2024-05-10T13:40:42+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2022-07-01 843654542 Huntsville Community Hospital Inc HUNT 9362913411 110 MEMORIAL HOSPITAL DR HUNTSVILLE TX 77340 PATRICK SHANNON CEO 9364352230 2024-05-10 true JAMES HILL 999009999 Melva Scott P01207335 8173351900 2024-04-30 2022 2023-04-26 12:10:37Z HUNTSVILLE MEMORIAL HOSPITAL PATRICK SHANNON 110 MEMORIAL HOSPITAL DR HUNTSVILLE TX 77340 85768806 false X WWW.HUNTSVILLEMEMORIAL.COM X 2019 TX TO CARE FOR OUR COMMUITY WITH COMPASSION, INTEGRITY & EXCELLENCE 3 1 690 44 0 0 2621627 496066 84447186 81587486 0 0 4202812 3685254 91271625 85768806 0 0 0 0 36287300 42172864 0 0 0 53067243 48001459 89354543 90174323 1917082 -4405517 36285581 30422569 15065428 13556860 21220153 16865709 NONE false false 62428682 0 85272740 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, 2023, WE HAD 3,734 ADMISSIONS, 18,458 PATIENT DAYS, 22,081 ER VISITS, 658 INPATIENT SURGERIES AND 1,672 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 50.6 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 4.94 DAYS. 62428682 true false false true 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 true false false false true 124 0 true 690 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 true true true true true true false true false X MARY BEVIER 9362914514 110 MEMORIAL HOSPITAL DR 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 1521874 138727 JOE THOMASON DIRECTOR 1.0 39.0 X 0 472603 52506 Ian Gibson COO 40.0 0 X 0 197019 46682 JAMES HILL TREASURER 0.4 39.6 X 0 394083 38701 Jose Guerra CNO 40.0 0 X 0 130469 17378 LINDA MOORE SECRETARY 0.1 39.9 X 0 424165 33792 Mary Bevier CFO 40.0 0 X 0 201578 13070 PATRICK SHANNON CEO 39.0 0.0 X 0 391374 24931 JARROD S WILSON REGISTERED NURSE 42.0 0 X 209437 0 0 KATHERINE FORD REGISTERED NURSE 46.0 0 X 183619 0 0 KERRIE L DAVIS REGISTERED NURSE - CHARGE 45.0 0 X 165513 0 0 OLUSOLA OTULANA REGISTERED NURSE 41.0 0 X 169698 0 0 PATIENCE G RANGEL REGISTERED NURSE 34.5 0 X 164217 0 0 CRAIG SIMS FORMER DIRECTOR 0.0 40.0 X 0 492733 38701 892484 4225897 404487 54 true true false CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 ENVIRONMENTAL SERVICES 3752916 TX INSTITUTE OF SLEEP PARTNERS 13901 TECHNOLOGY DRIVE SUITE A OKLAHOMA CITY OK 73134 PURCHASED SERVICES 2817459 SODEXO CTM INC PO BOX 415000 NASHVILLE TN 372415000 ENVIRONMENTAL SERVICES 1609154 CORONIS HEALTH RCM LLC PO BOX 66936 ST LOUIS MO 63166 PURCHASED SERVICES 893591 ATLUS BEAUMONT REALTY LP 11233 SHADOW CREEK PKWY STE 313 PEARLAND TX 77584 PURCHASED SERVICES 841870 54 496066 496066 ROUTINE & ANCILLARY PATIENT SRVC 621990 81587486 81587486 0 0 0 0 81587486 0 0 0 0 CAFETERIA REVENUE 900099 253997 253997 FITNESS MEMBERS 900099 3570 3570 MEDICAL RECORDS REVENUE 900099 456 456 3427231 3427231 0 0 3685254 85768806 85272740 0 0 X 0 0 35083117 25915899 9167218 603643 445911 157732 3945697 2914686 1031011 2540407 1876599 663808 840000 840000 431266 431266 26731 26731 2881 2881 20856797 15406916 5449881 0 609622 121924 487698 896017 896017 261225 52245 208980 273376 201943 71433 61871 61871 1027029 758666 268363 841658 361913 479745 MEDICAL SUPPLIES 13092247 9671243 3421004 SOFTWARE FEES 2445650 1806602 639048 LEASES 4008835 1122474 2886361 DUES 274676 56154 218522 2051578 872626 1178952 0 90174323 62428682 27745641 0 5920410 6743990 0 0 9816501 7104385 0 0 0 0 0 2038874 1702548 1932176 873564 12641753 1710739 8641057 10931014 0 0 0 2454921 3067068 5481642 0 36285581 30422569 8422199 7552806 0 0 0 0 0 0 4200310 5007542 0 2442919 996512 15065428 13556860 X 21220153 16865709 0 0 0 0 21220153 16865709 36285581 30422569 X -4405517 51073 X false true X true false X false false false false false false false false true 2881 2881 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2023 HCH PAID: $16,789 TO TEXAS HOSPITAL ASSOCIATION, (THA) THE PORTION OF DUES THAT WERE REPORTED FOR LOBBBYING PURPOSES WERE: THA: 17.16% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: THA: $16,789*17.16% = $2,881 57415 57415 7058311 1479673 5578638 5526027 231066 5294961 10931014 DUE TO CHC 892155 ASBESTOS ABATEMENT 121679 HCH MAAP LIABILITY HCH WCHC LIABILITY ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS -17322 996512 85768806 0 0 85768806 0 0 85768806 90174323 0 0 90174323 0 0 90174323 true true true X true X true true true false true true 16440470 2644423 13796047 0.1530 14469159 14789074 0 0.0 0 0.0 0 0 30909629 17433497 13796047 0.1530 10000 10000 0.0001 153128 153128 0.0017 1099870 1099870 0.0122 0 0.0 0 0.0 