2024-05-13T12:47:14+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2022-07-01 463607347 ContinueCare Hospital at Hendrick Medical Center Inc CONT 9729436400 7950 LEGACY DRIVE 1000 PLANO TX 75024 APRIL MYERS DIRECTOR/PRESIDENT 2024-05-13 true JAMES HILL 999009999 Jodi Rosser P01255710 8173351900 2024-04-30 2022 2023-04-26 12:10:37Z APRIL MYERS 7950 LEGACY DRIVE 1000 PLANO TX 75024 10528786 false 9703 X HTTPS://HENDRICK.CONTINUECARE.ORG/ X 2013 DE IT IS THE MISSION OF CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER (CCHHMC) TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTHCARE IN A LTACH ENVIRONMENT. 5 4 77 0 0 0 177872 16746 9926423 10464530 4969 7361 11440 40149 10120704 10528786 0 0 0 0 5246524 5418940 0 0 0 4570799 4834543 9817323 10253483 303381 275303 3519603 5668090 1277482 3677666 2242121 1990424 CCHHMC WILL PROVIDE AN APPROPRIATE VENUE IN THE CONTINUUM OF CARE FOR PATIENTS REQUIRING AN EXTENDED STAY IN AN ACUTE CARE SETTING AND WHO RESIDE IN OR AROUND ABILENE, TEXAS. CCHHMC IS ESTABLISHED TO PROVIDE LONG TERM, ACUTE CARE SERVICES TO INDIVIDUALS WITH CRITICAL DISEASE OR AS A "HOSPITAL WITH-IN A HOSPITAL". IT IS THE MISSION OF CCHHMC TO ENHANCE COMMUNITY HEALTH THROUGH SERVICES WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 8711288 0 10464530 CCHHMC IS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) OPERATING AS A "HOSPITAL WITH-IN A HOSPITAL" AT HENDRICK MEDICAL CENTER IN ABILENE, TEXAS. AS AN LTACH, CCHHMC PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN AN LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED 6/30/2023, CCHHMC TOTAL PATIENTS ADMITTED WERE 287 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 6,644. THE AVERAGE DAILY CENSUS WAS 18.2 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 22.9 DAYS. 8711288 true false false true false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false true false true 6 0 true 77 true false false false false false false false false false false false false X 5 4 false true false false true true true true false false false true true true true true true false false false X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS DIRECTOR/PRESIDENT 0.1 39.9 X X 0 392546 63494 RONALD BUTLER DIRECTOR/CHAIRMAN 1.0 0 X X 0 0 0 BRAD HOLLAND DIRECTOR 1.0 0 X 0 0 0 KATIE BETH ALFORD DIRECTOR 1.0 0 X 0 0 0 PEARL MERRITT DIRECTOR 1.0 0 X 0 0 0 Anna Rojas CEO (start 6/2023) 40.0 0.0 X 0 0 0 JAMES HILL TREASURER 0.4 39.6 X 0 394083 38701 LARRY ROBERSON CEO (until 3/2023) 40.0 0.0 X 0 183123 27679 LINDA MOORE SECRETARY 0.1 39.9 X 0 424165 33792 ASHLEIGH TEMPLIN REGISTERED NURSE 40.0 0 X 120538 0 25395 Danielle E Theisen Dir of Quality Management 40.0 0 X 119670 0 25731 GENEVA THOMAS REGISTERED NURSE 40.0 0 X 112767 0 44175 Le-Rhone E Crooks REGISTERED NURSE 40.0 0 X 146457 0 2197 MERI COMBS CNO (until 1/2023) 40.0 0.0 X 0 133749 34408 499432 1527666 295572 6 false true false 0 16746 16746 INPATIENT REVENUE 623000 10464530 10464530 0 0 0 0 10464530 7361 7361 0 0 0 0 OTHER INCOME 900099 40037 40037 MEDICAL RECORDS 900099 112 112 0 0 0 0 40149 10528786 10464530 0 47510 X 4489768 3995894 493874 80139 71324 8815 550537 489978 60559 298496 265661 32835 370973 0 370973 0 0 0 61814 0 61814 11634 11634 0 1873550 1686195 187355 0 12480 12480 0 14945 2690 12255 253074 0 253074 0 0 0 627141 620870 6271 47316 0 47316 1537 0 1537 0 0 0 0 0 0 47413 47413 0 136998 136998 0 MEDICAL SUPPLIES 956396 956396 0 EQUIPMENT LEASE 321395 315878 5517 LICENSE & PERMITS 45394 45394 0 REPAIRS & MAINTENANCE 18370 18370 0 34113 34113 0 0 10253483 8711288 1542195 0 1473893 1346210 0 0 0 0 1205846 1331593 0 0 0 0 0 0 93489 86932 175966 170204 3565535 832384 570409 2733151 0 0 0 0 0 0 3519603 5668090 661986 849647 0 0 0 0 0 0 0 0 0 0 0 0 0 0 615496 2828019 1277482 3677666 X 2242121 1990424 0 0 0 0 0 0 0 0 2242121 1990424 3519603 5668090 X 275303 -527000 X false true X true false X false false false false false false false false true 11634 11634 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2023 CCHHMC PAID: $5,393 TO THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $4,141 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $1,599 to TEXAS HOSPITAL ASSOCIATION (THA) $16,000 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: NALTH: 11.69% AHA: 27.29% THA: 17.16% PICARD GROUP: 60% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $5,393 * 11.69% = $630 AHA: $4,141 * 27.29% = $1,130 THA: 1,599 * 17.16% = $274 PICARD GROUP: $16,000 * 60.0% = $9,600 636159 504822 131337 2929376 327562 2601814 2733151 ESTIMATED THIRD PARTY SETTLEMENT 90541 INTERCOMPANY I/C - CCC 49942 INTERCOMPANY I/C - CHC 89146 INTERCOMPANY I/C - ODESSA -3424 SHORT TERM LEASE OBLIGATIONS 542446 LONG TERM LEASE OBLIGATIONS 2059368 2828019 true true X true X true X true true false true true 73512 73512 0.0072 0 0.0 0 0.0 0 0 73512 0 73512 0.0072 0 0.0 1313 1313 0.0001 0 0.0 0 0.0 31000 31000 0.0030 0 0 32313 0 32313 0.0032 0 0 105825 0 105825 0.0103 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 5143421 4827015 316406 X true true 1 1 CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER 1900 PINE