ST MARKS MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ST MARKS MEDICAL CENTER (EIN 74-3019849)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-14
IRS object ID: 202101349349300030
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-14T09:33:43-05:00	ReturnTs
Tax Period End	2020-06-30	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 STREET STE 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	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	743019849	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Mark's Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% Jared Brown	InCareOfNm
Business Name Control	STMA	BusinessNameControlTxt
Phone	9792422112	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One St Marks Place	AddressLine1Txt
City	La Grange	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78945	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mark Kimball	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9792422111	PhoneNum
Signature	2021-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JODI L ROSSER	PreparerPersonNm
PTIN	P01255710	PTIN
Phone	8173351900	PhoneNum
Preparation	2021-05-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARK KIMBALL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One St Marks Place	AddressLine1Txt
City	La Grange	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78945	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$27,195,966	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.smmctx.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE EXCELLENT CARE WITH A SPIRIT OF HOMETOWN TRUST.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	229	TotalEmployeeCnt
Total Volunteers	67	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$34,678	PYContributionsGrantsAmt
CY Contributions Grants	$2,159,318	CYContributionsGrantsAmt
PY Program Service Revenue	$28,796,777	PYProgramServiceRevenueAmt
CY Program Service Revenue	$24,690,944	CYProgramServiceRevenueAmt
PY Investment Income	$7,780	PYInvestmentIncomeAmt
CY Investment Income	$15,955	CYInvestmentIncomeAmt
PY Other Revenue	$476,333	PYOtherRevenueAmt
CY Other Revenue	$329,749	CYOtherRevenueAmt
PY Total Revenue	$29,315,568	PYTotalRevenueAmt
CY Total Revenue	$27,195,966	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	$11,927,870	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,531,664	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$18,416,205	PYOtherExpensesAmt
CY Other Expenses	$14,490,137	CYOtherExpensesAmt
PY Total Expenses	$30,344,075	PYTotalExpensesAmt
CY Total Expenses	$27,021,801	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,028,507	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$174,165	CYRevenuesLessExpensesAmt
Total Assets BOY	$26,207,800	TotalAssetsBOYAmt
Total Assets EOY	$33,151,500	TotalAssetsEOYAmt
Total Liabilities BOY	$23,214,583	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,984,118	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,993,217	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,167,382	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE PROVIDE EXCELLENT CARE WITH A SPIRIT OF HOMETOWN TRUST.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$19,896,372	ExpenseAmt
Revenue	$24,690,944	RevenueAmt
Desc	ST. MARK'S MEDICAL CENTER (SMMC) IS A COMMUNITY HEALTH PROVIDER THAT SERVES THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S RACE, CREED, NATIONALITY, OR ABILITY TO PAY FOR SERVICES INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE IN SUPPORT OF THE HOSPITAL'S HEALTHCARE MISSION. DURING THE YEAR ENDED JUNE 30, 2020, WE HAD 922 ADMISSIONS, 3,475 PATIENT DAYS, 7,884 ER VISITS, 281 INPATIENT SURGERIES AND 854 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 9.52 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 3.77 DAYS. SMMC UTILIZES THE MOST ADVANCED TECHNOLOGIES RIVALING THOSE OF MAJOR CITIES IN A COMFORTABLE ENVIRONMENT CLOSE TO HOME. WE OFFER INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES WITH COMPASSIONATE CARE, FOCUSING ON RESPECT AND CARE FOR THE WHOLE PERSON. AT SMMC, WE ARE DETERMINED TO BUILD AN UNRIVALED REPUTATION FOR OUR OUTSTANDING SERVICE AND DELIVERY OF CARE. WE OFFER ADVANCED SERVICES AND PROGRAMS INCLUDING A SERENE BIRTHING CENTER, SPECIALTY CLINICS, COMPREHENSIVE PUBLIC HEALTH SERVICES AND SPECIALIZED NUTRITION PROGRAMS FOR WOMEN, INFANTS AND CHILDREN. WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH "ADVANCED HOMETOWN HEALTHCARE."	Desc
Total Program Service Expenses	$19,896,372	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	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	59	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	229	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	false	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	Jared Brown	PersonNm
Phone	9792422114	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One St Marks Place	AddressLine1Txt
City	La Grange	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78945	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID BUTLER
ASST. SECRETARY (UNTIL 10/19)	1.0	39.0	Yes (X)	$0	$675,048	$31,121
RUSSEL CLARK MD
DIRECTOR	40.0	0.0		$646,716	$0	$0	Yes (X)
RICHARD EDEEN
PHYSICIAN	40.0	0.0		$538,695	$0	$0		Yes (X)
CRAIG SIMS
DIRECTOR (START 4/20)	1.0	39.0		$0	$446,829	$40,856	Yes (X)
LINDA MOORE
ASST. SECRETARY (START 10/19)	1.0	39.0	Yes (X)	$0	$234,851	$35,126
BARRY HARDING
INTERIM CEO	40.0	0.0	Yes (X)	$0	$234,900	$0
WILSON WEBER
DIRECTOR (UNTIL 4/20)	1.0	4.0		$0	$148,726	$12,141	Yes (X)
BROOKE JENNINGS
NURSE PRACTITIONER	40.0	0.0		$156,553	$0	$0		Yes (X)
TAMMY HARTFIELD
CNO	40.0	0.0		$0	$130,774	$21,742		Yes (X)
STEVEN BISHOP
INTERIM CFO	40.0	0.0		$0	$142,546	$0		Yes (X)
ARUSH ANGIRASA
PHYSICIAN	40.0	0.0		$133,269	$0	$0		Yes (X)
DUDLEY PILAND
PRESIDENT/CHAIRMAN	1.0	0.0	Yes (X)	$0	$23,000	$0	Yes (X)
RUSS JUNO MD
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
TIM KNSEK
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
RAY WALTHER
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
MICHAEL CORKER
DIRECTOR/VICE CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ALAN CASEY
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
WES BLACKWELL MD
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
RODNEY MERSIOVSKY
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
LORI BERGER
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
MARK CLAYTON
