2017-11-14T16:01:02-06:00 2016-12-31 350921680 CROWE HORWATH LLP 750 N St Paul Suite 850 Dallas TX 75201 990 2016-01-01 752653292 COMMUNITY HOSPICE OF TEXAS COMM 8179893200 6100 WESTERN PLACE NO 105 FORT WORTH TX 76107 VICTORIA JINGLE CEO 2017-11-14 true Jacqueline Coburn P00244301 2147775200 2016 2021-01-29 14:40:06Z VICTORIA JINGLE 6100 WESTERN PLACE NO 105 FORT WORTH TX 76107 39691804 false X http://www.chot.org X 1996 TX PROVIDE HOSPICE SERVICES TO THE TERMINALLY ILL AND THEIR FAMILIES THROUGHOUT NORTH CENTRAL TEXAS REGARDLESS OF THEIR ABILITY TO PAY. 22 21 324 320 0 0 866080 620047 29162556 29237795 1145904 1546275 14011 46313 31188551 31450430 0 0 0 0 14982137 15526989 0 0 253507 13965887 13926447 28948024 29453436 2240527 1996994 43869859 46621267 3161601 3215376 40708258 43405891 COMMUNITY HOSPICE OF TEXAS MISSION IS TO PROVIDE COMPASSIONATE END OF LIFE CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. IN 2016 WE PROVIDED CARE TO MORE THAN 3,800 PATIENTS. SERVICE AREAS INCLUDED FORT WORTH, CLEBURNE, DALLAS, WACO, MEXIA, WHITNEY AND SURROUNDING AREAS. false false 23928441 0 29284108 COMMUNITY HOSPICE OF TEXAS PROVIDED HOSPICE CARE TO MORE THAN 3,800 PATIENTS IN 2016. COMMUNITY HOSPICE OF TEXAS PROVIDES SERVICES IN FORT WORTH, CLEBURNE, DALLAS, WACO, MEXIA, WHITNEY AND SURROUNDING AREAS. OUR QUALITY ASSURANCE PERFORMANCE IMPROVEMENT (QAPI) PROGRAM INCLUDES RANDOM AND FOCUSED CHART AUDITING ALONG WITH MONITORING FAMILY SATISFACTION SURVEYS FOR POTENTIAL ISSUES. PROCESS IMPROVEMENT PROJECTS ARE SELECTED BASED ON AREAS IDENTIFIED THROUGH OUR QAPI PROGRAM AS WELL AS OUR RESULTS FROM DEYTA, A CONTRACTED PROVIDER OF HEALTHCARE QUALITY MEASUREMENT DATA. OUR COMPLIANCE OFFICER ROUTINELY VISITS ALL SITES AND OBSERVES INTERDISCIPLINARY TEAM MEETINGS AND RANDOMLY ACCOMPANIES RN CASE MANAGERS PERFORMING PATIENT HOME VISITS. WEBSITES FOR VARIOUS REGULATORY GROUPS SUCH AS THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE TEXAS DEPARTMENT FOR AGING AND DISABILITY SERVICES (DADS) ARE ROUTINELY MONITORED FOR REGULATORY UPDATES. A PHONE OR EMAIL HOT LINE FOR REPORTING ANONYMOUS CONCERNS IS ALWAYS ACCESSIBLE THE COST OF CHARITY CARE WAS APPROXIMATELY $775,000 THAT WAS PROVIDED TO PATIENTS IN OUR CARE LAST YEAR. HOSPICE HOUSES - GENERAL INPATIENT AND RESPITE CARE AND OCCASIONAL RESIDENTAL CARE IS PROVIDED AT OUR INPATIENT UNITS. 23928441 true true false true false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 41 0 true 324 true false false false false false false false false false false X 22 21 false false false false true true true true true false false true true true true true true true false false X Victoria Jingle 8179893260 6100 WESTERN PLACE NO 105 FORT WORTH TX 76107 ANDREA GREEN CEO 40.0 X X 280415 0 29201 DEIDREA LAUX CHAIR 1.0 X X 0 0 0 WILLIAM D GREENHILL PAST CHAIR 1.0 X X 0 0 0 DREW POE PC VICE CHAIR 1.0 X X 0 0 0 JOHN MITCHELL TREASURER 1.0 X X 0 0 0 HENRY BORBOLLA SECRETARY 1.0 X X 0 0 0 MICHAEL OLMSTEAD BOARD MEMBER 1.0 X 0 0 0 CAROL BOEHNKE BOARD MEMBER 1.0 X 0 0 0 EDWARD A LAUE MD BOARD MEMBER 1.0 X 0 0 0 ELAINE NELSON BOARD MEMBER 1.0 X 0 0 0 RABBI RALPH MECKLENBURGE BOARD MEMBER 1.0 X 0 0 0 SALLY WEST MCKEEN BOARD MEMBER 1.0 X 0 0 0 REV MELANIE A BARBARITO BOARD MEMBER 1.0 X 0 0 0 GWEN MORRISON BOARD MEMBER 1.0 X 0 0 0 DR JOHN NUGENT BOARD MEMBER 1.0 X 0 0 0 RITA O'FARRELL