2026-05-08T15:58:11+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2024-07-01 843654542 Huntsville Community Hospital Inc HUNT 9362913411 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 TERRY SCOGGIN INTERIM CEO 9362913411 2026-05-08 true Melva Scott P01207335 8173351900 2026-05-08 2024 2025-03-06 01:10:19Z HUNTSVILLE MEMORIAL HOSPITAL TERRY SCOGGIN 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 100726204 false X WWW.HUNTSVILLEMEMORIAL.COM X 2019 TX TO CARE FOR OUR COMMUNITY WITH COMPASSION, INTEGRITY & EXCELLENCE. 3 1 733 35 0 97628 193 85241465 91845525 0 0 8484838 8880486 93823931 100726204 0 0 0 0 43365056 47555592 0 0 0 47787370 48187626 91152426 95743218 2671505 4982986 32662737 46583896 13125523 22020739 19537214 24563157 NONE false false 70941164 0 100726011 WE ARE DEVOTED TO THE HEALTH AND WELL-BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT EVERY DAY WITH A SPIRIT OF WARMTH, COMPASSION AND PERSONAL PRIDE. WE ACHIEVE THIS THROUGH ADVANCED AND EFFICIENT MEDICAL CARE WITH STRONG SELF-GOVERNANCE. DURING THE YEAR ENDED JUNE 30, 2025, WE HAD 3,183 ADMISSIONS, 13,646 PATIENT DAYS, 21,553 ER VISITS, 576 INPATIENT SURGERIES AND 1,490 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 46.5 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 4.29 DAYS. 70941164 true false false true false false false false false false true false false false true false true true false false false false false false false false true true false false true false false false false false false false false false false false false false false true true true true false false true 107 0 true 733 true false false false false false false false false false false false false X 3 1 false true false false true true true true true false false false true true true true true true false true false false X Paul Hanson 9362913411 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 ANNE WOODARD DIRECTOR 1.0 0 X X 0 0 0 JIM KENDRICK DIRECTOR/PRESIDENT 0.2 39.8 X X 0 1910049 470298 JOE THOMASON DIRECTOR 1.0 39.0 X 0 575669 74756 Ian Gibson COO 40.0 0 X 0 210516 50327 JAMES HILL TREASURER 0.4 39.6 X 0 451879 60342 Jose Guerra CNO 40.0 0 X 0 203296 48692 LINDA MOORE SECRETARY 0.1 39.9 X 0 482307 52098 MARY BEVIER CFO (until 10/2024) 40.0 3.0 X 0 206536 26754 PATRICK SHANNON CEO 39.0 2.3 X 0 423122 26879 Paul Hanson CFO (BEG 10/2024) 40.0 3.0 X 0 86539 8944 AMANDA D WHORLEY REGISTERED NURSE (until 2/2025) 40.0 0 X 198894 0 32372 Constance Kinard REGISTERED NURSE 40.0 0 X 212625 0 0 Diana Chambers REGISTERED NURSE - CHARGE 40.0 0 X 166777 0 17486 JENNIFER L LOSEE REGISTERED NURSE 40.0 0 X 173260 0 0 KERRIE L DAVIS REGISTERED NURSE - CHARGE 45.0 0 X 180065 0 0 931621 4549913 868948 80 false true false WESTERN HEALTHCARE LLC PO BOX 21228 DEPT 175 TULSA OK 74121 Anesthesia/Medical Srvcs 2904888 MORRISON MANAGEMENT SPECIALIST 400 NORTHRIDGE RD STE 600 SANDY SPRINGS GA 30350 Food/Nutrition/Support Srvcs 2189407 HHA HOSPITAL MEDICINE OF TEXAS PLLC 1521 S STAPLES ST STE 606 CORPUS CHRISTI TX 00000 Medical Service 1632598 AGILITI HEALTH INC 6625 WEST 78TH ST SUITE 300 MINNEAPOLIS MN 55349 BIOMED STAFFING AND EQUIPMNET 1483936 CPS SOLUTIONS LLC PO BOX 7410634 CHICAGO IL 606740634 PHARMACY SERVICES 1348433 9 193 193 ROUTINE & ANCILLARY PATIENT SRVC 621990 91845525 91845525 0 0 0 0 91845525 0 0 0 0 CAFETERIA REVENUE 900099 273475 273475 FITNESS MEMBERS 900099 3325 3325 MEDICAL RECORDS REVENUE 900099 1005 1005 8602681 8602681 0 0 8880486 100726204 100726011 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 39839179 29441153 10398026 702762 519341 183421 4149495 3066477 1083018 2864156 2116611 747545 840000 840000 345682 345682 38395 38395 10478 10478 23592906 19134627 4458279 0 42147 31147 11000 285305 210840 74465 855461 855461 108007 79817 28190 207425 153287 54138 66882 66882 1279152 945293 333859 582610 430549 152061 MEDICAL SUPPLIES 11873810 8774746 3099064 LEASES 4203422 3106329 1097093 SOFTWARE FEES 2113525 1561895 551630 DUES & SUBSCRIPTIONS 479403 354279 125124 1263016 1004295 258721 0 95743218 70941164 24802054 0 3098911 3279419 12351541 14556665 0 0 0 0 0 2154794 2175710 1363347 2222743 23235074 3963904 10627076 19271170 0 0 3067068 3067068 0 2011121 32662737 46583896 8002168 8749778 0 0 3927946 12318521 1195409 952440 13125523 22020739 19537214 24563157 19537214 24563157 32662737 46583896 4982986 42957 0 X false true true false X false false false false false false false false true 10478 10478 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2025 HCH PAID: $17,556.85 TO TEXAS HOSPITAL ASSOCIATION, (THA) AND $26,866 TO AMERICAN HOSPITAL ASSOCIATION, (AHA) THE PORTION OF DUES THAT WERE REPORTED FOR LOBBBYING PURPOSES WERE: THA: 0% AHA: 39% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: AHA: $26,866 x 39% = $10,477.74 Total= $10,477.74 795858 17516 778342 8920410 2655397 6265013 13518806 1290991 12227815 19271170 Federal Income Taxes DUE TO CHC 830761 ASBESTOS ABATEMENT 121679 952440 100726204 0 0 100726204 0 0 100726204 95743218 0 0 95743218 0 0 95743218 true true true X true X 5560667 -15841127 21401794 0.22353 6367179 14885316 0 0.0 0 0.0 0 0 11927846 -955811 21401794 0.22353 0 0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 11927846 -955811 21401794 0.22353 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 15570587 17881458 -2310871 X true true 1 1 HUNTSVILLE MEMORIAL HOSPITAL 110 MEMORIAL HOSPITAL DR HUNTSVILLE TX 77340 HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/ 100511 X X X HUNTSVILLE MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 24 true false false true X THE HOSPITAL'S MOST RECENTLY ADOPTED CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND ON THE FOLLOWING X true 24 true THE HOSPITAL'S MOST RECENTLY ADOPTED CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND ON THE FOLLOWING false true X 200.0 400.0 X X X X X true true X X X true X HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA FOR HUNTSVILLE COMMUNITY HOSPITAL INC. ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HUNTSVILLE MEMORIAL HOSPITAL. HUNTSVILLE COMMUNITY HOSPITAL (HCH) IS DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL (HMH), AND OPERATES A FULL SERVICE, 123 BED LICENSED, ACUTE CARE HOSPITAL IN HUNTSVILLE, TEXAS. HUNTSVILLE IS LOCATED ALONG A PRIME AREA OF THE INTERSTATE 45 CORRIDOR WITHIN THE TEXAS TRIANGLE, THE AREA OF TEXAS OUTLINED BY THE METROPOLITAN AREAS OF AUSTIN, DALLAS-FORT WORTH AND HOUSTON. HMH SERVES THE RESIDENTS OF WALKER COUNTY AND SURROUNDING AREAS. THE HOSPITAL PROVIDES A WIDE ARRAY HEALTHCARE SERVICES TO MEET THE NEEDS OF ITS COMMUNITY. THROUGH ADVANCED TECHNOLOGY AND THE PROFESSIONAL EXPERTISE OF HMH'S MEDICAL STAFF, THE HOSPITAL PROVIDES QUALITY CARE, IN BOTH AN INPATIENT AND OUTPATIENT ENVIRONMENT, FOR A WIDE RANGE OF MEDICAL CONDITIONS IN A FRIENDLY, CARING ENVIRONMENT. THE DEFINED SERVICE AREA OF HMH IS WALKER COUNTY, TEXAS BASED ON HOSPITAL INPATIENT DISCHARGE DATA. THE COUNTY COMPRISED 65.4% OF FY2024 INPATIENT DISCHARGES. THE POPULATION OF WALKER COUNTY IS EXPECTED TO INCREASE 4.5% FROM 2024 (80,377) TO 2029 (83,954), WITH THE EXPECTED GROWTH RATE FALLING BELOW THE 5.6% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2024 (30,857,478) TO 2029 (32,581,174). THE POPULATION OF WALKER COUNTY INCLUDES THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE (TDCJ) POPULATION OF 13,188 (2024) AND THE SAM HOUSTON STATE UNIVERSITY DORMITORY POPULATION OF APPROXIMATELY 4,000 (2024). AS OF 2024, THE RACIAL/ETHNIC BREAKOUT OF WALKER COUNTY WAS 55.2% WHITE, 21.6% BLACK,1.5% ASIAN, 0.6% AMERICAN INDIAN AND 21.1% 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 HISPANIC POPULATION IN WALKER COUNTY IS EXPECTED TO INCREASE BY 13.1% BY 2029. BETWEEN 2021 AND 2023, THE PERCENTAGE OF FOREIGN-BORN RESIDENTS OVERALL INCREASED IN WALKER COUNTY THE STATE, AND THE NATION. IN 2023, WALKER COUNTY (6.8%) HAD A LOWER PERCENTAGE OF FOREIGN-BORN RESIDENTS THAN THE STATE (17.9%) AND THE NATION (14.3%). AS OF 2024, WALKER COUNTY (37.2 YEARS) HAD AN OLDER MEDIAN AGE THAN TEXAS (36.3 YEARS) (2024). THE MEDIAN AGE IN WALKER COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). AS OF 2024, THE MEDIAN HOUSEHOLD INCOME IN WALKER COUNTY ($53,791) IS LOWER THAN THE STATE OF TEXAS ($77,169). BETWEEN 2024 AND 2029, THE MEDIAN HOUSEHOLD INCOME IN WALKER COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS. WALKER COUNTY (21.6%) HAS A LOWER PERCENTAGE 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 THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2018-2022, WALKER COUNTY IS AT RISK WITH A DISTRESS SCORE OF 79.9 AND RANKS 173 OUT OF 251 COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN WALKER COUNTY AND THE STATE DECREASED BETWEEN 2021 AND 2023. IN 2023, WALKER COUNTY (4.6) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN WALKER COUNTY OVERALL INCREASED. APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE (3.8) AS COMPARED TO JUNE 2024 WITH THE HIGHEST RATE (5.4). AS OF 2022, THE MAJORITY OF EMPLOYED PERSONS IN WALKER COUNTY ARE WITHIN OFFICE AND ADMINISTRATIVE SUPPORT OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE AND ADMINISTRATIVE SUPPORT OCCUPATIONS, (11.5%); EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS, (9.3%); LAW ENFORCEMENT WORKERS INCLUDING SUPERVISORS, (8.8%); FOOD PREPARATION & SERVING RELATED OCCUPATIONS, (8.5%) AND SALES AND RELATED OCCUPATIONS, (7.2%). WALKER COUNTY (23.9%) HAS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVEL AS COMPARED TO THE STATE OF TEXAS (14.4%) (2024). BETWEEN 2019 AND 2023, THE PERCENT OF CHILDREN (UNDER 18 YEARS) LIVING IN POVERTY IN WALKER COUNTY FLUCTUATED AND THE STATE OVERALL DECREASED. IN 2023, WALKER COUNTY (22.6%) HAD A HIGHER PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY THAN TEXAS (18.4%). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 16.3% OF WALKER COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 16.4% IN THE STATE OF TEXAS (2022). ADDITIONALLY, 28.4% OF THE CHILDREN (UNDER 18 YEARS OF AGE) IN WALKER COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.8% IN TEXAS (2022). THE AVERAGE MEAL COST FOR A WALKER COUNTY RESIDENT IS $3.68, AS COMPARED TO $3.45 IN TEXAS (2022). BETWEEN 2018 AND 2022, WALKER COUNTY MAINTAINED A LOWER PERCENTAGE OF SNAP BENEFIT RECIPIENTS THAN THE STATE. ADDITIONALLY, THE PERCENTAGE OF SNAP BENEFIT RECIPIENTS IN WALKER COUNTY REMAINED CONSISTENT BETWEEN 2018 AND 2022. IN 2022, WALKER COUNTY (8.5%) HAD A LOWER PERCENTAGE OF SNAP BENEFIT RECIPIENTS THAN THE STATE (10.8%). IN 2022-2023, WALKER COUNTY (64.4%) HAD A HIGHER PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH THAN THE STATE (61.3%), AND THE NATION (53.5%). WALKER COUNTY (87.0%) HAS A LOWER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.2%) BUT HIGHER THAN THE NATION (81.1%) (2020-2021). WALKER COUNTY (35.2%) HAS A HIGHER PERCENT OF HOUSEHOLDS WHERE HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME THAN THE STATE (30.6%) AND THE NATION (30.5%) (2018-2022). THE PERCENT OF OCCUPIED HOUSING UNITS THAT HAVE ONE OR MORE SUBSTANDARD CONDITIONS IN WALKER COUNTY (37.3%) WAS HIGHER THAN THE STATE (32.9%) AND THE NATION (31.7%) (2018- 2022). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - HUNTSVILLE MEMORIAL HOSPITAL. OVERALL MORTALITY RATES IN WALKER COUNTY AND THE STATE INCREASED BETWEEN 2019 AND 2022. IN 2021 AND 2022, THE OVERALL MORTALITY RATE IN WALKER COUNTY (732.6 PER 100,000) WAS SLIGHTLY HIGHER THAN THE STATE (731.1 PER 100,000). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH WALKER COUNTY AND THE STATE (2019-2022). BETWEEN 2019 AND 2022, HEART DISEASE MORTALITY RATES OVERALL INCREASED IN WALKER COUNTY AND THE STATE. IN 2021-2022, THE HEART DISEASE MORTALITY RATE IN WALKER COUNTY (200.8 PER 100,000) WAS HIGHER THAN THE STATE (170.0 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE STATE (2019 - 2022). BETWEEN 2019 AND 2022, CANCER MORTALITY RATES DECREASED IN WALKER COUNTY BUT SLIGHTLY INCREASED IN THE STATE. IN 2021 - 2022, THE CANCER MORTALITY RATE IN WALKER COUNTY (141.5 PER 100,000) WAS LOWER THAN THE STATE (144.3 PER 100,000). COVID-19 IS THE THIRD LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE STATE (2019 - 2022). BETWEEN 2019 AND 2022, COVID-19 MORTALITY RATES INCREASED IN WALKER COUNTY AND IN THE STATE. IN 2021 - 2022, THE COVID-19 MORTALITY RATE IN WALKER COUNTY (84.2 PER 100,000) WAS LOWER THAN THE STATE (99.2 PER 100,000). CEREBROVASCULAR DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN WALKER COUNTY, AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2019-2022). BETWEEN 2019 AND 2022, CEREBROVASCULAR