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      <Desc>WE HAVE ONE PRIMARY SERVICE ACTIVITY AND THAT IS TO PROVIDE HIGH QUALITY HEALTH SERVICES TO THE SOUTHEAST TEXAS COMMUNITY. PATIENT SERVICE REVENUE FOR THE BEAUMONT AND ORANGE FACILITIES INCLUDES BOTH INPATIENT AND OUTPATIENT ROUTINE AND ANCILLARY REVENUE. FOR OVER SIXTY YEARS, BHSET HAS BEEN DEDICATED TO PROVIDING QUALITY HEALTH SERVICES IN A CHRISTIAN ENVIRONMENT. OUR PARTNERS IN CARING - OUR PHYSICIANS, OUR NURSES AND STAFF - PRACTICE A PHILOSOPHY THAT INSPIRES AN ENVIRONMENT OF TEAMWORK, RESPECT, ENCOURAGEMENT, OPPORTUNITY AND TRUST. OUR EFFORTS CONTINUE EACH DAY AS WE STRIVE TO OFFER NEWER AND BETTER PROGRAMS, SERVICES AND TECHNOLOGIES FOR THE MEMBERS OF OUR COMMUNITY. WITH A COMMITMENT TO EXCEED CUSTOMER EXPECTATIONS THROUGH DISTINGUISHED QUALITY, SAFETY, CUSTOMER SERVICE, SPIRITUAL VALUES, OPERATIONAL EXCELLENCE AND INNOVATION IN MEETING THE HEALTH CARE NEEDS OF THOSE BEING SERVICED, PLANS FOR ADDITIONAL SERVICES BECAME A REALITY. CANCER SERVICES FOR SOUTHEAST TEXAS BEGAN IN 1990 WHEN THE BEN AND JULIE ROGERS CANCER INSTITUTE WAS DEDICATED TO PROVIDING OUTPATIENT CHEMOTHERAPY AS WELL AS INPATIENT AND OUTPATIENT RADIATION THERAPY SERVICES. EACH YEAR ADVANCEMENTS CONTINUE IN GROWTH AND IMPROVEMENTS INCLUDING CONSTRUCTION OF THE NEW BAPTIST BEAUMONT HOSPITAL, WHICH INCLUDED ADDING APPROXIMATELY 160,000 SQUARE FEET TO THE EXISTING EAST CAMPUS. THE INNOVATIVE ADDITION WOULD INCLUDE ADDITIONAL INTENSIVE CARE AND TELEMETRY ROOMS AND A NEW EMERGENCY DEPARTMENT THAT INCREASED THE NUMBER OF PATIENTS WHO CAN BE SERVED TO 90,000 PER YEAR. THE NEW CONSTRUCTION ALSO INCLUDED NEW SURGERY SUITES, ENDOSCOPY, CATHETERIZATION LABS, IMAGING DEPARTMENT, OUTPATIENT HOLDING AREA, HOSPITAL CAFETERIA, CHAPEL, PHARMACY, AND GIFT SHOP. ANOTHER 52,000 SQUARE FEET OF RENOVATIONS WERE COMPLETED PROVIDING NEW GASTROINTESTINAL LABS, A NEW LABORATORY, REHABILITATION UNIT, PULMONARY FUNCTIONS LAB AND DAY SURGERY UNITS. WITH THE COMPLETION OF THE 'NEW CITY OF HEALING' IN 2003, THE EXPANSION OF SERVICES WAS AT THE HEART OF THE ORGANIZATION. FOCUSING ON THE SMALLEST MEMBERS OF THE COMMUNITY, THE CHILDREN'S UNIT AT BAPTIST BEAUMONT HOSPITAL ORIGINATED - PROVING CARING FOR KIDS IS JUST THE RIGHT SIZE AT BAPTIST BEAUMONT HOSPITAL. MEETING THE UNIQUE NEEDS OF CHILDREN, THE FIRST CERTIFIED CHILD LIFE SPECIALIST WAS ADDED TO HELP CHILDREN FROM INFANTS TO TEENS AND THEIR FAMILIES COPE WITH A HOSPITAL EXPERIENCE. THE CHILD LIFE SPECIALIST PROVIDES EMOTIONAL AND DEVELOPMENTAL SUPPORT WHILE GIVING HONEST INFORMATION GEARED TO A CHILD'S LEVEL OF UNDERSTANDING AND, OF COURSE, PLENTY OF CHILD'S PLAY! WITH OVER 40 MILLION PEOPLE FEELING EXHAUSTED BECAUSE THEY ARE EXPERIENCING A SLEEP DISORDER, BAPTIST BEAUMONT HOSPITAL PROUDLY ANNOUNCED THE SLEEP CENTER LOCATED AT THE MAIN CAMPUS. CHRONIC SLEEP DISORDERS CAN DISTURB FAMILY LIFE, AFFECT PRODUCTIVITY AT WORK AND EVEN RESULT IN DEATH. THE SLEEP CENTER WAS ESTABLISHED TO PROVIDE COMPREHENSIVE CARE TO PATIENTS WHO ARE EXPERIENCING SLEEP PROBLEMS. SOME OF THE MOST COMMON DISORDERS INCLUDE: SLEEP APNEA, NARCOLEPSY, RESTLESS LEG SYNDROME AND INSOMNIA. BAPTIST BEAUMONT HOSPITAL'S WOUND HEALING AND BARIATRIC CENTER PROVIDES COMPREHENSIVE, OUTPATIENT WOUND CARE SERVICES, INCLUDING HYPERBARIC OXYGEN THERAPY. THE CENTER UTILIZES A MULTIDISCIPLINARY APPROACH TO WOUND CARE BY COORDINATING THE EFFORTS OF MULTIPLE SPECIALTIES TRAINED TO TREAT PATIENTS WITH CHRONIC OR NON-HEALING WOUNDS. THE CENTER IS STAFFED BY PHYSICIANS IN THE FOLLOWING SPECIALTIES: FAMILY MEDICINE, INFECTIOUS DISEASE, PODIATRY, AND THORACIC/VASCULAR SURGERY. THE CERTIFIED PROGRAM IS COMPLIANT WITH THE MOST STRINGENT STANDARDS OF PERFORMANCE. BY UTILIZING THE RIGOROUS STANDARDS AND CLINICAL PRACTICE GUIDELINES, SUPERIOR CARE IS PROVIDED TO THE COMMUNITY. THE WOUND HEALING AND BARIATRIC CENTER HAS RECEIVED THE GOLD SEAL OF APPROVAL IN DISEASE STATE MANAGEMENT FROM THE JOINT COMMISSION ON ACCREDITATION OF HOSPITAL ORGANIZATIONS. OVER THE NEXT FEW YEARS, ADDITIONAL PROGRAMS AND SERVICES SUCH AS THE STRYKER NAVIGATION TECHNOLOGY HAVE BEEN ADDED TO COMPLEMENT THE SERVICES PROVIDED AT BAPTIST BEAUMONT HOSPITAL. THE STRYKER NAVIGATION SYSTEM OFFERS A TECHNOLOGY OPTION THAT HELPS FACILITATE ACCURATE IMPLANT ALIGNMENT AND PROPER LIGAMENT BALANCING, WHICH ARE THE MOST IMPORTANT PREREQUISITES FOR THE ARTIFICIAL KNEE JOINT STABILITY, DURABILITY AND SUFFICIENT RANGE OF MOTION. NAVIGATED TOTAL KNEE REPLACEMENT IS AN EXTREMELY SUCCESSFUL WAY TO TREAT QUALIFYING PATIENTS WITH SEVERE KNEE PAIN. THE NEW SURGICAL NAVIGATION TECHNOLOGY THAT IS NOW IN PLACE GREATLY ENHANCES THE ABILITY TO RESTORE RANGE OF MOTION, OVERALL FUNCTION AND RETURNS PATIENTS TO NORMAL ACTIVITIES. AT BAPTIST BEAUMONT HOSPITAL, THE NEWEST ARRIVAL TO WOMEN'S SERVICES IS THE 'HUGS AND KISSES' INFANT PROTECTION SYSTEM. LOCATED IN THE PEDIATRIC AND WOMEN'S SERVICES UNIT, AN ADVANCED SYSTEM HAS BEEN IMPLEMENTED FOR ENSURING THE SAFETY OF BABIES, HELPING TO ENSURE THAT A BABY IS MATCHED WITH ITS OWN MOTHER WHEN BROUGHT TO A ROOM FROM THE NURSERY AND THAT ONLY AUTHORIZED INDIVIDUALS MOVE A BABY THROUGH THE UNITS. THE VERICHIP RADIO TRANSMITTER IS PLACED ON THE BABY'S ANKLE. WITH A WIRELESS SYSTEM IN PLACE THROUGHOUT THE AREA, 'HUGS' POLLS THE BABY'S MOTIONS EVERY SEVEN SECONDS TO DETERMINE THE EXACT LOCATION OF THE INFANT IN RELATION TO AN ELECTRONIC FLOOR PLAN THAT IS OBSERVED BY HOSPITAL STAFF. IN MAY 2006 THE NEW DAUPHIN CANCER SCREENING AND PREVENTION CENTER PARTNERED WITH THE JULIE AND BEN ROGERS CANCER INSTITUTE OPENED TO THE COMMUNITY. A FIRST IN SOUTHEAST TEXAS, THE CENTER OFFERS SCREENING TESTS FOR PROSTATE CANCER AND BREAST CANCER ALONG WITH PREVENTION PROGRAMS. THE DAUPHIN CENTER WAS THE FIRST IN THE AREA TO OFFER DIGITAL MAMMOGRAM IN SOUTHEAST TEXAS. IN 2007 THE TEXAS NURSES ASSOCIATION (TNA), A STATEWIDE PROFESSIONAL ORGANIZATION OF REGISTERED NURSES, ANNOUNCED THE NEW ADDITIONS TO THE LIST OF HOSPITALS IN TEXAS TO EARN THE NURSE-FRIENDLY HOSPITAL DESIGNATION. AWARDED ONLY TWICE A YEAR, THE TNA'S NURSE-FRIENDLY HOSPITAL DESIGNATION NOW BELONGS TO THE BAPTIST BEAUMONT CAMPUS. THE NEWEST RECIPIENTS JOIN ONLY THIRTY-ONE OTHER HOSPITALS FROM THE STATE'S 581 IN ATTAINING THE THREE-YEAR DESIGNATION. THIS AWARD TELLS THE COMMUNITY THAT BAPTIST BEAUMONT HOSPITAL IS COMMITTED TO THE HIGHEST QUALITY OF PATIENT CARE AND IT TELLS NURSES THAT THE HOSPITAL PROVIDES THE TYPE OF ENVIRONMENT THAT ALLOWS NURSES TO PRACTICE EXCELLENT PRACTICE CARE. LATER THE SAME YEAR, THE GREATER BEAUMONT CHAMBER OF COMMERCE RECOGNIZED BAPTIST BEAUMONT HOSPITAL FOR ITS LONG-TIME COMMITMENT TO SOUTHEAST TEXAS WHEN IT ANNOUNCED THE BEAUMONT FACILITY HAD BEEN RECOGNIZED AS THE RECIPIENT OF THE 2007 SPINDLETOP AWARD. RECOGNITION WAS GIVEN FOR THE ACCOMPLISHMENTS WITH THE NEW EXPANSION AND THE LEVEL OF HEALTH CARE PROVIDED TO THE COMMUNITY. BAPTIST HOSPITAL'S AWARD-WINNING CARE IS COMPLEMENTED BY BEING CERTIFIED AS AN ADVANCED PRIMARY STROKE CARE CENTER BY THE JOINT COMMISSION FOR DISEASE-SPECIFIC CARE. THE STROKE PROGRAM AT BAPTIST BEAUMONT HOSPITAL HAS BEEN RECOGNIZED FOR EXCEPTIONAL EFFORTS TO FOSTER BETTER OUTCOMES FOR STROKE PATIENTS. THE STROKE PROGRAM HAS PARTNERED WITH LOCAL VENDORS, MEDICAL PERSONNEL AND PHYSICIANS TO ESTABLISH THE NEW STROKEWISE SUPPORT GROUP DESIGNED TO PROVIDE STROKE SURVIVORS AND THEIR FAMILIES A WAY TO MEET OTHER STROKE SURVIVORS OR CAREGIVERS. BAPTIST BEAUMONT HOSPITAL'S FOCUS ON INNOVATION IMPLEMENTED THE MEDIVANCE'S COOLING TECHNOLOGY. THE ARCTIC SUN THERAPEUTIC TEMPERATURE MANAGEMENT DEVICE, THE ONLY ONE IN SOUTHEAST TEXAS, IS A PRECISE NONINVASIVE PATIENT COOLING DEVICE THAT IS USED AT MORE THAN SEVENTY PERCENT OF THE NATION'S TOP HOSPITALS. THE NEWEST MEMBER OF THE EMERGENCY DEPARTMENT IS THE RP-6 MOBILE ROBOT SYSTEM, MADE BY INTOUCH HEALTH, THE ROBOT ALLOWS DOCTORS TO 'VIRTUALLY' CONSULT WITH PATIENTS, FAMILY MEMBERS, AND HEALTH CARE STAFF AT A MOMENT'S NOTICE, EVEN IF MILES AWAY FROM THE HOSPITAL. THE RP-6 WILL ALLOW PHYSICIANS IMMEDIATE ACCESS TO PATIENTS IN SITUATIONS WHERE TIME IS CRITICAL. THE HOSPITAL WAS ALSO RECOGNIZED BY THE TEXAS HEALTH CARE QUALITY IMPROVEMENT AWARD PROGRAM WITH THE AWARD OF EXCELLENCE. OTHER AWARDS INCLUDE THE 2005 PRESS GANEY COMPASS AWARD PRESENTED TO BAPTIST BEAUMONT HOSPITAL FOR OUTSTANDING IMPROVEMENT IN PATIENT SATISFACTION. MOST RECENTLY, THE VHA AWARDED BAPTIST BEAUMONT HOSPITAL WITH THE 2006 LEADERSHIP AWARD FOR CLINICAL EXCELLENCE IN CARDIAC CARE.</Desc>
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        <BusinessName>
          <BusinessNameLine1Txt>LARRY WALKER</BusinessNameLine1Txt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>22500</ReportableCompFromRltdOrgAmt>
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        <BusinessName>
          <BusinessNameLine1Txt>TERRY WHIDDON</BusinessNameLine1Txt>
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        <TitleTxt>FIRST VICE PRES/VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <TitleTxt>SEC VICE PRES/VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ANN SCOGGIN</BusinessNameLine1Txt>
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        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>BO CRAWFORD</BusinessNameLine1Txt>
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        <TitleTxt>CHAIRMAN OF THE BOARD</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CHERI COOK</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR - BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CHRIS LEAVINS</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR - BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>D'LANA BARBAY</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR - BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DR DAVE S CARPENTER</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR - BOARD MEMBER</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>DR JOHN R ADOLPH</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR - BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>DR KYLE BESS</BusinessNameLine1Txt>
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        <BusinessName>
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        <BusinessName>