0 0 1262998 0 1262998 0.0140 0 0 32172627 17433497 15059045 0.1670 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 15878018 14524539 1353479 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 21 true false false true X THE HOSPITAL'S MOST RECENTLY ADOPTED CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND ON THE FOLLOWING X true 21 true SEE FORM 990, SCH H, PART V, LINE 7A DISCLOSURE 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 WHICH 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. BASED ON HOSPITAL INPATIENT DISCHARGE DATA, THE DEFINED SERVICE AREA OF HCH IS WALKER COUNTY, TEXAS WHICH COMPRISES 65.6% OF STUDY YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF WALKER COUNTY IS EXPECTED TO INCREASE 5.0% FROM 2021 (76,807) TO 2026 (80,682), WITH THE EXPECTED GROWTH RATE FALLING BELOW THE 7.9% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2021 (29,969,514) TO 2026 (32,346,738). THE POPULATION OF WALKER COUNTY INCLUDES THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE (TDCJ) POPULATION OF 11,989 AND THE SAM HOUSTON STATE UNIVERSITY DORMITORY POPULATION OF APPROXIMATELY 3,400. AS OF 2021, THE RACIAL/ETHNIC BREAKOUT OF WALKER COUNTY WAS 65.0% WHITE, 23.5% BLACK, 1.1%, ASIAN, 0.5% AMERICAN INDIAN AND 10.0% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2026, THE WHITE NON-HISPANIC POPULATION IN WALKER COUNTY IS EXPECTED TO INCREASE BY 3.4% BY 2026 AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 5.8% IN THE COUNTY. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 12.4% IN WALKER COUNTY AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 12.5% IN THE COUNTY. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 12.6% IN WALKER COUNTY BY 2026. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 9.8% IN WALKER COUNTY BY 2026. BETWEEN 2015 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN WALKER COUNTY, THE STATE AND THE NATION. IN 2019, WALKER COUNTY (8.6%) HAD A LOWER PERCENT OF FOREIGN-BORN RESIDENTS THAN THE STATE (17.1%) AND THE NATION (13.7%). AS OF JULY 31ST 2021, THE VAST MAJORITY OF THE TDCJ PRISON POPULATION IS BLACK, FOLLOWED BY HISPANIC AND WHITE INMATES. AS OF JULY 31ST 2021, THE AVERAGE SENTENCE LENGTH BY YEARS FOR MALES IS 23.3 YEARS, AND 13.2 YEARS FOR FEMALES. AS OF JULY 31ST 2021, THE TDCJ PRISON POPULATION IS MAJORITY MALE (99.9%), AND MINORITY FEMALE (0.1%). AS OF JULY 31ST 2021, THE MAJORITY OF THE TDCJ PRISON POPULATION IS 40-44 YEARS OLD, FOLLOWED CLOSELY BY THE 35-39 YEAR AGE GROUP AND THE 30-34 YEAR AGE GROUP. AS OF JULY 31ST 2021, THE AVERAGE AGE OF THE TDCJ MALE INMATE POPULATION IS 42.1 YEARS, WHILE THE AVERAGE AGE OF THE FEMALE INMATE POPULATION IS 43.2. THE MEDIAN AGE IN WALKER COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). WALKER COUNTY (35.9 YEARS) HAS AN OLDER MEDIAN AGE THAN TEXAS. (35.3 YEARS) (2021). WALKER COUNTY ($48,746) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS ($63,524) (2021). THE MEDIAN HOUSEHOLD INCOMES IN WALKER COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). WALKER COUNTY (21.9%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (31.3%) (2021). IN 2014-2018, 16.0% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.0% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, 24.5% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.2% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, THE DISTRESS SCORE IN WALKER COUNTY WAS 71.8 WHICH FALLS WITHIN THE AT RISK ECONOMIC CATEGORY AND IS LESS PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN WALKER COUNTY AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, WALKER COUNTY (7.2) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN WALKER COUNTY OVERALL DECREASED. AUGUST 2020 AND MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (6.5) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (9.2). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN WALKER COUNTY ARE WITHIN SALES AND RELATED OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS ARE SALES AND RELATED OCCUPATIONS, (11.1%); LAW ENFORCEMENT WORKERS INCLUDING SUPERVISORS, (9.9%); EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS, (9.2%); OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS, (9.2%) AND FOOD PREPARATION & SERVING RELATED OCCUPATIONS, (7.3%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH WALKER COUNTY AND THE STATE. IN 2015-2019, WALKER COUNTY (5.0%) HAD A LOWER PERCENT OF PEOPLE WORKING AT HOME THAN THE STATE (6.0%). WALKER COUNTY (27.5 MINUTES) HAD A LONGER MEAN TRAVEL TIME TO WORK THAN THE STATE (27.2 MINUTES) (2015-2019). WALKER COUNTY (27.1%) HAS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVEL AS COMPARED TO THE STATE OF TEXAS (18.0%) (2021). BETWEEN 2015 AND 2019, THE PERCENT OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN WALKER COUNTY AND THE STATE OVERALL DECREASED. IN 2019, WALKER COUNTY (22.4%) HAD A HIGHER PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY THAN TEXAS (19.2%). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 15.1% OF WALKER COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.1% IN THE STATE OF TEXAS. ADDITIONALLY, 21.6% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN WALKER COUNTY ARE FOOD INSECURE, AS COMPARED TO 19.6% IN TEXAS (2019). THE AVERAGE MEAL COST FOR A WALKER COUNTY RESIDENT IS $2.81, AS COMPARED TO $2.68 IN TEXAS (2019). BETWEEN 2014 AND 2018, ECTOR COUNTY MAINTAINED A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE. IN 2018, WALKER COUNTY (8.6%) HAD A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN THE STATE (12.2%). IN 2018-2019, WALKER COUNTY (57.4%) HAD A LOWER PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH THAN THE STATE (60.5%), AND A HIGHER PERCENTAGE THAN THE NATION (49.5%). WALKER COUNTY (87.4%) HAS A LOWER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.4%) AND THE NATION (87.7%) (2018-2019). WALKER COUNTY (32.3%) HAS A HIGHER PERCENT OF HOUSEHOLDS WHERE HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME THAN THE STATE (29.5%) AND THE NATION (30.9%) (2015-2019). THE PERCENT OF HOMES THAT RECEIVED AN EVICTION JUDGEMENT IN WHICH RENTERS WERE ORDERED TO LEAVE IN WALKER COUNTY (2.2%) IS COMPARABLE TO THE STATE (2.2%) AND LOWER THAN THE NATION (2.3%) (2016). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE STATE (2015-2019). BETWEEN 2015 AND 2019, HEART DISEASE MORTALITY RATES OVERALL INCREASED IN WALKER COUNTY AND DECREASED IN THE STATE. IN 2017-2019, THE HEART DISEASE MORTALITY RATE IN WALKER COUNTY (164.9 PER 100,000) WAS LOWER THAN THE STATE (167.5 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE STATE (2015-2019). BETWEEN 2015 AND 2019, CANCER MORTALITY RATES DECREASED IN BOTH WALKER COUNTY AND THE STATE. IN 2017- 2019, THE CANCER MORTALITY RATE IN WALKER COUNTY (134.7 PER 100,000) WAS LOWER THAN THE STATE (143.5 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASE, (CLRD), IS THE THIRD LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE. BETWEEN 2015-2019, CLRD MORTALITY RATES SLIGHTLY INCREASED IN WALKER COUNTY AND SLIGHTLY DECREASED IN THE STATE. IN 2017-2019, THE CLRD MORTALITY RATE IN WALKER COUNTY (53.0 PER 100,000) WAS HIGHER THAN THE STATE (39.6 PER 100,000). CEREBROVASCULAR DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN WALKER COUNTY, AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2015-2019). BETWEEN 2015 AND 2019, CEREBROVASCULAR DISEASE MORTALITY RATES OVERALL DECREASED IN BOTH WALKER COUNTY AND THE STATE. IN 2017-2019, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN WALKER COUNTY (42.0 PER 100,000) WAS HIGHER THAN THE STATE (40.2 PER 100,000). FATAL ACCIDENTS ARE THE FIFTH LEADING CAUSE OF DEATH IN WALKER COUNTY AND IN THE STATE (2015-2019). BETWEEN 2015 AND 2019, ACCIDENT MORTALITY RATES INCREASED IN WALKER COUNTY AND THE STATE. IN 2017-2019, THE ACCIDENT MORTALITY RATE IN WALKER COUNTY (33.8 PER 100,000) WAS LOWER THAN THE RATE IN THE STATE (38.7 PER 100,000). THE LEADING CAUSE OF FATAL ACCIDENTS IN WALKER COUNTY IS DUE TO MOTOR VEHICLE ACCIDENTS (2017-2019). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - HUNTSVILLE MEMORIAL HOSPITAL. ALZHEIMER'S DISEASE, DIABETES MELLITUS, SEPTICEMIA, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, AND INTENTIONAL SELF HARM, (SUICIDE), ARE ALSO, LEADING CAUSES OF DEATH IN WALKER COUNTY. AS OF DECEMBER 6, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED FOR COVID-19 IN WALKER COUNTY (46.7%) IS LOWER THAN THE STATE (59.7%). BETWEEN 2014 AND 2020, OBESITY PREVALENCE RATES IN ADULTS (AGE 18+) IN WALKER COUNTY DECREASED AND INCREASED IN THE STATE. IN 2016-2020, WALKER COUNTY (28.8%) HAD A LOWER PERCENTAGE OF OBESE ADULTS (AGE 18 +) THAN THE STATE (34.2%). WALKER COUNTY (61.3%) HAS THE HIGHEST RATE OF MEDICARE FEE-FOR-SERVICE RESIDENTS WITH HYPERTENSION AS COMPARED TO THE STATE (59.9%) AND THE NATION (57.2%) (2018). BETWEEN 2014 AND 2020, ASTHMA PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE INCREASED. IN 2015-2019, WALKER COUNTY (31.8%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA THAN THE STATE (12.6%). BETWEEN 2014 AND 2020, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN WALKER COUNTY DECREASED AND SLIGHTLY INCREASED IN THE STATE. IN 2016-2020, WALKER COUNTY (25.3%) HAD A LOWER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.2%). BETWEEN 2014 AND 2020, THE RATE OF ADULTS (AGE 18+) WHO SELF REPORTED THAT THEY HAD A DISABILITY IN WALKER COUNTY DECREASED WHILE THE PERCENT IN THE STATE INCREASED. THE PERCENT OF ADULTS (AGE 18+) WHO SELF REPORTED THAT THEY HAD A DISABILITY IN WALKER COUNTY (37.4%) WAS HIGHER THAN THE STATE (26.3%)(2016-2020). BETWEEN 2014 AND 2020, THE RATE OF ADULTS (AGE 18+) IN WALKER COUNTY AND THE STATE THAT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER INCREASED. IN 2016-2020, WALKER COUNTY (24.1%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER THAN THE STATE (16.1%). AS OF 2019, WALKER COUNTY (21.1%) HAD A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (24.3%). WALKER COUNTY AND THE STATE EXPERIENCED AN INCREASE IN UNINSURED RATES BETWEEN 2015 AND 2019. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR HUNTSVILLE COMMUNITY HOSPITAL, INC., (HCH), 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 DURING INTERVIEWS CONDUCTED BY CHC FROM SEPTEMBER 9, 2021-OCTOBER 13, 2021. 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 HCH BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MARCH 24, 2022. INTERVIEW METHODOLOGY: HCH WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. HCH 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 HCH, 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 USING SOURCES WHICH INCLUDED STRATASAN, 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, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. HCH 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, TWENTY-FIVE 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 84.0% 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. 8.0% 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 AND 8.0% OF THOSE PROVIDING INPUT ARE COMMUNTIY LEADERS. INTERVIEWEES INCLUDED: *ANDY BRAUNINGER: MAYOR, CITY OF HUNTSVILLE *ERICA BUMPURS: DIRECTOR, SAM HOUSTON STATE UNIVERSITY STUDENT HEALTH CENTER *MEREDITH CRYER: WALKER COUNTY EXTENSION AGENT, TEXAS A&M AGRILIFE EXTENSION OFFICE *LAWRENCE EDE, MD: PHYSICIAN, LONESTAR FEDERALLY QUALIFIED HEALTH CENTER *RHONDA ELLISOR: DIRECTOR, SAM HOUSTON STATE UNIVERSITY SMALL BUSINESS CENTER *DAROL HAIL, MD: SUPERINTENDENT, NEW WAVERLY INDEPENDENT SCHOOL DISTRICT *KATHY HAZLEWOOD: EXECUTIVE DIRECTOR, CARE CENTER *KIMBERLY HEIMBECKER, RN: PUBLIC HEALTH NURSE, TEXAS DEPARTMENT OF HUMAN SERVICES -WALKER COUNTY *CHARLES HENLEY, MD: DEAN, SAM HOUSTON STATE UNIVERSITY SCHOOL OF DOCTOR OF OSTEOPATHIC MEDICINE *RAY HERNANDEZ: PRESIDENT & CHIEF EXECUTIVE OFFICER, HUNTSVILLE-WALKER COUNTY CHAMBER OF COMMERCE; CHAIRMAN OF THE BOARD, HUNTSVILLE MEMORIAL HOSPITAL *ANNE KARR-WOODARD: CHAIRMAN OF THE BOARD OF MANAGERS, WALKER COUNTY HOSPITAL DISTRICT; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL *JOHN KAUFMAN: SUPERINTENDENT, TRINITY INDEPENDENT SCHOOL DISTRICT *LANETTE LINTHICUM, MD: DIVISION DIRECTOR, TEXAS DEPARTMENT OF CRIMINAL JUSTICE -HEALTH SERVICES DIVISION *LEE MILLER: DIRECTOR, SAM HOUSTON STATE UNIVERSITY CENTER FOR COMMUNITY ENGAGEMENT *RENE MURPHY: EXECUTIVE CLIENT SERVICES DIRECTOR, SAAFE HOUSE HUNTSVILLE *RACHEL PARKER: DIRECTOR, WALKER COUNTY EMERGENCY MEDICAL SERVICE *DANNY PIERCE: JUDGE, WALKER COUNTY *SUJESH PILLAI, MD: CHIEF OF STAFF, HUNTSVILLE MEMORIAL HOSPITAL; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL *EVAN ROBERSON: EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH *DAVID SMITH: EXECUTIVE DIRECTOR, GOOD SHEPHERD MISSION *TERESA STAPLETON: SUPERVISOR, TEXAS WORKFORCE SOLUTIONS *RON STEFFA: CHIEF FINANCIAL OFFICER, TEXAS DEPARTMENT OF CRIMINAL JUSTICE -BUSINESS & FINANCE DIVISION *JESSICA TWARDESKI: PUBLIC HEALTH PREVENTION SPECIALIST, TEXAS DEPARTMENT OF HUMAN SERVICES -WALKER COUNTY *JUDY UPSHAW: ASSOCIATE PROFESSOR, SAM HOUSTON STATE UNIVERSITY NURSING SCHOOL; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL *TREY WHARTON: OWNER, WHARTON INSURANCE NETWORK; PRESIDENT OF THE BOARD OF TRUSTEES, HUNTSVILLE INDEPENDENT SCHOOL DISTRICT; BOARD MEMBER, HUNTSVILLE MEMORIAL HOSPITAL Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - HUNTSVILLE MEMORIAL HOSPITAL. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: YOUTH POPULATION, OB POPULATION, ELDERLY, RACIAL/ETHNIC GROUPS, UN/UNDERINSURED, LOW INCOME/WORKING POOR, HOMELESS AND VETERANS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: YOUTH POPULATION -HEALTHY LIFESTYLE EDUCATION -RECREATIONAL SUBSTANCE USE -DEPRESSION, ANXIETY, STRESS -DIABETES, OBESITY -SEX EDUCATION -SMOKING, VAPING -GENERATIONAL VIOLENCE, GANG AFFILIATION OB POPULATION -NEED FOR ADDITIONAL EDUCATION ON RAISING A FAMILY, FAMILY PLANNING -MENTAL HEALTH CONCERNS (MEDICAID) ELDERLY -TRANSPORTATION BARRIERS -COST AND INSURANCE BARRIERS -LACK OF ACCESS TO LOCAL SPECIALTY SERVICES -FOOD INSECURITY -SOCIAL ISOLATION -DIFFICULTY USING TELEHEALTH OPTIONS RACIAL/ETHNIC -GROWING NON-ENGLISH-SPEAKING POPULATION -TRANSLATION ISSUES (NON-ENGLISH SPEAKING) -HEALTHY LIFESTYLE EDUCATION UN/UNDERINSURED -LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, DENTAL CARE -COST OF INSURANCE, PARTICULARLY DEDUCTIBLES AND AFFORDING PRESCRIPTIONS -OVERUSE OF EMERGENCY ROOM AS PRIMARY CARE PROVIDER -LIMITED ACCESS TO AFTER HOURS CARE LOW INCOME/WORKING POOR -TRANSPORTATION BARRIERS -FOOD INSECURITY -LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, DENTAL CARE -COST OF INSURANCE, PARTICULARLY DEDUCTIBLES AND AFFORDING PRESCRIPTIONS -OVERUSE OF EMERGENCY ROOM AS PRIMARY CARE PROVIDER -LIMITED ACCESS TO AFTER HOURS CARE HOMELESS - ACK OF RESOURCES -GROWING POPULATION VETERANS -TRANSPORTATION BARRIERS -MENTAL HEALTH CONCERNS -LACK OF ACCESS TO LOCAL SERVICES Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HUNTSVILLE MEMORIAL HOSPITAL. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX 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. CONTINUED FOCUS ON COVID-19 PREVENTION & RESPONSE 2. FOCUS ON HOSPITAL SUSTAINABILITY AND COMMUNITY INFRASTRUCTURE 3. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 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 6. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 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 SIX OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: CONTINUED FOCUS ON COVID-19 PREVENTION & RESPONSE OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC 1.A. HMH WILL CONTINUE TO PROVIDE EDUCATION ON COVID-19 AS OPPORTUNITIES ARISE. 1.B. HMH CONTINUES FOLLOWING CDC GUIDELINES AND COMMUNITY STANDARDS TO CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION WHEN DISCHARGING PATIENTS TO A LOWER LEVEL OF CARE AND THEIR HOME ENVIRONMENT. 1.C. HMH CONTINUES TO REPORT COVID-19 PATIENT ADMISSIONS DATA TO THE STATE AND OTHER ORGANIZATIONS IN AN ONGOING EFFORT TO SHARE TIMELY INFORMATION REGARDING THE PANDEMIC AS APPROPRIATE. VACCINATION RATES ARE REPORTED TO THE NATIONAL HEALTHCARE SAFETY NETWORK (NHSN). 1.D. HMH CONTINUES TO PROVIDE A SPACE IN THE HOSPITAL FOR ORGANIZATIONS TO SET UP A COVID-19 TESTING SITE FOR COMMUNITY MEMBERS. PRIORITY #2: FOCUS ON HOSPITAL SUSTAINABILITY AND COMMUNITY INFRASTRUCTURE OBJECTIVE: FOCUS ON EFFORTS TO IMPROVE THE HOSPITAL'S INFRASTRUCTURE AND MAINTAIN SUSTAINABILITY IN THE COMMUNITY 2.A. HMH IS FOCUSED ON SUSTAINABILITY AND FINDING THE BEST PATH TO MOVE FORWARD. 2.B. HMH IS EXPLORING OPPORTUNITIES TO EXPAND INFUSION SERVICES. 2.C. HMH IS DEDICATED TO INCREASING QUALITY THROUGH IMPROVING HCAHPS SCORES. 2.D. HMH IS DEDICATED TO INCREASING QUALITY THROUGH REDUCING EMPLOYEE TURNOVER. 2.E. HMH CONTINUES TO PARTICIPATE IN THE AHRQ CULTURE OF SAFETY SURVEY AND ACTION PLAN BASED ON RESULTS. 2.F. HMH WILL CONTINUE TO IMPLEMENT ITS CHRONIC DISEASE MANAGMENT PROCESS UPON DISCHARGE TO REDUCE READMISSIONS BY UTILIZING THE COMMUNITY CASE MANAGER IN ENGLISH AND SPANISH FOR PATIENTS AS APPROPIATE. 2.G. HMH WILL CONTINUE TO WORK WITH GREATER HOUSTON HEALTH CONNECT IN THE HEALTH INFORMATION EXCHANGE (HIE) WHICH ALLOWS EMPLOYED AND STAFF PHYSICIANS ACCESS TO THEIR RESPECTIVE PATIENTS HEALTH INFORMATION TO HELP IMPROVE EFFICIENCY AND EFFECTIVENESS OF PATIENT CARE AMONG HANDOFFS TO COMMUNITY PROVIDERS. PRIORITY #3: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY THROUGH RECRUITMENT AND RETENTION EFFORTS 3.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. 3.B. HMH WILL CONTINUE TO OFFER EXTENDED HOURS AT THE HUNTSVILLE RHC TO INCREASE ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS FOR THOSE WHO ARE UNABLE TO SEEK CARE DURING NORMAL WORK HOURS. 3.C. HMH AND THE HMH RHC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR STUDENTS AT PARTNER UNIVERSITIES AND EDUCATION CENTERS, INCLUDING THE NEWLY-OPENED OSTEOPATHIC SCHOOL OF MEDICINE AT SAME HOUSTON STATE UNIVERSITY. 