2022-05-06T14:54:37-05:00 2021-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2020-07-01 200991990 ContinueCare Hospital of Tyler Inc % MIKE MURRAY CONT 9729436400 7950 Legacy Drive Suite 1000 Plano TX 75024 James Hill TREASURER 9729436400 2022-05-04 true James Hill 999009999 Jodi L Rosser P01255710 8173351900 2 2020 2022-09-23 18:48:47Z X SEE SCHEDULE O STEPHANIE HYDE 7950 Legacy Drive Suite 1000 Plano TX 75024 24508836 false X https://tyler.continuecare.org/ X 2004 DE AS A "HOSPITAL WITH-IN A HOSPITAL", IT IS THE MISSION OF CONTINUECARE HOSPITAL OF TYLER, INC. TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTHCARE IN A LTACH ENVIRONMENT. 5 3 148 0 0 0 184805 788667 19901492 23596493 4290 -66941 230 2579 20090817 24320798 865 0 0 0 8963839 10901485 0 0 0 10895849 10835184 19860553 21736669 230264 2584129 9833974 10195011 5482632 4057040 4351342 6137971 X AS A "HOSPITAL WITH-IN A HOSPITAL," IT IS THE MISSION OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 19461878 23596493 Tyler Continuecare Hospital IS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) OPERATING AS A "HOSPITAL WITHIN A HOSPITAL" AT Christus MOTHER FRANCES HOSPITAL IN TYLER, TEXAS. Tyler Continuecare Hospital OBTAINED A LICENSE TO OPERATE AN ACUTE CARE HOSPITAL ON MAY 14, 2004, AND BECAME CERTIFIED AS A LONG-TERM ACUTE CARE hOSPITAL ON JANUARY 1, 2005. AS AN LTACH, Tyler Continuecare Hospital PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN AN LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED JUNE 30, 2021, Tyler Continuecare Hospital'S TOTAL PATIENTS ADMITTED WERE 571 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 14,040. THE AVERAGE DAILY CENSUS WAS 38.5 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 27.8 DAYS. 19461878 true false false true false false false false false false true false false false 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 16 0 true 148 true false false false false false false false false false false false false X 5 3 false true false false true true true true false false false true true true true true true false false false X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 Plano TX 75024 X Jim Kendrick DIRECTOR 1.0 39.0 X 0 1200779 52853 JAMES HILL TREASURER 1.0 39.0 X 0 361422 41844 LINDA MOORE SECRETARY 1.0 39.0 X 0 310485 32144 STEPHANIE HYDE CEO/PRESIDENT 40.0 0.0 X 0 215455 47262 TRAVIS JACOBS PHARMACIST 40.0 0.0 X 190892 0 28459 Pharris Morgan RN Charge Nurse 40.0 0.0 X 138235 0 28710 ASHLEY WILEY MACHICEK PHARMACIST 40.0 0.0 X 149687 0 5780 Aubrey Harry CNO 40.0 0.0 X 0 128859 26178 LaDuanda Hill RN Charge Nurse 40.0 0.0 X 129068 0 17368 MICHAEL D WILLIAMS FORMER DIRECTOR (TERM 4/17) 0.0 0.0 X 0 57417 0 CRAIG CHESLEY DIRECTOR 1.0 0.0 X 0 24000 0 ROBERT OWENS DIRECTOR 1.0 0.0 X 0 0 0 Chris Glenney Director 1.0 0.0 X 0 0 0 Dan Hardiman Director 1.0 0.0 X 0 0 0 607882 2298417 280598 15 true true false NATHAN JACKSON PLLC PO BOX 6336 TYLER TX 75711 CONTRACT PT/OT 552193 SOUND PHYSICIANS PO BOX 74936 LOS ANGELES CA 90074 CONTRACT PHYSICIANS 284621 2 788667 788667 INPATIENT REVENUE 623000 23596493 23596493 23596493 21097 21097 0 0 0 0 0 100000 188038 -88038 -88038 -88038 0 0 0 0 0 0 0 0 0 MEDICAL RECORDS 900099 2579 2579 2579 24320798 23596493 -64362 X 0 0 0 0 0 0 9094977 8094530 1000447 171534 152665 18869 1010422 899276 111146 624552 555851 68701 680124 680124 5335 5335 73824 73824 5431 5431 0 0 5747572 5744531 3041 51875 51875 58545 58545 60000 60000 0 1438946 1438946 26004 26004 0 29660 29660 6601 6601 0 233300 233300 74408 74408 MEDICAL SUPPLIES 1877453 1877453 EQUIPMENT LEASE 302229 302229 REPAIRS & MAINTENANCE 43792 43792 LICENSES & PERMITS 37637 37637 82448 76237 6211 21736669 19461878 2274791 0 5509355 5455978 0 