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,475,233	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,036,674	TotReportableCompRltdOrgAmt
Total Other Compensation	$140,986	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
VICTORIA EMERGENCY PARTNERS LLC
1900 BARTON SPRINGS RD 5030	AUSTIN	TX	78704	HEALTH SERVICES	$950,596
YOUNG PROFESSIONAL SERVICES LLC
200 Greenleaves BLVD STE 5	MADEVILLE	LA	70448	HEALTH SERVICES	$425,383
MCBROOM CLINIC PA
1253 N VON MINDEN	LA GRANGE	TX	78945	HEALTH SERVICES	$240,000
PREMIER SLEEP LLC
111 NORTH PARK DR	VICTORIA	TX	77901	HEALTH SERVICES	$196,900
HUNTER PHARMACY
PO Box 30573	AUSTIN	TX	78755	HEALTH SERVICES	$186,297

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Government Grants	$2,142,217	GovernmentGrantsAmt
All Other Contributions	$17,101	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,159,318	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Patient Service Revenue	Desc
Business	621110	BusinessCd
Total Revenue Column	$24,690,944	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,690,944	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$24,690,944	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,955	TotalRevenueColumnAmt
Exclusion	$15,955	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$262,133	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$262,133	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$262,133	TotalRevenueColumnAmt
Exclusion	$262,133	ExclusionAmt

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 (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA SALES	900099	$61,381	$0	$0	$61,381
MEDICAL RECORDS	900099	$6,235	$0	$0	$6,235

Field	Value	IRS element (for citing)
Other Revenue Total	$67,616	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,195,966	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,690,944	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$345,704	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$686,846	TotalAmt
Program Services	$566,454	ProgramServicesAmt
Management And General	$120,392	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,892,863	TotalAmt
Program Services	$8,158,813	ProgramServicesAmt
Management And General	$1,734,050	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$134,323	TotalAmt
Program Services	$118,012	ProgramServicesAmt
Management And General	$16,311	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,183,925	TotalAmt
Program Services	-$915	ProgramServicesAmt
Management And General	$1,184,840	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$633,707	TotalAmt
Program Services	$503,238	ProgramServicesAmt
Management And General	$130,469	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,739,836	TotalAmt
Program Services	$2,489,673	ProgramServicesAmt
Management And General	$1,250,163	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$20,159	TotalAmt
Management And General	$20,159	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$744,164	TotalAmt
Management And General	$744,164	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$191,583	TotalAmt
Program Services	$77,169	ProgramServicesAmt
Management And General	$114,414	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$715,723	TotalAmt
Program Services	$637,300	ProgramServicesAmt
Management And General	$78,423	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,339	TotalAmt
Program Services	$4,597	ProgramServicesAmt
Management And General	$21,742	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$525,988	TotalAmt
Management And General	$525,988	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,625,844	TotalAmt
Program Services	$1,625,844	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$302,812	TotalAmt
Program Services	$302,812	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$4,101,101	$4,098,605	$2,496	$0
REPAIRS AND MAINTENANCE	$1,265,725	$594,573	$671,152	$0
UTILITIES	$518,957	$518,957	$0	$0
INSURANCE	$374,986	$16,303	$358,683	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$336,920	TotalAmt
Program Services	$184,937	ProgramServicesAmt
Management And General	$151,983	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,021,801	TotalAmt
Program Services	$19,896,372	ProgramServicesAmt
Management And General	$7,125,429	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$874,127	BOYAmt
EOY	$225,192	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,453,403	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,716,458	BOYAmt
EOY	$2,332,277	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	$666,345	BOYAmt
EOY	$594,367	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$191,323	BOYAmt
EOY	$355,270	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$39,227,965	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,758,474	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,817,677	BOYAmt
EOY	$17,469,491	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	$1,916,769	BOYAmt
EOY	$2,094,838	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	$496,000	BOYAmt
EOY	$496,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$529,101	BOYAmt
EOY	$130,662	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,207,800	BOYAmt
EOY	$33,151,500	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,823,545	BOYAmt
EOY	$5,587,004	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,855,091	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	$15,216,543	BOYAmt
EOY	$14,098,791	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	$2,174,495	BOYAmt
EOY	$4,443,232	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,214,583	BOYAmt
EOY	$29,984,118	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	$2,993,217	BOYAmt
EOY	$3,167,382	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	$2,993,217	BOYAmt
EOY	$3,167,382	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$26,207,800	BOYAmt
EOY	$33,151,500	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$174,165	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule 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

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,060,000	OtherCostOrOtherBasisAmt
Book Value	$1,060,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,439,163	OtherCostOrOtherBasisAmt
Depreciation	$7,510,398	DepreciationAmt
Book Value	$14,928,765	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$340,144	OtherCostOrOtherBasisAmt
Depreciation	$328,011	DepreciationAmt
Book Value	$12,133	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,476,147	OtherCostOrOtherBasisAmt
