HUNTSVILLE COMMUNITY HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HUNTSVILLE COMMUNITY HOSPITAL INC (EIN 84-3654542)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-06
- IRS object ID
- 202201269349301010
- Schema version
- 2020v4.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-06T10:02:10-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 SUITE 600 | 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 | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843654542 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huntsville Community Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JIM JENKINS | InCareOfNm |
| Business Name Control | HUNT | BusinessNameControlTxt |
| Phone | 9362913411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 Memorial Hospital Dr | AddressLine1Txt |
| City | Huntsville | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77340 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Hill | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 9729436431 | PhoneNum |
| Signature | 2022-05-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | James | PersonFirstNm |
| Person Last | Hill | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELVA SCOTT | PreparerPersonNm |
| PTIN | P01207335 | PTIN |
| Phone | 8173351900 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK SHANNON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 Memorial Hospital Dr | AddressLine1Txt |
| City | Huntsville | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77340 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $79,504,131 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.huntsvillememorial.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2019 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | WE ARE DEVOTED TO THE HEALTH AND WELL- BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 722 | TotalEmployeeCnt |
| Total Volunteers | 71 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,251,023 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,762,336 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $26,200,950 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $76,388,502 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,874 | PYInvestmentIncomeAmt |
| CY Investment Income | $75,539 | CYInvestmentIncomeAmt |
| PY Other Revenue | $68,495 | PYOtherRevenueAmt |
| CY Other Revenue | $277,754 | CYOtherRevenueAmt |
| PY Total Revenue | $30,539,342 | PYTotalRevenueAmt |
| CY Total Revenue | $79,504,131 | 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 | $13,045,952 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,700,748 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,471,252 | PYOtherExpensesAmt |
| CY Other Expenses | $42,295,818 | CYOtherExpensesAmt |
| PY Total Expenses | $25,517,204 | PYTotalExpensesAmt |
| CY Total Expenses | $77,996,566 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,022,138 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,507,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,531,415 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,825,804 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,554,986 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,528,729 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,976,429 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,297,075 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE DEVOTED TO THE HEALTH AND WELL-BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT EVERY DAY WITH A SPIRIT OR WARMTH, COMPASSION AND PERSONAL PRIDE. WE ACHIEVE THIS THROUGH ADVANCED AND EFFICIENT MEDICAL CARE WITH STRONG SELF-GOVERNANCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $57,036,395 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $76,388,502 | RevenueAmt |
| Desc | WE ARE DEVOTED TO THE HEALTH AND WELL-BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT EVERY DAY WITH A SPIRIT OF WARMTH, COMPASSION AND PERSONAL PRIDE. WE ACHIEVE THIS THROUGH ADVANCED AND EFFICIENT MEDICAL CARE WITH STRONG SELF-GOVERNANCE. DURING THE YEAR ENDED JUNE 30, 2021, WE HAD 3,541 admissions, 19,425 patient days, 20,553 ER Visits, 476 inpatient surgeries and 841 outpatient surgeries. The average daily census was 53.22 patients and the average length of stay was 5.49 days. | Desc |
| Total Program Service Expenses | $57,036,395 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| 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 | Yes (true) | 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 101 | IRPDocumentCnt |
| IRP Document W2 G | 3 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 722 | EmployeeCnt |
| 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 | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JIM JENKINS | PersonNm |
