CHC COMMUNITY CARE LLC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CHC COMMUNITY CARE LLC (EIN 81-3048423)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2020-06-03
- IRS object ID
- 202011559349300441
- Schema version
- 2017v2.3
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-06-03T14:41:52-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 SUITE 600 | 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 | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 813048423 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ContinueCare Hospital at Palmetto Health | BusinessNameLine1Txt |
| Business Name Line2 | Baptist Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MIKE MURRAY | InCareOfNm |
| Business Name Control | CONT | BusinessNameControlTxt |
| Phone | 9729436400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7800 N DALLAS PARKWAY SUITE 200 | AddressLine1Txt |
| City | PLANO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75024 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES HILL | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 9729436431 | PhoneNum |
| Signature | 2020-06-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JODI ROSSER | PreparerPersonNm |
| PTIN | P01255710 | PTIN |
| Phone | 8173351900 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 104.59.202.31 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 75306120191345000152 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 0FD3178183619286035AA06C9BAA1B15F55AB8A5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4649FBF9538438D828890CF76278F3989A1FB147 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | APRIL MYERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7800 N DALLAS PARKWAY | AddressLine1Txt |
| City | SUITE PLANO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,338,139 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 9703 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://continuecare.org/palmetto/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CCHPHB TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 116 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,155,098 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,325,882 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,689 | PYInvestmentIncomeAmt |
| CY Investment Income | -$10,347 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,827 | PYOtherRevenueAmt |
| CY Other Revenue | $2,419 | CYOtherRevenueAmt |
| PY Total Revenue | $11,162,614 | PYTotalRevenueAmt |
| CY Total Revenue | $16,317,954 | 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 | $5,792,363 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,175,811 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,000,638 | PYOtherExpensesAmt |
| CY Other Expenses | $11,914,757 | CYOtherExpensesAmt |
| PY Total Expenses | $12,793,001 | PYTotalExpensesAmt |
| CY Total Expenses | $19,090,568 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,630,387 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,772,614 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,457,927 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,802,772 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,226,238 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,343,697 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,768,311 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,540,925 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS A PARTNER IN THE HEALTHCARE CONTINUUM, THE CONTINUECARE TEAM IS COMMITTED TO ACHIEVING POSITIVE PATIENT OUTCOMES BY DELIVERING APPROPRIATE, SAFE, QUALITY CARE IN AN ETHICAL AND COMPASSIONATE MANNER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $17,490,665 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,325,882 | RevenueAmt |
| Desc | CONTINUECARE HOSPITAL at Palmetto Health Baptist, INC. WAS FORMED TO PROVIDE AN APPROPRIATE VENUE IN THE CONTINUUM OF CARE FOR PATIENTS REQUIRING AN EXTENDED STAY IN AN ACUTE CARE SETTING AND WHO RESIDE IN OR AROUND Columbia, South CAROLINA. CONTINUECARE HOSPITAL at Palmetto Health Baptist, INC. WAS ESTABLISHED TO PROVIDE LONG-TERM ACUTE CARE SERVICES TO INDIVIDUALS WITH CRITICAL DISEASE OR DISORDERS INCLUDING BUT NOT LIMITED TO CHRONIC OR ACUTE INFECTION, CARDIOVASCULAR AND RESPIRATORY DISORDERS, POST SURGICAL AND CANCER PATIENTS, AND THOSE WEANABLE PATIENTS DEPENDENT UPON VENTILATOR CARE WHOSE CONDITION IS SO SIGNIFICANT THAT A HOSPITAL STAY OF AT LEAST 14-30 DAYS (AGGREGATE 25 DAYS) IS EXPECTED. THE HOSPITAL INTENDS TO MEET THE MEDICAL, THERAPEUTIC AND FAMILIAL NEEDS OF INDIVIDUALS IN THE Columbia, South CAROLINA AREA USING AN INTERDISCIPLINARY TEAM APPROACH, EFFECTIVELY IMPLEMENTING A RESPONSIVE CONTINUUM OF CARE. During the fiscal year ended June 30, 2018, ContinueCare Hospital at Palmetto Health's total patients admitted were 266 and the total number of patient care days provided were 8,937. The average daily census was 24 patients and the average length of stay of the discharged patients exceeded 33.6 days. | Desc |
| Total Program Service Expenses | $17,490,665 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 116 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | false | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE MURRAY | PersonNm |
| Phone | 9729431225 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7800 N DALLAS PARKWAY SUITE 200 | AddressLine1Txt |
