2014-05-13T16:30:59-05:00 2013-06-30 ERNST & YOUNG US LLP 55 IVAN ALLEN BLVD ATLANTA GA 30308 990 2012-07-01 200991990 Continuecare Hospital of Tyler Inc % Gregory Taylor CONT 9729436400 7800 N Dallas Parkway Suite 200 Plano TX 75024 Stephanie Hyde 2014-05-13 4048748300 2012 2015-11-30 17:44:51Z X Stephanie Hyde 7800 N Dallas Parkway STE 200 Plano TX 75024 26325891 false 9703 X www.continuecare.org X 2004 DE AS A "HOSPITAL WITH-IN A HOSPITAL", IS THE MISSION OF TYLER CONTINUECARE HOSPITAL TO ENHANCE COMMUNITY HEALTH THROUGH SERVICEE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 6 4 177 4 0 0 0 26148958 26320542 -1874 0 5871 5349 26152955 26325891 3177 14900 0 0 10160823 10425764 0 0 0 12462663 12308655 22626663 22749319 3526292 3576572 6884386 7686708 2382414 1445164 4501972 6241544 X AS A 'HOSPITAL WITH-IN A HOSPITAL," IT IS THE MISSION OF TYLER CONTINUECARE HOSPITAL TO ENHANCE COMMUNITY HEALTH THROUGH SERVICES WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 20325492 14900 26325891 CONTINUECARE HOSPITAL OF TYLER (TCCH) IS A LONG-TERM ACUTE CARE HOSPITAL OPERATING AS A HOSPITAL WITHIN A HOSPITAL AT MOTHER FRANCES HOSPITAL IN TYLER, TEXAS. TCCH OBTAINED A LICENSE TO OPERATE AN ACUTE CARE HOSPITAL ON MAY 14, 2004, AND BECAME CERTIFIED AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) ON JANUARY 1, 2005. AS AN LTACH, TCCH PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN AN LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED 6/30/2013, TCCH'S TOTAL PATIENTS ADMITTED WERE 610 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 16,941. THE AVERAGE DAILY CENSUS WAS 46.4 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 27.77 DAYS. 20325492 true false false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 17 0 true 177 true false false false false false false false false false false X 6 4 false true false false true true true true false false false true true true true true true false false false X Gregory Taylor 9729436431 7800 N Dallas Parkway Suite 200 Plano TX 75024 X Ray Thompson 1.0 0.0 X X 0 0 0 Craig Chesley 1.0 0.0 X 0 0 0 Robert Owens 1.0 0.0 X 0 0 0 Michael D Williams 1.0 39.0 X 0 1227709 53210 Dan Hardiman 1.0 0.0 X 0 0 0 Stephanie Hyde 40.0 0.0 X X 0 206724 51605 David Butler 1.0 39.0 X 0 394494 50785 Kristi Williams 40.0 0.0 X 136683 0 16763 Karen Spencer 40.0 0.0 X 132625 0 20396 Dennis Jordan 40.0 0.0 X 130434 0 17607 Larry Cuthbertson 40.0 0.0 X 215061 0 9504 Mark Graham 40.0 0.0 X 131406 0 21733 746209 1828927 241603 11 false true false Trinity Mother Frances 1315 Doctors Drive Tyler TX 75701 Purchased services 5800308 Nathan Jackson PLLC 3626 Long Leaf Drive Tyler TX 75701 Contract PT/OT 562862 Capstone Personnel Services PO Box 8744 Tyler TX 75711 Contract nursing 287794 Trinity Clinic Hospitalist 1315 Doctors Drive Tyler TX 75701 Contract medical dir 244444 Sodexo Inc PO Box 536922 Atlanta GA 30353 Contract housekeepin 200184 5 0 Inpatient revenue 623000 26320542 26320542 26320542 0 0 0 0 0 0 0 0 0 0 Miscellaneous income 900099 5349 5349 0 0 5349 26325891 26325891 0 0 X 14900 14900 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8534567 7653055 881512 0 116411 104819 11592 0 1183466 1065463 118003 0 591320 532440 58880 0 897994 318394 579600 0 2323 0 2323 0 71917 0 71917 0 2376 2376 0 0 0 0 0 0 0 0 4923524 4810772 112752 0 3123 0 3123 0 3013832 2849580 164252 0 1399436 1398996 440 0 0 0 0 0 1340799 