2012-03-14T17:39:05-05:00 2011-06-30 ERNST & YOUNG US LLP 55 IVAN ALLEN BLVD ATLANTA GA 30308 990 2010-07-01 200991990 Continuecare Hospital of Tyler Inc CONT 9729436400 5801 Tennyson Parkway Plano TX 75024 Stephanie Hyde 2012-03-12 4048748300 2010 2016-02-24 21:20:13Z Stephanie Hyde 5801 Tennyson Parkway Ste 550 Plano TX 75024 25949843 false 9703 X www.continuecare.org X 2004 DE PROVIDES AN APPROPRIATE VENUE IN THE CONTINUUM OF CARE FOR PATIENTS REQUIRING AN EXTENDED STAY IN AN ACUTE CARE SETTING AND WHO RESIDE IN OR AROUND TYLER, TEXAS. 6 4 200 0 0 0 0 0 28382387 25942103 4354 884 4906 6856 28391647 25949843 3000 31750 0 0 10337293 11124285 0 0 0 12799012 12385510 23139305 23541545 5252342 2408298 6757076 7159366 1648693 1914686 5108383 5244680 X See Schedule O. false false 21371698 31750 25948959 See Schedule O. 21371698 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 true false true false false false false false false false false false false false false false true false false false false true 18 0 true 200 true false false false false false false false false false false X 6 4 false true false false true true true true true false false true true true true true true false false false X STEPHANIE HYDE 9729436431 5801 Tennyson Parkway Suite 550 Plano TX 75024 X Ray Thompson 1.0 X X 0 0 0 Craig Chesley 1.0 X 0 0 0 Robert Owens 1.0 X 0 0 0 Michael D Williams 1.0 X 0 1074526 34315 Dan Hardiman 1.0 X 0 0 0 Stephanie Hyde 38.0 X X 0 190734 18287 David Butler 1.0 X 0 345255 36254 Larry Cuthbertson 40.0 X 212187 0 8015 Karen Spencer 40.0 X 149380 0 16150 James Ross 40.0 X 143394 0 15975 Kristi Williams 40.0 X 135451 0 9699 Charles Pipes 40.0 X 134398 0 12027 774810 1610515 150722 12 false true false Trinity Mother Frances 1315 Doctors Drive TYLER TX 75701 Purchased services 6978788 Nathan Jackson PLLC 3626 Long Leaf Drive TYLER TX 75701 Contract PT/OT 625596 Nurse Finders Inc PO Box 910738 DALLAS TX 75391 Contract nursing 401213 Trinity Clinic Hospitalist 1315 Doctors Drive TYLER TX 75701 Contract medical dir 266667 Capstone Personnel Services Inc PO Box 8744 TYLER TX 75711 Contract nursing 234355 5 0 Inpatient Revenue 623110 25942103 25942103 25942103 884 884 0 0 0 0 0 0 Miscellaneous income 900099 6856 6856 6856 25949843 25948959 884 31750 31750 0 0 0 0 0 9025203 8253203 772000 114551 105341 9210 1381408 1270186 111222 603123 554632 48491 1102099 576775 525324 2255 2255 91428 91428 0 0 0 4834641 4719891 114750 16833 16833 3356966 3229973 126993 1114339 1112548 1791 0 1341579 1233716 107863 35218 35218 0 3993 3993 31 31 0 178845 178845 135292 135292 Bad debt 94458 94458 All other expenses 77533 10380 67153 23541545 21371698 2169847 0 2076946 2097936 0 0 3643847 4282757 258470 227321 161712 222165 1841586 1512399 476205 329187 139896 0 6757076 7159366 1505618 1772749 143075 141937 1648693 1914686 X 5108383 5244680 5108383 5244680 6757076 7159366 X 2408298 -2272001 X X false true true X false X 0 0 142697 142697 1698889 1512399 186490 329187 0 Inter-Company 141937 141937 true true X true X true X true true false true true 89582 0 89582 0.00380 0 0 0 0.00000 0 0 0 0.00000 89582 0 89582 0.00380 24502 0 24502 0.00100 18750 0 18750 0.00080 0 0 0 0.00000 0 0 0 0.00000 361020 0 361020 0.01540 404272 0 404272 0.01720 493854 0 493854 0.02100 true 94458 0 19330777 18897270 433507 X true false CHC COMMUNITY CARE HOSPITAL MANAGEMENT 1.00000 0.00000 0.00000 1 1 ContinueCare Hospital of Tyler Inc

800 E Dawson Tyler TX 75701

