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CONTINUECARE HOSPITAL OF TYLER INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CONTINUECARE HOSPITAL OF TYLER INCORPORATED (EIN 20-0991990)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-13
IRS object ID
202031349349303753
Schema version
2018v3.3
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

FieldValueIRS element (for citing)
Return2020-05-13T18:34:36-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1425 HOUSTON STREET STE 600AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200991990EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ContinueCare Hospital of Tyler IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MIKE MURRAYInCareOfNm
Business Name ControlCONTBusinessNameControlTxt
Phone9729436400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17800 N Dallas Parkway Suite 200AddressLine1Txt
CityPlanoCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75024ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES HILLPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2020-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJODI L ROSSERPreparerPersonNm
PTINP01255710PTIN
Phone8173351900PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address76.164.81.169IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id75306120201345000005FederalOriginalSubmissionId
Federal Original Submission Id2020-05-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id228D48D10834BFE8C59A0E4DF6CE68B9CD7C839BAtSubmissionCreationDeviceId
At Submission Filing Device Id4649FBF9538438D828890CF76278F3989A1FB147AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHANIE HYDEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17800 N DALLAS PARKWAY STE 200AddressLine1Txt
CityPLANOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75024ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,776,225GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.continuecare.org/tyler/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionAS A "HOSPITAL WITH-IN A HOSPITAL", IT IS THE MISSION OF CONTINUECARE HOSPITAL OF TYLER, INC. TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTHCARE IN A LTACH ENVIRONMENT.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee149TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$26,878,908PYProgramServiceRevenueAmt
CY Program Service Revenue$20,761,999CYProgramServiceRevenueAmt
PY Investment Income$3PYInvestmentIncomeAmt
CY Investment Income$3CYInvestmentIncomeAmt
PY Other Revenue$574PYOtherRevenueAmt
CY Other Revenue$14,223CYOtherRevenueAmt
PY Total Revenue$26,879,485PYTotalRevenueAmt
CY Total Revenue$20,776,225CYTotalRevenueAmt
PY Grants And Similar Paid$21,239PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,713CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,285,003PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,549,056CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,299,182PYOtherExpensesAmt
CY Other Expenses$13,807,141CYOtherExpensesAmt
PY Total Expenses$23,605,424PYTotalExpensesAmt
CY Total Expenses$23,370,910CYTotalExpensesAmt
PY Revenues Less Expenses$3,274,061PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,594,685CYRevenuesLessExpensesAmt
Total Assets BOY$9,398,716TotalAssetsBOYAmt
Total Assets EOY$5,572,417TotalAssetsEOYAmt
Total Liabilities BOY$2,101,953TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,451,339TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,296,763NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,121,078NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS A "HOSPITAL WITH-IN A HOSPITAL", IT IS THE MISSION OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,096,476ExpenseAmt
Grant$14,713GrantAmt
Revenue$20,761,999RevenueAmt
DescTYLER CONTINUECARE HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) OPERATING AS A "HOSPITAL WITH-IN A HOSPITAL" AT CHRISTUS MOTHER FRANCES HOSPITAL IN TYLER, TEXAS. TYLER CONTINUECARE HOSPITAL OBTAINED A LICENSE TO OPERATE AN ACUTE CARE HOSPITAL ON MAY 14, 2004, AND BECAME CERTIFIED AS A LONG-TERM ACUTE CARE HOSPITAL ON JANUARY 1, 2005. AS A LTACH, TYLER CONTINUECARE HOSPITAL PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN A LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED JUNE 30, 2019, TYLER CONTINUECARE HOSPITAL'S TOTAL PATIENTS ADMITTED WERE 522 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 13,239. THE AVERAGE DAILY CENSUS WAS 36.3 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 25 DAYS.Desc
Total Program Service Expenses$21,096,476TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee149EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMIKE MURRAYPersonNm
Phone9729431225PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17800 N DALLAS PARKWAY SUITE 200AddressLine1Txt
CityPlanoCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75024ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CRAIG CHESLEY
DIRECTOR1.00.0Yes (X)$0$22,000$0
ROBERT OWENS
DIRECTOR1.00.0Yes (X)$0$0$0
JIM KENDRICK
DIRECTOR1.039.0Yes (X)$0$856,722$135,129
CHRIS GLENNEY
DIRECTOR1.00.0Yes (X)$0$0$0
DAN HARDIMAN