Depreciation	$6,242,062	DepreciationAmt
Book Value	$1,234,085	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,912,511	OtherCostOrOtherBasisAmt
Depreciation	$7,678,003	DepreciationAmt
Book Value	$234,508	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$17,469,491	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	MORTGAGE RESERVE FUND	Desc
Book Value	$2,094,838	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,094,838	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
HHS STIMULUS FUNDS	$2,206,099
DUE TO CHC	$1,422,133
DUE TO SMMC FOUNDATION	$515,000
DUE TO CHC - IT NOTE	$300,000

Field	Value	IRS element (for citing)
Total Liability	$4,443,232	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$27,195,966	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$27,195,966	RevenueSubtotalAmt
Total Revenue Per Form990	$27,195,966	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$27,021,801	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$27,021,801	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$27,021,801	TotalExpensesPerForm990Amt

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
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	$1,103,858	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$737,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$366,386	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,134,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$822,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$311,770	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,237,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,559,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$678,156	NetCommunityBenefitExpnsAmt
Total Expense	0.02510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,237,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,559,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$678,156	NetCommunityBenefitExpnsAmt
Total Expense	0.02510	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,563,095	BadDebtExpenseAmt
Reimbursed By Medicare	$822,362	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$949,921	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$127,559	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	ST MARK'S MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One St Marks Place	AddressLine1Txt
City	La Grange	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78945	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SMMCTX.ORG	WebsiteAddressTxt
State License	008234	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	St Mark's Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA OF ST. MARK'S MEDICAL CENTER (SMMC) ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
SCHEDULE H, PART V, SECTION B, LINE 5	ST. MARKS MEDICAL CENTER (SMMC) IS A 65-BED, 100,000-SQUARE FOOT 501(C)(3) NOT-FOR-PROFIT HOSPITAL PROVIDING ADVANCED HEALTH CARE CLOSE TO HOME FOR PATIENTS IN THE CENTRAL TEXAS COMMUNITIES OF FAYETTE AND LEE COUNTIES, AS WELL AS THE SURROUNDING AREAS. THE COMPREHENSIVE HEALTH SERVICES, ADVANCED TECHNOLOGIES AND MEDICAL SPECIALISTS AT SMMC RIVAL THOSE OF MAJOR METROPOLITAN INSTITUTIONS. THE HOSPITAL HAS A CLINICAL AFFILIATION WITH ST. DAVID'S HEALTH CARE IN AUSTIN AND CONTINUES TO BUILD BEST CLINICAL PRACTICES AS IT GROWS TO SERVE PATIENTS BETTER. SMMC IS THE PROUD RECIPIENT OF THE TMF HEALTH QUALITY INSTITUTE SILVER AWARD, EXEMPLIFYING THE HOSPITAL'S DEDICATION TO CONTINUOUS QUALITY IMPROVEMENT. THE HOSPITAL IS A PART OF THE COMMUNITY HOSPITAL CORPORATION (CHC) FAMILY OF HOSPITALS. CHC IS A NOT-FOR-PROFIT COMPANY WHOSE SOLE MISSION IS TO HELP NOT-FOR-PROFIT HOSPITALS, SUCH AS ST. MARK'S MEDICAL CENTER, REMAIN COMMUNITY-OPERATED AND GOVERNED. THE DEFINED SERVICE AREA OF SMMC IS FAYETTE AND LEE COUNTIES IN TEXAS. THE POPULATION OF FAYETTE COUNTY IS EXPECTED TO GROW FROM 2018 (25,611) TO 2023 (26,713) BY 4.3% AND THE POPULATION OF LEE COUNTY IS EXPECTED TO GROW FROM 2018 (17,308) TO 2023 (18,034) BY 4.2%, 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 FAYETTE COUNTY WAS 70.7% WHITE NON-HISPANIC, 6.2% BLACK, 21.2% HISPANIC, 0.4% ASIAN, 0.3% AMERICAN INDIAN AND 1.2% ALL OTHERS. IN LEE COUNTY, AS OF 2018, THE RACIAL/ETHNIC BREAKOUT WAS 62.8% WHITE NON-HISPANIC, 10.6% BLACK, 24.3% HISPANIC, 0.5% ASIAN, 0.4% AMERICAN INDIAN AND 1.3% ALL OTHERS. BY 2023, THE POPULATION IN FAYETTE COUNTY AND LEE COUNTY, RESPECTIVELY, IS EXPECTED TO INCREASE IN THE WHITE NON-HISPANIC POPULATION BY 1.6% AND 1.8%, IN THE BLACK POPULATION BY 1.4% AND 4.0%, IN THE HISPANIC POPULATION BY 12.4% AND 9.4%, IN THE ASIAN POPULATION BY 26.7% AND 18.7%, IN THE AMERICAN INDIAN POPULATION BY 9.1% AND 27.8% AND ALL OTHERS BY 26.0% AND 9.5%. AS OF 2018, FAYETTE COUNTY (47.6 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH LEE COUNTY (42.3 YEARS) AND THE STATE (39.2 YEARS). THE MEDIAN AGE IN FAYETTE COUNTY IS EXPECTED TO REMAIN STEADY, WHILE LEE COUNTY AND THE STATE ARE EXPECTED TO SLIGHTLY INCREASE OVER THE NEXT FIVE YEARS. THE MEDIAN HOUSEHOLD INCOMES IN BOTH FAYETTE ($52,839) AND LEE ($55,386) COUNTIES ARE HIGHER THAN THAT OF THE STATE ($51,492). BETWEEN 2018 AND 2023, THE MEDIAN HOUSEHOLD INCOMES IN FAYETTE COUNTY, LEE COUNTY AND THE STATE ARE EXPECTED TO INCREASE. AS OF 2018, FAYETTE COUNTY (7.7%) HAS THE LOWEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LINE AS COMPARED TO LEE COUNTY (9.4%) AND THE STATE (12.8%). THE UNEMPLOYMENT RATES IN BOTH FAYETTE AND LEE COUNTIES AND THE STATE BETWEEN 2015 AND 2017 SLIGHTLY DECREASED. THE UNEMPLOYMENT RATES IN FAYETTE COUNTY (3.2%) AND LEE COUNTY (3.3%) ARE LOWER THAN THE STATE (4.3%) (2017). FAYETTE COUNTY (15.9%) AND LEE COUNTY (17.0%) HAVE A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (28.1%) HEART DISEASE IS THE LEADING CAUSE OF DEATH IN FAYETTE COUNTY AND THE STATE OF TEXAS, AND THE SECOND LEADING CAUSE OF DEATH IN LEE COUNTY (2013-2017). BETWEEN 2013 AND 2017, HEART DISEASE MORTALITY RATES INCREASED IN FAYETTE COUNTY, DECREASED IN LEE COUNTY, AND REMAINED RELATIVELY STABLE IN THE STATE. IN 2015-2017, THE HEART DISEASE MORTALITY RATE IN FAYETTE COUNTY (207.9 PER 100,000) WAS HIGHER THAN THE RATE IN LEE COUNTY (157.4 PER 100,000) AND IN THE STATE (169.5 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN FAYETTE COUNTY AND THE STATE, AND THE LEADING CAUSE OF DEATH IN LEE COUNTY (2015-2017). BETWEEN 2013 AND 2017, CANCER MORTALITY RATES DECREASED IN FAYETTE