2026-05-08T10:36:29+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2024-07-01 742323822 Yoakum Community Hospital YOAK 3612932321 1200 CARL RAMERT DRIVE YOAKUM TX 77995 John Olivares CFO 3612932321 2026-05-08 true true Melva Scott P01207335 8173351900 2026-05-07 2024 2025-03-06 01:10:19Z John Olivares CFO 1200 CARL RAMERT DRIVE YOAKUM TX 77995 28530850 false X WWW.YOAKUMHOSPITAL.ORG X 1922 TX TO ENHANCE OUR TRADITION OF COMPASSIONATE QUALITY, AND COST EFFECTIVE SERVICES WHICH RESULTS IN MEASURABLE BENEFITS TO OUR PATIENTS, COMMUNITY, EMPLOYEES, AND MEDICAL STAFF. 9 8 301 6 0 1676303 1717127 26270736 26019860 11291 8745 894213 673908 28852543 28419640 0 0 0 0 16023710 16146288 0 0 12932902 12336040 28956612 28482328 -104069 -62688 21218000 20277000 6240000 5377000 14978000 14900000 THE YOAKUM COMMUNITY HOSPITAL TEAM IS DEDICATED TO PROVIDING QUALITY CARE AND superior service WITH COMPASSION, DIGNITY, AND RESPECT. false false 25325209 0 26758030 YOAKUM COMMUNITY HOSPITAL (YCH) IS A NOT-FOR-PROFIT, CRITICAL-ACCESS HOSPITAL DELIVERING COMPREHENSIVE SERVICES WITH COMPASSION AND COMMITMENT. HOSPITAL LEADERSHIP AND PHYSICIANS WORK TOGETHER TO GUIDE THE DIRECTION OF THE FACILITY. THE BUSY, 23-BED COMMUNITY HOSPITAL HAS SERVED NEIGHBORS IN YOAKUM AND THE SURROUNDING AREA FOR 100 YEARS. THE YCH MEDICAL STAFF OF 43 PHYSICIANS INCLUDES NOT ONLY FAMILY PHYSICIANS BUT ALSO THOSE CERTIFIED IN A NUMBER OF MAJOR HEALTHCARE SPECIALTIES. MORE THAN 42 YCH STAFF NURSES AND 92 OTHER PERSONNEL PROVIDE SPECIAL EXPERTISE AND A COMPASSIONATE BEDSIDE MANNER. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY, GENERAL MEDICINE, DIABETES EDUCATION, SLEEP DISORDER TREATMENT, SURGERY AND THE MANY MEDICAL SPECIALISTS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. THE YCH TEAM TAKES PRIDE IN THE FACILITY'S QUALITY OF CARE AND OUR ONGOING COMMITMENT TO PATIENTS IN YOAKUM AND THE SURROUNDING COMMUNITIES. ADDITIONAL INFORMATION REGARDING YCH FOR FISCAL YEAR ENDED JUNE 30, 2025: - THE HOSPITAL PERFORMED 332 LIFESAVING SURGERIES. - YCH ADMITTED 508 LOCAL PATIENTS IN THE ACUTE STATE OF ILLNESS AND MANAGED 7,172 EMERGENCY ROOM VISITS WITH THE RAPID, RELIABLE CARE OUR COMMUNITY DESERVES. - THE EMERGENCY SERVICES AT YCH HAVE EARNED THE HOSPITAL DISTINGUISHED RECOGNITION AS THE FIRST LEVEL IV TRAUMA CENTER IN THE AREA. - IN 2007, YOAKUM CHAMBER OF COMMERCE PRESENTED YCH WITH ITS BUSINESS OF THE YEAR AWARD, AND THE HOSPITAL ALSO RECEIVED THE 2007 TEXAS HEALTH CARE QUALITY IMPROVEMENT AWARD. - IN 2012, YOAKUM COMMUNITY HOSPITAL RECEIVED THE 2012 TEXAS HEALTH CARE QUALITY IMPROVEMENT BRONZE AWARD. HOSPITAL SERVICES: YCH PROVIDES A BROAD RANGE OF SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE: - UP-TO-DATE LABORATORY, PHYSICAL THERAPY AND RADIOLOGY SERVICES-INCLUDING MRI, MAMMOGRAPHY, CT, RADIOGRAPHY/FLUOROSCOPY AND ULTRASOUND DIAGNOSTIC SERVICES. - LONE STAR EMERGENCY PHYSICIANS IN YOAKUM COMMUNITY HOSPITAL'S EMERGENCY ROOM TREAT TRAUMA PATIENTS AT ANY TIME OF DAY OR NIGHT, SEVEN DAYS A WEEK. - MEDICAL SPECIALISTS, INCLUDING CARDIOLOGY, EAR, NOSE AND THROAT, GASTROENTEROLOGY, GENERAL SURGERY, OPHTHALMOLOGY, ORTHOPEDICS, OB/GYN, PODIATRY AND UROLOGY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC ON A REGULAR BASIS. - SURGICAL SERVICES FOR MANY INPATIENT AND OUTPATIENT PROCEDURES IN OUR FULLY EQUIPPED OPERATING ROOMS. - CONVENIENT ACCESS TO NUMEROUS OUTPATIENT SERVICES FOR PATIENTS WITH SLEEP DISORDERS, DIABETES AND PULMONARY REHABILITATION NEEDS. 25325209 true true false true false 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 false false true true true false false true 1 0 true 301 true false false false false false false false false false false false false X 9 8 false true false false true true true true true false false false true true true true true true false true false false X JOHN OLIVARES CFO 3612932321 1200 CARL RAMERT DRIVE YOAKUM TX 77995 CLAY B HERMANN DIRECTOR 1.0 0 X 0 0 0 ELORINE SITKA DIRECTOR 1.0 0 X 0 0 0 JEFF PESEK DIRECTOR 1.0 0 X 0 0 0 JIM KENDRICK DIRECTOR 0.2 39.8 X 0 1910049 470298 LARRY M LEAHY DIRECTOR 1.0 0 X 0 0 0 MARVIN BOEDEKER VICE CHAIR/SECRETARY 1.0 0 X 0 0 0 RONALD LECK CHAIRPERSON 1.0 0 X 0 0 0 SAUNDRA ANDERSON DO Physician 40.0 0 X 399137 0 31014 TOM KELLEY DIRECTOR 1.0 0 X 0 0 0 JAMES HILL TREASURER 0.0 40.0 X 0 451879 60342 JOHN OLIVARES CFO 40.0 0.0 X 0 181301 39400 Kellee Horton Executive Assistant 1.0 0 X 69689 0 914 KIMBERLY MRAZ CNO 40.0 0 X 0 142215 48465 LINDA MOORE ASSIST SECRETARY 0.1 39.9 X 0 482307 52098 Tiffany Miller Hintze DBA MHA CEO/Pres. 40.0 0.0 X 0 311365 29753 AMY L BARTON FNP FAMILY NURSE PRACTITIONER 40.0 0 X 132289 0 2779 COURTNEY WELCH MD PHYSICIAN 40.0 0 X 356681 0 31180 JAMES E DROST MD PHYSICIAN 40.0 0 X 441932 0 17431 Jennifer Foster Family Nurse Practitioner 40.0 0.0 X 119660 0 21326 SANDRA M CHILEK LABORATORY DIRECTOR 40.0 0 X 144322 0 18760 1663710 3479116 823760 19 false true false Lone Star Emergency Associates LLC 1900 Barton Springs Road 5030 Austin TX 78704 Healthcare Services 1032000 AAA CRNA Ltd 325 Suncrest Lane Victoria TX 77905 Anesthesia Services 499800 MedHost Inc 2739 Momentum Place Chicago IL 60689 Medical Services 464703 Hunter Pharmacy Services Inc PO Box 30573 Austin TX 78755 Medical Services 299808 Texas Elite Therapy Team LLC PO Box 166 Hallettsville TX 77964 Medical Services 286762 33 1600433 116694 1717127 NET PATIENT SERVICES REV 622110 26019860 26019860 0 0 0 0 26019860 8745 8745 46948 111210 -64262 0 -64262 -64262 0 0 304B DISPENSED FEE-PHARMACY 900099 84019 84019 PFS - CAFETERIA REVENUE 900099 204557 204557 Trauma Fund 900099 22938 22938 426656 426656 0 0 738170 28419640 26758030 0 -55517 X 0 0 0 0 0 0 0 0 501015 475964 25051 0 0 0 0 0 12850317 12207801 642516 0 214816 201927 12889 0 1697173 1595343 101830 0 882967 706374 176593 0 0 0 0 0 175740 108959 66781 0 94521 11343 83178 0 5022 5022 0 0 0 0 0 0 0 0 4346826 3694803 652023 0 42914 42914 0 0 739192 657881 81311 0 248656 124328 124328 0 0 0 0 0 523660 418928 104732 