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        <TitleTxt>CHAIRMAN HUMAN RESOURCES COMM</TitleTxt>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>AILY POWELL</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DORRELL DIXON</BusinessNameLine1Txt>
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        <TitleTxt>Admissions Nurse</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>WILLIAM P TOON</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>DAVID PARMER</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
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          <BusinessNameLine1Txt>MATT HAYNES</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>PATRICK SHANNON</BusinessNameLine1Txt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROTHALL HEALTHCARE</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BAPTIST BEAUMONT HOSPITAL. BAPTIST HOSPITALS OF SOUTHEAST TEXAS (BHSET), IS AN ACUTE CARE HOSPITAL LOCATED IN BEAUMONT, TEXAS - JUST 90 MILES EAST OF HOUSTON, 60 MILES FROM GALVESTON AND 25 MILES FROM THE LOUISIANA BORDER. HAVING SERVED SOUTHEAST TEXAS FOR MORE THAN 70 YEARS, BHSET HAS HAD THE OPPORTUNITY TO TOUCH, HEAL, AND CHANGE MANY LIVES. WITH A LONG HISTORY OF CLINICAL EXCELLENCE, HIGH QUALITY HEALTHCARE, CUTTING-EDGE TECHNOLOGY, EXCELLENT CUSTOMER SERVICE, AND A MISSION AND VISION FOUNDED IN FAITH, BHSET IS PRIVILEGED TO BE ENTRUSTED WITH THE HEALTH OF FAMILIES, FRIENDS, AND NEIGHBORS. BHSET PROVIDES ABUNDANT RESOURCES FOR OUTPATIENT SERVICES, INPATIENT SERVICES, HIGH-DEFINITION IMAGING, AND EMERGENCY MEDICAL CARE 24/7 FOR ALL THOSE NEEDING SERVICES. ADDITIONALLY, THE HOSPITAL HOSTS THE ONLY BEHAVIORAL HEALTH INPATIENT FACILITY IN SOUTHEAST TEXAS, WITH A STRONG EMPHASIS PLACED ON SERVING PATIENTS STRUGGLING WITH MENTAL AND/OR ADDICTION DISORDERS. NEW PROGRAMS HAVE BEEN DESIGNED TO SUPPORT THOSE IN NEED OF INTENSIVE OUTPATIENT THERAPY, GROUP THERAPY, MEDICAL DETOXIFICATION, AND CRISIS STABILIZATION FOR ALL GENERATIONS. AS THE NEED FOR CANCER SERVICES HAS CONTINUED TO INCREASE IN THE REGIONAL AREA, BHSET PARTNERED WITH THE CANCER CENTER OF SOUTHEAST TEXAS AND ALTUS CANCER CENTER TO CREATE THE BAPTIST HOSPITALS OF SOUTHEAST TEXAS REGIONAL CANCER NETWORK. THIS CONSOLIDATION OF SPECIALIZED RADIATION THERAPY, HEMATOLOGY AND MEDICAL ONCOLOGY SERVES TO EXPAND AND ENHANCE REGIONAL CANCER CARE IN SOUTHEAST TEXAS. THE DEFINED SERVICE AREA OF BHSET IS DEFINED AS JEFFERSON COUNTY AND ORANGE COUNTY IN TEXAS BASED ON HOSPITAL INPATIENT DISCHARGE DATA. BOTH COUNTIES COMBINED COMPRISE 70.3% OF FISCAL YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF JEFFERSON COUNTY IS EXPECTED TO INCREASE BY ONLY 1.0% FROM 2021 (253,780) TO 2026 (256,439) AND THE POPULATION OF ORANGE COUNTY IS EXPECTED TO INCREASE ONLY 1.5% FROM 2021 (85,169) TO 2026 (86,427), WITH THE EXPECTED GROWTH RATE INCREASE OF BOTH COUNTIES FALLING BELOW THE 7.9% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2021 (29,969,514) TO 2026 (32,346,738). AS OF 2021, THE RACIAL/ETHNIC BREAKOUT OF JEFFERSON COUNTY WAS 48.4% WHITE, 33.7% BLACK, 3.8% ASIAN, 0.6% AMERICAN INDIAN AND 13.4% ALL OTHERS. THE RACIAL/ETHNIC BREAKOUT OF ORANGE COUNTY IN 2021 WAS 83.7% WHITE, 8.8% BLACK, 1.2% ASIAN, 0.7% AMERICAN INDIAN AND 5.7% 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 JEFFERSON COUNTY IS EXPECTED TO INCREASE BY 1.0% AND DECREASE BY -0.1% IN ORANGE COUNTY. BY 2026, THE BLACK POPULATION IS EXPECTED TO INCREASE BY 1.0% IN JEFFERSON COUNTY AND BY 1.9% IN ORANGE COUNTY. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 1.0% IN JEFFERSON COUNTY AND BY 9.0% IN ORANGE COUNTY BY 2026. THE AMERICAN INDIAN POPULATION IS ALSO EXPECTED TO INCREASE BY 1.0% IN JEFFERSON COUNTY AND BY 10.5% IN ORANGE COUNTY AND ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 1.0% IN JEFFERSON COUNTY AND BY 21.7% IN ORANGE COUNTY BY 2026. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 1.0% IN JEFFERSON COUNTY AND BY 23.1% IN ORANGE COUNTY BY 2026. BETWEEN 2015 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN JEFFERSON COUNTY, THE STATE AND THE NATION, WHILE THE PERCENT DECREASED IN ORANGE COUNTY. IN 2019, JEFFERSON COUNTY (12.5%) HAD A HIGHER PERCENT OF FOREIGN-BORN RESIDENTS THAN ORANGE COUNTY (2.0%) AND A LOWER PERCENT THAN THE STATE (17.1%) AND THE NATION (13.7%). AS OF 2021, ORANGE COUNTY (40.7 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH JEFFERSON COUNTY (37.5 YEARS) AND THE STATE OF TEXAS (35.3 YEARS). THE MEDIAN AGE IN BOTH JEFFERSON AND ORANGE COUNTIES AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). JEFFERSON COUNTY ($53,789) HAD THE LOWEST MEDIAN HOUSEHOLD INCOME AS COMPARED TO ORANGE COUNTY ($65,460) AND THE STATE ($63,524) (2021). BETWEEN 2021 AND 2026, THE MEDIAN HOUSEHOLD INCOMES IN JEFFERSON COUNTY, ORANGE COUNTY AND THE STATE ARE EXPECTED TO INCREASE. JEFFERSON COUNTY (20.7%) AND ORANGE COUNTY (16.2%) HAD 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 SCORES IN BOTH JEFFERSON COUNTY (74.8) AND ORANGE COUNTY (60.1) FALL WITHIN THE AT RISK ECONOMIC CATEGORY AND ARE MORE PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN BOTH JEFFERSON AND ORANGE COUNTIES AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, BOTH JEFFERSON (11.9) AND ORANGE (10.5) COUNTIES HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN JEFFERSON AND ORANGE COUNTIES DECREASED. FOR JEFFERSON AND ORANGE COUNTIES, MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (10.1 AND 9.1, RESPECTIVELY) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (15.6 AND 13.8, RESPECTIVELY). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN JEFFERSON COUNTY ARE WITHIN SALES &amp; RELATED OCCUPATIONS, AS COMPARED TO ORANGE COUNTY WHERE THE MAJORITY OF EMPLOYED PERSONS ARE WITHIN MANUFACTURING POSITIONS. THE MOST COMMON EMPLOYED GROUPINGS IN JEFFERSON COUNTY ARE SALES AND RELATED OCCUPATIONS (12.1%); CONSTRUCTION AND EXTRACTION OCCUPATIONS (11.2%); PRODUCTION OCCUPATIONS (9.7%); OFFICE AND ADMINISTRATIVE SUPPORT OCCUPATIONS (8.4%); AND MANAGEMENT OCCUPATIONS (7.9%). IN ORANGE COUNTY, THE MOST COMMON EMPLOYED GROUPINGS ARE MANUFACTURING (16.9%); HEALTH CARE AND SOCIAL ASSISTANCE (12.6%); RETAIL TRADE (11.0%); CONSTRUCTION (10.4%); AND EDUCATIONAL SERVICES (8.5%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH JEFFERSON AND ORANGE COUNTIES AND THE STATE. IN 2015-2019, JEFFERSON COUNTY (7.0%) HAD THE LOWEST PERCENT OF PEOPLE WHO CARPOOLED TO WORK AS COMPARED TO ORANGE COUNTY (12.0%) AND THE STATE (10.0%). JEFFERSON COUNTY (21.3 MINUTES) HAD A SHORTER MEAN TRAVEL TIME TO WORK THAN ORANGE COUNTY (22.7 MINUTES) AND THE STATE (27.2 MINUTES) (2015-2019). IN 2021, JEFFERSON COUNTY (23.7%) HAD THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO ORANGE COUNTY (19.8%) AND THE STATE (18.0%). BETWEEN 2015 AND 2019, THE PERCENTAGE OF CHILDREN (1less than 18 YEARS) LIVING BELOW POVERTY IN JEFFERSON COUNTY, ORANGE COUNTY, AND THE STATE DECREASED. IN 2019, JEFFERSON COUNTY (24.4%) HAD A HIGHER PERCENTAGE OF CHILDREN (less than 18 YEARS) LIVING BELOW POVERTY THAN THE STATE (19.2%), WHILE THE RATE IN ORANGE COUNTY (18.7%) WAS LOWER THAN THE STATE. ACCORDING TO FEEDING AMERICA, JEFFERSON COUNTY (16.6%) HAD THE HIGHEST ESTIMATED PERCENT OF RESIDENTS WHO ARE FOOD INSECURE AS COMPARED TO ORANGE COUNTY (16.5%) AND THE STATE (14.1%) (2019). ADDITIONALLY, 26.8% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN JEFFERSON COUNTY ARE FOOD INSECURE, AS COMPARED TO 23.4% IN ORANGE COUNTY AND 19.6% IN TEXAS (2019). THE AVERAGE MEAL COST FOR A JEFFERSON COUNTY RESIDENT IS $2.78, AS COMPARED TO $2.98 IN ORANGE COUNTY AND $2.68 IN TEXAS (2019). BETWEEN 2014 AND 2018, JEFFERSON COUNTY MAINTAINED A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN ORANGE COUNTY AND THE STATE. ADDITIONALLY, THE PERCENTAGE OF SNAP BENEFIT RECIPIENTS IN BOTH COUNTIES OVERALL DECREASED BETWEEN 2014 AND 2018. IN 2018, JEFFERSON COUNTY (16.0%) HAD A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN BOTH ORANGE COUNTY (14.0%) AND THE STATE (12.2%). IN 2018-2019, JEFFERSON COUNTY (71.3%) HAD THE HIGHEST PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED PRICE LUNCH AS COMPARED TO ORANGE COUNTY (50.5%), THE STATE (60.5%) AND THE NATION (49.5%). JEFFERSON COUNTY (87.4%) HAS A LOWER HIGH SCHOOL GRADUATION RATE THAN ORANGE COUNTY (93.1%) AND THE STATE (91.3%), BUT A CONSISTENT RATE WITH THE NATION (87.4%) (2018-2019).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - BAPTIST BEAUMONT HOSPITAL. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH JEFFERSON AND ORANGE COUNTIES AND THE STATE (2017-2019). BETWEEN 2017 AND 2019, HEART DISEASE MORTALITY RATES DECREASED IN BOTH COUNTIES AND THE STATE. IN 2019, THE HEART DISEASE MORTALITY RATE IN ORANGE COUNTY (251.5 PER 100,000) WAS HIGHER THAN THE RATE IN JEFFERSON COUNTY (233.2 PER 100,000) AND IN THE STATE (163.4 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH COUNTIES AND THE STATE (2017-2019). BETWEEN 2017 AND 2019, CANCER MORTALITY RATES OVERALL INCREASED IN JEFFERSON COUNTY, AND DECREASED IN ORANGE COUNTY AND THE STATE. IN 2019, THE CANCER MORTALITY RATE IN ORANGE COUNTY (187.0 PER 100,000) WAS HIGHER THAN THE RATE IN JEFFERSON COUNTY (151.6 PER 100,000) AND IN THE STATE (141.4 PER 100,000). ALZHEIMER'S DISEASE IS THE THIRD LEADING CAUSE OF DEATH IN JEFFERSON COUNTY, THE FOURTH LEADING CAUSE OF DEATH IN ORANGE COUNTY, AND THE SIXTH LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, ALZHEIMER'S DISEASE MORTALITY RATES DECREASED IN BOTH COUNTIES, WHILE RATES IN THE STATE SLIGHTLY INCREASED. IN 2019, THE ALZHEIMER'S DISEASE MORTALITY RATE IN ORANGE COUNTY (58.0 PER 100,000) WAS HIGHER THAN THE RATE IN JEFFERSON COUNTY (48.9 PER 100,000) AND IN THE STATE (38.6 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASE (CLRD) IS THE FOURTH LEADING CAUSE OF DEATH IN JEFFERSON COUNTY AND THE STATE, AND THE THIRD LEADING CAUSE OF DEATH IN ORANGE COUNTY (2017-2019). BETWEEN 2017 AND 2019, CLRD MORTALITY RATES INCREASED IN BOTH COUNTIES AND DECREASED IN THE STATE. IN 2019, THE CLRD MORTALITY RATE IN ORANGE COUNTY (84.3 PER 100,000) WAS HIGHER THAN THE RATE IN JEFFERSON COUNTY (56.1 PER 100,000) AND THE STATE RATE (38.6 PER 100,000). CEREBROVASCULAR DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN JEFFERSON COUNTY, THE SIXTH LEADING CAUSE OF DEATH IN ORANGE COUNTY, AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, CEREBROVASCULAR DISEASE MORTALITY RATES DECREASED IN BOTH COUNTIES AND THE STATE. IN 2019, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN JEFFERSON COUNTY (47.3 PER 100,000) WAS HIGHER THAN THE RATE IN ORANGE COUNTY (42.5 PER 100,000) AND IN THE STATE (39.0 PER 100,000). FATAL ACCIDENTS, DIABETES MELLITUS, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INTENTIONAL SELF HARM (SUICIDE) AND CHRONIC LIVER DISEASE AND CIRRHOSIS ARE ALSO, LEADING CAUSES OF DEATH IN EITHER JEFFERSON AND ORANGE COUNTY OR IN BOTH COUNTIES. AS OF NOVEMBER 30, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED WITH THE COVID-19 VACCINE IN JEFFERSON COUNTY (48.6%) IS HIGHER THAN ORANGE COUNTY (36.4%) BUT LOWER THAN THE STATE (59.0%). BETWEEN 2016 AND 2020, OBESITY PREVALENCE RATES IN ADULTS (AGE 18+) IN JEFFERSON ANGE COUNTIES AND THE STATE INCREASED. IN 2018-2020, JEFFERSON ANGE COUNTIES (48.7%) HAD A HIGHER PERCENT OF OBESE ADULTS (AGE 18+) THAN THE STATE (34.9%). JEFFERSON COUNTY (67.6%) HAS THE HIGHEST RATE OF MEDICARE FEE-FOR-SERVICE RESIDENTS WITH HYPERTENSION AS COMPARED TO ORANGE COUNTY (63.8%), THE STATE (59.9%) AND THE NATION (57.2 %) (2018). BETWEEN 2016 AND 2020, ASTHMA PREVALENCE RATES IN ADULTS (AGE 18+) IN JEFFERSON ANGE COUNTIES AND THE STATE OVERALL INCREASED. IN 2018-2020, JEFFERSON ANGE COUNTIES (18.7%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA THAN THE STATE (13.1%). BETWEEN 2016 AND 2020, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN JEFFERSON ANGE COUNTIES AND THE STATE DECREASED. IN 2018-2020, JEFFERSON ANGE COUNTIES (27.7%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.0%). BETWEEN 2016 AND 2020, THE RATE OF ADULTS (AGE 18+) IN JEFFERSON ANGE COUNTIES AND THE STATE THAT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER INCREASED. IN 2018-2020, JEFFERSON ANGE COUNTIES (18.5%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER THAN THE STATE (17.2%). BETWEEN 2016 AND 2020, THE PERCENT OF ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN JEFFERSON ANGE COUNTIES DECREASED. THE PERCENT OF ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN JEFFERSON ANGE COUNTIES (29.5%) IS HIGHER THAN THE STATE (26.9%) (2018-2020). AS OF 2019, JEFFERSON COUNTY (25.9%) HAD HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO ORANGE COUNTY (19.0%) AND THE STATE (24.3%). ORANGE COUNTY AND THE STATE EXPERIENCED SLIGHT INCREASES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2019, WHILE JEFFERSON COUNTY EXPERIENCED A SLIGHT DECREASE. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR BAPTIST HOSPITALS OF SOUTHEAST TEXAS (BHSET) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN JEFFERSON AND ORANGE COUNTIES IN TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC FROM JUNE 11, 2021 - JULY 2, 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 BHSET BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MARCH 28, 2022. INTERVIEW METHODOLOGY: BHSET WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. BHSET 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 BHSET, 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 ANDTHE 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, THE UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL. BHSET PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN JEFFERSON AND ORANGE COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, THIRTY 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 93.3% 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. 6.7% 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. INTERVIEWEES INCLUDED: * THOMAS AARDAHL: CHIEF EXECUTIVE OFFICER/EXECUTIVE DIRECTOR, RECOVERY COUNCIL OF SOUTHEAST TEXAS * PASTOR JOHN ADOLPH: PASTOR, ANTIOCH BAPTIST CHURCH; BOARD MEMBER, BAPTIST HOSPITALS OF SOUTHEAST TEXAS * VIRTUE ALEXANDER: GRANT WRITER/MANAGER, COMMUNITIES IN SCHOOLS OF SOUTHEAST TEXAS * HOLLY BOREL: DIRECTOR, SPINDLETOP * DEBBIE BRIDGEMAN: COMMUNITY RELATIONS, BEAUMONT INDEPENDENT SCHOOL DISTRICT * BONNIE BROOKS: COMMUNITY SERVICES OUTREACH COORDINATOR, SOUTHEAST TEXAS REGIONAL PLANNING * KATHY CHESSHER: SR. COMMUNITY DEVELOPMENT MANAGER, AMERICAN CANCER SOCIETY * KENNETH COLEMAN: EXECUTIVE DIRECTOR, BEAUMONT PUBLIC HEALTH DEPARTMENT * GARRETT CRAVER: DIRECTOR OF PSYCHOLOGICAL SERVICES, BAPTIST HOSPITALS OF SOUTHEAST TEXAS * DEBORAH DRAGO: EXECUTIVE DIRECTOR, SOUTHEAST TEXAS NONPROFIT * JEFF DYSON: DIRECTOR MBA AND GRADUATE CERTIFICATE PROGRAMS AND INSTRUCTOR OF MANAGEMENT, LAMAR UNIVERSITY; BOARD MEMBER, BAPTIST HOSPITALS OF SOUTHEAST TEXAS * CAROL FERNANDEZ: EXECUTIVE DIRECTOR, CATHOLIC CHARITIES OF SOUTHEAST TEXAS * STEPHANIE GARSEA: COMMUNITY RELATIONS, ACADIAN AMBULANCE * MICHAEL GILLESPIE: MEDICAL DIRECTOR OF BEHAVIORAL HEALTH, BAPTIST HOSPITALS OF SOUTHEAST TEXAS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 3 - BAPTIST BEAUMONT HOSPITAL. *JENNIFER HANEY: DIRECTOR, ORANGE COUNTY SOCIAL SERVICES * BRANDON HEBERT: VICE PRESIDENT, ACADIAN AMBULANCE * JESSICA HILL: EXECUTIVE DIRECTOR, ORANGE COUNTY EXECUTIVE DEVELOPMENT * KARYN HUSBANDS: EXECUTIVE DIRECTOR, UNITED WAY OF JEFFERSON COUNTY * CHESTER JOURDAN: EXECUTIVE DIRECTOR, AMERICAN RED CROSS OF SOUTHEAST AND DEEP EAST TEXAS * CARRIE KENNEDY: DIRECTOR OF BUSINESS OPERATIONS, RECOVERY COUNCIL OF SOUTHEAST TEXAS * CORDELLA LYONS: PROGRAM COORDINATOR HIV SCREENING, BAPTIST HOSPITALS OF SOUTHEAST TEXAS * GIGI MAZZOLA: EXECUTIVE DIRECTOR, CARDIOVASCULAR FOUNDATION OF SOUTHEAST TEXAS * MAUREEN MCALISTER: CHIEF EXECUTIVE OFFICER, UNITED WAY OF ORANGE COUNTY * ANN MARIE MCDONALD: CHIEF PROGRAM OFFICER, ALZHEIMER'S ASSOCIATION * MARY POOLE: CONSULTANT, BAPTIST HOSPITALS OF SOUTHEAST TEXAS * KRISTI PREMEAUX: CHIEF FINANCIAL OFFICER, RECOVERY COUNCIL OF SOUTHEAST TEXAS * MIKN SIMON: REGIONAL DIRECTOR, WALGREENS PHARMACY * VERNETTA SPIVEY: COMMUNITY RELATIONS COORDINATOR, LEGACY HEALTHCARE * SHARON WHITLEY: DIRECTOR, HARDIN/ORANGE COUNTY HEALTH DEPARTMENT * BYRON YOUNG: DIRECTOR OF THE SMARTHEALTH CLINIC, BAPTIST HOSPITALS OF SOUTHEAST TEXAS POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: TEENAGERS/ADOLESCENTS, ELDERLY, LOW INCOME/WORKING POOR, RACIAL/ETHNIC GROUPS, ORANGE COUNTY RESIDENTS, UN/UNDERINSURED, HOMELESS, VETERANS AND HIV PATIENTS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: TEENAGERS/ADOLESCENTS - INCREASING NEED FOR BROAD SEX EDUCATION - NEED FOR MENTAL HEALTH SERVICES - HEALTHY LIFESTYLE EDUCATION - DRUG PREVENTION AND EDUCATION - RISING SEXUALLY TRANSMITTED INFECTIONS ELDERLY - TRANSPORTATION BARRIERS - DEMENTIA, ALZHEIMER'S DISEASE - DIFFICULTY USING TELEHEALTH SERVICES LOW INCOME/WORKING POOR - LACK OF ACCESS TO AFFORDABLE HEALTHY DIET OPTIONS - TRANSPORTATION BARRIERS - LIMITED AVAILABILITY OF AFFORDABLE HOUSING RACIAL/ETHNIC - DIETARY CONCERNS ACROSS DIFFERENT CULTURES (VIETNAMESE, AFRICAN AMERICAN) - LACK OF AWARENESS OF LOCAL RESOURCES - LIMITED BILINGUAL SERVICES, PARTICULARLY TELEHEALTH ORANGE COUNTY RESIDENTS - LACK OF ACCESS TO LOCAL HEALTH CARE, EMERGENCY SERVICES - BROADBAND CONNECTIVITY UN/UNDERINSURED - DELAYING/FOREGOING CARE - TRANSPORTATION BARRIERS - COST BARRIERS TO CARE, MEDICATIONS - LACK OF ACCESS TO ALL HEALTH CARE SERVICES (PRIMARY, SPECIALTY, DENTAL, MENTAL/BEHAVIORAL) HOMELESS - GROWING POPULATION - LIMITED NUMBER OF SHELTERS IN THE COMMUNITY - MENTAL HEALTH CONCERNS - FRAGMENTED CONTINUUM OF CARE VETERANS - GROWING POPULATION - LACK OF ACCESS TO LOCAL HOSPITAL SERVICES - MENTAL HEALTH CONCERNS - TRANSPORTATION BARRIERS HIV PATIENTS - TRANSPORTATION BARRIERS - LIMITED ACCESS TO LOCAL CARE FOR COMPLEX NEEDS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BAPTIST BEAUMONT HOSPITAL. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY BAPTIST HOSPITALS AT SOUTHEAST TEXAS, (BHSET). 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. HOSPITAL LEADERSHIP MET WITH 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.) PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 2.) ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 3.) ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 4.) INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES 5.) CONTINUED FOCUS ON COVID-19 PREVENTION &amp; RESPONSE 6.) ACCESS TO DENTAL CARE SERVICES AND PROVIDERS 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 FIVE OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY 1.A. BHSET WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING NUMEROUS CLASSES, SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, AND MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. 1.B. BHSET PROVIDES VARYING SUPPORT GROUPS AND CLASSES TO ENCOURAGE FOLLOW-UP AND CONTINUED EDUCATION FOR PATIENTS DURING AND AFTER AN ILLNESS. BHSET INITIATES SUPPORT GROUPS AND EDUCATIONAL CLASSES FOR PATIENTS AND FAMILY MEMBERS BASED ON DEMAND FOR THE PROGRAMS. 1.C BHSET PARTNERS WITH COMMUNITY ORGANIZATIONS TO HOST A VARIETY OF FREE HEALTH SCREENINGS WHICH CAN INCLUDE BLOOD PRESSURE, WEIGHT, GLUCOSE, PULMONARY FUNCTION, DIABETES AND HEART DISEASE ON AN AS NEEDED BASIS. 1.D. BHSET WILL CONTINUE TO HOST EDUCATIONAL WELLNESS PROGRAMS WITH PARTNERS IN EDUCATION AT RESPECTIVE SCHOOL CAMPUSES ON A VARIETY OF TOPICS. THE PROGRAMS ARE PROVIDED TO BOTH SCHOOL STAFF AS WELL AS STUDENTS. 1.E. BHSET WILL CONTINUE TO PARTNER WITH THE HEALTH AND OCCUPATIONAL SAFETY ASSOCIATION (HOSA) ORGANIZATION TO PROVIDE EDUCATION AND SUPPLIES AS NEEDED. 1.F. BHSET WILL CONTINUE TO PARTNER WITH EMS TO PROMOTE BETTER HEALTH IN THE COMMUNITY, INCLUDING REGULAR LUNCH AND LEARNS SURROUNDING TRAUMA AND EMERGENCY EDUCATION. 1.G. IN CONJUNCTION WITH ACADIAN EMERGENCY SERVICES, BHSET WILL LEAD A RECENTLY DEVELOPED LOCAL EMERGENCY MEDICINE COUNCIL TO IMPROVE EMERGENCY MEDICINE SERVICES FOR THE COMMUNITY. MEETINGS ARE HELD PERIODICALLY TO COLLABORATE AND ADDRESS ISSUES IN ACCESSING EMERGENCY CARE WITHIN THE COMMUNITY. 1.H. BHSET WILL CONTINUE TO ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING: PROMOTING EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH AND THE HOSPITAL WELLNESS COMMITTEE; OFFERING NEED SPECIFIC SPECIAL PROGRAMS; CHIP (CORONARY HEALTH IMPROVEMENT PLAN); SMOKING CESSATION; WEIGHT MANAGEMENT; COLLABORATING WITH HOSPITAL CAFETERIA PROVIDERS TO HIGHLIGHT HEALTHY FOOD OPTIONS; PROMOTING FITNESS OPPORTUNITIES AND EXERCISE CLASSES ON CAMPUS, AS WELL AS DISCOUNTED GYM MEMBERSHIP OFFERINGS; CHARITABLE FITNESS EVENTS; AND PROVIDING MENTAL HEALTH EDUCATION THROUGH THE EMPLOYEE ASSISTANCE PROGRAM VIA BEACON HEALTH OPTIONS. 1.I BHSET OFFERS LOW PRICING FOR IMAGING AND LAB SERVICES FOR EMPLOYEES, AND HAS CONTRACTED WITH EMERGENCY ROOM PHYSICIANS TO LOWER PRICING ON SERVICES FOR EMPLOYEES AS WELL. ADDITIONALLY, URGENT CARE SERVICES ARE IN-NETWORK FOR EMPLOYEES. 1.J. BHSET WILL CONTINUE TO HOST OUTSIDE PROFESSIONALS TO PROVIDE EDUCATION ON MEDICAL RESEARCH AND THERAPY. 1.K. BHSET WILL STRIVE TO MAINTAIN DESIGNATION AS A TEXAS TEN STEP FACILITY BY THE DEPARTMENT OF STATE HEALTH SERVICES AND THE TEXAS HOSPITAL ASSOCIATION. 1.L. BHSET WILL CONTINUE TO PARTNER WITH BEST FED BEGINNINGS TO PROVIDE BREAST MILK DEPOT SERVICES. THIS PROGRAM INVOLVES HEALTHY, LACTATING WOMEN TO DONATE THEIR EXTRA BREAST MILK TO PRETERM AND ILL INFANTS IN NEED WHEN A MOTHER CANNOT PROVIDE HER OWN BREAST MILK. PARTNERING WITH THE BREAST MILK BANK OF AUSTIN, POTENTIAL DONORS ARE EVALUATED AND SCREENED. ONCE APPROVED, THEY WILL BE ALLOWED TO DONATE BREAST MILK ON SITE AT BAPTIST BEAUMONT HOSPITAL AND THE BREAST MILK WILL BE SENT TO AUSTIN TO BE USED BY ALL TEXAS HOSPITALS. 1.M. BHSET WILL CONTINUE TO PARTNER WITH THE CONGREGATIONAL HEALTH MINISTRY (PARISH NURSING) TO PROVIDE A FAITH COMMUNITY NURSING PROGRAM DESIGNED TO PROMOTE THE MINISTRY OF THE NURSE IN LOCAL CONGREGATIONS, TRAINING AND CERTIFYING NURSES TO BECOME FAITH COMMUNITY NURSES (FCN). THIS PROGRAM PROVIDES UNREIMBURSED SERVICES AND TRAINING TO EDUCATE FAITH-BASED NURSES TO FUNCTION IN THEIR RESPECTIVE CONGREGATIONS AND ASSIST THEM WITH THE IMPLEMENTATION OF THEIR CONGREGATIONAL PROGRAMMING. BHSET, FAITH COMMUNITY NURSES, PARTNERING WITH CONGREGATIONAL HEALTH MINISTRY, WILL WORK TOGETHER WITH OTHER HEALTH PROFESSIONALS TO PROVIDE ASSESSMENT THROUGH SCREENING AND CONSULTATIONS (I.E., HEALTH EDUCATION AS APPROPRIATE FOR IDENTIFIED NEEDS, REFERRAL FOR CARE AND FOLLOW-UP, COORDINATION OF HEALTH MINISTRIES' ACTIVITIES). 1.N. BHSET WILL CONTINUE TO PARTICIPATE IN THE ANNUAL WOMEN'S CONFERENCE TO PROVIDE EDUCATION TO WOMEN IN THE COMMUNITY. 1.O. BHSET WILL CONTINUE TO PROVIDE FREE IMMUNIZATIONS TO LOCAL PRIVATE AND PUBLIC SCHOOL FACULTY MEMBERS, INCLUDING INFLUENZA, SHINGLES, PERTUSSIS AND PNEUMONIA VACCINATIONS, AS WELL AS TB SKIN TESTS. 1.P. BHSET AND THE SMARTHEALTH CLINIC WILL CONTINUE TO FOLLOW UP ON CHRONIC DISEASE MANAGEMENT OF HIGHER RISK PATIENTS IN ORDER TO PROVIDE HIGH QUALITY, FOLLOW UP CARE WITH GUIDANCE IF NECESSARY. BENEFITS WILL BE IMPROVED QUALITY OF CARE, INCREASED ATTENTION TO PATIENT SAFETY, SMOOTHER CARE TRANSITIONS, DECREASED HEALTHCARE COSTS AND IMPROVED TIME SAVINGS FOR REFERRING PROVIDERS. 1.Q. BHSET WILL CONTINUE TO PARTICIPATE IN THE COMMUNITY NURSING HOME CONSORTIUM, WHICH INCLUDES ALL LOCAL NURSING HOMES, SKILLED NURSING FACILITIES, AND HOME HEALTH CARE AGENCIES, TO MEET ON A QUARTERLY BASIS AND COMPREHENSIVELY DISCUSS AND ADDRESS ANY EMERGING ISSUES IN THE AREA AND HOW TO ADDRESS SUCH ISSUES TO IMPROVE QUALITY AND EFFICIENCY OF CARE FOR PATIENTS NEEDING HOME HEALTH, NURSING HOME AND PALLIATIVE CARE. BIANNUAL EDUCATIONAL PROGRAMS ARE OFFERED. 1.R. BHSET PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. 1.S. BHSET WILL CONTINUE TO PROVIDE HIV EDUCATION IN PARTNERSHIP WITH A GRANT FROM TEXAS DEPARTMENT OF STATE HEALTH SERVICES TO PROVIDE FREE HIV SCREENING AND LINKAGE TO CARE FOR HIV POSITIVE PATIENTS. 1.T. BHSET WILL SUPPORT COMMUNICABLE DISEASE PREVENTION AND EDUCATION IN THE COMMUNITY INCLUDING A FOCUS ON WORLD AIDS DAY AND EDUCATIONAL SPEAKERS. 1.U. THE SMARTHEALTH CLINIC WILL CONTINUE TO PARTNER WITH THE BEAUMONT HEALTH DEPARTMENT TO PROVIDE SCREENINGS FOR THEIR PATIENTS WHO ACCESS SERVICES FOR STI CARE. 1.V. THE JULIE &amp; BEN ROGERS CANCER INSTITUTE OFFERS FREE PROSTATE SCREENINGS IN THE MONTH OF SEPTEMBER TO PROMOTE EARLY DETECTION OF THE DISEASE. A TEAM OF THE CANCER INSTITUTE EMPLOYEES GENEROUSLY CONTRIBUTE THEIR TIME AND EXPERTISE TO THE GIFT OF LIFE EDUCATIONAL PROGRAMS. BHSET STAFF WILL PARTICIPATE AS VOLUNTEERS IN ANY PROSTATE SCREENING EVENTS OFFERED THROUGH THE GIFT OF LIFE PROGRAM. 1.W. DURING TH HOLIDAY SEASON, BHSET EMPLOYEES COLLECT GIFTS FOR CHILDREN WITHIN THE CHILD PROTECTIVE SERVICE AGENCY OF SOUTHEAST TEXAS, AND DISTRIBUTE GIFTS TO SENIOR ADULTS AS WELL, IN CONJUNCTION WITH HOME INSTEAD HOMECARE. THE "ANGEL TREE EMPLOYEE PARTICIPANTS PROVIDE CHILDREN AND SENIOR ADULTS WITH A JOYOUS CHRISTMAS DELIVERY. BHSET ALSO ADOPTS SEVERAL CANCER PATIENTS AND THEIR FAMILIES TO PROVIDE THEM WITH RESOURCES. PRIORITY #2: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - BAPTIST BEAUMONT HOSPITAL. 2.A. BHSET PARTNERS WITH THE SPINDLETOP CENTER TO OFFER MENTAL HEALTH. BAPTIST BEAUMONT PAYS FOR THE FIRST 48 HOURS FOR QUALIFIED PATIENTS, SUCH AS THE UNINSURED. 2.B. THROUGH GRANT FUNDING, BHSET OFFERS BEHAVIORAL HEALTH SERVICES FOR CHILDREN AGES 6 TO 12 YEARS THROUGH ITS BEHAVIORAL HEALTH CENTER. THE INPATIENT CARE PROGRAM IS PROVIDED FOR THOSE CHILDREN WITH MENTAL ILLNESS WHO ARE IN NEED OF 24-HOUR HOSPITALIZATION AND IS DESIGNED TO INCREASE PROBLEM SOLVING AND COMMUNICATION SKILLS AND ENHANCE SELF-ESTEEM. BHSET ALSO OFFERS A TRANSITION TO OUTPATIENT TREATMENT FOR THOSE WHO ARE READY AS WELL. 2.C. BHSET DISCHARGE PLANNERS WILL CONTINUE TO WORK WITH PATIENTS TO REFER THEM TO APPROPRIATE FACILITIES FOR THEIR NEEDED CARE, SUCH AS SPINDLETOP AND THE SPRINT TEAM, THE WOOD GROUP, THE DREAM CENTER, AND COMMUNITY BOARDING HOMES AND HALFWAY HOMES. 2.D. IN ADDITION TO RECRUITED PSYCHIATRISTS, BHSET OFFERS UTMB RESIDENT SERVICES ON WEEKENDS AND IS EXPLORING ESTABLISHING A PSYCHIATRIC RESIDENCY PROGRAM. 2.E. BHSET WILL CONTINUE TO BE AVAILABLE TO SPEAK AT LOCAL MIDDLE AND HIGH SCHOOLS WITH REGARD TO PROMOTING MENTAL OR BEHAVIORAL HEALTH ON AN AS NEEDED BASIS. BHSET PERSONNEL HAVE PRESENTED TO LOCAL MIDDLE AND HIGH SCHOOLS ON EMERGING ISSUES SUCH AS BULLYING, SELF HARM, AND RECREATIONAL DRUG ABUSE. 2.F. BHSET IS AN ACTIVE MEMBER OF THE COMMUNITY MENTAL HEALTH CONSORTIUM, INCLUDING ALL 3 HOSPITALS IN THE AREA AS WELL AS LAW ENFORCEMENT AND EMS SERVICES, THAT MEETS PERIODICALLY TO DISCUSS HOW TO BETTER ADDRESS MENTAL HEALTH SERVICES IN THE COMMUNITY. 2.G. BHSET WILL CONTINUE TO PROVIDE TRANSPORTATION FOR MENTAL HEALTH PATIENTS TO GET TO THEIR NECESSARY THERAPY THROUGH THE MOBILE VANS. 2.H. BHSET WILL CONTINUE TO PROVIDE GERIATRIC PSYCHIATRY SERVICES THROUGH ITS SENIOR CARE UNIT. 2.I. UPON DISCHARGE FROM THE BEHAVIORAL HEALTH CENTER, PATIENTS MAY SEEK AVAILABLE SERVICES THROUGH THE INTENSIVE OUTPATIENT PROGRAM TO CONTINUE THEIR CARE AS NEEDED. 2.J. BHSET OFFERS ELECTROCONVULSIVE THERAPY (ECT) SERVICES, AS THE ONLY FACILITY TO OFFER SUCH SERVICES BETWEEN HOUSTON, TX AND NEW ORLEANS, LA. 2.K. UNDER GRANT FUNDING, BHSET OFFERS ART AND MUSIC THERAPY SERVICES FOR PATIENTS THAT MAY BENEFIT FROM SUCH SERVICES. 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. BHSET RECENTLY COMPLETED ITS MEDICAL STAFF DEVELOPMENT PLAN TO OUTLINE A PHYSICIAN/PROVIDER RECRUITMENT PLAN FOR THE NEXT FEW YEARS AND WILL USE THIS REPORT AS A ROADMAP FOR ITS RECRUITMENT EFFORTS. 3.B. BHSET WILL CONTINUE TO PROVIDE EMERGENCY COVERAGE FOR UNINSURED PATIENTS FOR PRIMARY AND SPECIALTY CARE SERVICES. 3.C. BHSET WILL CONTINUE IMPLEMENTATION OF THE CIHQ STROKE CERTIFIED PROGRAM AND GROW THE STROKE EDUCATION PROGRAM TARGETING THE FOLLOWING COUNTIES: HARDIN, ORANGE, JASPER, JEFFERSON, A VASCULAR DISEASES RELATED TO STROKES, MONTHLY STROKE MEETINGS AND COMMUNITY AND EMPLOYEE EDUCATIONAL EVENTS. AND TYLER COUNTIES. THIS WILL INCLUDE EDUCATIONAL PROGRAMS ON THE PREVENTION OF VASCULAR DISEASES RELATED TO STROKES, MONTHLY STROKE MEETINGS AND COMMUNITY AND EMPLOYEE EDUCATIONAL EVENTS. 3.D. BHSET WILL CONTINUE TO INCREASE ACCESS TO CARE THROUGH THE PROVISION OF TELEHEALTH SERVICES TO APPLICABLE PATIENTS. 3.E. BHSET OFFERS THE INFUSION CLINIC IN JASPER COUNTY FOR RHEUMATIC AND CANCER-RELATED PATIENTS. 3.F. BHSET WILL CONTINUE ITS BAPTIST HOSPITAL SCHOOL OF RADIOLOGICAL TECHNOLOGY, WHICH HAS BEEN ACCREDITED BY THE AMERICAN BOARD OF HEALTH EDUCATION SERVICES (ABHES), TO PROVIDE ACCEPTED STUDENTS WITH CLINICAL ROTATION EDUCATION OVER A SPAN OF 2 YEARS. STUDENTS GRADUATE WITH AN ASSOCIATE'S DEGREE. 3.G. BHSET WILL CONTINUE TO SERVE AS A TEACHING FACILITY FOR RADIOLOGY, RN, RESPIRATORY THERAPY, PHARMACY AND DIETETICS STUDENTS. 3.H. BHSET WILL PROVIDE ROTATIONS FOR 3RD AND 4TH YEAR MEDICAL STUDENTS AT SAM HOUSTON STATE UNIVERSITY, AND ROTATIONS FOR 3RD AND 4TH YEAR OBSTETRIC STUDENTS AT UTMB. 3.I. BHSET WILL CONTINUE TO OFFER CANCER RELATED CLINICAL TRIALS IN CONJUNCTION WITH UTMB. 3.J. BHSET WILL CONTINUE TO EXPLORE OPPORTUNITIES TO EXPAND ACCESS TO PROVIDERS AND SERVICES IN THE PRIMARY AND SECONDARY SERVICE AREAS. 3.K. BHSET WILL CONTINUE ITS PARTNERSHIP WITH THE LEGACY CLINIC AND LOCAL OB/GYNS TO COORDINATE DELIVERIES AT THE HOSPITAL FOR THE UNDERSERVED POPULATIONS. PRIORITY #4: INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO EMPHASIZE AND EDUCATE COMMUNITY MEMBERS ON EXISTING HEALTH CARE RESOURCES. 4.A. THE ON-SITE SMARTHEALTH CLINIC AT BHSET IS DESIGNED TO FOLLOW UP WITH HIGH-RISK, RECENTLY DISCHARGED EMERGENCY ROOM PATIENTS WHO HAVE CHRONIC DISEASES SUCH AS ACUTE HEART FAILURE, COPD, DIABETES AND/OR HYPERTENSION. PATIENT DEMOGRAPHICS INCLUDE UNINSURED, INDIGENT, MEDICAID AND UNDERSERVED. NAVIGATORS AT THE CLINIC MAKE SURE THAT ALL OF THE PATIENTS' TRANSPORTATION NEEDS ARE MET AND ASSIST THEM IN FINDING LOW-COST OR FREE HEALTH RESOURCES THAT THEY MIGHT QUALIFY FOR IN THE COMMUNITY. 4.B. BHSET WILL CONTINUE ITS CONTRACT WITH SAVISTA TO ASSIST PATIENTS IN GETTING THEM SIGNED UP FOR ANY HEALTH COVERAGE THAT THEY MAY QUALIFY FOR. SAVISTA ALSO ASSISTS IN HELPING MOTHERS AND THEIR BABIES SIGN UP FOR MEDICAID AND CHIP. 4.C. BHSET WILL CONTINUE TO COORDINATE EVENTS DURING DESIGNATED MONTHS, SUCH AS STROKE AWARENESS IN MAY, PROSTATE CANCER IN SEPTEMBER, BREAST CANCER AWARENESS IN OCTOBER, AND LUNG CANCER AWARENESS IN NOVEMBER THAT MAY INCLUDE THE PROVISION OF LOW COST OR FREE RELATED SCREENING SERVICES. 4.D. BHSET WILL CONTINUE TO SUPPORT AND/OR PARTICIPATE IN ROUND TABLE EVENTS (MINISTRY, PHYSICIANS, ETC.) TO BETTER EDUCATE VARIOUS COMMUNITY MEMBERS ON SERVICES AVAILABLE LOCALLY. 4.E. BHSET WILL CONTINUE TO INCREASE AWARENESS OF ITS PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS. PRIORITY #5: CONTINUED FOCUS ON COVID-19 PREVENTION AND RESPONSE OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC 5.A. BHSET WILL CONTINUE TO PROVIDE EDUCATION ON COVID-19 AS OPPORTUNITIES ARISE. 5.B. BHSET 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. 5.C. BHSET CONTINUES TO REPORT COVID-19 TEST AND PATIENT ADMISSIONS DATA TO THE STATE AND CENTERS FOR DISEASE CONTROL (CDC) IN AN ONGOING EFFORT TO SHARE TIMELY INFORMATION AND RESEARCH REGARDING THE PANDEMIC. VACCINATION RATES AT THE HOSPITAL ARE ALSO PROVIDED. PRIORITIES NOT ADDRESSED: BHSET DECIDED EXPLICITLY NOT TO ADDRESS "ACCESS TO DENTAL CARE SERVICES" LARGELY DUE TO ITS POSITION (LAST) ON THE PRIORITIZED LIST AND THE HOSPITAL'S CAPACITY TO ADDRESS THAT NEED SINCE IT IS NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL and the leadership team felt that resources and efforts would be better spent addressing the remaining prioritized needs. WHILE BHSET ACKNOWLEDGES THAT THIS IS A SIGNFICANT NEED IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THESE AREAS, THE IDENTIFIED PRIORITY WILL NOT BE ADDRESSED BY THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - BAPTIST BEAUMONT HOSPITAL. BHSET DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2023 WAS PREPARED BY VIVANTI GROUP, LLC WITH THE ASSISTANCE OF OUR CORPORATE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Benefit Expense Line 7A: Ratio of cost to charges for the patients that received a charity discount based on the hospitals cost accounting system. Line 7B: Ratio of cost to charges for the Medicaid patients based on the hospitals cost accounting system Line 7C: Ratio of cost to charges for the CHIP patients based on the hospitals cost accounting system Line 7E: Actual Expenses less any direct offsetting revenue Line 7F:Actual Expenses less any direct offsetting revenue Line 7I: Actual expense of the contribution</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Hospitals of Southeast Texas (BHSET) operates as a not-for-profit healthcare system with spiritual values dedicated to providing high quality healthcare services to improve the health of the community that we serve. BHSET supports many community projects through funding or donated hours. During the 2022 - 2023 fiscal year, BHSET contributed to community agencies in the amount of $506,775.74 for sponsorships, donations of funds, supplies, testing and the labor of our employees, an increase of 8% from last fiscal year. (See listing of philanthropic contributions) The hospital utilizes social media platforms with over 16,000 followers (year over year increase of 8%) and multiple websites to connect with the public, educating and encouraging awareness of disease processes and how to be a healthier community. Physicians and staff participate in roundtable discussions, PSA videos, healthcare panels, Rotary meetings, and public events to promote education, prevention, and treatment initiatives. Employees &amp; physician partners educated over 400 Southeast Texas women for the first time at the BBB Professional Women's Conference, provided guest speakers for the Lamar University Nursing School and hosted a Colon Cancer Awareness event for 125 individuals. Additionally, Baptist staff engaged with 300 Lamar nursing students and faculty to discuss the Faith Community Nursing program and the challenges faced in the community, and participated in seven public and private events to discuss HIV education in our community as well as legislation geared to helping affected individuals. BHSET proudly provides support groups for patients and families including Diabetes, Bariatrics and Childbirth Education. Representatives from the Behavioral Health Center partnered with ExxonMobil to launch a Suicide Awarness initiative throughout all 3 local plants, Women's Services staff participated in a community NICU evacuation drill, and Baptist hosted a meeting of the Jefferson County Medical Society for 40 physicians. Education efforts also included delivery of Hepatitis C facts to 2400 homes, participation in the community World AIDS event, and distribution of literature on bariatrics and cancer to over 1700 seniors at the Senior Expo. BHSET supports the community through blood drives in conjunction with LifeShare, collecting 121 units in the fiscal year 2022-2023, and hospital leadership donated over 200 hours to the Southeast Texas Food Bank, packing meals for underprivileged Southeast Texans. Through the twice-annual Partners In Caring Jewelry Show and 2 holiday contests, employees raised over $17,000 for the Employee Emergency Fund and the Chaplains Emergency Fund. Employees and families adopted 125 children, seniors and cancer patients for the holiday season, giving toys, clothes and gift cards to community members in need. Through various community partnerships, another 75 plus children and families received gifts and blankets at Christmas and throughout the year. Baptist Hospitals of Southeast Texas is instrumental in helping to recruit and attract physicians to Southeast Texas, and in the fiscal year 2022-2023, BHSET helped 22 physicians find a practice in the community. The Partners in Education Program provides the mechanism for an established relationship between BHSET and several local elementary and high schools including Regina-Howell Elementary, Community Christian School, Nederland High School, Orangefield High School, Hamshire-Fannett ISD, Westbrook High School, and All Saints Episcopal School. BHSET contributes to both students and staff by providing donated hours for school events, hosting student tours and shadowing programs, providing flu vaccines and wellness information to staff, and also provides funding for school activities. Some examples of the services BHSET provided during fiscal year 2022-2023: presented health topics and career opportunities to teachers and students at two local high schools, held monthly meetings for admin and faculty with speakers on healthcare-related topics, educated Middle &amp; High School students on Nutrition, educated school nurses, toured 50 HOSA students, toured over 42 students and faculty from the Junior Leadership group throughout our facilities. BHSET continues to increase presence in the community through community partnerships and collaborations. BHSET has a strong focus on education and awareness about HIV, providing extensive testing and linkage to care. In collaboration with the Public Health Department, 25,253 HIV screens were provided with 259 positives identified and 249 linked to continued care. Additionally, HCV testing to 19,419 resulted in 337 positives with 216 linked to continuation of care. Testing is provided at no cost regardless of ability to pay. The Julie Rogers Gift of Life Mammogram Program was established in 1993 as a collaborative effort between the Julie &amp; Ben Rogers Cancer Institute, BHSET, and the University of Texas Medical Branch. The Gift of Life has made mammography services available to women/men in need but were unable to obtain the procedure due to financial limitations or other constraints. Since the inception of this program, over 28,600 free mammograms have been provided to women/men in Southeast Texas. During fiscal year 2022 - 2023, 1,356 mammograms were provided at Baptist Beaumont Hospital and Baptist Orange Hospital. In addition, BHSET reaches out to the community by offering numerous classes, speakers and informational activities. Hospital personnel are available as speakers for civic groups, industrial partners, media appearances and health fairs to address the health needs of our community defined by our Community Health Needs Assessment. In fiscal year 2022-2023, outreach to 50,197 provided information needed to make healthy lifestyle choices. (See listing of educational endeavors) The Department of Religion at BHSET provides numerous benefits to patients, family members and the community at large. The chaplains provide financial assistance through the Chaplain's Emergency Fund. In the fiscal year 2022-2023, $34,355.74 was donated for medicine, food, housing and travel to 587 patients and family members throughout Southeast Texas. This is more than a $10,000 increase in support from the previous fiscal year. Additionally, the chaplains provide sessions of pastoral counseling to individuals in the community. The Congregational Health Ministry (Parish Nursing) programming provided unreimbursed services and training to the community through training Faith Community Nurses to function in their respective congregations and assisting them with implementation of their congregational health programming. Dept expenses include unreimbursed preventive care services to Southeast Texas community, salary and benefits of faculty, scholarships to nurses and operating expenses for the Faith Community Nursing Department. For 75 years, BHSET has provided services to the nine-county area for which we serve. Meeting the community's needs has always been the underlying principle upon which this hospital was founded. BHSET continues to make fundamental differences in the general health and well-being of the communities we serve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivable are recorded in the accompanying consolidated balance sheets at net realizable value based on certain assumptions. In evaluating the collectability of patient accounts receivable, BHSET 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT THE MEDICARE SHORTFALL IS TREATED AS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN DEBT COLLECTION POLICY PATIENTS WITHOUT A PAYOR SOURCE ARE EDUCATED ABOUT THE HOSPITAL'S CHARITY POLICY. BASED UPON THE HOSPITAL'S CHARITY POLICY, A PATIENT MAY QUALIFY FOR CHARITY ON A SLIDING SCALE. THE MINIMUM CHARITY LEVEL IS 10% UP TO A MAXIMUM OF 100%. PATIENTS THAT QUALIFY FOR CHARITY HAVE THEIR ACCOUNT REDUCED BASED ON THE LEVEL OF CHARITY THEY QUALIFY FOR. PATIENTS WITH A BALANCE REMAINING AFTER APPLICATION OF THE CHARITY ARE HANDLED CONSISTENT WITH THE HOSPITAL'S COLLECTION POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BAPTIST BEAUMONT HOSPITAL: Line 16a URL: HTTPS://WWW.BHSET.NET/PATIENTS-VISITORS/PATIENT-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BAPTIST BEAUMONT HOSPITAL: Line 16b URL: HTTPS://WWW.BHSET.NET/PATIENTS-VISITORS/PATIENT-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BAPTIST BEAUMONT HOSPITAL: Line 16c URL: HTTPS://WWW.BHSET.NET/PATIENTS-VISITORS/PATIENT-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY NEEDS ASSESSMENT AS REPORTED IN PART V, SECTION B, LINES 1-7, A COMPREHENSIVE CHNA WAS CONDUCTED FOR BAPTIST HOSPITALS OF SOUTHEAST TEXAS DURING FISCAL YEAR ENDED JUNE 30, 2022. BAPTIST HOSPITALS OF SOUTHEAST TEXAS, (BHSET), 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 BHSET'S GOVERNING BOARD ON MARCH 28, 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 ARE GATHERED FROM THE TEXAS HEALTH PROMOTION UNIT OF THE TEXAS DEPARTMENT OF STATE HEALTH. INTERVIEWS WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN ORANGE AND JEFFERSON COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS ARE ALSO CONDUCTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION PATIENTS WITHOUT A PAYOR SOURCE ARE EDUCATED ABOUT THE HOSPITAL'S CHARITY POLICY. PATIENTS RECEIVE PLAIN LANGUAGE INFORMATION ON CHARITY PROGRAMS DURING THE REGISTRATION PROCESS. FINANCIAL ASSISTANCE SCREENERS FOLLOW UP DIRECTLY WITH PATIENTS TO OFFER ASSISTANCE WITH COMPLETING FINANCIAL ASSISTANCE APPLICATIONS. THROUGHOUT THE ENTIRE REVENUE CYCLE ALL CORRESPONDENCE WITH THE PATIENT INCLUDES INFORMATION REGARDING THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM AND HOW TO APPLY FOR ASSISTANCE. THE FACILITY WEBSITE HAS INFORMATION AND A DIRECT LINK FOR APPLICATION ASSISTANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION BAPTIST HOSPITALS OF SOUTHEAST TEXAS(BHSET), IS AN ACUTE CARE HOSPITAL LOCATED IN BEAUMONT, TEXAS ONLY 25 MILES FROM THE BORDER OF LOUISIANA. THE DEFINED SERVICE AREA OF BHSET IS DEFINED AS JEFFERSON COUNTY AND ORANGE COUNTY IN TEXAS BASED ON HOSPITAL INPATIENT DISCHARGE DATA. BOTH COUNTIES COMBINED COMPRISE 70.3% OF FISCAL YEAR 2021 INPATIENT DISCHARGES. IN 2021, THE POPULATION OF JEFFERSON COUNTY WAS 253,780 AND THE POPULATION IS ONLY EXPECTED TO INCREASE 1 PERCENT BY 2026. THE POPULATION OF ORANGE COUNTY IN 2021 WAS 85,169 AND IS ONLY EXPECTED TO INCREASE 1.5% BY 2026. THE MAJORITY OF RESIDENTS IN BOTH JEFFERSON AND ORANGE COUNTY IDENTIFY AS WHITE-NON HISPANIC AT 48.4% AND 83.7%, RESPECTIVELY (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 IN ORANGE COUNTY HAD 7,744 RESIDENTS IN THE COUNTY. IT IS THE FASTEST GROWING POPULATION IN ORANGE COUNTY AND IS EXPECTED TO INCREASE 23.1% BY 2026. ON THE OTHER HAND, THE ENTIRE POPULATION IN JEFFERSON COUNTY IS EXPECTED TO INCREASE ONLY 1%, AMONG EACH RACE/ETHNITY, BY 2026. IN 2021, THE MEDIAN AGE IN ORANGE COUNTY WAS 40.7 YEARS AND THE MEDIAN AGE IN JEFFERSON COUNTY WAS 37.5 YEARS. BOTH COUNTIES HAVE OLDER MEDIAN AGES THAN THE STATE OF TEXAS WHICH IS 35.3 YEARS. THE MEDIAN AGE IN BOTH COUNTIES AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS. IN 2021, THE MEDIAN HOUSEHOLD INCOME IN JEFFERSON COUNTY WAS $53,789, WHICH WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN ORANGE COUNTY OF $65,460 AND THE STATE OF TEXAS OF $63,524. JEFFERSON COUNTY AND ORANGE COUNTY HAVE LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE. JEFFERSON COUNTY ALSO HAD THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO ORANGE COUNTY AND THE STATE IN 2021. THERE ARE HIGHER RATES OF OVERALL FOOD INSECURITY, CHILD FOOD INSECURITY AND A HIGHER AVERAGE MEAL COST IN JEFFERSON COUNTY AND ORANGE COUNTY THAN IN THE STATE. IN 2020, BOTH JEFFERSON AND ORANGE COUNTIES HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE. OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN BOTH COUNTIES DECREASED. FOR JEFFERSON AND ORANGE COUNTIES, MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (10.1 AND 9.1, RESPECTIVELY) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (15.6 AND 13.8, RESPECTIVELY). HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN BOTH JEFFERSON COUNTY AND. ORANGE COUNTY. BETWEEN 2017 AND 2019 OVERALL MORTALITY RATES IN BOTH JEFFERSON AND ORANGE COUNTIES REMAINED HIGHER THAN THE STATE. HOWEVER, OVERALL MORTALITY RATES IN BOTH COUNTIES AND THE STATE DECREASED BETWEEN 2017 AND 2019. ADDITIONALLY, BOTH COUNTIES HAVE HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS OBESITY, HIGH BLOOD PRESSURE FOR MEDICARE BENEFICIARIES, ARTHRITIS, AND ADULTS (18+) WITH ASTHMA THAN THE STATE. SEDENTARY LIFESTYLE AND CULTURAL FACTORS ARE ALL CONTRIBUTORS TO THESE CHRONIC HEALTH CONDITIONS. AS OF NOVEMBER 30, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED IN JEFFERSON COUNTY (48.6%) IS HIGHER THAN ORANGE COUNTY (36.4%) BUT LOWER THAN THE STATE (59.0%). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS TOBACCO USE IN BOTH COUNTIES THAN IN THE STATE. IN 2018-2020, JEFFERSON ANGE COUNTIES (13.4%) HAD A LOWER PERCENTAGE OF ADULTS (AGE 18+) AT RISK OF BINGE DRINKING THAN THE STATE (17.2%). WITH REGARD TO MATERNAL AND CHILD HEALTH, JEFFERSON COUNTY HAS HIGHER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE THAN ORANGE COUNTY BUT LOWER RATES THAN THE STATE OF TEXAS. AS OF 2017, BOTH JEFFERSON AND ORANGE COUNTIES, HAD HIGHER TEEN (AGE 0-19 YEARS) BIRTH RATES THAN THE STATE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH BAPTIST HOSPITALS OF SOUTHEAST TEXAS HAS COMMITTED TO IMPROVING THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE. IT IS A PART OF OUR MISSION TO GIVE BACK A CERTAIN AMOUNT OF OUR ORGANIZATIONAL RESOURCES TO OUR COMMUNITIES IN THE FORMS OF EDUCATION, PHILANTHROPY, VOLUNTEERISM AND OTHER ACTIVITIES. THE FOLLOWING IS A SYNOPSIS OF THE 2022-2023 COMMUNITY ACTIVITIES: Community-wide &amp; Hospital/employee initiatives Gift of Life Free Mammogram Program Lung Screening A-Fib Awareness Breast Cancer Awareness Diabetes Awareness Stroke Awareness Mental Health Awareness GERD Awareness HIV Awareness Bariatrics Support Groups Smoking Cessation Colorectal Cancer Awareness Childbirth Education ECMO Suicide Awareness Baptist Hospitals of Southeast Texas launched the Extracorporeal Membrane Oxygenation (ECMO) Program. Born of necessity in Southeast Texas for COVID-19 patients, this life-saving treatment is the only of its kind in the area, increasing life expectancy for those in need of this treatment from 0% to 17-50%. Completing this treatment takes an entire team including physicians, nurse practitioners, registered nurses, respiratory therapists, lab technicians and dieticians. Baptist Hospital Foundation received funding from the American Cancer Society. The Foundation was awarded $75,000 to fund transportation for cancer patients to and from appointments and treatments, as well as lodging in close proximity to treatment locations. Baptist Nurses Win "Co-Authors of the Year". Emergency Room nurses Amber Adams, DNP, RN, CEN and Melissa Thompson, APRN, FNP-C win award for their article "Cesarean Scar Ectopic Pregnancy: A Case Report" in the Journal of Emergency Nursing. IM Resident awarded Outstanding Fellow - a first ever for the committee. Baptist Internal Medicine resident Ahmed Hakeem, MD was awarded "Texas Society of Clinical Oncology 2022 Outstanding Fellow". For the first time ever, the committee elected a Resident instead of a Fellow to present his research. Baptist School of Radiologic Technology graduates the 71st class. Sixteen graduates, 100% pass rate. Baptist Foundation received a donation from the Valero Benefit for Children for $150,000. This award will go to the Children's Unit at Baptist Behavioral Health Center. Baptist Hospitals of Southeast Texas held the second graduation for the newly-implemented Internal Medicine Residency Program and received a renovation of classrooms and lounge. The 2023 class was the 2nd since the program's inception, graduating 5 Internal Medicine Residents. During the year, BHSET completed construction of a new classroom, lounge, kitchen, sleep rooms and a computer lab for the remaining 8 residents plus the 13 new residents beginning the same year. Baptist Hospitals Residency Program added Psychiatry Residency. In this first year the program welcomed 4 new residents in the first semester plus 1 additional resident in the second semester for a total of 5. BHSET had the only Psychiatric Residency program approved in the state of Texas. Baptist Hospitals Foundation donates $90,000 to Lamar University. The Foundation gift to the Joann Gay Dishman School of Nursing is to help secure faculty for the program to continue educating future nurses for the Southeast Texas healthcare community. Baptist Hospital Foundation received allocations for Behavioral Health Expansions. Texas Legislation allocated $6 million in HB 1 for a new outpatient integrated behavioral health clinic and $64 million in SB 30 for 72 new inpatient mental health beds at Baptist Hospitals of Southeast Texas. By expanding capacity for inpatient care, Baptist will be able to address the pressing issue of limited resources and long wait times faced by individuals seeking acute mental health treatment and those with competency restoration needs. Baptist Cancer Programs renewed NAPBC, COC and APEX accreditations. The Baptist Cancer Network remains the only accredited program in the area, with renewals in FY 2023 of the National Accreditation Program for Breast Centers (NAPBC), Commission on Cancer (COC) and APEx (Accreditation Program for Excellence) in Radiation Oncology, signifying that the BCN maintains the highest standards regarding patient quality, safety and care. Baptist Hospital Foundation received $35,000 grant from the Mildred Yount Manion Charitable Foundation. The award was utilized to purchase replacement panda beds for newborns. Baptist Hospitals of Southeast Texas reached robotic milestones. Dr. Alex Ordonez, General Surgeon, completed his 500th robotic surgery case at Baptist, completed his first bariatric surgery on the robot, and Baptist acquired a second robot, allowing for more surgeries to be completed that will result in faster recovery, shorter hospitalizations and less pain and scarring for patients. Baptist Physician Network doctor receives appointment to ABIM panel. Dr. Ahmad Qurie was appointed to the American Board of Internal Medicine panel for exam evaluation. He was chosen on a national level along with 10 other Rheumatologists based on physicians with the highest exam scores. Baptist Cancer Network partners with Baptist Physician Network to introduce SpaceOAR. Baptist Physician Network's Dr. Preston Kerr became the only Urologist in Southeast Texas to offer SpaceOAR Hydrogel for patients undergoing treatment for prostate cancer. The hydrogel is designed to reduce the radiation dose delivered to the rectum during prostate cancer treatments and preserve healthy tissue for fecal continence once treatments are complete. Executive Chef receives National Award. Baptist Executive Chef