COUNTY AND THE STATE, WHILE RATES IN LEE COUNTY INCREASED. FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN FAYETTE COUNTY, THE THIRD LEADING CAUSE OF DEATH IN LEE COUNTY AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2013-2017). BETWEEN 2013-2017, ACCIDENT MORTALITY RATES IN FAYETTE COUNTY REMAINED STEADY, WHILE RATES IN LEE COUNTY DECREASED AND RATES IN THE STATE OVERALL INCREASED. THE LEADING CAUSE OF FATAL ACCIDENTS IN FAYETTE AND LEE COUNTIES IS DUE TO MOTOR VEHICLE ACCIDENTS (2015-2017). CEREBROVASCULAR DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN FAYETTE COUNTY AND LEE COUNTIES, AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2013-2017). BETWEEN 2013 AND 2017, CEREBROVASCULAR DISEASE MORTALITY RATES DECREASED IN FAYETTE COUNTY, WHILE RATES IN LEE COUNTY INCREASED AND RATES IN THE STATE REMAINED STEADY. ESSENTIAL HYPERTENSION AND HYPERTENSIVE RENAL DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN FAYETTE COUNTY, THE SEVENTH LEADING CAUSE OF DEATH IN LEE COUNTY AND IS NOT ONE OF THE LEADING CAUSES OF DEATH IN THE STATE (2013-2017). DISEASES SUCH AS ALZHEIMER'S AND CHRONIC LOWER RESPIRATORY DISEASE ARE ALSO LEADING CAUSES OF DEATH IN BOTH FAYETTE AND LEE COUNTIES AS WELL AS THE STATE OF TEXAS. DIABETES MELLITUS IS A LEADING CAUSE OF DEATH IN FAYETTE COUNTY (EIGHTH) AND THE STATE (SEVENTH) BUT IS NOT ONE OF THE LEADING CAUSES OF DEATH IN LEE COUNTY. AS OF 2016, BOTH FAYETTE (22.0%) AND LEE (21.4%) COUNTIES HAVE SLIGHTLY LOWER PERCENTAGES OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE (22.6%). FAYETTE AND LEE COUNTIES EXPERIENCED SMALLER DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2014 AND 2016 (1.8% AND 1.6%, RESPECTIVELY) THAN THE STATE (3.2%). IN 2014, THE RATES OF PRIMARY CARE PHYSICIANS PER 100,000 IN FAYETTE (52.4 PER 100,000) AND LEE (35.8 PER 100,000) COUNTIES WERE LOWER THAN THE STATE RATE (68.7 PER 100,000). BETWEEN 2012 AND 2016, 13.0% OF FAYETTE COUNTY AND 16.5% OF LEE COUNTY INSURED POPULATIONS REPORTED RECEIVING MEDICAID, WHICH IS LOWER THAN THE STATE RATE (21.5%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR SMMC BY CHC. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN FAYETTE AND LEE COUNTIES. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM NOVEMBER 28, 2018 - DECEMBER 19, 2018. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE SMMC BOARD REVIEWED AND ADOPTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON APRIL 25, 2019. INTERVIEW METHODOLOGY: SMMC WORKED WITH COMMUNITY HOSPITAL CORPORATION (CHC)IN THE DEVELOPMENT OF ITS CHNA. SMMC PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, COMMUNITY COMMONS, THE UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. BACKGROUND INFORMATION ABOUT SMMC, 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 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. SMMC PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN FAYETTE AND LEE COUNTIES IN TEXAS, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, TWELVE 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 75.0% 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. 8.3% 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 16.7% OF THOSE PROVIDING INPUT ARE COMMUNITY LEADERS. INTERVIEWEES INCLUDED: - LORI BERGER: SMMC BOARD MEMBER, ST. MARK'S MEDICAL CENTER - DR. THOMAS BORGSTEDTE: PHYSICIAN, LA GRANGE FAMILY HEALTH CLINIC - LADONNA BOYD: DIRECTOR, BLUEBONNET TRAILS MHMR - KELLY FRANKE: EXECUTIVE DIRECTOR, COMBINED COMMUNITY ACTION-FAYETTE, LEE, BASTROP CO. - SALLY GARRETT: COUNTY EXTENSION AGENT, FAYETTE COUNTY COMMUNITY AND HEALTH - QUENTEN GONZALEZ: CH
SCHEDULE H, PART V, LINE 7A	THE CHNA OF ST. MARK'S MEDICAL CENTER CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTP://WWW.SMMCTX.ORG/GETPAGE.PHPNAME=HEALTH_NEEDS&SUB=COMMUNITY+HEALTH+NE EDS+ASSESSMENT
SCHEDULE H, PART V, LINE 10A	THE IMPLEMENTATION STRATEGY OF ST. MARK'S MEDICAL CENTER CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTP://WWW.SMMCTX.ORG/GETPAGE.PHPNAME=HEALTH_NEEDS&SUB=COMMUNITY+HEALTH+N EEDS+ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11	THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY ST. MARK'S MEDICAL CENTER (SMMC), 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 CHNA TEAM AND HOSPITAL LEADERSHIP PRIORITIZED THOSE NEEDS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITALS CAPACITY TO ADDRESS THE NEED. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS 2. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 5. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE FIVE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO PRIMARY CARE PROVIDERS IN THE AREA FOR ALL RESIDENTS 1.A. SMMC WILL CONTINUE TO EXPLORE PRIMARY CARE PHYSICIAN RECRUITMENT OPPORTUNITIES. 1.B. SMMC WILL CONTINUE ITS JOINT RECRUITMENT PARTNERSHIP AND IMPLEMENTATION FOR PRIMARY CARE PHYSICIANS WITH THE LOCAL FAMILY PRACTICE GROUP. 1.C. SMMC OFFERS ITS RECENTLY-EXPANDED GIDDINGS CLINIC WHICH ALLOWS FOR PRIMARY CARE PROVIDERS TO UTILIZE THE FACILITY AND INCREASE ACCESS TO CARE FOR LOCAL RESIDENTS. PRIORITY #2: ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO SPECIALTY CARE PROVIDERS IN THE AREA FOR ALL RESIDENTS 2.A. SMMC WILL CONTINUE TO PROVIDE OPPORTUNITIES FOR BETTER COMMUNITY ACCESS TO SPECIALTY PROVIDER SERVICES DEDICATED FULL TIME TO THE LOCAL COMMUNITY THROUGH INDEPENDENT AND/OR JOINT RECRUITMENT, AS WELL AS CONTINUAL EVALUATION OF IDENTIFIED NEEDS. 2.B. SMMC WILL CONTINUE TO PROVIDE REFERENCE LAB SERVICES TO EXTERNAL PROVIDERS AS REQUESTED. 2.C. SMMC PHYSICIANS WILL CONTINUE TO CONSULT REMOTELY WITH NEUROLOGISTS WHO OFFER CARE DETERMINATIONS AND TREATMENT OPTIONS FOR THOSE PATIENTS PRESENTING TO SMMC WITH NEUROLOGICAL SYMPTOMS USING VIDEO-CONFERENCING TECHNOLOGY. 2.D. SMMC PHYSICIANS AND NURSING STAFF WILL CONTINUE TO IMPLEMENT TRANSFER PROCESSES TO EFFECTIVELY WORK IN CONJUNCTION WITH EQUIPMENT, SUPPLIES, AND PROCESSES OF ST. DAVID'S MEDICAL CENTER TO ENSURE SEAMLESS TRANSITION FOR PATIENTS REQUIRING TRANSPORT TO A HIGHER LEVEL OF CARE. 2.E. SMMC OFFERS A RECENTLY-EXPANDED SLEEP STUDY PROGRAM. 2.F. SMMC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR STUDENTS FROM LOCAL PROGRAMS IN THE AREAS OF HEALTH INFORMATION MANAGEMENT, IMAGING, LABORATORY, RESPIRATORY THERAPY, RN, LVN AND SURGICAL TECHNOLOGISTS. 