ST MARKS MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ST MARKS MEDICAL CENTER (EIN 74-3019849)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-10
IRS object ID: 202411319349303601
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-10T13:16:22+00:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON ST	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	743019849	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Mark's Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STMA	BusinessNameControlTxt
Phone	9729436400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 Legacy Drive 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Dudley Piland	PersonNm
Person Title	Chairman of the Board	PersonTitleTxt
Phone	9792422112	PhoneNum
Signature	2024-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Dudley	PersonFirstNm
Person Last	Piland	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jodi Rosser	PreparerPersonNm
PTIN	P01255710	PTIN
Phone	8173351900	PhoneNum
Preparation	2024-04-30	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dudley Piland	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 Legacy Drive 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$24,432,820	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SMMCTX.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE EXCELLENT CARE WITH A SPIRIT OF HOMETOWN TRUST.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	238	TotalEmployeeCnt
Total Volunteers	32	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,854,213	PYContributionsGrantsAmt
CY Contributions Grants	$1,433,251	CYContributionsGrantsAmt
PY Program Service Revenue	$28,024,837	PYProgramServiceRevenueAmt
CY Program Service Revenue	$21,290,771	CYProgramServiceRevenueAmt
PY Investment Income	$3,616	PYInvestmentIncomeAmt
CY Investment Income	$858,745	CYInvestmentIncomeAmt
PY Other Revenue	$370,533	PYOtherRevenueAmt
CY Other Revenue	$293,958	CYOtherRevenueAmt
PY Total Revenue	$32,253,199	PYTotalRevenueAmt
CY Total Revenue	$23,876,725	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$14,538,092	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$13,322,750	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,430,773	PYOtherExpensesAmt
CY Other Expenses	$14,587,451	CYOtherExpensesAmt
PY Total Expenses	$30,968,865	PYTotalExpensesAmt
CY Total Expenses	$27,910,201	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,284,334	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,033,476	CYRevenuesLessExpensesAmt
Total Assets BOY	$34,636,334	TotalAssetsBOYAmt
Total Assets EOY	$25,810,815	TotalAssetsEOYAmt
Total Liabilities BOY	$29,034,071	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$24,242,028	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,602,263	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,568,787	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE PROVIDE EXCELLENT CARE WITH A SPIRIT OF HOMETOWN TRUST.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$21,580,994	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$21,290,771	RevenueAmt
Desc	ST. MARK'S MEDICAL CENTER (SMMC) IS A COMMUNITY HEALTH PROVIDER THAT SERVES THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S RACE, CREED, NATIONALITY, OR ABILITY TO PAY FOR SERVICES INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE IN SUPPORT OF THE HOSPITAL'S HEALTHCARE MISSION. DURING THE YEAR ENDED JUNE 30, 2023, WE HAD 534 ADMISSIONS, 2,355 PATIENT DAYS, 7,952 ER VISITS, 119 INPATIENT SURGERIES AND 410 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 6 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 4.4 DAYS. SMMC UTILIZES THE MOST ADVANCED TECHNOLOGIES RIVALING THOSE OF MAJOR CITIES IN A COMFORTABLE ENVIRONMENT CLOSE TO HOME. WE OFFER INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES WITH COMPASSIONATE CARE, FOCUSING ON RESPECT AND CARE FOR THE WHOLE PERSON. AT SMMC, WE ARE DETERMINED TO BUILD AN UNRIVALED REPUTATION FOR OUR OUTSTANDING SERVICE AND DELIVERY OF CARE. WE OFFER ADVANCED SERVICES AND PROGRAMS INCLUDING SPECIALTY CLINICS AND COMPREHENSIVE PUBLIC HEALTH SERVICES. WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH "ADVANCED HOMETOWN HEALTHCARE." In February 2023, SMMC converted its status to a Rural Emergency Hospital and ceased all inpatient services. On October 12, 2023, SMMC ceased operations due to ongoing, insurmountable financial difficulties.	Desc
Total Program Service Expenses	$21,580,994	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	54	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	238	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES HILL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9799436431	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7950 LEGACY DRIVE SUITE 1000	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75024	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DUDLEY PILAND
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$33,750	$0
MICHAEL CORKER
DIRECTOR/VICE CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
ALAN CASEY
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Allyson Borgstedte
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
CRAIG SIMS
DIRECTOR	1.0	39.0	Yes (X)		$0	$492,733	$38,701
Jason McBroom
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
MARK CLAYTON
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
RAY WALTHER
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
RODNEY MERSIOVSKY
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
THOMAS BORGSTEDTE
Director	1.0	0	Yes (X)		$0	$0	$0
TIM KNESEK
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
WESS BLACKWELL MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
LINDA MOORE
AST. SECRETARY	0.1	39.9		Yes (X)	$0	$424,165	$33,792
MARK KIMBALL
PRESIDENT & CEO	40.0	0		Yes (X)	$0	$283,791	$47,552
ARUSH ANGIRASA MD
Physician	40.0	0			$245,942	$0	$0	Yes (X)
Jared Brown
CFO	40.0	0			$50,652	$99,509	$42,945	Yes (X)
JONATHAN BLAKE
Physician	40.0	0			$550,269	$0	$37,765	Yes (X)
RUSSELL CLARK MD
Physician	40.0	0			$346,845	$0	$0	Yes (X)
TAMMY HARTFIELD
CNO	40.0	0			$0	$155,984	$34,802	Yes (X)
TOD BEASLEY
Former INTERIM CFO	0.0	40.0			$0	$309,442	$51,776		Yes (X)
WILSON WEBER
Former Director	0.0	1.0			$0	$76,509	$10,778		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,193,708	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,875,883	TotReportableCompRltdOrgAmt
Total Other Compensation	$298,111	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Qualivis
Dept 3847 PO Box 123847	Dallas	TX	75312	Health Services	$2,230,390
Young Professional Services LLC
200 Greenleaves Blvd Ste 6	Madeville	LA	70448	Health Services	$463,486
TLC STAFFING
101 W GOODWIN AVE STE 810	Victoria	TX	77901	Contract nursing	$278,809
McBroom Clinic PA
1253 N Von Minden	La Grange	TX	78945	Health Services	$264,000
WE ARE BLOOD
PO BOX 34623	San Antonio	TX	78265	Health services	$151,052

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$400,000	RelatedOrganizationsAmt
Government Grants	$959,860	GovernmentGrantsAmt
All Other Contributions	$73,391	AllOtherContributionsAmt
Total Contributions	$1,433,251	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621110	$20,130,117	$20,130,117
REH Facility Fee	621110	$1,160,654	$1,160,654

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$21,290,771	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,596	TotalRevenueColumnAmt
Exclusion	$16,596	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$229,558	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$229,558	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$229,558	TotalRevenueColumnAmt