BOARD MEMBER 1.0 X 0 0 0 KATHLEEN WHELAN BOARD MEMBER 1.0 X 0 0 0 JILL FISCHER BOARD MEMBER 1.0 X 0 0 0 STEVE PEGLAR BOARD MEMBER 1.0 X 0 0 0 SUZY WILLIAMS BOARD MEMBER 1.0 X 0 0 0 CHERYL PETERSON BOARD MEMBER 1.0 X 0 0 0 JODY SANDERS BOARD MEMBER 1.0 X 0 0 0 PAT JACKSON CHIEF OPERATING OFFICER 40.0 X 194506 0 18047 VICTORIA JINGLE EXECUTIVE VICE PRESIDENT 40.0 X 108709 0 17607 ROBIN CARTER VICE PRESIDENT 40.0 X 123441 0 17928 NANCY CRAIG CHIEF COMPLIANCE OFFICER 40.0 X 114342 0 13528 821413 0 96311 5 false true false Enclara Pharmacia Inc PO BOX 95000-7255 Philadelphia PA 191957255 Pharmacy 1710105 Arlington Memorial Hospital 800 West Randol Mill Road Arlington TX 76012 Hospice Inpatient Services 846919 National HME Inc 7451 Airport Freeway Richland Hills TX 76118 Medical Equipment 557526 Providence Medical Equipment PO BOX 201157 Dallas TX 753201157 Medical Equipment 425311 Westview Manor and Rehabilitation Center 414 Johnson Drive McGregor TX 76657 Pass Through Room and Board 403229 17 620047 521 620047 Patient Revenue 621110 29224983 29224983 Texas Non-Profit Hospice Income 900099 12812 12812 0 0 0 0 29237795 577780 577780 0 0 9209869 8241374 968495 0 968495 968495 Miscellaneous Revenue and refunds 900099 46313 46313 0 0 0 0 46313 31450430 29284108 0 1546275 0 0 648485 0 648485 0 12243606 10072255 2027315 144036 52352 52352 1738437 1209346 504504 24587 844109 679311 156109 8689 18436 18436 25184 25184 58312 58312 134262 134262 2113942 1964487 149455 0 405280 133366 195719 76195 94242 79209 15033 761076 350874 410202 969343 847354 121989 18845 425 18420 562530 274666 287864 362918 362918 NURSING HOME ROOM & BOARD 3070622 3070622 HOSPITAL SERVICES 1145713 1145713 MEDICAL EQUIPMENT AND SUPPLIES AND DRUGS 3224380 3224380 MILEAGE REIMBURSEMENT AND CONSULTING PHYSICIANS 705105 620176 84929 256257 256257 0 0 29453436 23928441 5271488 253507 1727181 2015117 1785431 2531025 929 723 2589059 2974472 0 0 0 0 0 0 0 217583 225699 7247993 4787449 2491650 2460544 31780712 33136373 0 0 3277314 3277314 0 0 43869859 46621267 2147594 2199140 0 0 0 0 0 0 0 0 0 0 0 0 0 1014007 1016236 3161601 3215376 X 40651498 43349131 56760 56760 0 0 0 0 0 0 0 0 40708258 43405891 43869859 46621267 1996994 700639 0 X false true X true false X 781449 496460 519298 866080 620047 3283334 36894644 30819022 30746412 29162556 29237795 156860429 0 0 0 37676093 31315482 31265710 30028636 29857842 160143763 0 110737 0 0 0 110737 0 0 0 32927 0 32927 0 110737 0 32927 0 143664 160000099 429683 454934 496072 547153 577780 2505622 0 429683 454934 496072 547153 577780 2505622 0 19878 6171 7772 25890 46313 106024 38125654 31776587 31769554 30601679 30481935 162755409 0.9831 0.9842 0.0154 0.0138 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 19878.0, COLUMN B - 6171.0, COLUMN C - 7772.0, COLUMN D - 25890.0, COLUMN E - 46313.0, COLUMN F - 106024.