CONTINUECARE HOSPITAL OF TYLER INCORPORATED: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CONTINUECARE HOSPITAL OF TYLER INCORPORATED (EIN 20-0991990)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-13
IRS object ID: 202621339349304857
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-13T12:00:20+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON ST	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	200991990	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ContinueCare Hospital of Tyler Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CONT	BusinessNameControlTxt
Phone	9729436400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 LEGACY DRIVE 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE HYDE	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	9729436400	PhoneNum
Signature	2026-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jodi Rosser	PreparerPersonNm
PTIN	P01255710	PTIN
Phone	8173351900	PhoneNum
Preparation	2026-05-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE HYDE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 LEGACY DRIVE 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$30,554,169	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://LONGVIEW.CONTINUECARE.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	IT IS THE MISSION OF LONGVIEW CONTINUECARE HOSPITAL AND CONTINUECARE HOSPITAL OF TYLER, INC. TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARE, ACCOUNTABILITY, RESPECT AND EMPATHY.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	216	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$2,500	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$21,308,212	PYProgramServiceRevenueAmt
CY Program Service Revenue	$30,533,538	CYProgramServiceRevenueAmt
PY Investment Income	-$22,601	PYInvestmentIncomeAmt
CY Investment Income	$8,126	CYInvestmentIncomeAmt
PY Other Revenue	$152	PYOtherRevenueAmt
CY Other Revenue	$107	CYOtherRevenueAmt
PY Total Revenue	$21,288,263	PYTotalRevenueAmt
CY Total Revenue	$30,541,771	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$10,128,674	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$16,861,384	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,120,662	PYOtherExpensesAmt
CY Other Expenses	$15,740,342	CYOtherExpensesAmt
PY Total Expenses	$20,249,336	PYTotalExpensesAmt
CY Total Expenses	$32,601,726	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,038,927	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,059,955	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,666,242	TotalAssetsBOYAmt
Total Assets EOY	$10,330,188	TotalAssetsEOYAmt
Total Liabilities BOY	$4,449,494	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,173,395	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,216,748	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,156,793	NetAssetsOrFundBalancesEOYAmt
Mission	IT IS THE MISSION OF LONGVIEW CONTINUECARE HOSPITAL AND CONTINUECARE HOSPITAL OF TYLER, INC. TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARE, ACCOUNTABILITY, RESPECT AND EMPATHY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$28,468,280	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$30,533,538	RevenueAmt
Desc	ContinueCare Hospital of Tyler Inc operates Longview Continuecare Hospital and Tyler ContinueCare Hospital, which are Long Term Acute Care Hospitals (LTACH) that serve the needs of patients with medically complex conditions, especially those suffering from multisystem complications and needing extended recovery times - a hospital stay that is often 25 days or more. A patient is usually admitted after a short-term, acute-care hospital stay. After care in an LTACH, many patients are then able to transition from the LTACH to acute rehab, skilled nursing or go home. As an LTACH, the ContinueCARE Hospitals develop a continuum of care between the acute and long term phases of a patient's illness. Our innovative and distinctive physician-driven approach allows us to bring new meaning to the "hospital-within-a-hospital" model. As a separate, fully licensed and staffed hospital, we are able to provide intensive and complex medical treatment to patients requiring longer lengths of stay for acute-care. We have specialty programs designed to meet the needs of long term, acutely ill patients with conditions including ventilator dependence, respiratory failure, chronic pulmonary problems, complex and severe wounds, and infections requiring long term antibiotic therapy. LTACH facilities also provide physical, occupational, and nutritional therapies. DURING THE FISCAL YEAR ENDED JUNE 30, 2025, TYLER CONTINUECARE HOSPITAL'S TOTAL PATIENTS ADMITTED WERE 638 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 19,269. THE AVERAGE DAILY CENSUS WAS 52.8 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS WAS 30.3 DAYS. As of September 1, 2025, the tyler continuecare hospital location consolidated services to the longview continuecare hospital location.	Desc
Total Program Service Expenses	$28,468,280	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	10	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	216	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIKE MURRAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9729431225	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 LEGACY DRIVE SUITE 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CRAIG CHESLEY
DIRECTOR	1.0	1.0	Yes (X)	$0	$42,050	$0
DAN HARDIMAN
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
Jeff Warr
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
JIM KENDRICK
DIRECTOR	0.2	39.8	Yes (X)	$0	$1,910,049	$470,298
Mark Anderson MD
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
JAMES HILL
TREASURER	0.4	39.6		$0	$451,879	$60,342	Yes (X)
LINDA MOORE
SECRETARY	0.1	39.9		$0	$482,307	$52,098	Yes (X)
STEPHANIE HYDE
CEO/PRESIDENT	40.0	0.0		$0	$288,240	$42,097	Yes (X)
Dawn Stiles
LVN	40.0	0		$138,849	$0	$22,585		Yes (X)
Jennifer Minchew
Registered Nurse	40.0	0		$151,441	$0	$4,749		Yes (X)
Kent Andries
CNO ContinueCare Tyler (until 1/2025)	40.0	0.0		$0	$187,869	$50,020		Yes (X)
LADUANDA HILL
RN CHARGE NURSE	40.0	0		$202,638	$0	$19,594		Yes (X)
Ty'Eesha Dawkins
Registered Nurse	40.0	0		$136,761	$0	$14,476		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$629,689	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,362,394	TotReportableCompRltdOrgAmt
Total Other Compensation	$736,259	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NATHAN JACKSON PLLC
6760 OLD JACKSONVILLE HWY	STE 101	TYLER	TX	75703	CONTRACT PT/OT	$528,135
Tyler Physician Services
PO BOX 677979		DALLAS	TX	75267	Contract Physicians	$385,897
HHS ENVIRONMENTAL SERVICES
PO Box 734367		Dallas	TX	75373	Contract Cleaning	$307,917
CHRISTUS TRINITY CLINIC
919 Hidden Ridge	5th Fl	Irving	TX	75038	CONTRACT PHYSICIANS	$124,456

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	INPATIENT REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$30,533,538	TotalRevenueColumnAmt
Related Or Exempt Func Income	$30,533,538	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$30,533,538	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,941	TotalRevenueColumnAmt
Exclusion	$11,941	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$8,583	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$12,398	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$3,815	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,815	TotalRevenueColumnAmt
Exclusion	-$3,815	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MEDICAL RECORDS	Desc
Business	900099	BusinessCd
Total Revenue Column	$107	TotalRevenueColumnAmt
Exclusion	$107	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$107	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,541,771	TotalRevenueColumnAmt
Related Or Exempt Func Income	$30,533,538	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,233	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,036,485	TotalAmt
