2023-05-09T20:00:13+00:00 2022-06-30 346565596 ERNST YOUNG US LLP 425 HOUSTON ST SUITE 600 FT WORTH TX 76102 990 2021-07-01 813048423 ContinueCare Hospital at Palmetto Health Baptist Inc CONT 9729436400 7950 LEGACY DRIVE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT 9729436400 2023-05-09 true JAMES HILL 999009999 Jodi Rosser P01255710 8173351900 2021 2023-04-26 12:10:37Z APRIL MYERS 7950 LEGACY DRIVE 1000 PLANO TX 75024 13450888 false 9703 X HTTPS://PALMETTO.CONTINUECARE.ORG/ X 2016 DE AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CCHPHB TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 4 3 129 0 0 0 312620 217425 13510596 13225745 12254 6751 1563 967 13837033 13450888 0 0 0 0 7468020 7545500 0 0 0 7924266 6577322 15392286 14122822 -1555253 -671934 5322582 7043310 13227468 15620130 -7904886 -8576820 AS A PARTNER IN THE HEALTHCARE CONTINUUM, THE CONTINUECARE TEAM IS COMMITTED TO ACHIEVING POSITIVE PATIENT OUTCOMES BY DELIVERING APPROPRIATE, SAFE, QUALITY CARE IN AN ETHICAL AND COMPASSIONATE MANNER. false false 12904586 0 13225745 CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. ('CCHPHB') WAS FORMED TO PROVIDE AN APPROPRIATE VENUE IN THE CONTINUUM OF CARE FOR PATIENTS REQUIRING AN EXTENDED STAY IN AN ACUTE CARE SETTING AND WHO RESIDE IN OR AROUND COLUMBIA, SOUTH CAROLINA. CCHPHB WAS ESTABLISHED TO PROVIDE LONG-TERM ACUTE CARE SERVICES TO INDIVIDUALS WITH CRITICAL DISEASE OR DISORDERS INCLUDING BUT NOT LIMITED TO CHRONIC OR ACUTE INFECTION, CARDIOVASCULAR AND RESPIRATORY DISORDERS, POST SURGICAL AND CANCER PATIENTS, AND THOSE WEANABLE PATIENTS DEPENDENT UPON VENTILATOR CARE WHOSE CONDITION IS SO SIGNIFICANT THAT A HOSPITAL STAY OF AT LEAST 14-30 DAYS (AGGREGATE 25 DAYS) IS EXPECTED. THE HOSPITAL INTENDS TO MEET THE MEDICAL, THERAPEUTIC AND FAMILIAL NEEDS OF INDIVIDUALS IN THE COLUMBIA, SOUTH CAROLINA AREA USING AN INTERDISCIPLINARY TEAM APPROACH, EFFECTIVELY IMPLEMENTING A RESPONSIVE CONTINUUM OF CARE. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, CCHPHB'S TOTAL PATIENTS ADMITTED WERE 357 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WERE 8,076. THE AVERAGE DAILY CENSUS WAS 22.1 AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 23.8 DAYS. 12904586 true false false true false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 10 0 true 129 true false false false false false false false false false false false false X 4 3 false true false false true true true true false false false true true true true true true false false false X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS DIRECTOR/PRESIDENT 0.1 39.9 X X 0 388101 85058 CHRISTOPHER JOHNSON DIRECTOR (Until 2/2022) 1.0 0 X 0 0 0 MICHAEL BUNDY DIRECTOR 1.0 0 X 0 0 0 RICH ROBERSON DIRECTOR 1.0 0 X 0 0 0 THOMAS BROWN DIRECTOR 1.0 0 X 0 0 0 JAMES HILL TREASURER 0.4 39.6 X 0 397284 32639 John Jones CEO (Start 7/2021) 40.0 0.0 X 0 250641 45816 LINDA MOORE SECRETARY 0.1 39.9 X 0 365303 35016 ANN MARIE LESZCZYNSKI REGISTERED NURSE 40.0 0 X 104215 0 10734 Chad James REGISTERED NURSE 40.0 0 X 112629 0 1125 Gregory Sieverding REGISTERED NURSE 40.0 0 X 101436 0 1013 MICHELLE URBAN CNO (UNTIL 6/2022) 40.0 0.0 X 0 150795 18933 318280 1552124 230334 3 false true false TRUSTAFF TRAVEL NURSES LLC PO BOX 63-8231 CINCINNATI OH 45263 CONTRACT NURSING 1080912 PHUSC MEDICAL GROUP 15 MEDICAL PARK STE 301 COLUMBIA SC 29203 CONTRACT PHYSICIANS 582391 MIDTOWN INVESTMENTS LLC 7100 NORTHLAND CIRCLE STE 410 BROOKLYN PARK MN 55428 MEDICAL SUPPLIES 247572 FUSION MEDICAL STAFFING LLC PO BOX 82674 LINCOLN NE 68501 STAFFING 183529 4 217425 217425 INPATIENT REVENUE 623000 13225745 13225745 0 0 0 0 13225745 6751 6751 0 0 0 0 MEDICAL RECORDS 900099 967 967 0 0 0 0 967 13450888 13225745 0 7718 X 6826814 6075864 750950 67818 67818 355424 355424 295444 295444 454681 454681 26238 26238 80615 80615 12478 12478 2716344 2711535 