Exclusion	$229,558	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,398,244	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$556,095	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$842,149	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$842,149	TotalRevenueColumnAmt
Exclusion	$842,149	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	900099	$55,170	$55,170
OTHER INCOME	900099	$9,230	$9,230

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$64,400	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,876,725	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,290,771	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,152,703	ExclusionAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,246,343	TotalAmt
Program Services	$9,741,279	ProgramServicesAmt
Management And General	$1,505,064	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$152,879	TotalAmt
Program Services	$132,420	ProgramServicesAmt
Management And General	$20,459	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,217,264	TotalAmt
Program Services	$1,055,150	ProgramServicesAmt
Management And General	$162,114	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$706,264	TotalAmt
Program Services	$614,955	ProgramServicesAmt
Management And General	$91,309	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,334,271	TotalAmt
Program Services	$3,529,072	ProgramServicesAmt
Management And General	$805,199	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,451	TotalAmt
Management And General	$13,451	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,034,721	TotalAmt
Management And General	$1,034,721	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,911	TotalAmt
Program Services	$4,911	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,087	TotalAmt
Program Services	$49,087	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$262,322	TotalAmt
Program Services	$100,799	ProgramServicesAmt
Management And General	$161,523	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$155,813	TotalAmt
Program Services	$17,572	ProgramServicesAmt
Management And General	$138,241	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,742,544	TotalAmt
Program Services	$1,196,494	ProgramServicesAmt
Management And General	$546,050	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$72,764	TotalAmt
Program Services	$18,783	ProgramServicesAmt
Management And General	$53,981	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$491,556	TotalAmt
Management And General	$491,556	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,211,198	TotalAmt
Program Services	$807,465	ProgramServicesAmt
Management And General	$403,733	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$269,055	TotalAmt
Program Services	$269,055	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$2,885,934	$2,802,783	$83,151
REPAIRS AND MAINTENANCE	$1,714,071	$915,452	$798,619
FOOD	$124,982	$119,746	$5,236
RENTALS	$88,068	$73,268	$14,800

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$132,703	TotalAmt
Program Services	$132,703	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,910,201	TotalAmt
Program Services	$21,580,994	ProgramServicesAmt
Management And General	$6,329,207	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$420,714	BOYAmt
EOY	$1,004,496	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,414,454	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,502,751	BOYAmt
EOY	$1,540,341	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$615,766	BOYAmt
EOY	$543,614	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$240,377	BOYAmt
EOY	$424,113	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$44,979,482	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$25,526,324	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,014,287	BOYAmt
EOY	$19,453,158	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,896,539	BOYAmt
EOY	$2,347,813	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$496,000	BOYAmt
EOY	$496,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$35,446	BOYAmt
EOY	$1,280	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,636,334	BOYAmt
EOY	$25,810,815	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,615,518	BOYAmt
EOY	$5,139,810	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,290,810	BOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$992,522	BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,624,800	BOYAmt
EOY	$17,788,218	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,510,421	BOYAmt
EOY	$1,314,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,034,071	BOYAmt
EOY	$24,242,028	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,602,263	BOYAmt
EOY	$1,568,787	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,602,263	BOYAmt
EOY	$1,568,787	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$34,636,334	BOYAmt
EOY	$25,810,815	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$4,033,476	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part I, Line 3 PUBLIC CHARITY STATUS	FormAndLineReferenceDesc
Explanation	ST. MARK'S MEDICAL CENTER IDENTIFIES AS A HOSPITAL UNDER SECTION 170 (B)(1)(A)(III) IN SCHEDULE A. HOWEVER, SUBSEQUENTLY ON OCTOBER 12, 2023, THE HOSPITAL CEASED OPERATIONS DUE TO ONGOING, INSURMOUNTABLE FINANCIAL DIFFICULTIES.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,911	OtherActivitiesAmt
Total Lobbying Expenditures	$4,911	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	IN FISCAL YEAR 2023 ST. MARKS MEDICAL CENTER PAID: $5,775 TO THE TEXAS HOSPITAL ASSOCIATION (THA) $14,363 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: THA: 17.16% AHA: 27.29% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: THA: $5,77517.16% = $991 AHA: $14,36327.29% = $3,920	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$503,905	OtherCostOrOtherBasisAmt
Book Value	$503,905	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,068,126	OtherCostOrOtherBasisAmt
Depreciation	$9,959,577	DepreciationAmt
Book Value	$13,108,549	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$340,144	OtherCostOrOtherBasisAmt
Depreciation	$340,144	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,497,489	OtherCostOrOtherBasisAmt
Depreciation	$14,353,661	DepreciationAmt
Book Value	$2,143,828	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,569,818	OtherCostOrOtherBasisAmt
Depreciation	$872,942	DepreciationAmt
Book Value	$3,696,876	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$19,453,158	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	MORTGAGE RESERVE FUND	Desc
Book Value	$2,347,813	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,347,813	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
SBA PPP FUND LIAB
DUE TO CHC	$1,314,000
DUE TO SMMC FOUNDATION
DUE TO CHC - IT NOTE

Field	Value	IRS element (for citing)
Total Liability	$1,314,000	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$23,876,725	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$23,876,725	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$23,876,725	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$27,910,201	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$27,910,201	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$27,910,201	TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,839,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,839,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0659	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,714,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,981,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,554,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,981,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,839,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0659	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,554,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,981,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,839,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0659	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Reimbursed By Medicare	$11,124,086	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,656,923	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,532,837	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARK'S MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE ST MARKS PLACE	AddressLine1Txt