Program Services	$12,492,472	ProgramServicesAmt
Management And General	$1,544,013	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$242,292	TotalAmt
Program Services	$215,640	ProgramServicesAmt
Management And General	$26,652	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,596,259	TotalAmt
Program Services	$1,420,671	ProgramServicesAmt
Management And General	$175,588	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$986,348	TotalAmt
Program Services	$877,850	ProgramServicesAmt
Management And General	$108,498	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,702,800	TotalAmt
Management And General	$1,702,800	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$523	TotalAmt
Management And General	$523	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$120,495	TotalAmt
Management And General	$120,495	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$27,421	TotalAmt
Program Services	$27,421	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,027,884	TotalAmt
Program Services	$8,024,163	ProgramServicesAmt
Management And General	$3,721	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$13,017	TotalAmt
Management And General	$13,017	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,172	TotalAmt
Management And General	$57,172	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,768,251	TotalAmt
Program Services	$1,768,251	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$63,258	TotalAmt
Management And General	$63,258	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,541	TotalAmt
Management And General	$3,541	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$222,170	TotalAmt
Program Services	$222,170	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$314,168	TotalAmt
Management And General	$314,168	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$2,250,754	$2,250,754
EQUIPMENT LEASE	$775,688	$775,688
REPAIRS & MAINTENANCE	$289,812	$289,812
LICENSES & PERMITS	$55,461	$55,461

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$47,927	TotalAmt
Program Services	$47,927	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$32,601,726	TotalAmt
Program Services	$28,468,280	ProgramServicesAmt
Management And General	$4,133,446	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,080,849	BOYAmt
EOY	$269,501	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,164,690	BOYAmt
EOY	$5,459,745	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$188,229	BOYAmt
EOY	$314,390	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$357,430	BOYAmt
EOY	$522,304	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$9,180,632	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,416,384	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,783,794	BOYAmt
EOY	$3,764,248	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$91,250	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,666,242	BOYAmt
EOY	$10,330,188	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,270,291	BOYAmt
EOY	$4,152,010	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,179,203	BOYAmt
EOY	$4,021,385	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,449,494	BOYAmt
EOY	$8,173,395	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,216,748	BOYAmt
EOY	$2,156,793	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,216,748	BOYAmt
EOY	$2,156,793	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,666,242	BOYAmt
EOY	$10,330,188	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$2,059,955	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$27,421	OtherActivitiesAmt
Total Lobbying Expenditures	$27,421	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	IN FISCAL YEAR 2025 Tyler ContinueCare Hospital PAID: $12,145 TO THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $3,765 TO THE TEXAS HOSPITAL ASSOCIATION (THA) $10,841 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $36,000 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: NALTH: 13.12% THA: 0% AHA: 39% PICARD GROUP: 60% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $12,145 * 13.12% = $1,593 THA: $3,765 * 0% = $0 AHA: $10,841 * 39% = $4,228 PICARD GROUP: $36,000 * 60.0% = $21,600	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$0	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$166,642	OtherCostOrOtherBasisAmt
Depreciation	$166,642	DepreciationAmt
Book Value	$0	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,111,842	OtherCostOrOtherBasisAmt
Depreciation	$2,645,909	DepreciationAmt
Book Value	$465,933	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$5,902,148	OtherCostOrOtherBasisAmt
Depreciation	$2,603,833	DepreciationAmt
Book Value	$3,298,315	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,764,248	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Federal Income Taxes
Short Term Lease Obligations	$870,588
Optum Advance Funding
Long Term Lease Obligations	$2,454,034
INTERCOMPANY- CCC	$395,440
Long Term Debt Escheat Accounts	$211
INTERCOMPANY- Paducah
INTERCOMPANY- CHC	$301,112

Field	Value	IRS element (for citing)
Total Liability	$4,021,385	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$168,361	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$399,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$568,286	NetCommunityBenefitExpnsAmt
Total Expense	0.01743	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$168,361	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$399,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$568,286	NetCommunityBenefitExpnsAmt
Total Expense	0.01743	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$241,395	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$241,395	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,196	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,196	NetCommunityBenefitExpnsAmt
Total Expense	0.00025	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$249,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,591	NetCommunityBenefitExpnsAmt
Total Expense	0.00766	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$417,952	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$399,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$817,877	NetCommunityBenefitExpnsAmt
Total Expense	0.02509	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$14,067,434	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,862,554	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$795,120	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Facility Reporting GroupFacilityReportingGroupCd
CONTINUECARE HOSPITAL OF TYLER
1	800 E DAWSON 4TH FLOOR	TYLER	TX	75701	HTTPS://TYLER.CONTINUECARE.ORG	008065	Yes (X)	Yes (X)	A
LONGVIEW CONTINUECARE HOSPITAL
