2026-05-13T11:55:13+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2024-07-01 465032999 ContinueCare Hospital at Baptist Health Paducah Inc CONT 9729436400 7950 LEGACY DRIVE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT 9729436400 2026-05-13 true Jodi Rosser P01255710 8173351900 2026-05-11 2024 2025-03-06 01:10:19Z APRIL MYERS 7950 LEGACY DRIVE 1000 PLANO TX 75024 7897399 false 9703 X HTTPS://PADUCAH.CONTINUECARE.ORG/ X 2014 DE CCH PADUCAH'S MISSION IS TO PROVIDE QUALITY LONG-TERM, ACUTE-CARE AND A HEALING ENVIRONMENT FOR OUR PATIENTS, USING CHRISTIAN VALUES AS OUR GUIDE. 4 3 100 0 0 0 0 8717183 7887639 35504 9391 1534 369 8754221 7897399 0 0 0 0 4139787 4436052 0 0 0 4064467 3979443 8204254 8415495 549967 -518096 5269767 3926560 4554195 3729084 715572 197476 CCH PADUCAH'S MISSION IS TO PROVIDE QUALITY LONG-TERM, ACUTE-CARE AND A HEALING ENVIRONMENT FOR OUR PATIENTS, USING CHRISTIAN VALUES AS OUR GUIDE. false false 7109471 0 7887639 CCH PADUCAH IS A LONG TERM ACUTE CARE HOSPITAL (LTACH) THAT SERVES THE NEEDS OF PATIENTS WITH MEDICALLY COMPLEX CONDITIONS, ESPECIALLY THOSE SUFFERING FROM MULTISYSTEMS COMPLICATIONS AND NEEDING EXTENDED RECOVERY TIMES - A HOSPITAL STAY THAT IS OFTEN 25 DAYS OR MORE. 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. AS AN LTACH, CONTINUECARE HOSPITAL DEVELOPS A CONTINUUM OF CARE BETWEEN THE ACUTE AND LONG-TERM PHASES OF A PATIENT'S ILLNESS. OUR INNOVATIVE AND DISTINCTIVE PHYSICIAN-DRIVEN APPROACH ALLOWS US TO BRING NEW MEANING TO THE "HOSPITAL-WITHIN-A-HOSPITAL" MODEL. AS A SEPARATE, FULLY LICENSED AND STAFFED HOSPITAL, WE ARE ABLE TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO PATIENTS REQUIRING LONGER LENGTHS OF STAY FOR ACUTE-CARE. WE HAVE SPECIALTY PROGRAMS 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, SPEECH AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. PATIENTS AND FAMILIES ARE INVITED TO ATTEND OUR WEEKLY INTERDISCIPLINARY TEAM CONFERENCE WHERE PATIENT GOALS ARE REVIEWED EACH WEEK. PATIENTS AND FAMILIES MAY ALSO REQUEST TO MEET WITH THE TEAM AT A MORE CONVENIENT TIME. DURING THE FISCAL YEAR ENDED JUNE 30, 2025, CCH PADUCAH'S TOTAL PATIENTS ADMITTED WERE 165 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 4,355. THE AVERAGE DAILY CENSUS WAS 11.9 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS WERE 27.3 DAYS. 7109471 true false 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 false false false false true 12 0 true 100 true false false false false false false false false false false false false X 4 3 false true false false true true true true false false false false true true true true true true false false false false X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT/DIRECTOR 0.1 39.9 X X 0 437319 71107 CARLA BERRY DIRECTOR 1.0 0 X 0 0 0 Kenny Boyd DIRECTOR 1.0 0 X 0 0 0 MELANIE MCNEILL DIRECTOR 1.0 0 X 0 0 0 JAMES HILL TREASURER 0.4 39.6 X 0 451879 60342 LEE GENTRY CEO 40.0 0.0 X 0 263468 62729 LINDA MOORE SECRETARY 0.1 39.9 X 0 482307 52098 Kandace Cole CNO 40.0 0.0 X 0 155772 39111 Michelle Ellis REGISTERED NURSE 40.0 0 X 116906 0 27115 Oksana Fisenko-Parsons REGISTERED NURSE 40.0 0 X 108262 0 4674 Rhonda Mescher RN CHARGE NURSE 40.0 0 X 107336 0 11731 RODNEY CARPENTER RN CHARGE NURSE 40.0 0 X 106924 0 18955 439428 1790745 347862 4 false true false MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 HEALTHCARE STAFFING 214146 1 0 INPATIENT REVENUE 623000 7887639 7887639 0 0 0 0 7887639 9391 9391 0 0 0 0 MEDICAL RECORDS 900099 369 369 0 0 0 0 369 7897399 7887639 0 9760 X 3686406 3280901 405505 75475 67173 8302 408638 363688 44950 265533 236324 29209 559200 559200 3966 3966 101267 101267 13681 13681 1317553 1315295 2258 0 42669 42669 38620 38620 738345 737455 890 62899 62899 2156 1940 216 38556 38556 242187 239765 2422 MEDICAL SUPPLIES 502213 502213 STATE INCOME TAX 127909 127909 EQUIPMENT LEASES 70080 70080 LICENSES & PERMITS 41954 41954 76188 68571 7617 0 8415495 7109471 1306024 0 1430748 539324 996514 1024101 0 0 0 0 34588 35330 78363 90800 4112227 1875222 2729554 2237005 0 0 0 0 5269767 3926560 1594939 1495097 0 0 2959256 2233987 4554195 3729084 X 715572 197476 715572 197476 5269767 3926560 -518096 0 X false true true false X false false false false false false false false true 13681 13681 