| City | Plano | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75024 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|
| APRIL MYERS | |||||||||
| DIRECTOR/PRESIDENT | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $210,488 | $43,747 | ||
| JUDY BASKINS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HUDGINS | |||||||||
| DIRECTOR (TERM 10/17) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID LEVER | |||||||||
| DIRECTOR (TERM 1/18) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS BROWN | |||||||||
| DIRECTOR (START 10/17) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER JOHNSON | |||||||||
| DIRECTOR (START 1/18) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICH ROBERSON | |||||||||
| DIRECTOR (START 2/18) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HILL | |||||||||
| TREASURER | 1.0 | 39.0 | Yes (X) | $0 | $254,689 | $38,013 | |||
| DAVID BUTLER | |||||||||
| SECRETARY | 1.0 | 39.0 | Yes (X) | $0 | $382,510 | $31,287 | |||
| TOM HARLAN | |||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $0 | $188,280 | $20,533 | |||
| GRETA GREEN | |||||||||
| CNO | 40.0 | 0.0 | $0 | $117,156 | $14,993 | Yes (X) | |||
| LESLIE BONEY | |||||||||
| FORMER DIR/PRES | 0.0 | 0.0 | $0 | $109,271 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,262,394 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $148,573 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| YOHANNES NEGASH MD | |||||
| 219 LAURENT WAY | IRMO | SC | 29063 | Prof med svcs | $314,330 |
| MULUGETA TAREKEGNE MD | |||||
| 337 AMSTAR ROAD | COLUMBIA | SC | 29212 | Prof Med SVCS | $262,980 |
| MOSES UDOH MD | |||||
| 112 HARBOR DRIVE | COLUMBIA | SC | 29229 | Prof Med SVCS | $255,468 |
| FUSION MEDICAL STAFFING | |||||
| PO BOX 82674 | LINCOLN | NE | 68501 | STAFFING | $178,822 |
| CUSTOM MEDICAL SOLUTIONS | |||||
| 7100 NORTHLAND CIRCLE SUITE 410 | BROOKLYN PARK | MN | 55428 | HEALTHCARE SERVICES | $147,282 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INPATIENT REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $16,325,882 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,325,882 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,325,882 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,615 | TotalRevenueColumnAmt |
| Exclusion | $1,615 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,223 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,185 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$11,962 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,962 | TotalRevenueColumnAmt |
| Exclusion | -$11,962 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 |
| 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 |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAL RECORDS | 900099 | $2,339 | $2,339 |
| OTHER INCOME | 900099 | $80 | $80 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,419 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,317,954 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,325,882 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$7,928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,368,567 | TotalAmt |
| Program Services | $5,668,025 | ProgramServicesAmt |
| Management And General | $700,542 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,759 | TotalAmt |
| Program Services | $60,759 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $484,588 | TotalAmt |
| Program Services | $484,588 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,897 | TotalAmt |
| Program Services | $261,897 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,717 | TotalAmt |
| Program Services | $724,717 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,872 | TotalAmt |
| Program Services | $33,872 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,309 | TotalAmt |
| Management And General | $45,309 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,900 | TotalAmt |
| Program Services | $1,900 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,343,519 | TotalAmt |
| Program Services | $3,340,181 | ProgramServicesAmt |
| Management And General | $3,338 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,248 | TotalAmt |
| Management And General | $37,248 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,121 | TotalAmt |
| Management And General | $727,121 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56 | TotalAmt |
| Management And General | $56 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,238 | TotalAmt |
| Management And General | $71,238 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,426 | TotalAmt |
| Program Services | $1,283 | ProgramServicesAmt |
| Management And General | $143 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,375 | TotalAmt |
| Program Services | $305,375 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,370 | TotalAmt |
| Program Services | $162,370 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,360 | TotalAmt |
| Program Services | $159,360 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT EXPENSE | $3,845,375 | $3,845,375 |
| MEDICAL & OTHER SUPPLIES | $1,633,092 | $1,633,092 |
| EQUIPMENT LEASE | $573,094 | $573,094 |
| MAINTENANCE CONTRACT - G&A | $100,610 | $100,610 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,075 | TotalAmt |
| Program Services | $134,167 | ProgramServicesAmt |
| Management And General | $14,908 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,090,568 | TotalAmt |
