2022-05-06T10:02:10-05:00 2021-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2020-07-01 843654542 Huntsville Community Hospital Inc % JIM JENKINS HUNT 9362913411 110 Memorial Hospital Dr Huntsville TX 77340 James Hill TREASURER 9729436431 2022-05-03 true James Hill 999009999 MELVA SCOTT P01207335 8173351900 2 2020 2022-09-23 18:48:47Z PATRICK SHANNON 110 Memorial Hospital Dr Huntsville TX 77340 79504131 false X www.huntsvillememorial.com X 2019 TX WE ARE DEVOTED TO THE HEALTH AND WELL- BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE. 3 1 722 71 0 0 4251023 2762336 26200950 76388502 18874 75539 68495 277754 30539342 79504131 0 0 0 0 13045952 35700748 0 0 0 12471252 42295818 25517204 77996566 5022138 1507565 39531415 39825804 21554986 20528729 17976429 19297075 X 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. false false 57036395 0 76388502 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. 57036395 true false false false false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 101 3 true 722 false false false false false false false false false false false false X 3 1 false true false false true true true true true false false true true true true true true false true false X JIM JENKINS 9362914514 110 MEMORIAL HOSPITAL DR Huntsville TX 77340 Jim Kendrick Director/President 1.0 39.0 X X 0 1200779 52853 Craig Sims Former Director 1.0 39.0 X 0 439027 35766 Joe Thomason Director 1.0 39.0 X 0 408439 51760 James Hill Former Director/Treasurer 1.0 39.0 X 0 361422 41844 Patrick Shannon CEO (start 6/2021) 40.0 0.0 X 0 352160 24368 Linda Moore Secretary 1.0 39.0 X 0 310484 32144 Steve Smith CEO (until 6/2021) 40.0 0.0 X 0 287818 27226 GREGG W MAGERS CFO (until 11/2020) 40.0 0.0 X 0 211500 0 LINDA LAWSON CNO 40.0 0.0 X 0 135778 10794 Amanda Wheeler Director of Emergency Services 40.0 0.0 X 137431 0 0 Jana Endicott Director of Case Management 40.0 0.0 X 102595 0 0 Elizabeth Rodgers RN 40.0 0.0 X 101970 0 0 Charles Strahan Dir Heart & Vascular Lab 40.0 0.0 X 101143 0 0 JAMES JENKINS CFO (start 11/2020) 40.0 0.0 X 0 52148 2510 Anne Woodard Director 1.0 0.0 X X 0 0 0 443139 3759555 279265 4 true true false Premier Anesthesia of Huntsville Te 2655 Northwinds Parkway ALPHARETTA GA 30009 Anesthesia Services 1402674 Texas Select Staffing LLC PO BOX 577 WEST BEND WI 530950577 NURSING STAFF 948698 Ultimate Biomedical Solutions LLC 6315-B FM 1488 138 MAGNOLIA TX 77354 Bio-Med Services 725353 Medical Solutions 1010 North 102nd Street Ste 300 OMAHA NE 68114 Nursing Staff 628747 Huntsvillle Acute Dialysis 10 Orion Star Ct SPRING TX 77382 Dialysis Services 497665 12 2746733 15603 2762336 ROUTINE & ANCILLARY PATIENT SRVC 621990 76388502 76388502 76388502 75539 75539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER INCOME 900099 273141 273141 FITNESS MEMBERS 900099 4075 4075 MEDICAL RECORDS REVENUE 900099 538 538 277754 79504131 76666256 75539 X 0 0 0 0 0 0 28473923 23848115 4625808 432105 361906 70199 4654127 3898028 756099 2140593 1792837 347756 700000 700000 -37732 -37732 43805 43805 0 0 0 20396586 13630969 6765617 0 0 0 0 1133341 48126 1085215 0 0 54783 27097 27686 76511 76511 0 187397 187397 501903 25232 476671 MEDICAL SUPPLIES 12296905 11067550 1229355 0 SOFTWARE FEES 1917727 608461 1309266 0 LEASES 4462169 1443322 3018847 0 DUES 259661 151359 108302 0 302762 133393 169369 77996566 57036395 20960171 0 19965317 13594844 0 0 0 0 7643355 9717069 0 0 0 0 0 0 1696376 2332434 1470899 1540728 3113796 191851 462075 2921945 0 0 0 0 0 0 2454921 2454921 5838472 7263863 39531415 39825804 10781662 10393658 0 0 0 0 0 0 0 0 0 0 178591 165470 0 0 10594733 9969601 21554986 20528729 X 17976429 19297075 0 0 17976429 19297075 39531415 39825804 1507565 -186919 X false true X true false X 3113796 191851 2921945 2921945 ESTIMATED THIRD PARTY SETL 7263863 7263863 0 DUE TO CHC 669738 ASBESTOS ABATEMENT 121679 HCH MAAP LIABILITY 6496880 HCH WCHC LIABILITY -268696 DEFER REV-COVID 2950000 9969601 true true true X true X true true true false true true 4912002 2104967 2807035 0.00040 4925815 3794113 1131702 0.00010 1058773 1058773 0.00010 10896590 5899080 4997510 0.00060 86154 86154 0.00000 595090 595090 0.00010 681244 681244 0.00010 11577834 5899080 5678754 0.00070 true 27267240 16521699 10745541 X true true 1 1 Huntsville Memorial Hospital 110 Memorial Hospital Dr Huntsville TX 77340 https://www.huntsvillememorial.com/ 100511 X X X Huntsville Memorial Hospital true true false false true X 200. 400. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X true X false false 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. 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. false true false false false false false false false Jim Kendrick Director/President 0 843197 0 276900 0 80682 0 0 0 52853 0 1253632 0 18428 Craig Sims Former Director 0 348497 0 38517 0 52013 0 0 0 35766 0 474793 0 0 Joe Thomason Director 0 331014 0 36294 0 41131 0 0 0 51760 0 460199 0 5091 James Hill Former Director/Treasurer 0 282617 0 32063 0 46742 0 0 0 41844 0 403266 0 0 Patrick Shannon CEO (start 6/2021) 0 271411 0 58104 0 22645 0 0 0 24368 0 376528 0 0 Linda Moore Secretary 0 174273 0 27041 0 109170 0 0 0 32144 0 342628 0 0 Steve Smith CEO (until 6/2021) 0 270141 0 0 0 17677 0 0 0 27226 0 315044 0 0 GREGG W MAGERS CFO (until 11/2020) 0 196695 0 0 0 14805 0 0 0 0 0 211500 0 0 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 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 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 COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSUR CJ CHC C CORP 0 0 false COMMUNITY HOPSITAL CONSULTING INC 7950 Legacy Drive Suite 1000 PLANO TX 75024 204710183 MGM CONSULTING TX CHC C CORP 0 0 false false false false false false false false false false false false false false false false true false false false COMMUNITY HOSPITAL CORPORATION P 8917085 COST