STREET 7TH FLOOR ABILENE TX 79601 HTTPS://HENDRICK.CONTINUECARE.ORG/ 100285 X X CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false false true X https://hendrick.continuecare.org/chna/ X true 21 true https://hendrick.continuecare.org/chna/ false true X 200.0 400.0 X X X true true X X X true X https://hendrick.continuecare.org/for-families/financial-assistance/ X https://hendrick.continuecare.org/for-families/financial-assistance/ X https://hendrick.continuecare.org/for-families/financial-assistance/ X X X X X X true X false X false X X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA FOR CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ContinueCare Hospital at Hendricks Medical Center. CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER (CCHHMC) IS A 23-BED LONG-TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE 7TH FLOOR OF HOST HOSPITAL HENDRICK MEDICAL CENTER. AS A "HOSPITAL-WITHIN-A-HOSPITAL," CCHHMC IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO PATIENTS REQUIRING LONGER LENGTHS OF STAY FOR ACUTE-CARE. AS AN LTACH, CCHHMC DEVELOPS A CONTINUUM OF CARE BETWEEN THE ACUTE AND LONG-TERM PHASES OF A PATIENT'S ILLNESS. A PATIENT IS USUALLY ADMITTED AFTER A SHORT-TERM, ACUTE-CARE HOSPITAL STAY. AFTER CARE IN AN LTACH, MANY PATIENTS ARE THEN ABLE TO TRANSITION FROM THE LTACH TO ACUTE REHAB, SKILLED NURSING OR GO HOME. HOSPICE CARE IS ALSO A POST-ACUTE TREATMENT OPTION FOR PATIENTS WITH A TERMINAL DISEASE WHO HAVE A LIFE EXPECTANCY OF SIX MONTHS OR LESS. CCHHMC IS DESIGNED TO MEET THE NEEDS OF LONG TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIONS REQUIRING LONG TERM ANTIBIOTIC THERAPY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. CCHHMC IS LED BY A CLOSE-KNIT TEAM OF PROFESSIONALS WHO SHARE A PHILOSOPHY TO PROVIDE COMPASSIONATE, HIGH-QUALITY HEALTH CARE SERVICES. OUR MULTIDISCIPLINARY TEAM CONSISTS OF PHYSICIANS, NURSES, THERAPISTS, DIETITIANS, SOCIAL WORKERS, CASE MANAGERS, PHARMACISTS AND OTHER PROFESSIONALS WHO WORK TOGETHER ON EVERY ASPECT OF PATIENT CARE. THE DEFINED SERVICE AREA OF CCHHMC IS TAYLOR COUNTY IN TEXAS. TAYLOR COUNTY COMPRISES 50.0% OF FISCAL YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF TAYLOR COUNTY IS EXPECTED TO INCREASE BY 2.7% FROM 2021 (139,258) TO 2026 (143,050), WHICH IS BELOW THE 7.9% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2021 (29,969,514) TO 2025 (32,346,738). AS OF 2021, THE RACIAL/ETHNIC BREAKOUT OF TAYLOR COUNTY WAS 75.9% WHITE, 8.0% BLACK, 2.4% ASIAN, 0.7% AMERICAN INDIAN AND 13.0% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2026, THE WHITE POPULATION IN TAYLOR COUNTY IS EXPECTED TO INCREASE BY 0.8% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 6.1%. BY 2026, THE HISPANIC POPULATION IN TAYLOR COUNTY IS EXPECTED TO INCREASE BY 10.0% AND THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 20.1%. THE AMERICAN INDIAN POPULATION IN TAYLOR COUNTY IS EXPECTED TO INCREASE BY 5.5% AND ALL OTHER RACIAL ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 8.6% BY 2026. BETWEEN 2015 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN TAYLOR COUNTY, THE STATE AND THE NATION. IN 2019, TAYLOR COUNTY (6.1%) HAD A LOWER PERCENT OF FOREIGN-BORN RESIDENTS THAN THE STATE (17.1%) AND THE NATION (13.7%). TAYLOR COUNTY (34.9 YEARS) HAS A YOUNGER MEDIAN AGE THAN THE STATE OF TEXAS (35.3 YEARS) (2021). THE MEDIAN AGES FOR TAYLOR COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). TAYLOR COUNTY ($54,550) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS ($63,524) (2021). THE MEDIAN HOUSEHOLD INCOME IN TAYLOR COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). TAYLOR COUNTY (26.4%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (31.3%) (2021). IN 2014-2018, 16.0% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.0% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, 24.5% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.2% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, THE DISTRESS SCORE IN TAYLOR COUNTY WAS 47.7 WHICH FALLS WITHIN THE MID-TIER ECONOMIC CATEGORY AND IS MORE PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN TAYLOR COUNTY AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, TAYLOR COUNTY (5.5) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN TAYLOR COUNTY OVERALL DECREASED. MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (4.4) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (7.4). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN TAYLOR COUNTY ARE WITHIN OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (12.1%). THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE AND ADMINISTRATIVE SUPPORT OCCUPATIONS, (12.1%); SALES AND RELATED OCCUPATIONS, (9.9%); MANAGEMENT OCCUPATIONS, (7.6%); FOOD PREPARATION AND SERVING RELATED OCCUPATIONS, (6.9%); AND EDUCATION INSTRUCTION AND LIBRARY OCCUPATIONS, (6.6%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH TAYLOR COUNTY AND THE STATE. IN 2015-2019, TAYLOR COUNTY (6.0%) HAD AN EQUAL PERCENT OF PEOPLE WORKING AT HOME WHEN COMPARED TO THE STATE (6.0%). TAYLOR COUNTY (16.7 MINUTES) HAD A SHORTER MEAN TRAVEL TIME TO WORK THAN THE STATE (27.2 MINUTES) (2015-2019). THERE IS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY IN TAYLOR COUNTY (20.7%) COMPARED TO THE STATE OF TEXAS (18.0%) (2021). BETWEEN 2015 AND 2019, THE PERCENT OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN TAYLOR COUNTY AND THE STATE DECREASED. TAYLOR COUNTY (18.9%) HAD A LOWER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN TEXAS (19.2%) (2019). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 15.9% OF TAYLOR COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.1% IN TEXAS (2019). ADDITIONALLY, 20.6% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN TAYLOR COUNTY ARE FOOD INSECURE, AS COMPARED TO 19.6% IN TEXAS (2019). THE AVERAGE MEAL COST FOR A TAYLOR COUNTY RESIDENT IS $2.90, AS COMPARED TO $2.68 IN TEXAS (2019). BETWEEN 2014 AND 2018, THE PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS IN TAYLOR COUNTY OVERALL INCREASED BUT DECREASED IN THE STATE. IN 2018, TAYLOR COUNTY (13.5%) HAD A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN THE STATE (12.2%). THE PERCENT OF PUBLIC SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN TAYLOR COUNTY (56.6%) IS LOWER THAN THE STATE RATE (60.5%) BUT HIGHER THAN THE NATIONAL RATE (49.5%) (2018-2019). IN 2018-2019, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN TAYLOR COUNTY (92.4%) WAS HIGHER THAN THE STATE (91.4%) AND NATIONAL (87.7%) RATES. TAYLOR COUNTY (28.6%) HAS THE LOWEST PERCENTAGE OF HOUSEHOLDS WHERE HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME AS COMPARED TO THE STATE (29.5%) AND THE NATION (30.9%) (2015-2019). THE PERCENT OF HOMES THAT RECEIVED AN EVICTION JUDGMENT IN WHICH RENTERS WERE ORDERED TO LEAVE IN TAYLOR COUNTY (3.3%) IS HIGHER THAN THE STATE (2.2%) AND THE NATION (2.3%) (2016). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH TAYLOR COUNTY AND THE STATE (2017-2019). HEART DISEASE MORTALITY RATES IN TAYLOR COUNTY INCREASED BETWEEN 2017 AND 2019, WHILE RATES IN THE STATE DECREASED. IN 2019, THE HEART DISEASE MORTALITY RATE IN TAYLOR COUNTY (211.6 PER 100,000) WAS HIGHER THAN THE STATE (163.4 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH TAYLOR COUNTY AND THE STATE (2017-2019). CANCER MORTALITY RATES IN TAYLOR COUNTY INCREASED, WHILE RATES IN THE STATE OF TEXAS DECREASED BETWEEN 2017 AND 2019. IN 2019, THE CANCER MORTALITY RATE IN TAYLOR COUNTY (184.3 PER 100,000) WAS HIGHER THAN THE STATE (141.4 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE THIRD LEADING CAUSE OF DEATH IN TAYLOR COUNTY, AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, CLRD MORTALITY RATES IN TAYLOR COUNTY INCREASED, WHILE RATES IN THE STATE DECREASED. IN 2019, THE CLRD MORTALITY RATE IN TAYLOR COUNTY (63.6 PER 100,000) WAS HIGHER THAN THE STATE (38.6 PER 100,000). ALZHEIMER'S DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN TAYLOR COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, ALZHEIMER'S DISEASE MORTALITY RATES IN TAYLOR COUNTY DECREASED, WHILE RATES IN THE STATE REMAINED CONSISTENT. IN 2019, THE ALZHEIMER'S DISEASE MORTALITY RATE IN TAYLOR COUNTY (57.4 PER 100,000) WAS HIGHER THAN THE STATE (38.6 PER 100,000). FATAL ACCIDENTS ARE THE FIFTH LEADING CAUSE OF DEATH IN BOTH TAYLOR COUNTY AND THE STATE (2017-2019). BETWEEN 2017 AND 2019, ACCIDENT MORTALITY RATES IN TAYLOR COUNTY DECREASED, WHILE RATES IN THE STATE INCREASED. IN 2019, THE ACCIDENT MORTALITY RATE IN TAYLOR COUNTY (43.9 PER 100,000) WAS HIGHER THAN THE STATE (39.7 PER 100,000). IN 2019, THE LEADING CAUSE OF FATAL ACCIDENTS IN TAYLOR COUNTY WAS DUE TO MOTOR VEHICLE ACCIDENTS. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - ContinueCare Hospital at Hendrick Medical Center, Continued. CEREBROVASCULAR DISEASES, DIABETES MELLITUS, CHRONIC LIVER DISEASE AND CIRRHOSIS, INFLUENZA AND PNEUMONIA, AND INTENTIONAL SELF-HARM (SUICIDE) ARE ALSO LEADING CAUSES OF DEATH IN TAYLOR COUNTY. AS OF SEPTEMBER 11, 2021, TAYLOR COUNTY (60.4 PER 1,000) HAS A LOWER RATE OF TOTAL COVID-19 CASES THAN THE STATE (106.4 PER 1,000). AS OF NOVEMBER 17, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED IN TAYLOR COUNTY (45.4%) IS LOWER THAN THE STATE (58.3%). BETWEEN 2016 AND 2020, OBESITY IN TAYLOR COUNTY IS A PREVALENT CHRONIC CONDITION WITH 30.1% OF ADULTS (AGE 18 +) CONSIDERED OBESE. THIS PERCENTAGE IS ACTUALLY LESS THAN THE RATE IN TEXAS (34.9%). TAYLOR COUNTY (62.5%) HAS A HIGHER RATE OF MEDICARE FEE-FOR-SERVICE RESIDENTS WITH HYPERTENSION THAN THE STATE (59.9%) AND THE NATION (57.2 %) (2018). BETWEEN 2016 AND 2020, ASTHMA PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE INCREASED. IN 2017-2019, THE PREVALENCE RATE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA IN TAYLOR COUNTY (13.9%) WAS HIGHER THAN THE STATE (13.0%). BETWEEN 2016 AND 2020, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN TAYLOR COUNTY INCREASED, WHILE RATES IN THE STATE REMAINED CONSISTENT. IN 2018-2020, THE PERCENTAGE OF ADULTS (AGE 18+) THAT REPORTED EVER BEING DIAGNOSED WITH SOME FORM OF ARTHRITIS IN TAYLOR COUNTY (35.3%) WAS HIGHER THAN THE STATE (21.0%). BETWEEN 2016 AND 2020, THE RATE OF ADULTS (AGE 18+) IN TAYLOR COUNTY AND THE STATE THAT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER INCREASED. IN 2018-2020, THE PERCENT OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER IN TAYLOR COUNTY (36.9%) WAS SIGNIFICANTLY HIGHER THAN THE STATE (17.2%). BETWEEN 2016 AND 2020, ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN TAYLOR COUNTY AND THE STATE INCREASED. THE PERCENT OF ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN TAYLOR COUNTY (21.6%) WAS LOWER THAN THE STATE (26.9%) (2018-2020). AS OF 2019, TAYLOR COUNTY (21.6%) HAD A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE (24.3%). BOTH TAYLOR COUNTY AND THE STATE EXPERIENCED SLIGHT INCREASES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2019. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER (CCHHMC) BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN TAYLOR COUNTY, TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE FROM AUGUST 24, 2021 - SEPTEMBER 8, 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 CCHHMC BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 15, 2022. INTERVIEW METHODOLOGY: CCHHMC WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CCHHMC 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 CCHHMC, 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 CONTINUECARE USING SOURCES WHICH INCLUDED STRATASAN, SPARKMAP, AND THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION, THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE TEXAS CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND THE U.S. CENSUS BUREAU. CCHHMC PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, NINE 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 88.9% 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. 11.1% 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: * KATIE ALFORD: EXECUTIVE DIRECTOR, COMMUNITY FOUNDATION OF ABILENE; CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER BOARD MEMBER * BRIAN BESSENT: CAO, HENDRICK MEDICAL CENTER SOUTH * RON BUTLER: CEO, FIRST FINANCIAL BANK; CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER BOARD MEMBER * KIRK CANADA: VICE PRESIDENT BUSINESS DEVELOPMENT & ABILENE MARKET COO, HENDRICK HEALTH SYSTEM * ELIZABETH HENRY: DIRECTOR OF CASE MANAGEMENT, HENDRICK HEALTH SYSTEM * BRAD HOLLAND: PRESIDENT AND CEO, HENDRICK HEALTH SYSTEM; CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER BOARD MEMBER * DOUG PETERS: PRESIDENT/CEO, ABILENE CHAMBER OF COMMERCE * DR. JOSHUA REED: PHYSICIAN ADVISOR, HENDRICK HEALTH SYSTEM * CARI L. WALLER, BSN, RN: DIRECTOR OF NURSING, ABILENE-TAYLOR COUNTY PUBLIC HEALTH DISTRICT POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: YOUTH, ELDERLY, RACIAL/ETHNIC GROUPS, LOW INCOME/ WORKING POOR, HOMELESS AND VETERANS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: YOUTH - KNOWLEDGE ON HOW TO ACCESS THE HEALTHCARE SYSTEM - ACCESS AND EDUCATION FOR SAFE SEX PRACTICES - TRANSPORTATION BARRIERS ELDERLY - TRANSPORTATION BARRIERS - MOBILITY LIMITATIONS - LACK OF AWARENESS AND UNDERSTANDING OF EXISTING HEALTHCARE SERVICES, TELEMEDICINE - LACK OF ACCESS TO HEALTHY FOOD, MEALS - AFFORDABLE HOUSING - LACK OF SOCIAL SUPPORT, ISOLATION RACIAL/ETHNIC - COST OF ACCESSING SERVICES - COST OF INSURANCE, COPAYS, AND DEDUCTIBLES - LIMITED KNOWLEDGE OF AVAILABLE RESOURCES - LANGUAGE BARRIERS (NONENGLISH SPEAKING) LOW INCOME/WORKING POOR - TRANSPORTATION ISSUES - HEALTHY LIFESTYLES/NUTRITION - ACCESS TO PRIMARY CARE PROVIDERS - COSTS ASSOCIATED WITH HEALTHCARE SERVICES, PRESCRIPTIONS, COPAYS, INSURANCE - HEALTH LITERACY HOMELESS - TRANSPORTATION ISSUES - HEALTHY LIFESTYLES/NUTRITION - ACCESS TO HEALTHCARE, SPECIFICALLY MENTAL HEALTH AND DENTAL - LIMITED ACCESS TO HOME HEALTH/NURSING HOMES DUE TO COST VETERANS - LIMITED ACCESS TO LOCAL HEALTH CARE DUE TO FIXED/LOW INCOME - LACK OF LOCAL INPATIENT FACILITY FOR CARE - LACK OF CARE/CONCERN FROM THE LOCAL CLINIC - DELAY IN CARE, MEDICATIONS DUE TO VA REQUEST APPROVAL Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ContinueCare Hospital at Hendrick Medical Center. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SEVEN SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER (CCHHMC), WHICH WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM CCHHMC, MET WITH STAFF FROM CHC CONTINUECARE TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. CONTINUED FOCUS ON COVID-19 PREVENTION & RESPONSE 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 4. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 5. ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS 6. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 7. ACCESS TO DENTAL CARE SERVICES AND PROVIDER 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 SIX OF THE SEVEN PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: CONTINUED FOCUS ON COVID-19 PREVENTION & RESPONSE OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC 1.A. CHHMC CONTINUES TO PARTNER WITH LOCAL ORGANIZATIONS IN ADDRESSING COVID-19 AND OTHER FUNDRAISING EFFORTS. 1.B. CCHHMC WILL CONTINUE TO FOLLOW COVID-19 PATIENT SAFETY PROTOCOLS IN ACCORDANCE WITH CDC AND STATE GUIDELINES. 