2016-05-11T17:00:03-05:00 2015-06-30 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2014-07-01 200991990 ContinueCare Hospital of Tyler Inc % Gregory Taylor CONT 9729436400 7800 N Dallas Parkway Suite 200 Plano TX 75024 STEPHANIE HYDE CEO/PRESIDENT 9729436400 2016-05-11 true Stephanie Lew P01080011 2149698000 2014 2016-08-17 19:52:53Z STEPHANIE HYDE 7800 N DALLAS PARKWAY STE 200 PLANO TX 75024 30033286 false X www.continuecare.org X 2004 DE AS A "HOSPITAL WITH-IN A HOSPITAL," IT IS THE MISSION OF CCHT TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 5 4 183 4 0 0 0 27092426 30019866 0 4832 6268 8588 27098694 30033286 5304 15116 0 0 11018951 10535553 0 0 0 12956005 13655343 23980260 24206012 3118434 5827274 8285803 7019007 2455325 2369423 5830478 4649584 X AS A "HOSPITAL WITH-IN A HOSPITAL," IT IS THE MISSION OF CCHT TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 21634297 15116 30019866 CONTINUECARE HOSPITAL OF TYLER (CCHT) IS A LONG-TERM ACUTE CARE HOSPITAL OPERATING AS A HOSPITAL WITHIN A HOSPITAL AT MOTHER FRANCES HOSPITAL IN TYLER, TEXAS. CCHT OBTAINED A LICENSE TO OPERATE AN ACUTE CARE HOSPITAL ON MAY 14, 2004, AND BECAME CERTIFIED AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) ON JANUARY 1, 2005. AS AN LTACH, CCHT 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 AN 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, 2015, CCHT'S TOTAL PATIENTS ADMITTED WERE 598 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 15,992. THE AVERAGE DAILY CENSUS WAS 43.81 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 26.74 DAYS. 21634297 true false false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 15 0 true 183 true false false false false false false false false false false X 5 4 false true false false true true true true false false false true true true true true true false false false X Gregory Taylor 9729436425 7800 N Dallas Parkway Suite 200 Plano TX 75024 Ray Thompson Board Secretary 1.0 0.0 X X 0 0 0 Craig Chesley Board Member 1.0 0.0 X 0 0 0 Robert Owens Board Member 1.0 0.0 X 0 0 0 Michael D Williams Board Member 1.0 39.0 X 0 1342093 31307 Dan Hardiman Board Member 1.0 0.0 X 0 0 0 Stephanie Hyde CEO/President 40.0 0.0 X 0 201361 40082 David Butler Assistant Secretary 1.0 39.0 X 0 414327 30535 Kristi Williams Pharmacist 40.0 0.0 X 149351 0 13710 Karen Spencer Registered nurse 40.0 0.0 X 146388 0 11564 Travis Jacobs Pharmacist 40.0 0.0 X 175828 0 46859 Charles Pipes Registered Nurse 40.0 0.0 X 151325 0 12236 Mark Graham Wound Care Nurse 40.0 0.0 X 144712 0 7512 767604 1957781 193805 16 false true false CAPSTONE PERSONNEL SERVICES 1415 TROUP HWY TYLER TX 75701 CONTRACT NURSING 289568 SODEXO 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 CONTRACT HOUSEKEPNG 209084 TRINITY CLINIC HOSPITALIST 800 E DAWSON ST TYLER TX 75701 PHYSICIAN SERVICES 191398 NATHAN JACKSON 3626 LONGLEAF DRIVE TYLER TX 75707 CONTRACT PT/OT 754383 MOTHER FRANCES HOSPITAL 800 E DAWSON ST TYLER TX 75701 PURCHASED SERVICES 7877790 15 0 0 0 INPATIENT REVENUE 623000 30019866 30019866 0 0 30019866 0 0 0 0 0 0 4832 0 4832 4832 4832 0 0 0 MEDICAL RECORDS INCOME 900099 8588 0 0 8588 8588 30033286 30019866 0 13420 X 15116 15116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8554544 7589551 964993 0 137975 122456 15519 0 1229146 1090395 138751 0 613888 544838 69050 0 649257 24729 624528 0 3221 0 3221 0 85359 0 85359 0 1250 1250 0 0 0 0 0 0 0 0 6285007 6248360 36647 0 24508 0 24508 0 455398 281801 173597 0 1405093 1405093 0 0 0 0 0 0 1501766 1332848 168918 0 58379 0 58379 0 0 0 0 0 750 0 750 0 33226 33226 0 0 0 0 0 0 254319 254319 0 0 104410 0 104410 0 MEDICAL SUPPLIES 2354416 2354416 0 0 BAD DEBT 289887 289887 0 0 EMPLOYEE RECRUIT/ADVERTISING 47097 0 47097 0 DUES/SUBSCRIPTIONS 30221 0 30221 0 71779 46012 25767 24206012 21634297 2571715 0 0 2395971 2618397 0 0 0 0 4813645 3096071 0 