| Program Services | $17,490,665 | ProgramServicesAmt |
| Management And General | $1,599,903 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,705 | BOYAmt |
| EOY | $753,465 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,190,621 | BOYAmt |
| EOY | $4,911,908 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| 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 | $175,743 | BOYAmt |
| EOY | $168,721 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,185 | BOYAmt |
| EOY | $240,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,004,258 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $275,868 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $769,673 | BOYAmt |
| EOY | $728,390 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $6,457,927 | BOYAmt |
| EOY | $6,802,772 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,980,637 | BOYAmt |
| EOY | $5,959,784 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,123,222 | BOYAmt |
| EOY | $3,833,012 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,379 | BOYAmt |
| EOY | $2,550,901 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,226,238 | BOYAmt |
| EOY | $12,343,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,768,311 | BOYAmt |
| EOY | -$5,540,925 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,768,311 | BOYAmt |
| EOY | -$5,540,925 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,457,927 | BOYAmt |
| EOY | $6,802,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,772,614 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| 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 | $1,900 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,900 | 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 1I: | FormAndLineReferenceDesc |
| Explanation | CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. PAID $5,084 TO THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) AND PAID $5,580 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) IN FISCAL YEAR 2018. THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES FOR NALTH WAS 12.16% AND FOR AHA WAS 22.98%. TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES FOR NALTH WERE $5,084 X .1216 = $618 AND FOR AHA WERE $5,580 X .2298 = $1,282. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $478,928 | OtherCostOrOtherBasisAmt |
| Depreciation | $168,322 | DepreciationAmt |
| Book Value | $310,606 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $135,392 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,058 | DepreciationAmt |
| Book Value | $99,334 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $389,938 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,488 | DepreciationAmt |
| Book Value | $318,450 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $728,390 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES - CCC & CHC | $710,846 |
| OTHER LT LIABILITIES-ACQUIRED DEBT | $1,840,055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,550,901 | TotalLiabilityAmt |
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 | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $429,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $146,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $282,799 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $429,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $146,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $282,799 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $112,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $112,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $541,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $146,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $395,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02600 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,845,375 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,321,357 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,565,452 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $755,905 | 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 | CCH AT PALMETTO HEALTH BAPTIST INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TAYLOR AT MARION STREET 7TH FLOOR | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29220 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://CONTINUECARE.ORG/PALMETTO/ | WebsiteAddressTxt |
| State License | HTL-0939 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCH AT PALMETTO HEALTH BAPTIST INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | 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 | 16 | 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 | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | 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. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 2 | On August 1, 2016, ContinueCare Hospital at Palmetto Health Baptist, Inc, (ContinueCare Hospital at Palmetto Health) acquired Intermedical Hospital of SC, Inc., a licensed hospital facility. 