0 0 0 3265670 3518633 0 0 0 0 0 0 228204 249818 170956 290137 3150149 2469704 659789 680445 0 0 0 0 0 0 0 0 0 0 9833974 10195011 1537741 1481761 0 0 0 0 0 0 0 0 0 0 0 0 112808 67854 3832083 2507425 5482632 4057040 X 4351342 6137971 0 0 4351342 6137971 9833974 10195011 X 2584129 -797500 X false true X true false X false false false false false false false false true 5431 5431 false SCHEDULE C, PART II-B, Line 1i: LOBBYING EXPENSE TYLER CONTINUECARE HOSPITAL PAID $13,953 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH), $6,300 TO TEXAS HOSPITAL ASSOCIATION (THA), AND $12,819 TO AMERICAN HOSPITAL ASSOCIATION (AHA) IN FISCAL YEAR 2021. THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES WAS 15.44% FOR NALTH, 0.00% FOR THA, AND 25.56% FOR AHA. TOTAL DUES PAID FOR LOBBYING ACTIVITIES WERE $5,431. ($13,953 x 0.1544 = $2,154, $6,300 x 0.00 = $0, $12,819 x 0.2556 = $3,277). 161219 161219 0 2988930 2308485 680445 680445 0 INTERCOMPANY - CCC 12809 INTERCOMPANY - CHC -142873 MEDICARE ADVANCES 2637489 2507425 true true true X true X true true false true true 139857 139857 0.00640 139857 139857 0.00640 42937 42937 0.00200 170000 170000 0.00780 212937 212937 0.00980 352794 352794 0.01620 true 13398922 11568050 1830872 X true true 1 1 CONTINUECARE HOSPITAL OF TYLER INC 800 E DAWSON 4TH FLOOR TYLER TX 75701 https://tyler.continuecare.org 008065 X X CONTINUECARE HOSPITAL OF TYLER INC 1 false false true X X X X X X X X X 18 true false false true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 200. 400. 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 X true X false X false X X false false SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) ARE PRESENTED AS A PRIORITIZED DESCRIPTION. SCHEDULE H, PART V, LINE 5 TYLER CONTINUECARE HOSPITAL OPERATES A 51-BED LONG-TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE FOURTH FLOOR OF THE HOST HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IN TYLER, TEXAS. AS A "HOSPITAL WITHIN A HOSPITAL", TYLER CONTINUECARE HOSPITAL IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT. TYLER CONTINUECARE HOSPITALS SPECIALTY PROGRAMS ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF LONG-TERM, ACUTE-CARE PATIENTS. IN 2016, TYLER CONTINUECARE HOSPITAL RECEIVED A THREE-YEAR ACCREDITATION BY THE CENTER FOR IMPROVEMENT IN HEALTHCARE QUALITY, AS WELL AS DESIGNATION AS THE FIRST CIHQ "CENTER OF EXCELLENCE" LTACH IN TEXAS. AS A SEPARATE, FULLY LICENSED AND STAFFED HOSPITAL, THE HOSPITAL IS ABLE TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO PATIENTS REQUIRING LONGER LENGTHS OF STAY FOR ACUTE-CARE. TYLER CONTINUECARE HOSPITAL HAS SPECIALTY PROGRAMS DESIGNED TO MEET THE NEEDS OF LONG-TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIONS REQUIRING LONG-TERM ANTIBIOTIC THERAPY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. THE DEFINED SERVICE AREA OF TYLER CONTINUECARE HOSPITAL IS SMITH COUNTY, TEXAS. THE POPULATION OF SMITH COUNTY IS EXPECTED TO GROW FROM 2018 (228,556) TO 2023 (242,332) BY 6.0%, WHICH IS BELOW THE 7.1% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2018 (28,531,603) TO 2023 (30,558,741). AS OF 2018, THE RACIAL/ETHNIC BREAKOUT OF SMITH COUNTY WAS 59.2% WHITE NON-HISPANIC, 17.1% BLACK, 20.0% HISPANIC, 1.7% ASIAN, 0.3% AMERICAN INDIAN AND 1.6% ALL OTHERS. BY 2023, THE POPULATION IN SMITH COUNTY IS EXPECTED TO INCREASE FOR THE WHITE NON-HISPANIC POPULATION BY 2.7%, THE BLACK POPULATION BY 3.6%, THE HISPANIC POPULATION BY 15.6%, THE ASIAN POPULATION BY 23.1%, THE AMERICAN INDIAN POPULATION BY 1.7% AND ALL OTHERS BY 17.9%. AS OF 2018, SMITH COUNTY (36.4 YEARS) HAS A YOUNGER MEDIAN AGE THAN THE STATE OF TEXAS (39.2 YEARS). THE MEDIAN AGE IN SMITH COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2018-2023). SMITH