| Phone | 9362914514 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 MEMORIAL HOSPITAL DR | AddressLine1Txt |
| City | Huntsville | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77340 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Jim Kendrick | |||||||||
| Director/President | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $1,200,779 | $52,853 | ||
| Craig Sims | |||||||||
| Former Director | 1.0 | 39.0 | $0 | $439,027 | $35,766 | Yes (X) | |||
| Joe Thomason | |||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $408,439 | $51,760 | |||
| James Hill | |||||||||
| Former Director/Treasurer | 1.0 | 39.0 | Yes (X) | $0 | $361,422 | $41,844 | |||
| Patrick Shannon | |||||||||
| CEO (start 6/2021) | 40.0 | 0.0 | Yes (X) | $0 | $352,160 | $24,368 | |||
| Linda Moore | |||||||||
| Secretary | 1.0 | 39.0 | Yes (X) | $0 | $310,484 | $32,144 | |||
| Steve Smith | |||||||||
| CEO (until 6/2021) | 40.0 | 0.0 | Yes (X) | $0 | $287,818 | $27,226 | |||
| GREGG W MAGERS | |||||||||
| CFO (until 11/2020) | 40.0 | 0.0 | Yes (X) | $0 | $211,500 | $0 | |||
| LINDA LAWSON | |||||||||
| CNO | 40.0 | 0.0 | Yes (X) | $0 | $135,778 | $10,794 | |||
| Amanda Wheeler | |||||||||
| Director of Emergency Services | 40.0 | 0.0 | $137,431 | $0 | $0 | Yes (X) | |||
| Jana Endicott | |||||||||
| Director of Case Management | 40.0 | 0.0 | $102,595 | $0 | $0 | Yes (X) | |||
| Elizabeth Rodgers | |||||||||
| RN | 40.0 | 0.0 | $101,970 | $0 | $0 | Yes (X) | |||
| Charles Strahan | |||||||||
| Dir Heart & Vascular Lab | 40.0 | 0.0 | $101,143 | $0 | $0 | Yes (X) | |||
| JAMES JENKINS | |||||||||
| CFO (start 11/2020) | 40.0 | 0.0 | Yes (X) | $0 | $52,148 | $2,510 | |||
| Anne Woodard | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $443,139 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,759,555 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $279,265 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Premier Anesthesia of Huntsville Te | |||||
| 2655 Northwinds Parkway | ALPHARETTA | GA | 30009 | Anesthesia Services | $1,402,674 |
| Texas Select Staffing LLC | |||||
| PO BOX 577 | WEST BEND | WI | 530950577 | NURSING STAFF | $948,698 |
| Ultimate Biomedical Solutions LLC | |||||
| 6315-B FM 1488 138 | MAGNOLIA | TX | 77354 | Bio-Med Services | $725,353 |
| Medical Solutions | |||||
| 1010 North 102nd Street Ste 300 | OMAHA | NE | 68114 | Nursing Staff | $628,747 |
| Huntsvillle Acute Dialysis | |||||
| 10 Orion Star Ct | SPRING | TX | 77382 | Dialysis Services | $497,665 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,746,733 | GovernmentGrantsAmt |
| All Other Contributions | $15,603 | AllOtherContributionsAmt |
| Total Contributions | $2,762,336 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROUTINE & ANCILLARY PATIENT SRVC | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $76,388,502 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,388,502 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $76,388,502 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,539 | TotalRevenueColumnAmt |
| Exclusion | $75,539 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 |
| 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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER INCOME | 900099 | $273,141 | $273,141 |
| FITNESS MEMBERS | 900099 | $4,075 | $4,075 |
| MEDICAL RECORDS REVENUE | 900099 | $538 | $538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $277,754 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,504,131 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,666,256 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $75,539 | 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 |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,473,923 | TotalAmt |
| Program Services | $23,848,115 | ProgramServicesAmt |
| Management And General | $4,625,808 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,105 | TotalAmt |
| Program Services | $361,906 | ProgramServicesAmt |
| Management And General | $70,199 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,654,127 | TotalAmt |
| Program Services | $3,898,028 | ProgramServicesAmt |
| Management And General | $756,099 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,140,593 | TotalAmt |
| Program Services | $1,792,837 | ProgramServicesAmt |
| Management And General | $347,756 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,000 | TotalAmt |
| Management And General | $700,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$37,732 | TotalAmt |
| Management And General | -$37,732 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,805 | TotalAmt |
| Management And General | $43,805 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,396,586 | TotalAmt |
| Program Services | $13,630,969 | ProgramServicesAmt |