2	700 E MARSHALL AVE 1ST FLOOR WING	LONGVIEW	TX	75601	HTTPS://LONGVIEW.CONTINUECARE.ORG	008065	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://LONGVIEW.CONTINUECARE.ORG/CHNA/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://LONGVIEW.CONTINUECARE.ORG/CHNA/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://LONGVIEW.CONTINUECARE.ORG/FOR-FAMILIES/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://LONGVIEW.CONTINUECARE.ORG/FOR-FAMILIES/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://LONGVIEW.CONTINUECARE.ORG/FOR-FAMILIES/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA OF CONTINUECARE HOSPITAL OF TYLER (TYLER CCH) AND CONTINUECARE HOSPITAL OF LONGVIEW (LONGVIEW CCH) ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - Facility Reporting Group A. DURING THE 2025 CHNA PROCESS, TYLER CONTINUECARE HOSPITAL (TYLER CCH) OPENED UP A SATELLITE LOCATION, LONGVIEW CONTINUECARE HOSPITAL (LONGVIEW CCH), IN GREGG COUNTY. IN THE CHNA REPORT, BOTH HOSPITALS ARE LISTED SEPARATELY BY NAME BUT THEY ARE UNDER ONE HOSPITAL LICENSE. ADDITIONALLY, AT THAT TIME OF THE 2025 CHNA STUDY, THERE WERE 2 FACILITY LOCATIONS - TYLER CCH IN TYLER, TX AND THE SATELLITE HOSPITAL LOCATION, LONGVIEW CCH, IN LONGVIEW. TEXAS. AS OF SEPTEMBER 1, 2025, THE TYLER CCH LOCATION HAS CONSOLIDATED SERVICES TO THE LONGVIEW CCH LOCATION. TYLER CCH HOSPITAL OPERATES A 51-BED LONG-TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE FOURTH FLOOR OF THE HOST HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IN TYLER, TEXAS. AS A "HOSPITAL WITHIN A HOSPITAL". TYLER CCH HAS EXPANDED ITS SERVICE EXCELLENCE TO LONGVIEW, TEXAS. LONGVIEW CCH, A 32-BED SATELLITE OF TYLER CCH, OPENED ON SEPTEMBER 10, 2024, WITHIN CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW, LOCATED IN LONGVIEW, TEXAS. BOTH TYLER CCH AND LONGVIEW CCH ARE LICENSED ACUTE-CARE HOSPITALS WITH THE ABILITY TO PROVIDE CARE TO CRITICALLY ILL AND MEDICALLY COMPLEX PATIENTS REQUIRING LONGER ACUTE-CARE STAYS THAN REGULAR HOSPITALS. AS LTACHS, TYLER CONTINUECARE HOSPITAL AND LONGVIEW CONTINUECARE HOSPITAL DEVELOP A CONTINUUM OF CARE BETWEEN THE ACUTE AND LONG-TERM PHASES OF A PATIENT'S ILLNESS. A PATIENT IS USUALLY ADMITTED AFTER A SHORT-TERM, ACUTE-CARE HOSPITAL STAY. AFTER CARE IN AN LTACH, MANY PATIENTS ARE THEN ABLE TO TRANSITION FROM THE LTACH TO ACUTE REHAB, SKILLED NURSING OR GO HOME. HOSPICE CARE IS ALSO A POST-ACUTE TREATMENT OPTION FOR PATIENTS WITH A TERMINAL DISEASE WHO HAVE A LIFE EXPECTANCY OF SIX MONTHS OR LESS. THE TYLER FACILITY HAS SERVED PATIENTS FOR 20 YEARS WHILE EARNING HIGH PATIENT SATISFACTION SCORES AND MULTIPLE INDUSTRY AWARDS. THIS SAME LEVEL OF HIGH-QUALITY CARE HAS EXTENDED TO LONGVIEW AND THE EAST TEXAS COMMUNITY. TYLER CCH AND LONGVIEW CCH ARE DESIGNED TO MEET THE NEEDS OF LONG-TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, INFECTIOUS DISEASE AND POST COVID RECOVERY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS INFECTION CONTROL AND PATIENT AND FAMILY EDUCATION. BOTH HOSPITALS ARE LED BY A CLOSE- KNIT TEAM OF PROFESSIONALS WHO SHARE A PHILOSOPHY TO PROVIDE COMPASSIONATE, HIGH-QUALITY HEALTH CARE SERVICES AND ARE DEDICATED TO RESTORING QUALITY OF LIFE TO THEIR PATIENTS. THE DEFINED SERVICE AREA OF TYLER CCH AND LONGVIEW CCH IS SMITH COUNTY AND GREGG COUNTY, RESPECTIVELY, IN THE STATE OF TEXAS. SMITH AND GREGG COUNTIES TOGETHER COMPRISE 34.7% OF SY2025 INPATIENT DISCHARGES (SMITH AT 20% AND GREGG AT 14.6%). THE POPULATION OF SMITH COUNTY IS EXPECTED TO INCREASE BY 0.5% FROM 2024 (245,423) TO 2029 (255,823) AND THE POPULATION OF GREGG COUNTY IS EXPECTED TO INCREASE BY 4.2% FROM 2024 (125,606) TO 2029 (126,260). THIS IS BELOW THE 5.6% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2024 (30,857,478) TO 2029 (32,581,174). AS OF 2024, THE RACIAL/ETHNIC BREAKOUT OF SMITH COUNTY WAS 60.6% WHITE, 16.4% BLACK, 1.9% ASIAN, 0.8% AMERICAN INDIAN AND 20.3% ALL OTHERS. IN GREGG COUNTY, AS OF 2024, THE RACIAL/ETHNIC BREAKOUT WAS 57.8% WHITE, 20.2% BLACK, 1.4% ASIAN, 0.6% AMERICAN INDIAN AND 19.9% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2029, THE WHITE POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE BY 0.9% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 5.3%. BY 2029, THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 11.1% AND THE AMERICAN INDIAN POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE BY 6.4%, WITH ALL OTHER GROUPS EXPECTED TO INCREASE BY 12.6%. BY 2029, THE HISPANIC ETHNIC POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE BY 13.2%. BY 2029, IN GREGG COUNTY, THE WHITE POPULATION IS EXPECTED TO DECREASE BY 2.7% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 1.3%. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 7.2% AND THE AMERICAN INDIAN POPULATION IN GREGG COUNTY IS EXPECTED TO INCREASE BY 1.0%, WITH ALL OTHER GROUPS EXPECTED TO INCREASE BY 8.6%. THE HISPANIC ETHNIC POPULATION IN GREGG COUNTY IS EXPECTED TO INCREASE BY 9.6%. BETWEEN 2014 AND 2022, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN SMITH COUNTY, THE STATE AND THE NATION AND DECREASED IN GREGG COUNTY. IN 2018-2022, GREGG COUNTY (8.5%) HAD THE LOWEST PERCENT OF FOREIGN-BORN RESIDENTS AS COMPARED TO SMITH COUNTY (8.7%), THE STATE (17.1%) AND THE NATION (13.7%). GREGG COUNTY (38.1 YEARS) AND SMITH COUNTY (38.1 YEARS) HAVE AN OLDER MEDIAN AGE THAN TEXAS (36.3 YEARS) (2024). THE MEDIAN AGES IN BOTH GREGG AND SMITH COUNTIES AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). THE MEDIAN HOUSEHOLD INCOME IN BOTH GREGG AND SMITH COUNTIES AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). GREGG COUNTY ($63,171) HAD A LOWER MEDIAN HOUSEHOLD INCOME WHEN COMPARED TO SMITH COUNTY ($70,652) AND THE STATE ($77,169) (2024). BOTH GREGG COUNTY (25.2%) AND SMITH COUNTY (30.4%) HAD A LOWER PERCENT OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (35.7%) (2024). IN 2018-2022, 15.2% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 24.9% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2018-2022, 22.8% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 27.6% OF THE POPULATION WHO LIVED IN A PROSPEROUS COMMUNITY. IN 2018-2022, SMITH COUNTY IS MID-TIER WITH A DISTRESS SCORE OF 42.0 AND RANKS 64 OUT OF 251 COUNTIES IN TEXAS AND GREGG COUNTY IS AT RISK WITH A DISTRESS SCORE OF 58.9 AND RANKS 103 OUT OF 251 COUNTIES IN TEXAS. WITH RESPECT TO UNEMPLOYMENT, RATES IN BOTH GREGG AND SMITH COUNTIES AND THE STATE DECREASED BETWEEN 2021 AND 2023. IN 2023, SMITH COUNTY (3.6) HAD A LOWER UNEMPLOYMENT RATE THAN GREGG COUNTY (4.2) AND THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, GREGG COUNTY MAINTAINED A HIGHER MONTHLY UNEMPLOYMENT RATE THAN SMITH COUNTY. OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN BOTH GREGG AND SMITH COUNTY OVERALL INCREASED. APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE FOR GREGG COUNTY (3.9) AND DECEMBER 2023 HAD THE LOWEST UNEMPLOYMENT RATE FOR SMITH COUNTY (3.2). AS OF 2022, THE MAJORITY OF EMPLOYED PERSONS IN BOTH GREGG AND SMITH COUNTIES ARE WITHIN OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS IN GREGG AND SMITH COUNTIES, RESPECTIVELY, ARE OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (12.2% AND 11.3%); SALES & RELATED OCCUPATIONS (10.6% AND 11.2%); MANAGEMENT OCCUPATIONS (9.0% AND 9.1%); PRODUCTION OCCUPATIONS (8.4% AND 6.7%); CONSTRUCTION & EXTRACTION OCCUPATIONS (6.0% AND 6.8%). IN 2018-2022, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH GREGG AND SMITH COUNTIES AND THE STATE. IN 2018-2022, SMITH COUNTY (7.0%) HAD A HIGHER PERCENT OF PEOPLE WORKING AT HOME THAN GREGG COUNTY (4.6%) BUT LOWER THAN THE STATE (9.7%). GREGG COUNTY (21.3 MINUTES) HAD A SHORTER MEAN TRAVEL TIME TO WORK THAN SMITH COUNTY (23.2 MINUTES) AND THE STATE (26.6 MINUTES) (2018-2022). IN 2024, GREGG COUNTY (18.0%) HAD A HIGHER PERCENT OF FAMILIES LIVING BELOW POVERTY AS COMPARED TO SMITH COUNTY (15.1%) AND THE STATE (14.4%). BETWEEN 2017 AND 2021, PERCENT OF CHILDREN ( <18 YEARS) LIVING IN POVERTY IN BOTH GREGG AND SMITH COUNTIES AND THE STATE DECREASED. SMITH COUNTY (17.8%) HAS A LOWER PERCENT OF CHILDREN ( <18 YEARS) LIVING IN POVERTY THAN GREGG COUNTY (21.6%) AND TEXAS (19.5%) (2021). ACCORDING TO FEEDING AMERICA, GREGG COUNTY (16.7%) HAD THE HIGHEST ESTIMATED PERCENT OF RESIDENTS WHO ARE FOOD INSECURE AS COMPARED TO SMITH COUNTY (14. 9%) AND THE STATE (16.4%) (2022). ADDITIONALLY, 26.7% OF CHILDREN (UNDER 18 YEARS OF AGE) IN GREGG COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.7% IN SMITH COUNTY AND 22.8% IN TEXAS (2022). SMITH COUNTY HAD THE HIGHEST AVERAGE MEAL COST OF $3.86, AS COMPARED TO $3.72 IN GREGG COUNTY AND $3.45 IN TEXAS (2022). BETWEEN 2017 AND 2021, SMITH COUNTY MAINTAINED A LOWER PERCENT OF SNAP BENEFIT RECIPIENTS THAN GREGG COUNTY AND THE STATE. ADDITIONALLY, THE PERCENT OF SNAP BENEFIT RECIPIENTS IN BOTH GREGG AND SMITH COUNTIES AND THE STATE OVERALL DECREASED BETWEEN 2017 AND 2021. IN 2021, SMITH COUNTY (10.4%) HAD A LOWER PERCENT OF SNAP PARTICIPANTS THAN GREGG COUNTY (14.4%) AND THE STATE (10.7%).