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 A comprehensive, six-step community health needs assessment (CHNA) was conducted for ContinueCare Hospital at Palmetto Health Baptist, Inc. (CCHPHB) by CHC ContinueCare. This CHNA utilizes relevant health data and stakeholder input to identify the significant community health needs in Lexington and Richland Counties, South Carolina. Community input was received during interviews conducted from June 17, 2016 July 7, 2016. The CCHPHB board reviewed and adopted the 2016 Community Health Needs Assessment and Implementation Plan on February 23, 2017. CCHPHB provided Community Hospital Corporation with a list of persons with special knowledge of public health in Lexington and Richland Counties, including public health representatives, not-for-profit organization professionals, charities and other individuals who focus specifically on underrepresented groups. From that list, eleven 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. Of the individuals providing input it was noted in the CHNA that 63.6% of those providing input represent members of medically underserved, low-income or minority populations in the community, or individuals or organizations serving or representing the interest of such populations. 18.2% 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 and another 18.2% are community leaders (ex: Christ Central Ministries, American Lung Association). Organizations interviewed: -United Way of the Midlands -Lexington County Department of Health -Lexington County Recreation and Aging Commission -Senior Resources, Inc.-Richland -American Cancer Society -Harvest Hope Food Bank -Richland County Department of Health -Homeless Ministries, Christ Central Health Ministries -American Lung Association -Free Medical Clinic -National Kidney Foundation 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. The majority of growth over the next five years in both counties is expected to come from the 65 years and older population. Within Lexington county, the Lexington service area, as defined by the U.S. Department of Health and Human Services and Health Resources and Services Administration office, is classified as a medically underserved area. Within Richland County, the North Columbus service area, SW Richland, Richland Service area, and lower Richland service areas are classified as medically underserved areas. Areas within both counties have health professional shortages. Heart disease is the leading cause of death and cancer the second leading cause of death in Lexington and Richland counties. Education on how to access and utilize health insurance and health services in the areas is also of concern particularly among the increasing Hispanic immigrant populations in both counties. Lack of access to appropriate health care in addition to lack of transportation from outlying areas are issues that affect minority populations within the areas. Additionally, lack of knowledge of benefits or services available through the Medicare program, lack of resources for low income seniors, and an increasing aging population and dementia population are health issues that may disproportionately affect the elderly residents in the area. |
| SCHEDULE H, PART V, SECTION B, LINES 7A & 10A | HTTP://CONTINUECARE.ORG/PALMETTO/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 | Three significant health needs were identified by hospital leadership after assessing the prevalence of the issues identified from the health data findings combined with the frequency and severity of mentions in community input. The final list of prioritized needs were as follows: 1. Prevention, Education and Services to Address High Mortality Rates, Chronic Diseases, Preventable Conditions and Unhealthy Lifestyles 2. Access to Affordable Care and Reducing Health Disparities Among Specific Populations 3. Access to Mental and Behavioral Health Care Services 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. CCHPHB will explore continuing to provide various health screenings at community events, such as the previous South Carolina Mission event, for community members. 1.B. CCHPHB will explore partnering with local churches to provide blood pressure screenings to the community. 1.C. CCHPHB provides education to patient family members on how to provide proper care for their family member upon discharge. 1.D. CCHPHB will continue to participate in lunch and learn community events on various health topics upon request. 1.E. CCHPHB is a tobacco-free facility. 1.F. CCHPHB will continue to provide medication management resources through the pharmacy that sits on the same floor as the LTACH. 1.G. CCHPHB will provide patients' other physicians with a copy of their discharge summaries upon request. 1.H. CCHPHB will explore participating in conferences and other events focused around their patient population's needs. 1.I. CCHPHB will continue to support local community events, such as the American Heart Walk and the American Lung Association walk, through staff participation and raising funds. 1.J. CCHPHB will engage in a variety of employee wellness initiatives, including a health plan that is prevention driven. Initiatives include the promotion of employee and family wellness via Accountable Health (formerly Principal Wellness Program), offering need specific special programs, CHIP (Coronary Health Improvement Plan), smoking cessation opportunities, weight management, providing and highlighting healthy food options in the hospital cafeteria, and promoting fitness opportunities. 1.K. CCHPHB will continue to incentivize employees to maintain healthy lifestyles on their health plans through offering a reduction on a portion of their premiums if employees meet certain criteria. 