DIRECTOR1.00.0Yes (X)$0$0$0
STEPHANIE HYDE
CEO/PRESIDENT40.00.0$0$226,070$33,925Yes (X)
DAVID BUTLER
SECRETARY1.039.0$0$420,755$32,255Yes (X)
JAMES HILL
TREASURER1.039.0$0$317,389$37,861Yes (X)
TRAVIS JACOBS
PHARMACIST40.00.0$184,371$0$0Yes (X)
ZENAIDA ESCUETA
REGISTERED NURSE40.00.0$143,990$0$0Yes (X)
PHARRIS MORGAN
RN CHARGE NURSE40.00.0$138,594$0$0Yes (X)
MARK GRAHAM
WOUND CARE NURSE40.00.0$114,103$0$0Yes (X)
AUBREY HARRY
CNO40.00.0$0$141,026$25,638Yes (X)
MICHAEL D WILLIAMS
FORMER DIRECTOR0.00.0$0$203,525$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$581,058TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,187,487TotReportableCompRltdOrgAmt
Total Other Compensation$264,808TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNATHAN JACKSONPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 6336AddressLine1Txt
CityTYLERCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75711ZIPCd
FieldValueIRS element (for citing)
ServicesCONTRACT PT/OTServicesDesc
Compensation$535,795CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINPATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$20,761,999TotalRevenueColumnAmt
Related Or Exempt Func Income$20,761,999RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,761,999TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3TotalRevenueColumnAmt
Exclusion$3ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEDICAL RECORDS900099$123$123
OTHER INCOME900099$14,100$14,100
FieldValueIRS element (for citing)
Other Revenue Total$14,223OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,776,225TotalRevenueColumnAmt
Related Or Exempt Func Income$20,761,999RelatedOrExemptFuncIncomeAmt
Exclusion$14,226ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,713TotalAmt
Program Services$14,713ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,649,159TotalAmt
Program Services$6,807,752ProgramServicesAmt
Management And General$841,407ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$155,488TotalAmt
Program Services$138,384ProgramServicesAmt
Management And General$17,104ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,176,816TotalAmt
Program Services$1,047,366ProgramServicesAmt
Management And General$129,450ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$567,593TotalAmt
Program Services$505,158ProgramServicesAmt
Management And General$62,435ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$680,128TotalAmt
Management And General$680,128ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,817TotalAmt
Management And General$20,817ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$88,579TotalAmt
Management And General$88,579ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,440TotalAmt
Management And General$5,440ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,881,279TotalAmt
Program Services$6,877,152ProgramServicesAmt
Management And General$4,127ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,807TotalAmt
Management And General$5,807ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$88,928TotalAmt
Management And General$88,928ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Management And General$60,000ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,425,118TotalAmt
Program Services$1,425,118ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$38,257TotalAmt
Management And General$38,257ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,373TotalAmt
Management And General$7,373ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,863TotalAmt
Program Services$15,863ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$241,299TotalAmt
Program Services$241,299ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$196,941TotalAmt
Management And General$196,941ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBTS$1,885,176$1,885,176
MEDICAL SUPPLIES$1,815,514$1,815,514
EQUIPMENT LEASES$212,839$212,839
REPAIRS AND MAINTENANCE$71,645$71,645

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$66,138TotalAmt
Program Services$38,497ProgramServicesAmt
Management And General$27,641ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,370,910TotalAmt
Program Services$21,096,476ProgramServicesAmt
Management And General$2,274,434ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,049,927BOYAmt
EOY$1,342,110EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,311,014BOYAmt
EOY$3,466,294EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$221,458BOYAmt
EOY$206,555EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$175,058BOYAmt
EOY$159,581EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,515,160LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,117,283LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$639,176BOYAmt
EOY$397,877EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,083BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,398,716BOYAmt
EOY$5,572,417EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,875,007BOYAmt
EOY$1,400,092EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$305,885BOYAmt
EOY$155,497EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY-$78,939BOYAmt