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - Facility Reporting Group A (CONTINUED). THE PERCENT OF PUBLIC SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN BOTH GREGG COUNTY (70.0%) AND SMITH COUNTY (64.9%) IS HIGHER THAN THE STATE (61.3%) AND THE NATIONAL (53.5%) RATES (2022-2023). IN 2020-2021, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN GREGG COUNTY (97.5%) AND SMITH COUNTY (94.1%) WAS HIGHER THAN THE STATE (91.2%) AND THE NATION (81.1%). AS OF JANUARY 2024, THE COST OF LIVING FOR A TWO-PARENT, TWO-CHILD FAMILY IN GREGG COUNTY WAS $82,219 PER YEAR OR $6,852 PER MONTH AND SMITH COUNTY WAS $90,082 PER YEAR OR $7,507. TRANSPORTATION IS ESTIMATED TO BE THE HIGHEST MONTHLY COST FOR GREGG AND SMITH COUNTIES WITH TAXES ESTIMATED TO BE THE LOWEST MONTHLY COST, AS OF JANUARY 2024. OVERALL MORTALITY RATES IN BOTH GREGG AND SMITH COUNTIES REMAINED HIGHER THAN THE STATE RATES BETWEEN 2020 AND 2022. BETWEEN 2020 AND 2022, OVERALL MORTALITY RATES IN BOTH GREGG AND SMITH COUNTIES AND THE STATE DECREASED. IN 2022, THE OVERALL MORTALITY RATE IN GREGG COUNTY (1,086.5 PER 100,000) WAS HIGHER THAN SMITH COUNTY (889.5) AND THE STATE (678.7 PER 100,000). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH GREGG AND SMITH COUNTIES AND THE STATE (2020-2022). BETWEEN 2020 AND 2022, HEART DISEASE MORTALITY RATES IN BOTH GREGG AND SMITH COUNTIES AND THE STATE DECREASED. IN 2022, THE HEART DISEASE MORTALITY RATE IN GREGG COUNTY (300.5 PER 100,000) WAS HIGHER THAN SMITH COUNTY (260.0 PER 100,000) AND THE STATE (168.7 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH GREGG AND SMITH COUNTIES AND THE STATE (2020-2022). BETWEEN 2020 AND 2022, CANCER MORTALITY RATES IN BOTH GREGG AND SMITH COUNTIES DECREASED, WHILE RATES IN THE STATE INCREASED. IN 2022, THE CANCER MORTALITY RATE IN GREGG COUNTY (196.9 PER 100,000) WAS HIGHER THAN SMITH COUNTY (185.6 PER 100,000) AND THE STATE (144.5 PER 100,000). COVID-19 IS THE THIRD LEADING CAUSE OF DEATH IN BOTH GREGG AND SMITH COUNTIES AND THE STATE (2020-2022). BETWEEN 2020 AND 2022, COVID-19 MORTALITY RATES IN BOTH GREGG AND SMITH COUNTIES AND THE STATE DECREASED. IN 2022, THE COVID-19 MORTALITY RATE IN GREGG COUNTY (92.5 PER 100,000) WAS HIGHER THAN SMITH COUNTY (61.6 PER 100,000) AND THE STATE (48.5 PER 100,000). CEREBROVASCULAR DISEASES ARE THE FOURTH LEADING CAUSE OF DEATH IN SMITH COUNTY, THE SIXTH LEADING CAUSE OF DEATH IN GREGG COUNTY, AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2020-2022). BETWEEN 2020 AND 2022, CEREBROVASCULAR DISEASE MORTALITY RATES IN BOTH GREGG AND SMITH COUNTIES AND THE STATE INCREASED. IN 2022, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN SMITH COUNTY (62.8 PER 100,000) WAS HIGHER THAN GREGG COUNTY (59.0 PER 100,000) AND THE STATE (40.7 PER 100,000).CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE FIFTH LEADING CAUSE OF DEATH IN SMITH COUNTY, THE FOURTH LEADING CAUSE OF DEATH IN GREGG COUNTY AND THE SEVENTH LEADING CAUSE OF DEATH IN THE STATE (2020- 2022). BETWEEN 2020 AND 2022, CLRD MORTALITY RATES IN GREGG COUNTY INCREASED, WHILE RATES IN SMITH COUNTY AND THE STATE DECREASED. IN 2022, THE CLRD MORTALITY RATE IN GREGG COUNTY (101.2 PER 100,000) WAS HIGHER THAN SMITH COUNTY (54.6 PER 100,000) AND THE STATE (33.3 PER 100,000). FATAL ACCIDENTS (FROM MOTOR VEHICLES), DIABETES MELLITUS, ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN SMITH AND GREGG COUNTIES. ADDITIONALLY, INTENTIONAL SELF-HARM (SUICIDE) IS LEADING CAUSE OF DEATH IN SMITH COUNTY. BETWEEN 2020 AND 2022, THE PERCENT OF ADULTS (AGE 18+) WHO WERE OBESE OVERALL INCREASED IN BOTH GREGG AND SMITH COUNTIES, WHILE THE PERCENT IN THE STATE SLIGHTLY DECREASED. IN 2022 GREGG COUNTY (39.9%) HAD THE HIGHEST PERCENT OF ADULTS (AGE 18+) WHO WERE OBESE WHEN COMPARED TO SMITH COUNTY (39.7%) AND THE STATE (35.7%). BETWEEN 2020 AND 2022, THE PERCENT OF MEDICARE BENEFICIARIES WITH HYPERTENSION INCREASED IN BOTH GREGG AND SMITH COUNTIES AND THE STATE. IN 2022, THE PERCENT OF MEDICARE BENEFICIARIES WITH HYPERTENSION IN GREGG COUNTY (71.0%) WAS HIGHEST WHEN COMPARED TO SMITH COUNTY (70.0%) AND THE STATE (64.0%). BETWEEN 2020 AND 2022, THE PERCENT OF ADULTS (AGE 18+) WITH ASTHMA INCREASED IN BOTH GREGG AND SMITH COUNTIES AND DECREASED IN THE STATE. GREGG COUNTY (10.6%) HAD THE HIGHEST PERCENT OF ADULTS (AGE 18+) WITH ASTHMA WHEN COMPARED TO SMITH COUNTY (10.5%) AND THE STATE (7.9%) (2022). IN 2022, THE PERCENT OF MEDICARE BENEFICIARIES WITH ASTHMA IN GREGG COUNTY (8.0%) WAS COMPARABLE TO SMITH COUNTY (8.0%) AND WAS HIGHER THAN THE STATE (7.0%). BETWEEN 2020 AND 2022, THE PERCENT OF ADULTS (AGE 18+) WITH ARTHRITIS INCREASED IN BOTH GREGG AND SMITH COUNTIES. GREGG COUNTY (25.1%) HAD A HIGHER PERCENT OF ADULTS (AGE 18+) WITH ARTHRITIS THAN SMITH COUNTY (24.2%) AND THE STATE (21.4%) (2022). THE PERCENT OF THE TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH A DISABILITY IN GREGG COUNTY (13.1%) IS HIGHER THAN SMITH COUNTY (12.4%), THE STATE (11.7%) AND THE NATION (12.9%) (2018-2022). BOTH GREGG AND SMITH COUNTIES AND THE STATE EXPERIENCED A DECREASE IN UNINSURED RATES BETWEEN 2018 AND 2022. AS OF 2022, SMITH COUNTY (18.6%) HAD A LOWER PERCENT OF UNINSURED ADULTS (AGE18-64) AS COMPARED TO GREGG COUNTY (19.9%) AND THE STATE (18.8%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR TYLER CCH AND LONGBVIEW CCH BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN SMITH AND GREGG COUNTIES IN TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE FROM OCTOBER 14, 2024 - OCTOBER 31, 2024. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE TYLER CCH AND LONGVIEW CCH BOARD REVIEWED AND ADOPTED THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 14, 2025. INTERVIEW METHODOLOGY: TYLER CCH AND LONGVIEW CCH WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA BOTH HOSPITALS PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT TYLER CCH AND LONGIVEW CCH, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL FACILITY OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING SOURCES WHICH INCLUDED, BUT NOT LIMITED TO, SYNTELLIS, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE TEXAS CENTRAL CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. TYLER CCH AND LONGVIEW CCH PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE SMITH AND GREGG COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, ELEVEN IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 81.8% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS.18.2% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.