3.D. HMH PROVIDES OB/GYN CARE AS APPROPRIATE THROUGH PROVIDERS OR NURSE PRACTITIONERS IN THE HMH RHC. 3.E. HMH WILL EXPLORE OPPORTUNITIES TO COLLABORATE WITH THE RECENTLY ESTABLISHED FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE COMMUNITY IN ORDER TO INCREASE ACCESS TO LOCAL PRIMARY CARE SERVICES. 3.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. 3.G. HMH PROVIDES TELENEUROLOGY CONSULTATION SERVICES THROUGH THE UNIVERSITY OF TEXAS. ADDITIONALLY, HMH PROVIDES PRIMARY CARE TELEHEALTH SERVICES IN THE HMH RHC. 3.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. 3.I. HMH WILL CONTINUE TO INCREASE AWARENESS OF ITS PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS. 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. HMH WILL CONTINUE TO PARTICIPATE AND SUPPORT THE 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 STAFF SANE (SEXUAL ASSAULT NURSE EXAMINER)/FORENSIC NURSE EXAMINERS (FNE) THAT ARE TRAINED SPECIFICALLY TO EXAMINE AND TREAT SURVIVORS OF SEXUAL ASSAULT, INTERPERSONAL VIOLENCE, DOMESTIC VIOLENCE, CHILD AND ELDER ABUSE. HMH FORENSIC NURSING PROGRAM WILL CONTINUE TO PARTICIPATE IN THE WALKER COUNTY SART (SEXUAL ASSAULT RESPONSE TEAM) IN AN EFFORT TO REVIEW CASES, OUTCOMES AND FURTHER COLLABORATE WITH VARIOUS AGENCIES INVOLVED IN THE CARE OF SURVIVORS OF VIOLENCE ACROSS THE LIFESPAN. HMH WILL CONTINUE TO PROVIDE ON-CALL COVERAGE OF SANE/FORENSIC NURSE EXAMINERS. 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 HEALTH CONDITIONS ON AN AS NEEDED BASIS. 4.E. HMH WILL CONTINUE TO PROVIDE INDIVIDUAL AND FAMILY GUIDANCE COUNSELING FOR EMPLOYEES THROUGH THE EMPLOYEE ASSISTANCE PROGRAM. ADDITIONALLY, HMH WILL CONTINUE TO SUPPORT EMPLOYEE WELLNESS THROUGH VARIOUS BENEFITS SUCH AS RELAXATION ZONES THROUGHOUT THE HOSPITAL, ROUTINE STAFF APPRECIATION MEALS AND OFFERING COUNSELING THROUGH LOCAL PASTORS. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - HUNTSVILLE MEMORIAL HOSPITAL. 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 EMPLOYEES HAVE ACCESS TO THE HEALTHIER OPTIONS IN THE CAFETERIA, AS WELL AS NUTRITIONAL FACTS FOR FOOD THAT IS SERVED. HMH EMPLOYEES ALSO HAVE FREE ACCESS TO THE REAL APPEAL WEIGHTLOSS PROGRAM THROUGH UMR. 5.E. HMH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. 5.F. HMH WILL MAINTAIN ITS CURRENT ACCREDITATIONS AND WILL CONTINUE TO PURSUE APPROPRIATE FACILITY CERTIFICATIONS. 5.G. 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. 5.H. HMH EMERGENCY DEPARTMENT PROVIDES TRAUMA COMMUNITY EDUCATION/PREVENTION INCLUDING STOP THE BLEED TRAINING TO LOCAL SCHOOLS AND VARIOUS COMMUNITY AGENCIES. PRIORITY #6: 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 6.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 VETERAN'S 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. 6.B. HMH OFFERS DISCOUNTS FOR UNINSURED PATIENTS WHO ARE AT OR ABOVE 200% OF THE FEDERAL POVERTY LIMIT. THIS INCLUDES DISCOUNTED SERVICES, AVAILABLE TO PATIENTS AT DISCOUNTED SELF PAY RATES. 6.C. HMH OWNS AND OPERATES A RURAL HEALTH CLINIC WITHIN WALKER COUNTY TO PROVIDE ACCESS TO PRIMARY CARE SERVICES ON A SLIDING FEE SCALE. 6.D. HMH WILL CONTINUE TO HOST AND/OR PARTICIPATE IN DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS EDUCATIONAL EVENTS. 6.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. 6.F. HMH WILL EXPLORE PARTICIPATING IN THE 340B PHARMACY PROGRAM WHICH PROVIDES DISCOUNTED PHARMACY PRICING TO INDIGENT PATIENTS. 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 V, Section B LINE 16H ERRORS AND OMISSIONS NOTIFIED MEMBERS OF THE COMMUNITY REGARDING FINANCIAL ASSISTANCE AVAILABLE It was discovered that members of the community most likely to require financial assistance had inadvertently not been notified about the availability of Huntsville Memorial Hospital FAPs. However, this requirement was satisfied before the filing of this Form 990 return for fiscal year 2022. Copies of the FAPs were distributed to the below organizations in April 2023 as together they cover a large swath of the community Huntsville Memorial Hospital serves that would likely require financial assistance. *SAAFE House - Non Profit Housing for Sexually Abused/Domestic Abuse for Women and Children *Care Center - Non Profit Organization to make informed healthcare decisions centered around Pregnancy, etc. *Lone Star FQHC - Non Profit Federally Qualified Healthcare Clinic *Good Shepherd Mission - Non Profit Home Shelter Schedule H, Part I, Line 6a Community benefit report prepared by related organization THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2023 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 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, DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL, (HMH), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 6/30/2022. HMH'S 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 TAX YEAR 2021, WAS REVIEWED AND ADOPTED BY HMH'S GOVERNING BOARD ON MARCH 24, 2022. 