DISEASE MORTALITY RATES OVERALL INCREASED IN BOTH WALKER COUNTY AND THE STATE. IN 2021- 2022, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN WALKER COUNTY (52.9 PER 100,000) WAS HIGHER THAN THE STATE (40.6 PER 100,000). FATAL ACCIDENTS ARE THE FIFTH LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2019 - 2022). BETWEEN 2019 AND 2022, ACCIDENT MORTALITY RATES INCREASED IN WALKER COUNTY AND THE STATE. IN 2019 - 2022, THE ACCIDENT MORTALITY RATE IN WALKER COUNTY (41.4 PER 100,000) WAS LOWER THAN THE RATE IN THE STATE (50.3 PER 100,000). THE LEADING CAUSE OF FATAL ACCIDENTS IN WALKER COUNTY IS DUE TO ACCIDENTAL POISONINGS AND EXPOSURE TO NOXIOUS SUBSTANCES (2021 - 2022). CHRONIC LOWER RESPIRATORY DISEASES (CLRD), ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, SEPTICEMIA, AND DIABETES MELLITUS ARE ALSO LEADING CAUSES OF DEATH IN WALKER COUNTY. BETWEEN 2020 AND 2022, THE PERCENT OF ADULTS (AGE 18+) WHO WERE OBESE IN WALKER COUNTY FLUCTUATED AND THE STATE REMAINED CONSTANT. IN 2022, WALKER COUNTY (42.2%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WHO WERE CONSIDERED OBESE THAN THE STATE (35.7%). BETWEEN 2020 AND 2022, WALKER COUNTY AND THE STATE HAD AN INCREASE IN HYPERTENSION AMONG MEDICARE BENEFICIARIES. IN 2022, WALKER COUNTY (70.0%) HAD A HIGHER PERCENTAGE OF MEDICARE BENEFICIARIES WITH HYPERTENSION THAN THE STATE (66.0%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF ASTHMA IN ADULTS (AGE 18+) IN WALKER COUNTY INCREASED WHILE THE PERCENTAGE IN THE STATE OVERALL DECREASED. IN 2022, WALKER COUNTY (10.0%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH ASTHMA THAN THE STATE (7.9%). IN 2022, WALKER COUNTY (5.0%) HAD A LOWER PERCENTAGE OF MEDICARE BENEFICIARIES WITH ASTHMA THAN THE STATE (7.0%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF ARTHRITIS IN ADULTS (AGE 18+) IN WALKER COUNTY INCREASED. IN 2022, WALKER COUNTY (25.1%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH ARTHRITIS THAN THE STATE (21.4%). IN 2022, WALKER COUNTY (37.2%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH A DISABILITY THAN THE STATE (28.9%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF MEDICARE BENEFICIARIES WITH A DISABILITY IN WALKER COUNTY AND THE STATE DECREASED. IN 2022, WALKER COUNTY (15.0%) HAD A SIMILAR PERCENTAGE OF MEDICARE BENEFICIARIES WITH A DISABILITY AS COMPARED TO THE STATE (15.0%). BETWEEN 2018 AND 2022, WALKER COUNTY AND THE STATE EXPERIENCED AN OVERALL DECREASE IN UNINSURED ADULTS (AGE 18-64). AS OF 2022, WALKER COUNTY (21.0%) HAD A LOWER PERCENT OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (22.3%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR HUNTSVILLE MEMORIAL HOSPITAL (HMH) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN WALKER COUNTY, TEXAS. COMMUNITY INPUT WAS RECEIVED FROM AN ELECTRONIC SURVEY CONDUCTED BY CHC FROM OCTOBER 29, 2024 - NOVEMBER 18, 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 HMH BOARD REVIEWED AND ADOPTED THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON APRIL 3, 2025. Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - HUNTSVILLE MEMORIAL HOSPITAL. INTERVIEW METHODOLOGY: COMMUNITY INPUT HMH WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. HMH 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 SURVEYED. BACKGROUND INFORMATION ABOUT HMH, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC AND INCLUDED POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. DEMOGRAPHIC DATA WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, SYNTELLIS, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS. ADDITIONALLY, A VARIETY OF SOURCES WAS USED IN THE COLLECTION OF HEALTH DATA, INCLUDING, BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, THE U.S. CENSUS BUREAU.AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. HMH PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN WALKER COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST ELECTRONIC SURVEYS WERE DISTRIBUTED BY HMH VIA EMAIL BETWEEN OCTOBER 29, 2024 AND NOVEMBER 18, 2024. THESE EMAILS WERE SENT TO THOSE INDIVIDUALS AND ORGANIZATIONS WHO HAVE SPECIAL KNOWLEDGE OF THE COMMUNITIES WITHIN WALKER COUNTY, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED IN THE SURVEYS WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS TO CARE, SERVICE GAPS AND ISSUES RELATED TO SPECIFIC POPULATIONS. Respondents ranked various health care initiatives for all residents from most important to least important. RESPONDENTS WERE ALSO ASKED TO SELECT THE FIVE MOST IMPORTANT ISSUES IN THE COMMUNITY WHICH WERE LISTED UNDER THE GENERAL CATEGORIES OF HEALTH PROBLEMS, CHRONIC DISEASES, AND PREVENTABLE HOSPITALIZATIONS. ADDITIONALLY, RESPONDENTS WERE ASKED TO RANK FROM A LIST OF COMMON BARRIERS RELATED TO ACCESS TO PRIMARY/PREVENTATIVE CARE FOR LOW INCOME RESIDENTS IN THE COMMUNITY AND WERE ALSO ASKED TO RATE THE LEVEL OF DIFFICULTY LOW INCOME RESIDENTS FACE WHEN TRYING TO ACCESS SPECIFIC HEALTH RELATED SERVICES. RESPONDENTS WERE ALSO ASKED TO RATE HEALTH CARE SERVICE ADEQUACY PROVIDED IN THE COMMUNITY. EXTENSIVE ANALYSIS WAS DONE OF EACH SURVEY AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE SURVEYS WAS ALSO ANALYZED AND REPORTED. WITH RESPECT TO 49 RESPONDENTS PROVIDING INPUT TO THE ELECTRONIC SURVEY, IT WAS NOTED IN THE CHNA THAT 38.8% OF THOSE, OR 19 OF THE 49, 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. 32.7% OF THOSE PROVIDING INPUT, OR 16 OF 49, 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 AND 36.7% OF THOSE PROVIDING INPUT, OR 14 OF 49, REPRESENT OTHER ORGANIZATIONS OR GROUPS. SURVEY RESPONDENTS INCLUDED: - BOYS & GIRLS CLUB OF WALKER COUNTY - CITY OF HUNTSVILLE - HUNTSVILLE HEALTH CARE CENTER - HUNTSVILLE MEMORIAL HOSPITAL - SAAFE HOUSE - SAM HOUSTON STATE UNIVERSITY (COLLEGE OF MEDICINE, CENTER FOR COMMUNITY ENGAGEMENT, STUDENT HEALTH CENTER) - STAT HOME HEALTH - TEXAS DEPARTMENT OF CRIMINAL JUSTICE (TDCJ) - TEXAS A&M AGRILIFE EXTENSION - TEXAS DEPARTMENT OF STATE HEALTH SERVICES - TEXAS WORKFORCE COMMISSION FOR WORKFORCE SOLUTIONS - TRI-COUNTY BEHAVIORAL HEALTHCARE - WALKER COUNTY - WALKER COUNTY HOSPITAL DISTRICT - WALKER COUNTY PUBLIC SAFETY COMMUNICATIONS CENTER Schedule H, Part V, Section B, Line 5 Facility , 4 Facility , 4 - HUNTSVILLE MEMORIAL HOSPITAL. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY SURVEY RESPONDENTS WERE: PERSONS WITH NO SOURCE OF TRANSPORTATION, PERSONS WITH MENTAL ILLNESS, PERSONS WITH NO SOCIAL OR EMOTIONAL SUPPORT, UNINSURED/UNDERINSURED, HOMELESS AND WORKING POOR. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: PERSONS WITH NO SOURCE OF TRANSPORTATION - LACK OF PUBLIC TRANSPORTATION - LACK OF LOCAL AFFORDABLE TRANSPORTATION OPTIONS PERSONS WITH MENTAL ILLNESS - LACK OF LOCAL RESOURCES - LACK OF MENTAL HEALTH CARE PROVIDERS - TRANSPORTATION BARRIERS - ADDICTION CONCERNS - DEPRESSION, ANXIETY, STRESS PERSONS WITH NO SOCIAL OR EMOTIONAL SUPPORT -COMMUNICATION BARRIERS -LONELINESS, DEPRESSION - RURAL COUNTY ISOLATION BARRIERS UNINSURED/UNDERINSURED -COST AND INSURANCE BARRIERS -LACK OF PRIMARY CARE PHYSICIANS -COST OF INSURANCE, PARTICULARLY DEDUCTIBLES AND AFFORDING PRESCRIPTIONS HOMELESS - LACK OF HOMELESS SERVICES AND RESOURCES - HOMELESS CHILDREN AND TEENS ASSISTANCE LEFT TO SCHOOL SYSTEM - MENTAL HEALTH CONCERNS - TRANSPORTATION BARRIERS WORKING POOR - LACK OF COMMUNITY SUPPORT AVAILABLE - COST OF INSURANCE, PARTICULARLY DEDUCTIBLES AND AFFORDING PRESCRIPTIONS - LACK OF EDUCATION PROVIDED REGARDING RESOURCES AVAILABLE - TRANSPORTATION BARRIERS - DIABETES, OBESITY - SMOKING, VAPING - FOOD INSECURITY Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HUNTSVILLE MEMORIAL HOSPITAL. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY HUNTSVILLE MEMORIAL HOSPITAL (HMH). 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 HMH, MET WITH STAFF FROM COMMUNITY HOSPITAL CORPORATION, (CHC), TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 2. CONTINUED FOCUS ON HOSPITAL SUSTAINABILITY AND COMMUNITY INFRASTRUCTURE 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 5. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 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 FIVE OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY 1.A. HMH WILL WORK TO CONTINUOUSLY IMPROVE PHYSICIAN ENGAGEMENT. THIS INCLUDES SUPPORTING LOCAL PROVIDER GROWTH INITIATIVES, AND STRATEGIC ALIGNMENT WITH LARGER PRACTICES IN SURROUNDING COUNTIES. HMH WILL RECRUIT PRIMARY AND SPECIALTY CARE PROVIDERS AND ADVANCED PRACTITIONERS AS NEEDED. HMH WILL OFFER SPACE FOR ROTATING SPECIALTIES TO INCREASE LOCAL ACCESS AND REDUCE THE HARDSHIP OF TRANSPORTATION WITHIN THE COMMUNITY AS APPROPRIATE. 1.B. HMH WILL CONTINUE TO EXPLORE THE FEASIBILITY OF PROVIDING A MOBILE CLINIC TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR UNDERSERVED POPULATIONS IN THE COMMUNITY. 1.C. HMH WILL CONTINUE TO ENCOURAGE AND FACILITATE INCREASED ACCESS TO CARE WITHIN THE COMMUNITY THROUGH SERVING AS A CLINICAL SITE FOR STUDENTS AT PARTNER UNIVERSITIES AND EDUCATION CENTERS, AS WELL AS OFFERING A FAMILY MEDICINE RESIDENCY PROGRAM AND SPORTS ORTHO AND SPORTS MEDICINE FELLOWSHIP PROGRAM WITH PLANS TO EXPAND INTO OTHER SPECIALTIES AS OPPORTUNITIES ARISE. 1.D. HMH PROVIDES OB/GYN CARE AS APPROPRIATE THROUGH PROVIDERS OR NURSE PRACTITIONERS IN THE HMH RHC. 1.E. HMH WILL EXPLORE OPPORTUNITIES WITH ORGANIZATIONS IN THE COMMUNITY IN ORDER TO INCREASE ACCESS TO LOCAL PRIMARY CARE SERVICES. 1.F. HMH WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN REPORT TO DETERMINE THE PHYSICIAN NEEDS OF THE COMMUNITY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. HMH EXPLORES THE FEASIBILITY OF EXPANDING SERVICES IDENTIFIED WITHIN THE MARKET ASSESSMENT ON AN ANNUAL BASIS. 1.G. HMH AND THE HMH RHC CONTINUE TO PROVIDE A VARIETY OF TELEHEALTH SERVICES AS APPROPRIATE. 1.H. UPON DISCHARGE FROM INPATIENT CARE, PATIENTS RECEIVE A COPY OF THEIR WRITTEN DISCHARGE SUMMARY AND AN ELECTRONIC SUMMARY IS SENT TO THEIR PRIMARY CARE PROVIDER AS WELL. UPON DISCHARGE FROM THE EMERGENCY ROOM, PATIENTS' PRIMARY CARE PROVIDERS ARE PROVIDED WITH A SUMMARY OF THEIR EMERGENT VISIT. ADDITIONALLY, HMH WILL ASSIST IN SETTING UP A FOLLOW UP APPOINTMENT WITH A PRIMARY CARE PROVIDER THROUGH THE RHC FOR PATIENTS WHO DO NOT YET HAVE AN ESTABLISHED PROVIDER. 1.I. HMH WILL CONTINUE TO INCREASE AWARENESS OF ITS PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS. 1.J. HMH IS EXPLORING OPENING A NEW SURGERY CENTER TO OFFER GREATER ACCESS TO A WIDER VARIETY OF SURGICAL SERVICES FOR RESIDENTS IN THE COMMUNITY. PRIORITY #2: CONTINUED FOCUS ON HOSPITAL SUSTAINABILITY AND COMMUNITY INFRASTRUCTURE OBJECTIVE: FOCUS ON EFFORTS TO IMPROVE THE HOSPITAL'S INFRASTRUCTURE AND MAINTAIN SUSTAINABILITY IN THE COMMUNITY Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - HUNTSVILLE MEMORIAL HOSPITAL. 2.A. HMH IS FOCUSED ON SUSTAINABILITY AND FINDING THE BEST PATH TO MOVE FORWARD. 2.B. HMH IS DEDICATED TO INCREASING QUALITY THROUGH IMPROVING HCAHPS SCORES. 2.C. HMH CONTINUES TO PARTICIPATE IN A SURVEY ON PATIENT SAFETY CULTURE AND CREATE AN ACTION PLAN BASED ON RESULTS. 2.D. HMH CONTINUES TO PARTICIPATE IN A SURVEY ON PATIENT SAFETY CULTURE AND CREATE AN ACTION PLAN BASED ON RESULTS. 2.E. HMH WILL CONTINUE TO IMPLEMENT ITS CHRONIC DISEASE MANAGEMENT PROCESS UPON DISCHARGE TO REDUCE READMISSIONS BY UTILIZING THE PATIENT NAVIGATOR FOR PATIENTS AS APPROPRIATE. 2.F. HMH IS WORKING CLOSELY WITH THE WALKER COUNTY HOSPITAL DISTRICT, AND IN COLLABORATION WITH COMMUNITY MEMBERS AND IN RESPONSE TO THE HEALTHCARE NEEDS OF OUR COMMUNITY, TO PURSUE A NEW HOSPITAL BUILDING. THE NEW MASTER PLANNED HOSPITAL WILL ALLOW FOR THE RESIDENTS OF WALKER COUNTY TO RECEIVE CARE IN A BRAND NEW STATE OF THE ART FACILITY. 2.G. HMH AIMS TO ACHIEVE SOLE COMMUNITY HOSPITAL DESIGNATION FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO ENSURE THAT PEOPLE IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. PRIORITY #3: 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 3.A. HMH HOSPITAL AND CLINICS WILL CONTINUE TO PROVIDE FINANCIAL COUNSELORS WHO ARE AVAILABLE TO ASSIST UNINSURED PATIENTS WITH PATHWAYS TO AFFORDABLE HEALTHCARE. THIS PROCESS INCLUDES SCREENING PATIENTS FOR GOVERNMENT PROGRAM QUALIFICATION, INCLUDING MEDICAID, SSI, MEDICARE, CRIME VICTIMS, AND VETERANS BENEFITS. IF THE UNINSURED PATIENT DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS, THE PATIENT WILL BE SCREENED FOR THE HOSPITAL CHARITY PROGRAM. IF THE UNINSURED PATIENT DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS OR CHARITY CARE, THE PATIENT WHO RESIDES IN WALKER COUNTY WILL BE SCREENED FOR THE WALKER COUNTY INDIGENT CARE PROGRAM. PATIENTS WHO QUALIFY FOR THE WALKER COUNTY INDIGENT CARE PROGRAM WILL RECEIVE ACCESS TO BASIC HEALTHCARE SERVICES AS DEFINED WITHIN CHAPTER 61 OF THE HEALTH AND SAFETY CODE FOR THE STATE OF TEXAS. 