2020-05-13T14:46:44-05:00 2019-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2018-07-01 742323822 Yoakum Community Hospital % John Olivares CFO YOAK 3612932321 1200 Carl Ramert Drive Yoakum TX 77995 JOHN OLIVARES CFO 3612932321 2020-05-07 true melva scott P01207335 8173351900 107.77.220.149 75306120201345000002 2020-05-13 P FC0B4FD89879911EF032AFDBB4CCF2F2294AF6BF 4649FBF9538438D828890CF76278F3989A1FB147 2018 2021-01-29 14:40:06Z Karen Barber RN CEO 1200 Carl Ramert Drive Yoakum TX 77995 23472588 false X WWW.YOAKUMHOSPITAL.org X 1922 TX To enhance our tradition of compassionate, quality, and cost effective quality, and cost effective services which results in measurable benefits to our patients, community, employees, and medical staff. 11 9 239 20 0 0 642754 332449 22839000 22149000 9880 10501 768071 904249 24259705 23396199 0 0 0 0 12875067 11895446 0 0 0 12149537 10992836 25024604 22888282 -764899 507917 14896000 16451000 3981000 5019000 10915000 11432000 X The Yoakum Community Hospital family provides comprehensive healthcare with compassion, dignity, and respect through tradition of quality care and superior service to our community. false false 20474161 0 23090072 YOAKUM COMMUNITY HOSPITAL (YCH) IS A NOT-FOR-PROFIT, CRITICAL-ACCESS HOSPITAL DELIVERING COMPREHENSIVE SERVICES WITH COMPASSION AND COMMITMENT. HOSPITAL LEADERSHIP AND PHYSICIANS WORK TOGETHER TO GUIDE THE DIRECTION OF THE FACILITY. THE BUSY, 25-BED COMMUNITY HOSPITAL HAS SERVED NEIGHBORS IN YOAKUM AND THE SURROUNDING AREA FOR 90 YEARS. THE YCH MEDICAL STAFF OF 23 PHYSICIANS INCLUDES NOT ONLY FAMILY PHYSICIANS BUT ALSO THOSE CERTIFIED IN A NUMBER OF MAJOR HEALTHCARE SPECIALTIES. MORE THAN 80 YCH STAFF NURSES PROVIDE SPECIAL EXPERTISE AND A COMPASSIONATE BEDSIDE MANNER. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY, GENERAL MEDICINE, DIABETES EDUCATION, SLEEP DISORDER TREATMENT, SURGERY AND THE MANY MEDICAL SPECIALISTS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. THE YCH TEAM TAKES PRIDE IN THE FACILITY'S QUALITY OF CARE AND OUR ONGOING COMMITMENT TO PATIENTS IN YOAKUM AND THE SURROUNDING COMMUNITIES. ADDITIONAL INFORMATION REGARDING YCH FOR FISCAL YEAR ENDED JUNE 30, 2019: - THE HOSPITAL PERFORMED 454 LIFESAVING SURGERIES. - YCH ADMITTED 551 LOCAL PATIENTS IN THE ACUTE STATE OF ILLNESS AND MANAGED 6,102 EMERGENCY ROOM VISITS WITH THE RAPID, RELIABLE CARE OUR COMMUNITY DESERVES. - THE EMERGENCY SERVICES AT YCH HAVE EARNED THE HOSPITAL DISTINGUISHED RECOGNITION AS THE FIRST LEVEL IV TRAUMA CENTER IN THE AREA. - IN 2007, YOAKUM CHAMBER OF COMMERCE PRESENTED YCH WITH ITS BUSINESS OF THE YEAR AWARD, AND THE HOSPITAL ALSO RECEIVED THE 2007 TEXAS HEALTH CARE QUALITY IMPROVEMENT AWARD. - IN 2012, YOAKUM COMMUNITY HOSPITAL RECEIVED THE 2012 TEXAS HEALTH CARE QUALITY IMPROVEMENT BRONZE AWARD. HOSPITAL SERVICES: YCH PROVIDES A BROAD RANGE OF SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE: - UP-TO-DATE LABORATORY, PHYSICAL THERAPY AND RADIOLOGY SERVICES-INCLUDING MRI, MAMMOGRAPHY, CT, RADIOGRAPHY/FLUOROSCOPY AND ULTRASOUND DIAGNOSTIC SERVICES. - LONE STAR EMERGENCY PHYSICIANS IN YOAKUM COMMUNITY HOSPITAL'S EMERGENCY ROOM TREAT TRAUMA PATIENTS AT ANY TIME OF DAY OR NIGHT, SEVEN DAYS A WEEK. - MEDICAL SPECIALISTS, INCLUDING CARDIOLOGY, EAR, NOSE AND THROAT, GASTROENTEROLOGY, GENERAL SURGERY, OPHTHALMOLOGY, ORTHOPEDICS, OB/GYN, PODIATRY AND UROLOGY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC ON A REGULAR BASIS. - SURGICAL SERVICES FOR MANY INPATIENT AND OUTPATIENT PROCEDURES IN OUR FULLY EQUIPPED OPERATING ROOMS. - CONVENIENT ACCESS TO NUMEROUS OUTPATIENT SERVICES FOR PATIENTS WITH SLEEP DISORDERS, DIABETES AND PULMONARY REHABILITATION NEEDS. - CONVENIENT ACCESS TO NUMEROUS OUTPATIENT SERVICES FOR PATIENTS WITH SLEEP DISORDERS, DIABETES AND PULMONARY REHABILITATION NEEDS. 