1.C. CCHHMC WILL CONTINUE TO ADMIT PATIENTS FROM REGIONAL SHORT TERM ACUTE CARE HOSPITALS IN AN EFFORT TO OPEN UP MORE BEDS FOR APPROPRIATE PATIENTS AND PROVIDE RELIEF DURING ANY COVID-19 PANDEMIC PATIENT SURGES. 1.D. CCHHMC WILL CONTINUE TO PARTICIPATE IN THE HOST HOSPITAL'S INCIDENT COMMAND CALLS FOR COVID-19 UPDATES AND IMPLEMENTATION OF APPROPRIATE PROCESSES. 1.E. CCHHMC IS AVAILABLE TO PROVIDE EDUCATION ON COVID-19 AS OPPORTUNITIES ARISE. 1.F. CCHHMC CONTINUES APPROPRIATELY TESTING AND FOLLOWING CDC GUIDELINES AND COMMUNITY STANDARDS TO CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION WHEN DISCHARGING PATIENTS TO A LOWER LEVEL OF CARE AND THEIR HOME ENVIRONMENT. 1.G. CCHHMC CONTINUES TO UPDATE VISITATION PROTOCOLS AND PROVIDE APPROPRIATE PPE FOR VISITORS AND PATIENTS AS CHANGES WITH COVID-19 ARISE. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO INCREASE ACCESS TO AFFORDABLE CARE AND REDUCE HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 2.A. CCHHMC WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. 2.B. CCHHMC WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCHHMC ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.C. CCHHMC WILL CONTINUE TO PARTNER WITH AND SUPPORT ORGANIZATIONS THAT SERVE SPECIFIC, VULNERABLE POPULATIONS, IN ORDER TO REDUCE HEALTH DISPARITIES WITHIN THE COMMUNITY. 2.D. CCHHMC PROVIDES HEALTH EDUCATION AND PREVENTION RESOURCES IN MULTIPLE LANGUAGES, AS WELL AS A TRANSLATOR PHONE AND RESOURCES FOR THE HEARING IMPAIRED, ON AN AS NEEDED BASIS. 2.E. CCHHMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN DRIVE EVENTS (I.E., TOILETRY, FOOD) AND FUNDRAISING EVENTS IN CONJUNCTION WITH LOCAL ORGANIZATIONS AS NEEDED TO BENEFIT THE COMMUNITY. 2.F. CCHHMC STAFF PARTICIPATE IN VOLUNTEERING AT THE LOCAL MEALS ON WHEELS ORGANIZATION TO ASSIST IN SERVING THE UNDERSERVED POPULATION IN THE AREA. PRIORITY #3: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: INCREASE HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY 3.A. CCHHMC WILL CONTINUE TO PARTICIPATE IN HEALTH FAIRS WITHIN SURROUNDING COUNTIES ANNUALLY. 3.B. CCHHMC WILL CONTINUE TO CONDUCT OUTREACH TO REFERRAL RESOURCES IN ORDER TO EDUCATE THEM ABOUT THE ROLE OF THE LONG TERM ACUTE CARE HOSPITAL (LTACH), AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. 3.C. CCHHMC PROVIDES EDUCATION TO PHYSICIANS AND CASE MANAGERS FROM THEIR HOST AND OTHER SHORT TERM ACUTE CARE HOSPITALS REGARDING LTACH CRITERIA. 3.D. CCHHMC STAFF WILL CONTINUE TO ATTEND MORNING ICU ROUNDS WITH THE HOST TO IDENTIFY AND EDUCATE ON WHAT WOULD MEET LTACH CRITERIA. 3.E. CCHHMC PROVIDES EDUCATION TO STAFF TO EXPAND THE PATIENTS THAT THEY SERVE, INCLUDING TELEMETRY AND CRITICAL CARE TRAINING TO MEET THE NEEDS OF HIGHER ACUITY PATIENTS. 3.F. CCHHMC WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. INITIATIVES INCLUDE THE PROMOTION OF EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH (FORMERLY ACCOUNTABLE HEALTH), EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES, OFFERING NEED SPECIFIC SPECIAL PROGRAMS, CHIP (CORONARY HEALTH IMPROVEMENT PLAN), SMOKING CESSATION OPPORTUNITIES, WEIGHT MANAGEMENT, PROMOTING FITNESS OPPORTUNITIES, AND CONTINUING THE TOBACCO-FREE NEW HIRE POLICY. 3.G. CCHHMC WILL CONTINUE TO INCENTIVIZE EMPLOYEES TO MAINTAIN HEALTHY LIFESTYLES ON THEIR HEALTH PLANS THROUGH OFFERING A REDUCTION ON A PORTION OF THEIR PREMIUMS IF EMPLOYEES MEET CERTAIN CRITERIA. 3.H. CCHHMC WILL SUPPORT HENDRICK MEDICAL CENTER WITH "A DAY TO TAKE HEART," MAKING PATIENTS AND FAMILIES AWARE OF RESOURCES. "A DAY TO TAKE HEART" IS AN ANNUAL EVENT FOR HEART HEALTH EDUCATION THAT OFFERS FREE CARDIAC SCREENINGS, INCLUDING BLOOD PRESSURE, CHOLESTEROL, BMI, DIABETES, AND CAROTID ARTERY ASSESSMENT. THE FIRST 100 PARTICIPANTS RECEIVE AN ECG. 3.I. CCHHMC ENGAGES IN COMMUNITY DISASTER PREPAREDNESS EVENTS WITH THE HOST AS THEY ARISE. 3.J. CCHHMC WILL SUPPORT THE COMMUNITY AND COMMUNITY EVENTS THAT FOCUS ON PROMOTING PREVENTION AND EDUCATION AS OPPORTUNITIES ARISE. 3.K. CCHHMC FOLLOWS UP WITH PATIENTS DURING DISCHARGE AND PROVIDES PATIENTS' OTHER PHYSICIANS WITH A COPY OF HIS/HER DISCHARGE SUMMARIES AS REQUESTED IN ORDER TO INCREASE COLLABORATION ACROSS THE CONTINUUM OF CARE. IN ADDITION, PATIENTS' OTHER PHYSICIANS RECEIVE REGULAR UPDATES ON THEIR PATIENT'S HEALTH DURING THEIR STAY AT THE LTACH. 3.L. CCHHMC IS AVAILABLE TO SPEAK AT ANY COMMUNITY EVENTS, PROVIDE INFORMATION, OR PARTICIPATE IN OTHER EDUCATIONAL OPPORTUNITIES AS OPPORTUNITIES ARISE. 3.M. CCHHMC EDUCATES PATIENTS AND FAMILIES ABOUT LTACHS AND WHAT SERVICES CAN BE PROVIDED IN CONJUNCTION WITH COMMUNITY RESOURCES THROUGH SPEAKING AT LOCAL EVENTS, PROVIDING EDUCATIONAL BROCHURES, AND INTERACTING WITH FAMILIES IN THE FACILITY. 3.N. CCHHMC WILL CONTINUE TO TRAIN ALL CLINICAL STAFF ON BLS FOR ALL RN AND RT STAFF. 3.O. CCHHMC WILL CONTINUE TO PARTICIPATE IN THE QUARTERLY CRITICAL CARE COLLABORATIVE, THE QUARTERLY NURSING HOME CONSORTIUM WITH HOST LEADERSHIP TO DISCUSS REFERRAL AND ADMISSION PATTERNS, BARRIERS AND CONCERNS, AS WELL AS SUCCESSES. 