0 56256 28128 28128 0 0 0 0 0 0 0 0 0 185835 148668 37167 0 541094 0 541094 0 913539 730831 182708 0 249362 199490 49872 0 MED/PHARM SUPPLIES 1183836 1183836 0 0 COLLECTION FEES 361585 361585 0 0 REPAIR & MAINTENANCE 212584 212584 0 0 2455418 2208500 246918 0 28482328 25325209 3157119 0 3767000 3444000 2667000 2667000 0 0 3519000 3434000 0 0 0 0 432000 429000 1128000 1092000 25911000 16700000 9705000 9211000 0 0 0 0 0 0 21218000 20277000 1682000 803000 0 0 3636000 3496000 922000 1078000 6240000 5377000 X 14905000 14853000 73000 47000 14978000 14900000 21218000 20277000 -62688 -15312 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 5022 false 5022 false Schedule C, Part II-B, Line 1i IN FISCAL YEAR 2025, YOAKUM COMMUNITY HOSPITAL PAID: $11,295 TO AMERICA HOSPITAL ASSOCIATION (AHA) $4,221 TO THE TEXAS HOSPITAL ASSOCIATION (THA) $3,085 TO THE TEXAS ORGANIZATION OF RURAL & COMMUNITY HOSPITALS (TORCH) THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: AHA: 39% THA: 0% TORCH: 20% DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES TOTALED $5,022 AS FOLLOWING: AHA: $11,295 * 39% = $4,405 THA: $4,221 * 0% = $0 TORCH: $3,085 * 20% = $617 TOTAL: $4,405 + $0 + $617 = $5,022 1000 1000 11479000 3699000 7780000 1814000 1696000 118000 11443000 10429000 1014000 1174000 876000 298000 9211000 Federal Income Taxes INTERCOMPANY NOTES & CHARGES-CHC MEDICARE ADVANCED 1078000 1078000 true true true X true X 2301923 63000 2238923 0.07861 1923188 3053000 0 0.0 0 0 0 0.0 0 0 4225111 3116000 2238923 0.07861 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 4225111 3116000 2238923 0.07861 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 9617476 9305879 311597 X true true 1 1 YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DRIVE YOAKUM TX 77995 HTTPS://YOAKUMHOSPITAL.ORG 000023 X X X X YOAKUM COMMUNITY HOSPITAL 1 false false true X X X X X X X X X 24 true false false true X https://www.yoakumhospital.org/about-ych/community-health-needs-assessment/ X true 24 true https://www.yoakumhospital.org/about-ych/community-health-needs-assessment/ false true X 200.0 400.0 X X X X true true X X X true X HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/ X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA FOR YOAKUM COMMUNITY HOSPITAL ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - YOAKUM COMMUNITY HOSPITAL. YOAKUM COMMUNITY HOSPITAL (YCH) IS A 23-BED HOSPITAL LOCATED IN THE TEXAS HILL COUNTRY AND HAS PROVIDED HEALTHCARE TO THIS AREA SINCE 1922. YCH PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF ITS COMMUNITY AND IS THE ONLY LEVEL IV TRAUMA CENTER IN THE AREA. THE SERVICES YCH PROVIDES INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY AND URGENT CARE, GENERAL MEDICINE, DIABETES EDUCATION, TREATMENT FOR SLEEP DISORDERS, SURGERY, CARDIOLOGY, AND THE MANY SPECIALTY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. PATIENTS BENEFIT FROM THE LATEST MEDICAL TECHNOLOGY ALONG WITH COMPREHENSIVE HEALTH CARE DELIVERED BY HIGHLY SKILLED PHYSICIANS, NURSES, AND PROFESSIONAL STAFF. THE DEFINED SERVICE AREA OF YCH IS DEWITT AND LAVACA COUNTIES IN TEXAS. BOTH COUNTIES COMBINED COMPRISE 92.5% OF FISCAL YEAR 2023 INPATIENT DISCHARGES. THE POPULATION OF DEWITT COUNTY IS EXPECTED TO DECREASE 0.4% FROM 2024 (19,815) TO 2029 (19,741) AND THE POPULATION OF LAVACA COUNTY IS EXPECTED TO INCREASE 0.9% FROM 2024 (20,674) TO 2029 (20,862), WITH THE EXPECTED GROWTH RATE OF BOTH COUNTIES FALLING BELOW THE 5.6% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2024 (30,857,478) TO 2029 (32,581,174). AS OF 2024, THE RACIAL/ETHNIC BREAKOUT OF DEWITT COUNTY WAS 66.0% WHITE, 8.4% BLACK, 0.4%, ASIAN, 0.6% AMERICAN INDIAN AND 24.6% ALL OTHERS. THE RACIAL/ETHNIC BREAKOUT OF LAVACA COUNTY IN 2024 WAS 77.0% WHITE, 6.3% BLACK, 0.5% ASIAN, 0.6% AMERICAN INDIAN AND 15.7% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2029, THE WHITE NON-HISPANIC POPULATION IN DEWITT COUNTY IS EXPECTED TO DECREASE BY 3.1% AND DECREASE BY 0.9% IN LAVACA COUNTY. BY 2029 THE BLACK POPULATION IS EXPECTED TO DECREASE BY 0.2% IN DEWITT COUNTY AND TO INCREASE BY 3.5% IN LAVACA COUNTY. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 4.7% IN DEWITT COUNTY AND BY 5.2% IN LAVACA COUNTY BY 2029. THE AMERICAN INDIAN POPULATION IS ALSO EXPECTED TO DECREASE BY 0.9% IN DEWITT COUNTY AND TO INCREASE BY 6.9% IN LAVACA COUNTY BY 2029. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 6.8% IN DEWITT COUNTY AND BY 8.6% IN LAVACA COUNTY BY 2029. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 6.7% IN DEWITT COUNTY AND BY 9.5% IN LAVACA COUNTY BY 2029. BETWEEN 2014 AND 2022, THE PERCENTAGE OF FOREIGN-BORN RESIDENTS INCREASED IN LAVACA COUNTY, THE STATE, AND THE NATION, WHILE THE PERCENT DECREASED IN DEWITT COUNTY. IN 2018-2022, DEWITT COUNTY (2.7%) HAD A LOWER PERCENTAGE OF FOREIGN-BORN RESIDENTS THAN LAVACA COUNTY (5.3%), THE STATE (17.1%), AND THE NATION (13.7%). AS OF 2024, LAVACA COUNTY (44.7 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH DEWITT COUNTY (43.1 YEARS) AND THE STATE (36.3 YEARS). THE MEDIAN AGE IN LAVACA AND DEWITT COUNTIES AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS. AS OF 2024, THE MEDIAN HOUSEHOLD INCOMES IN BOTH LAVACA ($62,802) AND DEWITT ($60,806) COUNTIES ARE LOWER THAN THE STATE ($77,169). BETWEEN 2024 AND 2029, THE MEDIAN HOUSEHOLD LAVACA AND INCOME IN DEWITT COUNTIES AND THE STATE ARE EXPECTED TO INCREASE. LAVACA (22.0%) AND DEWITT (15.0%) COUNTIES AND HAVE A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (35.7%) (2024). IN 2017-2021, 15.6% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 24.4% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2017-2021, 23.5% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.6% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2017-2021, LAVACA COUNTY IS COMFORTABLE WITH A DISTRESS SCORE OF 34.8, WHICH IS MORE PROSPEROUS THAN DEWITT COUNTY WITH A DISTRESS SCORE OF 87.0 AND OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN DEWITT AND LAVACA