2020-05-13T19:09:42-05:00 2019-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET 600 FORT WORTH TX 76102 990 2018-07-01 465032999 ContinueCare Hospital at Baptist Health Paducah Inc % MIKE MURRAY CONT 9729436400 7800 N DALLAS PARKWAY SUITE 200 PLANO TX 75024 JAMES HILL TREASURER 9729436400 2020-05-13 true JODI L ROSSER P01255710 8173351900 76.164.81.169 75306120201345000006 2020-05-13 P 4649FBF9538438D828890CF76278F3989A1FB147 4649FBF9538438D828890CF76278F3989A1FB147 2018 2021-01-29 14:40:06Z APRIL MYERS 7800 N Dallas Parkway 200 Plano TX 75024 10736620 false 9703 X http://continuecare.org/paducah/ X 2014 DE AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CCHP TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 5 4 103 0 0 0 0 0 9405029 10723003 10390 12517 0 1100 9415419 10736620 0 0 0 0 4367958 4641256 0 0 0 6902076 5245549 11270034 9886805 -1854615 849815 2952892 4054260 9261121 9512674 -6308229 -5458414 X AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, INC. (CCHP) TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 9192086 0 10723003 CCHP WAS ESTABLISHED AS A LONG TERM ACUTE CARE HOSPITAL OPERATING AS A 'HOSPITAL WITH-IN A HOSPITAL' AT BAPTIST HEALTH PADUCAH IN PADUCAH, KENTUCKY ON JUNE 15, 2015. CCHP PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN AN LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED JUNE 30, 2019, CCHP'S TOTAL PATIENTS ADMITTED WERE 234 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 5,875. THE AVERAGE DAILY CENSUS WAS 16.1 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS WERE 25 DAYS. 9192086 true false false true false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 6 0 true 103 true false false false false false false false false false false false false X 5 4 false true false false true true true true false false false true true true true true true false false false X MIKE MURRAY 9729431225 7800 N DALLAS PARKWAY SUITE 200 PLANO TX 75024 CARLA BERRY DIRECTOR 1.0 0.0 X 0 0 0 JEFFERY HOLLAND DIRECTOR 1.0 0.0 X 0 0 0 DAVID B HOUSMAN DIRECTOR 1.0 0.0 X 0 0 0 APRIL MYERS PRES/DIRECTOR 1.0 39.0 X X 0 251666 49514 CHRIS ROTY DIRECTOR 1.0 0.0 X 0 0 0 DAVID BUTLER SECRETARY 1.0 39.0 X 0 420755 32255 JAMES HILL TREASURER 1.0 39.0 X 0 317389 37861 CARROLL MCDADE CEO (UNTIL 5/19) 40.0 0.0 X 0 149251 37891 MARY LOU YOUNG CNO 40.0 0.0 X 0 117763 11583 0 1256824 169104 0 false true false MEDICAL SOLUTIONS LLC 1010 N 102ND STREET STE 300 OMAHA NE 68114 MEDICAL 159536 1 0 INPATIENT REVENUE 623000 10723003 10723003 10723003 12517 12517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MEDICAL RECORDS 900099 1100 1100 1100 10736620 10723003 13617 X 0 0 0 0 0 0 3792766 3375562 417204 50203 44681 5522 517458 460538 56920 280829 249938 30891 501446 501446 48595 48595 74332 74332 1756 1756 0 0 1799907 1797561 2346 11202 11202 51684 51684 170 170 0 573082 572394 688 39054 39054 0 1323 1191 132 13469 13469 0 48651 48651 78697 77910 787 MEDICAL SUPPLIES 920386 920386 BAD DEBT EXPENSE 771507 771507 EQUIPMENT LEASES 256602 256602 LICENSES AND PERMITS 15814 15814 37872 34085 3787 9886805 9192086 694719 0 464712 1782936 0 0 0 0 2144611 1981140 0 0 0 0 0 0 52123 57955 80944 62710 322087 152568 207707 169519 0 0 0 0 0 0 0 0 2795 0 2952892 4054260 8094992 9335894 0 0 0 0 0 0 0 0 0 0 0 0 560816 113653 605313 63127 9261121 9512674 X -6308229 -5458414 0 0 0 0 -6308229 -5458414 2952892 4054260 849815 X false true X true false X false false false false false false false false true 1756 1756 false SCHEDULE C, PART II-B, LINE 1I: CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, INC. PAID $5,084 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH), PAID $2,272 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND $3,578 TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) IN FISCAL YEAR 2019. THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES FOR NALTH WAS 12.16%, FOR AHA WAS 22.73%, AND FOR KHA WAS 17.40%. TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE $1,756 ($5,084 X .1216 = $618, $2,272 X .2273 = $516 AND $3,578 X .1740 = $622). 60000 48000 12000 262087 104568 157519 169519 0 INTERCOMPANY - CCC 92136 INTERCOMPANY - CHC 69876 INTERCOMPANY - MADISONVILLE -110 INTERCOMPANY - CONSULTING -765 INTERCOMPANY - BAPTIST HEALTH -78531 INTERCOMPANY - PALMETTO -19479 63127 true true true X true X true true false true true 1699447 1206747 492699 0.05410 1699447 1206747 492699 0.05410 1530 1530 0.00020 34780 34780 0.00380 36310 36310 0.00400 1735757 1206747 529009 0.05810 true 771507 5671988 6328912 -656924 X true true 1 1 CCH AT BAPTIST Health Paducah Inc 2501 Kentucky Ave 5th Floor Paducah KY 42003 http://continuecare.org/paducah 100313 X X CCH AT BAPTIST Health Paducah Inc 1 false false true X X X X X X X X X 16 true false false true X See Part V, Section C X true 16 true See Part V, Section C 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 true X false X X false X X false false SCHEDULE H, PART V, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. SCHEDULE H, PART V, LINE 5: CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH (CCHP) OPERATES A 37-BED LONG TERM ACUTE CARE HOSPITAL LOCATED ON THE FIFTH FLOOR OF THE HOST HOSPITAL, BAPTIST HEALTH PADUCAH IN PADUCAH, KENTUCKY. THE HOSPITAL SERVES A COMMUNITY WHERE 13.8% OF THE RESIDENTS HAVE INCOMES THAT ARE BELOW THE POVERTY LINE. A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR CCHP DURING FISCAL YEAR 2017. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM JANUARY 24, 2017 THROUGH FEBRUARY 3, 2017. THE HOSPITAL'S STUDY AREA WAS DEFINED AS MCCRAKEN COUNTY. TO ASSIST IN ANALYZING DATA AND DETERMINING PRIORITIES OF IDENTIFIED HEALTH NEEDS, CCHP PROVIDED COMMUNITY HOSPITAL CORPORATION WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN MCCRACKEN COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS IN THE COMMUNITY SERVED BY CCHP. FROM THAT LIST, TWELVE IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE. EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. ORGANIZATIONS INTERVIEWED: - PADUCAH BANK AND TRUST - PADUCAH COOPERATIVE MINISTRY - PURCHASE DISTRICT HEALTH DEPARTMENT - CITY OF PADUCAH - FOUR RIVERS BEHAVIORAL HEALTH - PADUCAH HOUSING AUTHORITY - MCCRACKEN COUNTY - FAMILY SERVICE SOCIETY - CARING PEOPLE SERVICES - SUPERIOR CARE HOME - KENTUCKYCARE CLINICS - UNITED WAY (PADUCAH AND MCCRACKEN COUNTY) OF THE INDIVIDUALS PROVIDING INPUT, 50% REPRESENT MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 8.3% 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 (EXAMPLE: MAYOR OF CITY OF PADUCAH). 41.7% OF THE INDIVIDUALS PROVIDING INPUT ARE COMMUNITY LEADERS WITH DIRECT KNOWLEDGE OR EXPERTISE REGARDING THE HEALTH NEEDS OF THE CITY OF PADUCAH AND MCCRACKEN COUNTY (EXAMPLE: SUPERIOR CARE HOME, CARING PEOPLE SERVICES). SCHEDULE H, PART V, LINES 7A & 10A: HTTPS://CONTINUECARE.ORG/PADUCAH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, LINE 11: PRIORITY #1: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES. OBJECTIVE- INCREASE HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY. IMPLEMENTATION ACTIVITIES- 1.A. CCHP WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. IF EMPLOYEES MEET CERTAIN CRITERIA THEY WILL RECEIVE A REDUCTION ON A PORTION OF THEIR PREMIUMS. OTHER INITIATIVES INCLUDE: PROMOTE EMPLOYEE AND FAMILY WELLNESS VIA ACCOUNTABLE HEALTH (FORMERLY PRINCIPAL WELLNESS PROGRAM); OFFER NEED SPECIFIC SPECIAL PROGRAMS; SMOKING CESSATION OPPORTUNITIES; AND WEIGHT MANAGEMENT. 1.B. CCHP OFFERS HEALTH SCREENINGS FREE OF CHARGE TO EMPLOYEES DURING THEIR ANNUAL EDUCATION. IF EMPLOYEES MEET CERTAIN HEALTH CRITERIA UPON THE RESULTS OF THE HEALTH SCREENINGS, THEY ARE ABLE TO RECEIVE A REDUCTION ON A PORTION OF THEIR PREMIUMS. 1.C. CCHP WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 1.D. CCHP MARKETING STAFF AND LIAISONS WILL CONTINUE TO HOST LUNCH AND LEARN SEMINARS IN ORDER TO EDUCATE REFERRAL RESOURCES AND DIFFERENT FLOORS OF THE HOST HOSPITAL ABOUT THE ROLE OF THE LONG TERM ACUTE CARE HOSPITAL (LTACH), AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. 1.E. CCHP EDUCATES PATIENTS AND FAMILIES ABOUT LTACHS AND WHAT SERVICES CAN BE PROVIDED IN CONJUNCTION WITH COMMUNITY RESOURCES THROUGH SPEAKING AT LOCAL EVENTS, PROVIDING EDUCATIONAL BROCHURES, AND INTERACTING WITH FAMILIES IN THE FACILITY. 1.F. CCHP IS IN THE EARLY STAGES OF EXPLORING PARTNERSHIPS WITH LOCAL NURSING HOMES TO PROVIDE EDUCATION FOR NURSING STAFF AND RESIDENTS ON VARIOUS TOPICS, SUCH AS RESPIRATORY THERAPY. 1.G. CCHP IS AVAILABLE TO PARTICIPATE IN HEALTH FAIRS WITH BAPTIST HEALTH PADUCAH UPON REQUEST. 1.H. CCHP IS AVAILABLE TO SPEAK AT COMMUNITY EVENTS REGARDING APPLICABLE HEALTH TOPICS UPON REQUEST. 1.I. CCHP WILL EXPLORE OPPORTUNITIES TO PARTICIPATE IN AND/OR SUPPORT COMMUNITY BASED HEALTH PROMOTION INITIATIVES. 1.J. CCHP LIAISONS PARTICIPATE IN LOCAL COMMUNITY COALITIONS CENTERED UPON PREVENTION AND EDUCATION. 1.K. CCHP LIAISONS WILL PROVIDE PATIENTS' OTHER PHYSICIANS WITH A HARD COPY OF THEIR DISCHARGE SUMMARIES UPON REQUEST. 1.L. CCHP STAFF PARTICIPATE IN ROUNDING THEIR PATIENTS ON A DAILY BASIS. 1.M. CCHP IS EXPLORING THE IMPLEMENTATION OF A PROTOCOL CONSISTING OF A 3 DAY FOLLOW UP PHONE CALL TO SEE HOW THE PATIENT AND FAMILY MEMBERS ARE DOING, AS WELL AS A 30 DAY FOLLOW UP PHONE CALL TO CHECK ON THE PATIENT'S PROGRESS. 1.N. CCHP SUPPORTS AND WORKS CLOSELY WITH THE BAPTIST HEALTH PADUCAH SKILLED NURSING FACILITY. 1.O. CCHP PROVIDES FREE FLU VACCINES FOR EMPLOYEES ON AN ANNUAL BASIS. 1.P. CCHP EMPLOYEES HAVE ACCESS TO THE BAPTIST HEALTH PADUCAH CAFETERIA THAT PROVIDES HEALTHY OPTIONS FOR STAFF TO ACCESS, INCLUDING A SALAD BAR, FRUIT BAR, AND HOT BAR WITH HEALTHIER OPTIONS. 1.Q. CCHP WILL EXPLORE PARTICIPATING IN THE COLLECTION OF GOODS AS NEEDED (I.E., COATS, FOOD, SCHOOL SUPPLIES, ETC.) TO DONATE TO LOCAL SCHOOLS OR ORGANIZATIONS IN NEED. 1.R. CCHP STAFF WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, SUCH AS THE MAYFIELD CHAMBER OF COMMERCE, THE MADISONVILLE ISD SCHOOL BOARD, WESTERN KENTUCKY COLLEGE, AND THE KNIGHTS OF COLUMBUS. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. OBJECTIVE- PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO INCREASE ACCESS TO AFFORDABLE CARE AND REDUCE HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. IMPLEMENTATION ACTIVITIES- 2.A. CCHP WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR A REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. 2.B. CCHP OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCHP ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.C. CCHP IS AVAILABLE TO PARTNER WITH LOCAL ORGANIZATIONS TO BETTER ASSIST PATIENTS AND SPECIFIC POPULATIONS IN ACCESSING AND RECEIVING AFFORDABLE CARE. 2.D. CCHP WILL EXPLORE PROVIDING TELEMEDICINE SERVICES, SUCH AS NEUROLOGY AND GASTROENTEROLOGY, TO THE PUBLIC IN ORDER TO REDUCE OR ELIMINATE ANY TRANSPORTATION BARRIERS TO ACCESSING CARE. 2.E. CCHP PROVIDES HEALTH EDUCATION AND PREVENTION RESOURCES IN MULTIPLE LANGUAGES, AS WELL AS A TRANSLATOR PHONE THROUGH PACIFIC INTERPRETERS, ON AN AS NEEDED BASIS. 2.F. CCHP WILL PROVIDE TRANSPORTATION SERVICES THROUGH THE PADUCAH AREA TRANSIT (PAT) ON A LIMITED BASIS FOR PATIENTS THAT DO NOT HAVE THE MEANS TO RETURN HOME UPON DISCHARGE. 2.G. CCHP NURSING STAFF WILL CONTINUE TO PROVIDE PROPER MEDICATION MANAGEMENT AND SELF CARE EDUCATION TO PATIENTS IN PLAIN LANGUAGE UPON DISCHARGE. THE IMPLEMENTATION PLAN ADDRESSES THE TOP TWO OF THE FOUR NEEDS IDENTIFIED. THE NEEDS FOR "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS"ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS" WERE NOT ADDRESSED AS THEY ARE NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL. SCHEDULE H, PART V, LINES 16A-16C: HTTPS://CONTINUECARE.ORG/PADUCAH/FINANCIAL-ASSISTANCE/ PAYMENT OF CHARITY CARE: IN THE STATE OF KENTUCKY, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. SCHEDULE H, PART I, LINE 7, COLUMN F: OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $9,886,805. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $771,507. THIS LEFT A TOTAL EXPENSE OF $9,115,298 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SINCE CCHP IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. SCHEDULE H, PART III, LINE 2: THE BAD DEBT COSTING METHODOLOGY VARIES BY PAYER TYPE. FOR MEDICARE, BAD DEBT IS RECORDED WHEN RECOGNIZED TO THE EXTENT OF 35%. MEDICARE REIMBURSES THE ORGANIZATION FOR ALLOWABLE BAD DEBT AT 65%. MEDICARE BAD DEBT RELATES TO THE PRIVATE PAY PORTION OF CARE SUCH AS CO-PAY AND DEDUCTIBLE AMOUNTS. FOR MANAGED CARE, WE RESERVE BAD DEBT WHEN RECOGNIZED AT 100% OF CO-PAY AND DEDUCTIBLE AMOUNTS. SCHEDULE H, PART III, LINE 4: CCHP DOESN'T HAVE ITS OWN AUDIT. RATHER IT IS PART OF COMMUNITY HOSPITAL CORPORATION AND THE BAD DEBT DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS DOES NOT COMPLETELY MATCH THE ORGANIZATION'S PRACTICE. THE BAD DEBT COSTING METHODOLOGY VARIES BY PAYER TYPE. FOR MEDICARE, BAD DEBT IS RECORDED WHEN RECOGNIZED TO THE