YOAKUM COMMUNITY HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- YOAKUM COMMUNITY HOSPITAL (EIN 74-2323822)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202531349349309943
- Schema version
- 2023v6.0
- 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 | 2025-05-14T15:11:31+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | 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 | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742323822 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yoakum Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | YOAK | BusinessNameControlTxt |
| Phone | 3612932321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 CARL RAMERT DRIVE | AddressLine1Txt |
| City | YOAKUM | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77995 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN BARBER RN CEO | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3612932321 | PhoneNum |
| Signature | 2025-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Melva Scott | PreparerPersonNm |
| PTIN | P01207335 | PTIN |
| Phone | 8173351900 | PhoneNum |
| Preparation | 2025-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIFFANY MILLER DBA MHA CEOPRES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 CARL RAMERT DRIVE | AddressLine1Txt |
| City | YOAKUM | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77995 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,953,154 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.YOAKUMHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO ENHANCE OUR TRADITION OF COMPASSIONATE QUALITY, AND COST EFFECTIVE SERVICES WHICH RESULTS IN MEASURABLE BENEFITS TO OUR PATIENTS, COMMUNITY, EMPLOYEES, AND MEDICAL STAFF. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 287 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,426,204 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,676,303 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,841,595 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,270,736 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,065 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,291 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,382,011 | PYOtherRevenueAmt |
| CY Other Revenue | $894,213 | CYOtherRevenueAmt |
| PY Total Revenue | $26,659,875 | PYTotalRevenueAmt |
| CY Total Revenue | $28,852,543 | 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 | $15,347,021 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,023,710 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,434,261 | PYOtherExpensesAmt |
| CY Other Expenses | $12,932,902 | CYOtherExpensesAmt |
| PY Total Expenses | $27,781,282 | PYTotalExpensesAmt |
| CY Total Expenses | $28,956,612 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,121,407 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$104,069 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,356,000 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,218,000 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,282,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,240,000 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,074,000 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,978,000 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE YOAKUM COMMUNITY HOSPITAL FAMILY PROVIDES COMPREHENSIVE HEALTHCARE WITH COMPASSION, DIGNITY, AND RESPECT THROUGH TRADITION OF QUALITY CARE AND SUPERIOR SERVICE TO OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $25,840,040 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,857,626 | RevenueAmt |
| Desc | YOAKUM COMMUNITY HOSPITAL (YCH) IS A NOT-FOR-PROFIT, CRITICAL-ACCESS HOSPITAL DELIVERING COMPREHENSIVE SERVICES WITH COMPASSION AND COMMITMENT. HOSPITAL LEADERSHIP AND PHYSICIANS WORK TOGETHER TO GUIDE THE DIRECTION OF THE FACILITY. THE BUSY, 23-BED COMMUNITY HOSPITAL HAS SERVED NEIGHBORS IN YOAKUM AND THE SURROUNDING AREA FOR 100 YEARS. THE YCH MEDICAL STAFF OF 43 PHYSICIANS INCLUDES NOT ONLY FAMILY PHYSICIANS BUT ALSO THOSE CERTIFIED IN A NUMBER OF MAJOR HEALTHCARE SPECIALTIES. MORE THAN 38 YCH STAFF NURSES AND 101 OTHER PERSONNEL PROVIDE SPECIAL EXPERTISE AND A COMPASSIONATE BEDSIDE MANNER. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY, GENERAL MEDICINE, DIABETES EDUCATION, SLEEP DISORDER TREATMENT, SURGERY AND THE MANY MEDICAL SPECIALISTS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. THE YCH TEAM TAKES PRIDE IN THE FACILITY'S QUALITY OF CARE AND OUR ONGOING COMMITMENT TO PATIENTS IN YOAKUM AND THE SURROUNDING COMMUNITIES. ADDITIONAL INFORMATION REGARDING YCH FOR FISCAL YEAR ENDED JUNE 30, 2024: - THE HOSPITAL PERFORMED 333 LIFESAVING SURGERIES. - YCH ADMITTED 547 LOCAL PATIENTS IN THE ACUTE STATE OF ILLNESS AND MANAGED 6,725 EMERGENCY ROOM VISITS WITH THE RAPID, RELIABLE CARE OUR COMMUNITY DESERVES. - THE EMERGENCY SERVICES AT YCH HAVE EARNED THE HOSPITAL DISTINGUISHED RECOGNITION AS THE FIRST LEVEL IV TRAUMA CENTER IN THE AREA. - IN 2007, YOAKUM CHAMBER OF COMMERCE PRESENTED YCH WITH ITS BUSINESS OF THE YEAR AWARD, AND THE HOSPITAL ALSO RECEIVED THE 2007 TEXAS HEALTH CARE QUALITY IMPROVEMENT AWARD. - IN 2012, YOAKUM COMMUNITY HOSPITAL RECEIVED THE 2012 TEXAS HEALTH CARE QUALITY IMPROVEMENT BRONZE AWARD. HOSPITAL SERVICES: YCH PROVIDES A BROAD RANGE OF SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE: - UP-TO-DATE LABORATORY, PHYSICAL THERAPY AND RADIOLOGY SERVICES-INCLUDING MRI, MAMMOGRAPHY, CT, RADIOGRAPHY/FLUOROSCOPY AND ULTRASOUND DIAGNOSTIC SERVICES. - LONE STAR EMERGENCY PHYSICIANS IN YOAKUM COMMUNITY HOSPITAL'S EMERGENCY ROOM TREAT TRAUMA PATIENTS AT ANY TIME OF DAY OR NIGHT, SEVEN DAYS A WEEK. - MEDICAL SPECIALISTS, INCLUDING CARDIOLOGY, EAR, NOSE AND THROAT,GASTROENTEROLOGY, GENERAL SURGERY, OPHTHALMOLOGY, ORTHOPEDICS, OB/GYN, PODIATRY AND UROLOGY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC ON A REGULAR BASIS. - SURGICAL SERVICES FOR MANY INPATIENT AND OUTPATIENT PROCEDURES IN OUR FULLY EQUIPPED OPERATING ROOMS. - CONVENIENT ACCESS TO NUMEROUS OUTPATIENT SERVICES FOR PATIENTS WITH SLEEP DISORDERS, DIABETES AND PULMONARY REHABILITATION NEEDS. | Desc |
| Total Program Service Expenses | $25,840,040 | 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 | false | 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 | false | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 287 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | Yes (true) | 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 | JOHN OLIVARES CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3612932321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 CARL RAMERT DRIVE | AddressLine1Txt |
| City | YOAKUM | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77995 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLAY B HERMANN | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| ELORINE SITKA | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JEFF PESEK | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JIM KENDRICK | ||||||||
| DIRECTOR | 0.2 | 39.8 | Yes (X) | $0 | $1,577,721 | $335,427 | ||
| LARRY M LEAHY | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| MARVIN BOEDEKER | ||||||||
| VICE CHAIR/SECRETARY | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| RONALD LECK | ||||||||
| CHAIRPERSON | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SAUNDRA ANDERSON DO | ||||||||
| Physician | 40.0 | 0 | Yes (X) | $308,128 | $0 | $30,000 | ||
| TOM KELLEY | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN OLIVARES | ||||||||
| CFO | 40.0 | 0.0 | $0 | $141,929 | $36,139 | Yes (X) | ||
| Kellee Horton | ||||||||
| Executive Assistant | 1.0 | 0 | $59,292 | $0 | $1,183 | Yes (X) | ||
| KIMBERLY MRAZ | ||||||||
| CNO | 40.0 | 0 | $43,024 | $73,609 | $42,108 | Yes (X) | ||
| LINDA MOORE | ||||||||
| ASSIST SECRETARY | 0.1 | 39.9 | $0 | $451,065 | $69,908 | Yes (X) | ||