1208779 132020 0 36331 0 36331 0 0 0 0 0 4185 0 4185 0 92 0 92 0 0 0 0 0 163197 163197 0 0 155137 0 155137 0 BAD DEBT EXPENSE 184197 184197 ALL OTHER EXPENSES 110192 18524 91668 0 22749319 20325492 2423827 0 1852944 1870716 0 0 0 0 4427365 5099265 0 0 0 0 0 0 239929 245477 127554 160922 1889032 1578704 236594 310328 0 0 0 0 0 0 0 0 0 0 6884386 7686708 2275725 1297859 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106689 147305 2382414 1445164 X 4501972 6241544 0 0 0 0 4501972 6241544 6884386 7686708 X 3576572 -1837000 X false true X true false X false false false false false true 2376 false false 2376 MEMBERSHIP DUES TO NATIONAL ASSOC OF LONG TERM HOSPITALS SCHEDULE C, PART II-B CONTINUECARE HOSPITAL OF TYLER PAID 11,954 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS IN 2012. THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES WAS 19.88%. tOTAL DUES PAID FOR LOBBYING ACTIVITIES WERE 11,954 x .1988 = 2,376. 142697 142697 0 1746335 1436007 310328 310328 0 Intercompany 147305 147305 true true X true X true X true true true false true true 283526 283526 0.01260 283526 283526 0.01260 27938 27938 0.00120 235400 235400 0.01040 263338 263338 0.01170 546864 546864 0.02430 27938 27938 0.00120 27938 27938 0.00120 true 184197 0 17448609 15536114 1912495 X true true 1 1 CONTINUECARE HOSPITAL OF TYLER INC

800 E DAWSON TYLER TX 75701

www.continuecare.org X X CONTINUECARE HOSPITAL OF TYLER INC true X X X X X X X X X 12 true false true X X X X X X X X true false true true 200. true 200. true X X X X X true true X X true false true X false false Payment for Charity Care IN THE STATE OF TEXAS, IT IS PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. CONTINUECARE HOSPITAL OF TYLER CONTRIBUTED TO TRINITY MOTHER FRANCES $220,000.00 FOR THE PROVISION OF CHARITY CARE. PART I, LINE 7, COLUMN F OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $22,749,319 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $184,197. THIS LEFT A TOTAL EXPENSE OF $22,565,122 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). CCH TYLER IS NOT AN ACUTE CARE HOSPITAL AND THEREFORE WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Part II The organization provides various charitable services to the local community. These charitable services include providing community members with basic needs by assisting the local food pantry with regularly scheduled food drives and a once a year school supply drive. The hospital also collaborated with various organizations that provided services to vulnerable populations, such as the indigent. This includes St. Paul's Children's Foundation, which offers adult and children's medical and dental clinics, and East Texas Crisis Center, which serves battered women in the community. Part III, Line 4 CONTINUECARE HOSPITAL OF TYLER, INC. DOESN'T HAVE ITS OWN AUDIT. RATHER IT IS PART OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION AND THE BAD DEBT DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS DOES NOT COMPLETELY MATCH THE ORGANIZATION'S PRACTICE. THE BAD DEBT COSTING METHODOLOGY VARIES BY PAYER TYPE. FOR MEDICARE, BAD DEBT IS RECORDED WHEN RECOGNIZED TO THE EXTENT OF 30%. MEDICARE REIMBURSES THE ORGANIZATION FOR ALLOWABLE BAD DEBT AT 70%. MEDICARE BAD DEBT RELATES TO THE PRIVATE PAY PORTION OF CARE SUCH AS CO-PAY AND DEDUCTIBLE AMOUNTS. FOR MANAGED CARE, WE RESERVE BAD DEBT WHEN RECOGNIZED AT 100% OF CO-PAY AND DEDUCTIBLE