Schedule H, Part V, Section B, Line 5 Facility A, 3	Facility A, 3 - Facility Reporting Group A (CONTINUED). INTERVIEWEES INCLUDED: - LEROY BIGGERS: BOARD MEMBER, TYLER FAMILY CIRCLE OF CARE - CRAIG CHESLEY: BOARD MEMBER, TYLER CONTINUECARE HOSPITAL; BOARD MEMBER, LONGVIEW CONTINUECARE HOSPITAL; BOARD MEMBER, COMMUNITY HOSPITAL CORPORATION - MELLODY DANIELS: SENIOR DIRECTOR OF PROGRAMS, EAST TEXAS CRISIS CENTER - JOHN ENGLISH, MD: CHIEF EXECUTIVE OFFICER, BETHESDA HEALTH CLINIC - DAN HARDIMAN: OWNER, THE HARDIMAN AGENCY; BOARD PRESIDENT, TYLER CONTINUECARE HOSPITAL; BOARD PRESIDENT, LONGVIEW CONTINUECARE HOSPITAL - ABDAL HARRIS, MPH: HEALTH ADMINISTRATOR, GREGG COUNTY PUBLIC HEALTH DEPARTMENT - KATHY HARRY: CHIEF EXECUTIVE OFFICER, CATHOLIC CHARITIES - NICHOLE HENRY: CHIEF EXECUTIVE OFFICER, EAST TEXAS CRISIS CENTER - SAMANTHA KAUFFMAN: CLINICAL SERVICES COORDINATOR, EAST TEXAS CRISIS CENTER - GEORGE ROBERTS, JR., FACHE: CHIEF EXECUTIVE OFFICER, NORTH EAST TEXAS PUBLIC HEALTH DISTRICT - JEFF WARR: OWNER, WARR INTERESTS - REAL ESTATE; BOARD MEMBER, TYLER CONTINUECARE HOSPITAL; BOARD MEMBER, LONGVIEW CONTINUECARE HOSPITAL POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: RACIAL/ETHNIC GROUPS, LOW INCOME, WOMEN/CHILDREN, HOMELESS, VETERANS. ELDERLY, DISABLED AND YOUTH. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: RACIAL/ETHNIC - LANGUAGE BARRIERS - LACK OF TRUST USING THE HEALTHCARE SYSTEM - CULTURAL CHALLENGES - FEAR OF DEPORTATION - NEED FOR DIVERSITY OF PROVIDERS FOR CULTURAL COMFORT LOW INCOME - TRANSPORTATION BARRIERS - LACK OF AFFORDABLE MEDICAL CARE AND MEDICATIONS - HOURLY SHIFT LIMITATION - LACK OF AFFORDABLE HOUSING - LACK OF AWARENESS AND UNDERSTANDING OF EXISTING HEALTHCARE SERVICES WOMEN/CHILDREN - DOMESTIC VIOLENCE HOMELESS - MENTAL HEALTH CONCERNS - LIMITED AVAILABILITY OF SHELTERS (NUMBER, VACANCY, ORGANIZATIONAL GUIDELINES) - OVERUSE OF THE EMERGENCY ROOM VETERANS - LACK OF AWARENESS OF EXISTING HEALTHCARE SERVICES - LONG WAIT TIME AT VA FACILITIES - LACK OF MENTAL AND BEHAVIORAL HEALTH CARE - TRANSPORTATION BARRIERS - PERCEIVED LACK OF LOCAL VA HOSPITAL - LIMITED ACCESS TO HEALTHCARE DUE TO VA INSURANCE ELDERLY - AFFORDABLE MEDICATIONS - TRANSPORTATION BARRIERS - ACCESS TO DENTAL CARE - EDUCATION ON TELEMEDICINE AND COMPUTER USE - ALZHEIMER'S/DEMENTIA DISABLED - HANDICAP COMPLIANT HOMES YOUTH - LIMITED ACCESS TO PEDIATRIC SPECIALTIES - MENTAL AND BEHAVIORAL HEALTH ISSUES (SOCIAL MEDIA, DEPRESSION, ANXIETY, SUICIDE) - DRUG ABUSE (MARIJUANA, VAPING) - TRANSPORTATION BARRIERS
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - Facility Reporting Group A. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY TYLER CONTINUECARE HOSPITAL (TYLER CCH) AND LONGVIEW CONTINUECARE HOSPITAL (LONGVIEW CCH). THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM TYLER CCH AND LONGVIEW CCH MET WITH CHC CONTINUECARE TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS IN GREGG AND SMITH COUNTIES, TEXAS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. ACCESS TO PRIMARY CARE AND SPECIALTY CARE SERVICES AND PROVIDERS 4. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 5. CONTINUED FOCUS ON COMMUNITY CONCERNS THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE FIVE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY 1.A. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO MAINTAIN A SMOKE FREE CAMPUS AND PROVIDES EDUCATIONAL LITERATURE ON SMOKING CESSATION AS REQUESTED. 1.B. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, AND MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. 1.C. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL PARTICIPATE IN BLOOD DRIVES TARGETED AT THE EMPLOYEES OF THE HOSPITAL AND CLINIC MULTIPLE TIMES A YEAR. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 2.A. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE 2.B. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, TYLER & LONGVIEW CONTINUECARE HOSPITAL ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.C. TYLER & LONGVIEW CONTINUECARE HOSPITALS 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, INCLUDING PARTICIPATING IN ELDER CONFERENCES HELD IN TYLER & LONGVIEW AND LONGVIEW AND IN LOCAL HEALTH FAIRS AND OFFER BLOOD PRESSURE HEALTH SCREENINGS AS OPPORTUNITIES ARISE. 2.D. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL HELP PROVIDE COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING THE LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND SCHOOL SUPPLY DRIVE AS OPPORTUNITIES ARISE. 2.E. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS AS OPPORTUNITIES ARISE. 2.F. TYLER & LONGVIEW CONTINUECARE HOSPITALS PROVIDE ACCESS TO A TELEPHONE LANGUAGE LINE AND A VIDEO LANGUAGE LINE FOR TRANSLATION SERVICES, AND FLAT SCREEN TELEVISIONS ARE INSTALLED THROUGHOUT THE FACILITY TO AID HEARING IMPAIRED PATIENTS AS APPROPRIATE. 2.G. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL SHARE THE COMMUNITY RESOURCE LIST OF AVAILABLE LOCAL SERVICES FOR APPLICABLE SITUATIONS. 