COUNTY ($52,898) HAS A SLIGHTLY HIGHER MEDIAN HOUSEHOLD INCOME THAN TEXAS ($51,492) (2018). THE MEDIAN HOUSEHOLD INCOME IN SMITH COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2018-2023). IN 2017, SMITH COUNTY (4.1%) HAD A SLIGHTLY LOWER UNEMPLOYMENT RATE THAN THE STATE (4.3%). SMITH COUNTY (24.8%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE OF TEXAS (28.1%) (2018). IN 2015-2016, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN SMITH COUNTY (91.0%) WAS CONSISTENT WITH THE STATE (90.5%) AND HIGHER THAN THE NATIONAL RATE (86.1%). SMITH COUNTY (11.5%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY AS COMPARED TO THE STATE (12.8%) (2018). BETWEEN 2014 AND 2016, THE PERCENT OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN SMITH COUNTY AND THE STATE DECREASED. SMITH COUNTY (21.7%) HAS A LOWER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN TEXAS (22.4%) (2016). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH SMITH COUNTY AND THE STATE OF TEXAS (2015-2017). BETWEEN 2015 AND 2017, HEART DISEASE MORTALITY RATES IN SMITH COUNTY REMAINED STEADY WHILE RATES IN THE STATE SLIGHTLY DECREASED. IN 2017, THE HEART DISEASE MORTALITY RATE IN SMITH COUNTY (235.8 PER 100,000) WAS HIGHER THAN THE STATE (169.2 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH SMITH COUNTY AND THE STATE (2015-2017). CANCER MORTALITY RATES IN SMITH COUNTY INCREASED BETWEEN 2015 AND 2017, WHILE RATES IN THE STATE DECREASED. CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE THIRD LEADING CAUSE OF DEATH IN SMITH COUNTY, AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2015-2017). CLRD MORTALITY RATES IN SMITH COUNTY OVERALL INCREASED BETWEEN 2015 AND 2017, WHILE RATES IN THE STATE REMAINED STEADY. CEREBROVASCULAR DISEASES ARE THE FOURTH LEADING CAUSE OF DEATH IN SMITH COUNTY AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2015-2017). BETWEEN 2015 AND 2017, CEREBROVASCULAR DISEASE MORTALITY RATES IN SMITH COUNTY SLIGHTLY INCREASED WHILE RATES IN THE STATE SLIGHTLY DECREASED. FATAL ACCIDENTS ARE THE FIFTH LEADING CAUSE OF DEATH IN SMITH COUNTY, AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2015-2017). ACCIDENT MORTALITY RATES IN SMITH COUNTY DECREASED BETWEEN 2015 AND 2017, WHILE RATES IN THE STATE SLIGHTLY INCREASED. IN 2017, THE LEADING CAUSE OF FATAL ACCIDENTS IN SMITH COUNTY WAS DUE TO MOTOR VEHICLE ACCIDENTS. DISEASES SUCH AS DIABETES MELLITUS, ALZHEIMERS, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN SMITH COUNTY. INTENTIONAL SELF-HARM (SUICIDE) IS THE NINTH LEADING CAUSE OF DEATH IN SMITH COUNTY BUT IS NOT ONE OF THE LEADING CAUSES OF DEATH IN THE STATE (2015-2017). AS OF 2016, SMITH COUNTY (22.7%) HAS A CONSISTENT RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (22.6%). SMITH COUNTY AND THE STATE EXPERIENCED CONSISTENT DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2014 AND 2016 (3.0% AND 3.2%, RESPECTIVELY). IN 2012-2016, THE PERCENTAGE OF THE POPULATION WITH INSURANCE ENROLLED IN MEDICAID (OR OTHER MEANS-TESTED PUBLIC HEALTH INSURANCE) IN SMITH COUNTY (20.6%) WAS SLIGHTLY LOWER THAN THE STATE (21.5%) AND NATIONAL RATES (21.6%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR TYLER CONTINUECARE HOSPITAL BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN SMITH COUNTY TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM NOVEMBER 5, 2018 NOVEMBER 20, 2018. THIS CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE TYLER CONTINUE CARE HOSPITAL BOARD REVIEWED AND ADOPTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 29, 2019. INTERVIEW METHODOLOGY: TYLER CONTINUECARE HOSPITAL WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. TYLER CONTINUECARE HOSPITAL PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITALS STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, COMMUNITY COMMONS, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE TEXAS CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT TYLER CONTINUECARE HOSPITAL, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHIC INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING THE IBM WATSON HEALTH MARKET EXPERT TOOL AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. TYLER CONTINUECARE HOSPITAL PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN SMITH COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, FIFTEEN IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE WITH THE TWO GROUPS OUTLINED IN INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT IT WAS NOTED IN THE CHNA THAT 66.7% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 6.7% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AND 26.7% OF THOSE PROVIDING INPUT ARE COMMUNITY LEADERS. INTERVIEWEES INCLUDED: LEROY BIGGERS: BOARD MEMBER, FAMILY CIRCLE OF CARE CLINICS CRAIG CHESLEY: BOARD MEMBER, TYLER CONTINUECARE HOSPITAL; BOARD MEMBER, COMMUNITY HOSPITAL CORPORATION NANCY CRAWFORD: EXECUTIVE DIRECTOR, LITERACY COUNCIL OF TYLER JEAN DIB, PHARMD: AMBULATORY CARE CLINICAL PHARMACY MANAGER, CHRISTUS TRINITY CLINIC; PHARMACIST IN CHARGE, SOUTH TYLER HOSPITAL JOHN ENG SCHEDULE H, PART V, LINE 7A THE CHNA OF TYLER CONTINUECARE HOSPITAL CAN BE FOUND ON THE FOLLOWING WEBSITE: https://tyler.continuecare.org/chna/ SCHEDULE H, PART V, LINE 10A THE IMPLEMENTATION STRATEGY OF TYLER CONTINUECARE HOSPITAL CAN BE FOUND ON THE FOLLOWING WEBSITE: https://tyler.continuecare.org/chna/ SCHEDULE H, PART V, SECTION B, LINE 11 THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY TYLER CONTINUECARE HOSPITAL, WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE TYLER CONTINUECARE HOSPITAL CHNA TEAM PRIORITIZED THOSE NEEDS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITALS CAPACITY TO ADDRESS THE NEED. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 5. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 6. ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FOUR OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES OBJECTIVE: PARTICIPATE IN INITIATIVES THAT IMPROVE EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES IN THE COMMUNITY. 1.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO PARTICIPATE IN THE ELECTRONIC HEALTH RECORD (EHR), WHICH IS POWERED BY EPIC. THE EHR BRINGS AN INTEGRATED AND UNIFIED PATIENT CENTERED DATABASE, AND ALSO INCLUDES THE EHR APPLICATION, "MY CHART", WHICH ALLOWS THE PATIENT TO VIEW PERTINENT HEALTH STATISTICS REGARDING THEIR CLINICAL INFORMATION ON HIS OR HER PHONE. 1.B. PHYSICIAN ONE CALL (P1C), A CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM MEDICAL CALL CENTER, IS AVAILABLE TO COMMUNITY MEMBERS FOR FREE 24 HOURS A DAY. REGISTERED NURSES PROVIDE CALLERS WITH ANSWERS TO HEALTH QUESTIONS OVER THE TELEPHONE, CAN SEND HEALTH INFORMATION VIA THE MAIL, PROVIDE PHYSICIAN REFERRALS, GIVE INFORMATION ON COMMUNITY AND HOSPITAL RESOURCES AND DO SYMPTOM BASED TRIAGE. 1.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO HOST INTERDISCIPLINARY TEAM MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENT-CENTERED APPROACH. TYLER CONTINUECARE HOSPITAL STAFF ENCOURAGE FAMILY MEMBERS TO ATTEND AS WELL IN ORDER TO FULLY UNDERSTAND THE NEEDS OF THE PATIENT. 1.D. TYLER CONTINUECARE HOSPITAL WILL MAINTAIN AFFILIATION AGREEMENTS WITH LOCAL ACADEMIC INSTITUTIONS WHICH ALLOW FOR CLINICAL ROTATIONS IN THE HOSPITAL WITHIN THE NURSING, RESPIRATORY, DPT AND PTA AREAS. 