1.L. CCHPHB is available to speak at community events, provide information, or participate in other educational opportunities by request. 1.M. CCHPHB has affiliation agreements which allow for clinical rotations in the hospital within the nursing, occupational therapy, physical therapy, speech rehabilitation, and pharmaceutical areas. 1.N. CCHPHB staff will continue to provide representation on the boards of local organizations, such as the University of South Carolina College of Nursing and Fordis College. 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. CCHPHB will continue to provide education and prevention materials, in multiple languages, to applicable patients through the CERNER System database. 2.B. CCHPHB will continue to partner with Palmetto Health to provide gift baskets with food and toiletries to residents of the Columbia Housing Authority that houses 400 residents in one senior housing facility and have limited resources during the holidays. 2.C. CCHPHB employees will continue to support the Hannah House through purchasing and donating back-to-school items to youth residents of the facility, as well as the donation of financial resources. 2.D. CCHPHB will continue to support the Harvest Hope Food Bank through staff volunteers and food and financial donations. 2.E. CCHPHB will provide transportation (i.e., cab) funds to applicable patients on a limited basis. 2.F. CCHPHB will continue to support the free medical clinic in Columbia that the CCHPHB previous CEO provided board representation for, and the Director of Human Resources donated her time to work with them. PRIORITY #3: ACCESS TO MENTAL HEALTH SERVICES AND PROVIDERS OBJECTIVE- Participate in initiatives and create opportunities to increase access to mental health services and providers in the service area IMPLEMENTATION ACTIVITIES- 3.A. CCHPHB will continue to offer the Employee Assistance Program (EAP) through Beacon Health Options to help employees navigate various life challenges. 3.B. CCHPHB provides case management services and referrals that relate to mental or behavioral health conditions on an as needed basis. THE IMPLEMENTATION PLAN ADDRESSES ALL OF THE NEEDS IDENTIFIED. SCHEDULE H, Part V, Section B, Lines 16a - 16c http://continuecare.org/palmetto/about-us/ |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PAYMENT OF CHARITY CARE | IN THE STATE OF SOUTH CAROLINA, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. Schedule H, Part I, Line 7, Column F Our total expense from Form 990, Part IX, Line 25, Column (A) was $19,090,568. The bad debt included in this amount was $3,845,375. This left a total expense of $15,245,193 for purposes of calculating line 7, column (f). Since ContinueCare Hospital at Palmetto Health Baptist, Inc. (CCHPHB) 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 debts when recognized at 100% of co-pay and deductible amounts. SCHEDULE H, PART III, LINE 4 CCHPHB 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). Schedule H, Part III, Line 9b If a patient of CCHPHB 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, QUESTION 2 | NEEDS ASSESSMENT AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING 2016. The CCHPHB Board reviewed and adopted the 2016 CHNA and Implementation Plan on February 23, 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. CCHPHB WILL BE WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AND TO CONDUCT VARIOUS COMMUNITY ACTIVITIES TO AND WITHIN THE LOCAL COMMUNITY IN THE NEAR FUTURE. |
| SCHEDULE H, PART VI, QUESTION 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Patients and persons who may be billed for services are informed upon admission to CCHPHB 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, QUESTION 4 | COMMUNITY INFORMATION THE ORGANIZATION SERVES THE ADULT POPULATION OF SOUTH CAROLINA. THIS INCLUDES URBAN, SUBURBAN, AND RURAL AREAS. THE ADULT POPULATION (OVER 18 YEARS OF AGE) OF SOUTH CAROLINA IS APPROXIMATELY 3.7 MILLION, OF WHICH THE AVERAGE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $47,238. APPROXIMATELY 18% OF THE POPULATION IS AT OR BELOW THE POVERTY LEVEL. THERE ARE APPROXIMATELY 160 HOSPITALS AND HEALTHCARE FACILITIES THAT SERVE THE POPULATION OF SOUTH CAROLINA. |
| SCHEDULE H, PART VI, QUESTION 5 | PROMOTION OF COMMUNITY HEALTH CCHPHB promotes an open medical staff in order to better serve the patients seeking care. CCHPHB also has a community board structure so that the hospital is governed by the community in which it serves. |
| SCHEDULE H, PART VI, QUESTION 6 | AFFILIATED HEALTH CARE SYSTEM CCHPHB is an affiliate of Baptist Health, operates in collaboration with its host hospital, Palmetto Health Baptist Hospital, a South Carolina 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, QUESTION 7 | STATE FILING OF COMMUNITY BENEFIT REPORT THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF SOUTH CAROLINA, IN CONJUNCTION WITH THE SOUTH CAROLINA HOSPITAL ASSOCIATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LESLIE BONEY | ||||||||||||||
| FORMER DIR/PRES | $0 | $0 | $0 | $0 | $0 | $109,271 | $0 | $0 | $0 | $0 | $0 | $109,271 | $0 | $0 |
| JAMES HILL | ||||||||||||||
| TREASURER | $0 | $240,108 | $0 | $0 | $0 | $14,581 | $0 | $7,669 | $0 | $30,344 | $0 | $292,702 | $0 | $0 |
| DAVID BUTLER | ||||||||||||||
| SECRETARY | $0 | $359,967 | $0 | $0 | $0 | $22,543 | $0 | $5,505 | $0 | $25,782 | $0 | $413,797 | $0 | $0 |
| APRIL MYERS | ||||||||||||||