2.G. SMMC WILL CONTINUE TO PARTICIPATE IN ST. DAVID'S HEALTHCARE CLINICAL OUTREACH PROGRAMS TO INCLUDE ADVANCED CARDIAC LIFE SUPPORT (ACLS), PEDIATRIC ADVANCED LIFE SUPPORT (PALS), TRAUMA NURSING CORE CURRICULUM, PREPAREDNESS FOR PRECIPITOUS DELIVERIES IN THE EMERGENCY DEPARTMENT, AND OTHER CRITICAL CARE TOPICS. CONTINUING MEDICAL EDUCATION FOR PHYSICIANS IS OFFERED AS WELL. 2.H. SMMC WILL CONTINUE TO SPONSOR A CARDIAC REHAB PROGRAM ON CAMPUS. 2.I. SMMC HAS RECENTLY RECRUITED AN ORTHOPEDIC SURGEON, PODIATRIST AND UROLOGIST, AND IS CURRENTLY ASSISTING IN THE RECRUITMENT OF A GENERAL SURGEON. 2.J. SMMC IS CURRENTLY EXPANDING CARDIOVASCULAR DISEASE SERVICES THROUGH THE RECRUITMENT OF AN ADDITIONAL ECHO TECH AND EVALUATION OF A NEED FOR AN ADDITIONAL NUCLEAR MEDICINE TECH, AS WELL AS ACQUIRING EQUIPMENT TO SUPPORT GROWTH AS NEEDED. 2.K. SMMC WILL CONTINUE TO MARKET NEWLY RECRUITED SPECIALIST PROVIDERS THROUGH COMMUNITY INTRODUCTIONS, RADIO ADS, AND PRESS RELEASES. PRIORITY #3: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: INCREASE ACCESS TO MENTAL HEALTH RESOURCES FOR ALL RESIDENTS 3.A. SMMC WILL CONTINUE TO COLLABORATE FREQUENTLY THROUGHOUT THE YEAR WITH THE LOCAL MHMR AUTHORITY, AS WELL AS THE LOCAL EMS SERVICES TO ASSURE THAT WE ARE WORKING TOGETHER ON TREATMENT AND PLACEMENT FOR APPLICABLE PATIENTS. 3.B. SMMC WILL CONTINUE TO COLLABORATE WITH LOCAL SCHOOL DISTRICTS TO PROVIDE EDUCATION ON MENTAL AND BEHAVIORAL HEALTH RELATED TOPICS UPON REQUEST. 3.C. SMMC WILL EXPLORE THE PROVISION OF TELEPSYCHIATRY SERVICES IN THE EMERGENCY DEPARTMENT THROUGH A COLLABORATION WITH ST. DAVID'S MEDICAL CENTER. PRIORITY #4: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: PROVIDE ACCESS TO HEALTH CARE AND SERVICES TO VULNERABLE POPULATIONS, SUCH AS THE INDIGENT, MINORITY, AND ELDERLY POPULATIONS 4.A. SMMC WILL CONTINUE TO PROVIDE NURSING STAFF AT NO CHARGE TO THE LA GRANGE ISD SYSTEM TO ASSIST WITH ATHLETIC PHYSICALS, AS WELL AS PHYSICIAN COVERAGE AT LOCAL SPORTING EVENTS. 4.B. SMMC PROVIDES THE MD SAVE PROGRAM FOR SELF-PAY AND THOSE WITH HIGH DEDUCTIBLES IN ORDER TO OFFER CERTAIN SERVICES AT A DISCOUNTED RATE TO ASSIST THE COMMUNITY WITH THEIR HIGH DEDUCTIBLE PLANS OR INDIVIDUALS WHO ARE UNINSURED. 4.C. SMMC WILL CONTINUE TO MAKE OSTEOPOROSIS SCREENINGS AVAILABLE TO THE ELDERLY POPULATION. 4.D. SMMC WILL CONTINUE TO OFFER A SWINGBED PROGRAM FOR ITS PATIENT POPULATION. 4.E. SMMC WILL CONTINUE TO PROVIDE INPATIENT AND ER CARE THROUGH ITS CONTRACT WITH BASTROP FEDERAL CORRECTION INSTITUTION. 4.F. SMMC WILL CONTINUE TO OFFER EDUCATION ON MEDICARE RULES AND REGULATIONS TO SENIOR CITIZENS, AS WELL AS EDUCATION TO ALL POPULATIONS ON ADVANCED DIRECTIVES AND END OF LIFE PLANNING UPON REQUEST. 4.G. SMMC WILL CONTINUE TO PROVIDE INCREASED ACCESS TO MEDICAL SERVICES AND RECORDS THROUGH THE ONLINE PHYSICIAN DIRECTORY ON THE HOSPITAL WEBSITE. 4.H. SMMC WILL CONTINUE TO OFFER REDUCED COST MAMMOGRAPHY SERVICES IN CONJUNCTION WITH BREAST CANCER AWARENESS EVENTS. 4.I. SMMC PROVIDES A LEASED, ON-SITE VA CLINIC FOR VETERANS TO SEEK CARE AND ACCESS LOCAL SPECIALTY CARE THROUGH THE HOSPITAL. 4.J. IN COMPLIANCE WITH THE INPATIENT AND LONG-TERM CARE HOSPITAL PROSPECTIVE PAYMENT SYSTEM FINAL RULE, SMMC PUBLICLY SHARES ITS PRICING INFORMATION ONLINE IN AN EFFORT TO INCREASE PRICE TRANSPARENCY AND EMPOWER CONSUMERS TO MAKE INFORMED CHOICES ABOUT THEIR CARE. INFORMATION IS UPDATED ANNUALLY. PRIORITY #5: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: PROVIDE OPPORTUNITIES FOR PREVENTION, EDUCATION AND SERVICES THAT AIM TO REDUCE MORTALITY RATES AND THE PREVALENCE OF CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLES IN THE COMMUNITY 5.A. SMMC WILL CONTINUE TO HOST LUNCH & LEARN EVENTS TO EDUCATE REGIONAL EXTERNAL CLINICS ON MEDHOST AND LEADING REACH REFERRAL SOFTWARE WITH THE GOAL OF IMPROVING COORDINATION ACROSS THE CONTINUUM OF CARE. 5.B. SMMC WILL CONTINUE TO PROVIDE FLU VACCINES ON AN ANNUAL BASIS TO EMPLOYEES AND THEIR FAMILIES, AS WELL AS THE SMMC AUXILIARY. 5.C. SMMC WILL CONTINUE TO SPONSOR THE MULTIPLE SCLEROSIS MS-150 BIKE RIDE, INCLUDING HOSTING CAMP ST. MARK'S FOR RIDERS AND PROVIDING ER CARE AS NEEDED. 5.D. SMMC WILL CONTINUE TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR SENIOR CITIZENS, SUCH AS THE FAYETTE COUNTY SENIOR DAY, LEE COUNTY SENIOR DAY, THE FAYETTE & LEE COUNTY SENIOR EXPO, AND LOCAL HEALTH FAIRS AS REQUESTED. BLOOD PRESSURE, CHOLESTEROL, AND BLOOD GLUCOSE SCREENINGS WITH COUNSELING FOR OUT OF RANGE RESULTS ARE ALSO PROVIDED. 5.E. SMMC WILL CONTINUE TO PROVIDE CALCIUM SCORING TO OUR COMMUNITIES. 5.F. SMMC WILL CONTINUE TO PROVIDE INTERVIEWEES (PHYSICIANS AND TENURED CLINICAL STAFF) FOR THE LOCAL RADIO SHOW "THE DOCTOR'S CORNER", WHICH FEATURES DIFFERENT MEDICAL TOPICS PERIODICALLY. 5.G. SMMC PERSONNEL ARE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, FOR MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH CARE TOPICS OF CONCERN TO THE PUBLIC. 5.H. SMMC SUPPORT GROUP PROGRAMS AND EDUCATIONAL SERVICES ARE AVAILABLE UPON REQUEST. 5.I. SMMC WILL CONTINUE TO PROVIDE MEETING SPACE FOR COMMUNITY RESOURCE AND EDUCATIONAL GROUPS (I.E., LION'S CLUB, CPR CLASSES, ETC.) AS APPROPRIATE. 5.J. SMMC WILL CONTINUE TO PARTICIPATE IN COLLEGE/CAREER NIGHT WITH LOCAL SCHOOL DISTRICTS. 5.K. SMMC WILL CONTINUE ITS MEMBERSHIP ON THE CAPITAL AREA REGIONAL TRAUMA ADVISORY COUNCIL. 5.L. SMMC WILL CONTINUE TO PROVIDE SENIOR LEADERSHIP TO BLINN LVN AND RN ADVISORY BOARD. 5.M. SMMC WILL CONTINUE TO OFFER HEART DISEASE MANAGEMENT EDUCATION AS PART OF THE CARDIAC REHAB PROGRAM. AS A PREREQUISITE FOR THE PROGRAM, PATIENTS MUST COMPLETE NUTRITIONAL COUNSELING THROUGH THE SMMC DIETITIAN. PATIENTS WHO DO NOT WISH TO PARTICIPATE FULLY IN THE CARDIAC REHAB PROGRAM ARE INVITED TO SIT IN ON HEART DISEASE MANAGEMENT
SCHEDULE H, PART V, SECTION B, LINE 13H	ALL PATIENTS AND INSURANCES ARE BILLED AT 100% OF CHARGES. ST. MARK'S MEDICAL CENTER (SMMC) CONTRACTUALLY NEGOTIATES WITH PAYORS TO ACCEPT SOMETHING LESS THAN 100% OF CHARGES. MEDICARE PAYS BASED ON FEE SCHEDULES AND DIAGNOSIS RELATED GROUPS, ETC. SELF PAY AND THOSE QUALIFYING FOR FINANCIAL ASSISTANCE ARE ALL BILLED AT 100% OF CHARGES UNTIL SUCH TIME IT IS DETERMINED THAT THEY QUALIFY FOR FINANCIAL ASSISTANCE. BASED UPON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE, UP TO A MAXIMUM OF 100%. PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNTS REDUCED BASED ON THE LEVEL OF FINANCIAL ASSISTANCE. THE BALANCE OF THE ACCOUNT AFTER APPLICATION OF THE DISCOUNT IS HANDLED CONSISTENT WITH THE HOSPITAL'S COLLECTION POLICY.