0 0 0 0 0 191604 227964 143860 138231 2514689 1784635 742633 730054 0 0 0 0 0 0 0 0 -1910 208290 8285803 7019007 1677403 1744522 0 0 0 0 0 0 0 0 0 0 0 0 573660 467034 204262 157867 2455325 2369423 X 5830478 4649584 0 0 0 0 5830478 4649584 8285803 7019007 X 5827274 -7008168 X false true X true false X false false false 0 false 0 false 0 true 1250 false 0 false 0 false 0 1250 false SCHEDULE C, PART II-B MEMBERSHIP DUES TO NATIONAL ASSOC OF LONG TERM HOSPITALS CONTINUECARE HOSPITAL OF TYLER PAID $12,314 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS IN 2014. THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES WAS 10.15%. TOTAL DUES PAID FOR LOBBYING ACTIVITIES WERE $12,314 X .1015 = $1,250. 159279 159279 2355410 1625356 730054 730054 0 Intercompany 126252 ESTIMATED THIRD PARTY SETTLEMENTS 31615 157867 true true true X true X true true false true true 134290 134290 0.00560 134290 134290 0.00560 57834 57834 0.00240 332438 332604 0.01390 390272 390438 0.01630 524562 524728 0.02190 60438 60438 0.00250 60438 60438 0.00250 true 289887 17852096 15418656 2433440 X true true 1 1 CONTINUECARE HOSPITAL OF TYLER INC 800 E DAWSON 4TH FLOOR TYLER TX 75701 WWW.CONTINUECARE.ORG 008065 X X CONTINUECARE HOSPITAL OF TYLER INC 1 false false true X X X X X X X X X 12 true false false true X WWW.CONTINUECARE.ORG X true 12 true WWW.CONTINUECARE.ORG false false true X 200. 250. X X X true true X X X X true X WWW.CONTINUECARE.ORG true X false X false X X false false SCHEDULE H, PART V, LINE 5 THE ORGANIZATION PROVIDED CHC 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, EIGHT IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE. EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UNDERINSURED ETC.) SERVED AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. THE PERSONS INTERVIEWED WERE: *JOHN ENGLISH, MD CEO, BETHESDA CLINIC *JOHN MCGREEVY, SVP/CEO, LOUIS AND PEACHES OWEN HEART HOSPITAL *BETTYE MITCHELL, MA, DIRECTOR, ETCOG AREA AGENCY ON AGING *LANA PEACOCK, EXECUTIVE DIRECTOR, EAST TEXAS CRISIS CENTER *MIKE POWELL, EXECUTIVE DIRECTOR, MEALS ON WHEELS EAST TEXAS *MARJI REAM, RN, MN, PRESIDENT/CEO, HOSPICE OF EAST TEXAS *GEORGE T ROBERTS JR, FACHE, CEO NORTH EAST TEXAS PUBLIC HEALTH DISTRICT *ROBYN SILBER, RN, MSN, ADMINISTRATIVE DIRECTOR OF PATIENT PROGRESSION TRINITY MOTHER FRANCES-TYLER Schedule H, Part V, Line 11 The CHNA Team ranked 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, hospital leadership discussed the results and decided to address all of the prioritized community health needs. The final list of prioritized needs, in descending order, is listed below: 1. Access to Healthcare Specifically for the Elderly and Indigent Populations 2. Need for Prevention, Education and Services to Address High or Increasing Mortality Rates, as well as Unhealthy Lifestyles or Behaviors in the Community 3. Fragmented Continuum of Care 4. Access to Mental Health Providers and Services Tyler ContinueCARE leadership has developed the following implementation plan to identify specific activities and services which directly address these 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, and anticipated impact and evaluation. PRIORITY 1: Access to Healthcare Specifically for the Elderly and Indigent Populations Objective #1: Provide access to healthcare and services to vulnerable populations, such as the elderly and the indigent. Implementation Activities: Tyler ContinueCARE 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. For example: -Tyler ContinueCARE will participate in elder conferences held in Tyler and Longview and track participation. -Tyler ContinueCARE will participate in the Tyler Chamber of Commerce health fair and offer blood pressure health screenings. Tyler ContinueCARE 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. Tyler ContinueCARE will collaborate with various