| Tiffany Miller DBA MHA | ||||||||
| CEO/Pres. | 40.0 | 0.0 | $0 | $274,289 | $23,767 | Yes (X) | ||
| AMY L BARTON FNP | ||||||||
| FAMILY NURSE PRACTITIONER | 40.0 | 0 | $125,901 | $0 | $2,536 | Yes (X) | ||
| COURTNEY WELCH MD | ||||||||
| PHYSICIAN | 40.0 | 0 | $126,638 | $0 | $2,835 | Yes (X) | ||
| JAMES E DROST MD | ||||||||
| PHYSICIAN | 40.0 | 0 | $429,865 | $0 | $30,000 | Yes (X) | ||
| R MARTIN LAMBERT MD | ||||||||
| CHIEF OF STAFF (thru 1/2024) | 40.0 | 0 | $474,299 | $0 | $9,593 | Yes (X) | ||
| SANDRA M CHILEK | ||||||||
| LABORATORY DIRECTOR | 40.0 | 0 | $143,183 | $0 | $15,122 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,710,330 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,518,613 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $598,618 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| Lone Star Emergency Associates LLC | |||||
| 1900 Barton Springs Road 5030 | Austin | TX | 78704 | Healthcare Services | $567,250 |
| AAA CRNA Ltd | |||||
| 325 Suncrest Lane | Victoria | TX | 77905 | Anesthesia Services | $444,963 |
| MedHost Inc | |||||
| 2739 Momentum Place | Chicago | IL | 60689 | Medical Services | $393,719 |
| Hunter Pharmacy Services Inc | |||||
| PO Box 30573 | Austin | TX | 78755 | Medical Services | $281,076 |
| Victoria Air Conditioning LTD | |||||
| 200 S Ben Jordan | Victoria | TX | 77901 | Overhead Services | $148,612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $54,411 | RelatedOrganizationsAmt |
| Government Grants | $1,604,892 | GovernmentGrantsAmt |
| All Other Contributions | $17,000 | AllOtherContributionsAmt |
| Total Contributions | $1,676,303 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICES REV | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $26,270,736 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,270,736 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
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 | $26,270,736 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,291 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,291 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| 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 |
Royalties Revenue RoyaltiesRevenueGrp
| 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 |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,836 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $100,611 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$53,775 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$53,775 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$53,775 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| 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) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| 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) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| 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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| 304B DISPENSED FEE-PHARMACY | 900099 | $542,932 | $542,932 | $0 | $0 |
| PFS - CAFETERIA REVENUE | 900099 | $230,223 | $230,223 | $0 | $0 |
| Trauma Fund | 900099 | $20,300 | $20,300 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $154,533 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $154,533 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $947,988 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,852,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,218,724 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$42,484 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,065,524 | TotalAmt |
| Program Services | $12,412,248 | ProgramServicesAmt |
| Management And General | $653,276 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,238 | TotalAmt |
| Program Services | $236,164 | ProgramServicesAmt |
| Management And General | $15,074 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,839,763 | TotalAmt |
| Program Services | $1,729,377 | ProgramServicesAmt |
| Management And General | $110,386 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $867,185 | TotalAmt |
| Program Services | $693,748 | ProgramServicesAmt |
| Management And General | $173,437 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,620 | TotalAmt |
| Program Services | $121,904 | ProgramServicesAmt |
| Management And General | $74,716 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,542 | TotalAmt |
| Program Services | $8,465 | ProgramServicesAmt |
| Management And General | $62,077 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,461 | TotalAmt |
| Program Services | $4,461 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,512,035 | TotalAmt |
| Program Services | $3,835,230 | ProgramServicesAmt |
| Management And General | $676,805 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,391 | TotalAmt |
| Program Services | $44,391 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $898,474 | TotalAmt |
| Program Services | $799,642 | ProgramServicesAmt |
| Management And General | $98,832 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,420 | TotalAmt |
| Program Services | $102,710 | ProgramServicesAmt |
| Management And General | $102,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,151 | TotalAmt |
| Program Services | $391,321 | ProgramServicesAmt |
| Management And General | $97,830 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,014 | TotalAmt |
| Program Services | $14,507 | ProgramServicesAmt |
| Management And General | $14,507 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,558 | TotalAmt |
| Program Services | $158,046 | ProgramServicesAmt |
| Management And General | $39,512 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,666 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $547,666 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $935,940 | TotalAmt |
| Program Services | $748,752 | ProgramServicesAmt |
| Management And General | $187,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,915 | TotalAmt |
| Program Services | $134,332 | ProgramServicesAmt |
| Management And General | $33,583 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MED/PHARM SUPPLIES | $1,871,356 | $1,871,356 | $0 | $0 |
| COLLECTION FEES | $349,208 | $349,208 | $0 | $0 |
| REPAIR & MAINTENANCE | $124,040 | $124,040 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,289,111 | TotalAmt |
| Program Services | $2,060,138 | ProgramServicesAmt |
| Management And General | $228,973 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,956,612 | TotalAmt |
| Program Services | $25,840,040 | ProgramServicesAmt |
| Management And General | $3,116,572 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,832,000 | BOYAmt |
| EOY | $3,767,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,667,000 | BOYAmt |
| EOY | $2,667,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,737,000 | BOYAmt |
| EOY | $3,519,000 | 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 | $466,000 | BOYAmt |
| EOY | $432,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,115,000 | BOYAmt |
| EOY | $1,128,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,493,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,788,000 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,539,000 | BOYAmt |
| EOY | $9,705,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,356,000 | BOYAmt |
| EOY | $21,218,000 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,908,000 | BOYAmt |
| EOY | $1,682,000 | EOYAmt |
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 | $3,766,000 | BOYAmt |
| EOY | $3,636,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,608,000 | BOYAmt |
| EOY | $922,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,282,000 | BOYAmt |
| EOY | $6,240,000 | 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 | $15,000,000 | BOYAmt |
| EOY | $14,905,000 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,000 | BOYAmt |
| EOY | $73,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,074,000 | BOYAmt |
| EOY | $14,978,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,356,000 | BOYAmt |
| EOY | $21,218,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$104,069 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $8,069 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | Yes (true) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $4,461 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $4,461 | 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 1i | FormAndLineReferenceDesc |
| Explanation | IN FISCAL YEAR 2024, YOAKUM COMMUNITY HOSPITAL PAID: $10,966 TO AMERICA HOSPITAL ASSOCIATION (AHA) $3,830 TO THE TEXAS HOSPITAL ASSOCIATION (THA) $3,085 TO THE TEXAS ORGANIZATION OF RURAL & COMMUNITY HOSPITALS (TORCH) THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: AHA: 32% THA: 8.74% TORCH: 20% DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES TOTALED $3,844 AS FOLLOWING: AHA: $10,966 * 32% = $3,509 THA: $3,830 * 8.74% = $335 TORCH: $3,085 * 20% = $617 TOTAL: $3,509 + $335 + $617 = $4,461 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,388,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,245,000 | DepreciationAmt |
| Book Value | $8,143,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,809,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,639,000 | DepreciationAmt |
| Book Value | $170,000 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,201,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,028,000 | DepreciationAmt |
| Book Value | $1,173,000 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,094,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $876,000 | DepreciationAmt |
| Book Value | $218,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,705,000 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY NOTES & CHARGES-CHC | |
| MEDICARE ADVANCED | $922,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $922,000 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| 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 | false | ExpensesExceedBudgetInd |
| 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$1,519,184 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,519,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0525 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$157,178 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $157,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0054 | 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$1,676,362 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,676,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0579 | 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$1,676,362 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,676,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0579 | 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 |
| Reimbursed By Medicare | $10,378,838 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,933,984 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,444,854 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | YOAKUM COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 CARL RAMERT DRIVE | AddressLine1Txt |
| City | YOAKUM | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77995 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://YOAKUMHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 000023 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YOAKUM COMMUNITY HOSPITAL | 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 | HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/CHNA/ | 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 | HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/CHNA/ | 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 | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 | HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/ | 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 |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| 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 (6 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 FOR YOAKUM COMMUNITY HOSPITAL ARE PRESENTED AS A PRIORITIZED DESCRIPTION. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - YOAKUM COMMUNITY HOSPITAL. YOAKUM COMMUNITY HOSPITAL, (YCH), IS A 23-BED HOSPITAL LOCATED IN THE TEXAS HILL COUNTRY AND HAS PROVIDED HEALTHCARE TO THIS AREA SINCE 1922. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF ITS COMMUNITY AND IS THE ONLY LEVEL IV TRAUMA CENTER IN THE AREA. THE SERVICES YCH PROVIDES INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY AND URGENT CARE, GENERAL MEDICINE, DIABETES EDUCATION, TREATMENT FOR SLEEP DISORDERS, SURGERY, CARDIOLOGY, AND THE MANY SPECIALTY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. PATIENTS BENEFIT FROM THE LATEST MEDICAL TECHNOLOGY ALONG WITH COMPREHENSIVE HEALTH CARE DELIVERED BY HIGHLY SKILLED PHYSICIANS, NURSES, AND PROFESSIONAL STAFF. BASED ON HOSPITAL INPATIENT DISCHARGE DATA. THE DEFINED SERVICE AREA OF YCH IS DEWITT AND LAVACA COUNTIES IN TEXAS. BOTH COUNTIES COMBINED COMPRISE 94.4% OF FISCAL YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF DEWITT COUNTY IS EXPECTED TO DECREASE 0.9% FROM 2021 (20,265) TO 2026 (20,092) AND THE POPULATION OF LAVACA COUNTY IS EXPECTED TO INCREASE 2.2% FROM 2021 (20,466) TO 2026 (20,910), 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 DEWITT COUNTY WAS 74.0% WHITE, 8.3% BLACK, 0.4%, ASIAN, 0.6% AMERICAN INDIAN AND 16.6% ALL OTHERS. THE RACIAL/ETHNIC BREAKOUT OF LAVACA COUNTY IN 2021 WAS 84.2% WHITE, 6.0% BLACK, 0.6% ASIAN, 0.5% AMERICAN INDIAN AND 8.8% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2026, THE WHITE NON-HISPANIC POPULATION IN DEWITT COUNTY IS EXPECTED TO DECREASE BY 2.0% AND TO INCREASE BY 1.1% IN LAVACA COUNTY. BY 2026, THE BLACK POPULATION IS EXPECTED TO DECREASE BY 5.6% IN DEWITT COUNTY AND BY 2.7% IN LAVACA COUNTY. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 21.1% IN DEWITT COUNTY AND BY 24.0% IN LAVACA COUNTY BY 2026. THE AMERICAN INDIAN POPULATION IS ALSO EXPECTED TO INCREASE BY 9.4% IN DEWITT COUNTY AND BY 20.4% IN LAVACA COUNTY. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 5.8% IN DEWITT COUNTY AND BY 13.1% IN LAVACA COUNTY BY 2026. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 5.1% IN DEWITT COUNTY AND BY 14.3% IN LAVACA COUNTY BY 2026. BETWEEN 2011 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN DEWITT COUNTY, THE STATE AND THE NATION, WHILE THE PERCENT DECREASED IN LAVACA COUNTY. IN 2015-2019, DEWITT COUNTY (3.7%) HAD A LOWER PERCENT OF FOREIGN-BORN RESIDENTS THAN LAVACA COUNTY (5.0%) AND A LOWER PERCENT THAN THE STATE (17.0%) AND THE NATION (13.6%). AS OF 2021, LAVACA COUNTY (47.6 YEARS) HAS AN OLDER MEDIAN AGE THAN DEWITT COUNTY (43.7 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 INCOME IN BOTH DEWITT ($58,109) AND LAVACA ($58,596) COUNTIES WAS LOWER THAN THAT OF THE STATE ($63,524). BETWEEN 2021 AND 2026, THE MEDIAN HOUSEHOLD INCOMES IN DEWITT COUNTY, LAVACA COUNTY AND THE STATE ARE EXPECTED TO INCREASE. DEWITT COUNTY (13.1%) AND LAVACA COUNTY (17.5%) 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 DEWITT COUNTY WAS 72.4 WHICH FALLS WITHIN THE AT RISK ECONOMIC CATEGORY, WHILE THE DISTRESS SCORE IN LAVACA COUNTY WAS 47.6 WHICH FALLS WITHIN THE MID-TIER ECONOMIC CATEGORY AND IS MORE PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN BOTH DEWITT AND LAVACA COUNTIES AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, BOTH DEWITT (6.0) AND LAVACA (5.2) COUNTIES HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN DEWITT AND LAVACA COUNTIES DECREASED. FOR LAVACA AND DEWITT COUNTIES, MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (4.8 AND 5.4, RESPECTIVELY) AS COMPARED TO JUNE AND JULY WITH THE HIGHEST RATE (6.7 AND 8.1, RESPECTIVELY). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN DEWITT COUNTY ARE WITHIN CONSTRUCTION AND EXTRACTION OCCUPATIONS AS COMPARED TO LAVACA COUNTY, WHERE THE MAJORITY OF EMPLOYED PERSONS ARE WITHIN PRODUCTION OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS IN DEWITT COUNTY ARE CONSTRUCTION AND EXTRACTION OCCUPATIONS (13.6%); OFFICE AND ADMINISTRATIVE SUPPORT OCCUPATIONS (12.3%); MANAGEMENT OCCUPATIONS (10.6%); SALES AND RELATED OCCUPATIONS (9.0%); AND PRODUCTION OCCUPATIONS (7.7%). IN LAVACA COUNTY, THE MOST COMMON EMPLOYED GROUPINGS ARE PRODUCTION OCCUPATIONS (12.2%); OFFICE AND ADMINISTRATIVE SUPPORT OCCUPATIONS (10.9%); SALES AND RELATED OCCUPATIONS (10.4%); MANAGEMENT OCCUPATIONS (10.0%); AND CONSTRUCTION AND EXTRACTION OCCUPATIONS (8.1%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK F0R BOTH DEWITT AND LAVACA COUNTIES AND THE STATE. IN 2015-2019, LAVACA COUNTY (13.0%) HAD THE HIGHEST PERCENT OF PEOPLE WHO CARPOOLED TO WORK AS COMPARED TO DEWITT COUNTY (8.0%) AND THE STATE (10.0%). DEWITT COUNTY (25.7 MINUTES) HAD A SHORTER MEAN TRAVEL TIME TO WORK THAN LAVACA COUNTY (28.5 MINUTES) AND THE STATE (27.2 MINUTES) (2015-2019). IN 2021, DEWITT COUNTY (22.8%) HAD THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO LAVACA COUNTY (19.1%) AND THE STATE (18.0%). BETWEEN 2015 AND 2019, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN DEWITT COUNTY, LAVACA COUNTY, AND THE STATE OVERALL DECREASED. IN 2019, DEWITT COUNTY (24.3%) HAD A HIGHER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN THE STATE (19.2%), WHILE THE RATE IN LAVACA COUNTY (14.5%) WAS LOWER THAN THE STATE. ACCORDING TO FEEDING AMERICA, DEWITT COUNTY (14.8%) HAD THE HIGHEST ESTIMATED PERCENT OF RESIDENTS WHO ARE FOOD INSECURE AS COMPARED TO LAVACA COUNTY (13.9%) AND THE STATE (14.1%) (2019). ADDITIONALLY, 19.2% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN DEWITT COUNTY ARE FOOD INSECURE, AS COMPARED TO 19.0% IN LAVACA COUNTY AND 19.6% IN TEXAS (2019). THE AVERAGE MEAL COST FOR A DEWITT COUNTY RESIDENT IS $2.67, AS COMPARED TO $2.65 IN LAVACA COUNTY AND $2.68 IN TEXAS (2019). BETWEEN 2014 AND 2018, DEWITT COUNTY MAINTAINED A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN LAVACA COUNTY AND THE STATE. ADDITIONALLY, THE PERCENTAGE OF SNAP BENEFIT RECIPIENTS IN BOTH COUNTIES OVERALL INCREASED BETWEEN 2014 AND 2018. IN 2018, DEWITT COUNTY (14.7%) HAD A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN BOTH LAVACA COUNTY (9.8%) AND THE STATE (12.2%). IN 2018-2019, DEWITT COUNTY (63.7%) HAD THE HIGHEST PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED PRICE LUNCH THAN LAVACA COUNTY (41.8%), THE STATE (60.5%) AND THE NATION (49.5%). DEWITT COUNTY (96.6%) AND LAVACA COUNTY (96.5%) HAVE A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.3%) AND THE NATION (87.4%) (2018-2019). CANCER IS THE LEADING CAUSE OF DEATH IN DEWITT COUNTY AND SECOND LEADING CAUSE OF DEATH IN BOTH LAVACA COUNTY AND THE STATE (2015-2019). BETWEEN 2017 AND 2019, CANCER MORTALITY RATES OVERALL INCREASED IN DEWITT AND LAVACA COUNTIES AND DECREASED IN THE STATE. IN 2019, THE CANCER MORTALITY RATE IN DEWITT COUNTY (191.5 PER 100,000) WAS HIGHER THAN BOTH LAVACA COUNTY (154.1 PER 100,000) AND THE STATE (143.5 PER 100,000). HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH IN DEWITT COUNTY, AND THE LEADING CAUSE OF DEATH IN BOTH LAVACA COUNTY AND THE STATE (2017-2019). BETWEEN 2017 AND 2019, HEART DISEASE MORTALITY RATES OVERALL DECREASED IN BOTH LAVACA COUNTY AND THE STATE AND INCREASED IN DEWITT COUNTY. IN 2017-2019, THE HEART DISEASE MORTALITY RATE IN DEWITT COUNTY (195.0 PER 100,000) WAS HIGHER THAN BOTH LAVACA COUNTY (187.1 PER 100,000) AND IN THE STATE (167.5 PER 100,000). CEREBROVASCULAR DISEASE IS THE THIRD LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE STATE AND THE FOURTH LEADING CAUSE OF DEATH IN LAVACA COUNTY (2015-2019). BETWEEN 2015 AND 2019, CEREBROVASCULAR DISEASE MORTALITY RATES DECREASED IN BOTH COUNTIES AND THE STATE. |
| Schedule H, Part V, Section B, Line 5 Facility , 2 | Facility , 2 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. IN 2017-2019, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN DEWITT COUNTY (50.2 PER 100,000) WAS HIGHER THAN BOTH LAVACA COUNTY (31.6 PER 100,000) AND THE STATE (40.2 PER 100,000). DIABETES MELLITUS IS THE FOURTH LEADING CAUSE OF DEATH IN DEWITT COUNTY, THE SEVENTH LEADING CAUSE OF DEATH IN THE STATE, AND THE TENTH LEADING CAUSE OF DEATH IN LAVACA COUNTY (2015-2019). BETWEEN 2015 AND 2019, DIABETES MORTALITY RATES INCREASED IN BOTH DEWITT COUNTY AND THE STATE. IN 2017-2019, THE DIABETES MORTALITY RATE IN DEWITT COUNTY (51.9 PER 100,000) WAS HIGHER THAN THE STATE RATE (22.0 PER 100,000). FATAL ACCIDENTS ARE THE FIFTH LEADING CAUSE OF DEATH IN BOTH DEWITT COUNTY AND THE STATE, AND THE THIRD LEADING CAUSE OF DEATH IN LAVACA COUNTY (2015-2019). BETWEEN 2015 AND 2019, ACCIDENT MORTALITY RATES DECREASED IN DEWITT COUNTY, INCREASED IN LAVACA COUNTY, AND SLIGHTLY INCREASED IN THE STATE. IN 2017-2019, THE ACCIDENT MORTALITY RATE IN LAVACA COUNTY (63.3 PER 100,000) WAS HIGHER THAN THE RATE IN DEWITT COUNTY (36.5 PER 100,000) AND THE STATE RATE (38.7 PER 100,000). THE LEADING CAUSE OF FATAL ACCIDENTS IN DEWITT COUNTY AND LAVACA COUNTY IS DUE TO MOTOR VEHICLE ACCIDENTS (2017-2019). CHRONIC LOWER RESPIRATORY DISEASE (CLRD), ALZHEIMER'S DISEASE, SEPTICEMIA, CHRONIC LIVER DISEASE AND CIRRHOSIS AND INTENTIONAL SELF HARM (SUICIDE) ARE ALSO, LEADING CAUSES OF DEATH IN EITHER DEWITT AND LAVACA COUNTY OR IN BOTH COUNTIES. AS OF NOVEMBER 8, 2021, THE PERCENT OF THE POPULATION (AGE 5+) THAT IS FULLY VACCINATED FOR COVID-19 IN DEWITT COUNTY (43.3%) IS LOWER THAN LAVACA COUNTY (44,9%) AND ALSO LOWER THAN THE STATE (57.8%). BETWEEN 2014 AND 2020, OBESITY PREVALENCE RATES IN ADULTS (AGE 18+) YCH 3 COUNTY AREA AND THE STATE INCREASED. IN 2016-2020, YCH 3 COUNTY AREA (33.9%) HAD A SLIGHTLY LOWER PERCENT OF OBESE ADULTS (AGE 18+) THAN THE STATE (34.2%). LAVACA COUNTY (68.0%) HAS THE HIGHEST RATE OF MEDICARE FEEFORSERVICE RESIDENTS WITH HYPERTENSION AS COMPARED TO DEWITT COUNTY (63.9%), THE STATE (59.9%) AND THE NATION (57.2 %) (2018). BETWEEN 2016 AND 2020, ASTHMA PREVALENCE RATES IN ADULTS (AGE 18+) IN THE STATE OVERALL INCREASED. IN 2015-2019, YCH 3 COUNTY AREA (8.3%) HAD A LOWER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA THAN THE STATE (12.6%). BETWEEN 2014 AND 2020, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN YCH 3 COUNTY AREA DECREASED WHILE RATES IN THE STATE SLIGHTLY INCREASED. IN 2016-2020, YCH 3 COUNTY AREA (21.9%) HAD A SLIGHTLY HIGHER PERCENTGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.2%). BETWEEN 2014 AND 2020, THE RATE OF ADULTS (AGE 18+) IN THE STATE THAT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER INCREASED. IN 2015-2019, YCH 3 COUNTY AREA (11.4%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER THAN THE STATE (15.8%). BETWEEN 2014 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 SELFREPORTED THAT THEY HAD A DISABILITY IN YCH 3 COUNTY AREA (35.9%) IS HIGHER THAN THE STATE (26.3%) (2016-2020). AS OF 2019, BOTH DEWITT (23.0%) AND LAVACA (20.7%) COUNTIES HAVE LOWER RATES OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (24.3%). BOTH DEWITT AND LAVACA 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 YOAKUM COMMUNITY HOSPITAL (YCH) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN DEWITT AND LAVACA COUNTIES IN TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC FROM JUNE 3, 2021 - JUNE 30, 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 YCH BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MARCH 23, 2022. INTERVIEW METHODOLOGY: YCH WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. YCH PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT YCH, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC 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 HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. YCH PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN DEWITT AND LAVACA COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, SIXTEEN 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 62.5% 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. 18.8% 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 18.8% OF THOSE PROVIDING INPUT ARE COMMUNTIY LEADERS. INTERVIEWEES INCLUDED: * SANDRA BERGEY, DDS: FAMILY DENTIST, SANDRA B. BERGEY, DDS * LISA CAMPOS: IHC COORDINATOR FOR DEWITT COUNTY, HEALTH DEPARTMENT ADMINISTRATOR - IHC DEPARTMENT * GRACE FOREMAN: LEAD PHARMACIST, YOAKUM DISCOUNT PHARMACY * BLAKE GOODMAN, M.D.: EMERGENCY MEDICINEPHYSICIAN, YOAKUM COMMUNITY HOSPITAL * HOLLY HAAS, FNP: FAMILY NURSE PRACTITIONER, YOAKUM FAMILY PRACTICE * BECKY JANAK: PROGRAM DIRECTOR, COMMUNITY CONNECTIONS OF LAVACA COUNTY * SHEILA JANSKY: HUMAN SERVICE TECHNICIAN, LAVACA COUNTY HEALTH DEPARTMENT * TOM KELLEY: SUPERINTENDENT, YOAKUM ISD; BOARD MEMBER, YOAKUM COMMUNITY HOSPITAL * KATHY KOSTELNIK: UNDERWRITER, HOCHHEIM PRAIRIE INSURANCE * STEPHANIE LERCH: DIRECTOR OF NEW HORIZONS, YOAKUM COMMUNITY HOSPITAL * DEBBIE LONG: DIRECTOR OF PATIENT ACCESS/OUTPATIENT CLINIC, YOAKUM COMMUNITY HOSPITAL * CARL O'NEILL: MAYOR, CITY OF YOAKUM * ANNIE RODRIGUEZ: CITY COUNCIL MEMBER, CITY OF YOAKUM * ELORINE SITKA: VICE PRESIDENT, YOAKUM NATIONAL BANK; BOARD CHAIR, YOAKUM COMMUNITY HOSPITAL * CAROLYN STRONG: DIRECTOR, FOOD BANK * LAUREN WERNER: PUBLIC HEALTH NURSE, LAVACA COUNTY HEALTH DEPARTMENT POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: ELDERLY, LOW INCOME/WORKING POOR, RACIAL/ETHNIC GROUPS, TEENAGERS/ADOLESCENTS, UN/UNDERINSURED, OBSTETRIC POPULATION 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 - LITERACY - SAFE, AFFORDABLE HOUSING - ACCESS TO AFFORDABLE PRESCRIPTIONS LOW INCOME/WORKING POOR - LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, AND SPECIALTY CARE OPTIONS - LACK OF BILINGUAL HEALTHCARE PROVIDERS - TRANSPORTATION BARRIERS RACIAL/ETHNIC - LACK OF BILINGUAL HEALTHCARE PROVIDERS - HEALTHY LIFESTYLE EDUCATION TEENAGERS/ADOLESCENTS - INCREASING NEED FOR BROAD SEX EDUCATION - NEED FOR MENTAL HEALTH SERVICES - HEALTHY LIFESTYLE EDUCATION - DRUG PREVENTION AND EDUCATION UN/UNDERINSURED - LACK OF LOCAL, AFFORDABLE PREVENTIVE CARE, DENTAL CARE, AND SPECIALTY CARE OPTIONS - OVERUSE OF EMERGENCY ROOM AS CLINIC OBSTETRIC POPULATION - NEW MOM EDUCATION VETERANS - LACK OF ACCESS TO LOCAL RESOURCES AND SERVICES |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - YOAKUM COMMUNITY HOSPITAL. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY YOAKUM COMMUNITY HOSPITAL, (YCH). THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. 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: 2. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS. 3. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS. 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES. 5. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE FOUR PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO MENTAL HEALTH SERVICES AND PROVIDERS IN THE COMMUNITY 1.A. THE HOSPITAL WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 1.B. The New Horizons program currently is available at Yoakum Community Hospital for patients age 13 and above. This program is designed to address a significant need in our community for those who are experiencing difficult behavior, mental, emotional, and/or physical changes that are impacting their quality of life. New Horizons at Yoakum Community Hospital provides a mental health assessment and appropriate interventions for these individuals. Additionally, YCH recently received a grant from the Dickson Allen Foundation for behavioral health services for Lavaca County Residents as well as participates in the MD Save Program to improve access to mental and behavioral health care services. 1.C. YCH will continue to collect data from the New Horizons program to confirm its positive impact on the need of mental and behavioral health within the patient population in the community and conduct presentations at local schools to promote awareness on mental and behavioral healthcare. 1.D. THE HOSPITAL CURRENTLY EMPLOYS TWO MASTERS OF SOCIAL WORK CANDIDATES THAT ARE WORKING TO COMPLETE THEIR CREDENTIALS AND HOURS IN ORDER TO BECOME LICENSED CLINICAL SOCIAL WORKERS. 1.E. YCH WILL PROVIDE VOUCHERS TO 9 LOCAL PHYSICIANS THAT ALLOW THEM TO REFER 2 - 3 UNINSURED OR UNDERINSURED PERSONS TO YCH SOCIAL WORKERS. 1.F. YCH PROVIDES SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN CONJUNCTION WITH THE LOCAL NORMA'S HOUSE ORGANIZATION. 1.G. YCH WILL CONTINUE TO PROMOTE THE LOCAL SUICIDE PREVENTION HOTLINE FOR APPLICABLE PATIENTS AS NEEDED. 1.H. YCH MAINTAINS A PROCESS TO QUICKEN THE APPROPRIATE CARE FOR PATIENTS REQUIRING MENTAL AND BEHAVIORAL HEALTH CARE SERVICES WITH PROVIDERS. 1.I. YCH IS PARTICIPATING IN COLLABORATIVE CARE BETWEEN FAMILY PRACTICE PHYSICIANS AND MENTAL HEALTH CARE PROVIDERS THROUGH THE USE OF NEW COLLABORATIVE CARE CODES. THESE CODES REQUIRE COLLABORATION BETWEEN TEAM MEMBERS FOR PHYSICIANS TO BILL FOR THE INDIVIDUAL COUNSELING AND/OR PROGRAM SERVICES. PRIORITY #2: ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS IN THE COMMUNITY 2.A. YCH WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN TO DETERMINE THE PHYSICIAN NEEDS OF THE COMMUNITY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. 2.B. YCH will continue to increase awareness of its service offerings in the community and to support medical staff development efforts through promotion of available physicians and maintaining an updated physician directory for distribution. The hospital introduces all new physicians through advertisements in the local newspaper and Facebook in line with Stark regulations. 2.C. YCH provides an outpatient clinic for rotating specialists in order to increase access to specialty care for local residents. 2.D. YCH PROVIDES WOUND CARE, HYPERBARIC CENTER AND BIOFIRE LAB SERVICES. 2.E. YCH WILL CONTINUE TO PROVIDE THE GOLD STANDARD OF BOTH CARE AND TECHNOLOGY THROUGH ITS NEW 3D-TOMOSYNTHESIS MAMMOGRAPHY UNIT. 2.F. YCH WILL CONTINUE TO PROVIDE THE TELENEUROLOGY AND TELESTROKE PROGRAM, AS WELL AS READING SERVICES FOR EEGS, THROUGH ITS PARTNERSHIP WITH ST. DAVIDS. 2.G. YCH ASSISTS IN SETTING UP FOLLOW-UP APPOINTMENTS WITH NECESSARY PROVIDERS FOR ANY PATIENTS DISCHARGED FROM INPATIENT CARE. 2.H. YCH helps patients through the continuum of care by assisting in setting up follow-up appointments with necessary providers for any patients discharged from inpatient care, case management services will assist in coordinating follow-up care for patients as needed, and patients receive a copy of their written discharge summary, and an electronic summary is sent to their primary care provider. Upon discharge from the emergency room, patients' primary care providers are provided with a summary of their emergent visit. YCH is focusing on implementing different primary care initiatives to streamline access to care, such as leveraging Athena to improve the registration process and same day access, aiming to have access to appointments within 14 days. 2.I. UPON DISCHARGE FROM INPATIENT CARE, PATIENTS RECEIVE A COPY OF THEIR WRITTEN DISCHARGE SUMMARY AND AN ELECTRONIC SUMMARY IS SENT TO THEIR PRIMARY CARE PROVIDER AS WELL. UPON DISCHARGE FROM THE EMERGENCY ROOM, PATIENTS' PRIMARY CARE PROVIDERS ARE PROVIDED WITH A SUMMARY OF THEIR EMERGENT VISIT. 2.J. YCH WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERINGS, SUCH AS WATER THERAPY, GERIATRIC PSYCH, WOUND CARE AND EMERGENCY STROKE CARE IN THE COMMUNITY. THIS WILL BE DONE VIA BILLBOARD AND DIRECT MAIL ADVERTISEMENTS, AS WELL AS UPDATING THE HOSPITAL'S WEBSITE AND FACEBOOK PAGE. 2.K. YCH IS A DESIGNATED SUPPORT LEVEL III STROKE FACILITY BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES AND WILL CONTINUE ITS ONGOING COMMITMENT TO ENSURE QUALITY CARE IS AVAILABLE FOR STROKE PATIENTS IN ITS AREA. PRIORITY #3: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES. OBJECTIVE: HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY. 3.A. YCH WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING NUMEROUS CLASSES, SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC UPON REQUEST. 3.B. YCH OFFERS REDUCED PRICE WELLNESS SCREENINGS TO LOCAL BUSINESSES (I.E., HOCHHIEM PRAIRIE), INCLUDING FREE BLOOD PRESSURE, A1C, CHOLESTEROL SCREENINGS AND PSAS FOR MEN UPON REQUEST. 3.C. YCH WILL CONTINUE TO SUPPORT AND PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO SHARE INFORMATION ON HEALTH EDUCATION AND PROVIDE VARIOUS WELLNESS SCREENINGS. 3.D. YCH PHYSICAL THERAPY DEPARTMENT AND LOCAL PHYSICIANS HELP WITH THE ANNUAL ATHLETIC PREPARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST. THIS INCLUDES YOAKUM ISD, SWEET HOME ISD, AND ST. JOSEPH CATHOLIC SCHOOL. 3.E. THE HOSPITAL WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY AS APPROPRIATE. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO, THE ALZHEIMER'S SUPPORT GROUP, PATIENTS IN THE TEXAS A&M DIABETIC EDUCATION PROGRAM, AND THE YOAKUM GARDEN CLUB. 3.F. THE HOSPITAL WILL CONTINUE TO COORDINATE WITH SOUTH TEXAS BLOOD AND TISSUE CENTER TO PARTICIPATE IN BLOOD DRIVES ON A QUARTERLY BASIS, WHICH ARE OPEN TO HOSPITAL EMPLOYEES AND THE COMMUNITY. 3.G. THE HOSPITAL WILL CONTINUE TO PROVIDE A LOCATION FOR WIC. 3.H. YCH WILL SERVE AS A SITE FOR PROPER MEDICATION DISPOSAL TO ENCOURAGE THE SAFE DISPOSAL OF UNUSED AND REMAINDER MEDICATIONS FOR RESIDENTS IN THE COMMUNITY. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. 3.I. UPON DISCHARGE, YCH PHARMACISTS CALL PATIENTS WITHIN THE FIRST 24-72 HOURS TO ENSURE THAT THEIR MEDICATION PROCESS IS UNDERSTOOD AND TO ANSWER ANY QUESTIONS. 3.J. THE HOSPITAL WILL CONTINUE TO ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING: PROMOTING EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH; OFFERING TELADOC SERVICES; OFFERING NEED SPECIFIC SPECIAL PROGRAMS; ENCOURAGING PARTICIPATION IN QUARTERLY WELLNESS CHALLENGES; SMOKING CESSATION; COLLABORATING WITH HOSPITAL CAFETERIA PROVIDERS TO HIGHLIGHT HEALTHY FOOD OPTIONS; PROMOTING FITNESS OPPORTUNITIES; CHARITABLE FITNESS EVENTS; PROVIDING MENTAL HEALTH EDUCATION VIA THE EMPLOYEE ASSISTANCE PROGRAM; CONTINUING TO IMPLEMENT THE TOBACCO-FREE NEW HIRE POLICY; AND OFFERING THE FIDUCIOUS PROGRAM FOR EMPLOYEES WITH STUDENT LOAN PAYMENTS. 3.K. YCH WILL CONTINUE TO ENCOURAGE AND SUPPORT EMPLOYEES IN PHYSICAL ACTIVITY AND WELLNESS (I.E., SOFTBALL TOURNAMENT, DASH FOR DOWN 5K, EMPLOYEE WEIGHT LOSS CHALLENGE, ETC.). ADDITIONALLY, YCH WILL PAY FOR HALF OF THE EXPENSE FOR AN EMPLOYEE'S GYM MEMBERSHIP IN ORDER TO ENCOURAGE EMPLOYEES TO MAINTAIN AN ACTIVE LIFESTYLE. 3.L. YCH WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR LVN AND RESPIRATORY STUDENTS AT VICTORIA COLLEGE. 3.M. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, INCLUDING THE ROTARY CLUB AND THE LOCAL BOY SCOUTS OF AMERICA CHAPTER. PRIORITY #4: 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, SUCH AS THE MINORITY AND GEOGRAPHICALLY ISOLATED POPULATIONS. 4.A. YCH WILL CONTINUE TO PROVIDE PUBLIC SERVICE MATERIAL PERTAINING TO WELLNESS BENEFITS NOW COVERED UNDER THE AFFORDABLE CARE ACT (ACA), AS WELL AS FREE ACA COUNSELING FROM A CERTIFIED APPLICATION COUNSELOR. 4.B. YCH PROVIDES THE MD SAVE PROGRAM FOR SELF-PAY AND THOSE WITH HIGH DEDUCTIBLES IN ORDER TO OFFER CERTAIN SERVICES AT A DISCOUNTED RATE TO ASSIST THE COMMUNITY WITH THEIR HIGH DEDUCTIBLE PLANS OR INDIVIDUALS WHO ARE UNINSURED. 4.C. YCH WILL PARTICIPATE IN THE 340B PHARMACY PROGRAM WHICH PROVIDES DISCOUNTED PHARMACY PRICING TO INDIGENT PATIENTS. 4.D. YCH PROVIDES MEDICATION SUPPORT TO INDIGENT PATIENTS THROUGH THE TAX DISTRICT AND THEIR ALLOWANCE OF ADDITIONAL FUNDING AND INCREASING THE DOLLAR AMOUNT PROVIDED. 4.E. YCH WILL CONTINUE TO PROMOTE EDUCATION AMONG THE YOUTH POPULATION BY PROVIDING TOURS OF VARIOUS DEPARTMENTS, SUCH AS THE EMERGENCY ROOM, TO JUNIOR HIGH AND HIGH SCHOOL STUDENTS REGARDING AGE APPROPRIATE SAFETY TOPICS RELATING TO EACH RESPECTIVE DEPARTMENT UPON REQUEST. 4.F. THE EMPLOYEES OF YCH ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS THROUGH THE CLUB MED PROGRAM. WITH CLUB MED, YCH LEADERSHIP AND STAFF VOLUNTEER TO MEET MONTHLY WITH JUNIOR AND SENIOR HIGH SCHOOL STUDENTS AT SHINER, MOULTON AND YOAKUM TO DISCUSS CAREERS IN HEALTHCARE AT THE HOSPITAL FACILITY SCHOLARSHIPS ARE PROVIDED TO ONE SHINER, ONE MOULTON, AND ONE YOAKUM STUDENT. 4.G. YCH PROVIDES NON-HEALTHCARE CPR CLASSES TO LOCAL GROUPS UPON REQUEST (I.E., BOY SCOUT TROOP). 4.H. YCH HAS A CONTRACT WITH AN INTERPRETING SERVICE TO PROVIDE TRANSLATION SERVICES FOR NON-ENGLISH SPEAKING PATIENTS AND FAMILIES AS NEEDED. 4.I. YCH'S CASE MANAGEMENT DEPARTMENT CONTINUES TO IDENTIFY COMPLEX PATIENTS WITH MULTIPLE CHRONIC ILLNESSES AND PROVIDE ADDITIONAL HOSPITAL SUPPORT AS APPROPRIATE. 4.J. YCH WILL CONTINUE TO EVALUATE THE HOSPITAL'S INFRASTRUCTURE, WITH A PARTICULAR EMPHASIS ON MAINTAINING ELDERLY OR HANDICAP-FRIENDLY BUILDING ELEMENTS. 4.K. YCH WILL CONTINUE TO PROVIDE LAB WORK FOR THE ELDERLY THROUGH THE PHLEBOTOMIST THAT GOES TO THE LOCAL NURSING HOMES. 4.L. DURING THE MONTH OF OCTOBER, YCH PROVIDES PHYSICIANS WITH VOUCHERS TO DISTRIBUTE TO UNFUNDED PATIENTS NEEDING MAMMOGRAPHY SERVICES. 4.M. YCH WILL CONTINUE TO HOST DRIVE EVENTS TO BENEFIT VARIOUS GROUPS WITHIN THE COMMUNITY. 4.N. YCH WILL CONTINUE ITS CONTRACT WITH AKIN AMBULANCE SERVICES AS A NEW, LOCAL EMS PROVIDER. 4.O. YCH AND LOCAL NURSING HOMES, HOME HEALTH AGENCIES, AND PHARMACIES WILL CONTINUE TO CO-SPONSOR QUARTERLY LUNCH AND LEARNS THAT PROVIDE INFORMATION ON ROTATING HEALTH-RELATED TOPICS, SPECIFICALLY SURROUNDING THE ELDERLY (I.E., MEDICARE, GERIATRIC MENTAL HEALTH) FREE OF CHARGE TO THE COMMUNITY. EVENTS ARE HELD AT LOCAL CHURCHES, EVENT CENTERS, ETC. 4.P. YCH PARTNERS WITH THE GOLDEN CRESCENT AREA ON AGING TO HOST MEDICARE OPEN ENROLLMENT FOR SENIORS IN THE COMMUNITY. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - YOAKUM COMMUNITY HOSPITAL. YOAKUM COMMUNITY HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ON ANY OUTSTANDING PATIENT ACCOUNTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
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| Schedule H, Part I, Line 3c PART I, LINE 3C | THE ASSETS TEST IS USED IN ORDER TO DETERMINE THE AMOUNT OF DISCOUNTED CARE. PAY STUBS FOR PATIENT & SPOUSE, LAST YEAR'S TAX RETURN, SOCIAL SECURITY AWARD LETTER ARE REQUIRED IF EMPLOYED. IF UNEMPLOYED, FOOD STAMP APPROVAL/DENIAL, UNEMPLOYMENT APPROVAL/DENIAL AND LAST YEAR'S TAX RETURN ARE REQUIRED. THE PATIENT IS ALSO REQUIRED TO SUBMIT A FINANCIAL INFORMATION FORM SHOWING BILLS, BANK ACCOUNTS, AND ANY OTHER SUPPORT THEY MAY BE RECEIVING TO DETERMINE IF THEY ARE ELIGIBLE FOR CHARITY CARE. |
| Schedule H, Part I, Line 6a PART I, LINE 6A | THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2024 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Patients accounts receivable consist of amounts due for the provision of health care SERVICES WHICH ARE RECORDED at AMORTIZED COST AT THE NET AMOUNT EXPECTED TO BE COLLECTED. IN EVALUATION THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, MANAGEMENT REGULARLY REVIEWS DATA AND DEVELOPS A LOSS RATE TO DETERMINE EXPECTED CREDIT LOSSES BASED ON SEVERAL FACTORS INCLUDING WHETHER A PATIENT HAS THIRD PARTY PAYOR COVERAGE OR IS UNINSURED, THE AGING OF RECEIVABLES, HISTORICAL COLLECTIONS AND LOSS EXPERIENCE, CURRENT CONTRACT PRICES OR CLAIMS PAID DATA, AND TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES OF ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. MANAGEMENT BELIEVES THE COMPOSITION OF RECEIVABLES AT YEAR-END IS CONSISTENT WITH HISTORICAL CONDITIONS AS CREDIT TERMS AND PRACTICES AND THE CUSTOMER BASE HAS NOT CHANGED SIGNIFICANTLY; THEREFORE, THE ORGANIZATION HAS MAINTAINED CONSISTENT METHODOLOGY IN ESTIMATE OF CREDIT LOSSES. MANAGEMENT HAS DETERMINED THE ESTIMATE OF EXPECTED CREDIT LOSSES IS NOT MATERIAL TO THE FINANCIAL STATEMENTS. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | INPATIENT ACUTE CARE SERVICES AND SUBSTANTIALLY ALL OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. THE HOSPITAL IS REIMBURSED FOR CERTAIN SERVICES AT TENTATIVE RATES WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE HOSPITAL AND AUDITS THEREOF BY THE MEDICARE ADMINISTRATIVE CONTRACTOR. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | IF A PATIENT OF YOAKUM COMMUNITY HOSPITAL QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. |
| Schedule H, Part V, Section B, Line 16a FAP website | - YOAKUM COMMUNITY HOSPITAL: Line 16a URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - YOAKUM COMMUNITY HOSPITAL: Line 16b URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - YOAKUM COMMUNITY HOSPITAL: Line 16c URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part VI, Line 2 Needs assessment | NEEDS ASSESSMENT AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, YOAKUM COMMUNITY HOSPITAL, (YCH), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 6/30/2022. YCH'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 MARCH 23, 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 ECTOR COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WE HAVE A COPY OF OUR CHARITY CARE POLICY POSTED ON OUR HOSPITAL WEBSITE AND HAVE AN ELIGIBILITY CONSULTANT ON SITE WHO WILL SCREEN ALL CUSTOMERS WHO ARE SELF PAY FOR ALL PROGRAMS THEY MAY BE ELIGIBLE FOR. OUR INSURED CUSTOMERS ARE ALSO REFERRED TO THE ELIGIBILITY CONSULTANT IF THEY ARE NOT ABLE TO SET UP FINANCIAL ARRANGEMENTS AFTER THEY ARE MOVED TO BEING SELF PAY. WE HAVE SIGNS POSTED IN OUR REGISTRATION AREA STATING "YCH PROVIDES FINANCIAL ASSISTANCE THROUGH OUR CHARITY OR INDIGENT PROGRAMS TO THOSE WHO QUALIFY. SEE REGISTRATION CLERK FOR MORE INFORMATION." OUR BILLING STATEMENTS ALSO HAVE CONTACT INFORMATION FOR CUSTOMERS WHO CANNOT PAY THE CLAIM IN FULL TO CALL TO DISCUSS MORE PAYMENT OPTIONS. |
| Schedule H, Part VI, Line 4 Community information | YOAKUM COMMUNITY HOSPITAL, (YCH), IS CENTRALLY LOCATED APPROXIMATELY 200 MILES FROM SAN ANTONIO AND HOUSTON. YCH SERVES DEWITT AND LAVACA COUNTIES IN TEXAS. THE POPULATION IN DEWITT COUNTY IS 20,265 (2021) AND IS EXPECTED TO DECREASE 0.9% BY THE YEAR 2026. THE POPULATION IN LAVACA COUNTY IS 20,466 (2021) AND IS EXPECTED TO INCREASE 2,2% BY THE YEAR 2026. THE MAJORITY OF RESIDENTS IN BOTH DEWITT AND LAVACA COUNTIES IDENTIFY AS WHITE-NON HISPANIC AT 74.0% AND 84.2%, RESPECTIVELY, (2021). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. AS OF 2021, THE HISPANIC POPULATION IN DEWITT COUNTY IS 5.1% AND IN LAVACA COUNTY IS 14.3%. THE ASIAN PFOPULATION IS THE FASTEST GROWING POPULATION IN DEWITT COUNTY. BY 2026 IT IS EXPECTED TO INCREASE BY 22.5%. THE FASTEST GROWING POPULATION IN LAVACA COUNTY IS THE AMERICAN INDIAN POPULATION AND THE ASIAN POPULATION WITH BOTH POPULATIONS EXPECTED TO INCREASE 20.4% BY 2026. AS OF 2021, LAVACA COUNTY (47.6 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH DEWITT COUNTY (43.7 YEARS) AND THE STATE OF TEXAS. (35.3 YEARS) 2021. THE MEDIUM AGES IN DEWITT COUNTY, LAVACA COUNTY AND THE STATE IS EXPECTED TO INCREASE SLIGHTLY OVER THE NEXT FIVE YEARS. IN 2020, DEWITT COUNTY (6.0) AND LAVACA COUNTY (5.2%) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (7.6). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN BOTH DEWITT AND LAVACA COUNTIES DECREASED. FOR DEWITT COUNTY, MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE (5.4) AS COMPARED TO JULY 2021 WHICH HAD THE HIGHEST RATE. (8.1) FOR LAVACA COUNTY, MAY 2021 HAD THE LOWEST UNEMPLOYMENT RATE ALSO (4.8) AS COMPARED TO JUNE 2021, WITH THE HIGHEST RATE (6.7). IN 2021, THE MEDIAN HOUSEHOLD INCOME IN BOTH DEWITT COUNTY ($58,109) AND LAVACA COUNTY ($58,596) IS LOWER THAN THE STATE OF TEXAS. ($63,524). DEWITT COUNTY AND LAVACA COUNTY HAVE A LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE (2021). DEWITT COUNTY HAS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL THAN LAVACA COUNTY AND THE STATE. AS OF 2019, DEWITT COUNTY HAD LOWER RATES OF OVERALL FOOD INSECURITY AND CHILD FOOD INSECURITY THAN LAVACA COUNTY AND THE STATE OF TEXAS. THE AVERAGE MEAL COST FOR DEWITT COUNTY WAS SLIGHTLY HIGHER THAN IN LAVACA COUNTY AND BOTH WERE SLIGHLY LOWER THAN IN THE AVERAGE MEAL COST IN THE STATE. AS OF 2019, BOTH DEWITT COUNTY (23.0%) AND LAVACA COUNTY (20.7%) HAVE A SLIGHTLY LOWER RATE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE. (24.3%) CANCER AND HEART DISEASE ARE THE TWO LEADING CAUSES OF DEATH IN DEWITT AND LAVACA COUNTIES. OVERALL MORTALITY RATES IN DEWITT COUNTY WAS HIGHER THAN IN LAVACA COUNTY AND THE STATE BETWEEN 2017 AND 2019. BOTH LAVACA COUNTY AND DEWITT COUNTY HAVE HIGHER PREVALENCE RATES OF HIGH BLOOD PRESSURE FOR MEDICARE BENEFICIARIES THAN THE STATE (2018). THE PERCENTAGE OF MEDICARE BENEFICIARIES WITH DIABETES IN DEWITT COUNTY WAS HIGHER THAN BOTH LAVACA COUNTY AND THE STATE. IN 2017, OBESITY PREVELANCE RATES WERE HIGHER IN LAVACA COUNTY THAN IN DEWITT COUNTY AND THE STATE. 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 IN DEWITT COUNTY (43.3%) WITH THE COVID-19 VACCINE, IS LOWER THAN LAVACA COUNTY (44.9%) AND LOWER THAN THE STATE (57.8%). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS TOBACCO USE IN DEWITT AND LAVACA COUNTIES THAN THE STATE. WITH REGARD TO MATERNAL AND CHILD HEALTH, DEWITT AND LAVACA COUNTIES HAVE LOWER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE THAN THE STATE. DEWITT COUNTY HAS HIGHER TEEN (AGE 0-19 YEARS) BIRTH RATES THAN LAVACA COUNTY AND THE STATE. |
| Schedule H, Part VI, Line 5 Promotion of community health | PROMOTION OF COMMUNITY HEALTH YCH HOLDS VARIOUS ACTIVITIES TO PROMOTE HEALTH CARE TO OUR COMMUNITY. YCH AND LOCAL NURSING HOMES, HOME HEALTH AGENCIES, AND PHARMACIES CONTINUE TO CO-SPONSOR QUARTERLY LUNCH AND LEARNS THAT PROVIDE INFORMATION ON ROTATING HEALTH RELATED TOPICS, SPECIFICALLY SURROUNDING THE ELDERLY (I.E., MEDICARE, GERIATRIC MENTAL HEALTH) FREE OF CHARGE TO THE COMMUNITY. EVENTS ARE HELD AT LOCAL CHURCHES, EVENT CENTERS, ETC. YCH ALSO PROMOTES EDUCATION AMONG THE YOUTH POPULATION BY PROVIDING TOURS OF VARIOUS HOSPITAL DEPARTMENTS, SUCH AS THE EMERGENCY ROOM, TO JUNIOR HIGH AND HIGH SCHOOL STUDENTS REGARDING AGE APPROPRIATE SAFETY TOPICS RELATING TO EACH RESPECTIVE DEPARTMENT. THE YCH PHYSICAL THERAPY DEPARTMENT AND LOCAL PHYSICIANS HELP WITH THE ANNUAL ATHLETIC PRE-PARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST. THIS INCLUDES YOAKUM ISD, SWEET HOME ISD, AND ST. JOSEPH CATHOLIC SCHOOL. THE HOSPITAL ALSO PROVIDES NON-HEALTHCARE CPR CLASSES TO LOCAL GROUPS UPON REQUEST. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, INCLUDING THE ROTARY CLUB AND THE LOCAL BOY SCOUTS OF AMERICA CHAPTER. THE HOSPITAL ALSO HOSTS DRIVE EVENTS TO BENEFIT VARIOUS GROUPS WITHIN THE COMMUNITY, SUCH AS LOCAL FOOD DRIVE DONATIONS, TOYS FOR TOTS DURING THE HOLIDAYS, AND SUPPORTING ABUSED CHILDREN AT NORMA'S HOUSE DURING THE HOLIDAY SEASON. ADDITIONALLY, THE HOSPITAL CONTINUES TO COORDINATE WITH SOUTH TEXAS BLOOD AND TISSUE CENTER TO PARTICIPATE IN BLOOD DRIVES ON A QUARTERLY BASIS, WHICH ARE OPEN TO HOSPITAL EMPLOYEES AND THE COMMUNITY. SCREENINGS TO LOCAL BUSINESSES FOR BLOOD PRESSURE, CHOLESTEROL, AND GLUCOSE LEVELS), ARE ALSO OFFERED FREE OF CHARGE. YCH WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY AS APPROPRIATE. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO, THE ALZHEIMER'S SUPPORT GROUP, PATIENTS IN THE TEXAS A&M DIABETIC EDUCATION PROGRAM, AND THE YOAKUM GARDEN CLUB. |
| Schedule H, Part VI, Line 6 Affiliated health care system | YOAKUM COMMUNITY HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. YOAKUM COMMUNITY HOSPITAL IS A 23 BED CRITICAL ACCESS HOSPITAL OFFERING GENERAL MEDICAL AND S URGICAL CARE TO THE CITIZENS OF YOAKUM AND THE SURROUNDING COMMUNITIES. ESTABLISHED IN 1922, YOAKUM COMMUNITY HOSPITAL HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE ITS INCEPTION AND CONTINUES TO SEARCH FOR WAYS TO BETTER SERVE OUR COMMUNITY. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | TX |
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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAUNDRA ANDERSON DO | ||||||||||||||
| Physician | $308,128 | $0 | $0 | $0 | $0 | $0 | $30,000 | $0 | $0 | $0 | $338,128 | $0 | $0 | $0 |
| JIM KENDRICK | ||||||||||||||
| DIRECTOR | $0 | $1,057,220 | $0 | $455,090 | $0 | $65,411 | $0 | $294,497 | $0 | $40,930 | $0 | $1,913,148 | $0 | $0 |
| Tiffany Miller DBA MHA | ||||||||||||||
| CEO/Pres. | $0 | $267,370 | $0 | $5,000 | $0 | $1,919 | $0 | $12,699 | $0 | $11,068 | $0 | $298,056 | $0 | $0 |
| LINDA MOORE | ||||||||||||||
| ASSIST SECRETARY | $0 | $355,018 | $0 | $52,572 | $0 | $43,475 | $0 | $26,433 | $0 | $43,475 | $0 | $520,973 | $0 | $8,363 |
| KIMBERLY MRAZ | ||||||||||||||
| CNO | $43,024 | $72,806 | $0 | $0 | $0 | $803 | $1,427 | $4,688 | $15,138 | $20,855 | $59,589 | $99,152 | $0 | $0 |
| JOHN OLIVARES | ||||||||||||||
| CFO | $0 | $140,286 | $0 | $0 | $0 | $1,643 | $0 | $10,483 | $0 | $25,656 | $0 | $178,068 | $0 | $0 |
| SANDRA M CHILEK | ||||||||||||||
| LABORATORY DIRECTOR | $143,183 | $0 | $0 | $0 | $0 | $0 | $15,122 | $0 | $0 | $0 | $158,305 | $0 | $0 | $0 |
| JAMES E DROST MD | ||||||||||||||
| PHYSICIAN | $429,865 | $0 | $0 | $0 | $0 | $0 | $30,000 | $0 | $0 | $0 | $459,865 | $0 | $0 | $0 |
| R MARTIN LAMBERT MD | ||||||||||||||
| CHIEF OF STAFF (thru 1/2024) | $474,299 | $0 | $0 | $0 | $0 | $0 | $9,593 | $0 | $0 | $0 | $483,892 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | COMPENSATION OF CEO/EXECUTIVE DIRECTOR THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION (CHC), AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2024 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $284,597 LINDA MOORE - $24,895 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 3 Delegation of management duties | COMMUNITY HOSPITAL CORPORATION ('CHC') PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | CHC IS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH"). |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | CHC AS THE SOLE MEMBER OF YCH ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES OF YCH AND IS EMPOWERED WITH THE ABILITY TO REMOVE TRUSTEES, WITH OR WITHOUT CAUSE. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ARTICLES OF INCORPORATION - BOARD OF DIRECTORS SECTION 7.1 POWERS. THE AFFAIRS OF THIS CORPORATION SHALL BE MANAGED BY ITS BOARD OF TRUSTEES (HEREINAFTER SOMETIMES CALLED THE 'BOARD') PROVIDED THAT THE APPROVAL OF THE MEMBER OF THIS CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: A. THE ESTABLISHMENT OF OR ANY CHANGE IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBER; B. ANY AMENDMENTS OR REVISIONS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; C. ANY AMENDMENTS OR REVISIONS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; D. THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE; E. ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY, TO WHICH THE CORPORATION IS A PARTY; F. THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; G. ALL MATERIAL EXPENDITURE DEVIATIONS ($25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING BUDGET; H. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET; I. THE PURCHASE OR ACQUISITION OF ANY REAL, PERSONAL, OR MIXED PROPERTY THE CORPORATION IN EXCESS OF $25,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS; J. THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; K. ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY 'TRANSFER') OF THE PERSONAL PROPERTY OF THE CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED $50,000; L. ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION, EXCEPT USUAL AND CUSTOMARY TRADE DEBTS, WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION; M. SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; N. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; O. THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT AN ANNUAL COMPENSATION IN EXCESS OF $30,000 OR AN AGGREGATE COMPENSATION IN EXCESS OF $50,000; P. ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; Q. THE ELECTION OF THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION OR THE REMOVAL OF SAID TRUSTEE, WHETHER WITH OR WITHOUT CAUSE; R. THE ENGAGEMENT OF OR REMOVAL OF THE HOSPITAL ADMINISTRATOR; S. THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; T. THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND-RAISING; AND U. THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM OF THE CORPORATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | A REVIEW OF THE 990 FORM IS PERFORMED BY THE CFO OF THE HOSPITAL FOLLOWING FORM PREPARATION. ELECTRONIC COPIES ARE SENT TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM. THE FORMS ARE THEN FILED WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | CONFLICT OF INTEREST STATEMENTS ARE FILLED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMMITTEE. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE PRESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD/COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE AND MAKING FURTHER INVESTIGATION, IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, THEN APPROPRIATE DISCIPLINARY ACTION IS TAKEN WHICH CAN INCLUDE WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | - Total Revenue: 154533, Related or Exempt Function Revenue: 154533, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; |
| Form 990, Part IX, Line 11g Other Fees | PURCHASED SERVICES-HOSPITAL - Total Expense: 3418192, Program Service Expense: 2905463, Management and General Expenses: 512729, Fundraising Expenses: 0; PURCHASED SERVICES-CLINIC - Total Expense: 46373, Program Service Expense: 39417, Management and General Expenses: 6956, Fundraising Expenses: 0; PROFESSIONAL FEES-HOSPITAL - Total Expense: 1047470, Program Service Expense: 890350, Management and General Expenses: 157120, Fundraising Expenses: 0; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Other Adjustments - 8069; |
| FORM 990, PART VI, Line 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN | THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC AS ADOPTED BY YOAKUM COMMUNITY HOSPITAL. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 | DE | 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 | DE | 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 CHARITY | 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 |
| 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 FOUNDATION | ||||||||||
| 1200 CARL RAMERT DRIVE | YOAKUM | TX | 77995 | 453609830 | SUPPORT ORG | TX | 501(c)(3) | Type I | YCH | false |
| HUNTSVILLE COMMUNITY HOSPITAL INC FOUNDATION | ||||||||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | 320771710 | SUPPORT ORG | TX | 501(c)(3) | 7 | HUNTSVILLE | 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 | 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 | false | ||||||
| COMMUNITY HOSPITAL CONSULTING INC | |||||||||||||
| MGMT CONSULTING | CHC | C Corporation | 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 | false | 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 | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HOSPITAL CORPORATION | ||
| P | $4,449,603 | COST |
| COMMUNITY HOSPITAL CORPORATION | ||
| R | $191,118 | COST |
| COMMUNITY HOSPITAL CORPORATION | ||
| E | $4,641 | COST |
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