2013-08-14T17:00:23-05:00 2012-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-01-01 752653292 COMMUNITY HOSPICE OF TEXAS COMM 8179893200 6100 WESTERN PLACE NO 105 FORT WORTH TX 76107 ANDREA GREEN 2013-08-14 true Nicole Bencik P00756195 3128997000 2012 2016-02-24 21:20:13Z ANDREA GREEN 6100 WESTERN PLACE NO 105 FORT WORTH TX 76107 40720188 false X 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. 20 19 378 242 0 0 525162 332881 32469590 36874133 365536 429479 -6033 12655 33354255 37649148 0 0 0 0 13657592 15644455 0 0 0 16724073 18243452 30381665 33887907 2972590 3761241 28971208 34687878 2733563 3172103 26237645 31515775 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 2012 WE PROVIDED CARE TO MORE THAN 3,500 PATIENTS. SERVICE AREAS INCLUDED FORT WORTH, CLEBURNE, DALLAS, WACO, MEXIA, WHITNEY AND SURROUNDING AREAS. false false 24624288 32125097 COMMUNITY HOSPICE OF TEXAS PROVIDED BEREAVEMENT CARE TO MORE THAN 3,500 PATIENTS IN 2012. 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 CHARITY CARE IN THE AMOUNT OF $1,356,000.00 WAS PROVIDED TO PATIENTS IN OUR CARE LAST YEAR. 4715868 4768914 HOSPICE HOUSES - GENERAL INPATIENT AND RESPITE CARE AND OCCASIONAL RESIDENTAL CARE IS PROVIDED AT OUR INPATIENT UNITS. 29340156 true true false true false false false false false true false false false false true true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false false false true 39 0 true 378 true false false false false false true true false false false false X 20 19 false false false false true true true true true false false true true true true true true true false false X KIM VAUGHN 8179893200 6100 WESTERN PLACE NO 105 FORT WORTH TX 76107 ANDREA GREEN 40.00 X X 233346 0 49750 DEIDREA LAUX 1.00 X X 0 0 0 JIM BRITTAIN 1.00 X X 0 0 0 STANLEY MANEIKIS 1.00 X X 0 0 0 ALICE PETERSEN 1.00 X 0 0 0 BECKY REDMAN 1.00 X 0 0 0 BEVERLEE HERD 1.00 X 0 0 0 BOB RAY SANDERS 1.00 X 0 0 0 CARLELA VOGEL 1.00 X 0 0 0 CAROL BOEHNKE 1.00 X 0 0 0 DOREEN BRUNER 1.00 X 0 0 0 EDWARD A LAUE MD 1.00 X 0 0 0 ELAINE NELSON 1.00 X 0 0 0 GARY FLOYD MD 1.00 X 0 0 0 JANE HARDWICK 1.00 X 0 0 0 JIM PARR 1.00 X 0 0 0 PAULA WEBB 1.00 X 0 0 0 RABBI RALPH MECKLENBURGE 1.00 X 0 0 0 SHAREN WILSON JUDGE 1.00 X 0 0 0 VICKY CAMPBELL 1.00 X 0 0 0 WILLIAM D GREENHILL 1.00 X 0 0 0 KIM VAUGHN 40.00 X 156472 0 0 PAT JACKSON 40.00 X 152546 0 31843 CLAUDIA DUFF 40.00 X 105367 0 11109 STEVE LAUGHLIN 40.00 X 107280 0 18873 755011 0 111575 5 false true false 0 15940 316941 332881 PATIENT REVENUE 621110 36859992 36859992 TEXAS NON-PROFIT HOSPICE INCOME 900099 14141 14141 0 0 0 0 0 0 0 36874133 429683 429683 0 0 0 0 0 3063613 3063817 -204 0 -204 -204 0 15940 7223 -7223 -7223 0 0 MISCELLANEOUS INCOME 900099 19878 19878 0 0 0 0 0 0 19878 37649148 36894011 0 422256 0 0 0 0 755011 755011 0 12292474 10169705 2122769 0 1659705 1187149 472556 937265 733483 203782 0 0 0 0 0 76812 76812 3063925 3063925 0 0 704242 639819 64423 1032184 695509 336675 0 0 767413 663273 104140 1112172 980894 131278 0 52616 47756 4860 0 0 371023 171513 199510 170554 1877 168677 NURSING HOME ROOM & BOARD 4279318 4279318 MEDICAL SUPPLIES & DRUGS 3798764 3798764 PATIENT TRANSPORTATION 206914 206914 HOSPITAL SERVICES 2456322 2456322 151193 151193 0 0 33887907 29247414 4640493 0 0 447775 548484 2695940 2646813 3193579 2983364 0 0 263940 403695 3875654 2567886 557147 1307768 18535513 23520440 0 0 0 0 3277314 3277314 0 0 28971208 34687878 2680081 3172103 0 53482 0 2733563 3172103 X 26195978 31470215 41667 45560 26237645 31515775 28971208 34687878 X 3761241 1136659 150000 322972 X false true X true false X 668810 318944 754191 525162 781449 3048556 27417671 31836913 31724359 32455196 36894644 160328783 0 0 0 28086481 32155857 32478550 32980358 37676093 163377339 0 0 400000 100000 0 500000 0 0 0 0 0 0 0 0 400000 100000 0 500000 162877339 394987 174120 369636 365730 429683 1734156 0 394987 174120 369636 365730 429683 1734156 0 18674 15208 11737 16765 19878 82262 28500142 32345185 32859923 33362853 38125654 165193757 0.98600 0.98500 0.01040 0.01120 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - OTHER INCOME, COLUMN A - 18674, COLUMN B - 15208, COLUMN C - 11737, COLUMN D - 16765, COLUMN E - 19878, COLUMN F - 82262;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE AMOUNT NOTED HERE REPRESENTS THE PORTION OF NHPCO DUES THAT WERE ALLOCATED TOWARD LOBBYING ACTIVITIES. 127195 127195 497965 6209 491756 50482 6731 43751 3200012 2554946 645066 0 1307768 0 0 X LUNCHEON 15940 15940 0 3828 3395 0 0 15940 15940 0 0 0 0 3828 0 3395 7223 -7223 X X X false false false false false false false true false ANDREA GREEN 177187 0 39600 0 16559 0 26325 0 23425 0 283096 0 0 0 PAT JACKSON 138896 0 13650 0 0 0 23469 0 8374 0 184389 0 0 0 KIM VAUGHN 140384 0 16088 0 0 0 0 0 0 0 156472 0 0 0 Non-fixed payments Schedule J, Part I, Line 7 THE BOARD APPROVES COMPENSATION FOR ANDREA GREEN, PAT JACKSON AND KIM VAUGHN THROUGH BOARD APPROVAL PROCESS WHICH WAS APPROVED IN JANUARY 2012. BONUS'S ARE DISCRETIONARY BASED ON STAFF MEETING DETAILED GOALS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 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) Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE FOUR MEMBERS OF COMMUNITY HOSPICE OF TEXAS MAY EACH APPOINT ONE VOTING MEMBER TO THE BOARD OF DIRECTORS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b 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 Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b 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 2012 990 PRIOR TO FILING. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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. THIS APPROVAL PROCESS LAST OCCURRED DURING 2012. PROCESS USED TO DETERMINE COMPENSATION FOR OTHER OFFICERS FORM 990, PART VI, LINE 15B 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 2012 BY THE BOARD AND THE CEO IS INVOLVED IN APPROVING THE COMPENSATION FOR THE COO AND CFO. ON JANUARY 19, 2012 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. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CONTRIBUTED ASSETS FROM HOSPICE OF THE HEART - 322972;