| Management And General | $6,765,617 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,133,341 | TotalAmt |
| Program Services | $48,126 | ProgramServicesAmt |
| Management And General | $1,085,215 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,783 | TotalAmt |
| Program Services | $27,097 | ProgramServicesAmt |
| Management And General | $27,686 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,511 | TotalAmt |
| Management And General | $76,511 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,397 | TotalAmt |
| Management And General | $187,397 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $501,903 | TotalAmt |
| Program Services | $25,232 | ProgramServicesAmt |
| Management And General | $476,671 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $12,296,905 | $11,067,550 | $1,229,355 | $0 |
| SOFTWARE FEES | $1,917,727 | $608,461 | $1,309,266 | $0 |
| LEASES | $4,462,169 | $1,443,322 | $3,018,847 | $0 |
| DUES | $259,661 | $151,359 | $108,302 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,762 | TotalAmt |
| Program Services | $133,393 | ProgramServicesAmt |
| Management And General | $169,369 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,996,566 | TotalAmt |
| Program Services | $57,036,395 | ProgramServicesAmt |
| Management And General | $20,960,171 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,965,317 | BOYAmt |
| EOY | $13,594,844 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $7,643,355 | BOYAmt |
| EOY | $9,717,069 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| 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 | $1,696,376 | BOYAmt |
| EOY | $2,332,434 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,470,899 | BOYAmt |
| EOY | $1,540,728 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,113,796 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $191,851 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,075 | BOYAmt |
| EOY | $2,921,945 | 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 |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,454,921 | BOYAmt |
| EOY | $2,454,921 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,838,472 | BOYAmt |
| EOY | $7,263,863 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,531,415 | BOYAmt |
| EOY | $39,825,804 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,781,662 | BOYAmt |
| EOY | $10,393,658 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $178,591 | BOYAmt |
| EOY | $165,470 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,594,733 | BOYAmt |
| EOY | $9,969,601 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,554,986 | BOYAmt |
| EOY | $20,528,729 | 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 | $17,976,429 | BOYAmt |
| EOY | $19,297,075 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,976,429 | BOYAmt |
| EOY | $19,297,075 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,531,415 | BOYAmt |
| EOY | $39,825,804 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,507,565 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$186,919 | PriorPeriodAdjustmentsAmt |
| 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,113,796 | OtherCostOrOtherBasisAmt |
| Depreciation | $191,851 | DepreciationAmt |
| Book Value | $2,921,945 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $2,921,945 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD PARTY SETL | Desc |
| Book Value | $7,263,863 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,263,863 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO CHC | $669,738 |
| ASBESTOS ABATEMENT | $121,679 |
| HCH MAAP LIABILITY | $6,496,880 |
| HCH WCHC LIABILITY | -$268,696 |
| DEFER REV-COVID | $2,950,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,969,601 | 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,912,002 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,104,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,807,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,925,815 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,794,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,131,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,058,773 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,058,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,896,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,899,080 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,997,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,154 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $595,090 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $595,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $681,244 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $681,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,577,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,899,080 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,678,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $27,267,240 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,521,699 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $10,745,541 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huntsville Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 Memorial Hospital Dr | AddressLine1Txt |