Cathy Zachary was recognized by the National Black Chef's Association as one of the top chefs in the nation. Baptist Hospitals of Southeast Texas is redesignated as a Level IV Trauma Center. BHSET provides resuscitation, stabilization, and arrangement for proper transfer of trauma patients to a higher level trauma facility when medically necessary. BHSET provides definitive treatment to trauma patients within its capability, and trauma registry qualifying patients are entered into the State Trauma Registry. BHSET is an active member of Southeast Texas Regional Advisory Council (SETRAC), East Texas Gulf Coast Regional Trauma Advisory Council (RAC-R), and the Local Emergency Preparedness Council (LEPC), participating in state-wide regional and local disaster planning and preparedness. Due to BHSET's continued commitment to deliver quality trauma care, the hospital was awarded redesignation as a Level IV Trauma Center. Baptist Cancer Network launches the Breast Concierge Program. Designed to help women get from screening mammogram to diagnosis and then treatment, this is the result of a partnership between the Cancer Network and the Dauphin women's center. It involves a collaboration between nurse practitioners at the Dauphin Center and navigators at the Cancer Network to ensure swift identification of concerning mammograms followed by biopsies, surgery when needed, and then treatment by medical or radiation oncology. Throughout the year, the concierge program has doubled the number of breast cancer cases identified and navigated through the Cancer Network. Baptist ER Physician receives patent on life-saving device. Dr. Ali Osman, through his experiences over 20 years at Baptist Hospitals of Southeast Texas Emergency Room, devised an apparatus aimed at accessing blocked airways faster. The "Ozman Cricoscope" will aid in reducing the time to perform a life-saving tracheostomy or cricothyrotomy and received an official patent from the USPTO. Baptist launched Digital Patient Guide. Every inpatient room has a visible QR code whereby patients can scan and access the entire patient guide digitally from their inpatient bed. Added in patient menus, TV guide and other convenience features in addition to standard policies, patient education and FAQs. Baptist Bariatric, Reflux and Metabolic Center receives reaccreditation. The Bariatric program received a renewal of its (Metabolic &amp; Bariatric Surgery Accreditation and Quality Improvement Program ( MBSAQIP) accreditation.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEM BAPTIST HOSPITALS OF SOUTHEAST TEXAS CONSISTS OF BAPTIST BEAUMONT HOSPITAL, A 483 BED, GENERAL ACUTE CARE HOSPITAL. BAPTIST BEAUMONT HOSPITAL INCLUDES THE BEN &amp; JULIE ROGERS CANCER CENTER, FANNIN BEHAVIORAL HEALTH CENTER AND A 15 BED INPATIENT REHAB UNIT. THE HOSPITAL HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE ITS INCEPTION AND CONTINUES TO SEARCH FOR WAYS TO BETTER SERVE OUR COMMUNITIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>TX</ExplanationTxt>
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        <ExplanationTxt>THE DIRECTOR OF MARKETING MAINTAINS THE RECORDS TO SUBSTANTIATE ANY RECIPIENT (OTHER THAN EMPLOYEES) THAT RECEIVES GRANTS OR ASSISTANCE FROM BAPTIST HOSPITALS OF SOUTHEAST TEXAS. THIS IS ALSO RECORDED ON OUR ANNUAL COMMUNITY BENEFITS REPORT. RECORDS ARE MAINTAINED TO DOCUMENT AND MONITOR THE AMOUNT OF ASSISTANCE AS WELL AS THE SELECTION CRITERIA USED TO GRANT THE AWARD.</ExplanationTxt>
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        <OtherCompensationRltdOrgsAmt>4910</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>26068</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32814</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>477381</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JULIE A BOOTHMAN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CONTROLLER</TitleTxt>
        <BaseCompensationFilingOrgAmt>207707</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>56085</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>290792</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>AILY POWELL</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DIRECTOR OF PHARMACY</TitleTxt>
        <BaseCompensationFilingOrgAmt>186896</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>52306</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14995</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>254197</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>WILLIAM P TOON</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>248157</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>72831</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>341488</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DEBORAH HALL</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DIRECTOR OF NUSRING ADMIN</TitleTxt>
        <BaseCompensationFilingOrgAmt>155579</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>49918</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4278</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209775</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DORRELL DIXON</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Admissions Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>207538</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2912</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>230950</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION (CHC), AND THEREFORE FOLLOW THE COMPENSATION POLICY OF SOUTHWEST COMMUNITY HOSPITAL, ITS CLASS A MEMBER, WHICH IN TURN FOLLOWS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $186,178 LINDA MOORE - $20,980</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE CONSOLIDATED EBIDA OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a continued</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH THE ADDITION OF A FIFTY TWO BED PATIENT TOWER, A CONVENIENT CARE CLINIC, A NEW 64 SLICE CT SCANNER AND MRI THAT ALLOWS PHYSICIANS NEW INNOVATIONS IN TECHNOLOGY, AND THE NEWLY ESTABLISHED INFANT TRANSPORT TEAM, BAPTIST BEAUMONT HOSPITAL CONTINUES TO CARRY ITS COMMITMENT TO SOUTHEAST TEXAS INTO THE TWENTY-FIRST CENTURY. SINCE 1949, BHSET HAS CONTINUOUSLY INVESTED IN THE LATEST MEDICAL INSTRUMENTS, EQUIPMENT AND TECHNOLOGY TO ASSURE THE RIGHT HEALTHCARE FOR SOUTHEAST TEXAS IS RIGHT HERE. IN THE HANDS OF OUR HIGHLY SKILLED PARTNERS IN CARING-OUR DOCTORS, NURSES AND TECHNICIANS THESE 'INSTRUMENTS:' -BRING NEW HOPE TO COUNTLESS CANCER AND HEART PATIENTS; -ASSURE THAT HEALTHCARE FOR KIDS IS JUST THE RIGHT SIZE; AND -HELP US SAFELY DELIVER THE NEXT GENERATION OF SONS AND DAUGHTERS AND BROTHERS AND SISTERS. AS A PART OF THE COMMITMENT TO THE BEAUMONT COMMUNITY, BHSET OFFERS A VARIETY OF CLASSES AND ACTIVITIES. THESE EVENTS RANGE FROM COURSES DESIGNED TO HELP PATIENTS COPE WITH VARIOUS HEALTH PROBLEMS TO CHILDBIRTH PREPARATION, AND FROM INFANT CPR AND SAFETY TO A DRIVING SAFETY COURSE FOR MATURE ADULTS. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, AND MEDIA APPEARANCE AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. DURING OUR RECENT FISCAL YEAR, OVER 50,197 INDIVIDUALS RECEIVED INFORMATION NEEDED TO MAKE HEALTHY LIFESTYLE CHOICES. THE STRONGEST AND MOST UNIQUE ASPECT OF BAPTIST CONTINUES TO BE A DEDICATED STAFF OF EMPLOYEES, PHYSICIANS AND VOLUNTEERS HELPING THE COMMUNITY TO HEAL, PROVIDING COMPASSIONATE CARE AND SERVICES. TOGETHER, WE CONTINUE TO ASSIST THE COMMUNITY IN MEETING OUR VISION OF PROVIDING HIGH QUALITY HEALING HEALTHCARE IN A CHRISTIAN ENVIRONMENT. THE BHSET ARE NOT-FOR-PROFIT, COMMUNITY OWNED, HEALTH CARE FACILITIES WITH SPIRITUAL VALUES, DEDICATED TO PROVIDING HIGH QUALITY HEALTH SERVICES AND SACRED WORK IN A CHRISTIAN ENVIRONMENT. FOR THE YEAR ENDING JUNE 30, 2023, BHSET PROVIDED THE FOLLOWING: 1. ADMISSIONS 13,751 2. AVERAGE DAILY CENSUS 188 3. BIRTH 1,308 4. TOTAL ER VISITS 64,644 5. TOTAL SURGERIES 6,423 ADDITIONAL INFORMATION IS AVAILABLE ON THE INTERNET AT WWW.BHSET.NET</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CLASS B MEMBER OF THE CORPORATION IS SOUTHWEST COMMUNITY HOSPITAL, INC. (SCH)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE TWO CLASSES OF MEMBERS DESIGNATED AS CLASS A AND CLASS B. THE SOLE CLASS A MEMBER OF THE CORPORATION IS SOUTHWEST COMMUNITY HOSPITAL, INC., A TEXAS NON-PROFIT CORPORATION. THE SOLE CLASS B MEMBER IS SCH. SCH SHALL HAVE NO VOTING, VETO, APPROVAL, OR CONSENT RIGHTS AS THE CLASS B MEMBER OF THE CORPORATION OTHER THAN THE RIGHTS THAT ARE EXPRESSLY SET FORTH IN THE CERTIFICATE OF FORMATION OF THE CORPORATION OF THE BY LAWS. THE CLASS A MEMBER DETERMINES THE TOTAL NUMBER OF DIRECTORS, WHICH SHALL BE NO FEWER THAN THREE. AFTER HAVING RECEIVED NOMINATIONS FROM THE BOARD, AND AFTER CONSIDERING THE NOMINATIONS AS WELL AS OTHER CANDIDATES AT THE DISCRETION OF THE CLASS A MEMBER, THE CLASS A MEMBER, AT ITS ANNUAL MEETING, SHALL ELECT DIRECTORS FOR TERMS COMMENCING ON THE FIRST DAY OF THE NEXT MONTH FOLLOWING THE MONTH IN WHICH SUCH ELECTION OCCURS AND CONTINUING FOR THREE (3) YEARS AND UNTIL THEIR RESPECTIVE SUCCESSORS SHALL HAVE BEEN ELECTED AND QUALIFIED EXCEPT AS PROVIDED IN THE BYLAWS. AT LEAST (50) OF THE DIRECTORS APPOINTED BY THE CLASS A MEMBER SHALL BE MEMBERS OF THE BAPTIST DENOMINATION. UNLESS PROHIBITED BY LAW, ACTIVE MEMBERS OF THE BEAUMONT HOSPITAL MEDICAL STAFF ARE ELIGIBLE TO BE ELECTED AS DIRECTORS OF THE CORPORATION AND ARE ENTITLED TO THE SAME PRIVILEGES AND SUBJECT TO THE SAME RESPONSIBILITIES IN THE SAME MANNER AS OTHER INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ACTIONS WILL REQUIRE THE PRIOR WRITTEN CONSENT OF THE CLASS A MEMBER: (I) THE ESTABLISHMENT OF OR ANY CHANGE IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION. (II) ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OF THE CORPORATION. (III) ANY AMENDMENTS OR REVISIONS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION. (IV) THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE. (V) ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP, OR OPERATING AGREEMENT OR SIMILAR AGREEMENT OF ANY LIMITED LIABILITY COMPANY, TO WHICH THE CORPORATION IS A PARTY. (VI) THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. (VII) ALL MATERIAL EXPENDITURE DEVIATIONS ($100,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING BUDGET. (VIII) ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET. (IX) THE