2.H. IN CONJUNCTION WITH THE HOST, TYLER CONTINUECARE HOSPITAL PARTICIPATES IN THE LOCAL PROVIDER PARTICIPATION FUNDS PROGRAM THAT FUNDS SMITH COUNTY'S DELIVERY OF INDIGENT CARE. PRIORITY #3: ACCESS TO PRIMARY CARE AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE ACCESS TO PRIMARY CARE AND SPECIALTY CARE SERVICES IN THE COMMUNITY 3.A. THE EMPLOYEES OF TYLER & LONGVIEW CONTINUECARE HOSPITALS ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS BY SUPPORTING LOCAL NURSING SCHOOLS, RESPIRATORY, DPT AND PT ASSISTANT SCHOOLS BY PRESENTING TO STUDENTS ENROLLED IN THESE PROGRAMS AND DONATING EQUIPMENT TO THE FACILITIES. ADDITIONALLY, TYLER CONTINUECARE HOSPITAL HAS AFFILIATION AGREEMENTS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL WITHIN THE NURSING, PHARMACY AND RESPIRATORY AREAS. 3.B. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE ITS STRONG REFERRAL RELATIONSHIP WITH SURROUNDING ACUTE CARE FACILITIES TO PROVIDE SPECIALTY SERVICES TO PATIENTS REQUIRING THAT LEVEL OF CARE FROM THE LTACH. 3.C. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO MAINTAIN AND PROVIDE A LIST OF REFERRAL SERVICES TO PATIENTS WHO ARE REQUIRING SPECIALTY CARE. PRIORITY #4: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY 4.A. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH OPTUM TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES 4.B. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO SHARE AVAILABLE LOCAL COUNSELING RESOURCES WITH MENTAL AND BEHAVIORAL HEALTH RELATED PATIENTS AS NEEDED. THROUGH ITS ESTABLISHED RELATIONSHIP WITH ALETHIA, TYLER CONTINUECARE HOSPITAL IS ABLE TO PROVIDE INPATIENT COUNSELING FOR APPLICABLE PATIENTS. 4.C. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO ADDRESS MENTAL HEALTH CONDITIONS AMONG ITS PATIENTS THROUGH MEDICATION MANAGEMENT. PRIMARY CARE PHYSICIANS ARE ABLE TO PROMOTE MEDICATION 4.D. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL CONTINUE TO OFFER CHAPLAIN SERVICES TO SUPPORT PATIENTS AND THEIR FAMILIES. PRIORITY #5. CONTINUED FOCUS ON COMMUNITY CONCERNS OBJECTIVE: ASSESS AND ADDRESS COMMUNITY CONCERNS THROUGH COLLABORATION WITH STAKEHOLDERS AND EVIDENCE-BASED INITIATIVES THAT IMPROVE ACCESS AND WELL-BEING 5.A. TYLER & LONGVIEW CONTINUECARE HOSPITALS WILL PARTICIPATE IN EVENTS TO SUPPORT LOCAL NONPROFIT ORGANIZATIONS AS THEY ARISE. 5.B. TYLER & LONGVIEW CONTINUECARE HOSPITALS EMPLOYEES WILL ASSIST IN SETTING UP NECESSARY RESOURCES (I.E., TRANSPORTATION, PRESCRIPTIONS, NECESSARY EQUIPMENT, DISCHARGE SUMMARIES) AS REQUESTED IN ORDER TO INCREASE COLLABORATION ACROSS THE CONTINUUM OF CARE.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - Facility Reporting Group A. TYLER CCH and longview cch DO NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7f EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	SINCE TYLER CONTINUECARE HOSPITAL and longview continuecare hospital are LONG TERM ACUTE CARE HOSPITALS, they WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	Texas
Schedule H, Part I PAYMENT FOR CHARITY CARE	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. TYLER CONTINUECARE HOSPITAL and longview continuecare hospital DID NOT PAY ANOTHER PROVIDER FOR THE PROVISION OF CHARITY CARE IN FISCAL YEAR 2025.
Schedule H, Part II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY	TYLER CONTINUECARE HOSPITAL AND LONGVIEW CONTINUECARE HOSPITAL PROVIDE 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 HOSPITALS ALSO COLLABORATED WITH VARIOUS ORGANIZATIONS THAT PROVIDED SERVICES TO VULNERABLE POPULATIONS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PATIENTS ACCOUNTS RECEIVABLE CONSIST OF AMOUNTS DUE FOR THE PROVISION OF HEALTH CARE SERVICES WHICH ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS AT AMORTIZED COST AT THE NET AMOUNT EXPECTED TO BE COLLECTED. IN EVALUATION THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, MANAGEMENT REGULARLY REVIEWS DATA AND DEVELOPS A LOSS RATE TO DETERMINE EXPECTED CREDIT LOSSES BASED ON SEVERAL FACTORS INCLUDING WHETHER A PATIENT HAS THIRD PARTY PAYOR COVERAGE OR IS UNINSURED, THE AGING OF RECEIVABLES, HISTORICAL COLLECTIONS AND LOSS EXPERIENCE, CURRENT CONTRACT PRICES OR CLAIMS PAID DATA, AND TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES OF ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTH CARE COVERAGE. MANAGEMENT BELIEVES THE COMPOSITION OF RECEIVABLES AT YEAR-END IS CONSISTENT WITH HISTORICAL CONDITIONS AS CREDIT TERMS AND PRACTICES AND THE CUSTOMER BASE HAS NOT CHANGED SIGNIFICANTLY; THEREFORE, THE ORGANIZATION HAS MAINTAINED CONSISTENT METHODOLOGY IN ESTIMATE OF CREDIT LOSSES. MANAGEMENT HAS DETERMINED THE ESTIMATE OF EXPECTED CREDIT LOSSES IS NOT MATERIAL TO THE FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO- CHARGE RATIO COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IF A PATIENT OF TYLER CONTINUECARE HOSPITAL and longview continuecare hospital 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 V, Section B, Line 16a FAP website	A - CONTINUECARE HOSPITAL OF TYLER: Line 16a URL: HTTPS://LONGVIEW.CONTINUECARE.ORG/FOR-FAMILIES/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CONTINUECARE HOSPITAL OF TYLER: Line 16b URL: HTTPS://LONGVIEW.CONTINUECARE.ORG/FOR-FAMILIES/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CONTINUECARE HOSPITAL OF TYLER: Line 16c URL: HTTPS://LONGVIEW.CONTINUECARE.ORG/FOR-FAMILIES/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 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, Line 3 Patient education of eligibility for assistance	PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO TYLER CONTINUECARE HOSPITAL. A FACE-TO-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION.