EOY-$104,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,101,953BOYAmt
EOY$1,451,339EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,296,763BOYAmt
EOY$4,121,078EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,296,763BOYAmt
EOY$4,121,078EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,398,716BOYAmt
EOY$5,572,417EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,594,685ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$581,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$5,440OtherActivitiesAmt
Total Lobbying Expenditures$5,440TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1I:FormAndLineReferenceDesc
ExplanationLOBBYING EXPENSE TYLER CONTINUECARE HOSPITAL PAID $13,953 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH), $6,300 TO TEXAS HOSPITAL ASSOCIATION (THA), AND $12,446 TO AMERICAN HOSPITAL ASSOCIATION (AHA) IN FISCAL YEAR 2019. THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES WAS 12.16% FOR NALTH, 14.50% FOR THA, AND 22.73% FOR AHA. TOTAL DUES PAID FOR LOBBYING ACTIVITIES WERE $5,440. ($1,697 NALTH, $914 THA, AND AHA $2,829 = $5,440)ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$161,219OtherCostOrOtherBasisAmt
Depreciation$161,219DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,353,941OtherCostOrOtherBasisAmt
Depreciation$1,956,064DepreciationAmt
Book Value$397,877BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$397,877TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY - CCC$10,689
INTERCOMPANY - CHC-$114,939
FieldValueIRS element (for citing)
Total Liability-$104,250TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,336TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,336NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,720TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,720NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,169,455TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,071,750DirectOffsettingRevenueAmt
Net Community Benefit Expns$97,705NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,220,511TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,071,750DirectOffsettingRevenueAmt
Net Community Benefit Expns$148,761NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,220,511TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,071,750DirectOffsettingRevenueAmt
Net Community Benefit Expns$148,761NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,885,176BadDebtExpenseAmt
Reimbursed By Medicare$16,064,353ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,190,217CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$874,136MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONTINUECARE HOSPITAL OF TYLER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 E DAWSON 4TH FLOORAddressLine1Txt
CityTYLERCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75701ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.continuecare.org/tylerWebsiteAddressTxt
State License008065StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CONTINUECARE HOSPITAL OF TYLER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyfalseNondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 3ETHE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
SCHEDULE H, PART V, LINE 5TYLER CONTINUECARE HOSPITAL OPERATES A 51-BED LONG-TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE FOURTH FLOOR OF THE HOST HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IN TYLER, TEXAS. AS A "HOSPITAL WITHIN A HOSPITAL", TYLER CONTINUECARE HOSPITAL IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT. TYLER CONTINUECARE HOSPITALS SPECIALTY PROGRAMS ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF LONG-TERM, ACUTE-CARE PATIENTS. IN 2016, TYLER CONTINUECARE HOSPITAL RECEIVED A THREE-YEAR ACCREDITATION BY THE CENTER FOR IMPROVEMENT IN HEALTHCARE QUALITY, AS WELL AS DESIGNATION AS THE FIRST CIHQ "CENTER OF EXCELLENCE" LTACH IN TEXAS. AS A SEPARATE, FULLY LICENSED AND STAFFED HOSPITAL, THE HOSPITAL IS ABLE TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO PATIENTS REQUIRING LONGER LENGTHS OF STAY FOR ACUTE-CARE. TYLER CONTINUECARE HOSPITAL HAS SPECIALTY PROGRAMS DESIGNED TO MEET THE NEEDS OF LONG-TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIONS REQUIRING LONG TERM ANTIBIOTIC THERAPY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. THE DEFINED SERVICE AREA OF TYLER CONTINUECARE HOSPITAL IS SMITH COUNTY, TEXAS. THE POPULATION OF SMITH COUNTY IS EXPECTED TO GROW FROM 2018 (228,556) TO 2023 (242,332) BY 6.0%, WHICH IS BELOW THE 7.1% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2018 (28,531,603) TO 2023 (30,558,741). AS OF 2018, THE RACIAL/ETHNIC BREAKOUT OF SMITH COUNTY WAS 59.2% WHITE NON-HISPANIC, 17.1% BLACK, 20.0% HISPANIC, 1.7% ASIAN, 0.3% AMERICAN INDIAN AND 1.6% ALL OTHERS. BY 2023, THE POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE FOR THE WHITE NON-HISPANIC POPULATION BY 2.7%, THE BLACK POPULATION BY 3.6%, THE HISPANIC POPULATION BY 15.6%, THE ASIAN POPULATION BY 23.1%, THE AMERICAN INDIAN POPULATION BY 1.7% AND ALL OTHERS BY 17.9%. AS OF 2018, SMITH COUNTY (36.4 YEARS) HAS A YOUNGER MEDIAN AGE THAN THE STATE OF TEXAS (39.2 