COUNTIES AND THE STATE DECREASED BETWEEN 2021 AND 2023. IN 2023, LAVACA (3.3) AND DEWITT (3.3) COUNTIES HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN LAVACA AND DEWITT COUNTIES FLUCTUATED. FOR LAVACA COUNTY, DECEMBER 2023 HAD THE LOWEST UNEMPLOYMENT RATE (2.6) AS COMPARED TO JUNE 2024 WITH THE HIGHEST RATE (3.5). FOR DEWITT COUNTY, APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE (2.8) AS COMPARED TO FEBRUARY 2024 AND JUNE 2024 WITH THE HIGHEST RATE (3.8). AS OF 2022, THE MAJORITY OF EMPLOYED PERSONS IN LAVACA COUNTY ARE WITHIN PRODUCTION OCCUPATIONS, AS COMPARED TO DEWITT COUNTY WHERE THE MAJORITY OF EMPLOYED PERSONS ARE WITHIN OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS. IN DEWITT COUNTY THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (12.6%), EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS (9.9%), SALES & RELATED OCCUPATIONS (9.1%), CONSTRUCTION & EXTRACTION OCCUPATIONS (8.9%) AND FOOD PREPARATION & SERVING RELATED OCCUPATIONS (7.6%). IN LAVACA COUNTY, AS OF 2022, THE MOST COMMON EMPLOYED GROUPINGS ARE PRODUCTION OCCUPATIONS (10.9%); MANAGEMENT OCCUPATIONS (10.6%); OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (10.2%); SALES & RELATED OCCUPATIONS (9.2%); AND CONSTRUCTION & EXTRACTION OCCUPATIONS (7.2%). DEWITT COUNTY (19.6%) HAS THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO LAVACA COUNTY (15.6%) AND THE STATE (14.4%) (2024). BETWEEN 2018 AND 2022, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING IN POVERTY OVERALL DECREASED IN LAVACA COUNTY AND THE STATE OF TEXAS BUT FLUCTUATED IN DEWITT COUNTY. IN 2022, DEWITT COUNTY (25.6%) HAD A HIGHER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING IN POVERTY THAN THE STATE (19.2%), WHILE THE IN LAVACA COUNTY (16.5%) WAS LOWER THAN THE STATE. ACCORDING TO FEEDING AMERICA, DEWITT COUNTY (17.6%) HAD THE HIGHEST ESTIMATED PERCENT OF RESIDENTS WHO ARE FOOD INSECURE AS COMPARED TO LAVACA COUNTY (14.7%) AND THE STATE (16.4%) (2022). ADDITIONALLY, 21.3% OF CHILDREN (UNDER 18 YEARS OF AGE) IN LAVACA COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.1% IN DEWITT COUNTY AND 22.8% IN TEXAS (2022). THE AVERAGE MEAL COST FOR A LAVACA COUNTY RESIDENT IS $3.31 AS COMPARED TO $3.27 IN DEWITT COUNTY AND $3.45 IN TEXAS (2022). BETWEEN 2017 AND 2021, DEWITT COUNTY MAINTAINED A HIGHER PERCENTAGE OF SNAP BENEFIT RECIPIENTS THAN LAVACA COUNTY AND THE STATE. IN 2021, DEWITT COUNTY (15.1%) HAD A HIGHER PERCENTAGE OF SNAP BENEFIT RECIPIENTS THAN BOTH LAVACA COUNTY (9.6%) AND THE STATE (10.6%). IN 2022-2023, DEWITT COUNTY (65.9%) HAD A HIGHER PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED PRICE LUNCH THAN LAVACA COUNTY (38.1%), THE STATE (61.3%), AND THE NATION (53.5%). LAVACA COUNTY (97.4%) AND DEWITT COUNTY (97.2%) HAVE A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.2%) AND THE NATION (81.1%) (2020-2021). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE STATE OF TEXAS AND IS THE SECOND LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). BETWEEN 2018 AND 2022, HEART DISEASE MORTALITY RATES OVERALL INCREASED IN LAVACA COUNTY AND THE STATE AND DECREASED IN DEWITT COUNTY. IN 2020-2022, THE HEART DISEASE MORTALITY RATE IN LAVACA COUNTY (327.6 PER 100,000) WAS HIGHER THAN BOTH DEWITT COUNTY (220.5 PER 100,000) AND THE STATE (170.4 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE STATE AND THE LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE STATE AND THE LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). BETWEEN 2018 AND 2022, CANCER MORTALITY RATES OVERALL INCREASED IN LAVACA COUNTY AND THE STATE AND DECREASED IN DEWITT COUNTY. IN 2020-2022, THE CANCER MORTALITY RATE IN LAVACA COUNTY (288.5 PER 100,000) WAS HIGHER THAN DEWITT COUNTY (242.2 PER 100,000) AND THE STATE (144.1 PER 100,000). COVID-19 IS THE THIRD LEADING CAUSE OF DEATH IN LAVACA AND DEWITT COUNTIES AND THE STATE (2018-2022). BETWEEN 2018 AND 2022, COVID-19 MORTALITY RATES INCREASED IN BOTH COUNTIES AND THE STATE. IN 2020-2022, THE COVID-19 MORTALITY RATE IN DEWITT COUNTY (192.1 PER 100,000) WAS HIGHER THAN LAVACA COUNTY (163.0 PER 100,000) AND THE STATE (101.1 PER 100,000). CEREBROVASCULAR DISEASES IS THE FOURTH LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE FIFTH LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE STATE (2018- 2022). BETWEEN 2018 AND 2022, CEREBROVASCULAR DISEASES MORTALITY RATES INCREASED IN LAVACA COUNTY AND THE STATE BUT DECREASED IN DEWITT COUNTY. IN 2020-2022, THE CEREBROVASCULAR DISEASES MORTALITY RATE IN LAVACA COUNTY (70.1 PER 100,000) WAS HIGHER THAN DEWITT COUNTY (65.1 PER 100,000) AND THE STATE RATE (40.3 PER 100,000). DIABETES IS THE FOURTH LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE EIGHTH LEADING CAUSE OF DEATH N LAVACA COUNTY AND THE STATE. BETWEEN 2018 AND 2022, DIABETES MORTALITY RATES INCREASED IN LAVACA AND DEWITT COUNTIES AND IN THE STATE. IN 2020-2022, THE DIABETES MORTALITY RATE IN DEWITT COUNTY (98.6 PER 100,000) WAS HIGHER THAN LAVACA COUNTY (44.0 PER 100,000) AND THE STATE (27.0 PER 100,000). ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE EIGHTH LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). BETWEEN 2018 AND 2022, ALZHEIMER'S DISEASE MORTALITY RATES DECREASED IN LAVACA AND DEWITT COUNTIES BUT REMAINED CONSISTENT IN THE STATE. IN 2020-2022, THE ALZHEIMER'S DISEASE MORTALITY RATE IN LAVACA COUNTY (55.4 PER 100,000) WAS HIGHER THAN THE RATE IN DEWITT COUNTY (35.1 PER 100,000) AND THE STATE (36.9 PER 100,000). FATAL ACCIDENTS, CHRONIC LOWER RESPIRATORY DISEASE (CLRD), AND NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN BOTH LAVACA AND DEWITT COUNTIES. BETWEEN 2020 AND 2022, THE PERCENTAGE OF ADULTS (AGE 18+) WHO WERE OBESE IN LAVACA AND DEWITT COUNTIES INCREASED AND THE STATE FLUCTUATED. IN 2022, DEWITT COUNTY (41.0%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WHO WERE OBESE THAN LAVACA COUNTY (37.7%) AND THE STATE (35.7%). BETWEEN 2020 AND 2022, LAVACA AND DEWITT COUNTIES AND THE STATE HAD AN INCREASE IN HYPERTENSION AMONG MEDICARE BENEFICIARIES. IN 2022, LAVACA COUNTY (75.0%) HAD A HIGHER PERCENTAGE OF MEDICARE BENEFICIARIES WITH HYPERTENSION THAN DEWITT COUNTY (71.0%) AND THE STATE (66.0%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF ADULTS (AGE 18+) WITH ASTHMA IN LAVACA AND DEWITT COUNTIES INCREASED WHILE THE STATE OVERALL DECREASED. IN 2022, LAVACA COUNTY (10.2%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH ASTHMA THAN DEWITT COUNTY (9.6%) THE STATE (7.9%). IN 2022, LAVACA (6.0%) AND DEWITT COUNTIES (5.0%) HAD A LOWER PERCENTAGE OF MEDICARE BENEFICIARIES WITH ASTHMA THAN THE STATE (7.0%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF ADULTS (AGE 18+) WITH ARTHRITIS IN LAVACA AND DEWITT COUNTIES INCREASED. IN 2022, LAVACA COUNTY (24.4%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH ARTHRITIS THAN DEWITT COUNTY (23.9%) AND THE STATE (21.4%). IN 2022, DEWITT COUNTY (34.5%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH A DISABILITY THAN LAVACA COUNTY (33.3%) AND THE STATE (28.9%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF MEDICARE BENEFICIARIES WITH A DISABILITY IN LAVACA AND DEWITT COUNTIES AND THE STATE DECREASED. IN 2022, DEWITT COUNTY (19.0%) HAD A HIGHER PERCENTAGE OF MEDICARE BENEFICIARIES WITH A DISABILITY THAN LAVACA COUNTY (16.0%) AND THE STATE (15.0%). BETWEEN 2018 AND 2022, THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) OVERALL DECREASED IN LAVACA COUNTY AND THE STATE BUT INCREASED IN DEWITT COUNTY. AS OF 2022, LAVACA COUNTY (17.6%) HAD THE LOWEST PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO DEWITT COUNTY (22.0%) AND THE STATE (22.3%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR YOAKUM COMMUNITY HOSPITAL (YCH) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN DEWITT AND LAVACA COUNTIES IN TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC FROM SEPTEMBER 16, 2024 - SEPTEMBER 27, 2024. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE YCH BOARD REVIEWED AND ADOPTED THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 28, 2025. INTERVIEW METHODOLOGY: YCH WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. YCH 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 YCH, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC AND INCLUDED POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. DEMOGRAPHIC DATA WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, SYNTELLIS, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS. ADDITIONALLY, A VARIETY OF SOURCES WAS USED IN THE COLLECTION OF HEALTH DATA, INCLUDING, BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, THE U.S. CENSUS BUREAU. AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION YCH PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN DEWITT AND LAVACA COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST FOURTEEN 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. EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 57.1% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY INTERESTS OF SUCH POPULATIONS. 14.3% 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. 28.6% OF THOSE THAT PROVIDED INPUT ARE COMMUNITY LEADERS. Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. INTERVIEWEES INCLUDED: - SANDRA BERGEY, DDS: FAMILY DENTIST, SANDRA B. BERGEY, DDS - LISA CAMPOS: NURSE MANAGER, DEWITT COUNTY, HEALTH DEPARTMENT - GRACE FOREMAN: LEAD PHARMACIST, YOAKUM DISCOUNT PHARMACY - JENNY FOSTER, FNP: FAMILY NURSE PRACTITIONER, YOAKUM FAMILY PRACTICE - GREGORY GREMMEL, M.D.: EMERGENCY MEDICINE-PHYSICIAN DIRECTOR, YOAKUM COMMUNITY HOSPITAL - TOM KELLEY: SUPERINTENDENT, YOAKUM ISD; BOARD MEMBER, YOAKUM COMMUNITY HOSPITAL - RONNIE LECK: CHAIRMAN OF THE BOARD, YOAKUM COMMUNITY HOSPITAL - DEBBIE LONG: DIRECTOR OF PATIENT ACCESS/OUTPATIENT CLINIC, YOAKUM COMMUNITY HOSPITAL - MICHAEL MITCHELL: CITY MANGER, CITY OF YOAKUM - CARL O'NEILL: MAYOR, CITY OF YOAKUM - ANNIE RODRIGUEZ: RETIRED CITY COUNCIL MEMBER, CITY OF YOAKUM - LAUREN WERNER: PUBLIC HEALTH NURSE, LAVACA COUNTY HEALTH DEPARTMENT - TEXAS DEPT. OF STATE HEALTH SERVICES - BROTHER ELVIS WHALEY: CLERGY, AUSTIN STREET BAPTIST CHURCH POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE N THE COMMUNITY BY INTERVIEWEES WERE: ELDERLY, LOW INCOME/WORKING POOR, RACIAL/ETHNIC GROUPS, YOUTH, NEW PARENT POPULATION, VETERANS AND HOMELESS POPULATION. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: ELDERLY - LACK OF ASSISTED LIVING OPTIONS - LACK OF LOCAL SPECIALTY SERVICES - SOCIAL ISOLATION - LITERACY - SAFE, AFFORDABLE HOUSING - ACCESS TO AFFORDABLE PRESCRIPTIONS LOW INCOME/WORKING POOR - INCREASE IN FOOD BANK RECIPIENTS - FOREGOING CARE DUE TO LACK OF INSURANCE - LACK OF HIGHER PAYING JOBS, SOME LIVING PAYCHECK TO PAYCHECK RACIAL/ETHNIC - GROWING RACIAL POPULATION CREATING GREATER DEMAND FOR SERVICES, PARTICULARLY THE VENEZUELAN AND HONDURAN POPULATION - BARRIERS TO ACCESSING HEALTHCARE SERVICES DUE TO LANGUAGE BARRIERS, LACK OF JOB/INSURANCE, ESPECIALLY OF THE HISPANIC/SPANISH SPEAKING POPULATION - INCREASE IN TUBERCULOSIS CASES WITHIN THE IMMIGRANT POPULATION - NEED FOR AFFORDABLE HOUSING YOUTH - LACK OF MENTAL HEALTH RESOURCES - CONCERN FOR NEGLECTED, HOMELESS CHILDREN - LACK OF RECREATIONAL OPPORTUNITIES - VIOLENCE, DRUGS, AND ALCOHOL USE AMONG ADOLESCENTS - SOCIAL MEDIA'S INFLUENCE ON BEHAVIOR AND MENTAL HEALTH - LITERACY CHALLENGES WITH READING AND WRITING - LACK OF DESIGNATED PRIMARY CARE PHYSICIAN NEW PARENT POPULATION - NEED FOR NEW PARENT EDUCATION - NEED FOR EDUCATION AROUND APPROPRIATE EMERGENCY ROOM USE VETERANS - TRAVEL TO SAN ANTONIO, HOUSTON, AUSTIN, AND VICTORIA FOR SERVICES - LONG WAIT TIMES AND SLOW HEALTHCARE SERVICE OPTIONS HOMELESS POPULATION - LACK OF SHELTERS AND RESOURCES - TRANSIENT POPULATION - MENTAL HEALTH AND ADDICTION CONCERNS Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - YOAKUM COMMUNITY HOSPITAL. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY YOAKUM COMMUNITY HOSPITAL, (YCH). THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 2. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 3. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES. 4. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, YCH LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE FOUR PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS. OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY. 1.A. YCH WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN TO DETERMINE THE PHYSICIAN NEEDS OF THE COMMUNITY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. 1.B. YCH WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERING IN THE COMMUNITY AND TO SUPPORT MEDICAL STAFF DEVELOPMENT EFFORTS THROUGH PROMOTION OF AVAILABLE PHYSICIANS AND MAINTAINING AN UPDATED DIRECTORY FOR DISTRIBUTION. THE HOSPITAL INTRODUCES ALL NEW PHYSICIANS THROUGH ADVERTISEMENTS IN THE LOCAL NEWSPAPER AND FACEBOOK IN LINE WITH STARK REGULATIONS. 1.C. YCH PROVIDES AN OUTPATIENT CLINIC FOR ROTATING SPECIALISTS IN ORDER TO INCREASE ACCESS TO SPECIALTY CARE FOR LOCAL RESIDENTS. 1.D. YCH PROVIDES WOUND CARE, HYPERBARIC CENTER AND BIOFIRE LAB SERVICES ON-SITE TO INCREASE ACCESS TO LOCAL SERVICES. 1.E. YCH WILL CONTINUE TO PROVIDE THE GOLD STANDARD OF BOTH CARE AND TECHNOLOGY THROUGH ITS NEW 3D- TOMOSYNTHESIS MAMMOGRAPHY UNIT. 1.F. YCH WILL CONTINUE TO PROVIDE THE TELENEUROLOGY AND TELESTROKE PROGRAM, AS WELL AS READING SERVICES FOR EEGS, THROUGH ITS PARTNERSHIP WITH ST. DAVID'S. 1.G. YCH HELPS PATIENTS THROUGH THE CONTINUUM OF CARE BY ASSISTING IN SETTING UP FOLLOW-UP APPOINTMENTS WITH NECESSARY PROVIDERS FOR ANY PATIENTS DISCHARGED FROM INPATIENT CARE, CASE MANAGEMENT SERVICES WILL ASSIST IN COORDINATING FOLLOW-UP CARE FOR PATIENTS AS NEEDED, AND PATIENTS RECEIVE A COPY OF THEIR WRITTEN DISCHARGE SUMMARY AND AN ELECTRONIC SUMMARY IS SENT TO THEIR PRIMARY CARE PROVIDER. UPON DISCHARGE FROM THE EMERGENCY ROOM, PATIENTS' PRIMARY CARE PROVIDERS ARE PROVIDED WITH A SUMMARY OF THEIR EMERGENT VISIT. 1.H. YCH IS A DESIGNATED SUPPORT LEVEL III STROKE FACILITY BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, AND WILL CONTINUE ITS ONGOING COMMITMENT TO ENSURE QUALITY CARE IS AVAILABLE FOR STROKE PATIENTS IN ITS AREA. 1.I. YCH WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR A VARIETY OF HEALTH CARE STUDENTS FROM LOCAL ACADEMIC INSTITUTIONS. 1.J. YCH IS FOCUSING ON IMPLEMENTING DIFFERENT PRIMARY CARE INITIATIVES TO STREAMLINE ACCESS TO CARE, SUCH AS LEVERAGING ATHENA TO IMPROVE THE REGISTRATION PROCESS AND SAME DAY ACCESS, AIMING TO HAVE ACCESS TO APPOINTMENTS WITHIN 14 DAYS. PRIORITY #2: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS. OBJECTIVE: INCREASE PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY. 2.A. THE HOSPITAL WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH OPTUM TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 2.B. THE NEW HORIZONS PROGRAM IS AVAILABLE AT YOAKUM COMMUNITY HOSPITAL FOR PATIENTS AGE 13 AND ABOVE. THIS PROGRAM IS DESIGNED TO ADDRESS A SIGNIFICANT NEED IN OUR COMMUNITY FOR THOSE WHO ARE EXPERIENCING DIFFICULT BEHAVIOR, MENTAL, EMOTIONAL, AND/OR PHYSICAL CHANGES THAT ARE IMPACTING THEIR QUALITY OF LIFE. NEW HORIZONS AT YOAKUM COMMUNITY HOSPITAL PROVIDES A MENTAL HEALTH ASSESSMENT AND APPROPRIATE INTERVENTIONS FOR THESE INDIVIDUALS. 2.C. YCH WILL CONTINUE TO COLLECT DATA FROM THE NEW HORIZONS PROGRAM TO CONFIRM ITS POSITIVE IMPACT ON THE NEED OF MENTAL AND BEHAVIORAL HEALTH WITHIN THE PATIENT POPULATION IN THE COMMUNITY AND CONDUCT PRESENTATIONS AT LOCAL SCHOOLS TO PROMOTE AWARENESS ON MENTAL AND BEHAVIORAL HEALTHCARE. 2.D. YCH CONTINUES TO CONDUCT PRESENTATIONS AT LOCAL SCHOOLS TO PROMOTE AWARENESS ON MENTAL AND BEHAVIORAL HEALTHCARE. 2.E. YCH CONTINUES TO STAFF SOCIAL WORK CANDIDATES WORKING TO COMPLETE THEIR CREDENTIALS AND HOURS IN ORDER TO ATTAIN THEIR APPROPRIATE LICENSURE. 2.F. YCH RECEIVED A GRANT FROM THE DICKSON ALLEN FOUNDATION FOR BEHAVIORAL HEALTH SERVICES FOR LAVACA COUNTY RESIDENTS AS WELL AS PARTICIPATES IN THE MD SAVE PROGRAM TO IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES. 2.G. YCH PROVIDES SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN CONJUNCTION WITH THE LOCAL NORMA'S HOUSE ORGANIZATION. 2.H. YCH WILL CONTINUE TO PROMOTE THE LOCAL SUICIDE PREVENTION HOTLINE FOR APPLICABLE PATIENTS AS NEEDED. PRIORITY #3: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES. OBJECTIVE: HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY. 3.A. YCH 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, MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC UPON REQUEST. 3.B. YCH WILL CONTINUE TO SUPPORT AND PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO SHARE INFORMATION ON HEALTH EDUCATION AND PROVIDE VARIOUS WELLNESS SCREENINGS. 3.C. THE HOSPITAL WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY, AS APPROPRIATE. 3.D. THE HOSPITAL WILL CONTINUE TO COORDINATE WITH SOUTH TEXAS BLOOD AND TISSUE CENTER TO PARTICIPATE IN BLOOD DRIVES ON A QUARTERLY BASIS, WHICH ARE OPEN TO HOSPITAL EMPLOYEES AND THE COMMUNITY. 3.E. YCH WILL SERVE AS A SITE FOR PROPER MEDICATION DISPOSAL TO ENCOURAGE THE SAFE DISPOSAL OF UNUSED AND REMAINDER MEDICATIONS FOR RESIDENTS IN THE COMMUNITY. 3.F. UPON DISCHARGE, YCH PHARMACISTS CALL PATIENTS WITHIN THE FIRST 24-72 HOURS TO ENSURE THAT THEIR MEDICATION PROCESS IS UNDERSTOOD AND TO ANSWER ANY QUESTIONS. 3.G. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. PRIORITY #4: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY. 4.A. YCH PROVIDES THE MD SAVE PROGRAM FOR SELF-PAY AND THOSE WITH HIGH DEDUCTIBLES IN ORDER TO OFFER CERTAIN SERVICES AT A DISCOUNTED RATE TO ASSIST THE COMMUNITY WITH THEIR HIGH-DEDUCTIBLE PLANS OR INDIVIDUALS WHO ARE UNINSURED. 4.B. YCH WILL PARTICIPATE IN THE 340B PHARMACY PROGRAM WHICH PROVIDES DISCOUNTED PHARMACY PRICING TO INDIGENT PATIENTS. 4.C. YCH PROVIDES MEDICATION SUPPORT TO INDIGENT PATIENTS (AS APPROPRIATE) THROUGH THE TAX DISTRICT AND THEIR ALLOWANCE OF ADDITIONAL FUNDING AND INCREASING THE DOLLAR AMOUNT PROVIDED. 4.D. THE EMPLOYEES OF YCH ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS THROUGH THE CLUB MED PROGRAM. WITH CLUB MED, YCH LEADERSHIP AND STAFF VOLUNTEER TO MEET MONTHLY WITH JUNIOR AND SENIOR HIGH SCHOOL STUDENTS TO DISCUSS CAREERS IN HEALTHCARE AT THE HOSPITAL FACILITY. CLUB MED PROGRAM STUDENTS WILL BE ELIGIBLE TO RECEIVE SCHOLARSHIPS BASED ON RAISED FUNDS. 4.E. YCH PROVIDES NON-HEALTHCARE CPR CLASSES TO LOCAL GROUPS UPON REQUEST. 4.F. YCH HAS A CONTRACT WITH AN INTERPRETING SERVICE TO PROVIDE TRANSLATION SERVICES FOR NON-ENGLISH SPEAKING AND ASL PATIENTS AND FAMILIES AS NEEDED. 4.G. YCH'S CASE MANAGEMENT DEPARTMENT CONTINUES TO IDENTIFY COMPLEX PATIENTS WITH MULTIPLE CHRONIC ILLNESSES AND PROVIDE ADDITIONAL HOSPITAL SUPPORT AS APPROPRIATE. 4.H. YCH WILL CONTINUE TO PROVIDE LAB WORK FOR THE ELDERLY THROUGH THE PHLEBOTOMIST THAT GOES TO THE LOCAL NURSING HOMES. 4.I. YCH WILL CONTINUE TO HOST DRIVE EVENTS TO BENEFIT VARIOUS GROUPS WITHIN THE COMMUNITY. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. 4.J. YCH, LOCAL NURSING HOMES, HOME HEALTH AGENCIES, AND PHARMACIES WILL CONTINUE TO CO-SPONSOR COMMUNITY EDUCATION AT LOCAL CHURCHES, EVENT CENTERS, ETC. WHICH PROVIDES INFORMATION, FREE OF CHARGE TO THE COMMUNITY, ON ROTATING HEALTH-RELATED TOPICS, SPECIFICALLY SURROUNDING THE ELDERLY (I.E., MEDICARE, EHAVIORAL HEALTH) UPON REQUEST. 4.K. YCH PARTNERS WITH THE GOLDEN CRESCENT AREA ON AGING TO HOST MEDICARE OPEN ENROLLMENT FOR SENIORS IN THE COMMUNITY. 4.L. THE HOSPITAL WILL CONTINUE TO PROVIDE A LOCATION FOR WIC. 4.M. YOAKUM FAMILY PRACTICE HELPS WITH THE ANNUAL ATHLETIC PREPARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - YOAKUM COMMUNITY HOSPITAL. YOAKUM COMMUNITY HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part I, Line 3c PART I, LINE 3C THE ASSETS TEST IS USED IN ORDER TO DETERMINE THE AMOUNT OF DISCOUNTED CARE. PAY STUBS FOR PATIENT & SPOUSE, LAST YEAR'S TAX RETURN, SOCIAL SECURITY AWARD LETTER ARE REQUIRED IF EMPLOYED. IF UNEMPLOYED, FOOD STAMP APPROVAL/DENIAL, UNEMPLOYMENT APPROVAL/DENIAL AND LAST YEAR'S TAX RETURN ARE REQUIRED. THE PATIENT IS ALSO REQUIRED TO SUBMIT A FINANCIAL INFORMATION FORM SHOWING BILLS, BANK ACCOUNTS, AND ANY OTHER SUPPORT THEY MAY BE RECEIVING TO DETERMINE IF THEY ARE ELIGIBLE FOR CHARITY CARE. Schedule H, Part I, Line 6a PART I, LINE 6A THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2025 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENTS ACCOUNTS RECEIVABLE CONSIST OF AMOUNTS DUE FOR THE PROVISION OF HEALTH CARE SERVICES WHICH ARE RECORDED AT AMORTIZED COST AT THE NET AMOUNT EXPECTED TO BE COLLECTED. IN EVALUATION THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, MANAGEMENT REGULARLY REVIEWS DATA AND DEVELOPS A LOSS RATE TO DETERMINE EXPECTED CREDIT LOSSES BASED ON SEVERAL FACTORS INCLUDING WHETHER A PATIENT HAS THIRD PARTY PAYOR COVERAGE OR IS UNINSURED, THE AGING OF RECEIVABLES, HISTORICAL COLLECTIONS AND LOSS EXPERIENCE, CURRENT CONTRACT PRICES OR CLAIMS PAID DATA, AND TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES OF ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. MANAGEMENT BELIEVES THE COMPOSITION OF RECEIVABLES AT YEAR-END IS CONSISTENT WITH HISTORICAL CONDITIONS AS CREDIT TERMS AND PRACTICES AND THE CUSTOMER BASE HAS NOT CHANGED SIGNIFICANTLY; THEREFORE, THE ORGANIZATION HAS MAINTAINED CONSISTENT METHODOLOGY IN ESTIMATE OF CREDIT LOSSES. MANAGEMENT HAS DETERMINED THE ESTIMATE OF EXPECTED CREDIT LOSSES IS NOT MATERIAL TO THE FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs INPATIENT ACUTE CARE SERVICES AND SUBSTANTIALLY ALL OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. THE HOSPITAL IS REIMBURSED FOR CERTAIN SERVICES AT TENTATIVE RATES WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE HOSPITAL AND AUDITS THEREOF BY THE MEDICARE ADMINISTRATIVE CONTRACTOR. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF A PATIENT OF YOAKUM COMMUNITY HOSPITAL QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. Schedule H, Part V, Section B, Line 16a FAP website - YOAKUM COMMUNITY HOSPITAL: Line 16a URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - YOAKUM COMMUNITY HOSPITAL: Line 16b URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - YOAKUM COMMUNITY HOSPITAL: Line 16c URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, YOAKUM COMMUNITY HOSPITAL, (YCH), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 6/30/2025. YCH LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE TOP PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, RESPONSIBLE LEADERS, ANNUAL UPDATES AND PROGRESS, AND KEY RESULTS (AS APPROPRIATE). THE CHNA AND IMPLEMENTATION STRATEGY FOR THE FISCAL YEAR ENDED JUNE 30, 2025, WAS REVIEWED AND ADOPTED BY THE HOSPITAL'S GOVERNING BOARD ON MAY 28, 2025. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED IN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN THE INTERVIEWS CONDUCTED WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN LAVAC AND DEWITT COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WE HAVE A COPY OF OUR CHARITY CARE POLICY POSTED ON OUR HOSPITAL WEBSITE AND HAVE AN ELIGIBILITY CONSULTANT ON SITE WHO WILL SCREEN ALL CUSTOMERS WHO ARE SELF PAY FOR ALL PROGRAMS THEY MAY BE ELIGIBLE FOR. OUR INSURED CUSTOMERS ARE ALSO REFERRED TO THE ELIGIBILITY CONSULTANT IF THEY ARE NOT ABLE TO SET UP FINANCIAL ARRANGEMENTS AFTER THEY ARE MOVED TO BEING SELF PAY. WE HAVE SIGNS POSTED IN OUR REGISTRATION AREA STATING "YCH PROVIDES FINANCIAL ASSISTANCE THROUGH OUR CHARITY OR INDIGENT PROGRAMS TO THOSE WHO QUALIFY. SEE REGISTRATION CLERK FOR MORE INFORMATION." OUR BILLING STATEMENTS ALSO HAVE CONTACT INFORMATION FOR CUSTOMERS WHO CANNOT PAY THE CLAIM IN FULL TO CALL TO DISCUSS MORE PAYMENT OPTIONS. Schedule H, Part VI, Line 4 Community information YOAKUM COMMUNITY HOSPITAL IS A 23-BED HOSPITAL LOCATED IN THE TEXAS HILL COUNTRY. THE HOSPITAL IS CENTRALLY LOCATED APPROXIMATELY 200 MILES FROM SAN ANTONIO AND HOUSTON. YCH SERVES LAVACA AND DEWITT COUNTIES. THE POPULATION OF DEWITT COUNTY IS 19,815 (2024) AND IS EXPECTED TO DECREASE BY 0.4% BY 2029. THE POPULATION OF LAVACA COUNTY IS 20,674 AND IS EXPECTED TO INCREASE 0.9% BY 2029. IN 2024, THE MAJORITY OF RESIDENTS IN DEWITT COUNTY (66.0%) AND LAVACA COUNTY IDENTIFY AS WHITE (77.0%) (NON-HISPANIC). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. THE HISPANIC POPULATION IN DEWITT COUNTY IS EXPECTED TO INCREASE IN BY 6.7% AND BY 9.5% IN LAVACA COUNTY BY 2029. THE FASTEST GROWING POPULATION IN DEWITT COUNTY IS THE ALL OTHERS RACIAL/ETHIC GROUP (NON- WHITE, BLACK, ASIAN OR AMERICAN INDIAN) AND IN LAVACA COUNTY, THE HISPANIC POPULATION IS THE FASTEST GROWING POPULATION. IN 2024, LAVACA COUNTY (44.7 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH DEWITT COUNTY (43.1 YEARS) AND THE STATE OF TEXAS (36.3 YEARS). THE MEDIAN AGES IN LAVACA COUNTY, DEWITT COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). IN 2023, LAVACA (3.3) AND DEWITT (3.3) COUNTIES HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN LAVACA AND DEWITT COUNTIES FLUCTUATED. FOR LAVACA COUNTY, DECEMBER 2023 HAD THE LOWEST UNEMPLOYMENT RATE (2.6) AS COMPARED TO JUNE2024 WITH THE HIGHEST RATE (3.5). FOR DEWITT COUNTY, APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE (2.8) AS COMPARED TO FEBRUARY 2024 AND JUNE 2024 WITH THE HIGHEST RATE (3.8). AS OF 2024, THE MEDIAN HOUSEHOLD INCOMES IN BOTH LAVACA ($62,802) AND DEWITT ($60,806) COUNTIES ARE LOWER THAN THE STATE ($77,169). BETWEEN 2024 AND 2029, THE MEDIAN HOUSEHOLD INCOME IN LAVACA AND DEWITT COUNTIES AND THE STATE ARE EXPECTED TO INCREASE. IN 2024, LAVACA (22.0%) AND DEWITT (15.0%) COUNTIES HAD A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (35.7%). THE PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVEL IN DEWITT COUNTY (19.6%) WAS HIGHER THAN IN LAVACA COUNTY (15.6%) AND THE STATE OF TEXAS (14.4%) (2024). IN 2022, DEWITT COUNTY (17.6%) HAD THE HIGHEST ESTIMATED PERCENTAGE OF RESIDENTS WHO WERE FOOD INSECURE AS COMPARED TO LAVACA COUNTY (14.7%) AND THE STATE (16.4%). ADDITIONALLY, 21.3% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN LAVACA COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.1.% IN DEWITT COUNTY AND 22.8% IN TEXAS (2022). THE AVERAGE MEAL COST FOR A LAVACA COUNTY RESIDENT WAS $3.31 AS COMPARED TO $3.27 IN DEWITT COUNY AND $3.45 IN THE STATE OF TEXAS (2022). AS OF 2022, LAVACA COUNTY (17.6%) HAD THE LOWEST PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO DEWITT COUNTY (22.0%) AND THE STATE (22.3%). HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN DEWITT AND LAVACA COUNTY. BETWEEN 2018 AND 2022, OVERALL MORTALITY RATES IN LAVACA AND DEWITT COUNTIES REMAINED HIGHER THAN THE STATE RATE. ADDITIONALLY, DEWITT COUNTY HAD HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS CHRONIC LOWER RESPIRATORY DISEASES (CLRD), NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS AND DIABETES THAN THE STATE OF TEXAS IN 2022. LAVACA COUNTY HAD HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, ALZHEIMER'S DISEASE, AND CEREBROVASCULAR DISEASES THAN THE STATE IN 2022. IN 2022, THE PERCENTAGE OF ADULTS IN LAVACA AND DEWITT COUNTIES WITH CONDITIONS SUCH AS OBESITY, HYPERTENSION, ASTHMA AND ARTHRITIS THAN THE STATE OF TEXAS. LAVACA AND DEWITT COUNTIES HAD A HIGHER RATE OF DISABLED ADULTS THAN THE STATE OF TEXAS (2022). Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH YCH PROMOTES COMMUNITY HEALTH THROUGH: PARTICIPATION IN COMMUNITY OUTREACH BY OFFERING SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS AND MEDIA APPEARANCES, AS WELL AS AT HEALTH RELATED EVENTS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. CURRENT EXAMPLES INCLUDE: ROTARY CLUB, STOP THE BLEED, WRAP TRAINING - LOCAL EMS AND POLICE, NATIONAL NIGHT OUT, AND THE LOCAL FALL HEALTH FAIR AT LAVACA MEDICAL CENTER. THE HOSPITAL WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY, AS APPROPRIATE. CURRENT EXAMPLES INCLUDE: ALZHEIMER'S SUPPORT GROUP, YCH AUXILIARY, WIDOW SUPPORT GROUP, YOAKUM GARDEN CLUB, GRIEF SUPPORT GROUP, YCH AUXILIARY TO ACTION STEP, RETIRED TEACHERS. THE HOSPITAL WILL CONTINUE TO PROVIDE A LOCATION FOR WIC. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. CURRENT EXAMPLES INCLUDE: ROTARY CLUB AND THE LOCAL BOY SCOUTS OF AMERICA CHAPTER, LITTLE LEAGUE BASEBALL BOARD MEMBER, YOAKUM BUILDING AND STANDARDS COMMISSION, TREASURER OF THE MC JAMISON YOUTH CENTER. ADDITIONALLY, THE EMPLOYEES OF YCH ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS THROUGH THE CLUB MED PROGRAM. WITH CLUB MED, YCH LEADERSHIP AND STAFF VOLUNTEER TO MEET MONTHLY WITH JUNIOR AND SENIOR HIGH SCHOOL STUDENTS TO DISCUSS CAREERS IN HEALTHCARE AT THE HOSPITAL FACILITY. CLUB MED PROGRAM STUDENTS WILL BE ELIGIBLE TO RECEIVE SCHOLARSHIPS BASED ON RAISED FUNDS. CURRENT EXAMPLES INCLUDE: YOAKUM, (NEW) MOULTON HIGH SCHOOL, ST. PAUL. YOAKUM FAMILY PRACTICE HELPS WITH THE ANNUAL ATHLETIC PREPARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST. YCH ALSO PROVIDES NON-HEALTHCARE CPR CLASSES TO LOCAL GROUPS UPON REQUEST. CURRENT EXAMPLES INCLUDE: POLICE DEPARTMENT, SPH, EMPLOYEES OF THE CITY OF YOAKUM, YOAKUM ISD. YCH WILL CONTINUE TO HOST DRIVE EVENTS TO BENEFIT VARIOUS GROUPS WITHIN THE COMMUNITY. CURRENT EXAMPLES INCLUDE: NORMA'S HOUSE, BLUE SANTA, ADOPT A FAMILY, ADOPT SENIOR CITIZEN, THANKSGIVING FOOD DRIVE, DRIVE - THRU FLU-CLINIC FOR ELDERLY. YCH, LOCAL NURSING HOMES, HOME HEALTH AGENCIES, AND PHARMACIES WILL CONTINUE TO CO-SPONSOR COMMUNITY EDUCATION AT LOCAL CHURCHES, EVENT CENTERS, ETC. WHICH PROVIDES INFORMATION, FREE OF CHARGE TO THE COMMUNITY, ON ROTATING HEALTH-RELATED TOPICS, SPECIFICALLY SURROUNDING THE ELDERLY (I.E., MEDICARE, BEHAVIORAL HEALTH) UPON REQUEST. YCH ALSO PARTNERS WITH THE GOLDEN CRESCENT AREA ON AGING TO HOST MEDICARE OPEN ENROLLMENT FOR SENIORS IN THE COMMUNITY. IN ADDITION, THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, AND EDUCATION. THE MAJORITY OF THE YCH BOARD ARE MAJORITY COMMUNITY MEMBERS. Schedule H, Part VI, Line 6 Affiliated health care system YOAKUM COMMUNITY HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. YOAKUM COMMUNITY HOSPITAL IS A 23 BED CRITICAL ACCESS HOSPITAL OFFERING GENERAL MEDICAL AND SURGICAL CARE TO THE CITIZENS OF YOAKUM AND THE SURROUNDING COMMUNITIES. ESTABLISHED IN 1922, YOAKUM COMMUNITY HOSPITAL HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE ITS INCEPTION AND CONTINUES TO SEARCH FOR WAYS TO BETTER SERVE OUR COMMUNITY. Schedule H, Part VI, Line 7 State filing of community benefit report TX false true false false false false false true false SAUNDRA ANDERSON DO Physician 342857 0 52795 0 3485 0 7721 0 23293 0 430151 0 0 0 JIM KENDRICK DIRECTOR 0 1136361 0 615419 0 158269 0 426812 0 43486 0 2380347 0 74596 JAMES HILL TREASURER 0 345401 0 81611 0 24867 0 28012 0 32330 0 512221 0 0 Tiffany Miller Hintze DBA MHA CEO/Pres. 0 246579 0 62661 0 2125 0 17137 0 12616 0 341118 0 0 LINDA MOORE ASSIST SECRETARY 0 370712 0 74202 0 37393 0 28381 0 23717 0 534405 0 0 KIMBERLY MRAZ CNO 0 117081 0 23719 0 1415 0 9129 0 39336 0 190680 0 0 JOHN OLIVARES CFO 0 151311 0 28204 0 1786 0 12745 0 26655 0 220701 0 0 SANDRA M CHILEK LABORATORY DIRECTOR 141229 0 2262 0 831 0 4467 0 14293 0 163082 0 0 0 JAMES E DROST MD PHYSICIAN 403125 0 36749 0 2058 0 6575 0 10856 0 459363 0 0 0 COURTNEY WELCH MD PHYSICIAN 314662 0 41749 0 270 0 5243 0 25937 0 387861 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION OF CEO/EXECUTIVE DIRECTOR THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION (CHC), AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2025 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $416,461 LINDA MOORE - $18,031 JAMES HILL - $17,662 Schedule J, Part I, Line 7 Non-fixed payments A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION. Form 990, Part VI, Line 3 Delegation of management duties COMMUNITY HOSPITAL CORPORATION ('CHC') PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders CHC IS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHC AS THE SOLE MEMBER OF YCH ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES OF YCH AND IS EMPOWERED WITH THE ABILITY TO REMOVE TRUSTEES, WITH OR WITHOUT CAUSE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ARTICLES OF INCORPORATION - BOARD OF DIRECTORS SECTION 7.1 POWERS. THE AFFAIRS OF THIS CORPORATION SHALL BE MANAGED BY ITS BOARD OF TRUSTEES (HEREINAFTER SOMETIMES CALLED THE 'BOARD') PROVIDED THAT THE APPROVAL OF THE MEMBER OF THIS CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: A. THE ESTABLISHMENT OF OR ANY CHANGE IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBER; B. ANY AMENDMENTS OR REVISIONS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; C. ANY AMENDMENTS OR REVISIONS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; D. THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE; E. ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY, TO WHICH THE CORPORATION IS A PARTY; F. THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; G. ALL MATERIAL EXPENDITURE DEVIATIONS ($25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING BUDGET; H. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET; I. THE PURCHASE OR ACQUISITION OF ANY REAL, PERSONAL, OR MIXED PROPERTY THE CORPORATION IN EXCESS OF $25,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS; J. THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; K. 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 $50,000; L. ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION, EXCEPT USUAL AND CUSTOMARY TRADE DEBTS, WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION; M. SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; N. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; O. THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT AN ANNUAL COMPENSATION IN EXCESS OF $30,000 OR AN AGGREGATE COMPENSATION IN EXCESS OF $50,000; P. ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; Q. THE ELECTION OF THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION OR THE REMOVAL OF SAID TRUSTEE, WHETHER WITH OR WITHOUT CAUSE; R. THE ENGAGEMENT OF OR REMOVAL OF THE HOSPITAL ADMINISTRATOR; S. THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; T. THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND-RAISING; AND U. THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM OF THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body A REVIEW OF THE 990 FORM IS PERFORMED BY THE CFO OF THE HOSPITAL FOLLOWING FORM PREPARATION. ELECTRONIC COPIES ARE SENT TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM. THE FORMS ARE THEN FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST STATEMENTS ARE FILLED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMMITTEE. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE PRESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD/COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF, AFTER HEARING THE ESPONSE AND MAKING FURTHER INVESTIGATION, IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, THEN APPROPRIATE DISCIPLINARY ACTION IS TAKEN WHICH CAN INCLUDE WITHOUT IMITATION, TERMINATION OF THE PERSON'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 VIII, Line 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 426656, Related or Exempt Function Revenue: 426656, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES-HOSPITAL - Total Expense: 3093180, Program Service Expense: 2629203, Management and General Expenses: 463977, Fundraising Expenses: 0; PURCHASED SERVICES-CLINIC - Total Expense: 162883, Program Service Expense: 138451, Management and General Expenses: 24432, Fundraising Expenses: 0; PROFESSIONAL FEES-HOSPITAL - Total Expense: 1090763, Program Service Expense: 927149, Management and General Expenses: 163614, Fundraising Expenses: 0; FORM 990, PART VI, Line 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC AS ADOPTED BY YOAKUM COMMUNITY HOSPITAL. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. 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