAS SLIGHTLY LOWER THAN THE STATE OF TEXAS AT 20.6%. IN 2019, APPROXIMATELY 23.8% OF THE RESIDENTS OF COOKE COUNTY HAD A BACHELORS OR ADVANCED DEGREE COMPARED TO THE STATE OF TEXAS, WHICH HAD A HIGHER PERCENTAGE, AT 30.1%. AS OF 2016-2017, COOKE COUNTY (94.1%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.0%) AND THE NATION (86.8%). COOKE COUNTY (40.3 YEARS) HAS AN OLDER MEDIAN AGE THAN TEXAS (35.0 YEARS) (2019). THE MEDIAN AGE IN COOKE COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH NORTH TEXAS MEDICAL CENTER (NTMC) PARTICIPATES IN A NUMBER OF ACTIVITIES IN ORDER TO PROMOTE AND IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY. UNFORTUNATELY, WITH THE ONSET OF THE PANDEMIC, NTMC DID HAVE TO SCALE BACK ON THE NUMBER OF OPPORTUNITIES WITHIN THE COMMUNITY DUE TO THE SPONSOR OPTING TO FORGO THE EVENT IN ORDER TO AVOID THE POTENTIAL OF COVID EXPOSURE TO PARTICIPANTS. ADDITIONALLY, MANY ACTIVITIES WERE SCALED BACK DUE TO THE PROTOCOLS THAT WERE IN PLACE FOR COVID. HOWEVER, NTMC IS COMMITTED TO BRINGING ALL OF THE ACTIVITIES BACK IN THE FUTURE AS PART OF OUR COMMITMENT TO THE HEALTH AND WELL BEING OF OUR COMMUNITY. THE BELOW ACTIVITIES ARE SOME OF THOSE ACTIVITIES NTMC PARTICIPATED IN DURING 2019 AND/OR 2020. -NTMC WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN REPORT TO DETERMINE THE PHYSICIAN NEEDS OF THE COUNTY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. -NTMC WILL CONTINUE TO STRENGTHEN THE CONTINUUM OF CARE BY INCREASING HEALTH INFORMATION EXCHANGE OPPORTUNITIES, SUCH AS ELECTRONICALLY EXCHANGING PATIENT SUMMARIES OF CARE WITH OTHER PHYSICIANS TO RECONCILE ANY MEDICATION CONCERNS AND CONDUCTING ROUTINE FOLLOW-UP PHONE CALLS WITH DISCHARGED PATIENTS. -NTMC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR HEALTH CARE STUDENTS FROM SEVERAL LOCAL ACADEMIC INSTITUTIONS TO ROTATE THROUGH THE FACILITY. -NTMC WILL CONTINUE TO HOST AREA HIGH SCHOOL STUDENTS DURING THE SUMMERTIME SO THAT THEY MAY OBSERVE DIFFERENT AREAS OF THE HOSPITAL. -NTMC WILL CONTINUE TO PROVIDE SPECIALTY SERVICES SUCH AS GENERAL SURGERY, BARIATRIC SURGERY, CARDIOLOGY, ORTHOPEDIC SURGERY, OB/GYN, OPHTHALMOLOGY, PAIN MANAGEMENT, PODIATRY AND PULMONOLOGY IN ORDER TO INCREASE ACCESS TO SPECIALTY CARE PROVIDERS AND SERVICES IN THE COMMUNITY. -NTMC WILL CONTINUE TO PROVIDE TELEHEALTH SERVICES AND WILL EXPLORE EXPANDING TELEMEDICINE SERVICES AS OPPORTUNITIES ARISE. -NTMC WILL CONTINUE TO STAFF A LICENSED SOCIAL WORKER WHO COUNSELS PATIENTS ON VARYING ISSUES AS APPROPRIATE. -NTMC WILL CONTINUE TO EVALUATE AND TRANSFER ANY PATIENTS THAT PRESENT TO THE EMERGENCY ROOM A MENTAL OR BEHAVIORAL HEALTH ISSUE TO APPLICABLE FACILITIES AS APPROPRIATE. ADDITIONALLY, NTMC SOCIAL WORKERS WILL CONTINUE TO PROVIDE A BROCHURE OF COMMUNITY RESOURCES TO APPLICABLE PATIENTS AND WILL WORK TO UPDATE THE INFORMATION BASED ON NEW AGENCIES IN THE AREA. -NTMC WILL CONTINUE TO PROVIDE SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN THE HOSPITAL FOR APPROPRIATE PATIENTS. -NTMC WILL CONTINUE TO EDUCATE LOCAL HIGH SCHOOL STUDENTS ON MENTAL AND BEHAVIORAL HEALTH TOPICS. -NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN FUNDRAISING EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS EDUCATIONAL EVENTS. (EX: BLOOD DRIVES, TASTE OF NTMC, GREAT BASKET RAFFLE, GREAT DAY FOR UNITED WAY, RED RIVER STEAKOFF, NTMC SCRUB FAIR, ZOO LA LA FASHION SHOW, GAINESVILLE AREA CHAMBER OF COMMERCE GOLF TOURNAMENT, VISTO FUNDRAISING EVENTS) -NTMC WILL CONTINUE STRENGTHENING ITS PARTNERSHIPS WITH LOCAL NURSING HOMES TO PROVIDE LAB AND IMAGING SERVICES. -NTMC WILL CONTINUE TO WORK WITH SELF PAY PATIENTS ON PAYMENT PLANS AND/OR INSURANCE COVERAGE THROUGH FINANCIAL COUNSELING. -NTMC WILL CONTINUE TO PROVIDE TRANSLATION SERVICES AND RESOURCES IN MULTIPLE LANGUAGES, INCLUDING SERVICES FOR THOSE WHO MAY BE VISION AND/OR HEARING IMPAIRED. -NTMC WILL CONTINUE TO CONNECT PATIENTS TO AFFORDABLE RESOURCES, SUCH AS DISCOUNT PHARMACY SERVICES WHEN AVAILABLE. -NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT OR PARTNER WITH LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. (EX: NTMC AUXILIARY THANKSGIVING BAKE SALE, ANNUAL HALLOWEEN HUSTLE, BACK TO SCHOOL WELLNESS EVENT, HEART HUSTLE) -NTMC WILL CONTINUE TO INCREASE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS. (EX: FACEBOOK EDUCATION (LYMPHEDEMA, SLEEP AWARENESS, BRAIN INJURY AWARENESS, NATIONAL HEART MONTH, CARDIAC REHABILITATION WEEK), STROKE EDUCATION, HEALTH AND SAFETY (COVID-19 PREVENTION), JOINT CAMP, CHILDBIRTH CLASS, WEIGHT LOSS SURGERY SEMINARS, SNAKE BITE EDUCATION, HEALTH INFORMATION AND EDUCATION CONTRIBUTIONS TO THE GAINESVILLE REGISTER JOURNAL, MONTHLY EDUCATION AT THE STANFORD HOUSE) -NTMC PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, NTMC WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES AND IN LOCAL CONSORTIUMS FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. (EX: GAINESVILLE AREA CHAMBER OF COMMERCE, GAINESVILLE ECONOMIC DEVELOPMENT CORPORATION, LEADERSHIP GAINESVILLE, NTMC FOUNDATION, KIWANIS GROUP, UNITED WAY OF COOKE COUNTY, ROTARY CLUB) -NTMC WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERINGS IN THE COMMUNITY THROUGH LOCAL MEDIA OUTLETS, SUCH AS THE RADIO, BILLBOARDS, DIRECT MAIL ADVERTISEMENTS, FACEBOOK AND UPDATING THE HOSPITAL'S WEBSITE. (EX: KGAF EDUCATIONAL SEGMENTS, FACEBOOK, HOSPITAL WEBSITE) -NTMC WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT RESOURCES TO PATIENTS UPON DISCHARGE AS NEEDED. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM GAINESVILLE COMMUNITY HOSPITAL (D/B/A NORTH TEXAS MEDICAL CENTER) IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS false true false false false false false true false Jim Kendrick Director 0 843197 0 276900 0 80682 0 0 0 52853 0 1253632 0 18428 BHUPINDER KHAIRA General Surgeon 818510 0 0 0 0 0 0 0 0 0 818510 0 0 0 Christian F Vissers Orthopedic Surgeon 697119 0 0 0 0 0 0 0 0 0 697119 0 0 0 Joe Thomason Director/President 0 331014 0 36294 0 41131 0 0 0 51760 0 460199 0 5091 Zaira Jorai-Khan OB/GYN Physician 150980 0 0 0 0 0 0 0 0 0 150980 0 0 0 James Hill Treasurer 0 282617 0 32063 0 46742 0 0 0 41844 0 403266 0 0 Linda Moore Secretary 0 174274 0 27041 0 109170 0 0 0 32144 0 342629 0 0 Thomas Sledge CEO 0 208374 0 39985 0 22489 0 0 0 46610 0 317458 0 0 Leah Dill General / Bariactric Surgeon 252606 0 0 0 0 0 0 0 0 0 252606 0 0 0 Shelle Diehm CFO 0 163401 0 30323 0 15319 0 0 0 40108 0 249151 0 0 Carrie Zbierski CNO (until 2/2021) 0 133251 0 25528 0 21374 0 0 0 29843 0 209996 0 0 Molly Isola OB/GYN Physician 151905 0 0 0 0 0 0 0 0 0 151905 0 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION GAINESVILLE COMMUNITY HOSPITAL, INC. (GCH) DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. COMMUNITY HOSPITAL CONSULTING COMPENSATES THE GCH PRESIDENT. COMMUNITY HOSPITAL CONSULTING FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/2021 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: LINDA MOORE - $12,060 JAMES HILL - $14,300 JIM KENDRICK - $46,285 JOE THOMASON - $16,187 SCHEDULE J, PART I, LINE 7 A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION. DOING BUSINESS AS FORM 990, BOX C GAINESVILLE COMMUNITY HOSPITAL, INC. (GCH) IS DOING BUSINESS AS NORTH TEXAS MEDICAL CENTER. DESCRIPTION OF MANAGEMENT ARRANGEMENT FORM 990, PART VI, LINE 3 COMMUNITY HOSPITAL CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 CHC, A TEXAS NON-PROFIT CORPORATION IS THE CLASS A MEMBER AND GAINESVILLE HOSPITAL DISTRICT IS THE CLASS B MEMBER OF GCH. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A CHC, AS THE CLASS A MEMBER OF GSH, SHALL APPOINT TWO OF THE THREE MEMBERS OF THE BOARD OF DIRECTORS. GAINESVILLE HOSPITAL DISTRICT SHALL APPOINT ONE MEMBER OF THE BOARD OF DIRECTORS AS THE CLASS B MEMBER OF GCH. ANY DIRECTOR MAY BE REMOVED, WITH OR WITHOUT CAUSE, BY THE MEMBER WHICH APPOINTED THE DIRECTOR. DESCR CLASSES OF PERSONS/DECISIONS REQUIRING APPR/TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B CLASS A AND CLASS B APPROVALS. THE APPROVAL OF THE CLASS A MEMBER AND THE CLASS B MEMBER OF THE CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: 1. 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 INDIGENT CARE. 2. ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OF CORPORATION. 3. ANY AMENDMENTS OR REVISIONS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF CORPORATION. 4. THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE. 5. ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY, TO WHICH CORPORATION IS A PARTY. 6. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF CORPORATION OR SUBSIDIARY ENTITY. 7. THE APPROVAL OF MAJOR (IN EXCESS OF $3,000,000.00) DEVELOPMENT CAMPAIGNS AND FUND-RAISING. 8. 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. 9. 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. CLASS A APPROVALS. THE APPROVAL OF THE CLASS A MEMBER OF THE CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: 1. THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. 2. ALL MATERIAL EXPENDITURE DEVIATIONS (GREATER THAN $25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING BUDGET. 3. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET. 4. THE PURCHASE OR ACQUISITION OF ANY REAL, PERSONAL, OR MIXED PROPERTY BY THE CORPORATION IN EXCESS OF $100,000.00 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS. 5. THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION. 6. ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF THE PERSONAL PROPERTY OF CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEEDS $100,000.00. 7. ANY DEBT OR FINANCING ARRANGEMENT OF CORPORATION, EXCEPT USUAL AND CUSTOMARY TRADE DEBT WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION. 8. SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION IN EXCESS OF $100,000.00. 9. THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT, WITH AN ANNUAL COMPENSATION IN EXCESS: OF $50,000.00 OR AN AGGREGATE COMPENSATION IN EXCESS OF $100,000.00. 10. ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT CONTEMPLATED BY AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS IN EXCESS OF $100,000.00; PROVIDED, HOWEVER, THAT NO DEBT IN EXCESS OF $100,000 SHALL BE APPROVED BY THE CLASS A MEMBER OR INCURRED BY THE CORPORATION WITHOUT UNANIMOUS WRITTEN APPROVAL OF THE BOARD OF DIRECTORS OF THE CORPORATION. 11. THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION. DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B 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. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C 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 RESENTATION, 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 ISINTERESTED 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A & 15B 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. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 NET ASSET TRANSFER TO MEMBERS -$838,180 TOTAL -$838,180 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SVCS (CONTRACT LABOR) TOTAL FEES:4830264 FORM 990 PART IX LINE 11G DESCRIPTION:HOME HEALTH TOTAL FEES:877540 FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIA TOTAL FEES:643633 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SVCS TOTAL FEES:681864 FORM 990 PART IX LINE 11G DESCRIPTION:DIETARY TOTAL FEES:490039 FORM 990 PART IX LINE 11G DESCRIPTION:COVID TOTAL FEES:322633 FORM 990 PART IX LINE 11G DESCRIPTION:EVS TOTAL FEES:307706 FORM 990 PART IX LINE 11G DESCRIPTION:FACILITIES TOTAL FEES:286154 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL IMAGING TOTAL FEES:175632 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRI/CODING/3M TOTAL FEES:169838 FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN PURCHASED SERVICES TOTAL FEES:100835 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:84415 FORM 990 PART IX LINE 11G DESCRIPTION:LAB TOTAL FEES:57426 FORM 990 PART IX LINE 11G DESCRIPTION:THERAPY TOTAL FEES:50375 FORM 990 PART IX LINE 11G DESCRIPTION:PT REGIS REGISTRATION TOTAL FEES:49551 FORM 990 PART IX LINE 11G DESCRIPTION:HR TOTAL FEES:49272 FORM 990 PART IX LINE 11G DESCRIPTION:MOB TOTAL FEES:48851 FORM 990 PART IX LINE 11G DESCRIPTION:PACU TOTAL FEES:47800 FORM 990 PART IX LINE 11G DESCRIPTION:MED STAFF TOTAL FEES:31363 FORM 990 PART IX LINE 11G DESCRIPTION:CLINIC TOTAL FEES:31129 FORM 990 PART IX LINE 11G DESCRIPTION:EDUCATION TOTAL FEES:23114 FORM 990 PART IX LINE 11G DESCRIPTION:TELEMETRY TOTAL FEES:14090 FORM 990 PART IX LINE 11G DESCRIPTION:SLEEP TOTAL FEES:13478 FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN TOTAL FEES:7345 FORM 990 PART IX LINE 11G DESCRIPTION:MATERIAL MGT TOTAL FEES:2928 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL DIRECTORS TOTAL FEES:1725 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASE SERVICES TOTAL FEES:782 FORM 990 PART IX LINE 11G DESCRIPTION:VOLUNTEERS TOTAL FEES:180 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY TOTAL FEES:148 FORM 990 PART IX LINE 11G DESCRIPTION:STERILE PROCESSING TOTAL FEES:14 FORM 990 PART IX LINE 11G DESCRIPTION:RENT EXPENSES TOTAL FEES:-54688 FORM 990 PART IX LINE 11G DESCRIPTION:OTHERS TOTAL FEES:-221 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 SOUTHWEST COMMUNITY HOSPITAL INC 7950 Legacy Drive Suite 1000 PLANO TX 75024 752725353 SUPPORT ORG TX 501(c)(3) 12C-III-FI CHC false YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DR YOAKUM TX 77995 742323822 HOSPITAL TX 501(c)(3) 3 CHC false CONTINUECARE HOSPITAL OF TYLER 800 E DAWSON ST TYLER TX 75701 200991990 HOSPITAL DE 501(c)(3) 3 CCC false ST MARK'S MEDICAL CENTER ONE ST MARKS PLACE LA GRANGE TX 78945 743019849 HOSPITAL TX 501(c)(3) 3 CHC false CHC COMMUNITY CARE LLC 7950 Legacy Drive Suite 1000 PLANO TX 75024 371485773 SUPPORT ORG DE 501(c)(3) 12C-III-FI CHC false CONTINUECARE HOSPITAL OF MIDLAND 4214 ANDREWS HIGHWAY MIDLAND TX 79703 463053684 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 HOSP AT BAPTIST HLT PADUCAH 2501 KENTUCKY AVENUE 5TH FL PADUCAH KY 42003 465032999 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 CRAWLEY MEMORIAL HOSPITAL 706 KINGS STREET KINGS MOUNTAIN NC 28086 560691100 HOSPITAL NC 501(c)(3) 3 CAR CC false CAROLINAS COMMUNITY CARE LLC 7950 Legacy Drive Suite 1000 PLANO TX 75024 465590355 SUPPORT ORG DE 501(c)(3) 12B-II CHC false JELLICO COMMUNITY HOSPITAL INC 188 HOSPITAL LANE JELLICO TN 37762 620924706 HOSPITAL TN 501(c)(3) 3 CHC false CONTINUECARE HOSPITAL AT ODESSA INC 500 W 4TH STREET ODESSA TX 79761 473539943 HOSPITAL DE 501(c)(3) 3 CCC false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 CARL RAMERT DRIVE YOAKUM TX 77995 453609830 SUPPORT ORG TX 501(C)(3) 12A-1 YCH false BHSETX FOUNDATION 810 HOSPITAL DRIVE 235 BEAUMONT TX 77701 611557670 SUPPORT ORG TX 501(C)(3) 7 BHSET false MERCY RESTORATIVE CARE HOSPITAL INC 10648 PARK ROAD CHARLOTTE NC 28210 753054855 HOSPITAL NC 501(c)(3) 3 CAR CC false RURAL AND COMMUNITY HEALTHCARE COLLABORA 7950 Legacy Drive Suite 1000 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC false CONTINUECARE HOSPITAL AT PALMETTO HEALTH 7950 Legacy Drive Suite 1000 PLANO TX 75024 813048423 HOSPITAL TX 501(c)(3) 3 CCC false HUNTSVILLE COMMUNITY HOSPITAL INC 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 843654542 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 COMMUNITY HOSPITAL CORPORATION 7950 Legacy Drive Suite 1000 PLANO TX 75024 752638469 SUPPORT ORG TX 501(c)(3) 12C-III-FI NA false CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS 7800 N DALLAS PKWY STE 200 PLANO TX 75024 201150480 HOSPITAL TX 501(C)(3) 3 CCC false COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C CORP 0 0 false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 204710183 MGM CONSULTING TX CHC C CORP 0 0 false false false false false false false false false false false false false false false false true false true false COMMUNITY HOSPITAL CORPORATION r 1255082 COST COMMUNITY HOSPITAL CORPORATION p 4724490 COST