2013-03-19T18:00:53-05:00 2012-06-30 ERNST & YOUNG US LLP 55 IVAN ALLEN BLVD SUITE 1000 ATLANTA GA 30308 990 2011-07-01 752638469 VHASW Community Health Corporation % JAMES HILL VHAS 9729436400 5801 Tennyson Parkway Plano TX 75024 James Hill 2013-03-19 4048748300 2011 2016-02-25 16:41:14Z JAMES HILL 5801 Tennyson Parkway Ste 550 Plano TX 75024 7434797 false X www.communityhospitalcorp.com X 1996 TX TO PROVIDE FINANCIAL AND MANAGERIAL OVERSIGHT AND SUPPORT FOR NOT FOR PROFIT COMMUNITY HOSPITALS AND TO ASSIST COMMUNITIES WITH THE CHANGING DYNAMICS OF THE HEALTH CARE INDUSTRY. 11 10 42 0 0 0 0 0 4384838 6962860 -973362 219179 198433 252758 3609909 7434797 0 0 0 0 5380324 5989330 0 0 0 -139763 1334526 5240561 7323856 -1630652 110941 26950320 25986825 9026975 8900156 17923345 17086669 X TO PRESERVE COMMUNITY BASED HEALTH CARE BY ASSISTING COMMUNITIES TO COPE WITH THE CHANGING DYNAMICS IN THE HEALTH CARE INDUSTRY. false false 5012494 6962860 SEE SCHEDULE 0 5012494 true false false false 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Scott Perryman 25.0 X 0 285562 24177 Brian Doerr 27.0 X 0 288906 26257 Laurie Breedlove 35.0 X 0 280299 29461 Anthony Ybarra 30.0 X 0 242281 32555 George Hill 35.0 X 251486 0 17198 251486 4216436 419246 20 false true false Gjerset Lorenz LLP 2801 Via Fortuna Suite 500 AUSTIN TX 78746 LEGAL 975786 BKD LLP 14241 Dallas Parkway Suite 1100 DALLAS TX 75254 AUDIT 432128 Viverae Inc Dept 2483 DALLAS TX 75312 EMPLOYEE WELLNESS 253351 Southeast Reimbursement Group 2959 Cherokee St Suite 301 KENNESAW GA 30144 COST REPORT CONSULT 158166 Ernst Young LLP 3712 Solutions Center CHICAGO IL 60677 TAX RETURN PREP 148754 7 0 Corporate allocation 541610 5591749 5591749 GPO revenue 900099 1371111 1371111 6962860 219179 219179 0 0 6120 6120 6120 6120 0 0 0 0 Other revenue 900099 246638 246638 246638 7434797 6962860 471937 0 0 0 0 3312218 2683156 629062 0 1721898 1037992 683906 408556 246285 162271 330539 199255 131284 216119 130280 85838 0 23848 23848 11112 11112 0 0 0 50624 79998 -29374 13642 13642 138367 70099 68268 166392 67001 99391 0 238535 238535 110614 92943 17671 0 58777 58427 350 47843 47843 0 139800 11462 128338 0 Dues and subscription 52319 27794 24526 Professional development 21999 14804 7195 Licenses and permits 21922 21922 All other expenses 238732 255509 -16777 7323855 5012494 2311361 0 100150 326701 1108871 59168 0 0 42229 373145 0 0 0 0 0 0 0 0 300098 483239 1082781 838086 378258 244695 0 0 0 0 9543712 9543712 0 0 15477002 14956165 26950320 25986825 3224638 3982975 0 0 0 0 0 0 0 0 0 0 266330 249570 2904200 2201569 2631807 2466042 9026975 8900156 X 17923345 17086669 0 0 0 0 17923345 17086669 26950320 25986825 X 110942 -947618 X false true true X false X X X false false false YOAKUM COMMUNITY HOSPITAL 742323822 03 false true true 300000 ARTESIA GENERAL HOSPITAL 742851819 03 false true true 800836 BAPTIST HOSPITALS OF SOUTHEAST TEXAS 741303720 03 false true true 1500000 ST MARKS MEDICAL CENTER 743019849 03 false true true 500000 CHC COMMUNITY CARE LLC 371485773 0 false true true 408924 CONTINUECARE HOSPITAL OF TYLER 200991990 03 false true true 0 CONTINUECARE HOSPITAL OF SE TEXAS 201150480 03 false true true 