SCHEDULE H, PART V, SECTION B, LINES 16A-16C	THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTP://WWW.SMMCTX.ORG/GETPAGE.PHP?NAME=FINANCIAL_ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE WHEN REGISTERING, THROUGH DISCHARGE PLANNING ETC. STATEMENTS FOR SELF PAY HAVE A TAG LINE STATING IF THEY THINK THEY QUALIFY FOR FINANCIAL ASSISTANCE TO PLEASE CALL THIS NUMBER. WHENEVER A BILL IS DISCUSSED AND A PATIENT INDICATES THEY CAN'T PAY UPFRONT, FINANCIAL ASSISTANCE IS EXPLAINED TO THEM SO THAT IN THE EVENT IT APPLIES THEY KNOW ABOUT IT. IT IS ALSO POSTED ON BULLETIN BOARDS THROUGHOUT THE HOSPITAL THAT FINANCIAL ASSISTANCE IS AVAILABLE.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST MARK'S CLINIC
ONE ST MARKS PLACE	LA GRANGE	TX	78945	Orthopedic Clinic
GIDDINGS CLINIC
598 Cactus Street	Giddings	TX	78942	Orthopedic Clinic
BASTROP CLINIC
3101 Hwy 71 East Suite 202	Bastrop	TX	78602	Orthopedic Clinic

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	ST. MARK'S MEDICAL CENTER (SMMC) USES BOTH FINANCIAL STATUS AS WELL AS AMOUNT OF MEDICAL DEBT TO DETERMINE CHARITY STATUS.
SCHEDULE H, PART I, LINE 6A	THE COMMUNITY BENEFIT REPORT WAS PREPARED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL CORPORATION. SCHEDULE H, PART I, LINE 7B THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION ("HHSC") REPLACED THE HISTORICAL MEDICAID UPL PROGRAM WITH THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM WAIVER ("WAIVER"). THE WAIVER INCLUDES AN UNCOMPENSATED CARE ("UC") POOL WHICH HHSC USES TO MAKE SUPPLEMENTAL MEDICAID PAYMENTS TO HOSPITALS TO HELP DEFRAY UNCOMPENSATED CARE COSTS RELATED TO PROVIDING CARE TO MEDICAID ELIGIBLES OR TO INDIVIDUALS WHO HAVE NO SOURCE OF THIRD-PARTY COVERAGE. TO QUALIFY FOR UC PAYMENTS, HOSPITALS MUST SUBMIT A UC APPLICATION TO HHSC WHICH REPORTS THE HOSPITAL'S COST OF PROVIDING UNCOMPENSATED CARE BASED ON THE UC METHODOLOGY PROSCRIBED BY HHSC. FOR THE PERIOD OF JULY 1, 2019 THROUGH JUNE 30, 2020, ST. MARK'S MEDICAL CENTER RECEIVED $1,098,293 IN UC PAYMENTS AS SUPPLEMENTAL REIMBURSEMENT FOR THE COST OF TREATING MEDICAID ELIGIBLE INDIVIDUALS AND INDIVIDUALS WITHOUT A SOURCE OF THIRD-PARTY COVERAGE.
SCHEDULE H, PART III, LINE 2	THE BAD DEBT REPORTED ON LINE 2 IS THE BAD DEBT FROM THE AUDITED FINANCIAL STATEMENTS. THE METHODOLOGY TO ESTIMATE BAD DEBT IS TO RESERVE SELF-PAY ACCOUNTS ACCORDINGLY: UNBILLED - 60% 0-30 DAYS - 65% 31-60 DAYS - 70% 91-120 DAYS - 80% 121-150 DAYS - 90% >151 DAYS - 100% SELF-PAY AFTER INSURANCE CLAIMS ARE RESERVED AT THE FOLLOWING LEVELS: UNBILLED - 0% 31-60 DAYS - 40% 61-90 DAYS - 50% 91-120 DAYS - 60% 121-150 DAYS - 70% 151-180 DAYS - 80% >181 DAYS - 100% SCHEDULE H, PART III, LINE 4 THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE AT NET REALIZABLE AMOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER 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 MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). 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 MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 86% AND 84% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF JUNE 30, 2020 AND 2019. PATIENT ACCOUNT WRITE-OFFS WERE APPROXIMATELY $2,149,989 AND $3,770,000 FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, RESPECTIVELY.