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2025 CCH PADUCAH PAID: $6,072 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $2,519 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $8,042 TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) $18,000 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: NALTH: 13.12% AHA: 39% KHA: 13.7% PICARD GROUP: 60.0% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $6,072 * 13.12% = $797 AHA: $2,519 * 39% = $982 KHA: $8,042 * 13.7% = $1,102 PICARD GROUP: $18,000 * 60.0% = $10,800 60000 60000 0 310477 146886 163591 3741750 1668336 2073414 2237005 Federal Income Taxes ST LEASE OBLIGATIONS 495351 LT LEASE OBLIGATIONS 1577177 INTERCOMPANY - CHC 63303 INTERCOMPANY - CCC 71400 iNTERCOMPANY- TYLER INTERCOMPANY- CORBIN 2142 INTERCOMPANY- MADISONVILLE -2423 THIRD PARTY SETTLEMENTS 27037 OPTUM ADVANCE FUNDING 2233987 true true X true X true X 25320 -113458 138778 0.01649 1331233 2393000 0 0.0 0 0.0 0 0 1356553 2279542 138778 0.01649 0 0.0 40320 40320 0.00479 0 0.0 0 0.0 5000 5000 0.00059 0 0 45320 0 45320 0.00539 0 0 1401873 2279542 184098 0.02188 0 0.0 0 0.0 3200 3200 0.00038 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 3200 0 3200 0.00038 true 3018589 2350540 668049 X true true 1 1 CCH AT BAPTIST HEALTH PADUCAH INC 2501 KENTUCKY AVE 5TH FLOOR PADUCAH KY 42003 HTTPS://PADUCAH.CONTINUECARE.ORG 100313 X X CCH AT BAPTIST HEALTH PADUCAH INC 1 false false true X X X X X X X X X 22 true false false true X https://paducah.continuecare.org/chna/ X true 22 true https://paducah.continuecare.org/chna/ false true X 200.0 400.0 X X X true true X X X true X https://paducah.continuecare.org/for-families/financial-assistance/ X https://paducah.continuecare.org/for-families/financial-assistance/ X https://paducah.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 ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH. CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, (CCH PADUCAH), OPENED IN THE SUMMER OF 2015 AS A 37-BED LONG TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE FIFTH FLOOR OF THE HOST HOSPITAL, BAPTIST HEALTH PADUCAH. AS THE ONLY LTACH IN THE AREA, THE HOSPITAL ENJOYS THE BEST OF BOTH WORLDS BY BEING IN PARTNERSHIP WITH A 373-BED ACUTE AND SKILLED-CARE FACILITY WHILE MAINTAINING IT'S SMALL HOSPITAL ATMOSPHERE. AS A "HOSPITAL-WITHIN-A-HOSPITAL" CCH PADUCAH IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO SERVE THE NEEDS OF PATIENTS WITH MEDICALLY COMPLEX CONDITIONS, ESPECIALLY THOSE SUFFERING FROM MULTISYSTEM COMPLICATIONS AND NEEDING EXTENDED RECOVERY TIMES, A HOSPITAL STAY THAT IS OFTEN 25 DAYS OR MORE. 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. CCH PADUCAH HAS SPECIALTY PROGRAMS 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, SPEECH AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. THE DEFINED SERVICE AREA OF CCH PADUCAH IS MCCRACKEN COUNTY, KENTUCKY. MCCRACKEN COUNTY COMPRISED 24.1% OF FISCAL YEAR 2022 INPATIENT DISCHARGES. THE POPULATION OF MCCRACKEN COUNTY IS EXPECTED TO DECREASE BY 0.5% FROM 2022 (67,884) TO 2027 (67,524), WHICH IS BELOW THE 0.7% EXPECTED GROWTH FOR THE STATE OF KENTUCKY FROM 2022 (4,537,160) TO 2027 (4,569,772). AS OF 2022, THE RACIAL/ETHNIC BREAKOUT OF MCCRAKEN COUNTY WAS 79.7% WHITE NON-HISPANIC, 11.2% BLACK, 1.0% ASIAN, 0.3% AMERICAN INDIAN AND 7.8% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE, IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2027 THE WHITE NON-HISPANIC POPULATION IN MCCRACKEN COUNTY IS EXPECTED TO DECREASE BY 2.0% AND THE BLACK POPULATION IS ALSO EXPECTED TO DECREASE ONLY SLIGHTLY BY 0.9%. BY 2027, THE ASIAN POPULATION IN MCCRACKEN COUNTY IS EXPECTED TO INCREASE BY 4.7% AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 4.2%. BY 2027, ALL OTHER RACIAL ETHNIC GROUPS IN MCCRACKEN COUNTY ARE EXPECTED TO INCREASE BY 14.3%. THE HISPANIC POPULATION OF 2,124 IS EXPECTED TO INCREASE SLIGHTLY, TO 2,132, BY 2027. AS OF 2022, MCCRACKEN COUNTY (44.3 YEARS) HAD AN OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS). THE MEDIAN AGE IN BOTH MCCRACKEN COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). MCCRACKEN COUNTY ($50,842) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF KENTUCKY ($57,014) (2022). THE MEDIAN HOUSEHOLD INCOME IN BOTH MCCRACKEN COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). MCCRACKEN COUNTY (26.6%) HAS A CONSISTENT PERCENTAGE OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE WITH THE STATE OF KENTUCKY (26.7%) (2022). IN 2016-2020, 14.8% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 25.6% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2016-2020, 38.6% OF THE POPULATION IN KENTUCKY LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 14.8% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2016-2020, THE DISTRESS SCORE IN MCCRACKEN COUNTY WAS 55.4, WHICH FALLS WITHIN THE MID-TIER ECONOMIC CATEGORY AND IS MORE DISTRESSED COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN MCCRACKEN COUNTY AND THE STATE OF KENTUCKY FLUCTUATED BETWEEN 2019 AND 2021. IN 2021, MCCRACKEN COUNTY (5.0) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (4.7). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN MCCRACKEN COUNTY OVERALL DECREASED. IN 2021, MCCRACKEN COUNTY (5.0) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE OF KENTUCKY (4.7). AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN MCCRACKEN COUNTY WERE WITHIN SALES & RELATED OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS WERE WITHIN SALES & RELATED OCCUPATIONS (14.7%); OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (11.6%); MANAGEMENT OCCUPATIONS (8.3%); FOOD PREPARATION & SERVING RELATED OCCUPATIONS (7.0%); & PRODUCTION OCCUPATIONS (6.2%). MCCRACKEN COUNTY (23.3%) HAS A SLIGHTLY HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF KENTUCKY (21.4%) (2022). BETWEEN 2016 AND 2020, THE PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN MCCRACKEN COUNTY AND THE STATE DECREASED. IN 2020, MCCRACKEN COUNTY (21.2%) HAD A HIGHER PERCENTAGE OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (19.4%). ACCORDING TO FEEDING AMERICA, BOTH MCCRACKEN COUNTY AND THE STATE HAD AN ESTIMATED 12.9% OF THE RESIDENTS THAT ARE FOOD INSECURE. (2020). ADDITIONALLY, 17.0 % OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN MCCRACKEN COUNTY ARE FOOD INSECURE AS COMPARED TO 16.1% IN KENTUCKY (2020). THE AVERAGE MEAL COST FOR A MCCRACKEN COUNTY ($2.82) RESIDENT IS SLIGHTLY HIGHER THAN THAT OF THE STATE ($2.79) (2020). THE PERCENTAGE OF PUBLIC SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN MCCRACKEN COUNTY (53.2%) WAS LOWER THAN THE STATE RATE (56.2%) AND CONSISTENT WITH THE NATIONAL RATE (53.2%) (2020-2021). THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN MCCRACKEN COUNTY (90.7%) IS SLIGHTLY LOWER THAN THE STATE RATE (91.5%) AND HIGHER THAN THE NATIONAL RATE (87.7%) (2018-2019). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH MCCRACKEN COUNTY AND THE STATE OF KENTUCKY (2016-2020). BETWEEN 2016 AND 2020, HEART DISEASE MORTALITY RATES IN MCCRACKEN COUNTY DECREASED WHILE RATES IN THE STATE SLIGHTLY INCREASED. THE HEART DISEASE MORTALITY RATE IN MCCRACKEN COUNTY (181.1 PER 100,000) WAS HIGHER THAN THE STATE (199.7 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH OVERALL IN BOTH MCCRACKEN COUNTY AND THE STATE (2016-2020). BETWEEN 2016 AND 2020, CANCER MORTALITY RATES IN MCCRACKEN COUNTY AND THE STATE OVERALL DECREASED. IN 2018-2020, THE CANCER MORTALITY RATE IN MCCRACKEN COUNTY (165.0 PER 100,000) WAS LOWER THAN THE RATE IN THE STATE (178.4 PER 100,000). FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN MCCRACKEN COUNTY AND IN THE STATE (2016-2020). BETWEEN 2016 AND 2020, ACCIDENT MORTALITY RATES OVERALL INCREASED IN BOTH MCCRACKEN COUNTY AND THE STATE. IN 2018-2020, THE LEADING CAUSE OF FATAL ACCIDENTS IN MCCRACKEN COUNTY WAS DUE TO ACCIDENTAL POISONINGS AND EXPOSURE TO NOXIOUS SUBSTANCES. CHRONIC LOWER RESPIRATORY DISEASES (CLRD) IS THE FOURTH LEADING CAUSE OF DEATH IN MCCRACKEN COUNTY AND IN THE STATE (2016-2020). CLRD MORTALITY RATES IN MCCRACKEN COUNTY AND THE STATE DECREASED BETWEEN 2016 AND 2020. IN 2018-2020, THE CLRD MORTALITY RATE IN MCCRACKEN COUNTY (56.0 PER 100,000) WAS LOWER THAN THE RATE IN THE STATE (60.2 PER 100,000). ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN MCCRACKEN COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN THE STATE OF KENTUCKY (2016-2020). BETWEEN 2016 AND 2020, ALZHEIMER'S MORTALITY RATES IN MCCRACKEN COUNTY OVERALL INCREASED, WHILE RATES IN THE STATE DECREASED. IN 2018-2020, THE ALZHEIMER'S DISEASE MORTALITY RATE IN MCCRACKEN COUNTY (49.1 PER 100,000) WAS HIGHER THAN THE STATE RATE (32.3 PER 100,000). CEREBROVASCULAR DISEASE, DIABETES MELLITUS, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INTENTIONAL SELF-HARM (SUICIDE) AND COVID-19 ARE ALSO LEADING CAUSES OF DEATH IN MCCRACKEN COUNTY. AS OF 2023, MCCRACKEN COUNTY (3.9 PER 100,000) HAS A LOWER RATE OF WEEKLY NEW COVID-19 CASES THAN THE STATE (6.4 PER 100,000). AS OF MARCH 13, 2023, THE PERCENT OF THE POPULATION THAT IS FULLY VACCINATED IN MCCRACKEN COUNTY (65.2%) IS HIGHER THAN THE STATE (58.0%). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, CONTINUED. IN 2019, THE PERCENTAGE OF ADULTS (AGE 20+) WHO SELF-REPORTED THAT THEY HAVE A BODY MASS INDEX (BMI) GREATER THAN 30.0 (OBESE) IN MCCRACKEN COUNTY (32.6%) WAS HIGHER THAN THE STATE RATE (31.1%) AND HIGHER THAN THE NATIONAL RATE (29.0%). IN 2019, THE PERCENT OF ADULTS (AGE 20+) EVER DIAGNOSED WITH DIABETES BY A DOCTOR IN MCCRACKEN COUNTY (10.0%) WAS CONSISTENT WITH THE STATE (9.9%) AND HIGHER THAN THE NATION (9.0%). IN 2018, THE PERCENT OF MEDICARE BENEFICIARIES WITH DIABETES IN MCCRACKEN COUNTY (27.3%) WAS LOWER THAN THE STATE (29.3%) AND THE NATION (27.0%). IN 2018, THE PERCENT OF MEDICARE BENEFICIARIES WITH HIGH BLOOD PRESSURE IN MCCRACKEN COUNTY (65.0%) WAS HIGHER THAN THE STATE (62.6%) AND HIGHER THAN THE NATION (57.2%). THE PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH DEPRESSION IN MCCRACKEN COUNTY (23.8%) IS HIGHER THAN THE STATE RATE (21.5%) AND HIGHER THAN THE NATIONAL RATE (18.4%) (2018). THE NORTHWEST CORNER OF MCCRACKEN COUNTY, INCLUDING PADUCAH, HAD THE HIGHEST PERCENTAGE OF THE POPULATION WITH A DISABILITY (OVER 18.0%) (2017-2021). IN 2017-2021, MCCRACKEN COUNTY HAD A HIGHER PERCENT OF BLACK OR AFRICAN AMERICAN AND SOME OTHER RACE RESIDENTS THAT HAVE A DISABILITY COMPARED TO THE STATE AND THE NATION. AS OF 2020, MCCRACKEN COUNTY (6.5%) HAS A SLIGHTLY LOWER PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE OF KENTUCKY, (6.9%). BETWEEN 2016-2019 MCCRACKEN COUNTY AND THE STATE OVERALL INCREASED IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BUT DECREASED IN 2020. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH (CCH PADUCAH), BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN MCCRACKEN COUNTY, KENTUCKY. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE FROM JANUARY 17, 2023 - FEBRUARY 3, 2023. 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 CCH PADUCAH BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 23, 2023. INTERVIEW METHODOLOGY: CCH PADUCAH WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CCH PADUCAH 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. 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 AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, THE KENTUCKY DEPARTMENT OF STATE HEALTH SERVICES, THE KENTUCKY CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT CCH Paducah, 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 STRATASAN, SPARKMAP, THE U.S. CENSUS BUREAU, THE UNITED STATES BUREAU OF LABOR STATISTICS AND FEEDING AMERICA AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. CCH PADUCAH 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, NINETEEN IN DEPTH INTERVIEWS WERE CONDUCTED, USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 84.2% 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. 10.5% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AND 5.3% OF THOSE PROVIDING INPUT ARE COMMUNITY LEADERS. INTERVIEWEES INCLUDED: * LEIGH ANN BALLEGEER: DIRECTOR OF COMMUNITY HEALTH, MERCY LOURDES HEALTH SYSTEM * LYNSI BARNHILL: DIRECTOR OF SCHOOL NUTRITION, PADUCAH CITY SCHOOLS * CARLA BERRY: BOARD MEMBER, CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH; MORTGAGE LENDER, PADUCAH BANK * ANN BIDWELL: REGIONAL IMPACT MANAGER, UNITED WAY (PADUCAH & MCCRACKEN COUNTY) * LACY BOLING: EXECUTIVE DIRECTOR, PADUCAH COOPERATIVE MINISTRY * MARY FOLEY, PSYD: EXECUTIVE DIRECTOR, MERRYMAN HOUSE * BETTY GAYLE BROWN (BG): SOCIAL WORKER, COMMUNITY KITCHEN * DONNA HAWKINS: CLERGY, COMMUNITY MEMBER * IRIS HINES: SOCIAL WORKER, COMMUNITY KITCHEN * BRENT HOUSMAN: BOARD MEMBER, CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH; SENIOR VICE PRESIDENT, BAIRD INVESTMENTS * DEANNA