0 7 3509760 102856 60688 42168 910655 708128 202527 69269 69269 244695 Investment in Yoakum Hospital 740724 C Investment in SW Comm Hospital 8632988 C Investment in CHA 120000 C Preferred Stock CHA Cell 2 50000 C 9543712 Assets Whose Use is Limited 9889191 Intercompany Receivable 5066974 14956165 0 Insurance Reserves 2215797 Deferred rent 38198 Employee benefits 212047 2466042 Central America and the Caribbean 1 0 Program Services Captive insurance 125424 1 0 1 0 125424 125424 true false true false false false X false true false true false false false true true false false Michael D Williams 0 590402 0 412077 0 249549 0 17150 0 15684 0 1284862 0 42459 David Butler 0 261492 0 111285 0 52783 0 14798 0 15684 0 456042 0 38204 James Hill 0 206704 0 88583 0 14364 0 16452 0 15526 0 341629 0 5880 Wilson Weber 0 415342 0 223642 0 70657 0 99418 0 15684 0 824743 0 38400 Cynthia Matthews 0 250453 0 137769 0 34286 0 67511 0 11691 0 501710 0 21992 M Scott Perryman 0 174355 0 88012 0 23195 0 9800 0 14377 0 309739 0 5880 Brian Doerr 0 198458 0 82244 0 8204 0 10573 0 15684 0 315163 0 0 Laurie Breedlove 0 187964 0 80141 0 12194 0 13935 0 15526 0 309760 0 0 Anthony Ybarra 0 160913 0 70538 0 10830 0 16871 0 15684 0 274836 0 0 George Hill 193454 0 54460 0 3572 0 11367 0 5831 0 268684 0 0 0 Supplemental Compensation Information SCHEDULE J, PART I, LINE 1A TRAVEL FOR COMPANIONS POLICY: THE SCOPE OF THIS POLICY COVERS ALL CHC ENTITIES. SPOUSAL TRAVEL EXPENDITURES ARE NOT ALLOWED UNLESS APPROVED BY THE CHC CEO FOR CORPORATE BASED TRAVEL OR A CHC FACILITY CEO IF FACILITY BASED TRAVEL. THE COMPANY WILL PAY FOR APPROVED SPOUSAL TRAVEL. HOWEVER, IN ORDER TO COMPLY WITH IRS REGULATIONS, THE COST OF SUCH TRAVEL WILL BE TREATED AS TAXABLE INCOME TO THE EMPLOYEE AND INCLUDED ON THE EMPLOYEE'S W-2. APPROVED SPOUSAL TRAVEL FOR NON-EMPLOYEES (I.E. BOARD MEMBERS) WILL BE TREATED AS TAXABLE INCOME AND A FORM 1099 WILL BE ISSUED TO THE NON-EMPLOYEE SPOUSE (I.E. BOARD MEMBER'S SPOUSE) OR OTHER PERSON CONDUCTING BUSINESS ON BEHALF OF THE COMPANY IF THE TOTAL COST OF SUCH TRAVEL EXCEEDS $600 IN A CALENDAR YEAR. THE WRITTEN POLICY FOR TRAVEL FOR COMPANIONS WAS FOLLOWED. THE POLICY COVERS SPOUSES OF EMPLOYEES, BOARD MEMBERS, PHYSICIANS AND OTHERS CONDUCTING BUSINESS ON BEHALF OF THE COMPANY. HEALTH OR SOCIAL CLUB DUES OR INTITATION FEES: HEALTH CLUB MEMBERSHIP IS AVAILABLE TO ALL EMPLOYEES. DUES TO THE YMCA ARE TREATED AS TAXABLE INCOME TO THE EMPLOYEE AND ARE INCLUDED ON THE EMPLOYEE'S W-2. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: THE ORGANIZATION DOES NOT HAVE A HOUSING ALLOWANCE POLICY BECAUSE THE ORGANIZATION INFREQUENTLY PROVIDES HOUSING ALLOWANCE BENEFITS. FOR YEAR ENDED 6/30/12, THE ORGANIZATION PROVIDED A HOUSING ALLOWANCE TO WILSON WEBER AS APPROVED BY HIS DIRECT SUPERVISOR AS PART OF HIS TOTAL COMPENSATION PACKAGE. SUCH AMOUNTS WERE INCLUDED IN HIS TAXABLE INCOME. Compensation of CEO/Executive Director Schedule J, Part I, Line 3 CHC'S EXECUTIVES, INCLUDING THE CEO, ARE EMPLOYED BY ITS WHOLLY-OWNED SUBSIDIARY, COMMUNITY HOSPITAL CONSULTING, WHICH FOLLOWS THE COMPENSATION POLICIES 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 ON JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B Non qualified retirement plan participation was paid to: Michael D. Williams - $205,176 David Butler - $57,804 Wilson Weber - $140,268 James Hill - $21,560 Cindy Matthews - $92,336 Scott Perryman - $21,560 Laurie Breedlove - $19,600 Brian Doerr - $15,680 Tony Ybarra - $17,353 DISCRETIONARY INCENTIVE COMPENSATION PROGRAM SCHEDULE J, PART I, LINE 6A & 6B A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE CONSOLIDATED EBIDA OF CHC. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, D/B/A COMMUNITY HOSPITAL CORPORATION ("CHC"), IS A NOT-FOR-PROFIT COMPANY WHOSE SOLE MISSION IS TO HELP HOSPITALS REMAIN COMMUNITY-OPERATED AND GOVERNED. BASED IN PLANO, TEXAS, OUR ORGANIZATION PROVIDES COMMUNITY HOSPITALS WITH THE RESOURCES AND EXPERIENCE THEY NEED TO IMPROVE THE QUALITY OF HEALTH CARE, PATIENT SATISFACTION AND FINANCIAL PERFORMANCE. CHC IS THE SOLE MEMBER ORGANIZATION OF YOAKUM COMMUNITY HOSPITAL; ARTESIA GENERAL HOSPITAL; ST. MARKS MEDICAL CENTER; AND SOUTHWEST COMMUNITY HOSPITAL, THE HOLDING COMPANY FOR BAPTIST HOSPITALS OF SOUTHEAST TEXAS, THE OPERATOR OF BAPTIST BEAUMONT HOSPITAL AND BAPTIST ORANGE HOSPITAL. CHC IS THE SOLE MEMBER ORGANIZATION FOR COMMUNITY LTACH, LLC, WHICH IN TURN IS THE SOLE VOTING MEMBER ORGANIZATION OF CHC COMMUNITY CARE, LLC, A HOLDING COMPANY OF LONG-TERM ACUTE CARE HOSPITALS THAT CHC IS OPERATING AND MANAGING IN CONNECTION WITH OTHER NOT-FOR-PROFIT HOSPITALS. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 VHASW COMMUNITY HEALTH CORPORATION IS AN ORGANIZATION WITH MEMBERS. CLASS A - BAYLOR HEALTH CARE SYSTEM MEMORIAL HERMANN HOSPITAL SYSTEM TRINITY MOTHER FRANCES HEALTH SYSTEM HILLCREST HEALTH SYSTEM CLASS B - HEALTHCARE COALITION OF TEXAS CLASS C - BAPTIST HOSPITALS OF SOUTHEAST TEXAS CLASS E - ST MARKS MEDICAL CENTER Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11b THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE ORGANIZATION'S CFO AND GENERAL COUNSEL 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. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c PROCEDURE: 1. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED BY THE INTERESTED PARTY TO THE APPROPRIATE GOVERNING BODY OR A COMMITTEE OF SAID CHC ORGANIZATION BEING CONSIDERED BY THE GOVERNING BODY OR COMMITTEE OR IF AN INTERESTED PERSON BECOMES AWARE OF A POTENTIAL CONFLICT BEFORE THE MATTER IS UNDER CONSIDERATION BY THE GOVERNING BODY OR THE COMMITTEE, THEN THE INTERESTED PERSON MAY DISCLOSE THE POTENTIAL CONFLICT OF INTEREST TO THE ORGANIZATION'S APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY (OR IF NONE, THE CHAIRMAN OF THE BOARD). 2. AN INTERESTED PERSON MAY MAKE A PRESENTATION AND ANSWER QUESTIONS POSED AT THE GOVERNING BODY OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. 3. THE CHAIRPERSON OF THE ORGANIZATION'S GOVERNING BODY OR COMMITTEE SHALL, IF HE/SHE DEEMS APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHER RESOLUTION OF A POTENTIAL CONFLICT OF INTEREST. 4. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BODY OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER 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 ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO OR CONTINUE THE TRANSACTION OR ARRANGEMENT. 