| City | Huntsville | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77340 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.huntsvillememorial.com/ | WebsiteAddressTxt |
| State License | 100511 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huntsville Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| 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. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | 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 |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 |
| 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 Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 2 | HUNTSVILLE COMMUNITY HOSPITAL, INC. (HCH), WAS FORMED ON NOVEMBER 5, 2019 IN THE STATE OF TEXAS AS A NOT FOR PROFIT CORPORATION. THE ORGANIZATION WAS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. HCH ACQUIRED THE ASSETS AND OPERATIONS OF HUNTSVILLE MEMORIAL HOSPITAL ON FEBRUARY 28, 2020. HCH RECEIVED ITS EXEMPTION LETTER FROM THE IRS ON APRIL 28, 2020 WITH A RETROACTIVE DATE OF EXEMPTION TO NOVEMBER 5, 2019 and A PUBLIC CHARITY STATUS OF A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION AS DESCRIBED IN SECTION 170(B)(1)(A)(III). HCH IS DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL (HMH), AND OPERATES a full service, 123 bed licensed, acute care hospital in Huntsville, Texas which serves the residents of Walker County and surrounding areas in Texas. |
| SCHEDULE H, PART V, SECTION B, LINES 16A-16C | The FAP, the Plain Language Summary of the FAP and the FAP Application are located at the following URL: https://www.huntsvillememorial.com/Financial-Assistance/HMH-Financial-Assi stance.aspx |
| Schedule H, Part V, Line 20E | Huntsville Community Hospital, doing business as Huntsville Memorial Hospital, does not engage in any Extraordinary Collection Action before making reasonable efforts to determine a patient's eligibility under the hospital facility's financial assistance policy. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | All patients (insured and uninsured) may apply for financial assistance at any time during the continuum of care or after care is received. Each patient's situation will be evaluated according to relevant circumstances, such as income, assets or other resources available to the patient or patient's family when determining the ability to pay the outstanding patient account balance. The level of financial assistance will be based on a classification as "Financially Indigent"Medically Indigent"Catastrophically Medically Indigent," as defined below. In all situations, once the patient is determined to qualify for financial assistance, that individual will not be charged more for emergency or other medically necessary care than the amounts generally billed to individuals who have insurance covering such care ("AGB"). "Financially Indigent" means a patient whose Yearly Household Income (as defined below) is less than or equal to 200% of the Federal Poverty Guidelines ("FPG"). These Financially Indigent patients are eligible for a 100% discount on outstanding patient account balances as set forth in Part 1 of the Financial Assistance Eligibility Discount Guidelines in the hospital facility's Financial Assistance Policy. "Medically Indigent" means a patient whose medical or hospital bills from all related or unrelated providers, after payment by all third parties, exceed 10% of such patient's Yearly Household Income, whose Yearly Household Income is greater than 200% but less than or equal to 400% of the FPG, and who is unable to pay the outstanding patient account balance. These Medically Indigent patients are eligible for a discount on outstanding patient account balances as set forth in Part 2 of the Financial Assistance Eligibility Discount Guidelines in the hospital facility's Financial Assistance Policy. "Catastrophically Medically Indigent" means a patient whose medical or hospital bills from all related or unrelated providers, after payment by all third parties, exceed 10% of such patient's Yearly Household Income, whose Yearly Household Income is greater than 400% of the FPG, and who is unable to pay the outstanding patient account balance. These Catastrophically Medically Indigent patients are eligible for a discount on outstanding patient account balances as set forth in Part 3 of the Financial Assistance Eligibility Discount Guidelines in the hospital facility's Financial Assistance Policy. After the patient's account is reduced by the discounts based on the Financial Assistance Eligibility Discount Guidelines, the patient is responsible for the remainder of the outstanding patient account balance which shall be no more than AGB. |