YEARS). THE MEDIAN AGE IN SMITH COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2018-2023). SMITH COUNTY ($52,898) HAS A SLIGHTLY HIGHER MEDIAN HOUSEHOLD INCOME THAN TEXAS ($51,492) (2018). THE MEDIAN HOUSEHOLD INCOME IN SMITH COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2018-2023). IN 2017, SMITH COUNTY (4.1%) HAD A SLIGHTLY LOWER UNEMPLOYMENT RATE THAN THE STATE (4.3%). SMITH COUNTY (24.8%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE OF TEXAS (28.1%) (2018). IN 2015-2016, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN SMITH COUNTY (91.0%) WAS CONSISTENT WITH THE STATE (90.5%) AND HIGHER THAN THE NATIONAL RATE (86.1%). SMITH COUNTY (11.5%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY AS COMPARED TO THE STATE (12.8%) (2018). BETWEEN 2014 AND 2016, THE PERCENT OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN SMITH COUNTY AND THE STATE DECREASED. SMITH COUNTY (21.7%) HAS A LOWER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN TEXAS (22.4%) (2016). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH SMITH COUNTY AND THE STATE OF TEXAS (2015-2017). BETWEEN 2015 AND 2017, HEART DISEASE MORTALITY RATES IN SMITH COUNTY REMAINED STEADY WHILE RATES IN THE STATE SLIGHTLY DECREASED. IN 2017, THE HEART DISEASE MORTALITY RATE IN SMITH COUNTY (235.8 PER 100,000) WAS HIGHER THAN THE STATE (169.2 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH SMITH COUNTY AND THE STATE (2015-2017). CANCER MORTALITY RATES IN SMITH COUNTY INCREASED BETWEEN 2015 AND 2017, WHILE RATES IN THE STATE DECREASED. CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE THIRD LEADING CAUSE OF DEATH IN SMITH COUNTY, AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2015-2017). CLRD MORTALITY RATES IN SMITH COUNTY OVERALL INCREASED BETWEEN 2015 AND 2017, WHILE RATES IN THE STATE REMAINED STEADY. CEREBROVASCULAR DISEASES ARE THE FOURTH LEADING CAUSE OF DEATH IN SMITH COUNTY AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2015-2017). BETWEEN 2015 AND 2017, CEREBROVASCULAR DISEASE MORTALITY RATES IN SMITH COUNTY SLIGHTLY INCREASED WHILE RATES IN THE STATE SLIGHTLY DECREASED. FATAL ACCIDENTS ARE THE FIFTH LEADING CAUSE OF DEATH IN SMITH COUNTY, AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2015-2017). ACCIDENT MORTALITY RATES IN SMITH COUNTY DECREASED BETWEEN 2015 AND 2017, WHILE RATES IN THE STATE SLIGHTLY INCREASED. IN 2017, THE LEADING CAUSE OF FATAL ACCIDENTS IN SMITH COUNTY WAS DUE TO MOTOR VEHICLE ACCIDENTS. DISEASES SUCH AS DIABETES MELLITUS, ALZHEIMERS, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN SMITH COUNTY. INTENTIONAL SELF-HARM (SUICIDE) IS THE NINTH LEADING CAUSE OF DEATH IN SMITH COUNTY BUT IS NOT ONE OF THE LEADING CAUSES OF DEATH IN THE STATE (2015-2017). AS OF 2016, SMITH COUNTY (22.7%) HAS A CONSISTENT RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (22.6%). SMITH COUNTY AND THE STATE EXPERIENCED CONSISTENT DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2014 AND 2016 (3.0% AND 3.2%, RESPECTIVELY). IN 2012-2016, THE PERCENTAGE OF THE POPULATION WITH INSURANCE ENROLLED IN MEDICAID (OR OTHER MEANS-TESTED PUBLIC HEALTH INSURANCE) IN SMITH COUNTY (20.6%) WAS SLIGHTLY LOWER THAN THE STATE (21.5%) AND NATIONAL RATES (21.6%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR TYLER CONTINUECARE HOSPITAL BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN SMITH COUNTY TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM NOVEMBER 5, 2018 NOVEMBER 20, 2018. THIS CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE TYLER CONTINUE CARE HOSPITAL BOARD REVIEWED AND ADOPTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 29, 2019. INTERVIEW METHODOLOGY: TYLER CONTINUECARE HOSPITAL WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. TYLER CONTINUECARE HOSPITAL PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITALS STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, COMMUNITY COMMONS, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE TEXAS CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT TYLER CONTINUECARE HOSPITAL, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHIC INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING THE IBM WATSON HEALTH MARKET EXPERT TOOL AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. TYLER CONTINUECARE HOSPITAL PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN SMITH COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, FIFTEEN 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. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT IT WAS NOTED IN THE CHNA THAT 66.7% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 6.7% 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 26.7% OF THOSE PROVIDING INPUT ARE COMMUNITY LEADERS. INTERVIEWEES INCLUDED: LEROY BIGGERS: BOARD MEMBER, FAMILY CIRCLE OF CARE CLINICS CRAIG CHESLEY: BOARD MEMBER, TYLER CONTINUECARE HOSPITAL; BOARD MEMBER, COMMUNITY HOSPITAL CORPORATION NANCY CRAWFORD: EXECUTIVE DIRECTOR, LITERACY COUNCIL OF TYLER JEAN DIB, PHARMD: AMBULATORY CARE CLINICAL PHARMACY MANAGER, CHRISTUS TRINITY CLINIC; PHARMACIST IN CHARGE, SOUTH TYLER HOSPITAL JOHN ENG
SCHEDULE H, PART V, LINE 7ATHE CHNA OF TYLER CONTINUECARE HOSPITAL CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTPS://CONTINUECARE.ORG/TYLER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 10ATHE IMPLEMENTATION STRATEGY OF TYLER CONTINUECARE HOSPITAL CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTPS://CONTINUECARE.ORG/TYLER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, SECTION B, LINE 11THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY TYLER CONTINUECARE HOSPITAL, WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE TYLER CONTINUECARE HOSPITAL CHNA TEAM PRIORITIZED THOSE NEEDS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITALS CAPACITY TO ADDRESS THE NEED. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 5. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 6. ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FOUR OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES OBJECTIVE: PARTICIPATE IN INITIATIVES THAT IMPROVE EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES IN THE COMMUNITY. 1.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO PARTICIPATE IN THE ELECTRONIC HEALTH RECORD (EHR), WHICH IS POWERED BY EPIC. THE EHR BRINGS AN INTEGRATED AND UNIFIED PATIENT CENTERED DATABASE, AND ALSO INCLUDES THE EHR APPLICATION, "MY CHART", WHICH ALLOWS THE PATIENT TO VIEW PERTINENT HEALTH STATISTICS REGARDING THEIR CLINICAL INFORMATION ON HIS OR HER PHONE. 1.B. PHYSICIAN ONE CALL (P1C), A CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM MEDICAL CALL CENTER, IS AVAILABLE TO COMMUNITY MEMBERS FOR FREE 24 HOURS A DAY. REGISTERED NURSES PROVIDE CALLERS WITH ANSWERS TO HEALTH QUESTIONS OVER THE TELEPHONE, CAN SEND HEALTH INFORMATION VIA THE MAIL, PROVIDE PHYSICIAN REFERRALS, GIVE INFORMATION ON COMMUNITY AND HOSPITAL RESOURCES AND DO SYMPTOM BASED TRIAGE. 1.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO HOST INTERDISCIPLINARY TEAM MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENT-CENTERED APPROACH. TYLER CONTINUECARE HOSPITAL STAFF ENCOURAGE FAMILY MEMBERS TO ATTEND AS WELL IN ORDER TO FULLY UNDERSTAND THE NEEDS OF THE PATIENT. 1.D. TYLER CONTINUECARE HOSPITAL WILL MAINTAIN AFFILIATION AGREEMENTS WITH LOCAL ACADEMIC INSTITUTIONS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL WITHIN THE NURSING, RESPIRATORY, DPT AND PTA AREAS. 1.E. UPON DISCHARGE, TYLER CONTINUECARE HOSPITAL WILL CONDUCT FOLLOW UP PHONE CALLS WITH PATIENTS AND SCHEDULE FOLLOW UP APPOINTMENTS WITH PRIMARY AND/OR SPECIALTY CARE PROVIDERS AS NECESSARY. TYLER CONTINUECARE HOSPITAL WILL ALSO SHARE PATIENT DISCHARGE SUMMARIES WITH PHYSICIANS AS NECESSARY. 1.F. TYLER CONTINUECARE HOSPITAL PARTICIPATES IN THE PREFERRED PROVIDER LIST WITH THE HOST FACILITY, WHICH ALLOWS FOR THEM TO SHARE A COMPREHENSIVE LIST OF AVAILABLE HEALTH CARE RESOURCES IN THE COMMUNITY THAT HAVE BEEN VETTED AS THE HIGHEST QUALITY RESOURCES. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PROVIDE ACCESS TO HEALTHCARE AND SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE ELDERLY AND THE INDIGENT. 2.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. 2.B. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, TYLER CONTINUECARE HOSPITAL ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO IMPLEMENT A VARIETY OF AWARENESS, EDUCATION AND SCREENING PROGRAMS FOCUSED ON AGING AND ON RISK FACTORS, PREVENTION AND TREATMENT OF HEART DISEASE AND RESPIRATORY DISEASE, INCLUDING PARTICIPATING IN ELDER CONFERENCES HELD IN TYLER AND LONGVIEW AND IN LOCAL HEALTH FAIRS AND OFFER BLOOD PRESSURE HEALTH SCREENINGS. 2.D. TYLER CONTINUECARE HOSPITAL WILL HELP PROVIDE COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING THE LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND A ONCE A YEAR SCHOOL SUPPLY DRIVE. 2.E. TYLER CONTINUECARE HOSPITAL WILL COLLABORATE WITH VARIOUS ORGANIZATIONS, SUCH AS ST. PAUL'S CHILDREN'S FOUNDATION AND THE EAST TEXAS CRISIS CENTER, THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 2.F. TYLER CONTINUECARE HOSPITAL PROVIDES ACCESS TO A LANGUAGE LINE FOR TRANSLATION SERVICES, AND FLAT SCREEN TELEVISIONS ARE INSTALLED THROUGHOUT THE FACILITY TO AID HEARING IMPAIRED PATIENTS. 2.G. TYLER CONTINUECARE HOSPITAL WILL SHARE THE RECENTLY DEVELOPED RESOURCE LIST OF AVAILABLE TRANSPORTATION RESOURCES IN THE COMMUNITY FOR APPLICABLE SITUATIONS. 2.H. TYLER CONTINUECARE HOSPITAL SUPPORTS THE LOCAL ORGANIZATION HANGERS FOR HOPE IN THEIR RESALE EFFORTS TO FUND AN INDIGENT MEDICAL CLINIC, BETHESDA HEALTH CLINIC. 2.I. IN CONJUNCTION WITH THE HOST, TYLER CONTINUECARE HOSPITAL PARTICIPATES IN THE LOCAL PROVIDER PARTICIPATION FUNDS PROGRAM THAT FUNDS SMITH COUNTY'S DELIVERY OF INDIGENT CARE. PRIORITY #3: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PARTICIPATE IN INITIATIVES TO IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS. 3.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 3.B. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO SHARE AVAILABLE LOCAL COUNSELING RESOURCES WITH MENTAL AND BEHAVIORAL HEALTH RELATED PATIENTS AS NEEDED. THROUGH ITS ESTABLISHED RELATIONSHIP WITH ALETHIA, TYLER CONTINUECARE HOSPITAL IS ABLE TO PROVIDE INPATIENT COUNSELING FOR APPLICABLE PATIENTS. 3.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO ADDRESS MENTAL HEALTH CONDITIONS AMONG ITS PATIENTS THROUGH MEDICATION MANAGEMENT. PRIMARY CARE PHYSICIANS ARE ABLE TO PROMOTE MEDICATION MANAGEMENT AND REFER PATIENTS TO THE APPROPRIATE MENTAL HEALTH SETTINGS UPON DISCHARGE. 3.D. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER CHAPLAIN SERVICES TO SUPPORT PATIENTS AND THEIR FAMILIES. PRIORITY #4: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: PROVIDE A VARIETY OF EDUCATION AND AWARENESS OPPORTUNITIES THAT AIM TO PROMOTE COMMUNITY WELLNESS, PROVIDE SUPPORT TO COMMUNITY MEMBERS, AND ASSIST PATIENTS AND EMPLOYEES IN CHANGING UNHEALTHY LIFESTYLES. 4.A. THE EMPLOYEES OF TYLER CONTINUECARE HOSPITAL ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS BY SUPPORTING LOCAL NURSING SCHOOLS, RESPIRATORY, DPT AND PT ASSISTANT SCHOOLS BY PRESENTING TO STUDENTS ENROLLED IN THESE PROGRAMS AND DONATING EQUIPMENT TO THE FACILITIES. 4.B. TYLER CONTINUECARE HOSPITAL WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING: PROMOTING EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH; OFFERING NEED SPECIFIC SPECIAL PROGRAMS; ENCOURAGING PARTICIPATION IN QUARTERLY WELLNESS CHALLENGES; SMOKING CESSATION; COLLABORATING WITH HOSPITAL CAFETERIA PROVIDERS TO HIGHLIGHT HEALTHY FOOD OPTIONS; PROVIDING MENTAL HEALTH EDUCATION VIA THE EMPLOYEE ASSISTANCE PROGRAM THROUGH BEACON HEALTH OPTIONS; AND CONTINUING TO IMPLEMENT THE TOBACCO-FREE NEW HIRE POLICY. 4.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO STAFF COMMUNITY LIAISONS, WHICH ENABLE THE HOSPITAL TO ENGAGE IN ADDITIONAL COMMUNITY HEALTH EDUCATION EVENTS AND HEALTH FAIRS. 4.D. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO MAINTAIN A SMOKE FREE CAMPUS AND PROVIDES EDUCATIONAL LITERATURE ON SMOKING CESSATION. 4.E. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, AND MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. 4.F. TYLER CONTINUECARE HOSPITAL WILL PARTICIPATE IN BLOOD DRIVES TARGETED AT THE EMPLOYEES OF THE HOSPITAL AND CLINIC MULTIPLE TIMES A YEAR. 4.G. TYLER CONTINUECARE HOSPITAL WILL PARTICIPATE IN EVENTS TO SUPPORT LOCAL NONPROFIT ORGANIZATIONS AS THEY ARISE. PRIORITIES NOT ADDRESSED: TYLER CON
SCHEDULE H, PART V, LINES 16A-CTHE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY FOR TYLER CONTINUECARE HOSPITAL CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTPS://CONTINUECARE.ORG/TYLER/FINANCIAL-ASSISTANCE/

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PAYMENT FOR CHARITY CAREIN THE STATE OF TEXAS, IT IS PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. TYLER CONTINUECARE HOSPITAL CONTRIBUTED TO TRINITY MOTHER FRANCES $97,705 FOR THE PROVISION OF CHARITY CARE.
SCHEDULE H, PART I, LINE 7, COLUMN FOUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $23,370,910 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $1,885,176. THIS LEFT A TOTAL EXPENSE OF $21,485,734 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SINCE TYLER CONTINUECARE HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL.
SCHEDULE H, PART IITHE ORGANIZATION PROVIDES VARIOUS CHARITABLE SERVICES TO THE LOCAL COMMUNITY. THESE CHARITABLE SERVICES INCLUDE PROVIDING COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING THE LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND A ONCE A YEAR SCHOOL SUPPLY DRIVE. THE HOSPITAL ALSO COLLABORATED WITH VARIOUS ORGANIZATIONS THAT PROVIDED SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE INDIGENT. THIS INCLUDES ST. PAUL'S CHILDREN'S FOUNDATION, WHICH OFFERS ADULT AND CHILDREN'S MEDICAL AND DENTAL CLINICS, AND EAST TEXAS CRISIS CENTER, WHICH SERVES BATTERED WOMEN IN THE COMMUNITY.
SCHEDULE H, PART III, LINE 2THE 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 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 4TYLER CONTINUECARE HOSPITAL 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 8THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE RATIO COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, LINE 9BIF A PATIENT OF TYLER CONTINUECARE HOSPITAL QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENTS 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 2NEEDS ASSESSMENT THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE ASSESSED BY A REVIEW OF THE PRIMARY AND TERTIARY SERVICE AREAS FOR DISEASE SPECIFIC MORTALITY RATES. DISEASE STATISTICS ARE GATHERED FROM THE HEALTH PROMOTION UNIT OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES. INTERVIEWS WITH LOCAL HEALTH CARE AND ELDERLY SERVICE PROVIDERS ARE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE COMMUNITY.
SCHEDULE H, PART VI, QUESTION 3PATIENT EDUCATION PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED UPON ADMISSION TO TYLER CONTINUECARE HOSPITAL BY A FACE TO FACE VISIT WITH THE BUSINESS OFFICE ASSOCIATES. THE PATIENT FINANCIAL OBLIGATION IS DISCUSSED WITH THE RESPONSIBLE PARTY AND A FACT SHEET THAT DESCRIBES 'HOW MUCH AND WHEN' IS GIVEN TO EACH 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.
SCHEDULE H, PART VI, QUESTION 4COMMUNITY INFORMATION TYLER CONTINUECARE HOSPITAL SERVES SMITH COUNTY. THE POPULATION IN SMITH COUNTY IS 228,556 (2018) AND IS EXPECTED TO INCREASE BY 6.0% BY THE YEAR 2023. THE MAJORITY OF RESIDENTS IN SMITH COUNTY IDENTIFY AS WHITE-NON HISPANIC. THE NEXT LARGEST RACES/ETHNICITIES IN SMITH COUNTY ARE THE BLACK AND HISPANIC POPULATIONS AT 17.1% AND 20.0% RESPECTIVELY (2018). SMITH COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS BETWEEN THE AGES OF 18-44 YEARS OLD (35.4%) (2018) AND THE PERCENTAGE IS EXPECTED TO INCREASE 5.3% BY 2023. IN 2017, SMITH COUNTY (4.1%) HAD A SLIGHTLY LOWER UNEMPLOYMENT RATE THAN THE STATE (4.3%). THE MEDIAN HOUSEHOLD INCOME IN 2018 IN SMITH COUNTY IS $52,898 WHICH IS SLIGHTLY HIGHER THAN THE STATE OF TEXAS AT $51,492(2018). IN 2015-2016, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN SMITH COUNTY (91.0%) WAS CONSISTENT WITH THE STATE (90.5%) AND HIGHER THAN THE NATIONAL RATE (86.1%). HOWEVER, SMITH COUNTY (24.8%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (28.1%) (2018). HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN SMITH COUNTY AND THE STATE. SMITH COUNTY HAS HIGHER MORTALITY RATES THAN TEXAS FOR HEART DISEASE; CHRONIC LOWER RESPIRATORY DISEASES; ACCIDENTS (UNINTENTIONAL INJURIES); DIABETES MELLITUS; NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INTENTIONAL SELF-HARM (SUICIDE); AND IN CERTAIN TYPES OF NEOPLASMS. SMITH COUNTY ALSO HAS HIGHER RATES OF COMMUNICABLE DISEASES SUCH AS CHLAMYDIA AND GONORRHEA THAN THE STATE, AS WELL AS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS ADULT DIABETES, OBESITY, ASTHMA, PHYSICAL INACTIVITY AND SMOKING THAN THE STATE. ADDITIONALLY, THE COUNTY HAS SEVERAL HEALTH PROFESSIONAL SHORTAGE AREA DESIGNATIONS AND CENSUS TRACT-BASED MEDICALLY UNDERSERVED AREA/POPULATION DESIGNATIONS, AS DEFINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA).
SCHEDULE H, PART VI, QUESTION 5PROMOTION OF COMMUNITY HEALTH THE HEALTH OF THE COMMUNITY IS PROMOTED BY PARTNERING WITH LOCAL HEALTH CARE PROVIDERS TO GIVE ASSISTANCE IN WHATEVER IS NECESSARY TO MEET THE NEEDS OF THEIR CONSTITUENTS. FOR EXAMPLE, THE HOSPITAL PARTICIPATES IN REGULAR FOOD DRIVES FOR A LOCAL FOOD PANTRY AND ASSISTS WITH GATHERING SUPPLIES FOR THEIR ANNUAL 'BACK TO SCHOOL' DRIVE WHERE SCHOOL SUPPLIES ARE COLLECTED FOR FILLING BACKPACKS PRIOR TO GOING BACK TO SCHOOL. THE STAFF ALSO PARTICIPATES IN HEALTH FAIRS THAT WOULD PRESENT INFORMATION ON A HEALTHY LIFESTYLE TO THE ELDERLY OR UNDERSERVED POPULATION. THE HOSPITAL ALSO PROMOTES AN OPEN MEDICAL STAFF IN ORDER TO BETTER SERVE THE PATIENTS SEEKING CARE. CONTINUECARE HOSPITAL OF TYLER ALSO HAS A COMMUNITY BOARD STRUCTURE SO THAT THE HOSPITAL CAN BE GOVERNED BY THE COMMUNITY IN WHICH IT SERVES.
SCHEDULE H, PART VI, QUESTION 6AFFILIATED HEALTH CARE SYSTEM TYLER CONTINUECARE HOSPITAL IS AN AFFILIATE OF TRINITY MOTHER FRANCES HEALTH SYSTEM IN TYLER, TEXAS. 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 7STATE FILING OF COMMUNITY BENEFIT REPORT TX

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JIM KENDRICK
DIRECTOR$0$731,161$0$108,754$0$16,807$0$104,791$0$30,338$0$991,851$0$3,385
STEPHANIE HYDE
CEO/PRESIDENT$0$183,099$0$39,123$0$3,848$0$13,197$0$20,728$0$259,995$0$0
DAVID BUTLER
SECRETARY$0$362,062$0$35,012$0$23,681$0$5,602$0$26,653$0$453,010$0$0
JAMES HILL
TREASURER$0$263,523$0$28,210$0$25,656$0$6,372$0$31,489$0$355,250$0$0
TRAVIS JACOBS
PHARMACIST$184,371$0$0$0$0$0$0$0$0$0$184,371$0$0$0
AUBREY HARRY
CNO$0$103,574$0$34,918$0$2,534$0$8,250$0$17,388$0$166,664$0$0
MICHAEL D WILLIAMS
FORMER DIRECTOR$0$203,525$0$0$0$0$0$0$0$0$0$203,525$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3TYLER CONTINUECARE HOSPITAL DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE, LLC (CCC) COMPENSATES THE TYLER CONTINUECARE HOSPITAL PRESIDENT. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/19 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
SCHEDULE J, PART I, LINE 4BNON QUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: DAVID BUTLER - $14,021 JAMES HILL - $12,303 JIM KENDRICK - $106,436
SCHEDULE J, PART I, LINE 7A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE CONSOLIDATED EBIDA OF CHC. NON-FIXED BONUSES WERE PAID TO: STEPHANIE HYDE - $39,123

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 3DESCRIPTION OF MANAGEMENT ARRANGEMENT CHC COMMUNITY CARE, LLC (CCC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
FORM 990, PART VI, LINE 6DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) IS CCC.
FORM 990, PART VI, LINE 7ADESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE SOLE MEMBER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER.
FORM 990, PART VI, LINE 7BCLASSES 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 8BDOCUMENTATION OF MEETINGS OF COMMITTEES THERE WERE NO COMMITTEES OF THE GOVERNING BODY.
FORM 990, PART VI, LINE 11BDESCRIBE 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 12CDESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CCC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION (CHC), 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 JUNE 30, 2011. 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 & 15BOFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATIONS EXECUTIVES ARE EMPLOYED BY CCC WHICH FOLLOWS THE COMPENSATION POLICY OF 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 JUNE 30, 2019 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 19PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS DISTRIBUTIONS TO MEMBERS ($581,000)
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES - MEDICAL TOTAL FEES:6266776
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:571464
FORM 990 PART IX LINE 11GDESCRIPTION:FEES - OTHER SERVICES TOTAL FEES:43039

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591BEAUMONTTX77704741303720HOSPITALTX501(c)(3)3SWCH INCfalse
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE STBEAUMONTTX77701760453250PRIMARY CARETX501(c)(3)3BHSETfalse
SOUTHWEST COMMUNITY HOSPITAL INC
7800 N DALLAS PKWY STE 200PLANOTX75024752725353SUPPORT ORGTX501(c)(3)12C-III-FICHCfalse
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRYOAKUMTX77995742323822HOSPITALTX501(c)(3)3CHCfalse
CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS
7800 N DALLAS PKWY STE 200PLANOTX75024201150480HOSPITALTX501(c)(3)3CCCfalse
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACELA GRANGETX78945743019849HOSPITALTX501(c)(3)3CHCfalse
CHC COMMUNITY CARE LLC
7800 N DALLAS PKWY STE 200PLANOTX75024371485773SUPPORT ORGDE501(c)(3)12C-III-FICHCfalse
CONTINUECARE HOSPITAL OF MIDLAND
4214 ANDREWS HIGHWAYMIDLANDTX79703463053684HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FLABILENETX79601463607347HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSPITAL AT BAKERSFIELD
7800 N DALLAS PKWY STE 200PLANOTX75024465236524HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FLMADISONVILLEKY42431465033192HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FLPADUCAHKY42003465032999HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAYCORBINKY40701200925675HOSPITALKY501(c)(3)3CCCfalse
CRAWLEY MEMORIAL HOSPITAL
706 KINGS STREETKINGS MOUNTAINNC28086560691100HOSPITALNC501(c)(3)3CAR CCfalse
CAROLINAS COMMUNITY CARE LLC
7800 N DALLAS PKWY STE 200PLANOTX75024465590355SUPPORT ORGDE501(c)(3)12B-IICHCfalse
JELLICO COMMUNITY HOSPITAL INC
188 HOSPITAL LANEJELLICOTN37762620924706HOSPITALTN501(c)(3)3CHCfalse
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREETODESSATX79761473539943HOSPITALDE501(c)(3)3CCCfalse
COMMUNITY HOSPITAL CORPORATION
7800 N DALLAS PKWY STE 200PLANOTX75024752638469SUPPORT ORGTX501(C)(3)12C-III-FINAfalse
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVEYOAKUMTX77995453609830SUPPORT ORGTX501(C)(3)12A-1YCHfalse
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235BEAUMONTTX77701611557670SUPPORT ORGTX501(C)(3)7BHSETfalse
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7800 N DALLAS PKWY STE 200PLANOTX75024813048423HOSPITALTX501(C)(3)3CCCfalse
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROADCHARLOTTENC28210753054855HOSPITALNC501(c)(3)3CAR CCfalse
RURAL AND COMMUNITY HEALTHCARE COLLABORA
7800 N DALLAS PKWY STE 200PLANOTX75024814337246SUPPORT ORGTX501(c)(3)7CHCfalse
GAINESVILLE COMMUNITY HOSPITAL INC
1900 HOSPITAL BLVDGAINESVILLETX76240831683025HOSPITALTX501(C)(3)3CHCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GTGRAND CAYMANCJCAPTIVE INSURANCECJCHCC Corpfalse
COMMUNITY HOSPITAL CONSULTING INC
MGMT CONSULTINGCHCC CORPfalse7800 N DALLAS PARKWAY 200PLANOTX75024204710183TX
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITAL CORPORATION
P$1,870,925cost
CHC COMMUNITY CARE LLC
P$826,301Cost
CHC COMMUNITY CARE LLC
O$340,393Cost
CHC COMMUNITY CARE LLC
R$116,250Cost