LEONARD, RN, BSN, LDE: DIABETIC EDUCATION, PURCHASE DISTRICT HEALTH DEPARTMENT * MELANIE MCNEILL: BOARD MEMBER, CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH; SENIOR VICE PRESIDENT & TRUST MANAGER, PADUCAH BANK * CANDACE MELLOY: ADMINISTRATOR, PADUCAH FAMILY SERVICES * SALLY MICHELSON: CO-FOUNDER AND EXECUTIVE DIRECTOR, COMMUNITY KITCHEN * MIKE MUSCARELLA: COMMUNITY OUTREACH, BAPTIST HEALTH PADUCAH * TERRY OSUCHA: ADMINISTRATIVE DIRECTOR, COMMUNITY KITCHEN * CAROLYN ROBERTS: PRESIDENT, CARING PEOPLE SERVICES * JIM TRIMBLE: PASTOR, COMMUNITY KITCHEN * CYNTHIA TURNER, MAHS, CHES, CPS: PREVENTION CENTER SITE ADMINISTRATOR, FOUR RIVERS BEHAVIORAL HEALTH 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. AN EVALUATION OF THE HOSPITAL'S IMPACT WAS ALSO ASSESSED USING A DESCRIPTION OF THE PROGRESS AND/OR COMPLETION OF COMMUNITY BENEFIT ACTIVITIES DOCUMENTED IN THE PREVIOUS IMPLEMENTATION PLAN AND FROM A REPORT PROVIDED TO CHC CONTINUECARE BY PADUCAH OF COMMUNITY BENEFIT ACTIVITY PROGRESS SINCE THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: UN/UNDERINSURED, UNEMPLOYED, YOUTH, LOW INCOME/WORKING POOR, VETERANS, ELDERLY, RACIAL/ETHNIC GROUPS, AND HOMELESS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: UN/UNDERINSURED -MISUSE OF THE EMERGENCY ROOM UNEMPLOYED -DIFFICULTY ACCESSING HEALTH CARE SERVICES YOUTH - OBESITY - LACK OF HEALTHY FOOD OPTIONS, EXERCISE OPPORTUNITIES - LACK OF DESIRE TO PAY FOR INSURANCE COVERAGE - TRANSPORTATION BARRIERS - HOMELESSNESS LOW INCOME / WORKING POOR - MISUSE OF THE EMERGENCY ROOM - LESS ACCESS TO SAFE, AFFORDABLE HOUSING - LACK OF ACCESS TO HEALTHY FOOD OPTIONS - TRANSPORTATION BARRIERS - DIFFICULTY AFFORDING MEDICATIONS, PRESCRIPTIONS VETERANS - MENTAL HEALTH CONCERNS -LACK OF LOCAL RESOURCES AVAILABLE ELDERLY - EDUCATION ON MEDICARE COVERAGE - FOOD INSECURITY - HOUSING INSECURITY - MENTAL HEALTH CONCERNS (ISOLATION) - LIMITED ACCESS TO AFFORDABLE SENIOR CARE, ASSISTED LIVING RACIAL/ETHNIC - MISTRUST IN HEALTH CARE - FINANCIAL INSECURITY - DELAYING/FOREGOING CARE (BLACK) - LACK OF PREVENTATIVE SERVICES (BLACK) - TRANSPORTATION AND COST BARRIERS (BLACK) - LANGUAGE BARRIERS (NON-ENGLISH SPEAKING) HOMELESS - MISUSE OF THE EMERGENCY ROOM - GROWING NUMBER OF INDIVIDUALS WITHOUT PERMANENT HOUSING - MENTAL AND BEHAVIORAL HEALTH CONCERNS - OVERWHELMED LOCAL RESOURCES Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH (CCH PADUCAH), WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. CCH PADUCAH LEADERSHIP PRIORITIZED THOSE NEEDS 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. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, ARE AS FOLLOWS: 1.) ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES, PROVIDERS, AND RESOURCES 2.) ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 3.) ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4.) PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 5.) ACCESS TO DENTAL CARE SERVICES AND PROVIDERS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS THREE OF THE FIVE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES, PROVIDERS, AND RESOURCES OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY 1.A. CCH PADUCAH WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH OPTUM TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. CCH PADUCAH WILL ALSO CONTINUE TO PROMOTE MENTAL HEALTH SELF-CARE EDUCATION TO STAFF MEMBERS, INCLUDING SELF-COMPASSION, MINDFULNESS, COPING WITH STRESS AND SUICIDE PREVENTION STRATEGIES. 1.B. CCH PADUCAH STAFF CONTINUE TO SUPPORT PATIENTS IF THEIR FAMILIES ARE UNABLE TO VISIT THEM BY OFFERING IPADS FOR THE PATIENT TO USE TO VISUALLY AND AUDIBLY COMMUNICATE WITH THEIR FAMILY. 1.C. CCH PADUCAH PROVIDES CASE MANAGEMENT SERVICES AND REFERRALS THAT RELATE TO MENTAL OR BEHAVIORAL HEALTH CONDITIONS ON AN AS NEEDED BASIS. 1.D. CCH PADUCAH WILL EVALUATE THE OPPORTUNITY TO OFFER TELEPSYCHIATRY SERVICES TO PATIENTS AS APPROPRIATE. PRIORITY #2: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY 2.A. CCH PADUCAH HAS AFFILIATION AGREEMENTS WITH LOCAL ACADEMIC INSTITUTIONS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL. 2.B. CCH PADUCAH WILL CONTINUE TO SUPPORT EFFORTS FOR THE RECRUITMENT OF SPECIALTY PHYSICIANS TO THE COMMUNITY AND ALSO PROVIDES COVERAGE FOR CERTAIN SPECIALTY SERVICES IN ORDER TO INCREASE LOCAL ACCESS TO CARE. 2.C. CCH PADUCAH WILL CONTINUE TO PROVIDE A FULL ONE-YEAR SCHOLARSHIP WITH CCH MADISONVILLE FOR ONE RT AND ONE RN STUDENT AT WEST KENTUCKY COMMUNITY AND TECHNICAL COLLEGE. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 3.A. CCH PADUCAH WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN OUR 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. IN ADDITION, CCH PADUCAH OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCH PADUCAH ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 3.B. CCH PADUCAH PROVIDES HEALTH EDUCATION AND PREVENTION RESOURCES IN MULTIPLE LANGUAGES, AS WELL AS A TRANSLATOR PHONE ON AN AS NEEDED BASIS. 3.C. CCH PADUCAH WILL CONNECT PATIENTS WITH AFFORDABLE RESOURCES UPON DISCHARGE AS APPROPRIATE, SUCH AS TRANSPORTATION SERVICES AND/OR DISCOUNT PHARMACY INFORMATION. 3.D. CCH PADUCAH WILL PROVIDE TRACH AND VENTILATOR EDUCATION AND TRAINING TO LOCAL PROVIDERS AND ORGANIZATIONS ON HOW TO PROPERLY TREAT COMPLEX PATIENTS WHO ARE DISCHARGED FROM THE LTACH. 3.E. CCH PADUCAH PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCH PADUCAH WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. PRIORITIES NOT ADDRESSED: CCH PADUCAH DECIDED NOT TO SPECIFICALLY ADDRESS "PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS". BASED ON CCH PADUCAH'S STATUS AS A LONG TERM ACUTE CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS" ARE NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CCH PADUCAH ACKNOWLEDGES THAT THESE ARE SIGNIFICANT NEEDS IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THESE AREAS, THE IDENTIFIED PRIORITIES WILL NOT BE ADDRESSED BY THE HOSPITAL SINCE THEY ARE NOT CORE BUSINESS FUNCTIONS OF THE HOSPITAL. AND LEADERSHIP FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING PRIORITIZED NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH. CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT NOT APPLICABLE Schedule H, Part I, Line 7 PAYMENT FOR CHARITY CARE IN THE STATE OF KENTUCKY, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE SINCE CCH PADUCAH IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Schedule H, Part I, Line 7 STATE PROVIDER TAX PAID FOR DISTRIBUTION PER INDIGENT CARE NEEDS $127,908.64 TAX IS COLLECTED ANNUALLY FROM CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, INC. (CCH PADUCAH). FEDERAL MATCHING DOLLARS ARE APPLIED, AND THEN DISTRIBUTED BACK TO SHORT TERM ACUTE HOSPITALS ON A PRO-RATED BASIS PER EACH HOSPITAL'S LEVEL OF CHARITY CONTRIBUTION. LTACH'S PAY THE TAX, BUT DO NOT GET THE DISTRIBUTION IN KENTUCKY AS IT IS NOT PERMISSIBLE IN KENTUCKY TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. 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 IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS 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 THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF A PATIENT OF CCH PADUCAH 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 - CCH AT BAPTIST HEALTH PADUCAH, INC.: Line 16a URL: https://paducah.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CCH AT BAPTIST HEALTH PADUCAH, INC.: Line 16b URL: https://paducah.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CCH AT BAPTIST HEALTH PADUCAH, INC.: Line 16c URL: https://paducah.continuecare.org/for-families/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION B, CCH PADUCAH CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING ITS FISCAL YEAR ENDED JUNE 30, 2024. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE HAS BEEN ABLE TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF ITS COMMUNITY THROUGH A REVIEW OF COUNTY LEVEL HEALTH DATA GATHERED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND AREA DEVELOPMENT DISTRICT INFORMATION, PROVIDED BY THE KENTUCKY DEPARTMENT FOR PUBLIC HEALTH AND TEAM KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES. ADDITIONALLY, THE COMMITTEE REVIEWED MULTIPLE NATIONAL HEALTH DATA PLATFORMS AND RESOURCES AND CONDUCTED INTERVIEWS WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN MCCRACKEN COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. HOSPITAL LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE IDENTIFIED 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 STATUS, AND PROGRESS UPDATES (AS APPROPRIATE). THE CCH PADUCAH BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 23, 2023. CCH PADUCAH IS PART OF THE PURCHASE AREA HEALTH CONNECTIONS COALITION OF COMMUNITY ASSETS FORMED TO WORK COLLABORATIVELY TO ADDRESS THESE AND OTHER ISSUES AFFECTING COMMUNITY HEALTH AND WELLNESS IN THE AREA. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN DISCUSSED ABOVE, THE HOSPITAL WILL BE WORKING WITH ITS COALITION PARTNERS AND OTHER COMMUNITY RESOURCES TO ENSURE IT IS RESPONSIVE TO THE HEALTH NEEDS OF ITS 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 CCH PADUCAH. 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 CCH PADUCAH OPENED IN THE SUMMER OF 2015 AS A 37-BED LONG TERM ACUTE-CARE HOSPITAL (LTACH) IN PADUCAH, KENTUCKY LOCATED IN MCCRACKEN COUNTY, KENTUCKY. THE COMMUNITY HISTORY IS CLOSELY TIED TO ITS LOCATION AT THE CONFLUENCE OF THE OHIO AND TENNESSEE RIVERS. PADUCAH IS LOCATED HALFWAY BETWEEN ST. LOUIS, MISSOURI TO THE NORTHWEST AND NASHVILLE, TENNESSEE TO THE SOUTHEAST. AS OF 2022, THERE WERE 67,884 RESIDENTS IN MCCRACKEN COUNTY AND THE POPULATION IS EXPECTED TO DECREASE 0.5% BY 2027. THE MAJORITY OF RESIDENTS IN MCCRACKEN COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 79.7% (2022). BY 2027, THE WHITE POPULATION IS EXPECTED TO DECREASE BY 2.0% AND THE BLACK POPULATION IS EXPECTED TO DECREASE BY 0.9%. THE ASIAN AND AMERICAN INDIAN ARE EXPECTED TO INCREASE SLIGHTLY BY 2027. ALL OTHER RACES ARE EXPECTED TO INCREASE 14.3% BY 2027. AS OF 2022, THE MAJORITY OF RESIDENTS IN MCCRACKEN COUNTY WERE BETWEEN THE AGES OF 18-44 YEARS OLD. MCCRACKEN COUNTY (44.3 YEARS) HAD AN OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS) IN 2022. THE MEDIAN HOUSEHOLD INCOME IN MCCRACKEN COUNTY IN 2022 WAS $50,842, WHICH WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN KENTUCKY OF $57,014. MCCRACKEN COUNTY HAS CONSISTENT EDUCATIONAL ATTAINMENT RATES AS THOSE OF THE STATE OF KENTUCKY (2022). ADDITIONALLY, MCCRACKEN COUNTY (23.3%) HAD A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF KENTUCKY (21.4%) (2022). ADDITIONALLY, 12.9% OF MCCRACKEN COUNTY AND THE STATE WERE FOOD INSECURE IN 2020. MCCRACKEN COUNTY HAD HIGHER RATES OF CHILD FOOD INSECURITY AND A HIGHER AVERAGE MEAL COST THAN IN THE STATE OF KENTUCKY (2020). IN 2021, MCCRACKIN COUNTY (5.0) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (4.7). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN MCCRACKEN COUNTY OVERALL DECREASED. AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN MCCRACKEN COUNTY WERE WITHIN SALES & RELATED OCCUPATIONS. AS OF 2020, MCCRACKIN COUNTY (6.5%) HAD A LOWER PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE OF KENTUCKY (6.9%). MCCRACKEN COUNTY AND THE STATE OVERALL INCREASED IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2016 AND 2019 BUT DECREASED IN 2020. HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN MCCRACKEN COUNTY AND THE STATE (2016-2020). OVERALL MORTALITY RATES IN MCCRACKEN COUNTY REMAINED LOWER THAN THE STATE BETWEEN 2016 AND 2020. ADDITIONALLY, OVERALL MORTALITY RATES IN MCCRACKIN COUNTY AND THE STATE INCREASED BETWEEN 2016 AND 2020. MCCRACKEN COUNTY HAS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS OBESITY (2019) AMONG ADULTS AND HIGH BLOOD PRESSURE (2018) AMONG MEDICARE BENEFICIARIES THAN THE STATE OF KENTUCKY. AS OF 2019, THE PERCENTAGE OF ADULTS (AGE 20+) WHO SELF-REPORTED NO LEISURE TIME FOR PHYSICAL ACTIVITY OUTSIDE OF WORK IN MCCRACKEN COUNTY WAS APPROXIMATELY 2.3% HIGHER THAN THE STATE RATE AND 6.2% HIGHER THAN THE NATIONAL RATE. AS OF MARCH 13, 2023, THE PERCENT OF THE POPULATION THAT WAS FULLY VACCINATED FOR COVID-19 IN MCCRACKEN COUNTY (65.2%) WAS HIGHER THE STATE (58.0%). WITH REGARDS TO MATERNAL AND CHILD HEALTH, BETWEEN 2013-2017, THE PERCENTAGE OF BIRTHS TO MOTHERS RECEIVING PRENATAL CARE IN MCCRACKEN COUNTY WAS HIGHER THAN THE STATE OF KENTUCKY. BETWEEN 2016-2020, MCCRACKEN COUNTY HAD HIGHER RATES OF TEEN BIRTHS (AGE 15-19) THAN THE STATE. Schedule H, Part VI, Line 5 Promotion of community health CCH PADUCAH PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY SUCH AS UNITED WAY AND HEALTHY PADUCAH COALITION. ADDITIONALLY, CCH PADUCAH WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES, LOCAL PHYSICIAN MEETINGS AND HOSPITAL MEETINGS, FOCUSED ON ITS PATIENT POPULATION'S NEEDS IN ITS EFFORTS TO PROMOTE COMMUNITY HEALTH. LASTLY, A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, AND EDUCATION. Schedule H, Part VI, Line 6 Affiliated health care system CCH PADUCAH IS AN AFFILIATE OF BAPTIST HEALTH, A LOUISVILLE, KENTUCKY BASED HEALTH SYSTEM. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR REACHING 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. false true false false false false false true false APRIL MYERS PRESIDENT/DIRECTOR 0 345140 0 71075 0 21104 0 27621 0 43486 0 508426 0 0 LEE GENTRY CEO 0 179766 0 79658 0 4044 0 17897 0 44832 0 326197 0 0 JAMES HILL TREASURER 0 345401 0 81611 0 24867 0 28012 0 32330 0 512221 0 0 LINDA MOORE SECRETARY 0 370712 0 74202 0 37393 0 28381 0 23717 0 534405 0 0 Kandace Cole CNO 0 117055 0 37501 0 1216 0 8874 0 30237 0 194883 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CCH PADUCAH DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE, LLC (CCC) COMPENSATES THE CCH PADUCAH PRESIDENT. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT 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 6/30/25 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 - $18,031 James Hill - $17,662 April Myers - $17,271 Schedule J, Part I, Line 7 Non-fixed payments A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION WAS BASED ON THE EBIDA OF THE ORGANIZATION. Form 990, Part VI, Line 15 COMPENSATION 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, 2025 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 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 BAPTIST HEALTH PADUCAH, INC. IS CHC COMMUNITY CARE, LLC ('CCC'). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. THE BOARD OF MANAGERS SHALL BE COMPRISED OF FIVE VOTING MEMBERS, ONE FROM CHC, ONE FROM ITS COOPERATIVE PARTNER, BAPTIST HEALTH, AND THREE COMMUNITY MEMBERS. EACH VOTING MEMBER CARRIES EQUAL WEIGHT AND CONSIDERATION WHEN TAKING ANY OFFICIAL BOARD ACTION. 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 OF 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, CHC COMMUNITY CARE, LLC, 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 CHC'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED 6-30-18. 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: 1217228, Program Service Expense: 1217228, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - OTHER - Total Expense: 89765, Program Service Expense: 87745, Management and General Expenses: 2020, Fundraising Expenses: ; PURCHASED SERVICES - ADMIN - Total Expense: 10560, Program Service Expense: 10322, Management and General Expenses: 238, Fundraising Expenses: ; 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 CONTINUECARE HOSP AT HENDRICK MED CTR 1900 PINE ST 5TH FL ABILENE TX 79601 463607347 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSP BPTST HLT MADISONVILLE 900 HOSPITAL DRIVE 4TH FL MADISONVILLE KY 42431 465033192 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT BAPTIST HEALTH 1 TRILLIUM WAY CORBIN KY 40701 200925675 HOSPITAL KY 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT ODESSA INC 500 W 4TH STREET ODESSA TX 79761 473539943 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST 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 HCH 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 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 HUNTSVILLE COMMUNITY HOSPITAL INC FOUNDATION 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 320771710 SUPPORT ORG TX 501(c)(3) 7 HCH false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 CARL RAMERT DRIVE YOAKUM TX 77995 453609830 SUPPORT ORG TX 501(c)(3) Type I YCH false COMMUNITY HOSPITAL CORPORATION 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 752638469 SUPPORT ORG TX 501(c)(3) Type III-FI NA false COMMUNITY HEALTH ASSURANCE SPC LTD PO BOX 1051 BLDG 4 2nd FL Governors Square george town GRAND CAYMAN CJ KY11102 CAPTIVE INSURANCE CJ CHC C Corporation false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corporation false false false false false false false false false false false false false false false true true false false false COMMUNITY HOSPITAL CORPORATION P 893247 COST CHC COMMUNITY CARE LLC P 705086 COST CHC COMMUNITY CARE LLC O 532804 COST