AMOUNTS. Part III, Line 9B IF A PATIENT QUALIFIES FOR CHARITY, THERE ARE NO COLLECTION PRACTICES FOR THE PATIENT. Part V, Line 3 The organization provided CHC with a list of persons with special knowledge of public health in Smith County including public health representatives, not-for-profit organization professionals, charities and other individuals who focus specifically on underrepresented groups. From that list, eight in depth interviews were conducted using a structured interview guide. Extensive notes were taken during each interview and then quantified based on responses, communities and populations (minority, elderly, underinsured etc.) served and priorities identified by respondents. Qualitative data from the interviews was also analyzed and reported. The persons interviewed were: *John English, MD CEO, Bethesda Clinic *John McGreevy, SVP/CEO, Louis and Peaches Owen Heart Hospital *Bettye Mitchell, MA, Director, ETCOG Area Agency on Aging *Lana Peacock, Executive Director, East Texas Crisis Center *Mike Powell, Executive Director, Meals on Wheels East Texas *Marji Ream, RN, MN, President/CEO, Hospice of East Texas *George T Roberts Jr, FACHE, CEO North East Texas Public Health District *Robyn Silber, RN, MSN, Administrative Director of Patient Progression, Trinity Mother Frances-Tyler Part V, Line 20D IF A PATIENT QUALIFIES UNDER ITS CHARITY CARE POLICY, CONTINUECARE HOSPITAL OF TYLER, INC. DOES NOT BILL THE PATIENT FOR THE SERVICES. PART VI, QUESTION 2 NEEDS ASSESSMENT: THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE ASSESSED BY A rEVIEW OF THE PRIMARY AND TERTIARY SERVICE AREAS FOR DISEASE SPECIFIC MORTALITY RATES. DISEASE STATISTICS ARE GATHERED FROM THE HEALTH PROMOTION UNIT OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES. INTERVIEWS WITH LOCAL HEALTH CARE AND ELDERLY SERVICE PROVIDERS ARE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE COMMUNITY. PART VI, QUESTION 3 PATIENT EDUCATION OF ELIBIBILITY FOR ASSISTANCE: PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED UPON ADMISSION TO CONTINUECARE HOSPITAL OF TYLER BY A FACE TO FACE VISIT WITH THE BUSINESS OFFICE ASSOCIATES. THE PATIENT FINANCIAL OBLIGATION IS DISCUSSED WITH THE RESPONSIBLE PARTY AND A FACT SHEET THAT DESCRIBES "HOW MUCH AND WHEN" IS GIVEN TO EACH RESPONSIBLE PARTY. THE HOSPITAL CHARITY CARE POLICY IS DISCUSSED WITH EACH RESPONSIBLE PARTY AND IF IT IS FELT THAT THE PATIENT WOULD QUALIFY FOR THE CHARITY PROGRAM THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY THE RESPONSIBLE PARTY TO THE BUSINESS OFFICE ASSOCIATE FOR REVIEW. PART VI, QUESTION 4 COMMUNITY INFORMATION: CONTINUECARE HOSPITAL OF TYLER SERVES SMITH COUNTY. AS OF 2012 THERE WERE 210,600 RESIDENTS IN SMITH COUNTY THAT ARE EXPECTED TO INCREASE 7.8% BY 2017. THE MAJORITY OF RESIDENTS IN SMITH COUNTY IDENTIFY AS WHITE-NON HISPANIC. THE NEXT LARGEST RACES/ETHNICITIES IN SMITH COUNTY ARE THE BLACK AND HISPANIC POPULATIONS AT 17.65% AND 18.4% RESPECTIVELY. SMITH COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS AGES 65 YEARS AND OLDER OF 14.4%. THE MEDIAN HOUSEHOLD INCOMES IN 2012 IN SMITH COUNTY IS $43,462. A. SMITH COUNTY HAS A LOWER RATE OF CARDIOVASCULAR DISEASE, HEART DISEASE AND STROKE WHEN COMPARED TO REGION 4 AND THE STATE WHILE REGION 4 HAS A HIGHER RATE OF CARDIOVASCULAR DISEASE, HEART DISEASE AND STROKE WHEN COMPARED TO THE STATE. CONTINUECARE HOSPITAL OF TYLER, INC. IS IN