20474161 true true false false 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 17 0 true 239 true false false false false false false false false false false false false X 11 9 false true false false true true true true true false false true true true true true true false true false X John Olivares CFO 3612932321 1200 Carl Ramert Drive Yoakum TX 77995 Ronald Leck Board Member 1.0 0.0 X 0 0 0 Clay B Hermann Board Member 1.0 0.0 X 0 0 0 Saundra Anderson DO Board Member/Physician 40.0 0.0 X 263064 0 24477 Larry M Leahy Board Member 1.0 0.0 X 0 0 0 Suzanne Kennedy Board Member 1.0 0.0 X 0 0 0 Marvin Boedeker Director 1.0 0.0 X 0 0 0 Craig Sims Board Member 1.0 39.0 X 0 371966 31724 Tom Kelley Board Member (START 1/19) 1.0 0.0 X 0 0 0 Jeff Pesek Board Member (START 1/19) 1.0 0.0 X 0 0 0 Elorine Sitka board member 1.0 0.0 X 0 0 0 R Martin Lambert MD board member, Chief of Staff 40.0 0.0 X 241648 0 5017 RANDY MEYER BOARD MEMBER (UNTIL 12/18) 1.0 0.0 X 0 0 0 DAVID KAPAVIK BOARD MEMBER (UNTIL 12/18) 1.0 0.0 X 0 0 0 TOMMY PIETSCH BOARD MEMBER (UNTIL 02/18) 1.0 0.0 X 0 0 0 Karen Barber RN CEO/Pres. 40.0 0.0 X 0 234192 29658 John Olivares CFO 40.0 0.0 X 0 124957 29588 DAVID BUTLER ASSISTANT SECRETARY 1.0 39.0 X 0 420755 32255 Jennifer Franklin RN CCO 40.0 0.0 X 0 136594 31971 James E Drost MD Physician 40.0 0.0 X 300118 0 24500 KELLY KEEBLE REGISTERED NURSE 40.0 0.0 X 100229 0 4303 905059 1288464 213493 4 false true false AM ANESTHESIA SERVICES OF SOUTH TEX 222 THIELE ROAD YOAKUM TX 77995 ANESTHESIA SERVICES 376808 MEDHOST OF TENNESSEE INC 2739 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL SERVICES 811376 LONE STAR EMERGENCY ASSOCIATES LLC 1900 BARTON SPRINGS ROAD 5030 AUSTIN TX 78704 HEALTHCARE SERVICES 815979 TLC STAFFING LLC 101 PALMWOOD DRIVE VICTORIA TX 77901 CONTRACT LABOT SVCS 125104 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 HEALTHCARE SERVICES 119978 26 213800 8629 110020 332449 Net Patient Service Rev 622110 22149000 22149000 0 0 22149000 10501 10501 0 0 39566 76389 -36823 0 -36823 -36823 0 0 0 0 0 0 0 0 0 0 O/P Clinic Usage Fees 621990 19050 19050 0 0 Med Rec Transcripts 900099 7764 7764 0 0 340B DISPENSED FEE - 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X 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 X true X false false PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA FOR YOAKUM COMMUNITY HOSPITAL ARE PRESENTED AS A PRIORITIZED DESCRIPTION. PART V, LINE 5 YOAKUM COMMUNITY HOSPITAL IS A 25-BED HOSPITAL LOCATED IN THE TEXAS HILL COUNTRY AND HAS PROVIDED HEALTHCARE TO THIS AREA SINCE 1922. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF ITS COMMUNITY AND IS THE ONLY LEVEL IV TRAUMA CENTER IN THE AREA. THE SERVICES YOAKUM COMMUNITY HOSPITAL PROVIDES INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY AND URGENT CARE, GENERAL MEDICINE, DIABETES EDUCATION, TREATMENT FOR SLEEP DISORDERS, SURGERY, CARDIOLOGY, AND THE MANY SPECIALTY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. PATIENTS BENEFIT FROM THE LATEST MEDICAL TECHNOLOGY ALONG WITH COMPREHENSIVE HEALTH CARE DELIVERED BY HIGHLY SKILLED PHYSICIANS, NURSES AND PROFESSIONAL STAFF. THE DEFINED SERVICE AREA OF YOAKUM COMMUNITY HOSPITAL IS DEWITT AND LAVACA COUNTIES IN TEXAS. THE POPULATION OF DEWITT COUNTY IS EXPECTED TO GROW FROM 2018 (21,213) TO 2023 (22,227) BY 4.8% AND LAVACA COUNTY'S POPULATION IS EXPECTED TO GROW FROM 2018 (19,852) TO 2023 (20,590) BY 3.7%, WHICH ARE BOTH 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 DEWITT COUNTY WAS 54.3% WHITE NON-HISPANIC, 8.4% BLACK, 35.2% HISPANIC, 0.5% ASIAN, 0.3% AMERICAN INDIAN AND 1.3% ALL OTHERS. IN LAVACA COUNTY, THE RACIAL/ETHNIC BREAKOUT AS OF 2018 WAS 72.3% WHITE NON-HISPANIC, 6.1% BLACK, 19.7% HISPANIC, 0.4% ASIAN, 0.2% AMERICAN INDIAN AND 1.2% ALL OTHERS. IN DEWITT COUNTY, BY 2023, THE WHITE NON-HISPANIC POPULATION IS EXPECTED TO INCREASE BY 1.2%, THE BLACK POPULATION BY 0.9%, THE HISPANIC POPULATION BY 10.2%, THE ASIAN POPULATION BY 40.6%, THE AMERICAN INDIAN POPULATION BY 22.0% AND ALL OTHERS BY 15.6%. In Lavaca County, by 2023, the White Non-Hispanic population is expected to increase by 0.1%, the Hispanic population by 16.5%, the Asian population by 9.5%, the American Indian population by 25.0% and All Others by 28.0%; however, the Black population is expected to slightly decrease by -0.7% by 2023. AS OF 2018, LAVACA COUNTY (43.5 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH DEWITT COUNTY (41.8 YEARS) AND THE STATE OF TEXAS (39.2 YEARS). THE MEDIAN HOUSEHOLD INCOMES IN BOTH DEWITT ($56,466) AND LAVACA ($55,859) COUNTIES ARE HIGHER THAN THAT OF THE STATE ($51,492). BETWEEN 2018 AND 2023, THE MEDIAN HOUSEHOLD INCOMES IN DEWITT COUNTY, LAVACA COUNTY AND THE STATE ARE EXPECTED TO INCREASE. THE UNEMPLOYMENT RATE IN DEWITT COUNTY (4.4%) IS HIGHER THAN THE RATE IN LAVACA COUNTY (3.6%), BUT CONSISTENT WITH THE STATE (4.3%) (2017). DEWITT COUNTY (14.4%) AND LAVACA COUNTY (15.8%) HAVE A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (28.1%). THE REPORT AREA (LAVACA AND DEWITT COUNTIES) (92.2%) HAS A SLIGHTLY HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (90.5%) AND THE NATION (86.1%)(2015-2016). LAVACA COUNTY (8.1%) HAS THE LOWEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO DEWITT COUNTY (12.8%) AND THE STATE (12.8%). BETWEEN 2014 AND 2016 THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN DEWITT COUNTY REMAINED STEADY WHILE LAVACA COUNTY AND THE STATE OF TEXAS DECREASED. IN 2016, DEWITT COUNTY (26.8%) HAD A HIGHER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN THE STATE (22.4%), WHILE LAVACA COUNTY'S (17.6%) RATE OF CHILDREN IN POVERTY IS LOWER THAN THE STATE. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH DEWITT COUNTY AND LAVACA COUNTY. BETWEEN 2012 AND 2016, HEART DISEASE MORTALITY RATES OVERALL DECREASED IN BOTH DEWITT AND LAVACA COUNTIES, AND REMAINED STEADY IN THE STATE. IN 2014-2016, THE HEART DISEASE MORTALITY RATE IN DEWITT COUNTY (191.8 PER 100,000) WAS HIGHER THAN THE RATE IN LAVACA COUNTY (176.7 PER 100,000) AND IN THE STATE (169.7 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH COUNTIES AND THE STATE (2012-2016). BETWEEN 2012 AND 2016, CANCER MORTALITY RATES OVERALL INCREASED IN DEWITT COUNTY, REMAINED STEADY IN LAVACA COUNTY, AND DECREASED IN THE STATE. FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN LAVACA COUNTY, THE FOURTH LEADING CAUSE OF DEATH IN DEWITT COUNTY, AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2012-2016). BETWEEN 2012 AND 2016, ACCIDENT MORTALITY RATES INCREASED IN DEWITT COUNTY, DECREASED IN LAVACA COUNTY, AND REMAINED STEADY IN THE STATE. THE LEADING CAUSE OF FATAL ACCIDENTS IN LAVACA COUNTY IS DUE TO MOTOR VEHICLE ACCIDENTS, WHILE THE LEADING CAUSE IN DEWITT COUNTY IS DUE TO NON-TRANSPORT ACCIDENTS (2014-2016). CEREBROVASCULAR DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN LAVACA COUNTY, AND THE THIRD LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE STATE (2012- 2016). BETWEEN 2012 AND 2016, CEREBROVASCULAR DISEASE MORTALITY RATES INCREASED IN DEWITT COUNTY, REMAINED STEADY IN THE STATE, AND FLUCTUATED IN LAVACA COUNTY. ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN LAVACA COUNTY, AND THE SIXTH LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE STATE (2012-2016). BETWEEN 2012 AND 2016, ALZHEIMER'S DISEASE MORTALITY RATES FLUCTUATED IN DEWITT AND LAVACA COUNTIES, WHILE THE STATE RATE INCREASED. DISEASES SUCH AS CHRONIC RESPIRATORY DISEASE, DIABETES MELLITUS, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN DEWITT AND LAVACA COUNTIES. SEPTICEMIA IS THE NINTH LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE EIGHT LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE STATE (2012-2016). INFLUENZA AND PNEUMONIA IS THE TENTH LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE NINTH LEADING CAUSE OF DEATH IN DEWITT COUNTY BUT IS NOT A LEADING CAUSE OF DEATH OVERALL IN THE STATE OF TEXAS (2012-2016). AS OF 2016, BOTH DEWITT (20.3%) AND LAVACA (19.3%) COUNTIES HAVE LOWER RATES OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (22.6%). LAVACA COUNTY AND THE STATE OF TEXAS EXPERIENCED A CONSISTENT CHANGE IN UNINSURED RATES (4.9% AND 3.2%, RESPECTIVELY) BETWEEN 2014 AND 2016, WHILE DEWITT COUNTY REMAINED STEADY (0.0%). IN 2014, THE RATE OF PRIMARY CARE PHYSICIANS PER 100,000 POPULATION IN THE REPORT AREA (DEWITT AND LAVACA COUNTIES) (52.0 PER 100,000) WAS LOWER THAN THE STATE (68.7 PER 100,000) AND NATIONAL RATES (87.8 PER 100,000). Between 2012 and 2016, 16.6% of the insured population in Dewitt and Lavaca Counties reported receiving Medicaid, which is below the state rate (21.5%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR YOAKUM COMMUNITY HOSPITAL (YCH) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN DEWITT AND LAVACA COUNTIES, TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM JULY 17, 2018 - AUGUST 3, 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 YCH BOARD REVIEWED AND ADOPTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MARCH 27, 2019. INTERVIEW METHODOLOGY: YCH WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. YCH PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), THE ROBERT WOOD JOHNSON FOUNDATION, COMMUNITY COMMONS, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT YCH, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. DEMOGRAPHIC INFORMATION WAS COLLECTED BY CHC 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. YCH PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN DEWITT AND LAVACA COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, THIRTEEN 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 76.9% 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. 7.7% OF THOSE PROVIDING INPUT WORK FOR PART V, SECTION B, LINE 11 THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY YCH, 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 CHNA TEAM AND HOSPITAL LEADERSHIP PRIORITIZED THOSE NEEDS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS LISTED BELOW: 1. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 2. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 5. ACCESS TO AFFORDABLE DENTAL CARE SERVICES ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FOUR OF THE FIVE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. 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. 1.A. YCH WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING NUMEROUS CLASSES, SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC UPON REQUEST. 1.B. YCH OFFERS REDUCED PRICE WELLNESS SCREENINGS TO LOCAL BUSINESSES (I.E., HOCHHIEM PRAIRIE), INCLUDING FREE BLOOD PRESSURE, A1C, CHOLESTEROL SCREENINGS AND PSAS FOR MEN UPON REQUEST. 1.C. YCH WILL CONTINUE TO PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO SHARE INFORMATION ON HEALTH EDUCATION AND PROVIDE VARIOUS WELLNESS SCREENINGS, INCLUDING THE ANNUAL HIGHWAY DEPARTMENT CAREER FAIR AND LOCAL HEALTH FAIRS (I.E., FIRST RESPONDERS HEALTH FAIR). 1.D. YCH PHYSICAL THERAPY DEPARTMENT AND LOCAL PHYSICIANS HELP WITH THE ANNUAL ATHLETIC PREPARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST. THIS INCLUDES YOAKUM ISD, SWEET HOME ISD, AND ST. JOSEPH CATHOLIC SCHOOL. 1.E. THE HOSPITAL WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY AS APPROPRIATE. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO, THE ALZHEIMER'S SUPPORT GROUP, PATIENTS IN THE TEXAS A&M DIABETIC EDUCATION PROGRAM, AND THE YOAKUM GARDEN CLUB. 1.F. THE HOSPITAL WILL CONTINUE TO COORDINATE WITH SOUTH TEXAS BLOOD AND TISSUE CENTER TO PARTICIPATE IN BLOOD DRIVES ON A QUARTERLY BASIS, WHICH ARE OPEN TO HOSPITAL EMPLOYEES AND THE COMMUNITY. 1.G. THE HOSPITAL WILL CONTINUE TO PROVIDE A LOCATION FOR WIC. 1.H. YCH WILL SERVE AS A SITE FOR PROPER MEDICATION DISPOSAL TO ENCOURAGE THE SAFE DISPOSAL OF UNUSED AND REMAINDER MEDICATIONS FOR RESIDENTS IN THE COMMUNITY. 1.I. UPON DISCHARGE, YCH PHARMACISTS CALL PATIENTS WITHIN THE FIRST 24-72 HOURS TO ENSURE THAT THEIR MEDICATION PROCESS IS UNDERSTOOD AND TO ANSWER ANY QUESTIONS. 1.J. THE HOSPITAL WILL CONTINUE TO ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING: PROMOTING EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH; OFFERING TELADOC SERVICES; OFFERING NEED SPECIFIC SPECIAL PROGRAMS; ENCOURAGING PARTICIPATION IN QUARTERLY WELLNESS CHALLENGES; SMOKING CESSATION; COLLABORATING WITH HOSPITAL CAFETERIA PROVIDERS TO HIGHLIGHT HEALTHY FOOD OPTIONS; PROMOTING FITNESS OPPORTUNITIES; CHARITABLE FITNESS EVENTS; PROVIDING MENTAL HEALTH EDUCATION VIA THE EMPLOYEE ASSISTANCE PROGRAM; CONTINUING TO IMPLEMENT THE TOBACCO-FREE NEW HIRE POLICY; AND OFFERING THE FIDUCIOUS PROGRAM FOR EMPLOYEES WITH STUDENT LOAN PAYMENTS. 1.K. YCH WILL CONTINUE TO ENCOURAGE AND SUPPORT EMPLOYEES IN PHYSICAL ACTIVITY AND WELLNESS (I.E., SOFTBALL TOURNAMENT, DASH FOR DOWN 5K, EMPLOYEE WEIGHT LOSS CHALLENGE, ETC.). ADDITIONALLY, YCH WILL PAY FOR HALF OF THE EXPENSE FOR AN EMPLOYEE'S GYM MEMBERSHIP IN ORDER TO ENCOURAGE EMPLOYEES TO MAINTAIN AN ACTIVE LIFESTYLE. 1.L. THE HOSPITAL WILL CONTINUE TO OFFER A WIDE VARIETY OF SALAD BAR OPTIONS IN THE CAFETERIA FOR EMPLOYEES AND THE COMMUNITY. 1.M. YCH WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR LVN AND RESPIRATORY STUDENTS AT VICTORIA COLLEGE. 1.N. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, INCLUDING THE ROTARY CLUB AND THE LOCAL BOY SCOUTS OF AMERICA CHAPTER. PRIORITY #2: ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS IN THE COMMUNITY. 2.A. YCH WILL CONTINUE TO SUPPORT MEDICAL STAFF DEVELOPMENT EFFORTS THROUGH PROMOTION OF AVAILABLE PHYSICIANS AND MAINTAINING AN UPDATED PHYSICIAN DIRECTORY FOR DISTRIBUTION. THE HOSPITAL INTRODUCES ALL NEW PHYSICIANS THROUGH ADVERTISEMENT IN THE LOCAL NEWSPAPER IN LINE WITH STARK REGULATIONS. 2.B. YCH PROVIDES AN OUTPATIENT CLINIC FOR ROTATING SPECIALISTS IN ORDER TO INCREASE ACCESS TO SPECIALTY CARE FOR LOCAL RESIDENTS, INCLUDING - BUT NOT LIMITED TO - OB/GYN, CARDIOLOGY, GENERAL SURGERY, AND PODIATRY. 2.C. YCH WILL EXPLORE THE EXPANSION OF WOUND CARE AND HYPERBARIC CENTER SERVICES AND ON-SITE LAB SERVICES TO INCREASE ACCESS TO LOCAL SERVICES. 2.D. YCH WILL CONTINUE TO PROVIDE THE GOLD STANDARD OF BOTH CARE AND TECHNOLOGY THROUGH ITS NEW 3D-TOMOSYNTHESIS MAMMOGRAPHY UNIT. 2.E. YCH WILL CONTINUE TO PROVIDE THE TELENEUROLOGY AND TELESTROKE PROGRAM THROUGH ST. DAVID'S MEDICAL CENTER. 2.F. YCH WILL CONTINUE ITS PARTNERSHIP TO PROVIDE TELESTROKE SERVICES, AS WELL AS READING SERVICES FOR EEGS. 2.G. YCH ASSISTS IN SETTING UP FOLLOW-UP APPOINTMENTS WITH NECESSARY PROVIDERS FOR ANY PATIENTS DISCHARGED FROM INPATIENT CARE. 2.H. YCH CASE MANAGEMENT SERVICES WILL ASSIST IN COORDINATING FOLLOW-UP CARE FOR PATIENTS AS NEEDED. 2.I. UPON DISCHARGE FROM INPATIENT CARE, PATIENTS RECEIVE A COPY OF THEIR WRITTEN DISCHARGE SUMMARY AND AN ELECTRONIC SUMMARY IS SENT TO THEIR PRIMARY CARE PROVIDER AS WELL. UPON DISCHARGE FROM THE EMERGENCY ROOM, PATIENTS' PRIMARY CARE PROVIDERS ARE PROVIDED WITH A SUMMARY OF THEIR EMERGENT VISIT. 2.J. YCH WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERINGS, SUCH AS WATER THERAPY, GERIATRIC PSYCH, WOUND CARE AND EMERGENCY STROKE CARE IN THE COMMUNITY. THIS WILL BE DONE VIA BILLBOARD AND DIRECT MAIL ADVERTISEMENTS, AS WELL AS UPDATING THE HOSPITAL'S WEBSITE AND FACEBOOK PAGE. 2.K. YCH IS A DESIGNATED SUPPORT LEVEL III STROKE FACILITY BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES AND WILL CONTINUE ITS ONGOING COMMITMENT TO ENSURE QUALITY CARE IS AVAILABLE FOR STROKE PATIENTS IN ITS AREA. PRIORITY #3: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO MENTAL HEALTH SERVICES AND PROVIDERS IN THE COMMUNITY. 3.A. THE HOSPITAL WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 3.B. THE NEW HORIZONS PROGRAM IS AVAILABLE AT YOAKUM COMMUNITY HOSPITAL FOR PATIENTS AGE 50 AND ABOVE. THIS PROGRAM IS DESIGNED TO ADDRESS A SIGNIFICANT NEED IN OUR COMMUNITY FOR THOSE WHO ARE EXPERIENCING DIFFICULT BEHAVIOR, MENTAL, EMOTIONAL, AND/OR PHYSICAL CHANGES THAT ARE IMPACTING THEIR QUALITY OF LIFE. NEW HORIZONS AT YOAKUM COMMUNITY HOSPITAL PROVIDES A MENTAL HEALTH ASSESSMENT AND APPROPRIATE INTERVENTIONS FOR THESE INDIVIDUALS. 3.C. YCH WILL CONTINUE TO COLLECT AND PUBLISH DATA FROM THE NEW HORIZONS PROGRAM TO CONFIRM ITS POSITIVE IMPACT ON THE NEED OF MENTAL AND BEHAVIORAL HEALTH WITHIN ITS AGING COMMUNITY. 3.D. YCH IS EVALUATING THE FEASIBILITY OF PROVIDING YOUTH AND ADULT MENTAL AND BEHAVIORAL HEALTH CARE SERVICES THROUGH THE NEW HORIZONS PROGRAM AND/OR PHYSICIAN OFFICES. 3.E. THE HOSPITAL CURRENTLY EMPLOYS TWO MASTERS OF SOCIAL WORK CANDIDATES THAT ARE WORKING TO COMPLETE THEIR CREDENTIALS AND HOURS IN ORDER TO BECOME LICENSED CLINICAL SOCIAL WORKERS. 3.F. YCH WILL PROVIDE VOUCHERS TO 9 LOCAL PHYSICIANS THAT ALLOW THEM TO REFER 2 - 3 UNINSURED OR UNDERINSURED PERSONS TO YCH SOCIAL WORKERS. 3.G. YCH PROVIDES SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN CONJUNCTION WITH THE LOCAL NORMA'S HOUSE ORGANIZATION. 3.H. YCH WILL CONTINUE TO PROMOTE THE LOCAL SUICIDE PREVENTION HOTLINE FOR APPLICABLE PATIENTS AS NEEDED. 3.I. YCH IS EXPLORING THE IMPLEMENTATION OF A POLICY TO QUICKEN THE PROCESS OF THEIR MENTAL AND BEHAVIORAL HEALTH CARE PROVIDERS VISITING PATIENTS IMMEDIATELY REQUIRING SUCH SERVICES. 3.J. YCH IS PARTICIPATING IN COLLABORATIVE CARE BETWEEN FAMILY PRACTICE PHYSICIANS AND MENTAL HEALTH CARE PROVIDERS THROU PART V, INES 16A-C THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTPS://YOAKUMHOSPITAL.ORG/ABOUT/FINANCIAL-ASSISTANCE/ PART V, LINE 20E PATIENTS ARE NOTIFIED UPON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS REGARDING INDIVIDUAL BILLS. THE ORGANIZATION DOCUMENTED DETERMINATION OF ELIGIBILITY IN ACCORDANCE WITH THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. PART I, LINE 3C THE ASSETS TEST IS USED IN ORDER TO DETERMINE THE AMOUNT OF DISCOUNTED CARE. PAY STUBS FOR PATIENT & SPOUSE, LAST YEAR'S TAX RETURN, SOCIAL SECURITY AWARD LETTER ARE REQUIRED IF EMPLOYED. IF UNEMPLOYED, FOOD STAMP APPROVAL/DENIAL, UNEMPLOYMENT APPROVAL/DENIAL AND LAST YEAR'S TAX RETURN ARE REQUIRED. THE PATIENT IS ALSO REQUIRED TO SUBMIT A FINANCIAL INFORMATION FORM SHOWING BILLS, BANK ACCOUNTS, AND ANY OTHER SUPPORT THEY MAY BE RECEIVING TO DETERMINE IF THEY ARE ELIGIBLE FOR CHARITY CARE. PART I, LINE 6A THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2019 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION. PART I, LINE 7, COLUMN (F) OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $22,888,282. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $1,490,196. THIS LEFT A TOTAL EXPENSE OF $21,398,086 FOR PURPOSES OF CALCULATING NET COMMUNITY BENEFIT EXPENSE TO TOTAL EXPENSE. Part III, Line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art III, Line 8 INPATIENT ACUTE CARE SERVICES AND SUBSTANTIALLY ALL OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. THE HOSPITAL IS REIMBURSED FOR CERTAIN SERVICES AT TENTATIVE RATES WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE HOSPITAL AND AUDITS THEREOF BY THE MEDICARE ADMINISTRATIVE CONTRACTOR. Part III, Line 9B IF A PATIENT OF YOAKUM COMMUNITY HOSPITAL 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. Part VI, Question 2 NEEDS ASSESSMENT THE ORGANIZATION SPEAKS WITH MEMBERS OF THE COMMUNITY AND LOCAL LEADERS TO OBTAIN INPUT USED IN DETERMINING THE MAJOR NEEDS OF THE COMMUNITY. THE MISSION OF THE YCH FAMILY IS TO PROVIDE COMPREHENSIVE HEALTHCARE WITH COMPASSION OF QUALITY CARE AND SUPERIOR SERVICE TO THE HOSPITAL'S COMMUNITY. YCH'S VISION IS TO BE RECOGNIZED AS A SOURCE OF COMPASSIONATE, QUALITY HEALTHCARE FOR IT'S REGION. YCH OPERATES UNDER THE VALUES OF "RISE," RESPECT, INTEGRITY, STEWARDSHIP, AND EXCELLENCE. AS STATED IN OUR FYE 2019 COMMUNITY BENEFITS PLAN, THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM YCH, MET WITH STAFF FROM CHC ON OCTOBER 10, 2018 TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. FIVE SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED 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 CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, THE HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FOUR OF THE FIVE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH HOSPITAL SPECIFIC IMPLEMENTATION PLANS. THE FOUR MOST SIGNIFICANT NEEDS, AS DETERMINED DURING THE OCTOBER 10, 2018 PRIORITIZATION MEETING, ARE LISTED BELOW IN DESCENDING ORDER: 1. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 2. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS YCH LEADERSHIP HAS DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE FOUR IDENTIFIED PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, RESPONSIBLE LEADERS, ANNUAL UPDATES AND PROGRESS, AND KEY RESULTS (AS APPROPRIATE). Part VI, Question 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WE HAVE A COPY OF OUR CHARITY CARE POLICY POSTED ON OUR HOSPITAL WEBSITE AND HAVE AN ELIGIBILITY CONSULTANT ON SITE WHO WILL SCREEN ALL CUSTOMERS WHO ARE SELF PAY FOR ALL PROGRAMS THEY MAY BE ELIGIBLE FOR. OUR INSURED CUSTOMERS ARE ALSO REFERRED TO THE ELIGIBILITY CONSULTANT IF THEY ARE NOT ABLE TO SET UP FINANCIAL ARRANGEMENTS AFTER THEY ARE MOVED TO BEING SELF PAY. WE HAVE SIGNS POSTED IN OUR REGISTRATION AREA STATING "YCH PROVIDES FINANCIAL ASSISTANCE THROUGH OUR CHARITY OR INDIGENT PROGRAMS TO THOSE WHO QUALIFY. SEE REGISTRATION CLERK FOR MORE INFORMATION." OUR BILLING STATEMENTS ALSO HAVE CONTACT INFORMATION FOR CUSTOMERS WHO CANNOT PAY THE CLAIM IN FULL TO CALL TO DISCUSS MORE PAYMENT OPTIONS. Part VI, Question 4 COMMUNITY INFORMATION YOAKUM COMMUNITY HOSPITAL IS CENTRALLY LOCATED APPROXIMATELY 200 MILES FROM SAN ANTONIO & HOUSTON. YCH's SERVICE AREA COVERS APPROXIMATELY 2000 SQUARE MILES AND APPROXIMATELY 41,000 PEOPLE (DEWITT & LAVACA COUNTIES COMBINED). THE ENTIRE POPULATION OF LAVACA AND DEWITT COUNTIES IS CLASSIFIED AS MEDICALLY UNDERSERVED. YCH SERVES HEALTH SERVICE REGION 8 OF THE STATE OF TEXAS. Part VI, Question 5 PROMOTION OF COMMUNITY HEALTH YCH HOLDS VARIOUS ACTIVITIES TO PROMOTE HEALTH CARE TO OUR COMMUNITY. YCH AND LOCAL NURSING HOMES, HOME HEALTH AGENCIES, AND PHARMACIES CONTINUE TO CO-SPONSOR QUARTERLY LUNCH AND LEARNS THAT PROVIDE INFORMATION ON ROTATING HEALTH-RELATED TOPICS, SPECIFICALLY SURROUNDING THE ELDERLY (I.E., MEDICARE, GERIATRIC MENTAL HEALTH) FREE OF CHARGE TO THE COMMUNITY. EVENTS ARE HELD AT LOCAL CHURCHES, EVENT CENTERS, ETC. YCH ALSO PROMOTES EDUCATION AMONG THE YOUTH POPULATION BY PROVIDING TOURS OF VARIOUS HOSPITAL DEPARTMENTS, SUCH AS THE EMERGENCY ROOM, TO JUNIOR HIGH AND HIGH SCHOOL STUDENTS REGARDING AGE APPROPRIATE SAFETY TOPICS RELATING TO EACH RESPECTIVE DEPARTMENT. THE YCH PHYSICAL THERAPY DEPARTMENT AND LOCAL PHYSICIANS HELP WITH THE ANNUAL ATHLETIC PRE-PARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST. THIS INCLUDES YOAKUM ISD, SWEET HOME ISD, AND ST. JOSEPH CATHOLIC SCHOOL. THE HOSPITAL ALSO PROVIDES NON-HEALTHCARE CPR CLASSES TO LOCAL GROUPS UPON REQUEST. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, INCLUDING THE ROTARY CLUB AND THE LOCAL BOY SCOUTS OF AMERICA CHAPTER. THE HOSPITAL ALSO HOSTS DRIVE EVENTS TO BENEFIT VARIOUS GROUPS WITHIN THE COMMUNITY, SUCH AS LOCAL FOOD DRIVE DONATIONS, TOYS FOR TOTS DURING THE HOLIDAYS, AND SUPPORTING ABUSED CHILDREN AT NORMA'S HOUSE DURING THE HOLIDAY SEASON. ADDITIONALLY, THE HOSPITAL CONTINUES TO COORDINATE WITH SOUTH TEXAS BLOOD AND TISSUE CENTER TO PARTICIPATE IN BLOOD DRIVES ON A QUARTERLY BASIS, WHICH ARE OPEN TO HOSPITAL EMPLOYEES AND THE COMMUNITY. SCREENINGS TO LOCAL BUSINESSES FOR BLOOD PRESSURE, CHOLESTEROL, AND GLUCOSE LEVELS), ARE ALSO OFFERED FREE OF CHARGE. YCH WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY AS APPROPRIATE. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO, THE ALZHEIMER'S SUPPORT GROUP, PATIENTS IN THE TEXAS A&M DIABETIC EDUCATION PROGRAM, AND THE YOAKUM GARDEN CLUB. Part VI, Question 6 AFFILIATED HEALTH CARE SYSTEM YOAKUM COMMUNITY HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. YOAKUM COMMUNITY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL OFFERING GENERAL MEDICAL AND SURGICAL CARE TO THE CITIZENS OF YOAKUM AND THE SURROUNDING COMMUNITIES. ESTABLISHED IN 1922, YOAKUM COMMUNITY HOSPITAL HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE ITS INCEPTION AND CONTINUES TO SEARCH FOR WAYS TO BETTER SERVE OUR COMMUNITY. Part VI, Question 7 STATE FILING OF COMMUNITY BENEFIT REPORT TX false true false false false false false true false Karen Barber RN CEO/Pres. 0 190666 0 38875 0 4651 0 16568 0 13090 0 263850 0 0 John Olivares CFO 0 107629 0 14728 0 2600 0 9254 0 20334 0 154545 0 0 Saundra Anderson DO Board Member/Physician 263064 0 0 0 0 0 24477 0 0 0 287541 0 0 0 DAVID BUTLER ASSISTANT SECRETARY 0 362062 0 35012 0 23681 0 5602 0 26653 0 453010 0 0 James E Drost MD Physician 300118 0 0 0 0 0 24500 0 0 0 324618 0 0 0 Craig Sims Board Member 0 306877 0 29912 0 35177 0 6985 0 24739 0 403690 0 0 Jennifer Franklin RN CCO 0 116789 0 15950 0 3855 0 5733 0 26238 0 168565 0 0 R Martin Lambert MD board member, Chief of Staff 241648 0 0 0 0 0 5017 0 0 0 246665 0 0 0 Schedule J, Part I, Line 3 COMPENSATION OF CEO/EXECUTIVE DIRECTOR THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION (CHC), AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2019 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: DAVID BUTLES - $14,021 CRAIG SIMS - $26,913 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS A PORTION OF THE DISCETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF YOAKUM COMMUNITY HOSPITAL. DELEGATION OF CONTROL OF MANAGEMENT DUTIES FORM 990, PART VI, QUESTION 3 COMMUNITY HOSPITAL CORPORATION ('CHC') PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CHC IS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH"). DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A CHC AS THE SOLE MEMBER OF YCH ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES OF YCH AND IS EMPOWERED WITH THE ABILITY TO REMOVE TRUSTEES, WITH OR WITHOUT CAUSE. DESCR CLASSES OF PERSONS, DECISIONS REQUIR APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B ARTICLES OF INCORPORATION - BOARD OF DIRECTORS SECTION 7.1 POWERS. THE AFFAIRS OF THIS CORPORATION SHALL BE MANAGED BY ITS BOARD OF TRUSTEES (HEREINAFTER SOMETIMES CALLED THE 'BOARD') PROVIDED THAT THE APPROVAL OF THE MEMBER OF THIS CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: A. THE ESTABLISHMENT OF OR ANY CHANGE IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBER; B. ANY AMENDMENTS OR REVISIONS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; C. ANY AMENDMENTS OR REVISIONS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; D. THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE; E. ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY, TO WHICH THE CORPORATION IS A PARTY; F. THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; G. ALL MATERIAL EXPENDITURE DEVIATIONS ($25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING BUDGET; H. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET; I. THE PURCHASE OR ACQUISITION OF ANY REAL, PERSONAL, OR MIXED PROPERTY THE CORPORATION IN EXCESS OF $25,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS; J. THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; K. ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY 'TRANSFER') OF THE PERSONAL PROPERTY OF THE CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED $50,000; L. ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION, EXCEPT USUSAL AND CUSTOMARY TRADE DEBTS, WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION; M. SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; N. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; O. THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT AN ANNUAL COMPENSATION IN EXCESS OF $30,000 OR AN AGGREGATE COMPENSATION IN EXCESS OF $50,000; P. ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; Q. THE ELECTION OF THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION OR THE REMOVAL OF SAID TRUSTEE, WHETHER WITH OR WITHOUT CAUSE; R. THE ENGAGEMENT OF OR REMOVAL OF THE HOSPITAL ADMINISTRATOR; S. THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; T. THE APPROVAL OF THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND-RAISING; AND U. THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM OF THE CORPORATION. DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B A REVIEW OF THE 990 FORM IS PERFORMED BY THE CFO OF THE HOSPITAL FOLLOWING FORM PREPARATION. ELECTRONIC COPIES ARE SENT TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM. THE FORMS ARE THEN FILED WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C CONFLICT OF INTEREST STATEMENTS ARE FILED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMMITTEE. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE RESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLEFOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD/COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING FURTHER INVESTIGATION IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, THEN APPROPRIATE DISCIPLINARY ACTION IS TAKEN WHICH CAN INCLUDE WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC AS ADOPTED BY YOAKUM COMMUNITY HOSPITAL. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. AVAIL GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 OTHER RECONCILING ITEM $9,083 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASE SVCS - HOSPITAL TOTAL FEES:2147576 FORM 990 PART IX LINE 11G DESCRIPTION:PROF FEES - HOSPITAL TOTAL FEES:934638 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SVCS - CLINIC TOTAL FEES:35999 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 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 7800 N DALLAS PARKWAY STE 200 PLANO TX 75024 620924706 HOSPITAL TN 501(c)(3) 3 CHC false CONTINUECARE HOSPITAL AT ODESSA INC 500 W 4TH STREET ODESSA TX 79761 473539943 HOSPITAL DE 501(c)(3) 3 CCC false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 CARL RAMERT DRIVE YOAKUM TX 77995 453609830 SUPPORT ORG TX 501(C)(3) 12A-1 YCH false BHSETX FOUNDATION 810 HOSPITAL DRIVE 235 BEAUMONT TX 77701 611557670 SUPPORT ORG TX 501(C)(3) 7 BHSET false MERCY RESTORATIVE CARE HOSPITAL INC 10648 PARK ROAD CHARLOTTE NC 28210 753054855 HOSPITAL NC 501(c)(3) 3 CAR CC false RURAL AND COMMUNITY HEALTHCARE COLLABORA 7800 N DALLAS PKWY STE 200 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC false CONTINUECARE HOSPITAL AT PALMETTO HEALTH 7800 N DALLAS PKWY STE 200 PLANO TX 75024 813048423 HOSPITAL TX 501(c)(3) 3 CCC false GAINESVILLE COMMUNITY HOSPITAL INC 1900 HOSPITAL BLVD GAINESVILLE TX 76240 831683025 HOSPITAL TX 501(c)(3) 3 CHC 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 COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corp false COMMUNITY HOSPITAL CONSULTING 7800 N DALLAS PARKWAY SUITE 200 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corp false false false true false true false false false false false false false false false false true false false false COMMUNITY HOSPITAL CORPORATION E 165414 COST COMMUNITY HOSPITAL CORPORATION P 3515846 COST COMMUNITY HOSPITAL CORPORATION E 50030 COST Yoakum Community Hospital Foundation C 213800 Cost