X X ContinueCare Hospital of Tyler Inc 1 true true 200. true 200. true X X X X X true true X X true X X X true X X X X X true X false false PAYMENT FOR CHARITY CARE IN THE STATE OF TEXAS, IT IS PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIRMENTS. CONTINUECARE HOSPITAL OF TYLER PAID TRINITY MOTHER FRANCES $350,000.00 FOR CHARITY CARE. PART I, LINE 7, COLUMN F OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $23,541,545. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $94,458. THIS LEFT A TOTAL EXPENSE OF $23,447,087 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART III, LINE 4 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 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. PART III, LINE 9B IF A PATIENT QUALIFIES FOR CHARITY, THERE ARE NO COLLECTION PRACTICES FOR THE PATIENT. 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. PATIENT EDUCATION OF ELIBIBILITY FOR ASSISTANCE: 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. COMMUNITY INFORMATION: 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. COMMUNITY BUILDING ACTIVITIES: 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. AFFILIATED HEALTH CARE SYSTEM ROLES: 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. ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: TX CHARGES FOR MEDICAL CARE PART V, LINE 19D CONTINUECARE HOSPITAL OF TYLER, INC. APPLIES A MINIMUM 30% DISCOUNT FOR INDIVIDUALS WHO DO NOT HAVE INSURANCE. true Trinity Mother Francis Foundation 611 South Fleishal Tyler TX 75701 742028241 501(c)(3) 18750 Nursing Scholarship Program Trinity Mother Francis Foundation 611 South Fleishal Tyler TX 75701 742028241 501(c)(3) 10000 Heart Hospital contribution 2 0 Description of Organization's Procedures for Monitoring Use of Grants Schedule I, Part I, Question 1 The hospital provided unconditional contributions to the organizations, and does not monitor the use of the funds after the contribution is made. false true false false false true false false false Michael D Williams 0 617120 0 318397 0 139009 0 17107 0 17208 0 1108841 0 0 Stephanie Hyde 0 154727 0 34308 0 1699 0 12297 0 5990 0 209021 0 0 David Butler 0 255057 0 85986 0 4212 0 14840 0 21414 0 381509 0 0 Larry Cuthbertson 181018 0 31067 0 103 0 2135 0 5880 0 220202 0 0 0 Karen Spencer 122193 0 27188 0 0 0 4601 0 11549 0 165530 0 0 0 James Ross 139097 0 3850 0 447 0 4426 0 11549 0 159369 0 0 0 Supplemental Compensation Information SCHEDULE J, PART I, LINE 3 THE ORGANIZATION DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. THE ORGANIZATION REIMBURSES CCC FOR THE PRESIDENT'S COMPENSATION. CCC FOLLOWS THE COMPENSATION POLICY OF VHASW (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 ON 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. Supplemental Compensation Information SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: MICHAEL D. WILLIAMS - $141,442 DAVID BUTLER - $9,800 Supplemental Compensation Information Schedule J, Part I, Line 6A AS REPORTED IN SCHEDULE J, PART II AND FORM 990, PART VII, BONUSES WERE PAID TO THE INDIVIDUALS LISTED BELOW AS PART OF A DISCRETIONARY INCENTIVE COMPENSATION PROGRAM. A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS IN PART BASED ON THE EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION (EBIDA) OF CONTINUECARE HOSPITAL OF TYLER FOR THE FISCAL YEAR ENDED JUNE 30, 2010. LARRY CUTHBERTSON - $31,067 KAREN SPENCER - $27,188 JAMES ROSS - $3,850 A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM ACCRUED DURING THE FISCAL YEAR END JUNE 30, 2011, WAS BASED ON THE EBIDA OF CONTINUECARE HOSPITAL OF TYLER. ORGANIZATION'S MISSION STATEMENT FORM 990, PART III, LINE 1 TYLER CONTINUECARE HOSPITAL AT MOTHER FRANCES HOSPITAL PROVIDES AN APPROPRIATE VENUE IN THE CONTINUUM OF CARE FOR PATIENTS REQUIRING AN EXTENDED STAY IN AN ACUTE CARE SETTING AND WHO RESIDE IN OR AROUND TYLER, TEXAS. TYLER CONTINUECARE HOSPITAL AT MOTHER FRANCES HOSPITAL IS ESTABLISHED TO PROVIDE LONG TERM ACUTE CARE SERVICES TO INDIVIDUALS WITH CRITICAL DISEASE OR DISORDERS INCLUDING BUT NOT LIMITED TO CHRONIC OR ACUTE INFECTION, CARDIOVASCULAR AND RESPIRATORY DISORDERS, POST SURGICAL AND CANCER PATIENTS, AND THOSE WEANABLE PATIENTS DEPENDENT UPON VENTILATOR CARE WHOSE CONDITION IS SO SIGNIFICANT THAT A HOSPITAL STAY OF AT LEAST 14-30 DAYS (AGGREGATE 25 DAYS) IS EXPECTED. THE HOSPITAL INTENDS TO MEET THE MEDICAL, THERAPEUTIC AND FAMILIAL NEEDS OF INDIVIDUALS IN THE TYLER, TEXAS AREA USING AN INTERDISCIPLINARY TEAM APPROACH, EFFECTIVELY IMPLEMENTING A RESPONSIVE CONTINUUM OF CARE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A 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 