SCHEDULE H, PART III, LINE 8	THE COST INFORMATION PROVIDED WAS OBTAINED FROM OUR MEDICARE COST REPORT. 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 QUALIFIES FOR 100% CHARITY, THE ENTIRE ACCOUNT IS WRITTEN-OFF. IF THEY QUALIFY FOR PARTIAL CHARITY, THE CHARITY PORTION IS WRITTEN-OFF AND THE PATIENT RECEIVES MONTHLY STATEMENTS WITH REGARD TO THE SELF-PAYMENT BALANCE. FULL PAYMENT IS EXPECTED FROM THE PATIENT. AFTER 180 DAYS FROM DATE OF SERVICE, IF THE SELF-PAYMENT BALANCE REMAINS UNPAID, THIS AMOUNT IS TURNED OVER TO A COLLECTION AGENCY AND THE ACCOUNT IS MOVED TO BAD DEBT ACCOUNTS RECEIVABLE.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: AS DISCUSSED ABOVE IN PART V, SECTION B, LINE 5, A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ('CHNA') WAS CONDUCTED FOR ST. MARK'S MEDICAL CENTER (SMMC) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN FAYETTE AND LEE COUNTIES IN TEXAS. THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM SMMC, MET WITH STAFF FROM CHC ON FEBRUARY 25, 2019 TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. FIVE SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED 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 CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, THE HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH HOSPITAL SPECIFIC IMPLEMENTATION PLANS. THE FIVE MOST SIGNIFICANT NEEDS, AS DISCUSSED DURING THE FEBRUARY 25, 2019 PRIORITIZATION MEETING, ARE LISTED BELOW IN DESCENDING ORDER: 1. ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS 2. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 5. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES SMMC LEADERSHIP HAS DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE FIVE IDENTIFIED PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, RESPONSIBLE LEADERS, ANNUAL UPDATES AND PROGRESS, AND KEY RESULTS (AS APPROPRIATE). THE SMMC BOARD REVIEWED AND ADOPTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON APRIL 25, 2019.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE WHEN REGISTERING, THROUGH DISCHARGE PLANNING ETC. OUR STATEMENTS FOR SELF PAY HAVE A TAG LINE STATING IF THEY THINK THEY QUALIFY FOR FINANCIAL ASSISTANCE TO PLEASE CALL THIS NUMBER. WHENEVER A BILL IS DISCUSSED, AND A PATIENT INDICATES THEY CAN'T PAY UPFRONT, FINANCIAL ASSISTANCE IS EXPLAINED TO THEM SO THAT IN THE EVENT IT APPLIES THEY KNOW ABOUT IT. IT IS ALSO POSTED ON BULLETIN BOARDS THROUGHOUT THE HOSPITAL THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL SELF-PAY WITHOUT ABILITY TO PAY AT TIME OF SERVICE ARE REFERRED TO OUR ELIGIBILITY VENDOR. THIS ALLOWS THEM TO BE ASSESSED FOR ANY PROGRAMS THAT MAY COVER THEIR MEDICAL EXPENSES SUCH AS MEDICAID, COUNTY PROGRAMS OR ANY OTHER STATE PROGRAMS THAT MAY BE AVAILABLE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: THE PRIMARY SERVICE AREA IS LEE AND FAYETTE COUNTIES. BOTH LEE AND FAYETTE ARE RURAL COUNTIES LOCATED IN THE CENTRAL TEXAS AREA AND BOTH ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS. AS OF 2020 THE PRIMARY SERVICE AREA (PSA) POPULATION WAS APPROXIMATELY 44,042. THE PSA GROWTH RATE FROM 2018 TO 2023 IS EXPECTED TO INCREASE APPROXIMATELY 3%. THE PSA POPULATION HAS A HIGHER PERCENTAGE OF OLDER RESIDENTS (AGES 65+) THAN THE STATE OF TEXAS. THE OLDER RESIDENTS COMPRISE APPROXIMATELY 22.7% OF THE OVERALL PSA POPULATION IN THE PSA (2020) AND 13.3% IN THE STATE OF TEXAS (2020). THE MAJORITY OF RESIDENTS IN THE PSA IDENTIFY AS WHITE-NON HISPANIC, WITH THE NEXT LARGEST RACE/ETHNICITY AS THE HISPANIC POPULATION. THE PSA POPULATION IS EXPECTED TO EXPERIENCE THE MAJORITY OF THEIR GROWTH IN THE ASIAN POPULATION BY THE YEAR 2025. THE MEDIAN HOUSEHOLD INCOMES IN THE PSA ARE HIGHER THAN THAT OF THE STATE OF TEXAS. THE PSA HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE. FAYETTE COUNTY HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY RATE THAN THAT OF LEE COUNTY AND THE STATE OF TEXAS. THE UNEMPLOYMENT RATE IN THE PSA IS LOWER THAN THE STATE.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: DURING THIS FISCAL YEAR, ST. MARK'S MEDICAL CENTER (SMMC), PARTICIPATED IN MANY COMMUNITY AND WELLNESS ACTIVITIES INCLUDING: HEALTHY HEART CHOICES, CAREER EDUCATION DAYS, DRUG TAKE BACK PROGRAM, REDUCED COST MAMMOGRAPHY SCREENINGS IN CONJUNCTION WITH BREAST CANCER AWARENESS EVENTS, OSTEOPOROSIS SCREENINGS AND CALCIUM SCORING. SMMC ALSO HOSTS A WEEKLY RADIO PROGRAM, "THE DOCTORS CORNER", WHICH FEATURES DIFFERENT MEDICAL TOPICS AND GUEST SPEAKERS. EDUCATIONAL OPPORTUNITIES TO SENIOR CITIZENS, SUCH AS THE FAYETTE COUNTY SENIOR DAY, LEE COUNTY SENIOR DAY, THE FAYETTE & LEE COUNTY SENIOR EXPO, AND LOCAL HEALTH FAIRS. BLOOD PRESSURE, CHOLESTEROL, AND BLOOD GLUCOSE SCREENINGS WITH COUNSELING FOR OUT OF RANGE RESULTS ARE ALSO PROVIDED. EDUCATION TO SENIOR CITIZENS ON MEDICARE RULES AND REGULATIONS, AS WELL AS EDUCATION TO ALL POPULATIONS ON ADVANCED DIRECTIVES AND END OF LIFE PLANNING. SMMC WILL CONTINUE TO PROVIDE NURSING STAFF AT NO CHARGE TO THE LA GRANGE ISD SYSTEM TO ASSIST WITH ATHLETIC PHYSICALS, AS WELL AS PHYSICIAN COVERAGE AT LOCAL SPORTING EVENTS. SMMC COLLABORATES WITH LOCAL SCHOOL DISTRICTS TO PROVIDE EDUCATION ON MENTAL AND BEHAVIORAL HEALTH RELATED TOPICS UPON REQUEST. SMMC ALSO PROVIDES PRESENTATIONS TO GIDDINGS ISD AND LA GRANGE ISD STUDENTS REGARDING ANY HEALTH TOPICS OF INTEREST. SMMC ALLOWS STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTH CARE TO SHADOW PROVIDERS AND ROTATE THROUGH THE FACILITY IN ORDER TO EXPERIENCE THE DIFFERENT DEPARTMENTS WITHIN THE HOSPITAL. SMMC EMPLOYEES PARTICIPATE IN FUNDRAISING EVENTS AND OTHER COMMUNITY EVENTS SUCH AS: DEPUTY SANTA GIFTS AT CHRISTMAS, FOOD DRIVES DURING THANKSGIVING, ANGEL TREE FOR LOCAL FAMILIES IN NEED, SPONSORSHIP OF THE MULTIPLE SCLEROSIS MS-150 BIKE RIDE- INCLUDING HOSTING CAMP ST. MARK'S FOR RIDERS AND PROVIDING ER CARE AS NEEDED, LIONS CLUB GUEST SPEAKERS, AUSTIN HEART GUEST SPEAKERS AND CPR CLASSES. SMMC HAS ALWAYS HAD AN OPEN APPLICATION PROCESS FOR ALL ACTIVE AND CONSULTING MEDICAL STAFF. ALL STAFF MUST BE BOARD CERTIFIED OR ELIGIBLE TO TAKE BOARD EXAM TO QUALIFY FOR STAFF MEMBERSHIP. THE BOARD OF DIRECTORS ARE REPRESENTATIVES FROM THE COMMUNITIES WE SERVE INCLUDING FAYETTE AND LEE COUNTY RESIDENTS. BOARD MEMBERS SERVE 2 AND/OR 3 YEAR TERMS. BOARD MEMBERS ARE ELECTED AND APPROVED BY CHC. SURPLUS FUNDS ARE USED TO PURCHASE NEEDED HOSPITAL EQUIPMENT AND ASSIST WITH RECRUITING OF PHYSICIANS TO OUR COMMUNITIES. SMMC PROVIDES AN INCOME GUARANTEE TO RECRUITED PHYSICIANS THAT JOIN OTHER PRACTICES IN THE COMMUNITIES.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: ST. MARK'S MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LINDA MOORE