6. EMPLOYEES AND OTHERS ENGAGED BY THE ORGANIZATION MUST SEEK GUIDANCE AND APPROVAL FROM APPROPRIATE MANAGEMENT PERSONNEL PRIOR TO PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. 7. THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER WORKING WITH THE CHIEF FINANCIAL OFFICER WILL BE RESPONSIBLE TO ENSURE THOSE CONDUCTING AUDITING AND MONITORING REVIEWS OF INTERNAL CONTROLS ARE FREE FROM ANY CONFLICTS OF INTEREST OR OTHER INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. 8. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE A BOARD/COMMITTEE MEMBER OR EMPLOYEE HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER OR EMPLOYEE WILL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. 9. IF AFTER HEARING A MEMBER'S OR EMPLOYEE'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, IT IS DETERMINED THAT THERE WAS A FAILURE TO DISCLOSE, THERE WILL BE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH COULD INCLUDE, WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. RECORDS: MINUTES OF THE GOVERNING BOARD AND ALL COMMITTEES OF THE ORGANIZATIONS WITH BOARD DELEGATED POWERS SHALL CONTAIN: A. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS OR IS PRESENT, AND THE GOVERNING BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED OR EXISTS. B. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. C. RECORDS OF EMPLOYEE CONFLICT OF INTEREST WILL BE MAINTAINED ACCORDING TO THE COMPLIANCE PROGRAM RECORDS MANAGEMENT POLICY. ANNUAL STATEMENTS: ANNUALLY THE GOVERNING BOARD AND EMPLOYEES OF THE ORGANIZATION WILL SIGN A STATEMENT WHICH AFFIRMS EACH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PERIODIC REVIEWS: TO ENSURE THE ORGANIZATIONS OPERATE IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. PERIODIC REVIEWS WILL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH BARGAINING. B. WHETHER ACQUISITIONS OF PHYSICIAN PRACTICE AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. C. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a & 15b CHC'S EXECUTIVES, INCLUDING THE CEO, ARE EMPLOYED BY ITS WHOLLY-OWNED SUBSIDIARY, COMMUNITY HOSPITAL CONSULTING, WHICH FOLLOWS THE COMPENSATION POLICIES 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 ON JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. SUPPLEMENTAL INFORMATION PART VII, SECTION B, LINE 1 VHASW COMMUNITY HEALTH CORPORATION ("CHC") PAYS COMPENSATION TO INDEPENDENT CONTRACTORS FOR SERVICES RENDERED ON BEHALF OF ITSELF AND THE ORGANIZATIONS IT SUPPORTS. THE SUPPORTED ORGANIZATIONS REIMBURSE CHC FOR THESE PAYMENTS. CHC NETS THE AMOUNT OF THESE REIMBURSEMENTS AGAINST THE GROSS EXPENSES INCURRED SO THAT THE PART IX STATEMENT OF FUNCTIONAL EXPENSES REPRESENTS ONLY THE AMOUNT OF EXPENSES THAT CHC INCURS FOR ITS OPERATIONS AND NOT THE OPERATIONS OF SUPPORTED ORGANIZATIONS AS WELL. AVERAGE RELATED HOURS DISCLOSURE PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: MICHAEL D. WILLIAMS: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR CONTINUECARE HOSPITAL OF TYLER - 1 HOUR COMMUNITY HOSPITAL CONSULTING, INC. - 8 HOURS SOUTHWEST COMMUNITY