4809 0 24619 24619 31760 31760 240466 240466 770489 770489 68333 68333 14730 14730 52448 52448 471781 471781 MEDICAL SUPPLIES 965167 965167 EQUIPMENT LEASE 580201 580201 REPAIRS AND MAINTENANCE 21974 21974 PROFESSIONAL DEVELOPMENT/EDUCATION 13255 13255 31743 15059 16684 0 14122822 12904586 1218236 0 1644777 286068 0 0 0 0 2051632 2201690 0 0 0 0 135631 151371 74341 120947 3957375 946066 144276 3011309 0 0 0 1271925 1271925 5322582 7043310 7882903 8318581 0 0 0 0 0 0 0 0 421595 494957 4922970 6806592 13227468 15620130 X -7904886 -8576820 -7904886 -8576820 5322582 7043310 -671934 0 X false true X true false X false false false false false false false false true 12478 12478 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2022 CCHPHB PAID: $5,236 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $6,750 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $16,500 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: NALTH: 15.10% AHA: 26.47% PICARD GROUP: 60.0% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $5,236 * 15.10% = $791 AHA: $6,750 * 26.47% = $1,787 PICARD GROUP: $16,500 * 60.0% = $9,900 0 0 360157 251054 109103 135392 133420 1972 0 0 0 3461826 561592 2900234 3011309 DUE FROM PRISMA HEALTH 1271925 1271925 INTERCOMPANY - MERCY INTERCOMPANY - MADISONVILLE LT LEASE OBLIGATIONS 2248231 OTHER LT LIABILITIES-ACQUIRED DEBT 1840055 INTERCOMPANY - CCC 1579455 INTERCOMPANY - CHC 802696 ST LEASE OBLIGATIONS 653696 INTERCOMPANY - BAPTIST HEALTH 1370 EST THIRD PARTY PAYOR SETTLEMENTS -318911 MEDICARE ADVANCE 6806592 true true true X true X true true false true true 0 0.0 46189 42000 4189 0.0003 0 0.0 0 0 46189 42000 4189 0.0003 0 0.0 223446 223446 0.0158 0 0.0 0 0.0 4050 4050 0.0003 0 0 227496 0 227496 0.0161 0 0 273685 42000 231685 0.0164 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 7101067 6419302 681765 X true true 1 1 CCH AT PALMETTO HEALTH BAPTIST INC TAYLOR AT MARION STREET 7TH FLOOR COLUMBIA SC 29220 HTTPS://PALMETTO.CONTINUECARE.ORG/ HTL-0939 X X CCH AT PALMETTO HEALTH BAPTIST INC 1 false false true X X X X X X X X X 19 true false false true X https://palmetto.continuecare.org/chna/ X true 19 true https://palmetto.continuecare.org/chna/ false true X 200.0 400.0 X X X true true X X X true X https://palmetto.continuecare.org/for-families/financial-assistance/ X https://palmetto.continuecare.org/for-families/financial-assistance/ X https://palmetto.continuecare.org/for-families/financial-assistance/ X X X X X X true X false X false X X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST. CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, (CCHPHB), FORMERLY KNOWN AS INTERMEDICAL HOSPITAL OF SOUTH CAROLINA, IS A 35-BED LONG TERM ACUTE CARE HOSPITAL (LTACH). LOCATED IN THE HEART OF COLUMBIA, S.C. THE HOSPITAL IS SPECIFICALLY LICENSED TO PROVIDE CARE FOR CRITICALLY ILL PATIENTS WHO REQUIRE DAILY PHYSICIAN AND STAFF ATTENTION FOR COMPLEX MEDICAL ISSUES. AS THE ONLY LTACH IN THE AREA, CCHPHB ENJOYS THE BEST OF BOTH WORLDS BY BEING IN PARTNERSHIP WITH PRISMA HEALTH BAPTIST HOSPITAL, A 352-BED MEDICAL CENTER, WHILE STILL MAINTAINING A SMALL HOSPITAL ATMOSPHERE. SINCE LTACH PATIENTS HAVE A LONGER LENGTH OF STAY, THE STAFF HAS THE OPPORTUNITY TO GET TO KNOW PATIENTS AND FAMILIES. CCHPHB HAS A DEDICATED TEAM OF 150+ EMPLOYEES WHO WORK TOGETHER DELIVERING THE BEST POSSIBLE CARE TO PATIENTS. AS A SEPARATE, FULLY LICENSED AND STAFFED HOSPITAL, CCHPHB IS ABLE TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT. THE HOSPITAL HAS SPECIALTY PROGRAMS DESIGNED TO MEET THE NEEDS OF LONG TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIONS REQUIRING LONG TERM ANTIBIOTIC THERAPY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. THE DEFINED SERVICE AREA OF CCHPHB, IS LEXINGTON AND RICHLAND COUNTIES. THE POPULATION OF LEXINGTON COUNTY IS EXPECTED TO INCREASE BY 6.9% FROM 