EXTENT OF 35%. MEDICARE REIMBURSES THE ORGANIZATION FOR ALLOWABLE BAD DEBT AT 65%. MEDICARE BAD DEBT RELATES TO THE PRIVATE PAY PORTION OF CARE SUCH AS CO-PAY AND DEDUCTIBLE AMOUNTS. FOR MANAGED CARE, WE RESERVE BAD DEBT WHEN RECOGNIZED AT 100% OF CO-PAY AND DEDUCTIBLE AMOUNTS. SCHEDULE H, PART III, LINE 8: 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: IF A PATIENT OF CCHP QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. SCHEDULE H, PART VI, LINE 2: AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 2017. THE CHNA WAS ADOPTED BY ITS GOVERNING BOARD JUNE 9, 2017. 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. CCHP WILL BE WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AND TO CONDUCT VARIOUS COMMUNITY ACTIVITIES TO AND WITHIN THE LOCAL COMMUNITY IN THE FUTURE. SCHEDULE H, PART VI, LINE 3: PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED UPON ADMISSION TO CCHP BY HOSPITAL OFFICE ASSOCIATES. 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: CCHP OPENED IN THE SUMMER OF 2015 AS A 37-BED LONG TERM ACUTE CARE HOSPITAL (LTACH) LOCATED IN PADUCAH, KENTUCKY. 14.5% OF RESIDENTS IN KENTUCKY ARE LIVING IN POVERTY. RACIAL DEMOGRAPHICS FOR KENTUCKY REFLECT THE FOLLOWING PERCENTAGES: 84.8% WHITE, 8.1% BLACK, 3.6% HISPANIC, 1.4% ASIAN, 0.2% AMERICAN INDIAN, 1.8% OTHER. AS OF 2016, THE STUDIED AREA, MCCRACKEN COUNTY, HAS A SLIGHTYLY HIGHER MEDIAN HOUSEHOLD INCOME THAN KENTUCKY, BUT A LOWER MEDIAN HOUSEHOLD INCOME COMPARED TO OTHER STATES. HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN BOTH THE COUNTY AND THE STATE. AT LEAST 29.6% IN THE SAME AREA WERE FOUND TO BE OBESE. SMOKING AND TOBACCO USE ARE ALSO HIGHLY PREVALENT ISSUES IN THE AREA. SCHEDULE H, PART VI, LINE 5: CCHP IS WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES TO THE LOCAL COMMUNITY. THE HOSPITAL IS EXPLORING PARTICIPATING IN THE COLLECTION OF GOODS SUCH AS SCHOOL SUPPLIES, CLOTHING AND FOOD TO DONATE TO LOCAL SCHOOLS OR ORGANIZATIONS IN NEED. THE HOSPITAL CONTINUES TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. CCHP EDUCATES PATIENTS AND FAMILIES ABOUT LTACHS AND ABOUT WHAT SERVICES CAN BE PROVIDED IN CONJUNCTION WITH COMMUNITY RESOURCES THROUGH SPEAKING AT LOCAL EVENTS AND BY PROVIDING EDUCATIONAL BROCHURES. SCHEDULE H, PART VI, LINE 6: CCHP IS AN AFFILIATE OF BAPTIST HEALTH, A LOUISVILLE, KENTUCKY BASED HEALTH SYSTEM. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR REACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY. SCHEDULE H, PART VI, LINE 7: NOT APPLICABLE false true false false false false false true false APRIL MYERS PRES/DIRECTOR 0 214657 0 23969 0 13040 0 17826 0 31688 0 301180 0 3479 DAVID BUTLER SECRETARY 0 362062 0 35012 0 23681 0 5602 0 26653 0 453010 0 0 JAMES HILL TREASURER 0 263523 0 28210 0 25656 0 6372 0 31489 0 355250 0 0 CARROLL MCDADE CEO (UNTIL 5/19) 0 144776 0 0 0 4475 0 7953 0 29938 0 187142 0 0 SCHEDULE J, PART I, LINE 3: CCHP DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE, LLC (CCC) COMPENSATES THE CCHP PRESIDENT. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/19 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: DAVID BUTLER - $14,021 JAMES HILL - $12,303 APRIL MYERS - $7,554 SCHEDULE J, PART I, LINE 7: DISCRETIONARY INCENTIVE COMPENSATION PROGRAM A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION WAS BASED ON THE EBIDA OF THE ORGANIZATION. FORM 990, PART VI, LINE 3: CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. FORM 990, PART VI, LINE 6: THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH IS CHC COMMUNITY CARE, LLC ('CCC'). FORM 990, PART VI, LINE 7A: THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. THE BOARD OF MANAGERS SHALL BE COMPRISED OF FIVE VOTING MEMBERS, ONE FROM CHC, ONE FROM ITS COOPERATIVE PARTNER, BAPTIST HEALTH, AND THREE COMMUNITY MEMBERS. EACH VOTING MEMBER CARRIES EQUAL WEIGHT AND CONSIDERATION WHEN TAKING ANY OFFICIAL BOARD ACTION. FORM 990, PART VI, LINE 7B: THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000 FORM 990, PART VI, LINE 8B: THERE WERE NO COMMITTEES OF THE GOVERNING BODY. FORM 990, PART VI, LINE 11B: THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, LINE 12C: THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CHC COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION, WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ('COVERED PERSONS') TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED 6-30-18. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. FORM 990, PART VI, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED HOSPITAL SVCS TOTAL FEES:1695662 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - MEDICAL TOTAL FEES:101998 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - ADMIN TOTAL FEES:2247 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 7800 N DALLAS PKWY STE 200 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 CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS 7800 N DALLAS PKWY STE 200 PLANO TX 75024 201150480 HOSPITAL TX 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 7800 N DALLAS PKWY STE 200 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 HOSPITAL AT BAKERSFIELD 7800 N DALLAS PKWY STE 200 PLANO TX 75024 465236524 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 CRAWLEY MEMORIAL HOSPITAL 706 KINGS STREET KINGS MOUNTAIN NC 28086 560691100 HOSPITAL NC 501(c)(3) 3 CAR CC false CAROLINAS COMMUNITY CARE llc 7800 N DALLAS PKWY STE 200 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 COMMUNITY HOSPITAL CORPORATION 7800 N DALLAS PKWY STE 200 PLANO TX 75024 752638469 SUPPORT ORG TX 501(C)(3) 12C-III-FI NA 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 CONTINUECARE HOSPITAL AT PALMETTO HEALTH 7800 N DALLAS PKWY STE 200 PLANO TX 75024 813048423 HOSPITAL TX 501(C)(3) 3 CCC 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 7800 N DALLAS PKWY STE 200 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 chc false GAINESVILLE COMMUNITY HOSPITAL INC 1900 HOSPITAL BLVD GAINESVILLE TX 76240 831683025 HOSPITAL TX 501(c)(3) 3 CHC false COMMUNITY HOSPITAL CONSULTING inc 7800 N DALLAS PARKWAY SUITE 200 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C CORP false COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corp false false false false false false false false false false false false false false false true true false false false CHC COMMUNITY CARE LLC p 555816 Cost CHC COMMUNITY CARE LLC o 318744 Cost COMMUNITY HOSPITAL CORPORATION p 830404 Cost