HOSPITAL - .01 HOUR DAVID BUTLER: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR CONTINUECARE HOSPITAL OF TYLER - 1 HOUR COMMUNITY HOSPITAL CONSULTING, INC. - 1 HOUR ARTESIA GENERAL HOSPITAL - 1 HOUR SOUTHWEST COMMUNITY HOSPITAL - .01 HOUR JAMES HILL: CHC COMMUNITY CARE, LLC - 1 HOUR COMMUNITY HOSPITAL CONSULTING, INC. - 1 HOUR SOUTHWEST COMMUNITY HOSPITAL - .01 HOUR WILSON WEBER: COMMUNITY HOSPITAL CONSULTING, INC. - 6 HOURS BAPTIST HOSPITAL OF SE TEXAS - 1 HOUR SOUTHWEST COMMUNITY HOSPITAL - .01 HOUR YOAKUM COMMUNITY HOSPITAL - 1 HOUR ST. MARK'S MEDICAL CENTER - 1 HOUR ARTESIA GENERAL HOSPITAL - 1 HOUR CYNTHIA MATTHEWS: COMMUNITY HOSPITAL CONSULTING, INC. - 32 HOURS OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DURING THE YEAR CONSISTED OF: RECLASSIFICATION OF UNREALIZED GAINS: $ (3,007) DISTRIBUTIONS FROM SUBSIDIARY: $ 853,600 TAX EXPENSE ALLOCATION $ (553,004) MERGER OF DISSOLVED SUBSIDIARY $(1,245,206) ----------- TOTAL CHANGES: $ (947,617) OVERSIGHT OR SELECTION PROCESS FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF VHA SOUTHWEST COMMUNITY HOSPITAL CORPORATION IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS. Community Ltach LLC 5801 TENNYSON PARKWAY STE 550 PLANO TX 75024 LT HOSPITAL TX 0 0 NA BAPTIST HOSPITALS OF SE TEXAS POST OFFICE BOX 1591 BEAUMONT TX 77704 741303720 HOSPITAL TX 501(c)(3) 3 SW CH INC true BAPTIST PHYSICIAN NETWORK 3080 COLLEGE STREET BEAUMONT TX 77701 760453250 PRIMARY CARE TX 501(c)(3) 3 BP HSP SETX false ARTESIA GENERAL HOSPITAL 702 NORTH 13TH STREET ARTESIA NM 88210 742851819 HOSPITAL NM 501(c)(3) 3 CHC true LAIRD MEMORIAL HOSPITAL 5801 TENNYSON PKWY STE 550 PLANO TX 75024 020643367 HOSPITAL TX 501(c)(3) 3 CHC true SOUTHWEST COMMUNITY HOSPITAL INC 5801 TENNYSON PKWY STE 550 PLANO TX 75024 752725353 HOSPITAL TX 501(c)(3) 3 CHC true YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DRIVE YOAKUM TX 77995 742323822 HOSPITAL TX 501(c)(3) 3 CHC true CONTINUECARE HOSPITAL OF TYLER 800 E DAWSON STREET TYLER TX 75701 200991990 HOSPITAL TX 501(c)(3) 3 CHC CM CARE false CONTINUECARE HOSPITAL OF SE TEXAS 5801 TENNYSON PKWY STE 550 PLANO TX 75024 201150480 HOSPITAL TX 501(c)(3) 3 CHC CM CARE false ST MARKS MEDICAL CENTER ONE ST MARKS PLACE LA GRANGE TX 78945 743019849 HOSPITAL TX 501(C)(3) 3 CHC true CHC COMMUNITY CARE LLC 5801 TENNYSON PKWY STE 550 PLANO TX 75024 371485773 SUPPORT ORG TX 501(C)(3) 11C CHC true COMMUNITY HEALTH ASSURANCE SPC LTD CAYMAN ISLANDS GRAND CAYMAN CJ POB 69GT CAPTIVE INSURANCE CJ NA C CORP -378931 4005271 1.00000 COMMUNITY HOSPITAL CONSULTING INC 5801 TENNYSON PARKWAY STE 550 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C CORP 9417286 3951110 1.00000 true false false true false false false false false false false false true true true true true true Yoakum Community Hospital a 98125 FMV Yoakum Community Hospital d 117319 FMV CHC Community Care LLC p 645749 FMV ContinueCare Hospital of Tyler p 2298117 FMV Artesia General Hospital p 3911403 FMV Yoakum Community Hospital p 2953907 FMV Baptist Hospital of Southeast Texas p 6193394 FMV Community Hospital Consulting o 1610036 FMV St Marks Medical Center p 3550655 FMV CHC COMMUNITY CARE LLC R 853600 FMV