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 ASSESSED BY A REVIEW OF THE STATISTICS GATHERED FROM THE TEXAS HEALTH PROMOTION UNIT OF THE TEXAS DEPARTMENT OF STATE HEALTH. INTERVIEWS WITH 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 ARE ALSO CONDUCTED. 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 IN TEXAS. AS OF 2021, THERE WERE 76,807 RESIDENTS IN WALKER COUNTY AND THE POPULATION IS EXPECTED TO INCREASE 5.0% BY 2026. AS OF SEPTEMBER 2021, THE POPULATION OF THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE, (TDCJ), IN WALKER COUNTY WAS 11,989 AND THE DORMITORY POPULATION AT SAM HOUSTON STATE UNIVERSITY WAS APPROXIMATELY 3,400. THE MAJORITY OF RESIDENTS IN WALKER COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 65.0% (2021). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. AS OF 2021, THE HISPANIC POPULATION HAD 14,026 RESIDENTS IN WALKER COUNTY AND IS EXPECTED TO INCREASE 9.8% BY 2026. THE FASTEST GROWING POPULATION IN WALKER COUNTY IS THE AMERICAN INDIAN POPULATION. BY 2026, THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE 12.5%. AS OF JULY 31ST 2021, THE VAST MAJORITY OF THE TDCJ PRISON POPULATION IS BLACK, FOLLOWED BY HISPANIC AND WHITE INMATES. AS OF JULY 31ST 2021, THE TDCJ PRISON POPULATION IS MAJORITY MALE (99.9%), AND MINORITY FEMALE (0.1%). WALKER COUNTY (35.9 YEARS) HAS AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (35.2 YEARS) (2021). THE MEDIAN AGES IN WALKER COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). AS OF JULY 31ST 2021, THE AVERAGE AGE OF THE TDCJ MALE INMATE POPULATION IS 42.1 YEARS, WHILE THE AVERAGE AGE OF THE FEMALE INMATE POPULATION IS 43.2. AS OF JULY 31ST 2021, THE MAJORITY OF THE TDCJ PRISON POPULATION IS 40-44 YEARS OLD, FOLLOWED CLOSELY BY THE 35-39 YEAR AGE GROUP AND THE 30-34 YEAR AGE GROUP. WALKER COUNTY ($48,746) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS ($63,524) (2021). AS OF 2021, WALKER COUNTY HAS LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE. ADDITIONALLY, WALKER COUNTY HAS A HIGHER PERCENTAGE OF FAMILIES AND A HIGHER PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW THE POVERTY LEVEL THAN THE STATE. AS OF 2019, THERE ARE HIGHER RATES OF OVERALL FOOD INSECURITY AND CHILD FOOD INSECURITY IN ADDITION TO HIGHER AVERAGE MEAL COSTS IN WALKER COUNTY THAN IN THE STATE OF TEXAS. OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN WALKER COUNTY OVERALL DECREASED. IN 2020, WALKER COUNTY (7.2) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). AUGUST 2020 AND MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (6.5) AS COMPARED TO JULY 2020 WITH THE HIGHEST RATE (9.2). AS OF 2019, WALKER COUNTY (21.1%) COUNTY HAD A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (24.3%). WALKER COUNTY AND THE STATE EXPERIENCED AN INCREASE IN UNINSURED RATES BETWEEN 2015 AND 2019. CANCER AND HEART DISEASE ARE THE TWO LEADING CAUSES OF DEATH IN WALKER COUNTY. BETWEEN 2017 AND 2019 OVERALL MORTALITY RATES IN WALKER COUNTY DECREASED AND WERE LOWER THAN OVERALL MORTALITY RATES IN THE STATE OF TEXAS. ADDITIONALLY, WALKER COUNTY HAS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS HYPERTENSION FOR MEDICARE BENEFICIARIES THAN THE STATE. IN 2016-2020, THE PERCENTAGE OF ADULTS (AGE 18+) THAT DID NOT PARTICIPATE IN PHYSICAL ACTIVITY IN WALKER COUNTY (32.6%) WAS HIGHER THAN THE STATE (27.0%) A SEDENTARY LIFESTYLE, AND CULTURAL FACTORS ARE ALL CONTRIBUTORS TO THIS CHRONIC HEALTH CONDITION. THE PREVELANCE RATES OF ADULTS (18+) WITH ASTHMA IS ALSO GREATER IN WALKER COUNTY THAN THE STATE. AS OF NOVEMBER OF 2021, WALKER COUNTY (46.7%) HAD A LOWER PERCENTAGE OF ITS POPULATION WHO ARE FULLY VACCINATED AS COMPARED TO THE STATE OF TEXAS (59.7%). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS BINGE DRINKING AND TOBACCO USE IN WALKER COUNTY THAN IN THE STATE. WITH REGARD TO MATERNAL AND CHILD HEALTH, WALKER COUNTY HAS SLIGHTLY LOWER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE AND A HIGHER PERCENTAGE OF LOW BIRTH RATES THAN THE STATE. AS OF 2017, THE PERCENTAGE OF TEEN BIRTHS (AGE 17 AND YOUNGER) IN WALKER COUNTY (6.4%) WAS LOWER THAN THE STATE OF TEXAS (7.1%).. Schedule H, Part VI, Line 5 Promotion of community health HUNTSVILLE MEMORIAL HOSPITAL, (HMH), RECENTLY CONDUCTED ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. THE CHNA IDENTIFIED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY SERVED BY HMH, WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF ISSUES IDENTIFIED FROM HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE HOSPITAL IS DEDICATED TO SERVING THE NEEDS OF THE RESIDENTS OF WALKER COUNTY AND SURROUNDING COMMUNITIES BY DELIVERING SUPERIOR SERVICES WITH A COLLABORATIVE SPIRIT. THE HOSPITAL IS WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AND CONDUCT VARIOUS COMMUNITY ACTIVITES TO AND WITHIN THE LOCAL COMMUNITY. THESE ACTIVITIES INCLUDE INCREASING AWARENESS OF ITS PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS AS WELL AS THROUGH BUSINESS DEVELOPMENT MEETINGS WITH PRIMARY CARE DOCTORS IN THE AREA. HMH WILL ALSO CONTINUE TO PARTICIPATE IN HEALTH-RELATED EVENTS TO FURTHER PROMOTE HOSPITAL SERVICES AND OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY AT LOW COST. ADDITIONALLY, THE HOSPITAL 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. 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. HMH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, INCLUDING THE ROTARY CLUB, SAAFE HOUSE, CHAMBER OF COMMERCE, CHAMBERS OF CHAMPIONS AND THE LEC COMMITTEE. 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. HMH EMERGENCY DEPARTMENT PROVIDES TRAUMA COMMUNITY EDUCATION/PREVENTION INCLUDING STOP THE BLEED TRAINING TO LOCAL SCHOOLS AND VARIOUS COMMUNITY AGENCIES. THE HOSPITAL WILL CONTINUE TO HOST AND/OR PARTICIPATE IN DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, CONDUCT SITTERCIZE CLASSES (STANDING AND SEATED EXCISE), IN COORDINATION WITH THE HUNTSVILLE PUBLIC LIBRARY, AS WELL AS EDUCATIONAL EVENTS, INCLUDING SOCKTOBER, DIVA NIGHT, GIVEAWAYS AND STROKE INFORMATION AT FAIR ON THE SQUARE AND STOP THE BLEED CLASSES. 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 976164 0 437586 0 108124 0 99909 0 38818 0 1660601 0 38242 CRAIG SIMS FORMER DIRECTOR 0 404175 0 61443 0 27114 0 9150 0 29551 0 531434 0 0 JOE THOMASON DIRECTOR 0 380712 0 57907 0 33984 0 12788 0 39718 0 525109 0 11817 JAMES HILL TREASURER 0 323943 0 49687 0 20453 0 9150 0 29551 0 432784 0 0 LINDA MOORE SECRETARY 0 338309 0 50550 0 35306 0 12304 0 21488 0 457957 0 5208 PATRICK SHANNON CEO 0 334920 0 33101 0 23353 0 23109 0 1822 0 416305 0 0 Mary Bevier CFO 0 161522 0 0 0 40056 0 6409 0 6661 0 214648 0 0 Ian Gibson COO 0 178522 0 17078 0 1419 0 16278 0 30403 0 243700 0 0 JARROD S WILSON REGISTERED NURSE 209437 0 0 0 0 0 0 0 0 0 209437 0 0 0 KATHERINE FORD REGISTERED NURSE 183619 0 0 0 0 0 0 0 0 0 183619 0 0 0 PATIENCE G RANGEL REGISTERED NURSE 164217 0 0 0 0 0 0 0 0 0 164217 0 0 0 KERRIE L DAVIS REGISTERED NURSE - CHARGE 165513 0 0 0 0 0 0 0 0 0 165513 0 0 0 OLUSOLA OTULANA REGISTERED NURSE 169698 0 0 0 0 0 0 0 0 0 169698 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, 2023 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 - $186,178 LINDA MOORE - $20,980 JAMES HILL - $15,502 CRAIG SIMS - $19,170 JOE THOMASON - $30,005 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 - Total Revenue: 3427231, Related or Exempt Function Revenue: 3427231, 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: 8541000, Program Service Expense: 6309237, Management and General Expenses: 2231763, Fundraising Expenses: ; CONTRACT FEES - Total Expense: 7321543, Program Service Expense: 5408424, Management and General Expenses: 1913119, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 4994254, Program Service Expense: 3689255, Management and General Expenses: 1304999, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PRIOR PERIOD ADJUSTMENT - 51073; 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 CONTINUECARE HOSPITAL OF TYLER INC 800 E DAWSON ST TYLER TX 75701 200991990 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 HUNTSVILLE false MERCY RESTORATIVE CARE HOSPITAL INC 10648 PARK ROAD CHARLOTTE NC 26210 753054855 HOSPITAL NC 501(c)(3) 3 CAR CC false RURAL AND COMMUNITY HEALTHCARE COLLABORA 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC 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 COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ 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 false true false false false false false false false false false false false true false true false false false COMMUNITY HOSPITAL CORPORATION P 9718341 COST Baptist Physician Network N 1761326 COST