6/30/2011, TCCH'S TOTAL PATIENTS ADMITTED WERE 672 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 17,737. THE AVERAGE DAILY CENSUS WAS 48.6 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 26.39 DAYS. DESCRIPTION OF MANAGEMENT ARRANGEMENT FORM 990, PART VI, QUESTION 3 CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC IS CHC COMMUNITY CARE, LLC, ("CCC"). DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A 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. CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B 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 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000. DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATIONS PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CHC COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, 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 6-30-11. 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTIONS 15A & 15B THE ORGANIZATION EXECUTIVE IS EMPLOYED BY CHC COMMUNITY CARE LLC WHICH FOLLOWS THE COMPENSATION POLICY OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION (CHC). THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S COMPENSATION POLICY FOR YEAR ENDED 6-30-11. 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 6-30-11 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 JULY 1ST OF EACH YEAR. OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. AVAIL OF 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. AVERAGE RELATED HOURS DISCLOSURE FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: DAVID BUTLER: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 38 HOURS YOAKUM COMMUNITY HOSPITAL - 1 HOUR COMMUNITY HOSPITAL CONSULTING, INC. - 1 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOURS ARTESIA GENERAL HOSPITAL - 2 HOURS MICHAEL D. WILLIAMS: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 30 HOURS YOAKUM COMMUNITY HOSPITAL - 1 HOUR COMMUNITY HOSPITAL CONSULTING, INC. - 8 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOUR STEPHANIE HYDE: CHC COMMUNITY CARE - 2 HOURS RECONCILIATION OF NET ASSETS PART XI LINE 5 OTHER CHANGES IN NET ASSETS: DISTRIBUTIONS TO MEMBERS $2,272,000 OVERSIGHT OR SELECTION PROCESS FORM 990, PART XII, QUESTION 2C THE AUDIT COMMITTEE OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, WHICH IS THE PARENT ORGANIZATION OF CONTINUECARE HOSPITAL OF TYLER, INC. IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS. BAPTIST HOSPITALS OF SE TEXAS POST OFFICE BOX 1591 BEAUMONT TX 77704 741303720 HOSPITAL TX 501(C)(3) 3 SW CH INC BAPTIST PHYSICIAN NETWORK 3080 COLLEGE STREET BEAUMONT TX 77701 760453250 PRIMARY CARE TX 501(C)(3) 3 BHS ARTESIA GENERAL HOSPITAL 702 NORTH 13TH STREET ARTESIA NM 88210 742851819 HOSPITAL NM 501(C)(3) 3 CHC LAIRD MEMORIAL HOSPITAL 5801 TENNYSON PKWY STE 550 PLANO TX 75024 020643367 HOSPITAL TX 501(C)(3) 3 NA SOUTHWEST COMMUNITY HOSPITAL INC 5801 TENNYSON PKWY STE 550 PLANO TX 75024 752725353 HOSPITAL TX 501(C)(3) 3 CHC YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DRVIE YOAKUM TX 77995 742323822 HOSPITAL TX 501(C)(3) 3 CHC CONTINUECARE HOSPITAL OF SE TEXAS 5801 TENNYSON PKWY STE 550 PLANO TX 75024 201150480 HOSPITAL TX 501(C)(3) 3 NA CHC COMMUNITY CARE LLC 5801 TENNYSON PKWY STE 550 PLANO TX 75024 371485773 SUPPORT ORG TX 501(C)(3) 3 CHC ST MARKS MEDICAL CENTER ONE ST MARKS PLACE LA GRANGE TX 78945 743019849 HOSPITAL TX 501(C)(3) 3 CHC VHASW COMMUNITY HEALTH CORPORATION 5801 TENNYSON PKWY STE 550 PLANO TX 75024 752638469 SUPPORT ORG TX 501(C)(3) 11D NA COMMUNITY HEALTH ASSURANCE SPC LTD CAYMAN ISLANDS GRAND CAYMAN CJ POB 69GT CAPTIVE INSURANCE CJ NA C CORP CHC ACQUISITION CORP 5801 TENNYSON PARKWAY STE 550 PLANO TX 75024 752750360 CONSULTING TX NA C CORP Community Hospital Consulting Inc 5801 Tennyson Parkway Ste 550 Plano TX 75024 204710183 Mgmt Consulting TX NA C Corp false false false false false false false false false false false false false true true false false false CHC COMMUNITY CARE LLC N 265214 VHASW COMMUNITY HEALTH CORPORATION O 453501