PURCHASE OR ACQUISITION OF ANY REAL, PERSONAL, OR MIXED PROPERTY BY THE CORPORATION IN EXCESS OF $100,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS. (X) THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION. (XI) ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF THE PERSONAL PROPERTY OF THE CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED $100,000. (XII) ANY DEBT OR FINANCING ARRANGEMENT OF THE CORPORATION, EXCEPT USUAL AND CUSTOMARY TRADE DEBTS WHICH ARE INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION. (XIII) THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR ANY SUBSIDIARY CORPORATION. (XIV) THE APPROVAL OF THE EMPLOYEE BENEFITS PROGRAMS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE CFO, CORPORATE CONTROLLER, AND HOSPITAL CONTROLLER, FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLIANCE OFFICER FOR BAPTIST HOSPITALS OF SOUTHEAST TEXAS MAINTAINS THE CONFLICT OF INTEREST STATEMENTS AND REGULARLY MONITORS THEM AS WELL AS ANY OTHER ACTIVITIES THAT MAY CONSTITUTE A CONFLICT OF INTEREST. THE ORGANIZATION'S PRACTICE IS TO SEND OUT ANNUAL DISCLOSURE QUESTIONNAIRES TO BOARD MEMBERS, SENIOR OFFICERS, AND DIRECTORS OF THE ORGANIZATION. THE RESPONSES ARE TAKEN TO THE AUDIT AND COMPLIANCE COMMITTEE OF BOARD MEMBERS TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. IF THERE IS ANY POSSIBILITY OF FINANCIAL GAIN BY A MEMBER FROM ANY DECISION THAT IS TO BE DELIBERATED ON, THEN THAT MEMBER IS REMOVED FROM THOSE DISCUSSIONS TO ENSURE THAT THE MEMBER WILL NOT TAKE PART IN ANY DELIBERATIONS THAT HE OR SHE MIGHT PERSONALLY GAIN FROM. THE MEMBER OPERATING UNDER A CONFLICT IS PROHIBITED FROM VOTING ON ANY MATTER TO WHICH THE CONFLICT RELATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION (CHC), AND THEREFORE FOLLOW THE COMPENSATION POLICY OF SOUTHWEST COMMUNITY HOSPITAL, ITS CLASS A MEMBER, WHICH IN TURN FOLLOWS 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. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>other - Total Revenue: 3622051, Related or Exempt Function Revenue: 3510005, Unrelated Business Revenue: 112046, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES - Total Expense: 18035638, Program Service Expense: 9902376, Management and General Expenses: 8133262, Fundraising Expenses: ; Contract Labor - Total Expense: 13753358, Program Service Expense: 12225595, Management and General Expenses: 1527763, Fundraising Expenses: ; Med Pro Fees - Total Expense: 12805281, Program Service Expense: 4779145, Management and General Expenses: 8026136, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Chaplain Mission Fund Error - CLA - -3154; BGCT Project - -600; Emp Educ - Ben Jackson - 246291; Hosp Based Ministry - -3105; Rounding - 1;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3(f)</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCEDURES FOR MONITORING USE OF GRANTS THE AMOUNT IN PART I, LINE 3, COLUMN F REPRESENTS ALL EXPENDITURES IN THE REGION. THE METHOD OF ACCOUNTING USED IS THE ACCRUAL METHOD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="22016089" softwareVersionNum="2022v5.0">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST PHYSICIAN NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3080 COLLEGE ST</AddressLine1Txt>
          <CityNm>BEAUMONT</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77701</ZIPCd>
        </USAddress>
        <EIN>760453250</EIN>
        <PrimaryActivitiesTxt>PRIMARY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BHSETX</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTHWEST COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7950 LEGACY DRIVE SUITE 1000</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>752725353</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>YOAKUM COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1200 CARL RAMERT DR</AddressLine1Txt>
          <CityNm>YOAKUM</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77995</ZIPCd>
        </USAddress>
        <EIN>742323822</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUECARE HOSPITAL OF TYLER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 E DAWSON ST</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>200991990</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARK'S MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE ST MARKS PLACE</AddressLine1Txt>
          <CityNm>LA GRANGE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78945</ZIPCd>
        </USAddress>
        <EIN>743019849</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHC COMMUNITY CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7950 LEGACY DRIVE SUITE 1000</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>371485773</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUECARE HOSP AT HENDRICK MED CTR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1900 PINE ST 5TH FL</AddressLine1Txt>
          <CityNm>ABILENE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79601</ZIPCd>
        </USAddress>
        <EIN>463607347</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUECARE HOSP BPTST HLT MADISONVILLE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>900 HOSPITAL DRIVE 4TH FL</AddressLine1Txt>
          <CityNm>MADISONVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42431</ZIPCd>
        </USAddress>
        <EIN>465033192</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUECARE HOSP AT BAPTIST HLT PADUCAH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2501 KENTUCKY AVENUE 5TH FL</AddressLine1Txt>
          <CityNm>PADUCAH</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42003</ZIPCd>
        </USAddress>
        <EIN>465032999</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUECARE HOSPITAL AT BAPTIST HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 TRILLIUM WAY</AddressLine1Txt>
          <CityNm>CORBIN</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40701</ZIPCd>
        </USAddress>
        <EIN>200925675</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CRAWLEY MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7950 legacy drive ste 1000</AddressLine1Txt>
          <CityNm>plano</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>560691100</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAR CC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAROLINAS COMMUNITY CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7950 LEGACY DRIVE SUITE 1000</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>465590355</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUECARE HOSPITAL AT ODESSA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>500 W 4TH STREET</AddressLine1Txt>
          <CityNm>ODESSA</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79761</ZIPCd>
        </USAddress>
        <EIN>473539943</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7950 LEGACY DRIVE SUITE 1000</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>752638469</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>YOAKUM COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1200 CARL RAMERT DRIVE</AddressLine1Txt>
          <CityNm>YOAKUM</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77995</ZIPCd>
        </USAddress>
        <EIN>453609830</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>YCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BHSETX FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>810 HOSPITAL DRIVE 235</AddressLine1Txt>
          <CityNm>BEAUMONT</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77701</ZIPCd>
        </USAddress>
        <EIN>611557670</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BHSET</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUECARE HOSPITAL AT PALMETTO HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7950 LEGACY DRIVE SUITE 1000</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>813048423</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY RESTORATIVE CARE HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10648 PARK ROAD</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28210</ZIPCd>
        </USAddress>
        <EIN>753054855</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAR CC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RURAL AND COMMUNITY HEALTHCARE COLLABORA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7950 LEGACY DRIVE SUITE 1000</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>814337246</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GAINEVILLE COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1900 HOSPITAL BLVD</AddressLine1Txt>
          <CityNm>GAINESVILLE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76240</ZIPCd>
        </USAddress>
        <EIN>831683025</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUNTSVILLE COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 MEMORIAL HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>HUNTSVILLE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77340</ZIPCd>
        </USAddress>
        <EIN>843654542</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HMH PHYSICIAN ORGANIZATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 MEMORIAL HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>HUNTSVILLE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77340</ZIPCd>
        </USAddress>
        <EIN>760500960</EIN>
        <PrimaryActivitiesTxt>PUBLIC CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HUNTSVILLE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH ASSURANCE SPC LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>POB 69GT</AddressLine1Txt>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>CAPTIVE INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL CONSULTING INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>7950 LEGACY DRIVE SUITE 1000</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75024</ZIPCd>
        </USAddress>
        <EIN>204710183</EIN>
        <PrimaryActivitiesTxt>MGMT CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>10528944</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Baptist Hospital of Southeast Texas Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>332644</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Baptist Physician Network</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>11451778</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