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3688 3688 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1I- THE AMOUNT LISTED REPRESENTS THE PORTION OF NHPCO AND TNPHA DUES THAT WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1I- THE AMOUNT LISTED REPRESENTS THE PORTION OF NHPCO AND TNPHA DUES THAT WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES. 127195 127195 1422653 257151 1165502 679522 679522 0 2759796 2324328 435468 2258827 1526448 732379 2460544 ESTIMATED THIRD PARTY SETTLEMENT 1016236 1016236 X 32301069 700639 150000 0 850639 31450430 0 0 31450430 29603436 150000 0 150000 29453436 0 0 29453436 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the organization is not generally subject to U.S. federal income tax or state income tax. The organization's form 990 has not been subject to examination by the Internal Revenue Service or the State of Texas for the last three years. The organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The organization recognizes interest and/or penalties related to income tax matters in income tax expense. The organization did not have any amounts accrued for interest and penalties at December 31, 2016 and 2015. X X false false false false false false false true false ANDREA GREEN CEO 228958 0 34897 0 16560 0 3975 0 25226 0 309616 0 0 0 PAT JACKSON CHIEF OPERATING OFFICER 179448 0 15058 0 0 0 3012 0 15035 0 212553 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments THE BOARD APPROVES COMPENSATION FOR ANDREA GREEN and PAT JACKSON THROUGH BOARD APPROVAL PROCESS WHICH WAS APPROVED IN JANUARY 2016. BONUS' ARE DISCRETIONARY BASED ON STAFF MEETING DETAILED GOALS. Form 990, Part VI, Line 15b PROCESS USED TO DETERMINE COMPENSATION FOR OTHER OFFICERS COMPARATIVE DATA, SUCH AS CURRENT SALARY SURVEYS, ARE USED IN DETERMINING THE COMPENSATION OF THE TOP OFFICERS. THE BOARD APPROVES THE COMPENSATION AND DOCUMENTATION IS CONTAINED IN THE MINUTES OF THE BOARD. COMPENSATION WAS APPROVED IN 2015 BY THE BOARD AND THE CEO IS INVOLVED IN APPROVING THE COMPENSATION FOR THE COO PAT JACKSON AND CEO ANDREA GREEN PRESENTED A MULTI-VIEW SALARY SURVEY FOR THE COO AND CFO. THE BOARD APPROVED THE INCREASES. BECAUSE THE CEO IS INVOLVED IN THE DECISION OF DETERMINING COMPENSATION FOR THE OTHER OFFICERS, THIS QUESTION NEEDED TO BE MARKED 'NO' SINCE THE CEO IS NOT INDEPENDENT. Form 990, Part VI, Line 6 Classes of members or stockholders COMMUNITY HOSPICE OF TEXAS HAS FOUR MEMBERS, EACH WITH A 25% INTEREST: 1) TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH (A MEMBER OF TEXAS HEALTH RESOURCES 2) TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH (A MEMBER OF TEXAS HEALTH RESOURCES) 3) PROVIDENCE HEALTHCARE NETWORK (A MEMBER OF ASCENSION HEALTH) 4) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL (A MEMBER OF TEXAS HEALTH RESOURCES) Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE FOUR MEMBERS OF COMMUNITY HOSPICE OF TEXAS MAY EACH APPOINT ONE VOTING MEMBER TO THE BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING ACTIONS REQUIRE THE AFFIRMATIVE VOTE OF A MAJORITY OF THE FOUR MEMBERS: A) THE ADOPTION OF CAPITAL AND OPERATING BUDGETS; AND B) THE INCURRENCE OF ANY UNBUDGETED DEBT Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS REVIEWED BY THE ORGANIZATIONS CEO AND CFO BEFORE IT IS SIGNED AND SUBMITTED TO THE IRS. THE BOARD WILL RECEIVE A COPY OF THE 2016 990 PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REGULARLY MEETS AND DURING THOSE MEETINGS IS WHEN A DISCLOSURE OF A CONFLICT OF INTEREST IS REQUIRED. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPARATIVE DATA, such as current salary surveys, are USED IN DETERMINING the COMPENSATION of the top officers. THE BOARD APPROVES THE COMPENSATION AND DOCUMENTATION IS CONTAINED IN THE MINUTES OF THE BOARD. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.