City	LA GRANGE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78945	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SMMCTX.ORG	WebsiteAddressTxt
State License	008234	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARK'S MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART VI	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART VI	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA OF ST. MARK'S MEDICAL CENTER (SMMC) ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST. MARKS MEDICAL CENTER. ST. MARK'S MEDICAL CENTER (SMMC) IS A 65-BED, 100,000-SQUARE FOOT 501(C)(3) NOT-FOR-PROFIT HOSPITAL PROVIDING ADVANCED HEALTH CARE CLOSE TO HOME FOR PATIENTS IN THE CENTRAL TEXAS COMMUNITIES OF FAYETTE AND LEE COUNTIES, AS WELL AS THE SURROUNDING AREAS. THE COMPREHENSIVE HEALTH SERVICES, ADVANCED TECHNOLOGIES AND MEDICAL SPECIALISTS AT SMMC RIVAL THOSE OF MAJOR METROPOLITAN INSTITUTIONS. THE HOSPITAL HAS A CLINICAL AFFILIATION WITH ST. DAVID'S HEALTH CARE IN AUSTIN AND CONTINUES TO BUILD BEST CLINICAL PRACTICES AS IT GROWS TO SERVE PATIENTS BETTER. SMMC IS THE PROUD RECIPIENT OF THE TMF HEALTH QUALITY INSTITUTE SILVER AWARD, EXEMPLIFYING THE HOSPITAL'S DEDICATION TO CONTINUOUS QUALITY IMPROVEMENT. THE HOSPITAL IS A PART OF THE COMMUNITY HOSPITAL CORPORATION (CHC) FAMILY OF HOSPITALS. CHC IS A NOT-FOR-PROFIT COMPANY WHOSE SOLE MISSION IS TO HELP NOT-FOR-PROFIT HOSPITALS, SUCH AS SMMC, REMAIN COMMUNITY-OPERATED AND GOVERNED. BASED ON HOSPITAL INPATIENT DISCHARGE DATA, THE DEFINED SERVICE AREA OF SMMC IS FAYETTE AND LEE COUNTIES IN TEXAS. BOTH COUNTIES COMBINED COMPRISE 82.1% OF FISCAL YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF FAYETTE COUNTY IS EXPECTED TO INCREASE 3.1% FROM 2021 (25,460) TO 2026 (26,258) AND THE POPULATION OF LEE COUNTY IS EXPECTED TO INCREASE 3.3% FROM 2021 (18,092) TO 2026 (18,684), WITH THE EXPECTED GROWTH RATE OF BOTH COUNTIES FALLING BELOW THE 7.9% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2021 (29,969,514) TO 2026 (32,346,738). AS OF 2021, THE RACIAL/ETHNIC BREAKOUT OF FAYETTE COUNTY WAS 81.9% WHITE, 6.0% BLACK, 0.4%, ASIAN, 0.8% AMERICAN INDIAN AND 10.9% ALL OTHERS. THE RACIAL/ETHNIC BREAKOUT OF LEE COUNTY IN 2021 WAS 77.6% WHITE, 10.5% BLACK, 0.5% ASIAN, 0.7% AMERICAN INDIAN AND 10.7% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2026, THE WHITE NON-HISPANIC POPULATION IN FAYETTE COUNTY IS EXPECTED TO INCREASE BY 2.2% AND TO INCREASE BY 2.9% IN LEE COUNTY. BY 2026, THE BLACK POPULATION IS EXPECTED TO DECREASE BY 1.5% IN FAYETTE COUNTY AND TO INCREASE BY 0.5% IN LEE COUNTY. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 20.0% IN FAYETTE COUNTY AND BY 25.5% IN LEE COUNTY BY 2026. THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 5.5% IN FAYETTE COUNTY AND BY 13.3% IN LEE COUNTY. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 11.5% IN FAYETTE COUNTY AND BY 6.7% IN LEE COUNTY BY 2026. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 13.2% IN FAYETTE COUNTY AND BY 9.5% IN LEE COUNTY BY 2026. BETWEEN 2011 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN BOTH FAYETTE AND LEE COUNTIES, THE STATE AND THE NATION. IN 2015-2019, FAYETTE COUNTY (7.6%) HAD A LOWER PERCENT OF FOREIGN-BORN RESIDENTS THAN LEE COUNTY (8.4%), THE STATE (17.0%) AND THE NATION (13.6%). AS OF 2021, FAYETTE COUNTY (48.7 YEARS) HAD AN OLDER MEDIAN AGE THAN BOTH LEE COUNTY (41.1 YEARS) AND THE STATE OF TEXAS (35.3 YEARS). THE MEDIAN AGE IN BOTH COUNTIES AND THE STATE IS EXPECTED TO INCREASE SLIGHTLY OVER THE NEXT FIVE YEARS (2021-2026). AS OF 2021, THE MEDIAN HOUSEHOLD INCOMES IN BOTH FAYETTE ($60,548) AND LEE ($56,620) COUNTIES ARE LOWER THAN THAT OF THE STATE ($63,524). BETWEEN 2021 AND 2026, THE MEDIUM HOUSEHOLD INCOMES IN FAYETTE COUNTY, LEE COUNTY, AND THE STATE ARE EXPECTED TO INCREASE. FAYETTE COUNTY (20.6%) AND LEE COUNTY (15.4%) HAVE A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (31.3%) (2021). IN 2014-2018, 16.0% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.0% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, 24.5% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.2% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, THE DISTRESS SCORE IN FAYETTE COUNTY WAS 48.1 WHICH FALLS WITHIN THE MID-TIER ECONOMIC CATEGORY, WHILE THE DISTRESS SCORE IN LEE COUNTY WAS 35.4 WHICH FALLS WITHIN THE COMFORTABLE ECONOMIC CATEGORY AND IS MORE PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN BOTH FAYETTE AND LEE COUNTIES AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, BOTH FAYETTE (4.7) AND LEE (4.9) COUNTIES HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN FAYETTE AND LEE COUNTIES DECREASED. FOR FAYETTE COUNTY, AUGUST 2020 HAD THE LOWEST UNEMPLOYMENT RATE (4.1) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (5.8). FOR LEE COUNTY, AUGUST 2020 AND MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (4.3) AS COMPARED TO JUNE AND JULY 2020 WITH THE HIGHEST RATE (6.1). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN BOTH FAYETTE AND LEE COUNTIES ARE WITHIN OFFICE AND ADMINISTRATION SUPPORT OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS IN FAYETTE COUNTY ARE OFFICE AND ADMINISTRATION SUPPORT OCCUPATIONS (14.7%); SALES AND RELATED OCCUPATIONS (10.6%); CONSTRUCTION AND EXTRACTION OCCUPATIONS (9.4%); PRODUCTION OCCUPATIONS (8.5%); AND MANAGEMENT OCCUPATIONS (8.4%). IN LEE COUNTY, THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE AND ADMINISTRATION SUPPORT OCCUPATIONS (12.6%); SALES AND RELATED OCCUPATIONS (10.5%); CONSTRUCTION AND EXTRACTION OCCUPATIONS (9.5%); MANAGEMENT OCCUPATIONS (8.6%); AND PRODUCTION OCCUPATIONS (6.9%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH FAYETTE AND LEE COUNTIES AND THE STATE. IN 2015-2019, FAYETTE COUNTY (8.0%) HAD THE LOWEST PERCENT OF PEOPLE WHO CARPOOLED TO WORK AS COMPARED TO LEE COUNTY (11.0%) AND THE STATE (10.0%). FAYETTE COUNTY (23.6 MINUTES) HAD A SHORTER MEAN TRAVEL TIME TO WORK THAN LEE COUNTY (29.1 MINUTES) AND THE STATE (27.2 MINUTES) (2015-2019). IN 2021, LEE COUNTY (21.6%) HAD THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO FAYETTE COUNTY (19.1%) AND THE STATE (18.0%). BETWEEN 2015 AND 2019, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN BOTH FAYETTE AND LEE COUNTIES AND THE STATE DECREASED. IN 2019, FAYETTE COUNTY (15.3%) HAD A LOWER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN LEE COUNTY (16.1%) AND THE STATE (19.2%). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 13.3% OF FAYETTE COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 12.7% IN LEE COUNTY AND 14.1% IN TEXAS (2019). ADDITIONALLY, 18.5% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN FAYETTE COUNTY ARE FOOD INSECURE, AS COMPARED TO 18.0% IN LEE COUNTY AND 19.6% IN TEXAS (2019). THE AVERAGE MEAL COST FOR A FAYETTE COUNTY RESIDENT IS $3.05, AS COMPARED TO $3.22 IN LEE COUNTY AND $2.68 IN TEXAS (2019). BETWEEN 2014 AND 2018, FAYETTE COUNTY MAINTAINED A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN LEE COUNTY AND THE STATE. ADDITIONALLY, THE PERCENTAGE OF SNAP BENEFIT RECIPIENTS IN BOTH COUNTIES OVERALL INCREASED BETWEEN 2014 AND 2018. IN 2018, FAYETTE COUNTY (7.3%) HAD A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN BOTH LEE COUNTY (10.8%) AND THE STATE (12.2%). IN 2018-2019, FAYETTE COUNTY (53.5%) AND LEE COUNTY (60.0%) HAD A LOWER PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED PRICE LUNCH THAN THE STATE (60.5%) AND A HIGHER PERCENTAGE THAN THE NATION (49.5%). FAYETTE COUNTY (95.5%) AND LEE COUNTY (96.3%) HAD A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.4%) AND THE NATION (87.7%) (2018-2019).