| SCHEDULE H, PART I, LINE 6A | THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2021 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION. |
| SCHEDULE H, PART III, LINE 4 | BAD DEBT EXPENSE FOOTNOTE PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. SCHEDULE H, PART III, LINE 8 COSTING METHODOLOGY THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. |
| SCHEDULE H, PART III, LINE 9B | COLLECTION PRACTICES IF A PATIENT OF Huntsville COMMUNITY HOSPITAL QUALIFIES FOR ITS FINANCIAL ASSISTANCE 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 REASONABLE PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. The hospital will refund to the patient any excess payment (if any) that exceeds the amount the patient is determined to be personally responsible for paying as a financial assistance program eligible patient (unless such amount is less than $5.00). SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT HCH WAS FORMED ON NOVEMBER 5, 2019 AS AN ACUTE CARE HOSPITAL LOCATED IN HUNTSVILLE, TX AND SERVES THE RESIDENTS OF WALKER COUNTY AND SURROUNDING AREAS IN TEXAS. THE HOSPITAL WILL BE CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON OR BEFORE ITS DUE DATE OF FEBRUARY 28TH, 2023. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. |
| SCHEDULE H, PART VI, LINE 3 | Patient Education of eligibility for assistance PATIENTS ARE EDUCATED REGARDING ELIGIBILITY FOR ASSISTANCE DURING THE SCREENING PROCESS FOR CHARITY CARE. THIS SCREENING PROCESS IS CONDUCTED BY A THIRD PARTY ELIGIBILITY VENDOR AND INCLUDES UNINSURED AND UNDERINSURED PATIENTS THAT ARE SCREENED FOR, OR MAY QUALITY FOR, PRIOR TO CONSIDERATION FOR CHARITY CARE ELIGIBILITY THE FOLLOWING PROGRAMS: - EXISTING HEALTHCARE INSURANCE OR ABILITY TO PURCHASE HEALTHCARE INSURANCE/AND OR OTHER LIABILITY AT OR BELOW 8% OF TOTAL ANNUAL INCOME AND OR OTHER LIABILITY - Self Pay Discounted Programs - TEXAS MEDICAID AND /OR MEDICARE AND/OR SSI; OTHER GOVERNMENT PROGRAMS; WORKERS COMPENSATION - Walker County Indigent Care Program THIS INCLUDES THE ASSISTANCE OF A THIRD PARTY ON-SITE MEDICAID ELIGIBILITY VENDOR, WHO ASSISTS ELIGIBLE PATIENTS IN COMPLETING APPLICATION FOR MEDICAID, MEDICARE, AND/OR DISABILITY AS APPLICABLE. PATIENTS WITH THIRD PARTY COVERAGE (I.E., INSURANCE, MEDICARE, ETC.) MAY QUALIFY FOR CHARITY CARE AS SECONDARY TO PRIMARY INSURANCE IF THE PATIENT HAS RESPONSIBILITY FOR PAYMENT, HAS AN ABILITY TO PAY, AND MEETS PROGRAM QUALIFICATIONS. IF A PATIENT DOES NOT QUALIFY FOR ONE OF THE PROGRAMS LISTED ABOVE, THE PATIENT MAY MAKE FORMAL APPLICATION FOR CHARITY CARE BY COMPLETING THE REQUIRED FINANCIAL ASSISTANCE FORMS, LOCATED ON THE HOSPITAL'S WEBSITE AT WWW.HUNTSVILLEMEMORIAL.COM THE ON-SITE ELIGIBILITY REPRESENTATIVE, OR A MEMBER OF THE HOSPITAL PATIENT ACCESS DEPARTMENT WILL ASSIST THE PATIENT IN PRINTING AND COMPLETING THE FINANCIAL APPLICATION AND SUPPLEMENTAL FORMS, AND WILL DIRECT THE PATIENT TO THE FINANCIAL COUNSELING DEPARTMENT WHERE THE COMPLETED APPLICATION MUST BE SUBMITTED FOR REVIEW. PATIENTS APPROVED FOR CHARITY CARE WILL RECEIVE BASIC CARE AT HUNTSVILLE MEMORIAL HOSPITAL AND/OR THE HUNTSVILLE CLINIC FOLLOWING RECEIPT OF PRIOR APPROVAL. APPLICANTS MUST FULLY COOPERATE AND COMPLY WITH ELIGIBILITY REQUIREMENTS FOR ANY OTHER HEALTHCARE PROGRAM(S) FOR WHICH THEY MAY BE QUALIFIED PRIOR TO THEIR EVALUATION FOR CHARITY CARE. FEDERAL AND/ OR STATE ASSISTANCE MAY BE AVAILABLE TO THOSE WHO MEET QUALIFICATIONS. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION HUNTSVILLE COMMUNITY HOSPITAL, INC. (HCH), WAS FORMED ON NOVEMBER 5, 2019 IN THE STATE OF TEXAS AS A NOT FOR PROFIT CORPORATION. HCH IS DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL (HMH), AND OPERATES A FULL SERVICE, 123 BED LICENSED, ACUTE CARE HOSPITAL IN HUNTSVILLE, TEXAS WHICH SERVES THE RESIDENTS OF WALKER COUNTY AND SURROUNDING AREAS IN TEXAS. WALKER COUNTY IS LOCATED IN THE WOODLAND HILLS OF EAST CENTRAL TEXAS AS OF 2019, THE CITY OF HUNTSVILLE, SERVES AS THE COUNTY SEAT AND IS HOME TO SAM HOUSTON STATE UNIVERSITY, SHSU, AS WELL AS MANY HISTORICAL LANDMARKS. THE CITY OF HUNTSVILLE IS ALSO WHERE THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE, TDCJ, HAS ITS HEADQUARTERS. THE TDCJ IS THE LARGEST PRISON SYSTEM IN THE UNITED STATES. THE POPULATION IN WALKER COUNTY WAS 73,515 (2019) WITH AN EXPECTED GROWTH OF 5.5% BY 2024 (77,541). WALKER COUNTY ($45,967) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN TEXAS ($51,333) (2019). THE MEDIAN HOUSEHOLD INCOME IN BOTH WALKER COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). IN 2018, WALKER COUNTY (4.2%) HAD A SLIGHTLY HIGHER UNEMPLOYMENT RATE THAN THE STATE (3.9%). WALKER COUNTY (13.3%) HAS A SLIGHTLY HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY AS COMPARED TO THE STATE (12.5%) (2019). THE COUNTY (23.9%) ALSO HAS A HIGHER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN TEXAS (21.0%) (2017). THE HIGH SCHOOL GRADUATION RATE IN WALKER COUNTY (87.3%), IS LOWER THAN THE STATE OF TEXAS (90.5%) AND SLIGHTLY LOWER THAN THE NATION (86.1%) (2015-2016). WALKER COUNTY (20.9%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (28.6%) (2019). IN 2016-2017, WALKER COUNTY (56.9%) HAS A SLIGHTLY LOWER PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH THAN THE STATE (58.9%), BUT A HIGHER RATE THAN THE NATION (49.2%). AS OF 2019, THE RACIAL/ETHNIC BREAKOUT OF WALKER COUNTY WAS 55.6% WHITE NON-HISPANIC, 22.9% BLACK, 18.6% HISPANIC, 1,2% ASIAN, 0.4% AMERICAN INDIAN AND 1.3% ALL OTHERS. BY 2024, THE WHITE NON-HISPANIC POPULATION IN WALKER COUNTY IS EXPECTED TO INCREASE BY 2.4% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 7.1%. BY 2024, THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 11.4%. THE ASIAN POPULATION IN WALKER COUNTY BY 2024 IS EXPECTED TO INCREASE BY 20.5% AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 18.9%. BY 2024, ALL OTHER RACIAL ETHNIC GROUPS IN WALKER COUNTY ARE EXPECTED TO INCREASE BY 7.0%. AS OF 2019, WALKER COUNTY (35.2 YEARS) HAS A YOUNGER MEDIAN AGE THAN THE STATE OF TEXAS (39.2 YEARS). THE MEDIAN AGE IN BOTH WALKER COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). CANCER IS THE LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE SECOND LEADING CAUSE OF DEATH IN THE STATE (2013-2017). BETWEEN 2013 AND 2017, CANCER MORTALITY RATES DECREASED IN WALKER COUNTY AND THE STATE. HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE LEADING CAUSE OF DEATH IN THE STATE (2013-2017). BETWEEN 2015 AND 2017, HEART DISEASE MORTALITY RATES HAVE SLIGHTLY DECREASED IN THE STATE. RESPIRATORY DISEASE (CLRD CHRONIC LOWER) IS THE THIRD LEADING CAUSE OF DEATH IN WALKER COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2013-2017). BETWEEN 2015 AND 2017, CLRD MORTALITY RATES INCREASED IN WALKER COUNTY AND SLIGHTLY DECREASED IN THE STATE. OTHER LEADING CAUSES OF DEATH IN WALKER COUNTY, BETWEEN 2013 AND 2017, INCLUDE CEREBROVASCULAR DISEASE, FATAL ACCIDENTS, DIABETES MELLITUS, SEPTICEMIA, ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS AND INTENTIONAL SELF-HARM (SUICIDE). IN 2015, WALKER COUNTY (1,211.6 PER 100,000) HAD A HIGHER PREVALENCE RATE OF HIV THAN THE STATE (368.9 PER 100,000) AND THE NATION (362.3 PER 100,000). AS OF 2017, WALKER COUNTY (22.0%) HAS A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (23.4%). WALKER COUNTY AND THE STATE DID NOT EXPERIENCE SIGNIFICANT DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2017 (2.7% AND 1.4%, RESPECTIVELY). |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH THE HOSPITAL IS CURRENTLY IN THE PROCESS OF CONDUCTING ITS 2023 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. HOWEVER, THE FOLLOWING INFORMATION MAY BE TAKEN INTO ACCOUNT IN DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. THE CHNA CURRENTLY BEING CONDUCTED BY HMH WILL IDENTIFY THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY SERVED BY HMH, WHICH ARE DETERMINED BY ASSESSING THE PREVALENCE OF ISSUES IDENTIFIED FROM HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE CHNA TEAM AND HOSPITAL LEADERSHIP PRIORITIZE THOSE NEEDS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEEDS. ONCE THE PRIORITIZATION PROCESS IS COMPLETE, HOSPITAL LEADERSHIP WILL DISCUSS THE RESULTS AND ADDRESS THE IDENTIFIED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN TO ENSURE THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS OF THE COMMUNITY IT SERVES. WHILE HMH IS IN THE PROCESS OF COMPLETING ITS CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL'S TALENTED TEAM OF MEDICAL STAFF MEMBERS IS FOCUSED ON STAYING UP TO DATE WITH THE LATEST TECHNOLOGIES AND TREATMENT SOLUTIONS WHILE PROVIDING EFFECTIVE HEALTH CARE SERVICES AND DELIVERING QUALITY CARE TO THE RESIDENTS OF WALKER COUNTY AND ITS SURROUNDING COMMUNITIES. Due to the pandemic and related COVID restrictions, several of the community health activities previously performed were largely curtailed during fiscal year ended June 30, 2021 out of an abundance of caution. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM HCH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS - SUPPLEMENT TO THE AHA SURVEY. |
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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jim Kendrick | ||||||||||||||
| Director/President | $0 | $843,197 | $0 | $276,900 | $0 | $80,682 | $0 | $0 | $0 | $52,853 | $0 | $1,253,632 | $0 | $18,428 |
| Craig Sims | ||||||||||||||
| Former Director | $0 | $348,497 | $0 | $38,517 | $0 | $52,013 | $0 | $0 | $0 | $35,766 | $0 | $474,793 | $0 | $0 |
| Joe Thomason | ||||||||||||||
| Director | $0 | $331,014 | $0 | $36,294 | $0 | $41,131 | $0 | $0 | $0 | $51,760 | $0 | $460,199 | $0 | $5,091 |
| James Hill | ||||||||||||||
| Former Director/Treasurer | $0 | $282,617 | $0 | $32,063 | $0 | $46,742 | $0 | $0 | $0 | $41,844 | $0 | $403,266 | $0 | $0 |
| Patrick Shannon | ||||||||||||||
| CEO (start 6/2021) | $0 | $271,411 | $0 | $58,104 | $0 | $22,645 | $0 | $0 | $0 | $24,368 | $0 | $376,528 | $0 | $0 |
| Linda Moore | ||||||||||||||
| Secretary | $0 | $174,273 | $0 | $27,041 | $0 | $109,170 | $0 | $0 | $0 | $32,144 | $0 | $342,628 | $0 | $0 |
| Steve Smith | ||||||||||||||
| CEO (until 6/2021) | $0 | $270,141 | $0 | $0 | $0 | $17,677 | $0 | $0 | $0 | $27,226 | $0 | $315,044 | $0 | $0 |
| GREGG W MAGERS | ||||||||||||||
| CFO (until 11/2020) | $0 | $196,695 | $0 | $0 | $0 | $14,805 | $0 | $0 | $0 | $0 | $0 | $211,500 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | 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, 2021 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. |
| SCHEDULE J, PART I, LINE 4B | NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $46,285 JAMES HILL - $14,300 CRAIG SIMS - $17,178 JOE THOMASON - $16,187 LINDA MOORE - $12,060 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX C | DOING BUSINESS AS HUNTSVILLE COMMUNITY HOSPITAL, INC. (HCH) IS DOING BUSINESS AS HUNTSVILLE MEMORIAL HOSPITAL. |
| FORM 990, PART VI, LINE 3 | DESCRIPTION OF MANAGEMENT ARRANGEMENT COMMUNITY HOSPITAL CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. |
| FORM 990, PART VI, LINE 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE CORPORATION HAS TWO CLASSES OF MEMBERS: THE CLASS A MEMBER AND CLASS B MEMBER. COMMUNITY HOSPITAL CORPORATION ("CHC") SHALL BE THE CLASS A MEMBER AND WALKER COUNTY HOSPITAL DISTRICT SHALL BE THE CLASS B MEMBER. |
| FORM 990, PART VI, LINE 7A | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS CHC, AS THE CLASS A MEMBER OF HUNTSVILLE COMMUNITY HOSPITAL, SHALL APPOINT TWO (EACH A "CLASS A BOARD DESIGNEE") OF THE THREE MEMBERS OF THE BOARD OF DIRECTORS FOR A TERM OF UP TO THREE YEARS. ONE DIRECTOR, WHO SHALL BE A MEMBER OF THE BOARD OF MANAGERS OF THE CLASS B MEMBER, SHALL BE APPOINTED BY THE CLASS B MEMBER, WALKER COUNTY HOSPITAL DISTRICT, (THE "CLASS B BOARD DESIGNEE", AND TOGETHER WITH THE CLASS A BOARD DESIGNEE, COLLECTIVELY, THE "BOARD DESIGNEES") FOR A TERM OF UP TO THREE YEARS. |
| FORM 990, PART VI, LINE 7B | DESCR CLASSES OF PERSONS/DECISIONS REQUIRING APPR/TYPE OF VOTING RIGHTS a. CLASS A AND CLASS B MEMBER APPROVALS: AN ACTION, APPROVAL OR RESOLUTION BY THE BOARD OF DIRECTORS FOR EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF BOTH THE CLASS A MEMBER AND THE CLASS B MEMBER BEFORE IT IS EFFECTIVE AND CONSTITUTES AN ACTION OF THE CORPORATION: i. THE ESTABLISHMENT OF OR ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBERS, INCLUDING BUT NOT LIMITED TO THE PROVISION OF CHARITY CARE; ii. ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OR THE CERTIFICATE OF FORMATION, BYLAWS OR OTHER GOVERNING DOCUMENT OF ANY SUBSIDIARIES OF THE CORPORATION, IF ANY (INCLUDING, WITHOUT LIMITATION, HMH PHYSICIAN ORGANIZATION (THE "PO")); iii. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION (INCLUDING, WITHOUT LIMITATION, THE PO); iv. THE APPROVAL OF MAJOR (IN EXCESS OF $3,000,000.00) DEVELOPMENT CAMPAIGNS AND FUND-RAISING; v. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT TO MEET ITS STATUTORY OR CONSTITUTIONAL OBLIGATIONS WITH REGARD TO INDIGENT CARE; vi. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT'S BOND RATING OR ABILITY TO MEET ITS OBLIGATIONS UNDER ANY BONDS; AND vii. MAJOR CHANGES WITH SERVICE LINES PROVIDED BY THE FACILITIES OPERATED BY THE CORPORATION. b. CLASS A APPROVALS. AN ACTION, APPROVAL OR RESOLUTION BY THE BOARD OF DIRECTORS FOR EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE CLASS A MEMBER BEFORE IT IS EFFECTIVE AND CONSTITUTES AN ACTION OF THE CORPORATION: i. ANNUAL BUDGETS OF THE CORPORATION (EACH, AN "ANNUAL BUDGET"), WHICH WILL INCLUDE AN ANNUAL OPERATING BUDGET (THE "ANNUAL OPERATING BUDGET") AND AN ANNUAL CAPITAL EXPENDITURE BUDGET (THE "ANNUAL CAPITAL EXPENDITURE BUDGET"); ii. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL OPERATING BUDGET GREATER THAN TWENTY-FIVE THOUSAND DOLLARS ($25,000) IN ANY SINGLE OR SERIES OF TRANSACTIONS; iii. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL EXPENDITURE BUDGET; iv. SETTLEMENTS OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000) BUT LESS THAN FIVE HUNDRED THOUSAND DOLLARS ($500,000); v. EMPLOYMENT DECISIONS WHERE ANNUAL COMPENSATION EXCEEDS FIFTY THOUSAND DOLLARS ($50,000) OR AGGREGATE COMPENSATION EXCEEDS ONE HUNDRED THOUSAND DOLLARS ($100,000); AND, vi. DEBTS/GRANTS NOT APPROVED IN THE ANNUAL BUDGET AND IN AMOUNTS IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000); AND vii. THE SALE, LEASE OR MORTGAGE OF ANY PERSONAL PROPERTY IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000) BUT LESS THAN FIVE HUNDRED THOUSAND DOLLARS($500,000). |
| FORM 990, PART VI, LINE 11B | DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. ELECTRONIC COPIES ARE PROVIDED TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, LINE 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST CONFLICT OF INTEREST STATEMENTS ARE FILED 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 COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. 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 RESENTATION, 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, LINES 15A & 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. 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. |
| FORM 990, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASE SERVICES TOTAL FEES:7916936 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT FEES TOTAL FEES:7128814 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5350836 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 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 |
| SOUTHWEST COMMUNITY HOSPITAL INC | ||||||||||
| 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 752725353 | SUPPORT ORG | TX | 501(c)(3) | 12C-III-FI | CHC | false |
| YOAKUM COMMUNITY HOSPITAL | ||||||||||
| 1200 CARL RAMERT DR | YOAKUM | TX | 77995 | 742323822 | HOSPITAL | TX | 501(c)(3) | 3 | CHC | false |
| CONTINUECARE HOSPITAL OF TYLER | ||||||||||
| 800 E DAWSON ST | TYLER | TX | 75701 | 200991990 | HOSPITAL | DE | 501(c)(3) | 3 | CCC | false |
| ST MARK'S MEDICAL CENTER | ||||||||||
| ONE ST MARKS PLACE | LA GRANGE | TX | 78945 | 743019849 | HOSPITAL | TX | 501(c)(3) | 3 | CHC | false |
| CHC COMMUNITY CARE LLC | ||||||||||
| 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 371485773 | SUPPORT ORG | DE | 501(c)(3) | 12C-III-FI | CHC | false |
| CONTINUECARE HOSPITAL OF MIDLAND | ||||||||||
| 4214 ANDREWS HIGHWAY | MIDLAND | TX | 79703 | 463053684 | 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 HOSP AT BAPTIST HLT PADUCAH | ||||||||||
| 2501 KENTUCKY AVENUE 5TH FL | PADUCAH | KY | 42003 | 465032999 | 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 |
| CRAWLEY MEMORIAL HOSPITAL | ||||||||||
| 706 KINGS STREET | KINGS MOUNTAIN | NC | 28086 | 560691100 | HOSPITAL | NC | 501(c)(3) | 3 | CAR CC | false |
| CAROLINAS COMMUNITY CARE LLC | ||||||||||
| 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 465590355 | SUPPORT ORG | DE | 501(c)(3) | 12B-II | CHC | false |
| JELLICO COMMUNITY HOSPITAL INC | ||||||||||
| 188 HOSPITAL LANE | JELLICO | TN | 37762 | 620924706 | HOSPITAL | TN | 501(c)(3) | 3 | CHC | false |
| CONTINUECARE HOSPITAL AT ODESSA INC | ||||||||||
| 500 W 4TH STREET | ODESSA | TX | 79761 | 473539943 | HOSPITAL | DE | 501(c)(3) | 3 | CCC | false |
| YOAKUM COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 CARL RAMERT DRIVE | YOAKUM | TX | 77995 | 453609830 | SUPPORT ORG | TX | 501(C)(3) | 12A-1 | YCH | false |
| BHSETX FOUNDATION | ||||||||||
| 810 HOSPITAL DRIVE 235 | BEAUMONT | TX | 77701 | 611557670 | SUPPORT ORG | TX | 501(C)(3) | 7 | BHSET | false |
| MERCY RESTORATIVE CARE HOSPITAL INC | ||||||||||
| 10648 PARK ROAD | CHARLOTTE | NC | 28210 | 753054855 | HOSPITAL | NC | 501(c)(3) | 3 | CAR CC | false |
| RURAL AND COMMUNITY HEALTHCARE COLLABORA | ||||||||||
| 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 814337246 | SUPPORT ORG | TX | 501(c)(3) | 7 | CHC | false |
| CONTINUECARE HOSPITAL AT PALMETTO HEALTH | ||||||||||
| 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 813048423 | HOSPITAL | TX | 501(c)(3) | 3 | CCC | 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 CHARIT | TX | 501(c)(3) | 10 | Huntsville | false |
| COMMUNITY HOSPITAL CORPORATION | ||||||||||
| 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 752638469 | SUPPORT ORG | TX | 501(c)(3) | 12C-III-FI | NA | false |
| CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS | ||||||||||
| 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 201150480 | hospital | TX | 501(c)(3) | 3 | ccc | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH ASSURANCE SPC LTD | |||||||||||||||
| POB 69GT | GRAND CAYMAN | CJ | CAPTIVE INSUR | CJ | CHC | C CORP | $0 | $0 | false | ||||||
| COMMUNITY HOPSITAL CONSULTING INC | |||||||||||||||
| MGM CONSULTING | CHC | C CORP | $0 | $0 | false | 7950 Legacy Drive Suite 1000 | PLANO | TX | 75024 | 204710183 | TX | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $8,917,085 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Comments