3.P. CCHHMC CONTINUE TO HOST INTERDISCIPLINARY TEAM MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENT-CENTERED APPROACH. CCHHMC STAFF ENCOURAGE FAMILY MEMBERS TO ATTEND AS WELL IN ORDER TO FULLY UNDERSTAND THE NEEDS OF THE PATIENT. PRIORITY #4: ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO INCREASE ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 4.A. CCHHMC WILL CONTINUE TO ACTIVELY ASSIST THE HOST IN THE RECRUITMENT OF INTENSIVE AND PULMONARY PHYSICIANS. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - ContinueCare Hospital at Hendrick Medical Center, Continued. 4.B. CCHHMC HAS AFFILIATION AGREEMENTS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL WITHIN THE NURSING, PHARMACY AND RESPIRATORY AREAS. ADDITIONALLY, CCHHMC WILL EXPLORE PROVIDING A SCHOLARSHIP FOR RESPIRATORY AND ADN STUDENTS TO ASSIST IN RECRUITMENT EFFORTS. 4.C. CCHHMC WILL CONTINUE ITS STRONG REFERRAL RELATIONSHIP WITH SURROUNDING ACUTE CARE FACILITIES TO PROVIDE SPECIALTY SERVICES TO PATIENTS REQUIRING THAT LEVEL OF CARE FROM THE LTACH. 4.D. CCHHMC WILL CONTINUE TO MAINTAIN AND PROVIDE A LIST OF REFERRAL SERVICES TO PATIENTS WHO ARE REQUIRING SPECIALTY CARE. PRIORITY #5: ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO INCREASE ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS 5.A. CCHHMC EMPLOYEES WILL CONTINUE TO CALL A PATIENT'S PRIMARY CARE PHYSICIAN UPON DISCHARGE TO PROVIDE THE PHYSICIAN'S OFFICE WITH THE NECESSARY INFORMATION AND TO SET UP THEIR FOLLOW UP APPOINTMENT. CCHHMC WILL ALSO FIND A PRIMARY CARE PROVIDER FOR ANY PATIENTS WHO CURRENTLY DO NOT HAVE ONE. EMPLOYEES WILL ALSO ASSIST IN SETTING UP TRANSPORTATION, PRESCRIPTIONS, NECESSARY EQUIPMENT, OR ANY OTHER RESOURCES NEEDED IN THE PATIENT'S PLAN OF CARE BEFORE THE PATIENT IS DISCHARGED. 5.B. CCHHMC WILL CONTINUE TO PARTICIPATE IN CAREER DAY AT LOCAL SCHOOLS TO EDUCATE AREA RESIDENTS PURSUING FUTURE HEALTH CARE CAREERS ON WHAT CCHHMC HAS TO OFFER AS OPPORTUNITIES ARISE. 5.C. CCHHMC WILL CONTINUE TO SUPPORT HENDRICK MEDICAL CENTER IN THE AGGRESSIVE RECRUITING UNDERWAY FOR PRIMARY CARE PHYSICIANS. HENDRICK PROVIDER NETWORK IS WELL ESTABLISHED TO RECRUIT PHYSICIANS AND MEET THE NEEDS OF THE COMMUNITY. PRIORITY #6: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE AND PROMOTE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES IN THE COMMUNITY 6.A. CCHHMC WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 6.B. CCHHMC CONTINUES TO CONNECT PATIENTS WITH MENTAL HEALTH SUPPORT THROUGH PASTORAL CARE FOR APPROPRIATE PATIENTS AND THEIR FAMILIES. 6.C. CCHHMC STAFF CONTINUE TO GO ABOVE AND BEYOND TO CARE FOR THEIR PATIENT'S WELLBEING, BOTH DURING WORKING HOURS AND AFTER HOURS, PARTICULARLY SERVING AS PATIENTS' SUPPORT DURING THE COVID-19 PANDEMIC WHEN THEIR FAMILIES COULD NOT VISIT THEM. 6.D. CCHHMC PROVIDES CASE MANAGEMENT SERVICES AND REFERRALS THAT RELATE TO MENTAL OR BEHAVIORAL HEALTH CONDITIONS ON AN AS NEEDED BASIS. PRIORITIES NOT ADDRESSED: CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER (CCHHMC), DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS". BASED ON CCHHMC'S STATUS AS A LONG TERM ACUTE CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS" IS NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CCHHMC ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THIS AREA, THE IDENTIFIED PRIORITY WILL NOT BE ADDRESSED BY THE HOSPITAL 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 SIX PRIORITIZED NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - ContinueCare Hospital at Hendrik Medical Center. CCHHMC DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part I PAYMENT FOR CHARITY CARE IN THE STATE OF TEXAS, IT IS PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. CCHHMC CONTRIBUTED TO HENDRICK MEDICAL CENTER $31,000 FOR THE PROVISION OF CHARITY CARE IN FISCAL YEAR 2023. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COMMUNITY BENEFIT EXPENSE SINCE CCHHMC IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET RECEIVABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COSTING METHODOLOGY THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE IF A PATIENT OF CCHHMC QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENTS ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. Schedule H, Part V, Section B, Line 16a FAP website - CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER: Line 16a URL: https://hendrick.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER: Line 16b URL: https://hendrick.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER: Line 16c URL: https://hendrick.continuecare.org/for-families/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2021 FOR ITS FISCAL YEAR ENDED JUNE 30, 2022. THE CCHHMC BOARD REVIEWED AND ADOPTED THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 15, 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 PRIMARY AND TERTIARY SERVICE AREAS FOR DISEASE SPECIFIC MORTALITY RATES. DISEASE STATISTICS ARE GATHERED FROM THE HEALTH PROMOTION UNIT OF THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. INTERVIEWS WITH LOCAL HEALTH CARE AND ELDERLY SERVICE PROVIDERS ARE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO CCHHMC. A FACE-TO-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS' FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION. Schedule H, Part VI, Line 4 Community information CCHHMC SERVES TAYLOR COUNTY, A PARTIALLY RURAL COUNTY IN TEXAS. AS OF 2021, THERE WERE 139,258 RESIDENTS IN TAYLOR COUNTY AND THE POPULATION IS EXPECTED TO INCREASE 2.7% BY 2026. THE MAJORITY OF RESIDENTS IN TAYLOR COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 75.9% (2021). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. AS OF 2021, THE HISPANIC POPULATION HAD 35,494 RESIDENTS IN TAYLOR COUNTY AND IT IS EXPECTED TO INCREASE 10.0% BY 2026. THE FASTEST GROWING POPULATION IN TAYLOR COUNTY IS THE ASIAN POPULATION. BY 2026, THE ASIAN POPULATION IS EXPECTED TO INCREASE 20.1%. AS OF 2021, THE MAJORITY OF RESIDENTS IN TAYLOR COUNTY ARE BETWEEN THE AGES OF 18-44 YEARS OLD. TAYLOR COUNTY (34.9 YEARS) HAD A YOUNGER MEDIAN AGE THAN THE STATE OF TEXAS IN 2021. THE MEDIAN HOUSEHOLD INCOME IN TAYLOR COUNTY IN 2021 WAS $54,550, WHICH WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN TEXAS OF $63,524. TAYLOR COUNTY HAS LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE. TAYLOR COUNTY ALSO HAS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE. THERE ARE HIGHER RATES OF OVERALL FOOD INSECURITY, CHILD FOOD INSECURITY AND A HIGHER AVERAGE MEAL COST IN TAYLOR COUNTY THAN IN THE STATE. OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN TAYLOR COUNTY OVERALL DECREASED. MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (4.4) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (7.4). TAYLOR COUNTY HAS SEEN AN INCREASE IN THE RATE OF THOSE ADULTS (AGE 18-64) WHO ARE UNINSURED. HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN TAYLOR COUNTY. BETWEEN 2017 AND 2019 OVERALL MORTALITY RATES IN TAYLOR COUNTY INCREASED WHILE RATES IN THE STATE DECREASED. ADDITIONALLY, TAYLOR COUNTY HAS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS 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. TAYLOR COUNTY ALSO HAS A LOWER PERCENTAGE OF ITS POPULATION (AGE 5+) WHO ARE FULLY VACCINATED WITH THE COVID-19 VACCINE (45.4%) AS COMPARED TO STATE (58.3%) (INFORMATION AS OF NOVEMBER 17, 2021). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS BINGE DRINKING AND TOBACCO USE IN TAYLOR COUNTY THAN THE STATE. WITH REGARDS TO MATERNAL AND CHILD HEALTH, TAYLOR COUNTY HAS HIGHER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE AND HIGHER TEEN (AGE 0-19 YEARS) BIRTH RATES THAN THE STATE. Schedule H, Part VI, Line 5 Promotion of community health CCHHMC PROMOTES AN OPEN MEDICAL STAFF IN ORDER TO BETTER SERVE THE PATIENTS SEEKING CARE. CCHHMC ALSO HAS A COMMUNITY BOARD STRUCTURE SO THAT THE HOSPITAL IS GOVERNED BY THE COMMUNITY IN WHICH IT SERVES. THE HOSPITAL IS WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AS WELL AS CONDUCT VARIOUS COMMUNITY ACTIVITES TO AND WITHIN THE LOCAL COMMUNITY. CCHHMC PROVIDES FINANCIAL AND VOLUNTEER SUPPORT TO A DADDY/DAUGHTER DANCE IN BROWNWOOD AND SANTA FOR SENIORS. ADDITIONALLY, CCHHMC continues to host and/or participate annually in their Flashback 5K event benefitting Children's Miracle Network and Hendrick Children's Hospital as well as staff participation in blood and platelet donations and participation in the Guns & Hoses Rodney Holder Memorial Blood Drive. ADDITIONALLY, CCHHMC WILL CONTINUE TO PARTICIPATE IN HEALTH FAIRS WITHIN SURROUNDING TEXAS COUNTIES SUCH AS Haskell, Brownwood, Breckenridge and Comanche. Schedule H, Part VI, Line 6 Affiliated health care system CCHHMC IS AN AFFILIATE OF HENDRICK HEALTH SYSTEM IN ABILENE, TEXAS. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FARREACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY. Schedule H, Part VI, Line 7 State filing of community benefit report TX false true false false false false false true false APRIL MYERS DIRECTOR/PRESIDENT 0 323805 0 49763 0 18978 0 24676 0 38818 0 456040 0 0 JAMES HILL TREASURER 0 323943 0 49687 0 20453 0 9150 0 29551 0 432784 0 0 LINDA MOORE SECRETARY 0 338309 0 50550 0 35306 0 12304 0 21488 0 457957 0 5208 LARRY ROBERSON CEO (until 3/2023) 0 171266 0 10000 0 1857 0 13156 0 14523 0 210802 0 0 MERI COMBS CNO (until 1/2023) 0 126818 0 5000 0 1931 0 9920 0 24488 0 168157 0 0 GENEVA THOMAS REGISTERED NURSE 109537 0 3200 0 30 0 3691 0 40485 0 156942 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CCHHMC DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE, LLC (CCC) COMPENSATES THE PRESIDENT OF THE ORGANIZATION. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (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 RESPONSIBILITIES AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/23 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: LINDA MOORE - $20,980 JAMES HILL - $15,502 APRIL MYERS - $15,526 Schedule J, Part I, Line 7 Non-fixed payments A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION. Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATION'S EXECUTIVES ARE EMPLOYED BY CCC, WHICH FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (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 RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED JUNE 30, 2023 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. Form 990, Part VI, Line 3 Delegation of management duties CHC COMMUNITY CARE, LLC ("CCC") PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER (CCHHMC) IS CCC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE HOSPITAL; 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES; 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY; 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL; 5. POLICY CHANGES PERTAINING TO CHARITY CARE; 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS; 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE WERE NO COMMITTEES OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CCC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION, WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES, AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED COMMUNITY HOSPITAL CORPORATION'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED JUNE 30, 2014. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - MEDICAL - Total Expense: 1168257, Program Service Expense: 1051431, Management and General Expenses: 116826, Fundraising Expenses: 0; PURCHASED SERVICES - LAB - Total Expense: 127129, Program Service Expense: 114416, Management and General Expenses: 12713, Fundraising Expenses: 0; PURCHASED SERVICES - IT - Total Expense: 93062, Program Service Expense: 83756, Management and General Expenses: 9306, Fundraising Expenses: 0; PURCHASED SERVICES - OTHER - Total Expense: 26729, Program Service Expense: 24056, Management and General Expenses: 2673, Fundraising Expenses: 0; PURCHASED SERVICES - PHARMACY - Total Expense: 115711, Program Service Expense: 104140, Management and General Expenses: 11571, Fundraising Expenses: 0; PURCHASED SERVICES - ADMIN - Total Expense: 342662, Program Service Expense: 308396, Management and General Expenses: 34266, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances DISTRIBUTION TO MEMBER - -527000; BAPTIST HOSPITALS OF SOUTHEAST TEXAS PO BOX 1591 BEAUMONT TX 77704 741303720 HOSPITAL TX 501(c)(3) 3 SWCH INC false BAPTIST PHYSICIAN NETWORK 3080 COLLEGE ST BEAUMONT TX 77701 760453250 PRIMARY CARE TX 501(c)(3) 3 BHSET false BHSETX FOUNDATION 810 HOSPITAL DRIVE 235 BEAUMONT TX 77701 611557670 SUPPORT ORG TX 501(c)(3) 7 BHSET false CAROLINAS COMMUNITY CARE LLC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 465590355 SUPPORT ORG DE 501(c)(3) Type II CHC false CHC COMMUNITY CARE LLC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 371485773 SUPPORT ORG TX 501(c)(3) Type III-FI CHC false COMMUNITY HOSPITAL CORPORATION 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 752638469 SUPPORT ORG TX 501(c)(3) Type III-FI NA false CONTINUECARE HOSP AT BAPTIST HLT PADUCAH 2501 KENTUCKY AVENUE 5TH FL PADUCAH KY 42003 465032999 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSP BPTST HLT MADISONVILLE 900 HOSPITAL DRIVE 4TH FL MADISONVILLE KY 42431 465033192 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT BAPTIST HEALTH 1 TRILLIUM WAY CORBIN KY 40701 200925675 HOSPITAL KY 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT ODESSA INC 500 W 4TH STREET ODESSA TX 79761 473539943 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT PALMETTO HEALTH 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 813048423 HOSPITAL TX 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL OF TYLER INC 800 E DAWSON ST TYLER TX 75701 200991990 HOSPITAL TX 501(c)(3) 3 CCC false CRAWLEY MEMORIAL HOSPITAL INC 7950 Legacy Drive Suite 1000 PLANO TX 75024 560691100 HOSPITAL NC 501(c)(3) 3 CAR CC false GAINESVILLE COMMUNITY HOSPITAL INC 1900 HOSPITAL BLVD GAINESVILLE TX 76240 831683025 HOSPITAL TX 501(c)(3) 3 CHC false HMH PHYSICIAN ORGANIZATION 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 760500960 PUBLIC CHARI. TX 501(c)(3) 10 HUNTSVILLE false HUNTSVILLE COMMUNITY HOSPITAL INC 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 843654542 HOSPITAL TX 501(c)(3) 3 CHC false MERCY RESTORATIVE CARE HOSPITAL INC 10648 PARK ROAD CHARLOTTE NC 26210 753054855 HOSPITAL NC 501(c)(3) 3 CAR CC false RURAL AND COMMUNITY HEALTHCARE COLLABORA 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC false SOUTHWEST COMMUNITY HOSPITAL INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 752725353 SUPPORT ORG TX 501(c)(3) Type III-FI CHC false ST MARK'S MEDICAL CENTER ONE ST MARKS PLACE LA GRANGE TX 78945 743019849 HOSPITAL TX 501(c)(3) 3 CHC false YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DRIVE YOAKUM TX 77995 742323822 HOSPITAL TX 501(c)(3) 3 CHC false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 CARL RAMERT DRIVE YOAKUM TX 77995 453609830 SUPPORT ORG TX 501(c)(3) Type I YCH false COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corporation false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corporation false false false false false false false false false false false false false false false true true false true false COMMUNITY HOSPITAL CORPORATION P 973228 COST CHC COMMUNITY CARE LLC P 769369 COST CHC COMMUNITY CARE LLC O 347462 COST CHC COMMUNITY CARE LLC R 105000 COST