Schedule H, Part V, Section B, Line 5 Facility , 2	Facility , 2 - ST. MARKS MEDICAL CENTER, CONTINUED. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN FAYETTE COUNTY AND THE STATE AND THE SECOND LEADING CAUSE OF DEATH IN LEE COUNTY (2015-2019). BETWEEN 2015 AND 2019, HEART DISEASE MORTALITY RATES OVERALL DECREASED IN BOTH FAYETTE COUNTY AND THE STATE AND INCREASED IN LEE COUNTY. IN 2019, THE HEART DISEASE MORTALITY RATE IN FAYETTE COUNTY (183.0 PER 100,000) WAS HIGHER THAN LEE COUNTY (180.3 PER 100,000) AND THE STATE (167.5 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH FAYETTE COUNTY AND THE STATE, AND THE LEADING CAUSE OF DEATH IN LEE COUNTY (2017-2019). BETWEEN 2015 AND 2019, CANCER MORTALITY RATES OVERALL DECREASED IN BOTH COUNTIES AND THE STATE. IN 2017-2019, THE CANCER MORTALITY RATE IN LEE COUNTY (186.4 PER 100,000) WAS HIGHER THAN FAYETTE COUNTY (117.7 PER 100,000) AND THE STATE (143.5 PER 100,000). FATAL ACCIDENTS IS THE THIRD LEADING CAUSE OF DEATH IN BOTH FAYETTE AND LEE COUNTIES, AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2015-2019). BETWEEN 2015 AND 2019, ACCIDENT MORTALITY RATES DECREASED IN FAYETTE COUNTY, INCREASED IN LEE COUNTY, AND SLIGHTLY INCREASED IN THE STATE. IN 2017-2019, THE ACCIDENT MORTALITY RATE IN LEE COUNTY (71.6 PER 100,000) WAS HIGHER THAN THE RATE IN FAYETTE COUNTY (48.3 PER 100,000) AND THE STATE (38.7 PER 100,000). THE LEADING CAUSE OF FATAL ACCIDENTS IN FAYETTE AND LEE COUNTY IS DUE TO MOTOR VEHICLE ACCIDENTS (2017-2019). CEREBROVASCULAR DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN BOTH FAYETTE AND LEE COUNTIES, AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2015-2019). BETWEEN 2015-2019, CEREBROVASCULAR DISEASE MORTALITY RATES DECREASED IN BOTH COUNTIES AND THE STATE. IN 2017-2019, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN BOTH FAYETTE (31.3 PER 100,000) AND LEE (36.3 PER 100,000) COUNTIES WAS LOWER THAN THE STATE (40.2 PER 100,000). ESSENTIAL HYPERTENSION AND HYPERTENSIVE RENAL DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN FAYETTE COUNTY, THE SIXTH LEADING CAUSE OF DEATH IN LEE COUNTY, AND IS NOT A LEADING CAUSE OF DEATH IN THE STATE (2015-2019). BETWEEN 2015 AND 2019, ESSENTIAL HYPERTENSION AND HYPERTENSIVE RENAL DISEASE MORTALITY RATES INCREASED IN FAYETTE COUNTY AND SLIGHTLY INCREASED IN THE STATE. IN 2017-2019, THE ESSENTIAL HYPERTENSION AND HYPERTENSIVE RENAL DISEASE MORTALITY RATE IN BOTH LEE (29.3 PER 100,000) AND FAYETTE (29.2 PER 100,000) COUNTY IS HIGHER THAN THE STATE (8.7 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASE, (CLRD), ALZHEIMER'S DISEASE, DIABETES MELLITUS, SEPTICEMIA, AND INFLUENZA AND PNEUMONIA ARE ALSO, LEADING CAUSES OF DEATH IN EITHER FAYETTE AND LEE COUNTY OR IN BOTH COUNTIES. AS OF NOVEMBER 8, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT WAS FULLY VACCINATED FOR COVID-19 IN FAYETTE COUNTY (51.1%) WAS HIGHER THAN LEE COUNTY (46.8%) BUT LOWER THAN THE STATE (60.5%). BETWEEN 2016 AND 2020, DIABETES PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE SLIGHTLY INCREASED. IN 2017-2019, FAYETTE & LEE COUNTIES (8.6%) HAD A LOWER PERCENT OF ADULTS (AGE 18+) WHO HAD EVER BEEN DIAGNOSED WITH DIABETES THAN THE STATE (12.2%). IN 2018, THE PERCENT OF MEDICARE BENEFICIARIES WITH DIABETES IN FAYETTE COUNTY (23.2%) WAS THE LOWEST AS COMPARED TO LEE COUNTY (27.4%), THE STATE (28.8%) AND THE NATION (27.0%). BETWEEN 2016 AND 2020, OBESITY PREVALENCE RATES IN ADULTS (AGE 18+) IN FAYETTE AND LEE COUNTIES OVERALL DECREASED, WHILE RATES IN THE STATE SLIGHTLY INCREASED. IN 2018-2020, FAYETTE AND LEE COUNTIES (36.9%) HAD A HIGHER PERCENT OF OBESE ADULTS (AGE 18+) THAN THE STATE (34.9%). LEE COUNTY (60.9%) HAS THE HIGHEST RATE OF MEDICARE FEE-FOR-SERVICE RESIDENTS WITH HYPERTENSION AS COMPARED TO FAYETTE COUNTY (59.8%), THE STATE (59.9%) AND THE NATION (57.2%) (2018). BETWEEN 2016 AND 2020, ASTHMA PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE SLIGHTLY INCREASED. IN 2017-2019, FAYETTE & LEE COUNTIES (15.7%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA THAN THE STATE (13.0%). BETWEEN 2016 AND 2020, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE SLIGHTLY DECREASED. IN 2018-2020, FAYETTE & LEE COUNTIES (29.0%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.0%). BETWEEN 2016 AND 2020, THE RATE OF ADULTS (AGE 18+) IN THE STATE THAT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER INCREASED. IN 2017-2019, FAYETTE & LEE COUNTIES (14.5%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER THAN THE STATE (16.8%). BETWEEN 2016 AND 2020, THE PERCENT OF ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN THE STATE INCREASED. THE PERCENT OF ADULTS (AGE 18+) WHO SELF-REPORTED THAT THEY HAD A DISABILITY IN FAYETTE & LEE COUNTIES (15.8%) WAS LOWER THAN THE STATE (26.8%) (2017-2019). AS OF 2019, FAYETTE COUNTY (23.4%) HAS A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO LEE COUNTY (24.5%) AND THE STATE (24.3%). BOTH FAYETTE AND LEE COUNTIES AND THE STATE EXPERIENCED SLIGHT INCREASES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2019. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR ST. MARK'S MEDICAL CENTER (SMMC) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN FAYETTE AND LEE COUNTIES IN TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC FROM JULY 12, 2021 - AUGUST 5, 2021. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE SMMC BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON APRIL 28, 2022. INTERVIEW METHODOLOGY: SMMC WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. SMMC 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 SMMC, INCLUDING THE MISSION, VISION, AND SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC USING SOURCES WHICH INCLUDED STRATASAN, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN INCOME ANALYSIS, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. SMMC PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN FAYETTE AND LEE COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, SEVENTEEN IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 64.7% 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. 5.9% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AND 29.4% OF THOSE PROVIDING INPUT ARE COMMUNTIY LEADERS.
Schedule H, Part V, Section B, Line 5 Facility , 3	Facility , 3 - ST. MARKS MEDICAL CENTER, CONTINUED. INTERVIEWEES INCLUDED: * THOMAS BORGSTEDTE, MD: PHYSICIAN-FAMILY PRACTICE, LA GRANGE FAMILY HEALTH CLINIC; BOARD MEMBER, ST. MARK'S MEDICAL CENTER * LADONNA BOYD: DIRECTOR, BLUEBONNET TRAILS COMMUNITY SERVICES * LOIS CHAPMAN: NURSE, BASTROP CLINIC - TX DHHS REGION 7 FIELD OFFICE LOCATION * MIKAELA DEBARBA: RETAIL PHARMACIST, HEB - LA GRANGE * ROGER DEES: SUPERINTENDENT, GIDDINGS INDEPENDENT SCHOOL DISTRICT * NANCY DOYLE: PAYROLL AND BENEFITS CLERK, GIDDINGS INDEPENDENT SCHOOL DISTRICT * KELLY FRANKE: EXECUTIVE DIRECTOR, COMBINED COMMUNITY ACTION - FAYETTE, LEE, BASTROP CO. * SALLY GARRETT: COUNTY EXTENSION AGENT, TEXAS A&M AGRILIFE EXTENSION - FAYETTE COUNTY * BRENDAN GILBREATH: HOMELAND SECURITY ASSISTANT, FAYETTE COUNTY * MARY KAHANEK: PRESIDENT, ST. MARK'S VOLUNTEERS * SHERI KEHLER: CHIEF EXECUTIVE OFFICER, TEJAS HEALTH CARE * CHRIS LITTLE: LEAD PASTOR, CROSSPOINT CHURCH * CRAIG MOREAU: CHIEF OF EMERGENCY MANAGEMENT AND HOMELAND SECURITY FOR FAYETTE COUNTY, FAYETTE COUNTY * DUDLEY PILAND: BOARD CHAIR, ST. MARK'S MEDICAL CENTER * JOSHUA VANDEVER: DIRECTOR, FAYETTE COUNTY EMERGENCY MEDICAL SERVICES * WILLIAM WAGNER: SUPERINTENDENT, LA GRANGE INDEPENDENT SCHOOL DISTRICT * JOE WEBER: JUDGE, FAYETTE COUNTY POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: ELDERLY, OBSTETRIC POPULATION, LOW INCOME/WORKING POOR, RACIAL/ETHNIC GROUPS, YOUTH POPULATIONS, TEENAGERS/ADOLESCENTS, UN/UNDERINSURED, AND VETERANS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: ELDERLY * TRANSPORTATION BARRIERS * LACK OF LOCAL SPECIALTY SERVICES * SOCIAL ISOLATION * PRESCRIPTION COSTS * ADDITIONAL SPACE/FACILITY TO CATER TO ALZHEIMER'S AND DEMENTIA PATIENTS OB POPULATION * LACK OF LOCAL OB-RELATED SERVICES AND PROVIDERS LOW INCOME/WORKING POOR * LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, DENTAL CARE * ESTABLISHING PROVIDER RELATIONSHIP * COST OF INSURANCE, PARTICULAR DEDUCTIBLES AND AFFORDING PRESCRIPTIONS * TRANSPORTATION BARRIERS RACIAL/ETHNIC * LANGUAGE BARRIERS * HEALTHY LIFESTYLE EDUCATION YOUTH POPULATION * IMMUNIZATIONS * LIMITED ACCESS TO PEDIATRIC CARE, LONG WAIT TIMES TEENAGERS/ADOLESCENTS * NEED FOR MENTAL HEALTH SERVICES, PRIMARY PREVENTION * HEALTHY LIFESTYLE EDUCATION * DRUG PREVENTION AND EDUCATION * SEX EDUCATION UN/UNDERINSURED * LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, DENTAL CARE * ESTABLISHING PROVIDER RELATIONSHIP * COST OF INSURANCE, PARTICULAR DEDUCTIBLES AND AFFORDING PRESCRIPTIONS * OVERUSE OF EMERGENCY ROOM AS CLINIC VETERANS * LACK OF ACCESS TO LOCAL RESOURCES AND SERVICES * LACK OF MENTAL HEALTH RESOURCES * TRANSPORTATION BARRIERS
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST. MARKS MEDICAL CENTER. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY ST. MARK'S MEDICAL CENTER, (SMMC). THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. HOSPITAL LEADERSHIP MET WITH COMMUNITY HOSPITAL CORPORATION, (CHC), TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. CONTINUED RECRUITMENT OF PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. CONTINUED FOCUS ON COVID-19 PREVENTION & RESPONSE 5. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL FIVE OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: CONTINUED RECRUITMENT OF PRIMARY AND SPECIALTY CARE SERVIES AND PROVIDERS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY THROUGH RECRUITMENT AND RETENTION EFFORTS 1.A. SMMC WILL CONTINUE TO PROVIDE OPPORTUNITIES FOR BETTER COMMUNITY ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDER SERVICES DEDICATED FULL TIME TO THE LOCAL COMMUNITY THROUGH INDEPENDENT AND/OR JOIN RECRUITMENT, AS WELL AS CONTINUAL EVALUATION OF IDENTIFIED NEEDS AND ADDITIONAL EQUIPMENT FOR PROVIDER SERVICES. 1.B. SMMC WILL CONTINUE TO PROVIDE REFERENCE LAB SERVICES TO EXTERNAL PROVIDERS AS REQUESTED. 1.C. SMMC WILL CONTINUE TO INCREASE ACCESS TO CARE THROUGH THE PROVISION OF TELEHEALTH SERVICES TO APPLICABLE PATIENTS. 1.D. SMMC PHYSICIANS AND NURSING STAFF WILL CONTINUE TO IMPLEMENT TRANSFER PROCESSES TO EFFECTIVELY WORK IN CONJUNCTION WITH EQUIPMENT, SUPPLIES, AND PROCESSES OF ST. DAVID'S MEDICAL CENTER TO ENSURE SEAMLESS TRANSITION FOR PATIENTS REQUIRING TRANSPORT TO A HIGHER LEVEL OF CARE. 1.E. SMMC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR STUDENTS FROM LOCAL PROGRAMS IN THE AREAS OF HEALTH INFORMATION MANAGEMENT, IMAGING, LABORATORY, RESPIRATORY THERAPY, RN, LVN AND SURGICAL TECHNOLOGISTS. 1.F. SMMC WILL CONTINUE TO PARTICIPATE IN ST. DAVID'S HEALTHCARE CLINICAL OUTREACH PROGRAMS TO INCLUDE ADVANCED CARDIAC LIFE SUPPORT (ACLS), PEDIATRIC ADVANCED LIFE SUPPORT (PALS), TRAUMA NURSING CORE CURRICULUM, PREPAREDNESS FOR PRECIPITOUS DELIVERIES IN THE EMERGENCY DEPARTMENT, AND OTHER CRITICAL CARE TOPICS. CONTINUING MEDICAL EDUCATION FOR PHYSICIANS IS OFFERED AS WELL. 1.G. SMMC WILL CONTINUE TO MARKET NEWLY RECRUITED SPECIALIST AND PRIMARY CARE PROVIDERS THROUGH COMMUNITY INTRODUCTIONS, RADIO ADS, AND PRESS RELEASES. 1.H. SMMC WILL CONTINUE TO OFFER A SWINGBED PROGRAM FOR ITS PATIENT POPULATION. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PROVIDE ACCESS TO HEALTH CARE AND SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE INDIGENT, MINORITY, AND ELDERLY POPULATIONS 2.A. SMMC CONTINUES TO ESTABLISH PARTNERSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS TO PROVIDE HEALTHCARE-RELATED SUPPORT AS OPPORTUNITIES ARISE. 2.B. SMMC 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. 2.C. SMMC WILL CONTINUE TO MAKE OSTEOPOROSIS SCREENINGS AVAILABLE TO THE ELDERLY POPULATION. 2.D. SMMC WILL CONTINUE TO PROVIDE INPATIENT AND ER CARE THROUGH ITS CONTRACT WITH BASTROP FEDERAL CORRECTION INSTITUTION. 2.E. SMMC WILL CONTINUE TO OFFER EDUCATION ON MEDICARE RULES AND REGULATIONS TO SENIOR CITIZENS, AS WELL AS EDUCATION TO ALL POPULATIONS ON ADVANCED DIRECTIVES AND END OF LIFE PLANNING UPON REQUEST. 2.F. SMMC WILL CONTINUE TO PROVIDE INCREASED ACCESS TO MEDICAL SERVICES AND RECORDS THROUGH THE ONLINE PHYSICIAN DIRECTORY ON THE HOSPITAL WEBSITE. 2.G. SMMC WILL CONTINUE TO OFFER REDUCED COST MAMMOGRAPHY SERVICES IN CONJUNCTION WITH BREAST CANCER AWARENESS EVENTS. 2.H. SMMC PROVIDES A LEASED, ON-SITE VA CLINIC FOR VETERANS TO SEEK CARE AND ACCESS LOCAL SPECIALTY CARE THROUGH THE HOSPITAL. 2.I. IN COMPLIANCE WITH THE INPATIENT AND LONG-TERM CARE HOSPITAL PROSPECTIVE PAYMENT SYSTEM FINAL RULE, SMMC PUBLICLY SHARES ITS PRICING INFORMATION ONLINE IN AN EFFORT TO INCREASE PRICE TRANSPARENCY AND EMPOWER CONSUMERS TO MAKE INFORMED CHOICES ABOUT THEIR CARE. INFORMATION IS UPDATED ANNUALLY. 2.J. SMMC WILL CONTINUE TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR SENIOR CITIZENS, SUCH AS THE FAYETTE COUNTY SENIOR DAY, LEE COUNTY SENIOR DAY, THE FAYETTE & LEE COUNTY SENIOR EXPO, AND LOCAL HEALTH FAIRS AS REQUESTED. BLOOD PRESSURE, CHOLESTROL, AND BLOOD GLUCOSE SCREENINGS WITH COUNSELING FOR OUT OF RANGE RESULTS ARE ALSO PROVIDED. PRIORITY #3: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO MENTAL HEALTH RESOURCES FOR ALL RESIDENTS 3.A. SMMC WILL CONTINUE TO COLLABORATE FREQUENTLY THROUGHOUT THE YEAR WITH THE LOCAL MHMR AUTHORITY, AS WELL AS THE LOCAL EMS SERVICES TO ASSURE THAT WE ARE WORKING TOGETHER ON TREATMENT AND PLACEMENT FOR APPLICABLE PATIENTS. 3.B. SMMC WILL CONTINUE TO COLLABORATE WITH LOCAL SCHOOL DISTRICTS TO PROVIDE EDUCATION ON MENTAL AND BEHAVIORAL HEALTH RELATED TOPICS UPON REQUEST. PRIORITY #4: CONTINUED FOCUS ON COVID-19 PREVENTION AND RESPONSE OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC 4.A. SMMC WILL CONTINUE TO PROVIDE EDUCATION ON COVID-19 AS NEEDED. 4.B. SMMC CONTINUES FOLLOWING CDC GUIDELINES AND COMMUNITY STANDARDS TO CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION WHEN DISCHARGING PATIENTS TO A LOWER LEVEL OF CARE AND THEIR HOME ENVIRONMENT. 4.C. SMMC CONTINUES TO REPORT COVID-19 TEST AND PATIENT ADMISSIONS DATA TO THE STATE AND CENTERS FOR DISEASE CONTROL (CDC) IN AN ONGOING EFFORT TO SHARE TIMELY INFORMATION AND RESEARCH REGARDING THE PANDEMIC. VACCINATION RATES AT THE HOSPITAL ARE ALSO PROVIDED. ADDITIONALLY, SMMC SERVES AS A COVID-TESTING SITE FOR PATIENTS WHO WERE REFERRED BY THEIR PROVIDER. PRIORITY #5: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: PROVIDE OPPORTUNITIES FOR PREVENTION, EDUCATION AND SERVICES THAT AIM TO REDUCE MORTALITY RATES AND THE PREVALENCE OF CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLES IN THE COMMUNITY 5.A. SMMC WILL CONTINUE TO HOST LUNCH & LEARN EVENTS TO EDUCATE REGIONAL EXTERNAL CLINICS ON MEDHOST AND LEADING REACH REFERRAL SOFTWARE WITH THE GOAL OF IMPROVING COORDINATION ACROSS THE CONTINUUM OF CARE. 5.B. SMMC WILL CONTINUE TO PROVIDE FLU VACCINES ON AN ANNUAL BASIS TO EMPLOYEES AND THEIR FAMILIES, AS WELL AS THE SMMC AUXILIARY. 5.C. SMMC WILL CONTINUE TO SPONSOR THE MULTIPLE SCLEROSIS MS-150 BIKE RIDE, INCLUDING HOSTING CAMP ST. MARK'S FOR RIDERS AND PROVIDING ER CARE AS NEEDED. 5.D. SMMC WILL CONTINUE TO PROVIDE INTERVIEWEES (PHYSICIANS AND TENURED CLINICAL STAFF) FOR THE LOCAL RADIO SHOW "THE DOCTOR'S CORNER," WHICH FEATURES DIFFERENT MEDICAL TOPICS PERIODICALLY. 5.E. SMMC PERSONNEL ARE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, FOR MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH CARE TOPICS OF CONCERN TO THE PUBLIC. 5.F. SMMC WILL CONTINUE TO PARTICIPATE IN COLLEGE/CAREER NIGHT WITH LOCAL SCHOOL DISTRICTS. SMMC SUPPORT GROUP PROGRAMS AND EDUCATIONAL SERVICES ARE AVAILABLE UPON REQUEST. ADDITIONALLY, SMMC WILL CONTINUE TO PROVIDE MEETING SPACE FOR COMMUNITY RESOURCE AND EDUCATIONAL GROUPS (I.E., LION'S CLUB, CPR CLASSES, ETC.) AVAILABLE UPON REQUEST. 5.G. SMMC WILL CONTINUE TO PARTCIPATE IN COLLEGE/CAREER NIGHT WITH LOCAL SCHOOL DISTRICTS. 5.H. SMMC WILL CONTINUE ITS MEMBERSHIP ON THE CAPITAL AREA REGIONAL TRAUMA ADVISORY COUNCIL. ADDITIONALLY, SMMC WILL CONTINUE TO PROVIDE PRESENTATIONS TO GIDDINGS ISD AND LA GRANCE ISD STUDENTS REGARDING ANY HEALTH TOPICS OF INTEREST UPON REQUEST. 5.I. SMMC PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITEES IN THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - ST. MARK'S MEDICAL CENTER, CONTINUED. 5.J. SMMC WILL CONTINUE TO OFFER HEART DISEASE MANAGEMENT EDUCATION AS PART OF THE CARDIAC REHAB PROGRAM. AS A PREREQUISITE FOR THE PROGRAM, PATIENTS MUST COMPLETE NUTRITIONAL COUNSELING THROUGH THE SMMC DIETITIAN. PATIENTS WHO DO NOT WISH TO PARTICIPATE FULLY IN THE CARDIAC REHAB PROGRAM ARE INVITED TO SIT IN ON HEART DISEASE MANAGEMENT PATIENT EDUCATION SESSIONS. 5.K. SMMC WILL PARTNER WITH AUSTIN HEART TO PERIODICALLY HOST MEETINGS FOR THE COMMUNITY REGARDING HOW TO IMPROVE HEART HEALTH UPON REQUEST. 5.L. SMMC WILL CONTINUE TO PARTNER WITH THE LA GRANGE BLUEBONNET LION'S CLUB AND THE LA GRANGE POLICE DEPARTMENT TO PARTICIPATE IN THE DRUG TAKE BACK PROGRAM FOR THE COMMUNITY. 5.M. SMMC WILL CONTINUE TO ALLOW LOCAL STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTH CARE TO SHADOW PROVIDERS AND ROTATE THROUGH THE FACILITY IN ORDER TO EXPERIENCE THE DIFFERENT DEPARTMENTS WITHIN THE HOSPITAL UPON REQUEST. 5.N. SMMC WILL CONTINUE ENGAGING THE COMMUNITY THROUGH PARTICIPATION IN LOCAL EVENTS AS OPPORTUNITIES ARISE. HOWEVER, SUBSEQUENTLY ON OCTOBER 12, 2023, THE HOSPITAL CEASED OPERATIONS DUE TO ONGOING, INSURMOUNTABLE FINANCIAL DIFFICULTIES.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST. MARK'S MEDICAL CENTER. ALL PATIENTS AND INSURANCES ARE BILLED AT 100% OF CHARGES. ST. MARK'S MEDICAL CENTER (SMMC) CONTRACTUALLY NEGOTIATES WITH PAYORS TO ACCEPT SOMETHING LESS THAN 100% OF CHARGES. MEDICARE PAYS BASED ON FEE SCHEDULES AND DIAGNOSIS RELATED GROUPS, ETC. SELF PAY AND THOSE QUALIFYING FOR FINANCIAL ASSISTANCE ARE ALL BILLED AT 100% OF CHARGES UNTIL SUCH TIME IT IS DETERMINED THAT THEY QUALIFY FOR FINANCIAL ASSISTANCE. BASED UPON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE, UP TO A MAXIMUM OF 100%. PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNTS REDUCED BASED ON THE LEVEL OF FINANCIAL ASSISTANCE. THE BALANCE OF THE ACCOUNT AFTER APPLICATION OF THE DISCOUNT IS HANDLED CONSISTENT WITH THE HOSPITAL'S COLLECTION POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - ST. MARK'S MEDICAL CENTER. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE WHEN REGISTERING, THROUGH DISCHARGE PLANNING ETC. STATEMENTS FOR SELF PAY HAVE A TAG LINE STATING IF THEY THINK THEY QUALIFY FOR FINANCIAL ASSISTANCE TO PLEASE CALL THIS NUMBER. WHENEVER A BILL IS DISCUSSED AND A PATIENT INDICATES THEY CAN'T PAY UPFRONT, FINANCIAL ASSISTANCE IS EXPLAINED TO THEM SO THAT IN THE EVENT IT APPLIES THEY KNOW ABOUT IT. IT IS ALSO POSTED ON BULLETIN BOARDS THROUGHOUT THE HOSPITAL THAT FINANCIAL ASSISTANCE IS AVAILABLE.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST MARK'S CLINIC
ONE ST MARKS PLACE	LA GRANGE	TX	78945	ORTHOPEDIC CLINIC
GIDDINGS CLINIC
598 CACTUS STREET	GIDDINGS	TX	78942	ORTHOPEDIC CLINIC
BASTROP CLINIC
3101 HWY 71 EAST SUITE 202	BASTROP	TX	78602	ORTHOPEDIC CLINIC

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7b Costing methodology	THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION ("HHSC") REPLACED THE HISTORICAL MEDICAID UPL PROGRAM WITH THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM WAIVER ("WAIVER"). THE WAIVER INCLUDES AN UNCOMPENSATED CARE ("UC") POOL WHICH HHSC USES TO MAKE SUPPLEMENTAL MEDICAID PAYMENTS TO HOSPITALS TO HELP DEFRAY UNCOMPENSATED CARE COSTS RELATED TO PROVIDING CARE TO MEDICAID ELIGIBLES OR TO INDIVIDUALS WHO HAVE NO SOURCE OF THIRD-PARTY COVERAGE. TO QUALIFY FOR UC PAYMENTS, HOSPITALS MUST SUBMIT A UC APPLICATION TO HHSC WHICH REPORTS THE HOSPITAL'S COST OF PROVIDING UNCOMPENSATED CARE BASED ON THE UC METHODOLOGY PROSCRIBED BY HHSC. FOR THE PERIOD OF JULY 1, 2022 THROUGH JUNE 30, 2023, ST. MARK'S MEDICAL CENTER RECEIVED $992,146 IN UC PAYMENTS AS A SUPPLEMENTAL COST OF REIMBURSEMENT FOR THE TREATING OF MEDICAID ELIGIBLE INDIVIDUALS AND INDIVIDUALS WITHOUT A SOURCE OF THIRD-PARTY COVERAGE.
Schedule H, Part I, Line 3c CHARITY STATUS DETERMINATION	ST. MARK'S MEDICAL CENTER (SMMC) USES BOTH FINANCIAL STATUS AS WELL AS AMOUNT OF MEDICAL DEBT TO DETERMINE CHARITY STATUS.
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	THE COMMUNITY BENEFIT REPORT WAS PREPARED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION.
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM	ST. MARK'S MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	UNTIL OCTOBER 12, 2023, WHEN ST. MARK'S MEDICAL CENTER CEASED OPERATIONS, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST.
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	UNTIL OCTOBER 12, 2023, WHEN ST. MARK'S MEDICAL CENTER CEASED OPERATIONS, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST.
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	UNTIL OCTOBER 12, 2023, WHEN ST. MARK'S MEDICAL CENTER CEASED OPERATIONS, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST.
Schedule H, Part V, Section B, Line 7 CHNA AVAILABLE WEBSITE	UNTIL OCTOBER 12, 2023, WHEN ST. MARK'S MEDICAL CENTER CEASED OPERATIONS, THEIR CHNA WAS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF THE CHNA IS AVAILABLE UPON REQUEST.
Schedule H, Part V, Section B, Line 10 IMPLEMETATION STRATEGY AVAILABLE WEBSITE	UNTIL OCTOBER 12, 2023, WHEN ST. MARK'S MEDICAL CENTER CEASED OPERATIONS, THEIR IMPLEMENTATION STRATEGY WAS MADE AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF THE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PATIENTS ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THRID-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COST INFORMATION PROVIDED WAS OBTAINED FROM OUR MEDICARE COST REPORT. 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 QUALIFIES FOR 100% CHARITY, THE ENTIRE ACCOUNT IS WRITTEN-OFF. IF THEY QUALIFY FOR PARTIAL CHARITY, THE CHARITY PORTION IS WRITTEN-OFF AND THE PATIENT RECEIVES MONTHLY STATEMENTS WITH REGARD TO THE SELF-PAYMENT BALANCE. FULL PAYMENT IS EXPECTED FROM THE PATIENT. AFTER 180 DAYS FROM DATE OF SERVICE, IF THE SELF PAYMENT BALANCE REMAINS UNPAID, THIS AMOUNT IS TURNED OVER TO A COLLECTION AGENCY AND THE ACCOUNT IS MOVED TO BAD DEBT ACCOUNTS RECEIVABLE.
Schedule H, Part V, Section B, Line 16a FAP website	- ST. MARK'S MEDICAL CENTER: Line 16a URL: See Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST. MARK'S MEDICAL CENTER: Line 16b URL: See Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST. MARK'S MEDICAL CENTER: Line 16c URL: See Part VI;
Schedule H, Part VI, Line 2 Needs assessment	AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, ST. MARK'S MEDICAL CENTER, (SMMC), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 6/30/2022. SMMC'S LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE TOP PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, RESPONSIBLE LEADERS, ANNUAL UPDATES AND PROGRESS, AND KEY RESULTS (AS APPROPRIATE). THE CHNA AND IMPLEMENTATION STRATEGY FOR TAX YEAR 2021, WAS REVIEWED AND ADOPTED BY THE HOSPITAL'S GOVERNING BOARD ON APRIL 28, 2022. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE 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 FAYETTE AND LEE 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	FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE WHEN REGISTERING, THROUGH DISCHARGE PLANNING ETC. OUR STATEMENTS FOR SELF PAY HAVE A TAG LINE STATING IF THEY THINK THEY QUALIFY FOR FINANCIAL ASSISTANCE TO PLEASE CALL THIS NUMBER. WHENEVER A BILL IS DISCUSSED, AND A PATIENT INDICATES THEY CAN'T PAY UPFRONT, FINANCIAL ASSISTANCE IS EXPLAINED TO THEM SO THAT IN THE EVENT IT APPLIES THEY KNOW ABOUT IT. IT IS ALSO POSTED ON BULLETIN BOARDS THROUGHOUT THE HOSPITAL THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL SELF-PAY WITHOUT ABILITY TO PAY AT TIME OF SERVICE ARE REFERRED TO OUR ELIGIBILITY VENDOR. THIS ALLOWS THEM TO BE ASSESSED FOR ANY PROGRAMS THAT MAY COVER THEIR MEDICAL EXPENSES SUCH AS MEDICAID, COUNTY PROGRAMS OR ANY OTHER STATE PROGRAMS THAT MAY BE AVAILABLE.
Schedule H, Part VI, Line 4 Community information	ST. MARK'S MEDICAL CENTER, (SMMC), SERVES THE CENTRAL TEXAS COMMUNITIES OF FAYETTE AND LEE COUNTIES, AS WELL AS SURROUNDING AREAS. THE POPULATION OF FAYETTE COUNTY IS EXPECTED TO INCREASE 3.1% FROM 2021 (25,460) TO 2026 (26,258) AND THE POPULATION OF LEE COUNTY IS EXPECTED TO INCREASE 3.3% FROM 2021 (18,092) TO 2026 (18,684), WITH THE EXPECTED GROWTH RATE OF BOTH COUNTIES FALLING BELOW THE 7.9% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2021 (29,969,514) TO 2026 (32,346,738). THE MAJORITY OF RESIDENTS IN BOTH FAYETTE AND LEE COUNTIES IDENTIFY AS WHITE-NON HISPANIC AT 81.9% AND 77.6%, RESPECTIVELY, (2021). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 13.2% IN FAYETTE COUNTY AND BY 9.5% IN LEE COUNTY BY 2026. THE ASIAN PFOPULATION IS THE FASTEST GROWING POPULATION IN BOTH COUNTIES. BY 2026, THE ASIAN POPULATION IN FAYETTE COUNTY IS EXPECTED TO INCREASE BY 20.0% AND BY 25.5% IN LEE COUNTY. AS OF 2021, FAYETTE COUNTY (48.7 YEARS) HAD AN OLDER MEDIAN AGE THAN BOTH LEE COUNTY (41.1 YEARS) AND THE STATE OF TEXAS (35.3 YEARS). THE MEDIAN AGE IN BOTH COUNTIES AND THE STATE IS EXPECTED TO INCREASE SLIGHTLY OVER THE NEXT FIVE YEARS (2021-2026). WITH RESPECT TO UNEMPLOYMENT, RATES IN BOTH FAYETTE AND LEE COUNTIES AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, BOTH FAYETTE (4.7) AND LEE (4.9) COUNTIES HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN FAYETTE AND LEE COUNTIES DECREASED. FOR FAYETTE COUNTY, AUGUST 2020 HAD THE LOWEST UNEMPLOYMENT RATE (4.1) AS COMPARED TO JUNE 2020 WITH THE HIGHEST RATE (5.8). FOR LEE COUNTY, AUGUST 2020 AND MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (4.3) AS COMPARED TO JUNE AND JULY 2020 WITH THE HIGHEST RATE (6.1). AS OF 2021, THE MEDIAN HOUSEHOLD INCOMES IN BOTH FAYETTE ($60,548) AND LEE ($56,620) COUNTIES ARE LOWER THAN THAT OF THE STATE ($63,524). FAYETTE COUNTY AND LEE COUNTY HAVE LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE (2021). IN 2021, LEE COUNTY (21.6%) HAD THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO FAYETTE COUNTY (19.1%) AND THE STATE (18.0%). AS OF 2019, AN ESTIMATED 13.3% OF FAYETTE COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 12.7% IN LEE COUNTY AND 14.1% IN TEXAS. THE AVERAGE MEAL COST FOR A FAYETTE COUNTY RESIDENT IS $3.05, AS COMPARED TO $3.22 IN LEE COUNTY AND $2.68 IN TEXAS (2019). AS OF 2019, FAYETTE COUNTY (23.4%) HAS A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO LEE COUNTY (24.5%) AND THE STATE (24.3%). CANCER AND HEART DISEASE ARE THE TWO LEADING CAUSES OF DEATH IN FAYETTE AND LEE COUNTIES. IN 2019, THE HEART DISEASE MORTALITY RATE IN FAYETTE COUNTY WAS HIGHER THAN LEE COUNTY AND THE STATE. IN 2017-2019, THE CANCER MORTALITY RATE IN LEE COUNTY (WAS HIGHER THAN FAYETTE COUNTY AND THE STATE. IN 2018-2020, FAYETTE AND LEE COUNTIES HAD A HIGHER PERCENT OF OBESE ADULTS (AGE 18+) THAN THE STATE. LEE COUNTY HAD THE HIGHEST RATE OF MEDICARE FEE-FOR-SERVICE RESIDENTS WITH HYPERTENSION AS COMPARED TO FAYETTE COUNTY, THE STATE AND THE NATION (2018). SEDENTARY LIFESTYLE AND CULTURAL FACTORS ARE ALL CONTRIBUTORS TO THESE CHRONIC HEALTH CONDITIONS. AS OF NOVEMBER 8, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED FOR COVID-19 IN FAYETTE COUNTY (51.1%) IS HIGHER THAN LEE COUNTY (46.8%) BUT LOWER THAN THE STATE (60.5%). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS SMOKING TOBACCO IN FAYETTE AND LEE COUNTIES THAN THE STATE. WITH REGARD TO MATERNAL AND CHILD HEALTH, FAYETTE AND LEE COUNTIES HAVE LOWER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE THAN THE STATE. FAYETTE COUNTY HAS HIGHER TEEN (AGE 0-19 YEARS) BIRTH RATES THAN LEE COUNTY AND THE STATE.
Schedule H, Part VI, Line 5 Promotion of community health	DURING THIS FISCAL YEAR, ST. MARK'S MEDICAL CENTER (SMMC), PRIORITIZED THE HEALTH OF THEIR COMMUNITY BY ONGOING PARTICIPATION IN NUMEROUS COMMUNITY AND WELLNESS ACTIVITIES, INCLUDING: HEALTHY HEART CHOICES, CAREER EDUCATION DAYS, DRUG TAKE-BACK PROGRAM, REDUCED COST MAMMOGRAPHY SCREENINGS IN CONJUNCTION WITH BREAST CANCER AWARENESS EVENTS, OSTEOPOROSIS SCREENINGS AND CALCIUM SCORING. SMMC LEADERS AND SUBJECT MATTER EXPERTS ALSO GUESTED MULTIPLE TIMES ON THE LOCAL WEEKLY RADIO PROGRAM, "DOCTORS CORNER," WHICH FEATURES VARIOUS MEDICAL TOPICS OF VALUE TO THE COMMUNITY. SMMC HOSTED A FREE, PUBLIC HEALTH FAIR THAT FEATURED WELLNESS EXPERTS, INFORMATION AND MATERIAL TO ATTENDEES. ADDITIONALLY, SMMC'S PUBLIC FACEBOOK PAGE ROUTINELY PROMOTED WELLNESS INFORMATION AND RESOURCES FOR HEALTHY LIFESTYLE CHOICES AND SCREENING RECOMMENDATIONS. SMMC CONTINUES TO PROVIDE NURSING STAFF AT NO CHARGE TO THE LA GRANGE INTERMEDIATE SCHOOL DISTRICT (ISD) SYSTEM TO ASSIST WITH ATHLETIC PHYSICALS. SMMC ALSO COLLABORATES WITH LOCAL SCHOOL DISTRICTS TO PROVIDE EDUCATION ON MENTAL AND BEHAVIORAL HEALTH RELATED TOPICS UPON REQUEST. ADDITIONALLY, SMMC PROVIDES PRESENTATIONS TO GIDDINGS ISD AND LA GRANGE ISD STUDENTS REGARDING SPECIFIC HEALTH TOPICS OF INTEREST. SMMC ALSO ALLOWS STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTH CARE TO SHADOW PROVIDERS AND ROTATE THROUGH THE FACILITY IN ORDER TO EXPERIENCE DAY-TO-DAY ACTIVITIES IN THE DIFFERENT DEPARTMENTS WITHIN THE HOSPITAL. SMMC EMPLOYEES PARTICIPATE IN FUNDRAISING AND OTHER COMMUNITY EVENTS SUCH AS: DEPUTY SANTA GIFTS AT CHRISTMAS, A BLOOD DRIVE SUPPORTED BY EMPLOYEES AND THE PUBLIC WITH WE ARE BLOOD ORGANIZATION, FOOD DRIVES DURING THANKSGIVING, ANGEL TREE FOR LOCAL FAMILIES IN NEED, SPONSORSHIP OF THE MULTIPLE SCLEROSIS MS-150 BIKE RIDE - INCLUDING HOSTING CAMP ST. MARK'S FOR RIDERS AND PROVIDING EMERGENCY CARE AS NEEDED, AS WELL AS VARIOUS CIVIC GROUP GUEST SPEAKERS. SMMC HAS ALWAYS HAD AN OPEN APPLICATION PROCESS FOR ALL ACTIVE AND CONSULTING MEDICAL STAFF. THE SMMC BOARD OF DIRECTORS IS COMPRISED OF REPRESENTATIVES FROM THE COMMUNITIES WE SERVE, INCLUDING FAYETTE AND LEE COUNTY RESIDENTS, AND ARE ELECTED AND APPROVED BY THE BOARD. SURPLUS FUNDS ARE USED TO PURCHASE NEEDED HOSPITAL EQUIPMENT AND ASSIST WITH RECRUITING OF PHYSICIANS TO OUR COMMUNITIES. HOWEVER, SUBSEQUENTLY ON OCTOBER 12, 2023, THE HOSPITAL CEASED OPERATIONS DUE TO ONGOING, INSURMOUNTABLE FINANCIAL DIFFICULTIES.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILSON WEBER
Former Director	$0	$29,996	$0	$46,000	$0	$513	$0	$616	$0	$10,162	$0	$87,287	$0	$0
CRAIG SIMS
DIRECTOR	$0	$404,175	$0	$61,443	$0	$27,114	$0	$9,150	$0	$29,551	$0	$531,434	$0	$0
LINDA MOORE
AST. SECRETARY	$0	$338,309	$0	$50,550	$0	$35,306	$0	$12,304	$0	$21,488	$0	$457,957	$0	$5,208
MARK KIMBALL
PRESIDENT & CEO	$0	$237,029	$0	$43,097	$0	$3,665	$0	$14,033	$0	$33,518	$0	$331,343	$0	$0
TOD BEASLEY
Former INTERIM CFO	$0	$252,612	$0	$39,275	$0	$17,555	$0	$15,285	$0	$36,491	$0	$361,218	$0	$0
ARUSH ANGIRASA MD
Physician	$132,000	$0	$113,942	$0	$0	$0	$0	$0	$0	$0	$245,942	$0	$0	$0
Jared Brown
CFO	$47,531	$92,142	$3,082	$6,677	$39	$690	$1,633	$7,297	$15,691	$18,324	$67,976	$125,130	$0	$0
TAMMY HARTFIELD
CNO	$0	$136,379	$0	$17,539	$0	$2,066	$0	$10,914	$0	$23,888	$0	$190,786	$0	$0
RUSSELL CLARK MD
Physician	$217,631	$0	$129,214	$0	$0	$0	$0	$0	$0	$0	$346,845	$0	$0	$0
JONATHAN BLAKE
Physician	$509,998	$0	$40,000	$0	$271	$0	$2,975	$0	$34,791	$0	$588,034	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE ORGANIZATION'S EXECUTIVES, INCLUDING THE CEO, 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 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 THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2023 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: - LINDA MOORE - $20,980 - CRAIG SIMS - $19,170 - TOD BEASLEY - $12,228
Schedule J, Part I, Line 7 Non-fixed payments	Incentive compensation payments were made to certain employees based upon performance metrics.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 3 Significant changes in program services	In February 2023, St. Mark's Medical Center (SMMC) converted its status to a Rural Emergency Hospital and ceased all inpatient services.
Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN	THE ORGANIZATION'S EXECUTIVES, INCLUDING THE CEO, ARE EMPLOYED BY THE PARENT ORGANIZATION CHC AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF 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. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Allyson Borgstedte - Family relationship, Thomas Borgstedte - Family relationship
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, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF SMMC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHC AS THE SOLE MEMBER OF SMMC ELECTS THE MEMBERS OF THE BOARD OF DIRECTORS OF SMMC AND IS EMPOWERED WITH THE ABILITY TO REMOVE DIRECTORS, WITH OR WITHOUT CAUSE.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	RESERVED POWERS OF THE MEMBER: WHILE THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS, THE APPROVAL OF THE MEMBER FOLLOWING APPROVAL BY THE BOARD OF DIRECTORS SHALL BE NECESSARY FOR 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 CERTIFICATE OF FORMATION OR BYLAWS OF THE CORPORATION; (C) ANY AMENDMENTS OR REVISIONS OF THE CERTIFICATE OF FORMATION 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 AND CAPITAL BUDGETS; (H) THE PURCHASE OR ACQUISITION OF ANY REAL PERSONAL, OR MIXED PROPERTY BY THE CORPORATION IN EXCESS OF $25,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS; (I) THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; (J) 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 $50,000.00; (K) 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; (L) SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; (M) THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; (N) THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT, WITH AN ANNUAL COMPENSATION IN EXCESS OF $30,000 OR AN AGGREGATE COMPENSATION IN EXCESS OF $50,000; (O) ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; (P) THE ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS OR THE REMOVAL OF SAID BOARD MEMBER, WHETHER WITH OR WITHOUT CAUSE; (Q) THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; (R) THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND RAISING; AND (S) THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM FOR THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. ELECTRONIC COPIES ARE PROVIDED TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS PARENT, CHC, 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 THE YEAR ENDED 6-30-15. 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, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591	BEAUMONT	TX	77704	741303720	HOSPITAL	TX	501(c)(3)	3	SWCH INC	false
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE ST	BEAUMONT	TX	77701	760453250	PRIMARY CARE	TX	501(c)(3)	3	BHSET	false
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235	BEAUMONT	TX	77701	611557670	SUPPORT ORG	TX	501(c)(3)	7	BHSET	false
CAROLINAS COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	465590355	SUPPORT ORG	DE	501(c)(3)	Type II	CHC	false
CHC COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	371485773	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(c)(3)	Type III-FI	NA	false
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FL	PADUCAH	KY	42003	465032999	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FL	ABILENE	TX	79601	463607347	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FL	MADISONVILLE	KY	42431	465033192	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY	CORBIN	KY	40701	200925675	HOSPITAL	KY	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREET	ODESSA	TX	79761	473539943	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	813048423	HOSPITAL	TX	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL OF TYLER INC
800 E DAWSON ST	TYLER	TX	75701	200991990	HOSPITAL	TX	501(c)(3)	3	CCC	false
CRAWLEY MEMORIAL HOSPITAL INC
7950 Legacy Drive Suite 1000	Plano	TX	75024	560691100	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
GAINESVILLE COMMUNITY HOSPITAL INC
1900 HOSPITAL BLVD	GAINESVILLE	TX	76240	831683025	HOSPITAL	TX	501(c)(3)	3	CHC	false
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	760500960	PUBLIC CHARI.	TX	501(c)(3)	10	HUNTSVILLE	false
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	843654542	HOSPITAL	TX	501(c)(3)	3	CHC	false
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROAD	CHARLOTTE	NC	26210	753054855	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
RURAL AND COMMUNITY HEALTHCARE COLLABORA
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	814337246	SUPPORT ORG	TX	501(c)(3)	7	CHC	false
SOUTHWEST COMMUNITY HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752725353	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	742323822	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	453609830	SUPPORT ORG	TX	501(c)(3)	Type I	YCH	false
ST MARK'S MEDICAL CENTER FOUNDATION
ONE ST MARKS PLACE	LA GRANGE	TX	78945	742795943	SUPPORT ORG	TX	501(c)(3)	7	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GT	GRAND CAYMAN	CJ	CAPTIVE INSURANCE	CJ	CHC	C Corporation	$0	$0	false
COMMUNITY HOSPITAL CONSULTING INC
			MGMT CONSULTING		CHC	C Corporation	$0	$0	false	7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	204710183	TX

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITAL CORPORATION
P	$3,215,134	COST
ST MARK'S MEDICAL CENTER FOUNDATION
C	$400,000	COST
ST MARK'S MEDICAL CENTER FOUNDATION
E	$500,000	COST