| DIRECTOR/PRESIDENT | $0 | $199,139 | $0 | $0 | $0 | $11,349 | $0 | $14,954 | $0 | $28,793 | $0 | $254,235 | $0 | $0 |
| TOM HARLAN | ||||||||||||||
| CEO | $0 | $161,924 | $0 | $0 | $0 | $26,356 | $0 | $8,423 | $0 | $12,110 | $0 | $208,813 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. COMMUNITY HOSPITAL CONSULTING COMPENSATES THE CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. 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 6/30/18 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. |
| SCHEDULE J, PART I, LINE 4A | LESLIE BONEY, DIRECTOR/PRESIDENT OF CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC., RECEIVED $109,271 IN SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION DURING 2017. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: DAVID BUTLER - $12,706 JAMES HILL - $10,225 APRIL MYERS - $1,740 |
| SCHEDULE J, PART I, LINE 7 | A portion of the discretionary incentive compensation program was based on the EBIDA of CHC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX B | Rich Roberson was appointed to the board of directors of ContinueCare Hospital at Palmetto Health Baptist, Inc. on February 22, 2018. Mr. Roberson was inadvertently omitted from the originally filed 2017 Form 990 return. As such, the Form 990 return has been amended to include Mr. Roberson in Part VII, Section A, Line 1a. As a result of this addition, Part I, Lines 3 and 4 and Part VI, Lines 1a and 1b have also been updated to reflect an increase in the number of voting members of the governing body at the end of the year from 4 to 5 and an increase in the number of independent voting members of the governing body at the end of the year from 3 to 4. |
| FORM 990, PART VI, LINE 3 | DELEGATION OF CONTROL OF MANAGEMENT DUTIES CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. |
| FORM 990, PART VI, LINE 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. IS CHC COMMUNITY CARE, LLC ('CCC'). |
| FORM 990, PART VI, LINE 7A | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE SOLE MEMBER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL BE COMPRISED OF AT LEAST FIVE VOTING DIRECTORS ('VOTING DIRECTORS') PLUS TWO NONVOTING EX OFFICIO DIRECTORS ('EX OFFICIO DIRECTORS'). THE EX OFFICIO DIRECTORS SHALL CONSIST OF THE ADMINISTRATOR OF THE HOSPITAL AND THE MEDICAL DIRECTOR OF THE HOSPITAL. THE EX OFFICIO DIRECTORS SHALL BE AFFORDED THE PRIVILEGES OF DIRECTORS, BUT THEY SHALL NOT HAVE A VOTE OR BE COUNTED IN DETERMINING THE QUORUM OF THE BOARD OF DIRECTORS. AT ALL TIMES, A MAJORITY OF THE VOTING DIRECTORS SHALL BE INDEPENDENT DIRECTORS. THE REMAINDER OF THE VOTING DIRECTORS SHALL BE CORPORATE DIRECTORS. |
| FORM 990, PART VI, LINE 7B | DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS 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 | DESCRIPTION OF COMMITTEES OF THE GOVERNING BODY THERE WERE NO COMMITTEES OF THE GOVERNING BODY. |
| FORM 990, PART VI, LINE 11B | DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 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 | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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 6-30-16. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. |
| FORM 990, PART VI, LINES 15A AND 15B | OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN The organization's executives are employed by CHC Community Care, LLC, which follows the compensation policy of Community Hospital Corporation (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6-30-18 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. |
| FORM 990, PART VI, LINE 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | OVERSIGHT OR SELECTION PROCESS THE AUDIT COMMITTEE OF COMMUNITY HOSPITAL CORPORATION, WHICH IS THE PARENT ORGANIZATION OF CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES - MEDICAL TOTAL FEES:2331340 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES - LAB TOTAL FEES:163120 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES - IT TOTAL FEES:78487 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES - PHARMACY TOTAL FEES:533977 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES - ADMIN TOTAL FEES:190418 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES - OTHER TOTAL FEES:46177 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 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 | ||||||||||
| 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 |
| 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 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRITICAL ACCESS HOSPCOALITION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 G ST NWSTE 1000 WA DC | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 55555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOSP. COALITION | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | 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 69T | GRAND CAYMAN | CJ | CAPTIVE INSURance | CJ | CHC | C CORP | false | ||||||
| COMMUNITY HOSPITAL CONSULTING INC | |||||||||||||
| MGMT CONSULTIng | CHC | C CORP | false | 7800 N DALLAS PARKWAY SUITE 20O | 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 | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | 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 (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HOSPITAL CORPORATION | ||
| P | $929,513 | COST |
| CHC COMMUNITY CARE LLC | ||
| P | $810,911 | COST |
| CHC COMMUNITY CARE LLC | ||
| o | $301,641 | COST |