2019 (296,997) TO 2024 (317,423), WHICH IS ABOVE THE 5.9% EXPECTED GROWTH FOR THE STATE OF SOUTH CAROLINA FROM 2019 (5,117,956) TO 2024 (5,418,360). WHEREAS, THE POPULATION OF RICHLAND COUNTY IS EXPECTED TO INCREASE 5.3% AS OF 2019, (416,671) TO 2024 (438,606), WHICH IS BELOW THE 5.9% EXPECTED GROWTH FOR THE STATE OF SOUTH CAROLINA. IN 2019, THE RACIAL/ETHNIC BREAKOUT OF LEXINGTON COUNTY WAS 74.5% WHITE NON-HISPANIC, 15% BLACK, 6% HISPANIC, 2.1% ASIAN, 0.4% AMERICAN INDIAN AND 2% ALL OTHERS. THE RACIAL/BREAKOUT IN RICHLAND COUNTY IN 2019 WAS 42% WHITE NON-HISPANIC, 47.1% BLACK, 5.3% HISPANIC, 3% ASIAN, 0.2% AMERICAN INDIAN AND 2.4% ALL OTHERS. BY 2024, THE WHITE NON-HISPANIC POPULATION IN LEXINGTON COUNTY IS EXPECTED TO INCREASE BY 4.9% AND BY 0.6% IN RICHLAND COUNTY. BY 2024, THE BLACK POPULATION IS EXPECTED TO INCREASE BY 10.5% IN LEXINGTON COUNTY AND BY 7.4% IN RICHLAND COUNTY. THE HISPANIC POPULATION IS ALSO EXPECTED TO INCREASE BY 11.5% IN LEXINGTON COUNTY AND BY 9.9% IN RICHLAND COUNTY. ADDITIONALLY, THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 26.7% IN LEXINGTON COUNTY AND BY 18.9% IN RICHLAND COUNTY. THE AMERICAN INDIAN POPULATION IS ALSO EXPECTED TO INCREASE BY 6.3% IN LEXINGTON COUNTY AND BY 0.5% IN RICHLAND COUNTY AND ALL OTHERS RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 19.5% IN LEXINGTON COUNTY AND BY 18.4% IN RICHLAND COUNTY. AS OF 2019, BOTH LEXINGTON COUNTY (39.7 YEARS) AND RICHLAND COUNTY (34.1 YEARS) HAS A LOWER MEDIAN AGE THAN THE STATE OF SOUTH CAROLINA (41.6 YEARS). THE MEDIAN AGE IN BOTH COUNTIES AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). LEXINGTON COUNTY ($63,643) AND RICHLAND COUNTY ($57,269) HAVE A HIGHER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF SOUTH CAROLINA. ($46,134) (2019). THE MEDIAN HOUSEHOLD INCOME IN BOTH COUNTIES AND THE STATE ARE PROJECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). UNEMPLOYMENT RATES IN BOTH COUNTIES AND THE STATE DECREASED BETWEEN 2016 AND 2018. IN 2018, LEXINGTON COUNTY (2.9%) HAD THE LOWEST UNEMPLOYMENT RATE AS COMPARED TO RICHLAND COUNTY (3.4%) AND THE STATE (3.4%). LEXINGTON COUNTY (9.1%) HAS A SLIGHTLY LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN RICHLAND COUNTY (11.7%) AND THE STATE OF SOUTH CAROLINA (11.8%) (2019). BETWEEN 2015 AND 2017, THE PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN BOTH COUNTIES AND THE STATE DECREASED OVERALL. IN 2017, LEXINGTON (17.3%) AND RICHLAND (20.1%) COUNTIES HAD LOWER PERCENTAGES OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (22.3%). LEXINGTON (30.2%) AND RICHLAND (38.3%) COUNTIES BOTH HAVE HIGHER PERCENTAGES OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE THAN THE STATE (27.0%) (2019). THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN THE REPORT AREA (87.0%), WHICH IS DEFINED AS LEXINGTON AND RICHLAND COUNTIES, IS SLIGHTLY HIGHER THAN THE STATE RATE (85.6%) AND CONSISTENT WITH THE NATIONAL RATE (86.8%) (2016-2017). THE PERCENTAGE OF PUBLIC-SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN THE REPORT AREA (60.6%) IS LOWER THAN THE STATE RATE (66.8%) BUT HIGHER THAN THE NATIONAL RATE (49.2%) (2016-2017). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH LEXINGTON AND RICHLAND COUNTIES AND THE STATE OF SOUTH CAROLINA (2015-2017). BETWEEN 2015 AND 2017, HEART DISEASE MORTALITY RATES IN RICHLAND COUNTY AND THE STATE OVERALL DECREASED, WHILE RATES IN LEXINGTON COUNTY OVERALL INCREASED. CANCER IS THE SECOND LEADING CAUSE OF DEATH IN THE BOTH COUNTIES AND THE STATE (2015-2017). CANCER MORTALITY RATES IN LEXINGTON AND RICHLAND COUNTIES OVERALL INCREASED BETWEEN 2015 AND 2017, WHILE RATES IN THE STATE SLIGHTLY DECREASED. FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN BOTH COUNTIES AND THE STATE (2015-2017). ACCIDENT MORTALITY RATES OVERALL INCREASED IN BOTH COUNTIES AND THE STATE BETWEEN 2015 AND 2017. IN 2017, THE LEADING CAUSE OF FATAL ACCIDENTS IN BOTH COUNTIES WAS DUE TO ACCIDENTAL POISONING AND EXPOSURE TO NOXIOUS SUBSTANCES. ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN LEXINGTON COUNTY, THE FOURTH LEADING CAUSE OF DEATH IN RICHLAND COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN THE STATE (2015-2017). BETWEEN 2015 AND 2017, ALZHEIMER'S DISEASE MORTALITY RATES IN BOTH COUNTIES OVERALL INCREASED, WHILE RATES IN THE STATE SLIGHTLY DECREASED. CEREBROVASCULAR DISEASE, CHRONIC LOWER RESPIRATORY DISEASES, DIABETES MELLITUS, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INTENTIONAL SELF HARM (SUICIDE) AND SEPTICEMIA ARE ALSO LEADING CAUSES OF DEATH IN LEXINGTON AND RICHLAND COUNTIES. OBESITY IS A PREVALENT CHRONIC CONDITION IN THE STUDY AREA WITH 32.2% OF RESIDENTS REPORTING A BODY MASS INDEX GREATER THAN 30.0, WHICH IS CONSISTENT WITH THE STATE RATE AT 32.9.% AND HIGHER THAN THE NATIONAL RATE AT 28.8%. SMOKING AND TOBACCO USE ARE ALSO HIGHLY PREVALENT ISSUES IN THE AREA. AS OF 2017, BOTH LEXINGTON (14.9%) AND RICHLAND (13.5%) COUNTIES HAVE LOWER RATES OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE. BOTH COUNTIES AND THE STATE EXPERIENCED SIGNIFICANT DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2013 AND 2017. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST (CCHPHB), BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN LEXINGTON AND RICHLAND COUNTIES, SOUTH CAROLINA. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM SEPTEMBER 17, 2019 - OCTOBER 3, 2019. 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 CCHPHB BOARD REVIEWED AND ADOPTED THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MARCH 18, 2020. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, CONTINUED. INTERVIEW METHODOLOGY: CCHPHB WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CCHPHB PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, COMMUNITY COMMONS, THE SOUTH CAROLINA DEPARTMENT OF STATE HEALTH SERVICES, THE SOUTH CAROLINA CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT CCHPHB, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING THE IBM WATSON HEALTH MARKET EXPERT, CARES ENGAGEMENT NETWORK, THE ANNIE E. CASEY FOUNDATION KIDS COUNT DATA CENTER, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. CHPHB PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, EIGHT IN DEPTH INTERVIEWS WERE CONDUCTED, USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 71.4% 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. 28.6% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: - CHERYL BENJAMIN: HEALTH COUNCIL SENIOR DIRECTOR, UNITED WAY OF THE MIDLANDS - ANDREW BOOZER: EXECUTIVE DIRECTOR, SENIOR RESOURCES, INC. - WENDY BRODERICK: CHIEF EXECUTIVE OFFICER, HARVEST HOPE FOOD BANK - TOM BROWN: BOARD MEMBER, CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST - BARBARA CHARLES: SITE SUPERVISOR, LEXINGTON COUNTY DEPARTMENT OF HEALTH - LYNDA CHRISTISON: DIRECTOR, LEXINGTON COUNTY RECREATION AND AGING COMMISSION - FREDDIE STRANGE: EXECUTIVE DIRECTOR, FREE MEDICAL CLINIC - SCOTT THORPE: HEALTH DIRECTOR, SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL - MIDLANDS EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. AN EVALUATION OF THE HOSPITAL'S IMPACT WAS ALSO ASSESSED USING A DESCRIPTION OF THE PROGRESS AND/OR COMPLETION OF COMMUNITY BENEFIT ACTIVITIES DOCUMENTED IN THE PREVIOUS IMPLEMENTATION PLAN AND THE PREVIOUS CHNA PROVIDED TO CHC CONTINUECARE BY CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: PEDIATRIC, YOUTH, LOW INCOME/WORKING POOR, VETERANS, HOMELESS, ELDERLY AND RACIAL/ETHNIC GROUPS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: PEDIATRIC - LIMITED ACCESS TO PEDIATRIC SUB-SPECIALISTS - LACK OF MENTAL AND BEHAVIORAL HEALTH CARE RESOURCES YOUTH - LACK OF SAFE, AFFORDABLE HOUSING (RICHLAND