SMITH COUNTY WHICH IS PART OF REGION 4 IN TEXAS. B. LUNG CANCER RATES IN SMITH COUNTY ARE COMPARABLE WITH THE STATE WHILE THE RATES OF REGION 4 ARE HIGHER THAN THE STATE. C. ALL COUNTIES IN THE PRIMARY SERVICE AREA AND THE SECONDARY SERVICE AREA HAVE FEWER THAN 20 DEATHS FROM FEMALE BREAST CANCER. REGION 4 HAS A SLIGHTLY LOWER RATE OF FEMALE BREAST CANCER WHEN COMPARED TO THE STATE. D. ALL COUNTIES IN THE SECONDARY SERVICE AREA AND REGION 4 HAVE HIGHER RATES OF CHRONIC LOWER RESPIRATORY DISEASE WHEN COMPARED TO THE STATE WHILE SMITH COUNTY HAS A LOWER RATE THAN REGION 4 AND THE STATE. E. SMITH COUNTY HAS A LOWER DIABETES RATE THAN TEXAS AND REGION 4. THE DIABETES RATES FOR TEXAS AND SMITH COUNTY ARE COMPARABLE. PART VI, QUESTION 5 Promotion of community health: THE HEALTH OF THE COMMUNITY IS PROMOTED BY PARTNERING WITH LOCAL HEALTH CARE PROVIDERS TO GIVE ASSISTANCE IN WHATEVER IS NECESSARY TO MEET THE NEEDS OF THEIR CONSTITUENTS. AN EXAMPLE OF THIS WOULD BE THAT THE HOSPITAL PARTICIPATES IN REGULAR FOOD DRIVES FOR A LOCAL FOOD PANTRY AND ASSISTS WITH GATHERING SUPPLIES FOR THEIR ANNUAL "BACK TO SCHOOL" DRIVE WHERE SCHOOL SUPPLIES ARE COLLECTED FOR FILLING BACKPACKS PRIOR TO GOING BACK TO SCHOOL. THE STAFF ALSO PARTICIPATES IN HEALTH FAIRS THAT WOULD PRESENT INFORMATION ON A HEALTHY LIFESTYLE TO THE ELDERLY OR UNDERSERVED POPULATION. THE HOSPITAL ALSO PROMOTES AN OPEN MEDICAL STAFF IN ORDER TO BETTER SERVE THE PATIENTS SEEKING CARE. CONTINUECARE HOSPITAL OF TYLER ALSO HAS A COMMUNITY BOARD STRUCTURE SO THAT THE HOSPITAL CAN BE GOVERNED BY THE COMMUNITY IN WHICH IT SERVES. PART VI, QUESTION 6 AFFILIATED HEALTH CARE SYSTEM ROLES: CONTINUECARE HOSPITAL OF TYLER IS AN AFFILIATE OF TRINITY MOTHER FRANCES HEALTH SYSTEM IN TYLER, TEXAS. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR REACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY. PART VI, QUESTION 7 ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: TX true East Texas Crisis Center PO Box 7060 Tyler TX 75711 751641173 501(c)(3) 10000 Community benefit donation 1 0 Form 990, Schedule I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING GRANTS CHARITABLE CONTRIBUTIONS ARE GIVEN BASED ON REQUESTS FROM LOCAL COMMUNITY ORGANIZATIONS. THE DECISION TO GRANT THE REQUEST IS MADE BY THE CHIEF EXECUTIVE OFFICER AFTER CONSIDERING THE COMMUNITY BENEFIT PLAN AND THE MISSION OF SACRED WORK. false true false false false false false true false Kristi Williams 133012 0 2513 0 1158 0 4195 0 12568 0 153446 0 0 0 Karen Spencer 112956 0 19616 0 53 0 4147 0 16249 0 153021 0 0 0 Michael D Williams 0 609151 0 409281 0 209277 0 29850 0 23360 0 1280919 0 0 Stephanie Hyde 0 158881 0 44497 0 3346 0 33705 0 17900 0 258329 0 0 David Butler 0 268271 0 110530 0 15693 0 27645 0 23140 0 445279 0 0 Larry Cuthbertson 194209 0 20720 0 132 0 2175 0 7329 0 224565 0 0 0 Mark Graham 127554 0 3688 0 164 0 0 0 21733 0 153139 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 3 THE ORGANIZATION DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. THE ORGANIZATION REIMBURSES CHC COMMUNITY CARE LLC (CCC) FOR THE PRESIDENT'S COMPENSATION. CCC FOLLOWS THE COMPENSATION POLICY OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. SCHEDULE J, PART I, LINE 4B NON QUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: Mike Williams - $164,026 David Butler - $9,800 SCHEDULE J, PART I, LINE 7 A portion of the discretionary incentive compensation program was based on the EBIDA of ContinueCare Hospital of Tyler. Form 990, Part VI, Line 3 DESCRIPTION OF MANAGEMENT ARRANGEMENT CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC IS CHC COMMUNITY CARE, LLC, ("CCC"). Form 990, Part VI, Line 7a DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER. THE BOARD OF DIRECTORS SHALL BE COMPRISED OF 5 VOTING DIRECTORS PLUS 2 NON-VOTING EX-OFFICIO DIRECTORS. Form 990, Part VI, Line 7b CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000 8. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 9. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000. Form 990, Part VI, Line 8b Documentation of meetings of committees There were no committees of the governing body. Form 990, Part VI, Line 11b DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CHC COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED 6-30-11. 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTIONS 15A & 15B THE ORGANIZATION EXECUTIVE IS EMPLOYED BY CHC COMMUNITY CARE LLC WHICH FOLLOWS THE COMPENSATION POLICY OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6-30-13 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. Form 990, Part VI, Line 19 Process for making documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. Part XI, Line 9 Other Changes in Net assets Distributions to Members - $(1,837,000) OVERSIGHT OR SELECTION PROCESS FORM 990, PART XII, QUESTION 2C THE AUDIT COMMITTEE OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, WHICH IS THE PARENT ORGANIZATION OF CONTINUECARE HOSPITAL OF TYLER, INC. IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS. OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4540962 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:382562 Baptist Hospitals of Southeast Texas Post Office Box 1591 Beaumont TX 77704 741303720 Hospital TX 501(c)(3) 3 SCH false Baptist Physician Network 3080 College Street Beaumont TX 77701 760453250 Primary Care TX 501(c)(3) 3 BHSET false Artesia General Hospital 702 North 13th Street Artesia NM 88210 742851819 Hospital NM 501(c)(3) 3 CHC false Southwest Community Hospital Inc 7800 N Dallas Parkway Suite 200 Plano TX 75024 752725353 Hospital TX 501(c)(3) 3 CHC false Yoakum Community Hospital 1200 Carl Ramert Drive Yoakum TX 77995 742323822 Hospital TX 501(c)(3) 3 CHC false ContinueCare Hospital of Southeast Texas 7800 N Dallas Parkway Suite 200 Plano TX 75024 201150480 Hospital TX 501(c)(3) 3 CCC false CHC Community Care LLC 7800 N Dallas Parkway Suite 200 Plano TX 75024 371485773 Support Org TX 501(c)(3) 11c-III-FI CHC false St Marks Medical Center One St Marks Place La Grange TX 78945 743019849 Hospital TX 501(c)(3) 3 CHC false VHASW Community Health CorporaTION 7800 N Dallas Parkway Suite 200 Plano TX 75024 752638469 Support Org TX 501(c)(3) 11c-III-FI NA false ContinueCare Hospital of Midland Inc 7800 N Dallas Parkway Suite 200 Plano TX 75024 463053684 Hospital TX 501(c)(3) 3 CCC false Community Hospital Consulting Inc 7800 N Dallas Parkway Suite 200 Plano TX 75024 204710183 MGMT CONSULTING TX chc C Corp false Community Health Assurance SPC Ltd CAYMAN ISLANDS Grand Cayman CJ POB 69GT Captive insurance CJ NA C Corp false false false false false false false false false false false false false false true true false false false CHC Community Care LLC o 293253 Cost allocation VHASW Community Hospital Corporation p 2395487 Cost allocation