3.B. HMH OFFERS DISCOUNTS FOR UNINSURED PATIENTS WHO ARE AT OR ABOVE 100% OF THE FEDERAL POVERTY LIMIT THROUGH THE WALKER COUNTY INDIGENT PROGRAM. THIS INCLUDES DISCOUNTED SERVICES, AVAILABLE TO PATIENTS AT DISCOUNTED SELF PAY RATES. 3.C. HMH OWNS AND OPERATES A RURAL HEALTH CLINIC WITHIN WALKER COUNTY TO PROVIDE ACCESS TO PRIMARY CARE SERVICES ON A SLIDING FEE SCALE. 3.D. HMH WILL CONTINUE TO HOST AND/OR PARTICIPATE IN DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY. 3.E. HMH WILL CONTINUE TO PROVIDE TRANSLATION SERVICES IN SIGN LANGUAGE AND MULTIPLE LANGUAGES TO APPLICABLE PATIENTS. ADDITIONALLY, FACE TO FACE VIDEOS FOR TRANSLATION WILL BE PROVIDED ON AN AS NEEDED BASIS. 3.F. HMH WILL EXPLORE PARTICIPATING IN THE 340B PHARMACY PROGRAM IF THEY ACHIEVE SOLE COMMUNITY HOSPITAL DESIGNATION WHICH WOULD ALLOW ACCESS TO DISCOUNTED DRUGS FOR QUALIFIED OUTPATIENT PRESCRIPTION DRUGS AS DEFINED BY THE 340B DRUG PRICING PROGRAM. 3.G. HMH WORKS TO IMPROVE LOCAL HEALTHCARE SERVICES THROUGH FUNDRAISING EVENTS CONTRIBUTING TOWARDS THE HMH FOUNDATION, WHICH WORKS TO PROVIDE LIFESAVING TECHNOLOGY AND PROGRAMS THAT IMPROVE PATIENT CARE. 3.H. UPON ADMISSION, HMH SYSTEMATICALLY SCREENS PATIENTS FOR KEY SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL TRACKS THESE RESULTS TO IDENTIFY COMMUNITY NEEDS AND COLLABORATE WITH LOCAL ORGANIZATIONS TO ADDRESS THEM EFFECTIVELY. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - HUNTSVILLE MEMORIAL HOSPITAL. 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. HHMH WILL REVIVE AND RE-ENGAGE THE SUPPORT FOR A LOCAL MULTIDISCIPLINARY BEHAVIORAL HEALTH TEAM, INCLUDING LAW ENFORCEMENT, THE LOCAL SHERIFF, SAM HOUSTON STATE UNIVERSITY POLICE, HUNTSVILLE POLICE DEPARTMENT, DISPATCH, JUDGES, AND THE DISTRICT ATTORNEY, THAT MEETS ON A PERIODIC BASIS TO TRACK ANY MENTAL AND BEHAVIORAL HEALTH ISSUES AND IMPROVE PROCESSES TO HANDLE APPLICABLE SITUATIONS. 4.B. HMH WILL CONTINUE TO OFFER PSYCHIATRIC TELEHEALTH SERVICES TO APPLICABLE PATIENTS WHO PRESENT TO THE EMERGENCY DEPARTMENT. THROUGH CRISIS SCREENING, LICENSED COUNSELORS ARE ABLE TO ASSESS WHETHER PATIENTS REQUIRE A MORE THOROUGH EVALUATION OF THEIR MENTAL AND BEHAVIORAL STATE. 4.C. HMH WILL CONTINUE TO PROVIDE SANE (SEXUAL ASSAULT NURSE EXAMINER) THAT ARE TRAINED SPECIFICALLY TO EXAMINE AND TREAT SURVIVORS OF SEXUAL ASSAULT, INTERPERSONAL VIOLENCE, DOMESTIC VIOLENCE, CHILD AND ELDER ABUSE. 4.D. HMH WILL CONTINUE TO PROVIDE CASE MANAGEMENT SERVICES AND APPROPRIATE REFERRALS FOR PATIENTS WHO PRESENT TO THE HOSPITAL OR EMERGENCY DEPARTMENT WITH MENTAL OR BEHAVIORAL HEALT CONDITIONS ON AN AS NEEDED BASIS. PRIORITY #5: 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 5.A. HMH WILL CONTINUE TO PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES AND OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY AT LOW COST. 5.B. HMH CONTINUES TO OFFER EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS, AS WELL AS VARIOUS SUPPORT AND EDUCATIONAL GROUPS AT THE FACILITY. 5.C. HMH WILL EXPLORE RELATIONSHIPS AND MEET WITH LEADERS AT LOCAL NURSING HOMES, SKILLED NURSING FACILITIES AND LONG TERM CARE FACILITIES IN ORDER TO STRENGTHEN THE TRANSITION OF CARE BETWEEN THE HMH AND LOCAL NURSING FACILITIES. 5.D. HMH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. 5.E. HMH WILL MAINTAIN ITS CURRENT ACCREDITATIONS AND WILL CONTINUE TO PURSUE APPROPRIATE FACILITY CERTIFICATIONS. 5.F. HMH WILL CONTINUE TO PARTNER WITH AND MEET WITH LOCAL EMS TO PROMOTE BETTER HEALTH IN THE COMMUNITY AND DISCUSS PERFORMANCE IMPROVEMENT, TRANSFER TIMES AND EDUCATION NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - HUNTSVILLE MEMORIAL HOSPITAL. HUNTSVILLE COMMUNITY HOSPITAL, DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL, DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. 0 Schedule H, Part I, Line 3c SCHEDULE H, PART I, LINE 3C ALL PATIENTS (INSURED AND UNINSURED) MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE CONTINUUM OF CARE OR AFTER CARE IS RECEIVED. EACH PATIENT'S SITUATION WILL BE EVALUATED ACCORDING TO RELEVANT CIRCUMSTANCES, SUCH AS INCOME, ASSETS OR OTHER RESOURCES AVAILABLE TO THE PATIENT OR PATIENT'S FAMILY WHEN DETERMINING THE ABILITY TO PAY THE OUTSTANDING PATIENT ACCOUNT BALANCE. THE LEVEL OF FINANCIAL ASSISTANCE WILL BE BASED ON A CLASSIFICATION AS "FINANCIALLY INDIGENT "MEDICALLY INDIGENT "CATASTROPHICALLY MEDICALLY INDIGENT," AS DEFINED BELOW. IN ALL SITUATIONS, ONCE THE PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THAT INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE ("AGB"). "FINANCIALLY INDIGENT" MEANS A PATIENT WHOSE YEARLY HOUSEHOLD INCOME (AS DEFINED BELOW) IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). THESE FINANCIALLY INDIGENT PATIENTS ARE ELIGIBLE FOR A 100% DISCOUNT ON OUTSTANDING PATIENT ACCOUNT BALANCES AS SET FORTH IN PART 1 OF THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. "MEDICALLY INDIGENT" MEANS A PATIENT WHOSE MEDICAL OR HOSPITAL BILLS FROM ALL RELATED OR UNRELATED PROVIDERS, AFTER PAYMENT BY ALL THIRD PARTIES, EXCEED 10% OF SUCH PATIENT'S YEARLY HOUSEHOLD INCOME, WHOSE YEARLY HOUSEHOLD INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 400% OF THE FPG, AND WHO IS UNABLE TO PAY THE OUTSTANDING PATIENT ACCOUNT BALANCE. THESE MEDICALLY INDIGENT PATIENTS ARE ELIGIBLE FOR A DISCOUNT ON OUTSTANDING PATIENT ACCOUNT BALANCES AS SET FORTH IN PART 2 OF THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. "CATASTROPHICALLY MEDICALLY INDIGENT" MEANS A PATIENT WHOSE MEDICAL OR HOSPITAL BILLS FROM ALL RELATED OR UNRELATED PROVIDERS, AFTER PAYMENT BY ALL THIRD PARTIES, EXCEED 10% OF SUCH PATIENT'S YEARLY HOUSEHOLD INCOME, WHOSE YEARLY HOUSEHOLD INCOME IS GREATER THAN 400% OF THE FPG, AND WHO IS UNABLE TO PAY THE OUTSTANDING PATIENT ACCOUNT BALANCE. THESE CATASTROPHICALLY MEDICALLY INDIGENT PATIENTS ARE ELIGIBLE FOR A DISCOUNT ON OUTSTANDING PATIENT ACCOUNT BALANCES AS SET FORTH IN PART 3 OF THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. AFTER THE PATIENT'S ACCOUNT IS REDUCED BY THE DISCOUNTS BASED ON THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES, THE PATIENT IS RESPONSIBLE FOR THE REMAINDER OF THE OUTSTANDING PATIENT ACCOUNT BALANCE WHICH SHALL BE NO MORE THAN AGB. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS - SUPPLEMENT TO THE AHA SURVEY. Schedule H, Part I, Line 6a Community benefit report prepared by related organization THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2025 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. 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 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 HUNTSVILLE COMMUNITY HOSPITAL QUALIFIES FOR ITS FINANCIAL ASSISTANCE POLICY THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A REASONABLE PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. THE HOSPITAL WILL REFUND TO THE PATIENT ANY EXCESS PAYMENT (IF ANY) THAT EXCEEDS THE AMOUNT THE PATIENT IS DETERMINED TO BE PERSONALLY RESPONSIBLE FOR PAYING AS A FINANCIAL ASSISTANCE PROGRAM ELIGIBLE PATIENT (UNLESS SUCH AMOUNT IS LESS THAN $5.00). Schedule H, Part V, Section B, Line 16a FAP website - HUNTSVILLE MEMORIAL HOSPITAL: Line 16a URL: HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - HUNTSVILLE MEMORIAL HOSPITAL: Line 16b URL: HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HUNTSVILLE MEMORIAL HOSPITAL: Line 16c URL: HTTPS://WWW.HUNTSVILLEMEMORIAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, HUNTSVILLE COMMUNITY HOSPITAL (HCH), DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL, (HMH), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 6/30/2025. HMH LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE TOP PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, RESPONSIBLE LEADERS, ANNUAL UPDATES AND PROGRESS, AND KEY RESULTS (AS APPROPRIATE). THE CHNA AND IMPLEMENTATION STRATEGY FOR THE FISCAL YEAR ENDED JUNE 30, 2025, WAS REVIEWED AND ADOPTED BY THE HOSPITAL'S GOVERNING BOARD ON APRIL 3, 2025. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED IN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN THE ELECTRONIC SURVEYS SUBMITTED TO PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN WALKER COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS ARE EDUCATED REGARDING ELIGIBILITY FOR ASSISTANCE DURING THE SCREENING PROCESS FOR CHARITY CARE. THIS SCREENING PROCESS IS CONDUCTED BY A THIRD-PARTY ELIGIBILITY VENDOR AND INCLUDES UNINSURED AND UNDERINSURED PATIENTS THAT ARE SCREENED FOR, OR MAY QUALITY FOR, PRIOR TO CONSIDERATION FOR CHARITY CARE ELIGIBILITY THE FOLLOWING PROGRAMS: -EXISTING HEALTHCARE INSURANCE OR ABILITY TO PURCHASE HEALTHCARE INSURANCE/AND OR OTHER LIABILITY AT OR BELOW 8% OF TOTAL ANNUAL INCOME AND OR OTHER LIABILITY -SELF PAY DISCOUNTED PROGRAMS -TEXAS MEDICAID AND /OR MEDICARE AND/OR SSI; OTHER GOVERNMENT PROGRAMS; WORKERS COMPENSATION -WALKER COUNTY INDIGENT CARE PROGRAM THIS INCLUDES THE ASSISTANCE OF A THIRD-PARTY ON-SITE MEDICAID ELIGIBILITY VENDOR, WHO ASSISTS ELIGIBLE PATIENTS IN COMPLETING APPLICATION FOR MEDICAID, MEDICARE, AND/OR DISABILITY AS APPLICABLE. PATIENTS WITH THIRD PARTY COVERAGE (I.E., INSURANCE, MEDICARE, ETC.) MAY QUALIFY FOR CHARITY CARE AS SECONDARY TO PRIMARY INSURANCE IF THE PATIENT HAS RESPONSIBILITY FOR PAYMENT, HAS AN ABILITY TO PAY AND MEETS PROGRAM QUALIFICATIONS. IF A PATIENT DOES NOT QUALIFY FOR ONE OF THE PROGRAMS LISTED ABOVE, THE PATIENT MAY MAKE FORMAL APPLICATION FOR CHARITY CARE BY COMPLETING THE REQUIRED FINANCIAL ASSISTANCE FORMS, LOCATED ON THE HOSPITAL'S WEBSITE AT WWW.HUNTSVILLEMEMORIAL.COM THE ON-SITE ELIGIBILITY REPRESENTATIVE, OR A MEMBER OF THE HOSPITAL PATIENT ACCESS DEPARTMENT WILL ASSIST THE PATIENT IN PRINTING AND COMPLETING THE FINANCIAL APPLICATION AND SUPPLEMENTAL FORMS AND WILL DIRECT THE PATIENT TO THE FINANCIAL COUNSELING DEPARTMENT WHERE THE COMPLETED APPLICATION MUST BE SUBMITTED FOR REVIEW. PATIENTS APPROVED FOR CHARITY CARE WILL RECEIVE BASIC CARE AT HUNTSVILLE MEMORIAL HOSPITAL AND/OR THE HUNTSVILLE CLINIC FOLLOWING RECEIPT OF PRIOR QUALIFY FOR CHARITY CARE AS SECONDARY TO PRIMARY INSURANCE IF THE PATIENT HAS RESPONSIBILITY FOR PAYMENT, HAS AN ABILITY TO PAY AND MEETS PROGRAM QUALIFICATIONS. IF A PATIENT DOES NOT QUALIFY FOR ONE OF THE PROGRAMS LISTED ABOVE, THE PATIENT MAY MAKE FORMAL APPLICATION FOR CHARITY CARE BY COMPLETING THE REQUIRED FINANCIAL ASSISTANCE FORMS, LOCATED ON THE HOSPITAL'S WEBSITE AT WWW.HUNTSVILLEMEMORIAL.COM THE ON-SITE ELIGIBILITY REPRESENTATIVE, OR A MEMBER OF THE HOSPITAL PATIENT ACCESS DEPARTMENT WILL ASSIST THE PATIENT IN PRINTING AND COMPLETING THE FINANCIAL APPLICATION AND SUPPLEMENTAL FORMS AND WILL DIRECT THE PATIENT TO THE FINANCIAL COUNSELING DEPARTMENT WHERE THE COMPLETED APPLICATION MUST BE SUBMITTED FOR REVIEW. PATIENTS APPROVED FOR CHARITY CARE WILL RECEIVE BASIC CARE AT HUNTSVILLE MEMORIAL HOSPITAL AND/OR THE HUNTSVILLE CLINIC FOLLOWING RECEIPT OF PRIOR APPROVAL. APPLICANTS MUST FULLY COOPERATE AND COMPLY WITH ELIGIBILITY REQUIREMENTS FOR ANY OTHER HEALTHCARE PROGRAM(S) FOR WHICH THEY MAY BE QUALIFIED PRIOR TO THEIR EVALUATION FOR CHARITY CARE. FEDERAL AND/ OR STATE ASSISTANCE MAY BE AVAILABLE TO THOSE WHO MEET QUALIFICATIONS. Schedule H, Part VI, Line 4 Community information HUNTSVILLE COMMUNITY HOSPITAL, INC. (HCH), IS DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL (HMH), AND OPERATES A FULL SERVICE, 123 BED LICENSED, ACUTE CARE HOSPITAL IN HUNTSVILLE, TEXAS WHICH SERVES THE RESIDENTS OF WALKER COUNTY AND SURROUNDING AREAS THE POPULATION OF DEWITT COUNTY IS 80,377 (2024) AND IS EXPECTED TO DECREASE BY 4.5% BY 2029. IN 2024, THE MAJORITY OF RESIDENTS IN WALKER COUNTY (55.2%) IDENTIFY AS WHITE (NON-HISPANIC). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. THE HISPANIC POPULATION IN WALKER COUNTY IS EXPECTED TO INCREASE IN BY 13.1% IN WALKER COUNTY BY 2029 AND IS THE FASTEST GROWING POPULATION IN THE COUNTY. IN 2024, WALKER COUNTY (37.2 YEARS) HAD AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (36.3 YEARS). THE MEDIAN AGES IN WALKER COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). IN 2023, WALKER COUNTY (4.6) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES OVERALL INCREASED IN WALKER COUNTY. APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE (3.8) AS COMPARED TO JUNE 2024 WITH THE HIGHEST RATE (5.4). AS OF 2024, THE MEDIAN HOUSEHOLD INCOME IN WALKER COUNTY ($53,791) WAS LOWER THAN THE STATE ($77,169). BETWEEN 2024 AND 2029, THE MEDIAN HOUSEHOLD INCOME IN WALKER COUNTY AND THE STATE ARE EXPECTED TO INCREASE. IN 2024, WALKER COUNTY (21.6%) HAD A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (35.7%). THE PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVEL IN WALKER COUNTY (23.9%) WAS HIGHER THAN THE STATE OF TEXAS (14.4%) (2024). IN 2022, WALKER COUNTY (16.3%) HAD A SLIGHTLY LOWER ESTIMATED PERCENTAGE OF RESIDENTS WHO WERE FOOD INSECURE AS COMPARED TO THE STATE (16.4%). ADDITIONALLY, 28.4% OF THE CHILDREN (UNDER 18 YEARS OF AGE) IN WALKER COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.8% IN TEXAS (2022). THE AVERAGE MEAL COST FOR A WALKER COUNTY RESIDENT WAS HIGHER AS COMPARED TO THE STATE OF TEXAS (2022). AS OF 2022, WALKER COUNTY (21.0%) HAD A LOWER PERCENT OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (22.3%) HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN WALKER COUNTY. BETWEEN 2019 AND 2022, OVERALL MORTALITY RATES IN WALKER COUNTY AND THE STATE INCREASED. WALKER COUNTY HAD HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS CEREBROVASCULAR DISEASE, CHRONIC LOWER RESPIRATORY DISEASES (CLRD) AND NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS THAN THE STATE OF TEXAS IN 2022. ADDITIONALLY, IN 2022, THE PERCENTAGE OF ADULTS IN WALKER COUNTY WITH CONDITIONS SUCH AS OBESITY, HYPERTENSION, ASTHMA AND ARTHRITIS THAN THE STATE OF TEXAS. Schedule H, Part VI, Line 5 Promotion of community health HUNTSVILLE MEMORIAL HOSPITAL, (HMH), IS DEDICATED TO SERVING THE NEEDS OF THE RESIDENTS OF WALKER COUNTY AND SURROUNDING COMMUNITIES BY DELIVERING SUPERIOR SERVICES WITH A COLLABORATIVE SPIRIT. HMH WORKS TO PROVIDE VARIOUS CHARITABLE SERVICES AND CONDUCT VARIOUS COMMUNITY ACTIVITES TO AND WITHIN THE LOCAL COMMUNITY. HMH WORKS WITH VARIOUS ORGANIZATIONS IN THE COMMUNITY IN ORDER TO INCREASE ACCESS TO LOCAL PRIMARY CARE SERVICES TO THE COMMUNITY AS WELL AS INCREASE ACCESS TO HEALTH CARE SERVICES FOR UNDERSERVED POPULATIONS IN THE COMMUNITY. THESE ACTIVITIES INCLUDE PARTICIATING IN LOCAL HEALTH_RELATED EVENTS ALSO ALLOWS HMH TO PROMOTE HOSPITAL SERVICES AS WELL AS OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY AT LOW COST. RECENT EXAMPLES HAVE INCLUDED FAIR ON THE SQUARE, WALKER COUNTY HEALTH FAIR, WALKER COUNTY COMMUNITY EMERGENCY PREPAREDNESS EVENT, STOP THE BLEED CLASSES, DIETITIAN CLASSES ON HEALTHY GUT, MONTHLY STROKE SURVIVOR SUPPORT GROUP, HUNTSVILLE TEXAS LIONS HEALTH FAIR- GLUCOSE SCREENING AND BLOOD PRESSURE CHECKS, WOMEN'S HEALTH FAIR -EDUCATION ON HMH SERVICES, DIVA NIGHT - HUNTSVILLE-WALKER COUNTY CHAMBER OF COMMERCE, TRAUMA NURSING CORE COURSE, SAFETY SUMMIT - NEW WAVERLY ISD JUNIOR HIGH, AND STROKE AWARENESS FOR EMS.THE HOSPITAL ALSO CONTINUES TO HOST AND/OR PARTICIPATE IN DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY SUCH AS BLOOD DRIVES AND FREE DIABETES SCREENING. ADDITIONALLY, HMH WORKS TO IMPROVE LOCAL HEALTHCARE SERVICES THROUGH FUNDRAISING EVENTS BY CONTRIBUTING TOWARDS THE HMH FOUNDATION, WHICH PROVIDES LIFESAVING TECHNOLOGY AND PROGRAMS THAT IMPROVE PATIENT CARE. THE GOLF FOR GIRLS' FUNDRAISER HAS PROVIDED FREE MAMMOGRAMS FOR UNINUSRED WOMEN IN WALKER COUNTY. THE HOSPITAL ALSO WORKS TO INCREASE AWARENESS OF HMH's PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS. HMH CONTINUES TO OFFER EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS SUCH AS BIRTHING AND BREAST MILK FEEDING CLASSES. HMH CONTINUES TO BUILD RELATIONSHIPS AND MEET WITH LOCAL LEADERS AT LOCAL NURSING HOMES, SKILLED NURSING FACILITIES AND LONG TERM CARE FACILITIES IN ORDER TO STRENGTHEN THE TRANSITION OF CARE BETWEEN THE HMH AND LOCAL NURSING FACILITIES. HMH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, INCLUDING THE ROTARY CLUB, CHAMBER OF COMMERCE, CHAMBERS OF CHAMPIONS, HLI AND THE LOCAL YOUTH SPORTS COACHING STAFF. THE HOSPITAL CONTINUES TO PARTNER WITH AND MEET WITH LOCAL EMS TO PROMOTE BETTER HEALTH IN THE COMMUNITY AND DISCUSS PERFORMANCE IMPROVEMENT, TRANSFER TIMES AND EDUCATION NEEDS. HMS CONDUCTS A HOSPITAL DECONTAMINATION COURSE WITH HUNTSVILLE FIRE DEPARTMENT AND SOUTHEAST TEXAS REGIONAL ADVISORY COUNCIL. HMH CONTINUES TO PARTNER AND MEET WITH LOCAL EMS ON A QUARTERLY BASIS. A majority of the organization's governing body is comprised of CHC representatives. In addition, 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 HCH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. Schedule H, Part VI, Line 7 State filing of community benefit report TX false true false false false false false true false JIM KENDRICK DIRECTOR/PRESIDENT 0 1136361 0 615419 0 158269 0 426812 0 43486 0 2380347 0 74596 JOE THOMASON DIRECTOR 0 447293 0 90977 0 37399 0 32458 0 42298 0 650425 0 0 Ian Gibson COO 0 186371 0 22438 0 1707 0 14653 0 35674 0 260843 0 0 Jose Guerra CNO 0 179899 0 21733 0 1664 0 11818 0 36874 0 251988 0 0 JAMES HILL TREASURER 0 345401 0 81611 0 24867 0 28012 0 32330 0 512221 0 0 LINDA MOORE SECRETARY 0 370712 0 74202 0 37393 0 28381 0 23717 0 534405 0 0 PATRICK SHANNON CEO 0 363845 0 55422 0 3855 0 25493 0 1386 0 450001 0 0 MARY BEVIER CFO (until 10/2024) 0 176763 0 26983 0 2790 0 14435 0 12319 0 233290 0 0 KERRIE L DAVIS REGISTERED NURSE - CHARGE 169136 0 10875 0 54 0 0 0 0 0 180065 0 0 0 Constance Kinard REGISTERED NURSE 212625 0 0 0 0 0 0 0 0 0 212625 0 0 0 JENNIFER L LOSEE REGISTERED NURSE 173260 0 0 0 0 0 0 0 0 0 173260 0 0 0 AMANDA D WHORLEY REGISTERED NURSE (until 2/2025) 194769 0 3250 0 875 0 3167 0 29205 0 231266 0 0 0 Diana Chambers REGISTERED NURSE - CHARGE 166244 0 450 0 83 0 4062 0 13424 0 184263 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION OF CEO/EXECUTIVE DIRECTOR THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION (CHC), AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2025 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $416,461 JOE THOMASON - $22,108 LINDA MOORE - $18,031 JAMES HILL - $17,662 Schedule J, Part I, Line 7 Non-fixed payments A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE CONSOLIDATED EBIDA OF THE ORGANIZATION. Form 990, Part VI, Line 3 Delegation of management duties COMMUNITY HOSPITAL CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATION HAS TWO CLASSES OF MEMBERS: THE CLASS A MEMBER AND CLASS B MEMBER. COMMUNITY HOSPITAL