1.E. UPON DISCHARGE, TYLER CONTINUECARE HOSPITAL WILL CONDUCT FOLLOW UP PHONE CALLS WITH PATIENTS AND SCHEDULE FOLLOW UP APPOINTMENTS WITH PRIMARY AND/OR SPECIALTY CARE PROVIDERS AS NECESSARY. TYLER CONTINUECARE HOSPITAL WILL ALSO SHARE PATIENT DISCHARGE SUMMARIES WITH PHYSICIANS AS NECESSARY. 1.F. TYLER CONTINUECARE HOSPITAL PARTICIPATES IN THE PREFERRED PROVIDER LIST WITH THE HOST FACILITY, WHICH ALLOWS FOR THEM TO SHARE A COMPREHENSIVE LIST OF AVAILABLE HEALTH CARE RESOURCES IN THE COMMUNITY THAT HAVE BEEN VETTED AS THE HIGHEST QUALITY RESOURCES. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PROVIDE ACCESS TO HEALTHCARE AND SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE ELDERLY AND THE INDIGENT. 2.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. 2.B. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, TYLER CONTINUECARE HOSPITAL ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO IMPLEMENT A VARIETY OF AWARENESS, EDUCATION AND SCREENING PROGRAMS FOCUSED ON AGING AND ON RISK FACTORS, PREVENTION AND TREATMENT OF HEART DISEASE AND RESPIRATORY DISEASE, INCLUDING PARTICIPATING IN ELDER CONFERENCES HELD IN TYLER AND LONGVIEW AND IN LOCAL HEALTH FAIRS AND OFFER BLOOD PRESSURE HEALTH SCREENINGS. 2.D. TYLER CONTINUECARE HOSPITAL WILL HELP PROVIDE COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING THE LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND A ONCE A YEAR SCHOOL SUPPLY DRIVE. 2.E. TYLER CONTINUECARE HOSPITAL WILL COLLABORATE WITH VARIOUS ORGANIZATIONS, SUCH AS ST. PAUL'S CHILDREN'S FOUNDATION AND THE EAST TEXAS CRISIS CENTER, THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 2.F. TYLER CONTINUECARE HOSPITAL PROVIDES ACCESS TO A LANGUAGE LINE FOR TRANSLATION SERVICES, AND FLAT SCREEN TELEVISIONS ARE INSTALLED THROUGHOUT THE FACILITY TO AID HEARING IMPAIRED PATIENTS. 2.G. TYLER CONTINUECARE HOSPITAL WILL SHARE THE RECENTLY DEVELOPED RESOURCE LIST OF AVAILABLE TRANSPORTATION RESOURCES IN THE COMMUNITY FOR APPLICABLE SITUATIONS. 2.H. TYLER CONTINUECARE HOSPITAL SUPPORTS THE LOCAL ORGANIZATION HANGERS FOR HOPE IN THEIR RESALE EFFORTS TO FUND AN INDIGENT MEDICAL CLINIC, BETHESDA HEALTH CLINIC. 2.I. IN CONJUNCTION WITH THE HOST, TYLER CONTINUECARE HOSPITAL PARTICIPATES IN THE LOCAL PROVIDER PARTICIPATION FUNDS PROGRAM THAT FUNDS SMITH COUNTY'S DELIVERY OF INDIGENT CARE. PRIORITY #3: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PARTICIPATE IN INITIATIVES TO IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS. 3.A. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 3.B. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO SHARE AVAILABLE LOCAL COUNSELING RESOURCES WITH MENTAL AND BEHAVIORAL HEALTH RELATED PATIENTS AS NEEDED. THROUGH ITS ESTABLISHED RELATIONSHIP WITH ALETHIA, TYLER CONTINUECARE HOSPITAL IS ABLE TO PROVIDE INPATIENT COUNSELING FOR APPLICABLE PATIENTS. 3.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO ADDRESS MENTAL HEALTH CONDITIONS AMONG ITS PATIENTS THROUGH MEDICATION MANAGEMENT. PRIMARY CARE PHYSICIANS ARE ABLE TO PROMOTE MEDICATION MANAGEMENT AND REFER PATIENTS TO THE APPROPRIATE MENTAL HEALTH SETTINGS UPON DISCHARGE. 3.D. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO OFFER CHAPLAIN SERVICES TO SUPPORT PATIENTS AND THEIR FAMILIES. PRIORITY #4: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: PROVIDE A VARIETY OF EDUCATION AND AWARENESS OPPORTUNITIES THAT AIM TO PROMOTE COMMUNITY WELLNESS, PROVIDE SUPPORT TO COMMUNITY MEMBERS, AND ASSIST PATIENTS AND EMPLOYEES IN CHANGING UNHEALTHY LIFESTYLES. 4.A. THE EMPLOYEES OF TYLER CONTINUECARE HOSPITAL ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS BY SUPPORTING LOCAL NURSING SCHOOLS, RESPIRATORY, DPT AND PT ASSISTANT SCHOOLS BY PRESENTING TO STUDENTS ENROLLED IN THESE PROGRAMS AND DONATING EQUIPMENT TO THE FACILITIES. 