Schedule H, Part VI, Line 4 Community information	TYLER CCH HOSPITAL OPERATES A 51-BED LONG-TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE FOURTH FLOOR OF THE HOST HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IN TYLER, TEXAS. AS A "HOSPITAL WITHIN A HOSPITAL" TYLER CCH HAS EXPANDED ITS SERVICE EXCELLENCE TO LONGVIEW, TEXAS. LONGVIEW CCH, A 32-BED SATELLITE OF TYLER CCH, OPENED ON SEPTEMBER 10, 2024, WITHIN CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW, LOCATED IN LONGVIEW, TEXAS. AS OF SEPTEMBER 1, 2025, THE TYLER CCH LOCATION HAS CONSOLIDATED SERVICES TO THE LONGVIEW CCH LOCATION. THE DEFINED SERVICE AREA OF TYLER CCH AND LONGVIEW CCH IS SMITH COUNTY AND GREGG COUNTY, RESPECTIVELY, IN THE STATE OF TEXAS. THE POPULATION OF SMITH COUNTY IS EXPECTED TO INCREASE BY 4.2% FROM 2024 (245,423) TO 2029 (255,823) AND THE POPULATION OF GREGG COUNTY IS EXPECTED TO INCREASE BY 0.5% FROM 2024 (125,606) TO 2029 (126,260). THIS IS BELOW THE 5.6% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2024 (30,857,478) TO 2029 (32,581,174). AS OF 2024, THE MAJORITY OF THE RESIDENTS IN SMITH COUNTY, 60.6% IDENTIFY AS WHITE. IN GREGG COUNTY, THE MAJORITY OF THE RESIDENTS, 57.8% ALSO IDENTIFY AS WHITE. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. AS OF 2024, THE HISPANIC POPULATION HAD 53,119 RESIDENTS IN SMITH COUNTY AND 26,203 RESIDENTS IN GREGG COUNTY. BY 2029, THE HISPANIC ETHNIC POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE BY 13.2% AND IN GREGG COUNTY THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 9.6%. IT IS THE FASTEST GROWING POPULATION IN BOTH COUNTIES. IN 2024, SMITH COUNTY (38.1 YEARS) AND GREGG COUNTY (38.1 YEARS) HAVE AN OLDER MEDIAN AGE THAN TEXAS (36.3 YEARS) (2024). THE MEDIAN AGES IN BOTH GREGG AND SMITH COUNTIES AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). IN 2023, SMITH COUNTY (3.6) HAD A LOWER UNEMPLOYMENT RATE THAN GREGG COUNTY (4.2) AND THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN BOTH GREGG AND SMITH COUNTY OVERALL INCREASED. APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE FOR GREGG COUNTY (3.9) AND DECEMBER 2023 HAD THE LOWEST UNEMPLOYMENT RATE FOR SMITH COUNTY (3.2). IN 2024, GREGG COUNTY ($63,171) HAD A LOWER MEDIAN HOUSEHOLD INCOME WHEN COMPARED TO SMITH COUNTY ($70,652) AND THE STATE ($77,169) (2024). THE MEDIAN HOUSEHOLD INCOME IN BOTH GREGG AND SMITH COUNTIES AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). IN 2024, BOTH GREGG COUNTY (25.2%) AND SMITH COUNTY (30.4%) HAD A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (35.7%). IN 2024, GREGG COUNTY (18.0%) HAD A HIGHER PERCENT OF FAMILIES LIVING BELOW POVERTY AS COMPARED TO SMITH COUNTY (15.1%) AND THE STATE (14.4%). BETWEEN 2017 AND 2021, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING IN POVERTY IN BOTH GREGG AND SMITH COUNTIES AND THE STATE DECREASED. SMITH COUNTY (17.8%) HAS A LOWER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING IN POVERTY THAN GREGG COUNTY (21.6%) AND TEXAS (19.5%) (2021). IN 2022, GREGG COUNTY (16.7%) HAD THE HIGHEST ESTIMATED PERCENT OF RESIDENTS WHO ARE FOOD INSECURE AS COMPARED TO SMITH COUNTY (14. 9%) AND THE STATE (16.4%). SMITH COUNTY HAD THE HIGHEST AVERAGE MEAL COST OF $3.86, AS COMPARED TO $3.72 IN GREGG COUNTY AND $3.45 IN TEXAS (2022). AS OF 2022, SMITH COUNTY (18.6%) HAD A LOWER PERCENT OF UNINSURED ADULTS (AGEs 18-64) AS COMPARED TO GREGG COUNTY (19.9%) AND THE STATE (18.8%). HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN BOTH SMITH AND GREGG COUNTIES (2022). OVERALL MORTALITY RATES IN BOTH GREGG AND SMITH COUNTIES REMAINED HIGHER THAN THE STATE RATES BETWEEN 2020 AND 2022. IN 2022, THE OVERALL MORTALITY RATE IN GREGG COUNTY WAS HIGHER THAN SMITH COUNTY AND THE STATE. ADDITIONALLY, CHRONIC CONDITIONS SUCH AS DIABETES MELLITUS, ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN BOTH SMITH AND GREGG COUNTIES. IN 2022, THE PERCENTAGE OF ADULTS IN BOTH SMITH AND GREGG COUNTIES WITH CONDITIONS SUCH AS OBESITY AND ASTHMA WAS HIGHER THAN THE STATE. THE PERCENT OF THE TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH A DISABILITY IN GREGG COUNTY AND GREGG COUNTY IS HIGHER THAN THE STATE OF TEXAS (2022).
Schedule H, Part VI, Line 5 Promotion of community health	TYLER AND LONGVIEW CONTINUECARE HOSPITALS PROMOTE COMMUNITY HEALTH THROUGH PARTICIPATION IN COMMUITY OUTREACH BY CONTINUING TO IMPLEMENT A VARIETY OF AWARENESS, EDUCATIONAL AND SCREENING PROGRAMS FOCUSED ON AGING AND RISK FACTORS, PREVENTION AND TREATMENT OF HEART DISEASE AND RESPIRATORY DISEASE, INCLUDING PARTICIPATING IN ELDER CONFERENCES HELD IN TYLER AND LONGVIEW AND IN LOCAL HEALTH FAIRS, AS WELL AS OFFER BLOOD PRESSURE HEALTH SCREENINGS AS OPPORTUNITIES ARISE. ADDITIONALLY, TYLER AND LONGVIEW CONTINUECARE HOSPITALS WILL HELP PROVIDE COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING THE LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND SCHOOL SUPPLY DRIVE AS OPPORTUNITIES ARISE BOTH HOSPITALS WILL ALSO COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS AS OPPORTUNITIES ARISE. EXAMPLES INCLUDE SUPPLIES FOR ETX CRISIS CENTER, SUPPLIES FOR CHRISTY'S SAFE HAVEN, AND AN ETX CRISIS CENTER FUNDRAISER. THE EMPLOYEES OF TYLER & LONGVIEW CONTINUECARE HOSPITALS ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS BY SUPPORTING LOCAL NURSING SCHOOLS, RESPIRATORY, DPT AND PT ASSISTANT SCHOOLS BY PRESENTING TO STUDENTS ENROLLED IN THESE PROGRAMS AND DONATING EQUIPMENT TO THE FACILITIES. ADDITIONALLY, TYLER CONTINUECARE HOSPITAL HAS AFFILIATION AGREEMENTS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL WITHIN THE NURSING, PHARMACY AND RESPIRATORY AREAS. EXAMPLES INCLUDE TJC, UT TYLER, BAYLOR SCOTT & WHITE. TYLER AND LONGVIEW CONTINUECARE HOSPITALS WILL PARTICIPATE IN EVENTS TO SUPPORT LOCAL NONPROFIT ORGANIZATIONS AS THEY ARISE. CURRENT EXAMPLES INCLUDE KITS FOR PALESTINE HIGH SCHOOL, ANGEL TREE, HELPING HANDS, HABITAT FOR HUMANITY, MEN'S HOMELESS SHELTER, AND THE HEART ASSOCIATION. Lastly, a majority of the organization's governing body is comprised of persons who reside in the organization's primary service area, who are neither employees nor independent contractors of the organization, nor family members thereof. The organization applies surplus funds to improvements in facilities and equipment, patient care, medical training, and education.
Schedule H, Part VI, Line 6 Affiliated health care system	TYLER CONTINUECARE HOSPITAL IS AN AFFILIATE OF CHRISTUS MOTHER FRANCES HEALTH SYSTEM IN TYLER, TEXAS. LONGVIEW CONTINUECARE HOSPITAL, WHICH OPENED IN SEPTEMBER 2024, IS AN AFFILIATE OF CHRISTUS GOOD SHEPHERD MEDICAL CENTER IN LONGVIEW, TEXAS. THE HEALTH PROMOTION ACTIVITIES FOR BOTH THE HOSPITALS AND THEIR AFFILATE HOST HOSPITALS ARE COLLABORATIVE IN ORDER TO HAVE A FAR REACHING EFFECT ON THEIR COMMUNITIES. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JIM KENDRICK
DIRECTOR	$0	$1,136,361	$0	$615,419	$0	$158,269	$0	$426,812	$0	$43,486	$0	$2,380,347	$0	$74,596
JAMES HILL
TREASURER	$0	$345,401	$0	$81,611	$0	$24,867	$0	$28,012	$0	$32,330	$0	$512,221	$0	$0
STEPHANIE HYDE
CEO/PRESIDENT	$0	$220,256	$0	$60,294	$0	$7,690	$0	$18,380	$0	$23,717	$0	$330,337	$0	$0
LINDA MOORE
SECRETARY	$0	$370,712	$0	$74,202	$0	$37,393	$0	$28,381	$0	$23,717	$0	$534,405	$0	$0
Kent Andries
CNO ContinueCare Tyler (until 1/2025)	$0	$154,453	$0	$32,032	$0	$1,384	$0	$12,784	$0	$37,236	$0	$237,889	$0	$0
Jennifer Minchew
Registered Nurse	$149,182	$0	$2,245	$0	$14	$0	$4,549	$0	$200	$0	$156,190	$0	$0	$0
LADUANDA HILL
RN CHARGE NURSE	$191,737	$0	$9,924	$0	$977	$0	$1,924	$0	$17,670	$0	$222,232	$0	$0	$0
Dawn Stiles
LVN	$137,074	$0	$1,761	$0	$14	$0	$1,439	$0	$21,146	$0	$161,434	$0	$0	$0
Ty'Eesha Dawkins
Registered Nurse	$133,250	$0	$2,339	$0	$1,172	$0	$3,848	$0	$10,628	$0	$151,237	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	TYLER CONTINUECARE HOSPITAL DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE (CCC) COMPENSATES THE TYLER CONTINUECARE HOSPITAL 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 6/30/25 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	NON QUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $416,461 JAMES HILL - $17,662 LINDA MOORE - $18,031
Schedule J, Part I, Line 7 Non-fixed payments	A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN	THE ORGANIZATIONS EXECUTIVES ARE 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, 2025 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 3 Delegation of management duties	CHC COMMUNITY CARE, LLC (CCC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC. IS CCC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER 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.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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 held by committees of governing body	THERE WERE NO COMMITTEES OF THE GOVERNING BODY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 Conflict of interest policy	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, Line 19 Required 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 IX, Line 11g Other Fees	PURCHASED SERVICES - MEDICAL - Total Expense: 6898804, Program Service Expense: 6898804, Management and General Expenses: , Fundraising Expenses: ; FEES - PHYSICIAN - Total Expense: 1090298, Program Service Expense: 1090298, Management and General Expenses: , Fundraising Expenses: ; FEES - OTHER SERVICES - Total Expense: 38782, Program Service Expense: 35061, Management and General Expenses: 3721, Fundraising Expenses: ;
Form 990, Box C Doing Business As	Tyler ContinueCare Hospital Tyler ContinueCare Hospital at Mother Frances Hospital Longview ContinueCARE Hospital

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235	BEAUMONT	TX	77701	611557670	SUPPORT ORG	TX	501(c)(3)	7	BHSET	false
CAROLINAS COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	465590355	SUPPORT ORG	DE	501(c)(3)	Type II	CHC	false
CHC COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	371485773	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(c)(3)	Type III-FI	NA	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 HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FL	ABILENE	TX	79601	463607347	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 HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY	CORBIN	KY	40701	200925675	HOSPITAL	KY	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREET	ODESSA	TX	79761	473539943	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	813048423	HOSPITAL	TX	501(c)(3)	3	CCC	false
CRAWLEY MEMORIAL HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	560691100	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
GAINESVILLE COMMUNITY HOSPITAL INC
1900 HOSPITAL BLVD	GAINESVILLE	TX	76240	831683025	HOSPITAL	TX	501(c)(3)	3	CHC	false
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	760500960	PUBLIC CHARI.	TX	501(c)(3)	10	HCH	false
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	843654542	HOSPITAL	TX	501(c)(3)	3	CHC	false
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROAD	CHARLOTTE	NC	26210	753054855	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
SOUTHWEST COMMUNITY HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752725353	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACE	LA GRANGE	TX	78945	743019849	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	742323822	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	453609830	SUPPORT ORG	TX	501(c)(3)	Type I	YCH	false
HUNTSVILLE COMMUNITY HOSPITAL INC FOUNDATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	320771710	SUPPORT ORG	TX	501(c)(3)	7	HCH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
PO BOX 1051 BLDG 4	2nd FL Governors Square	GRAND CAYMAN	GRAND CAYMAN	CJ	KY11102	CAPTIVE INSURANCE	CJ	CHC	C Corporation	false
COMMUNITY HOSPITAL CONSULTING INC
						MGMT CONSULTING		CHC	C Corporation	false	7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	204710183	TX

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITAL CORPORATION
P	$2,633,754	COST
CHC COMMUNITY CARE LLC
P	$1,973,152	COST
CHC COMMUNITY CARE LLC
O	$605,843	COST