CORPORATION ("CHC") SHALL BE THE CLASS A MEMBER AND WALKER COUNTY HOSPITAL DISTRICT SHALL BE THE CLASS B MEMBER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHC, AS THE CLASS A MEMBER OF HUNTSVILLE COMMUNITY HOSPITAL, SHALL APPOINT TWO (EACH A "CLASS A BOARD DESIGNEE") OF THE THREE MEMBERS OF THE BOARD OF DIRECTORS FOR A TERM OF UP TO THREE YEARS. ONE DIRECTOR, WHO SHALL BE A MEMBER OF THE BOARD OF MANAGERS OF THE CLASS B MEMBER, SHALL BE APPOINTED BY THE CLASS B MEMBER, WALKER COUNTY HOSPITAL DISTRICT, (THE "CLASS B BOARD DESIGNEE", AND TOGETHER WITH THE CLASS A BOARD DESIGNEE, COLLECTIVELY, THE "BOARD DESIGNEES") FOR A TERM OF UP TO THREE YEARS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders A. CLASS A AND CLASS B MEMBER APPROVALS: AN ACTION, APPROVAL OR RESOLUTION BY THE BOARD OF DIRECTORS FOR EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF BOTH THE CLASS A MEMBER AND THE CLASS B MEMBER BEFORE IT IS EFFECTIVE AND CONSTITUTES AN ACTION OF THE CORPORATION: I. THE ESTABLISHMENT OF OR ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBERS, INCLUDING BUT NOT LIMITED TO THE PROVISION OF CHARITY CARE; II. ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OR THE CERTIFICATE OF FORMATION, BYLAWS OR OTHER GOVERNING DOCUMENT OF ANY SUBSIDIARIES OF THE CORPORATION, IF ANY (INCLUDING, WITHOUT LIMITATION, HMH PHYSICIAN ORGANIZATION (THE "PO")); III. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION (INCLUDING, WITHOUT LIMITATION, THE PO); IV. THE APPROVAL OF MAJOR (IN EXCESS OF $3,000,000.00) DEVELOPMENT CAMPAIGNS AND FUND-RAISING; V. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT TO MEET ITS STATUTORY OR CONSTITUTIONAL OBLIGATIONS WITH REGARD TO INDIGENT CARE; VI. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT'S BOND RATING OR ABILITY TO MEET ITS OBLIGATIONS UNDER ANY BONDS; AND VII. MAJOR CHANGES WITH SERVICE LINES PROVIDED BY THE FACILITIES OPERATED BY THE CORPORATION. B. CLASS A APPROVALS. AN ACTION, APPROVAL OR RESOLUTION BY THE BOARD OF DIRECTORS FOR EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE CLASS A MEMBER BEFORE IT IS EFFECTIVE AND CONSTITUTES AN ACTION OF THE CORPORATION: I. ANNUAL BUDGETS OF THE CORPORATION (EACH, AN "ANNUAL BUDGET"), WHICH WILL INCLUDE AN ANNUAL OPERATING BUDGET (THE "ANNUAL OPERATING BUDGET") AND AN ANNUAL CAPITAL EXPENDITURE BUDGET (THE "ANNUAL CAPITAL EXPENDITURE BUDGET"); II. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL OPERATING BUDGET GREATER THAN TWENTY-FIVE THOUSAND DOLLARS ($25,000) IN ANY SINGLE OR SERIES OF TRANSACTIONS; III. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL EXPENDITURE BUDGET; IV. SETTLEMENTS OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000) BUT LESS THAN FIVE HUNDRED THOUSAND DOLLARS ($500,000); V. EMPLOYMENT DECISIONS WHERE ANNUAL COMPENSATION EXCEEDS FIFTY THOUSAND DOLLARS ($50,000) OR AGGREGATE COMPENSATION EXCEEDS ONE HUNDRED THOUSAND DOLLARS ($100,000); AND, VI. DEBTS/GRANTS NOT APPROVED IN THE ANNUAL BUDGET AND IN AMOUNTS IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000); AND VII. THE SALE, LEASE OR MORTGAGE OF ANY PERSONAL PROPERTY IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000) BUT LESS THAN FIVE HUNDRED THOUSAND DOLLARS ($500,000). Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. ELECTRONIC COPIES ARE PROVIDED TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST STATEMENTS ARE FILED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE PRESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD/COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING FURTHER INVESTIGATION IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, THEN APPROPRIATE DISCIPLINARY ACTION IS TAKEN WHICH CAN INCLUDE WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. 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 VIII, Line 11d Other Miscellaneous Revenue Grants - Total Revenue: 3780853, Related or Exempt Function Revenue: 3780853, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellenous - Total Revenue: 100577, Related or Exempt Function Revenue: 100577, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rent - Total Revenue: 48887, Related or Exempt Function Revenue: 48887, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Support - Total Revenue: 4672364, Related or Exempt Function Revenue: 4672364, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees PURCHASE SERVICES - Total Expense: 10243265, Program Service Expense: 7566700, Management and General Expenses: 2676565, Fundraising Expenses: ; CONTRACT FEES - Total Expense: 4808604, Program Service Expense: 3552116, Management and General Expenses: 1256488, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 6565703, Program Service Expense: 6565703, Management and General Expenses: 0, Fundraising Expenses: ; SUPPLIES - Total Expense: 1963055, Program Service Expense: 1450108, Management and General Expenses: 512947, Fundraising Expenses: ; UTILITY - Total Expense: 12279, Program Service Expense: 0, Management and General Expenses: 12279, Fundraising Expenses: ; Form 990, Part XI, Line 8 PRIOR PERIOD ADJUSTMENT Adjustment reflects reconciliation of prioryear consolidated net asset amounts to the organization's standalone reporting basis. $42,957 HUNTSVILLE SURGICAL PARTNERS LLC 110 MEMORIAL HOSPITAL DR HUNTSVILLE TX 77340 994217942 HOSPITAL TX HUNTSVILLE COMMUNITY HOSPITAL 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 III-FI 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 DE 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL OF TYLER INC 800 E DAWSON ST TYLER TX 75701 200991990 HOSPITAL DE 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 primary care TX 501(c)(3) 3 HUNTSVILLE true 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 Hospital TX 501(c)(3) 3 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 public charity TX 501(c)(3) 7 HUNTSVILLE true COMMUNITY HEALTH ASSURANCE SPC LTD PO BOX 1051 BLDG 4 2ND FL GOVERNORS SQUARE GOERGE TOWN GRAND CAYMAN CJ KY11102 CAPTIVE INSURANCE CJ CHC C Corporation false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corporation false true false false false false false false false false false false true true false true true true false false COMMUNITY HOSPITAL CORPORATION P 10039513 COST Baptist Physician Network N 2192519 COST