4.B. TYLER CONTINUECARE HOSPITAL WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING: PROMOTING EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH; OFFERING NEED SPECIFIC SPECIAL PROGRAMS; ENCOURAGING PARTICIPATION IN QUARTERLY WELLNESS CHALLENGES; SMOKING CESSATION; COLLABORATING WITH HOSPITAL CAFETERIA PROVIDERS TO HIGHLIGHT HEALTHY FOOD OPTIONS; PROVIDING MENTAL HEALTH EDUCATION VIA THE EMPLOYEE ASSISTANCE PROGRAM THROUGH BEACON HEALTH OPTIONS; AND CONTINUING TO IMPLEMENT THE TOBACCO-FREE NEW HIRE POLICY. 4.C. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO STAFF COMMUNITY LIAISONS, WHICH ENABLE THE HOSPITAL TO ENGAGE IN ADDITIONAL COMMUNITY HEALTH EDUCATION EVENTS AND HEALTH FAIRS. 4.D. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO MAINTAIN A SMOKE FREE CAMPUS AND PROVIDES EDUCATIONAL LITERATURE ON SMOKING CESSATION. 4.E. TYLER CONTINUECARE HOSPITAL WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, AND MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. 4.F. TYLER CONTINUECARE HOSPITAL WILL PARTICIPATE IN BLOOD DRIVES TARGETED AT THE EMPLOYEES OF THE HOSPITAL AND CLINIC MULTIPLE TIMES A YEAR. 4.G. TYLER CONTINUECARE HOSPITAL WILL PARTICIPATE IN EVENTS TO SUPPORT LOCAL NONPROFIT ORGANIZATIONS AS THEY ARISE. PRIORITIES NOT ADDRESSED: TYLER CON SCHEDULE H, PART V, LINES 16A-16C THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY FOR TYLER CONTINUECARE HOSPITAL CAN BE FOUND ON THE FOLLOWING WEBSITE: https://tyler.continuecare.org/for-families/financial-assistance/ SCHEDULE H, PART V, LINE 20E TYLER CONTINUECARE HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. PAYMENT FOR CHARITY CARE IN THE STATE OF TEXAS, IT IS PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. TYLER CONTINUECARE HOSPITAL DID NOT PAY ANOTHER PROVIDER FOR THE PROVISION OF CHARITY CARE IN FISCAL YEAR 2021. SCHEDULE H, PART I, LINE 7, COLUMN F SINCE Tyler ContinueCare Hospital IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. SCHEDULE H, PART II THE ORGANIZATION PROVIDES VARIOUS CHARITABLE SERVICES TO THE LOCAL COMMUNITY. THESE CHARITABLE SERVICES INCLUDE PROVIDING COMMUNITY MEMBERS WITH BASIC NEEDS BY ASSISTING THE LOCAL FOOD PANTRY WITH REGULARLY SCHEDULED FOOD DRIVES AND A ONCE A YEAR SCHOOL SUPPLY DRIVE. THE HOSPITAL ALSO COLLABORATED WITH VARIOUS ORGANIZATIONS THAT PROVIDED SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE INDIGENT. THIS INCLUDES ST. PAUL'S CHILDREN'S FOUNDATION, WHICH OFFERS ADULT AND CHILDREN'S MEDICAL AND DENTAL CLINICS, AND EAST TEXAS CRISIS CENTER, WHICH SERVES BATTERED WOMEN IN THE COMMUNITY. DUE TO THE PANDEMIC AND RELATED COVID RESTRICTIONS, MANY OF THE COMMUNITY HEALTH ACTIVITIES PREVIOUSLY PERFORMED WERE LARGELY CURTAILED DURING FISCAL YEAR ENDED JUNE 30, 2021. SCHEDULE H, PART III, LINE 4 PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET RECEIVABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THRID-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE RATIO 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 IF A PATIENT OF Tyler Continuecare Hospital QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENTS ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. SCHEDULE H, PART VI, QUESTION 2 NEEDS ASSESSMENT THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE ASSESSED BY A REVIEW OF THE PRIMARY AND TERTIARY SERVICE AREAS FOR DISEASE SPECIFIC MORTALITY RATES. DISEASE STATISTICS ARE GATHERED FROM THE HEALTH PROMOTION UNIT OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES. INTERVIEWS WITH LOCAL HEALTH CARE AND ELDERLY SERVICE PROVIDERS ARE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE COMMUNITY. SCHEDULE H, PART VI, QUESTION 3 PATIENT EDUCATION PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO TYLER