2015-05-14T18:01:11-05:00 2014-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET SUITE 600 FORT WORTH TX 76102 990 2013-07-01 200991990 Continuecare Hospital of Tyler Inc % Gregory Taylor CONT 9729436400 7800 N Dallas Parkway Suite 200 Plano TX 75024 MICHAEL WILLIAMS DIRECTOR 2015-05-14 MELVA SCOTT P01207335 2013 2016-02-25 16:41:14Z STEPHANIE HYDE 7800 N DALLAS PARKWAY ste 200 PLANO TX 75024 27098694 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 4 177 4 0 0 0 26320542 27092426 0 0 5349 6268 26325891 27098694 14900 5304 0 0 10425764 11018951 0 0 0 12308655 12956005 22749319 23980260 3576572 3118434 7686708 8285803 1445164 2455325 6241544 5830478 X AS A "HOSPITAL WITH-IN a HOSPITAL," it IS THE MISSION OF TYLER CONTINUECARE HOSPITAL TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 21375710 5304 27098694 CONTINUECARE HOSPITAL OF TYLER (TCCH) IS A LONG-TERM ACUTE CARE HOSPITAL OPERATING AS A HOSPITAL WITHIN A HOSPITAL AT MOTHER FRANCES HOSPITAL IN TYLER, TEXAS. TCCH 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, TCCH 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, 2014, TCCH'S TOTAL PATIENTS ADMITTED WERE 610 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 16,804. THE AVERAGE DAILY CENSUS WAS 46 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 28 DAYS. 21375710 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 177 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 Robert Owens Board Member 1.0 0.0 X 0 0 0 Michael D Williams Board Member 1.0 39.0 X 0 1275343 29523 Dan Hardiman Board Member 1.0 0.0 X David Butler Assistant Secretary 1.0 39.0 X 0 398597 30114 Stephanie Hyde CEO/President 40.0 0.0 X 0 198883 36791 Michael Follis Registered Nurse 40.0 0.0 X 157873 0 4352 Mark Graham Wound Care Nurse 40.0 0.0 X 135684 0 5856 Kristi Williams Pharmacist 40.0 0.0 X 132090 0 9384 Karen Spencer Registered nurse 40.0 0.0 X 139139 0 4336 Travis Jacobs Pharmacist 40.0 0.0 X 172370 0 4737 737156 1872823 125093 11 false true false TRINITY MOTHER FRANCES 1315 DOCTORS DR TYLER TX 75701 PURCHASED SERVICES 8383934 NATHAN JACKSON PO BOX 6336 TYLER TX 75711 CONTRACT PT/OT 612920 TRINITY CLINIC HOSPITALIST 1315 DOCTORS WAY TYLER TX 75701 CONTRACT MEDICAL DIR 288889 CAPSTONE PERSONNEL SERVICES INC 130 SHELLEY DR TYLER TX 75701 CONTRACT NURSING 206714 SODEXO INC 5000 HEADQUARTERS DRIVE PLANO TX 75024 CONTRACT HOUSEKPNG 213183 5 0 0 0 INPATIENT REVENUE 623000 27092426 27092426 0 0 27092426 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 6268 6268 0 0 6268 27098694 27098694 0 0 X 5304 5304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9049455 8073330 976125 0 127236 113933 13303 0 1222301 1094174 128127 0 619959 555140 64819 0 895275 286695 608580 0 567 0 567 0 81039 0 81039 0 2125 2125 0 0 0 0 0 0 0 0 5359189 5259843 99346 0 2306 0 2306 0 3242039 3127508 114531 0 1477356 1476806 550 0 0 0 0 0 1502157 1344959 157198 0 52658 0 52658 0 0 0 0 0 1250 0 1250 0 6184 6184 0 0 0 0 0 0 187199 187199 0 0 219649 0 219649 0 BAD DEBT EXPENSE -177428 -177428 0 0 ALL OTHER EXPENSES 104440 19938 84502 0 23980260 21375710 2604550 0 0 1870716 2395971 0 0 0 0 5099265 4813645 0 0 0 0 0 0 245477 191604 160922 143860 2508536 1765903 310328 742633 0 0 0 0 0 0 0 0 0 -1910 7686708 8285803 1297859 1677403 0 0 0 0 0 0 0 0 0 0 0 0 0 573660 147305 204262 1445164 2455325 X 6241544 5830478 0 0 0 0 6241544 5830478 7686708 8285803 X 3118434 -3529500 X false true X true false X false false false 0 false 0 false 0 true 2125 false 0 false 0 false 0 2125 false SCHEDULE C, PART II-B MEMBERSHIP DUES TO NATIONAL ASSOC OF LONG TERM HOSPITALS CONTINUECARE HOSPITAL OF TYLER PAID $11,954 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS IN 2013. THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES WAS 17.78%. TOTAL DUES PAID FOR LOBBYING ACTIVITIES WERE $11,954 X .1778 = $2,125. 142697 142697 2365839 1623206 742633 0 0 0 742633 0 Intercompany 204262 204262 true true X true X false true true true false true true 163619 163619 0.00680 163619 163619 0.00680 23630 23630 0.00100 306658 0 306658 0.01270 330288 0 330288 0.01370 493907 0 493907 0.02050 30297 30297 0.00130 30297 30297 0.00130 true -177428 15325440 16732521 -1407081 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 true X X X X X X X X X 12 true false true X www.continuecare.org X X X X X X X true false true true 200. false true X X X X X true true X X true false false X X false false SCHEDULE H, Part V, Line 3 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 CONTINUECARE HOSPITAL OF TYLER ONLY PROVIDES FREE CARE AND DOES NOT HAVE DISCOUNTED CARE. SCHEDULE H, Part V, Line 20D IF A PATIENT QUALIFIES UNDER ITS CHARITY CARE POLICY, CONTINUECARE HOSPITAL OF TYLER, INC. DOES NOT BILL THE PATIENT FOR THE SERVICES. 