COUNTY) - BULLYING IN SCHOOLS - DEPRESSION - SUBSTANCE ABUSE (RECREATIONAL DRUGS, ALCOHOL) - SMOKING - DROP OUT RATE - GUN VIOLENCE, SCHOOL SAFETY CONCERNS LOW INCOME / WORKING POOR - LACK OF SAFE, AFFORDABLE HOUSING OPTIONS - HIGH COST OF LIVING - LACK OF AFFORDABLE CARE OPTIONS - LIMITED NUMBER OF FOOD PANTRIES VETERANS - DIFFICULTY NAVIGATING VA SYSTEM - MENTAL AND BEHAVIORAL HEALTH CONCERNS - LONELINESS, SOCIAL ISOLATION HOMELESS - LIMITED NUMBER OF SHELTERS (LEXINGTON COUNTY) - MENTAL AND BEHAVIORAL HEALTH CONCERNS - LACK OF AFFORDABLE HOUSING - LACK OF EMPLOYMENT OPPORTUNITIES ELDERLY - DIFFICULTY NAVIGATING HEALTH CARE SYSTEM - TRANSPORTATION - DEMENTIA, MEMORY CARE - LACK OF "IN HOME" PROVIDERS - FOOD INSECURITY - SOCIAL ISOLATION - LACK OF FINANCIAL RESOURCES - EDUCATION ON FALL PREVENTION, CHRONIC DISEASE MANAGEMENT - PERSONAL MOBILITY CONCERNS RACIAL/ETHNIC - COMMUNICATION BARRIERS (HISPANIC) - MENTAL AND BEHAVIORAL HEALTH CONCERNS - LACK OF AFFORDABLE HOUSING - LACK OF EMPLOYMENT OPPORTUNITIES Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST (CCHPHB), WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. CCHPHB LEADERSHIP PRIORITIZED THOSE NEEDS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 2. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. ACCESS TO PRIMARY CARE SERVICES AND SPECIALTY CARE SERVICES AND PROVIDERS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS TWO OF THE FOUR PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO INCREASE ACCESS TO AFFORDABLE CARE AND REDUCE HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 1.A. CCHPHB WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN OUR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. IN ADDITION, CCHPHB OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCHPHB ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 1.B. CCHPHB WILL CONTINUE TO SUPPORT AND PARTICIPATE IN HEALTH-RELATED EDUCATION EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 1.C. CCHPHB WILL CONTINUE TO PROVIDE TRANSLATION SERVICES TO APPLICABLE PATIENTS, AS WELL AS INTERPRETATION SERVICES FOR HEARING-IMPAIRED PATIENTS. 1.D. CCHPHB WILL PROVIDE TRANSPORTATION (I.E., CAB) FUNDS TO APPLICABLE PATIENTS ON A LIMITED BASIS. 1.E. CCHPHB WILL PROVIDE EDUCATION AND TRAINING TO LOCAL PHYSICIANS AND ORGANIZATIONS ON HOW TO PROPERLY TREAT COMPLEX PATIENTS WHO ARE DISCHARGED FROM THE LTACH. PRIORITY #2: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: INCREASE HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY 2.A. CCHPHB WILL CONTINUE TO PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF EDUCATION AND HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 2.B. CCHPHB PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCHPHB WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. 2.C. CCHPHB WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. INITIATIVES INCLUDE THE PROMOTION OF EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH (FORMERLY ACCOUNTABLE HEALTH), OFFERING NEED SPECIFIC SPECIAL PROGRAMS, CHIP (CORONARY HEALTH IMPROVEMENT PLAN), SMOKING CESSATION OPPORTUNITIES, WEIGHT MANAGEMENT, AND PROMOTING FITNESS OPPORTUNITIES. 2.D. CCHPHB WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 2.E. CCHPHB CONTINUES TO HOST INTERDISCIPLINARY TEAM (IDT) MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENT-CENTERED APPROACH. IN ADDITION, CCHPHB PARTICIPATES IN MULTIDISCIPLINARY ROUNDS (MDRS) THAT REQUIRES THE IDT TO VISIT EACH PATIENT'S ROOM AND REPORT ON THE CURRENT STATUS OF THE PATIENT. PATIENT FAMILIES ARE ENCOURAGED TO ATTEND THE MDR MEETINGS TO HAVE THEIR QUESTIONS ANSWERED AND ADDRESSED. 2.F. CCHPHB WILL CONTINUE TO CONDUCT OUTREACH TO REFERRAL RESOURCES IN ORDER TO EDUCATE THEM ABOUT THE ROLE OF THE LONG-TERM ACUTE CARE HOSPITAL (LTACH), AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. ADDITIONALLY, CCHPHB PROVIDES EDUCATION TO PHYSICIANS AND CASE MANAGERS FROM THEIR HOST AND OTHER SHORT-TERM ACUTE CARE HOSPITALS REGARDING LTACH CRITERIA. 2.G. CCHPHB EDUCATES PATIENTS AND FAMILIES ABOUT LTACHS AND WHAT SERVICES CAN BE PROVIDED IN CONJUNCTION WITH COMMUNITY RESOURCES THROUGH SPEAKING AT LOCAL EVENTS, PROVIDING EDUCATIONAL BROCHURES, AND INTERACTING WITH FAMILIES IN THE FACILITY. 2.H. CCHPHB IS A TOBACCO-FREE FACILITY. 2.I. CCHPHB WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT RESOURCES THROUGH THE LTACH'S PHARMACY. CCHPHB CASE MANAGEMENT AND PHARMACY STAFF WILL MEET WITH THE PATIENT TO DISCUSS MEDICATION INSTRUCTIONS AND DETAILS PRIOR TO DISCHARGE. 2.J. CCHPHB FOLLOWS UP WITH PATIENTS DURING DISCHARGE AND PROVIDES PATIENTS OTHER PHYSICIANS WITH A COPY OF HIS/HER DISCHARGE SUMMARIES AS REQUESTED IN ORDER TO INCREASE COLLABORATION ACROSS THE CONTINUUM OF CARE. IN ADDITION, PATIENTS OTHER PHYSICIANS RECEIVE REGULAR UPDATES ON THEIR PATIENT'S HEALTH DURING THEIR STAY AT THE LTACH. 2.K. CCHPHB WILL CONTINUE TO INCENTIVIZE EMPLOYEES TO MAINTAIN HEALTHY LIFESTYLES ON THEIR HEALTH PLANS THROUGH OFFERING A REDUCTION ON A PORTION OF THEIR PREMIUMS IF EMPLOYEES MEET CERTAIN CRITERIA. 2.L. CCHPHB HAS AFFILIATION AGREEMENTS WHICH ALLOW FOR CLINICAL ROTATION IN THE HOSPITAL WITHIN THE NURSING, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, RESPIRATORY THERAPY, SPEECH REHABILITATION, AND PHARMACEUTICAL AREAS. PRIORITIES NOT ADDRESSED: CCHPHB DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO PRIMARY CARE SERVICES AND SPECIALTY CARE SERVICES AND PROVIDERS OR "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS". BASED ON CCHPHB'S STATUS AS A LONG-TERM ACUTE CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS AND "ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS" ARE NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CCHPHB ACKNOWLEDGES THAT THESE ARE SIGNIFICANT NEEDS IN THE COMMUNITY AND WILL WORK WITH THE HOST HOSPITAL TO SEE HOW THE FACILITY CAN ASSIST IN THESE NEEDS, THE PRIORITIES LISTED ABOVE THAT WILL NOT BE ADDRESSED BY THE HOSPITAL ARE NOT CORE BUSINESS FUNCTIONS OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING TWO PRIORITIZED NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST. CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST (CCHPHB) DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE SINCE CCHPHB IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Schedule H, Part I PAYMENT FOR CHARITY CARE IN THE STATE OF SOUTH CAROLINA, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET RECEIVABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH 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 COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO CHARGE COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF A PATIENT OF CCHPHB QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. Schedule H, Part V, Section B, Line 16a FAP website - CCH AT PALMETTO HEALTH BAPTIST, INC.: Line 16a URL: https://palmetto.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CCH AT PALMETTO HEALTH BAPTIST, INC.: Line 16b URL: https://palmetto.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CCH AT PALMETTO HEALTH BAPTIST, INC.: Line 16c URL: https://palmetto.continuecare.org/for-families/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION C, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING THE FISCAL YEAR ENDING JUNE 30, 2020. THE CCHPHB BOARD REVIEWED AND ADOPTED THE 2020 CHNA AND IMPLEMENTATION PLAN ON MARCH 18, 2020. 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 PROCEDURES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. CCHPHB WILL BE WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AND TO CONDUCT VARIOUS COMMUNITY ACTIVITIES TO AND WITHIN THE LOCAL COMMUNITY IN THE NEAR FUTURE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO CCHPHB. A FACE-T0-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION. Schedule H, Part VI, Line 4 Community information THE HOSPITAL IS LOCATED IN THE HEART OF COLUMBIA, S.C. AS THE CAPITAL OF SOUTH CAROLINA, THE CITY IS HOME TO THE UNIVERSITY OF SOUTH CAROLINA. COLUMBIA ALSO BOASTS HISTORICAL SITES, MUSEUMS, GALLERIES, AND LIVELY MUSIC VENUES. NATURAL AMENITIES AVAILABLE IN COLUMBIA AND RICHLAND COUNTY INCLUDE A NATIONAL PARK, LAKE, CANAL, CITY PARKS AND THREE RIVERS. RESIDENTS ENJOY BEAUTIFUL RESIDENTIAL AREAS, SOLID BUSINESS OPPORTUNITIES AND A RICH CULTURE. THE ORGANIZATION SERVES THE ADULT POPULATION OF SOUTH CAROLINA, THIS INCLUDES URBAN, SUBURBAN, AND RURAL AREAS. HOWEVER, RICHLAND AND LEXINGTON COUNTIES COMPRISE 52.5% OF FISCAL YEAR 2019 INPATIENT DISCHARGES. THERE ARE APPROXIMATELY 160 HOSPITALS AND HEALTHCARE FACILITIES THAT SERVE THE POPULATION OF SOUTH CAROLINA. AS OF 2019, THE ADULT POPULATION OF SOUTH CAROLINA IS APPROXIMATELY 3.95 MILLION, OF WHICH THE AVERAGE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $46,134. THE UNEMPLOYMENT RATE FOR THE STATE IN 2018 WAS 3.4%. APPROXIMATELY 11.8% OF FAMILIES AND 22.3% OF THE CHILDREN IN THE STATE OF SOUTH CAROLINA LIVE BELOW THE POVERTY LEVEL. THE RACIAL/BREAKOUT IN THE STATE OF SOUTH CAROLINA, AS OF 2019, WAS 63.7% WHITE NON HISPANIC, 26.5% BLACK, 5.8% HISPANIC, 1.7% ASIAN, 0.4% AMERICAN INDIAN AND 1.9% ALL OTHERS. IN 2019, APPROXIMATELY 27.0% OF THE RESIDENTS OF SOUTH CAROLINA HAD A BACHELORS OR ADVANCED DEGREE. Schedule H, Part VI, Line 5 Promotion of community health CCHPHB PROMOTES AN OPEN MEDICAL STAFF IN ORDER TO BETTER SERVE THE PATIENTS SEEKING CARE. CCHPHB ALSO HAS A COMMUNITY BOARD STRUCTURE SO THAT THE HOSPITAL IS GOVERNED BY THE COMMUNITY IN WHICH IT SERVES. DUE TO THE PANDEMIC AND RELATED COVID RESTRICTIONS, MANY OF THE COMMUNITY HEALTH ACTIVITIES PREVIOUSLY PERFORMED WERE LARGELY CURTAILED DURING FISCAL YEAR ENDED JUNE 30, 2022. Schedule H, Part VI, Line 6 Affiliated health care system CCHPHB IS AN AFFILIATE OF BAPTIST HEALTH AND OPERATES IN COLLABORATION WITH ITS HOST HOSPITAL PRISMA HEALTH BAPTIST HOSPITAL, A 352 BED MEDICAL CENTER LOCATED IN COLUMBIA SOUTH CAROLINA. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR-REACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY. Schedule H, Part VI, Line 7 State filing of community benefit report SC false true false false false false false true false APRIL MYERS DIRECTOR/PRESIDENT 0 312656 0 48168 0 27277 0 47575 0 37483 0 473159 0 8907 JAMES HILL TREASURER 0 327262 0 49537 0 20485 0 3854 0 28785 0 429923 0 0 John Jones CEO (Start 7/2021) 0 220355 0 28713 0 1573 0 12933 0 32883 0 296457 0 0 LINDA MOORE SECRETARY 0 302507 0 41778 0 21018 0 14293 0 20723 0 400319 0 2412 MICHELLE URBAN CNO (UNTIL 6/2022) 0 147935 0 0 0 2860 0 7560 0 11373 0 169728 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. ('CCHPHB') DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE, LLC ('CCC') COMPENSATES THE CCHPHB PRESIDENT. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/22 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JAMES HILL - $15,607 LINDA MOORE - $13,982 APRIL MYERS - $23,891 Schedule J, Part I, Line 7 Non-fixed payments A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION. Form 990, Part VI, Line 15 OFFICES POSITIONS FOR WHICH PROCESS WAS USED, YEAR PROCESS WAS BEGUN THE ORGANIZATION'S EXECUTIVES ARE EMPLOYED BY CCC, WHICH FOLLOWS THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6-30-22 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. Form 990, Part VI, Line 3 Delegation of management duties CHC COMMUNITY CARE, LLC ('CCC') PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC. ('CCHPHB') IS CCC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL BE COMPRISED OF AT LEAST FIVE VOTING DIRECTORS ('VOTING DIRECTORS') PLUS TWO NONVOTING EX OFFICIO DIRECTORS ('EX OFFICIO DIRECTORS'). THE EX OFFICIO DIRECTORS SHALL CONSIST OF THE ADMINISTRATOR OF THE HOSPITAL AND THE MEDICAL DIRECTOR OF THE HOSPITAL. THE EX OFFICIO DIRECTORS SHALL BE AFFORDED THE PRIVILEGES OF DIRECTORS, BUT THEY SHALL NOT HAVE A VOTE OR BE COUNTED IN DETERMINING THE QUORUM OF THE BOARD OF DIRECTORS. AT ALL TIMES, A MAJORITY OF THE VOTING DIRECTORS SHALL BE INDEPENDENT DIRECTORS. THE REMAINDER OF THE VOTING DIRECTORS SHALL BE CORPORATE DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL; 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES; 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY; 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL; 5. POLICY CHANGES PERTAINING TO CHARITY CARE; 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS; 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE WERE NO COMMITTEES OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CCC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION ('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 YEAR ENDED 6-30-16. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - MEDICAL - Total Expense: 1594450, Program Service Expense: 1590145, Management and General Expenses: 4305, Fundraising Expenses: ; PURCHASED SERVICES - PHARMACY - Total Expense: 474135, Program Service Expense: 474135, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - LAB - Total Expense: 384162, Program Service Expense: 384162, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - ADMIN - Total Expense: 17450, Program Service Expense: 17450, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - OTHER - Total Expense: 186769, Program Service Expense: 186265, Management and General Expenses: 504, Fundraising Expenses: ; PURCHASED SERVICES - IT - Total Expense: 59378, Program Service Expense: 59378, Management and General Expenses: , Fundraising Expenses: ; BAPTIST HOSPITALS OF SOUTHEAST TEXAS PO BOX 1591 BEAUMONT TX 77704 741303720 HOSPITAL TX 501(c)(3) 3 SWCH INC false BAPTIST PHYSICIAN NETWORK 3080 COLLEGE ST BEAUMONT TX 77701 760453250 PRIMARY CARE TX 501(c)(3) 3 BHSET false BHSETX FOUNDATION 810 HOSPITAL DRIVE 235 BEAUMONT TX 77701 611557670 SUPPORT ORG TX 501(c)(3) 7 BHSET false CAROLINAS COMMUNITY CARE LLC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 465590355 SUPPORT ORG DE 501(c)(3) Type II CHC false CHC COMMUNITY CARE LLC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 371485773 SUPPORT ORG TX 501(c)(3) Type III-FI CHC false 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 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 JELLICO COMMUNITY HOSPITAL INC 188 HOSPITAL LANE JELLICO TN 37762 620924706 HOSPITAL TN 501(c)(3) 3 CHC false MERCY RESTORATIVE CARE HOSPITAL INC 10648 PARK ROAD CHARLOTTE NC 26210 753054855 HOSPITAL NC 501(c)(3) 3 CAR CC false RURAL AND COMMUNITY HEALTHCARE COLLABORA 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC false SOUTHWEST COMMUNITY HOSPITAL INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 752725353 SUPPORT ORG TX 501(c)(3) Type III-FI CHC false ST MARK'S MEDICAL CENTER ONE ST MARKS PLACE LA GRANGE TX 78945 743019849 HOSPITAL TX 501(c)(3) 3 CHC false YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DRIVE YOAKUM TX 77995 742323822 HOSPITAL TX 501(c)(3) 3 CHC false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 CARL RAMERT DRIVE YOAKUM TX 77995 453609830 SUPPORT ORG TX 501(c)(3) Type I YCH false COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corporation false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corporation false false false false false false false false false false false false false false false true true false false false COMMUNITY HOSPITAL CORPORATION P 1071721 COST CHC COMMUNITY CARE LLC P 837668 COST CHC COMMUNITY CARE LLC O 390065 COST