CONTINUECARE HOSPITAL. A FACE-TO-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS' FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION. SCHEDULE H, PART VI, QUESTION 4 COMMUNITY INFORMATION TYLER CONTINUECARE HOSPITAL SERVES SMITH COUNTY. THE POPULATION IN SMITH COUNTY IS 228,556 (2018) AND IS EXPECTED TO INCREASE BY 6.0% BY THE YEAR 2023. THE MAJORITY OF RESIDENTS IN SMITH COUNTY IDENTIFY AS WHITE-NON HISPANIC. THE NEXT LARGEST RACES/ETHNICITIES IN SMITH COUNTY ARE THE BLACK AND HISPANIC POPULATIONS AT 17.1% AND 20.0% RESPECTIVELY (2018). SMITH COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS BETWEEN THE AGES OF 18-44 YEARS OLD (35.4%) (2018) AND THE PERCENTAGE IS EXPECTED TO INCREASE 5.3% BY 2023. IN 2017, SMITH COUNTY (4.1%) HAD A SLIGHTLY LOWER UNEMPLOYMENT RATE THAN THE STATE (4.3%). THE MEDIAN HOUSEHOLD INCOME IN 2018 IN SMITH COUNTY IS $52,898 WHICH IS SLIGHTLY HIGHER THAN THE STATE OF TEXAS AT $51,492 (2018). IN 2015-2016, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN SMITH COUNTY (91.0%) WAS CONSISTENT WITH THE STATE (90.5%) AND HIGHER THAN THE NATIONAL RATE (86.1%). HOWEVER, SMITH COUNTY (24.8%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (28.1%) (2018). HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN SMITH COUNTY AND THE STATE. SMITH COUNTY HAS HIGHER MORTALITY RATES THAN TEXAS FOR HEART DISEASE; CHRONIC LOWER RESPIRATORY DISEASES; ACCIDENTS (UNINTENTIONAL INJURIES); DIABETES MELLITUS; NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INTENTIONAL SELF-HARM (SUICIDE); AND IN CERTAIN TYPES OF NEOPLASMS. SMITH COUNTY ALSO HAS HIGHER RATES OF COMMUNICABLE DISEASES SUCH AS CHLAMYDIA AND GONORRHEA THAN THE STATE, AS WELL AS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS ADULT DIABETES, OBESITY, ASTHMA, PHYSICAL INACTIVITY AND SMOKING THAN THE STATE. ADDITIONALLY, THE COUNTY HAS SEVERAL HEALTH PROFESSIONAL SHORTAGE AREA DESIGNATIONS AND CENSUS TRACT-BASED MEDICALLY UNDERSERVED AREA/POPULATION DESIGNATIONS, AS DEFINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). SCHEDULE H, PART VI, QUESTION 5 PROMOTION OF COMMUNITY HEALTH THE HEALTH OF THE COMMUNITY IS PROMOTED BY PARTNERING WITH LOCAL HEALTH CARE PROVIDERS TO GIVE ASSISTANCE IN WHATEVER IS NECESSARY TO MEET THE NEEDS OF THEIR CONSTITUENTS. AN EXAMPLE OF THIS WOULD BE THAT THE HOSPITAL PARTICIPATES IN REGULAR FOOD DRIVES FOR A LOCAL FOOD PANTRY AND ASSISTS WITH GATHERING SUPPLIES FOR THEIR ANNUAL 'BACK TO SCHOOL' DRIVE WHERE SCHOOL SUPPLIES ARE COLLECTED FOR FILLING BACKPACKS PRIOR TO GOING BACK TO SCHOOL. THE STAFF ALSO PARTICIPATES IN HEALTH FAIRS THAT WOULD PRESENT INFORMATION ON A HEALTHY LIFESTYLE TO THE ELDERLY OR UNDERSERVED POPULATION. THE HOSPITAL ALSO PROMOTES AN OPEN MEDICAL STAFF IN ORDER TO BETTER SERVE THE PATIENTS SEEKING CARE. Tyler Continuecare Hospital ALSO HAS A COMMUNITY BOARD STRUCTURE SO THAT THE HOSPITAL CAN BE GOVERNED BY THE COMMUNITY IN WHICH IT SERVES. DUE TO THE PANDEMIC AND RELATED COVID RESTRICTIONS, MANY OF THE COMMUNITY HEALTH ACTIVITIES PREVIOUSLY PERFORMED WERE LARGELY CURTAILED DURING FISCAL YEAR ENDED JUNE 30, 2021. SCHEDULE H, PART VI, QUESTION 6 AFFILIATED HEALTH CARE SYSTEM Tyler Continuecare Hospital IS AN AFFILIATE OF CHRISTUS MOTHER FRANCES HEALTH SYSTEM IN TYLER, TEXAS. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR REACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY. SCHEDULE H, PART VI, QUESTION 7 STATE FILING OF COMMUNITY BENEFIT REPORT TX false true false false false false false true false MICHAEL D WILLIAMS FORMER DIRECTOR (TERM 4/17) 0 57417 0 0 0 0 0 0 0 0 0 57417 0 0 STEPHANIE HYDE CEO/PRESIDENT 0 160651 0 47608 0 7196 0 0 0 47262 0 262717 0 0 TRAVIS JACOBS PHARMACIST 161851 0 6201 0 22840 0 0 0 28459 0 219351 0 0 0 ASHLEY WILEY MACHICEK PHARMACIST 137842 0 2714 0 9131 0 0 0 5780 0 155467 0 0 0 JAMES HILL TREASURER 0 282617 0 32063 0 46742 0 0 0 41844 0 403266 0 0 Jim Kendrick DIRECTOR 0 843197 0 276900 0 80682 0 0 0 52853 0 1253632 0 18428 Pharris Morgan RN Charge Nurse 130292 0 2171 0 5772 0 0 0 28710 0 166945 0 0 0 Aubrey Harry CNO 0 85742 0 17973 0 25144 0 0 0 26178 0 155037 0 0 LINDA MOORE SECRETARY 0 174274 0 27041 0 109170 0 0 0 32144 0 342629 0 0 SCHEDULE J, PART I, LINE 3 Tyler Continuecare Hospital DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE (CCC) COMPENSATES THE Tyler Continuecare Hospital PRESIDENT. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/21 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. SCHEDULE J, PART I, LINE 4B NON QUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: Jim Kendrick - $46,285 JAMES HILL - $14,300 LINDA MOORE - $12,060 SCHEDULE J, PART I, LINE 7 A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION WAS BASED ON THE EBIDA OF THE ORGANIZATION. FORM 990, BOX C DOING BUSINESS AS TYLER CONTINUECARE HOSPITAL TYLER CONTINUECARE HOSPITAL AT MOTHER FRANCES FORM 990, PART VI, LINE 3 DESCRIPTION OF MANAGEMENT ARRANGEMENT CHC COMMUNITY CARE, LLC (CCC) 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 SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC. (TYLER CONTINUECARE HOSPITAL) IS CCC. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE SOLE MEMBER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER. FORM 990, PART VI, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000. FORM 990, PART VI, LINE 8B DOCUMENTATION OF MEETINGS OF COMMITTEES THERE WERE NO COMMITTEES OF THE GOVERNING BODY. FORM 990, PART VI, LINE 11B DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CCC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION (CHC), WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED JUNE 30, 2011. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. FORM 990, PART VI, LINES 15A & 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATIONS EXECUTIVES ARE EMPLOYED BY CCC WHICH FOLLOWS THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED JUNE 30, 2021 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DISTRIBUTIONS TO MEMBERS ($797,500) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - MEDICAL TOTAL FEES:5264267 FORM 990 PART IX LINE 11G DESCRIPTION:FEES - PHYSICIAN TOTAL FEES:451597 FORM 990 PART IX LINE 11G DESCRIPTION:FEES - OTHER SERVICES TOTAL FEES:31708 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 Ste 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 SOUTHEAST TEXAS 7950 Legacy Drive Ste 1000 PLANO TX 75024 201150480 HOSPITAL TX 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 Ste 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 Ste 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 Ste 1000 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC false CONTINUECARE HOSPITAL AT PALMETTO HEALTH 7950 Legacy Drive Ste 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 HUNTSVILLE COMMUNITY HOSPITAL INC 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 843654542 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 Ste 1000 PLANO TX 75024 752638469 SUPPORT ORG TX 501(c)(3) 12C-III-FI NA false COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corp 0 0 false COMMUNITY HOSPITAL CONSULTING INC 7950 Legacy Drive Ste 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C CORP 0 0 false false false false false false false false false false false false false false false true true false true false COMMUNITY HOSPITAL CORPORATION P 1467776 Cost CHC COMMUNITY CARE LLC P 864998 Cost CHC COMMUNITY CARE LLC O 361571 Cost CHC COMMUNITY CARE LLC R 159500 Cost