2020-06-03T14:41:52-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2017-07-01 813048423 ContinueCare Hospital at Palmetto Health Baptist Inc % MIKE MURRAY CONT 9729436400 7800 N DALLAS PARKWAY SUITE 200 PLANO TX 75024 JAMES HILL Treasurer 9729436431 2020-06-03 true JODI ROSSER P01255710 8173351900 104.59.202.31 75306120191345000152 2019-05-14 P 0FD3178183619286035AA06C9BAA1B15F55AB8A5 4649FBF9538438D828890CF76278F3989A1FB147 2017 2021-01-29 14:40:06Z X APRIL MYERS 7800 N DALLAS PARKWAY SUITE PLANO TX 75024 16338139 false 9703 X http://continuecare.org/palmetto/ X 2015 TX 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. 5 4 116 4 0 0 0 0 11155098 16325882 1689 -10347 5827 2419 11162614 16317954 0 0 0 0 5792363 7175811 0 0 0 7000638 11914757 12793001 19090568 -1630387 -2772614 6457927 6802772 9226238 12343697 -2768311 -5540925 X AS A PARTNER IN THE HEALTHCARE CONTINUUM, THE CONTINUECARE TEAM IS COMMITTED TO ACHIEVING POSITIVE PATIENT OUTCOMES BY DELIVERING APPROPRIATE, SAFE, QUALITY CARE IN AN ETHICAL AND COMPASSIONATE MANNER. false false 17490665 0 16325882 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. 17490665 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 23 0 true 116 true 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 APRIL MYERS DIRECTOR/PRESIDENT 1.0 39.0 X X 0 210488 43747 JUDY BASKINS DIRECTOR 1.0 0.0 X 0 0 0 JAMES HUDGINS DIRECTOR (TERM 10/17) 1.0 0.0 X 0 0 0 DAVID LEVER DIRECTOR (TERM 1/18) 1.0 0.0 X 0 0 0 THOMAS BROWN DIRECTOR (START 10/17) 1.0 0.0 X 0 0 0 CHRISTOPHER JOHNSON DIRECTOR (START 1/18) 1.0 0.0 X 0 0 0 RICH ROBERSON DIRECTOR (START 2/18) 1.0 0.0 X 0 0 0 JAMES HILL TREASURER 1.0 39.0 X 0 254689 38013 DAVID BUTLER SECRETARY 1.0 39.0 X 0 382510 31287 TOM HARLAN CEO 40.0 0.0 X 0 188280 20533 GRETA GREEN CNO 40.0 0.0 X 0 117156 14993 LESLIE BONEY FORMER DIR/PRES 0.0 0.0 X 0 109271 0 0 1262394 148573 0 true true false YOHANNES NEGASH MD 219 LAURENT WAY IRMO SC 29063 Prof med svcs 314330 MULUGETA TAREKEGNE MD 337 AMSTAR ROAD COLUMBIA SC 29212 Prof Med SVCS 262980 MOSES UDOH MD 112 HARBOR DRIVE COLUMBIA SC 29229 Prof Med SVCS 255468 FUSION MEDICAL STAFFING PO BOX 82674 LINCOLN NE 68501 STAFFING 178822 CUSTOM MEDICAL SOLUTIONS 7100 NORTHLAND CIRCLE SUITE 410 BROOKLYN PARK MN 55428 HEALTHCARE SERVICES 147282 5 0 INPATIENT REVENUE 623000 16325882 16325882 16325882 1615 1615 0 0 0 0 0 8223 20185 -11962 -11962 -11962 0 0 0 0 0 0 0 0 0 MEDICAL RECORDS 900099 2339 2339 OTHER INCOME 900099 80 80 2419 16317954 16325882 -7928 X 0 0 0 0 0 0 6368567 5668025 700542 60759 60759 484588 484588 261897 261897 724717 724717 33872 33872 45309 45309 1900 1900 0 0 3343519 3340181 3338 37248 37248 727121 727121 56 56 0 0 71238 71238 0 1426 1283 143 305375 305375 0 162370 162370 159360 159360 BAD DEBT EXPENSE 3845375 3845375 MEDICAL & OTHER SUPPLIES 1633092 1633092 EQUIPMENT LEASE 573094 573094 MAINTENANCE CONTRACT - G&A 100610 100610 149075 134167 14908 19090568 17490665 1599903 0 141705 753465 0 0 0 0 5190621 4911908 0 0 0 0 0 0 175743 168721 180185 240288 1004258 275868 769673 728390 0 0 0 0 0 0 0 0 0 0 6457927 6802772 2980637 5959784 0 0 0 0 0 0 0 0 0 0 0 0 6123222 3833012 122379 2550901 9226238 12343697 X -2768311 -5540925 0 0 0 0 -2768311 -5540925 6457927 6802772 -2772614 X X false true X true false X false false false false false false false false true 1900 1900 false SCHEDULE C, PART II-B, LINE 1I: 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. 478928 168322 310606 135392 36058 99334 389938 71488 318450 728390 0 INTERCOMPANY PAYABLES - CCC & CHC 710846 OTHER LT LIABILITIES-ACQUIRED DEBT 1840055 2550901 true true true X true X true true false true true 429065 146266 282799 0.01860 429065 146266 282799 0.01860 112388 0 112388 0.00740 112388 0 112388 0.00740 541453 146266 395187 0.02600 true 3845375 6321357 5565452 755905 X true true 1 1 CCH AT PALMETTO HEALTH BAPTIST INC TAYLOR AT MARION STREET 7TH FLOOR COLUMBIA SC 29220 HTTP://CONTINUECARE.ORG/PALMETTO/ HTL-0939 X X CCH AT PALMETTO HEALTH BAPTIST INC 1 true true 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, 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/ 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. true true false false false false false true false LESLIE BONEY FORMER DIR/PRES 0 0 0 0 0 109271 0 0 0 0 0 109271 0 0 JAMES HILL TREASURER 0 240108 0 0 0 14581 0 7669 0 30344 0 292702 0 0 DAVID BUTLER SECRETARY 0 359967 0 0 0 22543 0 5505 0 25782 0 413797 0 0 APRIL MYERS DIRECTOR/PRESIDENT 0 199139 0 0 0 11349 0 14954 0 28793 0 254235 0 0 TOM HARLAN CEO 0 161924 0 0 0 26356 0 8423 0 12110 0 208813 0 0 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. 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 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 CRITICAL ACCESS HOSPCOALITION 120 G ST NWSTE 1000 WA DC WASHINGTON DC 55555 HOSP. COALITION DE NA COMMUNITY HEALTH ASSURANCE SPC LTD POB 69T GRAND CAYMAN CJ CAPTIVE INSURance CJ CHC C CORP false COMMUNITY HOSPITAL CONSULTING INC 7800 N DALLAS PARKWAY SUITE 20O PLANO TX 75024 204710183 MGMT CONSULTIng TX CHC C CORP false false false false false false false false false false false false false false false true true false false false COMMUNITY HOSPITAL CORPORATION P 929513 COST CHC COMMUNITY CARE LLC P 810911 COST CHC COMMUNITY CARE LLC o 301641 COST