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 $300,000.00 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 $23,980,260 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS ($177,428). THIS LEFT A TOTAL EXPENSE OF $24,157,688 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. 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 VHA SOUTHWEST COMMUNITY HEALTH 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 SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THIS REPRESENTS THE TRUE COST OF PROVIDING CARE TO MEMBERS OF THE COMMUNITY THAT IS NOT TO BE FUNDED BY THE MEDICARE PROGRAM. THIS AMOUNT IS NOT COVERED BY ANY OTHER REIMBURSEMENT AND AS A RESULT MUST BE ABSORBED. SCHEDULE H, PART III, LINE 9B IF A PATIENT QUALIFIES FOR CHARITY, THERE ARE NO COLLECTION PRACTICES FOR THE PATIENT. 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 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 David Butler Assistant Secretary 0 271840 0 105156 0 21601 0 5287 0 24827 0 428711 0 0 Michael Follis Registered Nurse 135494 0 21787 0 592 0 1592 0 2760 0 162225 0 0 0 Travis Jacobs Pharmacist 167066 0 3050 0 2254 0 4497 0 240 0 177107 0 0 0 Michael D Williams Board Member 0 630030 0 390333 0 254980 0 7650 0 21873 0 1304866 0 0 Stephanie Hyde CEO/President 0 159703 0 35436 0 3744 0 12970 0 23821 0 235674 0 0 Schedule J, Part I, Line 3 THE ORGANIZATION DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. THE ORGANIZATION REIMBURSES CHC COMMUNITY CARE LLC (CCC) FOR THE PRESIDENT'S COMPENSATION. CCC FOLLOWS THE COMPENSATION POLICY OF VHA SOUTHWEST COMMUNITY HEALTH 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. Schedule J, Part I, Line 4b NON QUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO : MIKE WILLIAMS - 217,911 DAVID BUTLER - 15,578 SCHEDULE J, PART I, LINE 6A 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, VHA SOUTHWEST COMMUNITY HEALTH 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, 2014 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 ($3,529,500) 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:51206 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES-HOST TOTAL FEES:4301749 FORM 990 PART IX LINE 11G DESCRIPTION:HYPERBARIC OXYGEN TOTAL FEES:187716 FORM 990 PART IX LINE 11G DESCRIPTION:DIALYSIS TOTAL FEES:167059 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED OTHER SERVICES TOTAL FEES:306975 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PROFESSIONAL SVCS TOTAL FEES:11542 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED CLERICAL SERVICES TOTAL FEES:450 FORM 990 PART IX LINE 11G DESCRIPTION:AMBULANCE TOTAL FEES:75 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:332417 ARTESIA GENERAL HOSPITAL 702 NORTH 13TH STREET ARTESIA NM 88210 742851819 HOSPITAL NM 501(C)(3) 3 CHC false BAPTIST HOSPITALS OF SOUTHEAST TEXAS POST OFFICE BOX 1591 BEAUMONT TX 77704 741303720 HOSPITAL TX 501(C)(3) 3 SWCH INC false SOUTHWEST COMMUNITY HOSPITAL INC 7800 N DALLAS PARKWAY 200 PLANO TX 75024 752725353 HOSPITAL 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 CHC COMMUNITY CARE LLC 7800 N DALLAS PARKWAY 200 PLANO TX 75024 371485773 SUPPORT ORG TX 501(C)(3) 11C-III-FI CHC false CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS 7800 N DALLAS PARKWAY 200 PLANO TX 75024 201150480 HOSPITAL TX 501(C)(3) 3 CCC false ST MARKS MEDICAL CENTER ONE ST MARKS PLACE LA GRANGE TX 78945 743019849 HOSPITAL TX 501(C)(3) 3 CHC false CONTINUECARE HOSPITAL OF MIDLAND 4214 ANDREWS HIGHWAY MIDLAND TX 79703 463053684 HOSPITAL TX 501(C)(3) 3 CCC false BAPTIST PHYSICIANS NETWORK 3080 COLLEGE STREET BEAUMONT TX 77701 760453250 PRIMARY CARE TX 501(C)(3) 3 BHSET false CONTINUECARE HSPTL AT HENDRICK MDCL CNTR 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 200 PLANO TX 75024 465236524 HOSPITAL DE 501(C)(3) 3 CCC false CONTINUECARE HOSP BPTST HLH MADISONVILLE 7800 N DALLAS PARKWAY 200 PLANO TX 75024 465033192 HOSPITAL DE 501(C)(3) 3 CCC false CONTINUECARE HPTL AT BPTST HLTH PADUCAH 7800 N DALLAS PARKWAY 200 PLANO TX 75024 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 200 PLANO TX 75024 465590355 SUPPORT ORG DE 501(C)(3) 11C-III-FI CHC false CAROLINAS CONTINUECARE HOSPITAL 7800 N DALLAS PARKWAY 200 PLANO TX 75024 463796709 HOSPITAL DE 501(C)(3) 3 CAR CC false VHA Southwest Community Health Corp 7800 N Dallas Parkway 200 Plano TX 75024 752638469 Support org TX 501(c)(3) 11C-III-FI NA false COMMUNITY HEALTH ASSURANCE SPC LTD CAYMAN ISLANDS POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corp 0.00000 false COMMUNITY HOSPITAL CONSULTING INC 7800 N DALLAS PARKWAY SUITE 200 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corp 0.00000 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 290628 FMV CHC Community Care LLC p 613052 FMV vha southwest community health corp p 2259225 FMV CHC Community Care LLC r 706500 FMV