ASST. SECRETARY (START 10/19)	$0	$179,718	$0	$26,039	$0	$29,094	$0	$16,435	$0	$18,691	$0	$269,977	$0	$0
BARRY HARDING
INTERIM CEO	$0	$234,900	$0	$0	$0	$0	$0	$0	$0	$0	$0	$234,900	$0	$0
RUSSEL CLARK MD
DIRECTOR	$551,716	$0	$95,000	$0	$0	$0	$0	$0	$0	$0	$646,716	$0	$0	$0
TAMMY HARTFIELD
CNO	$0	$112,583	$0	$6,699	$0	$11,492	$0	$9,115	$0	$12,627	$0	$152,516	$0	$0
RICHARD EDEEN
PHYSICIAN	$538,695	$0	$0	$0	$0	$0	$0	$0	$0	$0	$538,695	$0	$0	$0
BROOKE JENNINGS
NURSE PRACTITIONER	$135,053	$0	$21,500	$0	$0	$0	$0	$0	$0	$0	$156,553	$0	$0	$0
CRAIG SIMS
DIRECTOR (START 4/20)	$0	$312,795	$0	$86,218	$0	$47,816	$0	$8,400	$0	$32,456	$0	$487,685	$0	$0
WILSON WEBER
DIRECTOR (UNTIL 4/20)	$0	$31,321	$0	$116,221	$0	$1,184	$0	$0	$0	$12,141	$0	$160,867	$0	$0
DAVID BUTLER
ASST. SECRETARY (UNTIL 10/19)	$0	$272,196	$0	$354,038	$0	$48,814	$0	$8,105	$0	$23,016	$0	$706,169	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3

SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S EXECUTIVES, INCLUDING THE CEO, 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 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 THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2020 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.

SCHEDULE J, PART I, LINE 4B

NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: - DAVID BUTLER - $15,681 - CRAIG SIMS - $17,680

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 CHC, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF ST. MARK'S MEDICAL CENTER (SMMC).
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS CHC AS THE SOLE MEMBER OF SMMC ELECTS THE MEMBERS OF THE BOARD OF DIRECTORS OF SMMC AND IS EMPOWERED WITH THE ABILITY TO REMOVE DIRECTORS, WITH OR WITHOUT CAUSE.
FORM 990, PART VI, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS RESERVED POWERS OF THE MEMBER: WHILE THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS, THE APPROVAL OF THE MEMBER FOLLOWING APPROVAL BY THE BOARD OF DIRECTORS SHALL BE NECESSARY FOR THE FOLLOWING MATTERS: (A) THE ESTABLISHMENT OF OR ANY CHANGE IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBER; (B) ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OF THE CORPORATION; (C) ANY AMENDMENTS OR REVISIONS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; (D) THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE; (E) ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY TO WHICH THE CORPORATION IS A PARTY; (F) THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (G) ALL MATERIAL EXPENDITURE DEVIATIONS ($25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING AND CAPITAL BUDGETS; (H) THE PURCHASE OR ACQUISITION OF ANY REAL PERSONAL, OR MIXED PROPERTY BY THE CORPORATION IN EXCESS OF $25,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS; (I) THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; (J) ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF THE PERSONAL PROPERTY OF THE CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS PER FISCAL YEAR, EXCEED $50,000.00; (K) ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION, EXCEPT USUAL AND CUSTOMARY TRADE DEBTS WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION; (L) SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; (M) THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; (N) THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT, WITH AN ANNUAL COMPENSATION IN EXCESS OF $30,000 OR AN AGGREGATE COMPENSATION IN EXCESS OF $50,000; (O) ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; (P) THE ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS OR THE REMOVAL OF SAID BOARD MEMBER, WHETHER WITH OR WITHOUT CAUSE; (Q) THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; (R) THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND-RAISING; AND (S) THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM FOR THE CORPORATION. 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 THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS PARENT, 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 THE YEAR ENDED 6-30-15. 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 ORGANIZATION'S EXECUTIVES, INCLUDING THE CEO, 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 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. THIS 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	PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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
7800 N DALLAS PKWY STE 200	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
CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS
7800 N DALLAS PKWY STE 200	PLANO	TX	75024	201150480	HOSPITAL	TX	501(c)(3)	3	CCC	false
CHC COMMUNITY CARE LLC
7800 N DALLAS PKWY STE 200	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 STREET 5TH FLOOR	ABILENE	TX	79601	463607347	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FLOOR	MADISONVILLE	KY	42431	465033192	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVE 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 KING STREET	KINGS MOUNTAIN	NC	28086	560691100	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
CAROLINAS COMMUNITY CARE LLC
7800 N DALLAS PKWY STE 200	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
COMMUNITY HOSPITAL CORPORATION
7800 N DALLAS PKWY STE 200	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(c)(3)	12C-III-FI	Na	false
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DR	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
7800 N DALLAS PKWY STE 200	PLANO	TX	75024	814337246	SUPPORT ORG	TX	501(c)(3)	7	CHC	false
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7800 N DALLAS PKWY STE 200	PLANO	TX	75024	813048423	HOSPITAL	TX	501(c)(3)	3	CCC	false
ST MARKS MEDICAL CENTER FOUNDATION
One St Marks Place	La Grange	TX	78945	742795943	SUPPORT ORG	TX	501(c)(3)	7	Na	false
GAINESVILLE COMMUNITY HOSPITAL
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 CHARI.	TX	501(C)(3)	10	HUNTSVILLE	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GY	GRAND CAYMAN	CJ	CAPTIVE INSURANCE	CJ	CHC	C Corp	$0	$0	0.00000	false
COMMUNITY HOSPITAL CONSULTING INC
			MGMT CONSULTING		CHC	C Corp	$0	$0	0.00000	false	7800 N DALLAS PKWY STE 200	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	$3,352,055	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt