2019-05-15T08:31:58-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2017-07-01 742323822 Yoakum Community Hospital % John Olivares CFO YOAK 3612932321 1200 Carl Ramert Drive Yoakum TX 77995 John Olivares CFO 3612932321 2019-05-14 true melva scott P01207335 8173351900 164.57.159.253 75306120191355000008 2019-05-15 P 0FD3178183619286035AA06C9BAA1B15F55AB8A5 BEE816BADD25910960E744A98AF4267C63CAEDF6 2017 2019-02-21 02:37:17Z Karen Barber RN CEO 1200 Carl Ramert Drive Yoakum TX 77995 24334175 false X WWW.YOAKUMHOSPITAL.org X 1922 TX To enhance our tradition of compassionate, quality, and cost effective services which results in measurable benefits to our patients, community, employees, and medical staff. 11 9 236 20 0 0 528091 642754 23961000 22839000 11885 9880 246886 768071 24747862 24259705 0 0 0 0 12411679 12875067 0 0 0 11828974 12149537 24240653 25024604 507209 -764899 15031000 14896000 3855000 3981000 11176000 10915000 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 true 22150288 0 23658929 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, 2018: -THE HOSPITAL DELIVERED APPROXIMATELY 52 BABIES AND PERFORMED 532 LIFESAVING SURGERIES. - YCH ADMITTED 739 LOCAL PATIENTS IN THE ACUTE STATE OF ILLNESS AND MANAGED 6,485 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. - EMCARE 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. 22150288 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 22 0 true 236 true 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 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 231598 0 4814 Tommy Pietsch Board Member 1.0 0.0 X 0 0 0 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 244939 0 24000 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 Randy Meyer Board Member 1.0 0.0 X 0 0 0 David Kapavik 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 326433 36199 Jennifer Franklin RN CCO 40.0 0.0 X 0 133668 30679 Karen Barber RN CEO/Pres. 40.0 0.0 X 0 222127 28398 John Olivares CFO 40.0 0.0 X 0 122683 28694 DAVID BUTLER ASSISTANT SECRETARY 1.0 39.0 X 0 382510 31287 James E Drost MD Physician 40.0 0.0 X 297236 0 0 Trini J Garza MD Physician (Thru 4/2018) 40.0 0.0 X 424433 0 0 Kelly Keeble Registered Nurse 40.0 0.0 X 104628 0 0 Frankie Simmons Registered Nurse 40.0 0.0 X 104623 0 0 1407457 1187421 184071 6 false true false AM Anesthesia Services of South tex 222 Thiele Road YOAKUM TX 77995 Anesthesia Services 374808 MedHost of Tennessee Inc 2739 Momentum Place Chicago IL 60689 Medical Software 918951 Lone Star Emergency Associates LLC 1900 Barton Springs Road 5030 Austin TX 78704 Healthcare Services 757715 TLC Staffing LLC 101 Palmwood Drive VICTORIA TX 77901 Contract Labor SVCS 294054 GE Healthcare PO Box 96483 Chicago IL 60693 Healthcare Services 454066 10 0 461150 81604 100000 0 642754 Net Patient Services Rev 622110 22839000 22839000 0 0 22839000 9880 9880 0 0 22612 74470 -51858 0 -51858 -51858 0 0 0 0 0 0 0 0 0 0 OUTPATIENT CLINIC USAGE FEES 621990 19300 19300 0 0 Med Rec Transcripts 900099 4504 4504 0 0 340B DISPENSED FEE - PHARMACY 900099 639468 639468 156657 156657 0 0 819929 24259705 23658929 0 -41978 X 0 0 0 0 0 0 0 10258393 9745473 512920 192645 181086 11559 1776658 1670059 106599 647371 517897 129474 0 240417 149058 91359 74392 8927 65465 0 0 0 3522639 2674665 847974 0 32268 32268 1126658 1002726 123932 122514 61257 61257 0 468915 375132 93783 49632 24816 24816 0 0 129265 103412 25853 471599 0 471599 721993 577594 144399 219884 175907 43977 Bad Debt 2534521 2534521 0 0 Med/Pharm Supplies 987170 987170 0 0 Repair & Maintenance 179701 179701 0 0 RENT & LEASE 74470 74470 1193499 1074149 119350 25024604 22150288 2874316 0 0 502000 521000 2775000 2826000 0 0 2201000 1220000 0 0 0 0 0 0 372000 390000 1319000 1518000 18961000 10540000 7862000 8421000 0 0 0 0 0 0 0 0 0 0 15031000 14896000 1422000 1862000 0 0 0 0 0 0 0 0 0 0 1956000 1886000 0 0 477000 233000 3855000 3981000 X 11086000 10826000 90000 89000 0 0 11176000 10915000 15031000 14896000 X -764899 0 0 0 503899 X false true X true false X 0 1000 1000 7147000 971000 6176000 11813000 9569000 2244000 8421000 0 Intercompany Notes & Charges-CHC 233000 233000 true true true X true X true true true false true true 880095 6885 873210 0.03880 2531926 874412 1657514 0.07370 3412021 881297 2530724 0.11250 0 0 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 3412021 881297 2530724 0.11250 true 2534521 50700 9632535 8565350 1067185 X true true 1 1 YOAKUM COMMUNITY HOSPITAL 1200 Carl Ramert Drive Yoakum TX 77995 https://yoakumhospital.org 000023 X X X X Yoakum Community Hospital 1 false false true X X X X X X X X X 15 true false false true X https://yoakumhospital.org/about/chna/ X true 15 true https://yoakumhospital.org/about/chna/ false true X 200. 400. 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 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 are presented as a prioritized description. Part V, Line 5 YOAKUM COMMUNITY HOSPITAL WORKED WITH COMMUNITY HOSPITAL CORPORATION IN THE DEVELOPMENT OF ITS CHNA to identify the significant community health needs in Lavaca County, Texas. Lavaca County has a significantly older population (22.1%) as compared to the state of TX (11.7%) as of 2015. The majority of growth in Lavaca County is expected to come from the 65 and older population over the next five years. As of 2015, Lavaca County has a slightly lower median household income than Texas ($50,864 compared to $51,603). -Lavaca County has a much lower percent of residents with Bachelors or Advanced Degrees than Texas (14.6% compared to 26.6%). -Between 2010 and 2014, the percent of the population (all ages) in Lavaca County (16.4%) that were uninsured was slightly lower than the state (21.9%), but higher than the national (14.2%) rates. -Between 2010 and 2014, 16.7% of the insured population in Lavaca County was receiving Medicaid. Specific groups at risk for inadequate care are the elderly, low Income/uninsured or underinsured, Non-English speaking and Veterans. YOAKUM COMMUNITY HOSPITAL PROVIDED COMMUNITY HOSPITAL CORPORATION WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN LAVACA COUNTY INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT FOR PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, TEN IN DEPTH INTERVIEWS WERE CONDUCTED from August 12, 2015 through August 25, 2015, USING A STRUCTURE INTERVIEW GUIDE. EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. INDIVIDUALS INTERVIEWED: -DR. MARSHALL BISHOP: FAMILY PRACTICE PHYSICIAN, WAGNER MEDICAL CLINIC -TOM KELLEY: SUPERINTENDENT, YOAKUM INDEPENDENT SCHOOL DISTRICT -THERESA KOSTELNIK, RN: FAMILY AND COMMUNITY HEALTH MANAGER, TEXAS DEPARTMENT OF STATE HEALTH SERVICES REGION 8 -SHARLA POHL: EXECUTIVE DIRECTOR, YOAKUM HOUSING AUTHORITY -KIM REEVES: EXECUTIVE DIRECTOR, BLUEBONNET YOUTH RANCH -ANNIE RODRIGUEZ: MAYOR, CITY OF YOAKUM -LORENE ROZNOVSKY: PRESIDENT, YOAKUM COMMUNITY HOSPITAL AUXILIARY -KAY SCHAUER, LCSW: DIRECTOR, NEW HORIZONS GERIATRIC COUNSELING PROGRAM -KELLI SCHLEY: MANAGER, YOAKUM DISCOUNT PHARMACY -ELORINE SITKA: MEMBER, YOAKUM COMMUNITY HOSPITAL BOARD OF TRUSTEES; VICE PRESIDENT, YOAKUM NATIONAL BANK; AND MAYOR PRO-TEM, CITY OF YOAKUM -KAY SCHAUER, LCSW: DIRECTOR, NEW HORIZONS GERIATRIC COUNSELING PROGRAM -KELLI SCHLEY: MANAGER, YOAKUM DISCOUNT PHARMACY -ELORINE SITKA: MEMBER, YOAKUM COMMUNITY HOSPITAL BOARD OF TRUSTEES; VICE PRESIDENT, YOAKUM NATIONAL BANK; AND MAYOR PRO-TEM, CITY OF YOAKUM -ELORINE SITKA: MEMBER, YOAKUM COMMUNITY HOSPITAL BOARD OF TRUSTEES; VICE PRESIDENT, YOAKUM NATIONAL BANK; AND MAYOR PRO-TEM, CITY OF YOAKUM Part V, Line 11 YOAKUM COMMUNITY HOSPITAL HAS DECIDED TO ADDRESS THE NEED FOR "SPONSORING HEALTH SCREENINGS FOR THE COMMUNITY" BY SPONSORING BLOOD DRIVES, AND PERFORMING GLUCOSE, BLOOD PRESSURE AND CHOLESTEROL SCREENINGS FOR THE PUBLIC. YOAKUM COMMUNITY HOSPITAL HAS DECIDED NOT TO SPECIFICALLY ADDRESS THE NEED FOR "INCREASED ACCESS TO AFFORDABLE DENTAL CARE" LARGELY DUE TO ITS POSITION (LAST) ON THE PRIORITIZED LIST AND THE HOSPITAL'S LACK OF CAPACITY TO ADDRESS THAT NEED. DENTAL SERVICES ARE NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT LIMITED RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE FIRST FIVE PRIORITIZED NEEDS. Yoakum Hospital is also addessing the following needs identified in its most recently conducted CHNA: Elderly Care, Mental/Behavioral Health, Access to Affordable Care, Prevention, Education, Services for Chronic Diseases, Preventable Conditions, Unhealthy Lifestyles, and Access to Affordable Dental Care. Part V, Lines 16A-C https://yoakumhospital.org/about/financial-assistance/ PART V, LINE 16I The hospital made translated copies of its FAP available to the Limited English Proficient community available upon request throughout the tax year. Prior to the filing of this return, these translated copies have been added to the hospital's website as well. 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, 2018 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 $25,024,604. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $2,534,521. THIS LEFT A TOTAL EXPENSE OF $22,490,083 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 SEE WHAT THEY FEEL ARE MAJOR NEEDS OF THE COMMUNITY. THE MISSION OF THE YCH FAMILY IS TO PROVIDE COMPREHENSIVE HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT THROUGH OUR TRADITION OF QUALITY CARE AND SUPERIOR SERVICE TO OUR COMMUNITY. YCH'S VISION IS TO BE RECOGNIZED AS A SOURCE OF COMPASSIONATE, QUALITY HEALTHCARE FOR OUR REGION. YCH OPERATES UNDER THE VALUES OF "RISE," RESPECT, INTEGRITY, STEWARDSHIP, AND EXCELLENCE. AS STATED IN OUR FYE 2017 COMMUNITY BENEFITS PLAN, IT HAS BEEN DETERMINED THAT WE NEED TO FOCUS ON FOUR ISSUES. THESE ISSUES ARE 1) NEED FOR INCREASED EMPHASIS ON ELDERLY CARE, 2) ACCESS TO MENTAL HEALTH SERVICES AND PROVIDERS, 3) ACCESS TO AFFORDABLE CARE & REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS, & 4) PREVENTION, EDUCATION, & SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS, & UNHEALTHY LIFESTYLES. YCH HAS ADDRESSED THESE NEEDS BY PROMOTING EDUCATION AMONG THE YOUTH POPULATION BY GIVING TOURS OF THE HOSPITAL TO DISCUSS APPROPRIATE SAFETY RELATED TOPICS. EMPLOYEES ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS BY SPONSORING CLUB MED AND COMMUNITY ASSISTING WITH STUDENTS (CAWS) PROGRAMS. YCH IS WORKING ON DEVELOPING AND IMPLEMENTING PUBLIC SERVICE MATERIALS PERTAINING TO WELLNESS BENEFITS AND THE AFFORDABLE CARE ACT (ACA). THEY WILL ALSO PROVIDE TRAINING FOR AN ACA SPECIALIST. YCH HAS PROVIDED LUNCH & LEARN MEETINGS TO ADDRESS THE NEEDS OF EDUCATION FOR THE COMMUNITY. SEVERAL OF OUR STAFF HAVE GIVEN TALKS AT THE LOCAL LION'S CLUB, LUTHERAN WOMEN'S GROUPS, ROTARY CLUB, METHODIST WOMEN'S GROUP, AUSTIN STREET BAPTIST WOMEN'S GROUP, AND STARTED A "SEW HEALTHY CLUB." HOLIDAY OPEN HOUSES ARE HELD TO OFFER OPPORTUNITIES FOR THE COMMUNITY TO COME VISIT OUR FACILITY. OUR GERI PSYCH PROGRAM HAS OFFERED COOKING CLASSES FOR OVER 50 PARTICIPANTS. WE HAS ALSO SPONSORED BLOOD PRESSURE AND CHOLESTEROL SCREENS AS PART OF SELF LOVE DAY. 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. OUR SERVICE AREA COVERS APPROXIMATELY 2000 SQUARE MILES AND APPROXIMATELY 40,000 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. WE HOLD HEALTH FAIRS, DONNA'S DAY (FREE HEALTH SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL, AND GLUCOSE LEVELS), AND WE HAVE A DIABETIC CLINIC AVAILABLE IN OUR OUTPATIENT CLINIC. 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 Jennifer Franklin RN CCO 0 113674 0 15615 0 4379 0 5586 0 25093 0 164347 0 0 R Martin Lambert MD board member, Chief of Staff 231598 0 0 0 0 0 0 4814 0 0 231598 4814 0 0 Karen Barber RN CEO/Pres. 0 185301 0 32293 0 4533 0 15728 0 12670 0 250525 0 0 John Olivares CFO 0 105452 0 14525 0 2706 0 9079 0 19615 0 151377 0 0 Saundra Anderson DO Board Member/Physician 244939 0 0 0 0 0 0 24000 0 0 244939 24000 0 0 DAVID BUTLER ASSISTANT SECRETARY 0 359967 0 0 0 22543 0 5505 0 25782 0 413797 0 0 James E Drost MD Physician 297236 0 0 0 0 0 0 0 0 0 297236 0 0 0 Trini J Garza MD Physician (Thru 4/2018) 424433 0 0 0 0 0 0 0 0 0 424433 0 0 0 Craig Sims Board Member 0 259127 0 0 0 67306 0 9005 0 27194 0 362632 0 10380 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, 2018 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: DAVID BUTLER - $12,706 Craig Sims - $21,238 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. DESCRIPTION of change in program services From 990, Part III, Question 3 Obsterical Services were discontinued as of January 2018. 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 ROOF REPLACEMENT FROM HOSPITAL DISTRICT $378,916 IGT WITH ST. MARK'S $120,000 OTHER RECONCILING ITEM $4,983 ------------ TOTAL $503,899 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - HOSPITAL TOTAL FEES:2358931 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES - HOSPITAL TOTAL FEES:847974 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - CLINIC TOTAL FEES:37051 FORM 990 PART IX LINE 11G DESCRIPTION:OTHERS TOTAL FEES:278683 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 188 HOSPITAL LANE JELLICO TN 37762 620924706 HOSPITAL TN 501(c)(3) 3 CHC false CONTINUECARE HOSPITAL AT ODESSA INC 500 W 4TH STREET ODESSA TX 79761 473539943 HOSPITAL DE 501(c)(3) 3 CCC false COMMUNITY HOSPITAL CORPORATION 7800 N DALLAS PKWY STE 200 PLANO TX 75024 752638469 SUPPORT ORG TX 501(C)(3) 12C-III-FI NA false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 CARL RAMERT DRIVE YOAKUM TX 77995 453609830 SUPPORT ORG TX 501(C)(3) 12A-1 YCH false BHSETX FOUNDATION 810 HOSPITAL DRIVE 235 BEAUMONT TX 77701 611557670 SUPPORT ORG TX 501(C)(3) 7 BHSET false MERCY RESTORATIVE CARE HOSPITAL INC 10648 PARK ROAD CHARLOTTE NC 28210 753054855 HOSPITAL NC 501(c)(3) 3 CAR CC false RURAL AND COMMUNITY HEALTHCARE COLLABORA 7800 N DALLAS PKWY STE 200 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC false CONTINUECARE HOSPITAL AT PALMETTO HEALTH 7800 N DALLAS PKWY STE 200 PLANO TX 75024 813048423 HOSPITAL TX 501(c)(3) 3 CCC false Critical access Hosp Coalition 120 G ST NW WASHINGTON DC 20005 821088069 Hosp. Coaliti DE NA COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ captive insur CJ CHC C Corp false COMMUNITY HOSPITAL CONSULTING 7800 N DALLAS PARKWAY SUITE 200 PLANO TX 75024 204710183 MGMT CONSULTI TX CHC C Corp false false false true false true false false false false false false false false false false true false false false Yoakum Community Hospital Foundation c 401150 Cost COMMUNITY HOSPITAL CORPORATION P 3791231 COST COMMUNITY HOSPITAL CORPORATION E 157736 COST COMMUNITY HOSPITAL CORPORATION E 57707 COST