organizations that provide 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. -East Texas Crisis Center (ETCC), which serves battered women in the community. ETCC provides medical care and shelter for battered women and their children. Impact and Evaluation: -Tyler ContinueCARE will successfully participate in and report on the health fairs and educational opportunities. -Tyler ContinueCARE will report participation in canned food drives and the school supply drive. -Tyler ContinueCARE will track its collaborative work with various organizations. PRIORITY 2: Need for Prevention, Education and Services to Address High or Increasing Mortality Rates, as well as Unhealthy Lifestyles or Behaviors in the Community Objective #1: 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. Implementation Activities The employees of Tyler ContinueCARE are dedicated to enhancing community wellness by supporting local nursing schools and PT Assistant Schools. Employees participate in the programs by presenting to students enrolled in these programs. Tyler ContinueCARE implemented care giver support groups to serve hospital patients and their family members in September 2011 and will continue these programs in the upcoming year. Tyler ContinueCARE will engage in a variety of employee wellness initiatives, including: - Promote employee and family wellness via the Principal Wellness Program - Offer Need Specific Special Programs - Encourage participation in quarterly wellness challenges - Smoking Cessation - Diabetes Management (via UMR - Employee Medical Plan) - Collaborate with hospital cafeteria provider to highlight healthy food options - Promote Fitness Opportunities - Charitable fitness events - Provide mental health education via Employee Assistance Program - Implement tobacco-free new hire policy Tyler ContinueCARE will staff two community liaisons. These staff members will enable the hospital to engage in additional community health education events and health fairs. Impact and Evaluation - Track participation in presentations, support groups and employee wellness initiatives. PRIORITY 3: Fragmented Continuum of Care Objective #1: Participate in initiatives that improve the patient experience as he or she transitions through the continuum of care. Implementation Activities - As a part of the Trinity Mother Frances system, Tyler ContinueCARE will participate in the electronic health record (EHR), which is powered by Epic. The EHR brings an integrated and unified patient centered database. Patients will benefit by having online access to much of their clinical information. - The EHR also has a new cell phone application, "My Chart," which allows the patient to view pertinent health statistics on their phone. Impact and Evaluation - Tyler ContinueCARE will track the progress of the EHR. PRIORITY 4: Access to Mental Health Providers and Services Objective #1: Provide employees with resources to navigate difficult life challenges that may cause stress, anxiety, depression, etc. Implementation Activities Tyler ContinueCARE will offer the Employee Assistance Program (EAP) through LifeSynch. EAP offers resources to help employees navigate various life challenges. This includes: - Personal plans to navigate life events, such as relationships, parenting, caregiving, financial challenges and work. - Guides, tools, quality assessment checklists and tips regarding child care and parenting. - Resources to make daily life easier such as local services, pet resources, moving and relocation information, safety, travel and more. - Information and tools to help an employee plan for his or her child's education. - Emergency preparedness guide, which offers: - Emergency supplies list - Family emergency planning tools - Preparedness for older and disabled adults - Pet preparedness - Expert resources on enhancing well-being, dealing with emotions or behavioral concerns, or helping a loved one. Featured information centers include: - Anxiety - Alcoholism - Depression - Drug Addiction - Eating Disorders - Family Relationships - Grief and Loss - Resilience - Sleep - Stress Management - Resources to help with legal and financial concerns such as managing money, coping with challenges and legal information and tools. - Expert up to date health and wellness information including: - Fact sheets and articles - Assessments and online learning tools - Content in Spanish - A guide that provides and explains all options when it comes to dealing with older adults. It also includes assessing loved ones' needs, insurance and government programs, tools and quality checklists. An older adult library and a health library are also available. - A guide that offers timely information to help with: - Job loss and the changing workplace - Improving financial wellness - Materials for managers and employees Objective #2: Provide patients with medication management and refer to appropriate resources upon discharge. Implementation Activities - Tyler ContinueCARE will 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 setting upon discharge. Impact and Evaluation - Tyler ContinueCARE will track involvement in the EAP program. SCHEDULE H, PART V, LINE 22D If a patient qualifies under its charity care policy, Continuecare Hospital of Tyler, Inc. shall provide free or discounted care for these services to persons who are uninsured or underinsured and meet the Hospital's indigency guidelines. All services must be medically necessary in order to qualify for a charity care discount. Eligible services will be based on those services for which Medicare provides coverage. PAYMENT FOR CHARITY CARE IN THE STATE OF TEXAS, IT IS PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. CONTINUECARE HOSPITAL OF TYLER CONTRIBUTED TO TRINITY MOTHER FRANCES $330,000.00 FOR THE PROVISION OF CHARITY CARE. SCHEDULE H, PART I, LINE 7, COLUMN F OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $24,206,012 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS ($289,887). THIS LEFT A TOTAL EXPENSE OF $23,916,125 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). CCH TYLER IS NOT AN ACUTE CARE HOSPITAL AND THEREFORE WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. SCHEDULE H, PART II THE 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. PART III, LINE 2 THE BAD DEBT COSTING METHODOLOGY VARIES BY PAYER TYPE. FOR MEDICARE, BAD DEBT IS RECORDED WHEN RECOGNIZED TO THE EXTENT OF 35%. MEDICARE REIMBURSES THE ORGANIZATION FOR ALLOWABLE 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 4 FOOTNOTE TO FINANCIAL STATEMENTS REGARDING BAD DEBT CONTINUECARE HOSPITAL OF TYLER, INC. 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 30%. MEDICARE REIMBURSES THE ORGANIZATION FOR ALLOWABLE BAD DEBT AT 70%. MEDICARE BAD DEBT RELATES TO THE PRIVATE PAY PORTION OF CARE SUCH AS CO-PAY AND DEDUCTIBLE AMOUNTS. FOR MANAGED CARE, WE RESERVE BAD DEBT WHEN RECOGNIZED AT 100% OF CO-PAY AND DEDUCTIBLE AMOUNTS. SCHEDULE H, PART III, LINE 8 The costing methodology used on Line 6 comes from the cost report (inpatient PPS cost-to-charge ratio computation). SCHEDULE H, PART III, LINE 9B If a patient of Continuecare Hospital of Tyler 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 2 NEEDS 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 3 PATIENT EDUCATION PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED UPON ADMISSION TO CONTINUECARE HOSPITAL OF TYLER 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 4 COMMUNITY INFORMATION CONTINUECARE HOSPITAL OF TYLER SERVES SMITH COUNTY. AS OF 2013, THERE WERE 210,600 RESIDENTS IN SMITH COUNTY THAT IS EXPECTED TO INCREASE 7.8% BY 2017. 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 17.65% AND 18.4% RESPECTIVELY. SMITH COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS AGES 65 YEARS AND OLDER OF 14.4%. THE MEDIAN HOUSEHOLD INCOMES IN 2012 IN SMITH COUNTY WAS $43,462. A. SMITH COUNTY HAS A LOWER RATE OF CARDIOVASCULAR DISEASE, HEART DISEASE AND STROKE WHEN COMPARED TO REGION 4 AND THE STATE, WHILE REGION 4 HAS A HIGHER RATE OF CARDIOVASCULAR DISEASE, HEART DISEASE AND STROKE WHEN COMPARED TO THE STATE. CONTINUECARE HOSPITAL OF TYLER, INC. IS IN SMITH COUNTY WHICH IS PART OF REGION 4 IN TEXAS. B. LUNG CANCER RATES IN SMITH COUNTY ARE COMPARABLE WITH THE STATE WHILE THE RATES OF REGION 4 ARE HIGHER THAN THE STATE. C. ALL COUNTIES IN THE PRIMARY SERVICE AREA AND THE SECONDARY SERVICE AREA HAVE FEWER THAN 20 DEATHS FROM FEMALE BREAST CANCER. REGION 4 HAS A SLIGHTLY LOWER RATE OF FEMALE BREAST CANCER WHEN COMPARED TO THE STATE. D. ALL COUNTIES IN THE SECONDARY SERVICE AREA AND REGION 4 HAVE HIGHER RATES OF CHRONIC LOWER RESPIRATORY DISEASE WHEN COMPARED TO THE STATE WHILE SMITH COUNTY HAS A LOWER RATE THAN REGION 4 AND THE STATE. E. SMITH COUNTY HAS A LOWER DIABETES RATE THAN TEXAS AND REGION 4. THE DIABETES RATES FOR TEXAS AND SMITH COUNTY ARE COMPARABLE. SCHEDULE H, PART VI, QUESTION 5 PROMOTION 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. AN EXAMPLE OF THIS WOULD BE THAT 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 6 AFFILIATED HEALTH CARE SYSTEM CONTINUECARE HOSPITAL OF TYLER 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 7 STATE FILING OF COMMUNITY BENEFIT REPORT TX true East Texas Crisis Center Inc PO Box 7060 Tyler TX 75711 751641173 10000 General Support 1 Form 990, Schedule I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING GRANTS CHARITABLE CONTRIBUTIONS ARE GIVEN BASED ON REQUESTS FROM LOCAL COMMUNITY ORGANIZATIONS. THE DECISION TO GRANT THE REQUEST IS MADE BY THE CHIEF EXECUTIVE OFFICER AFTER CONSIDERING THE COMMUNITY BENEFIT PLAN AND THE MISSION OF SACRED WORK. false true false false false false false true false Kristi Williams Pharmacist 149268 0 0 0 83 0 4698 0 9012 0 163061 0 0 0 Karen Spencer Registered nurse 118548 0 27723 0 117 0 4544 0 7020 0 157952 0 0 0 Travis Jacobs Pharmacist 166102 0 6561 0 3165 0 30287 0 16772 0 222887 0 0 0 Michael D Williams Board Member 0 654017 0 405946 0 282130 0 7800 0 23507 0 1373400 0 0 Stephanie Hyde CEO/President 0 154448 0 36150 0 10763 0 13015 0 27067 0 241443 0 0 Charles Pipes Registered Nurse 151325 0 0 0 0 0 1624 0 10612 0 163561 0 0 0 David Butler Assistant Secretary 0 277564 0 112370 0 24393 0 5374 0 25161 0 444862 0 0 Mark Graham Wound Care Nurse 143921 0 0 0 791 0 0 0 7512 0 152224 0 0 0 SCHEDULE J, PART I, LINE 3 ContinueCare Hospital of Tyler (CCHT) DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC Community Care (CCC) COMPENSATES the CCHT 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 6/30/15 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. SCHEDULE J, PART I, LINE 4B NON QUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: MICHAEL WILLIAMS - 244,472 DAVID BUTLER - 16,193 SCHEDULE J, PART I, LINE 7 A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF CHC. FORM 990, PART VI, LINE 3 DESCRIPTION OF MANAGEMENT ARRANGEMENT CHC COMMUNITY CARE, LLC (CCC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC. IS CHC COMMUNITY CARE, LLC. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE SOLE SHAREHOLDER 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. THE BOARD OF DIRECTORS SHALL BE COMPRISED OF 5 VOTING DIRECTORS PLUS 2 NON-VOTING EX-OFFICIO DIRECTORS. FORM 990, PART VI, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000. FORM 990, PART VI, LINE 8B DOCUMENTATION OF MEETINGS OF COMMITTEES THERE WERE NO COMMITTEES OF THE GOVERNING BODY. FORM 990, PART VI, LINE 11B DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, 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, QUESTIONS 15A & 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATION EXECUTIVE IS 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, 2015 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. FORM 990, PART VI, LINE 19 PROCESS 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 9 OTHER CHANGES IN NET ASSETS DISTRIBUTIONS TO MEMBERS ($7,008,168) FORM 990, PART XII, QUESTION 2C OVERSIGHT OR SELECTION PROCESS THE AUDIT COMMITTEE OF CHC, WHICH IS THE PARENT ORGANIZATION OF CONTINUECARE HOSPITAL OF TYLER, INC. IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS. FORM 990 PART IX LINE 11G DESCRIPTION:FEES-OTHER SERVICES TOTAL FEES:382211 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES-HOST TOTAL FEES:4597110 FORM 990 PART IX LINE 11G DESCRIPTION:HYPERBARIC OXYGEN TOTAL FEES:306366 FORM 990 PART IX LINE 11G DESCRIPTION:DIALYSIS TOTAL FEES:181449 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SVCS TOTAL FEES:123363 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED OTHER SERVICES TOTAL FEES:694508 BAPTIST HOSPITALS OF SOUTHEAST TEXAS POST OFFICE BOX 1591 BEAUMONT TX 77704 741303720 HOSPITAL TX 501(C)(3) 3 SWCH INC false BAPTIST PHYSICIANS NETWORK 3080 COLLEGE STREET BEAUMONT TX 77701 760453250 PRIMARY CARE TX 501(C)(3) 3 BHSET false ARTESIA GENERAL HOSPITAL 702 NORTH 13TH STREET ARTESIA NM 88210 742851819 HOSPITAL NM 501(C)(3) 3 CHC false SOUTHWEST COMMUNITY HOSPITAL INC 7800 N DALLAS PARKWAY STE 200 PLANO TX 75024 752725353 Support Org TX 501(C)(3) 11D-III-O CHC false YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DRIVE YOAKUM TX 77995 742323822 HOSPITAL TX 501(C)(3) 3 CHC false CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS 7800 N DALLAS PARKWAY 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 PARKWAY STE 200 PLANO TX 75024 371485773 SUPPORT ORG DE 501(C)(3) 11C-III-FI CHC false CONTINUECARE HOSPITAL OF MIDLAND 4214 ANDREWS HIGHWAY MIDLAND TX 79703 463053684 HOSPITAL DE 501(C)(3) 3 CCC false CONTINUECARE HOSPITAL HENDRICK MED CTR 1900 PINE STREET 5TH FLOOR ABILENE TX 79601 463607347 HOSPITAL DE 501(C)(3) 3 CCC false CONTINUECARE HOSPITAL AT BAKERSFIELD 7800 N DALLAS PARKWAY STE 200 PLANO TX 75024 465236524 HOSPITAL DE 501(C)(3) 3 CCC false CONTINUECARE HOSP BAP HLT MADISONVILLE 900 Hospital Drive 4th Floor Madisonville KY 42431 465033192 HOSPITAL DE 501(C)(3) 3 CCC false CONTINUECARE HOSP AT BAP 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 7800 N DALLAS PARKWAY STE 200 PLANO TX 75024 465590355 SUPPORT ORG DE 501(C)(3) 11B-II CHC false CAROLINAS CONTINUECARE HOSPITAL 7800 N DALLAS PARKWAY STE 200 PLANO TX 75024 463796709 HOSPITAL DE 501(C)(3) 3 CAR CC false JELLICO COMMUNITY HOSPITAL INC 188 Hospital Lane Jellico TN 37762 620924706 HOSPITAL TN 501(C)(3) 3 CHC false MERCY RESTORATIVE CARE HOSPITAL INC 10648 Park Road Charlotte NC 28210 753054855 HOSPITAL NC 501(C)(3) 3 CAR CC false CONTINUECARE HOSPITAL AT ODESSA INC 500 W 4th Street Odessa TX 79761 473539943 HOSPITAL DE 501(C)(3) 3 CCC false COMMUNITY HOSPITAL CORP (FKA VHA SW C 7800 N DALLAS PARKWAY STE 200 PLANO TX 75024 752638469 SUPPORT ORG TX 501(C)(3) 11C-III-FI NA false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 Carl Ramert Drive Yoakum TX 77995 453609830 support org TX 501(C)(3) 11a-1 ych false bhsetx foundation 810 Hospital drive 235 Beaumont TX 77701 611557670 support org TX 501(C)(3) 7 BHSETX false COMMUNITY HEALTH ASSURANCE SPC LTD CAYMAN ISLANDS GRAND CAYMAN CJ POB 69GT CAPTIVE INSURANCE CJ CHC C Corp false COMMUNITY HOSPITAL CONSULTING 7800 N DALLAS PARKWAY 200 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corp false false false false false false false false false false false false false false false true true false true false CHC COMMUNITY CARE LLC o 285344 cost CHC COMMUNITY CARE LLC p 645270 Cost CHC COMMUNITY CARE LLC r 1401500 Cost Community Hospital Corporation p 2436365 cost