YOAKUM COMMUNITY HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
YOAKUM COMMUNITY HOSPITAL (EIN 74-2323822)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201121339349302917
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T12:18:00-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742323822EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Yoakum Community HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlYOAKNameControl
Phone3612932321Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 Carl Ramert DriveAddressLine1
CityYoakumCity
StateTXState
ZIP Code77995ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT FORETName
TitleCFOTitle
Date Signed2011-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKaren Barber RN CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 Carl Ramert DriveAddressLine1
CityYoakumCity
StateTXState
ZIP Code77995ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15730640GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number9703GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.YOAKUMHOSPITAL.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1922YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE OUR TRADITION OF COMPASSIONATE, QUALITY, AND COST-EFFECTIVE SERVICES, WHICH RESULTS IN MEASURABLE BENEFITS TO OUR PATIENTS, OUR COMMUNITY, OUR EMPLOYEES, AND OUR MEDICAL STAFF.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees180TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year274433ContributionsGrantsPriorYear
Contributions Grants Current Year55299ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13435389ProgramServiceRevenuePriorYear
Program Service Revenue CY15571382ProgramServiceRevenueCY
Investment Income Prior Year8360InvestmentIncomePriorYear
Investment Income Current Year5400InvestmentIncomeCurrentYear
Other Revenue Prior Year64518OtherRevenuePriorYear
Other Revenue Current Year95902OtherRevenueCurrentYear
Total Revenue Prior Year13782700TotalRevenuePriorYear
Total Revenue Current Year15727983TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6600136SalariesEtcPriorYear
Salaries Etc Current Year6920561SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6891608OtherExpensePriorYear
Other Expenses Current Year7949356OtherExpensesCurrentYear
Total Expenses Prior Year13491744TotalExpensesPriorYear
Total Expenses Current Year14869917TotalExpensesCurrentYear
Revenues Less Expenses Prior Year290956RevenuesLessExpensesPriorYear
Revenues Less Expenses CY858066RevenuesLessExpensesCY
Total Assets BOY4886968TotalAssetsBOY
Total Assets EOY5320003TotalAssetsEOY
Total Liabilities BOY4142249TotalLiabilitiesBOY
Total Liabilities EOY3717321TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY744719NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1602682NetAssetsOrFundBalancesEOY
Mission DescriptionTo enhance our tradition of compassionate, quality, and cost-effective services, which results in measurable benefits to our patients, our community, our employees, and our medical staff.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13165008Expense
Grants0Grants
Revenue15658336Revenue
DescriptionYOAKUM COMMUNITY HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S RACE, CREED, NATIONALITY, OR ABILITY TO PAY. SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY, AND OUTPATIENT CARE IN SUPPORT OF THE HOSPITAL'S HEALTH CARE MISSION. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description
Total Program Service Expense13165008TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees180NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT P FORET CFONamePerson
Telephone Number3612932321TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 Carl Ramert DriveAddressLine1
CityYoakumCity
StateTXState
ZIP Code77995ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Elorine Sitka
Chairperson1.0X000
John C Fling
Board Member1.0X000
Bill Lopez
Vice Chairperson/Secretary1.0X000
Ron M White
Board Member1.0X000
Brenda Westmoreland
Board Member1.0X000
Glen Kusak
Board Member1.0X000
Michael D Williams
Board Member1.0X0100373232385
Tom Kelly
Board Member1.0X000
James E Drost MD
Board Member1.0X000
Robert Lambert MD
Board Member1.0X000
Bill Sharp
Board Member1.0X000
Marvin Boedeker
Board Member1.0X000
Karen Barber RN
CEO40.0016669311186X
Robert Foret
CFO40.0637158173710885X
Jennifer Franklin RN
CNO40.042719578206331X
David Butler
Assistant Secretary1.0031645534935X
FieldValueIRS element (for citing)
Total Reportable Comp From Org106434TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1626437TotalReportableCompFrmRltdOrgs
Total Other Compensation95722TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Texas Emergency Room Services PA
7032 Collection Center DriveCHICAGOIL60693ER Physician SRVCS441900
HB Anesthesiology Group PA
P O Box 4502LONGVIEWTX75606Anesthesiology SRVCS374400
Horizon Mental Health Management
P O Box 840839DALLASTX75284Mental Health SRVS317600
TLC Staffing LLC
101 Palmwood Drive Suite 5VICTORIATX77901Nursing Services305800
Prince Food Systems Inc
11001 Wilcrest Dr Suite 200HOUSTONTX77099Dietary Services240200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
All Other Contributions55299AllOtherContributions
Total Contributions55299TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Revenue6221101528185615281856
Tax Subsidiary Revenue9000998029580295
Other Program Service900099209231209231
FieldValueIRS element (for citing)
Total Program Service Revenue15571382TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5400TotalRevenueColumn
Exclusion$5,400ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events11605GrossIncomeFundraisingEvents
Fundraising Direct Expenses2657FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8948TotalRevenueColumn
Exclusion$8,948ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Trauma Fund Subsidiary9000995486654866
OP Clinic Usage Fee9000991810018100
Med Rec Transcripts90009925702570

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11418TotalRevenueColumn
Related Or Exempt Function Income11418RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue86954TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15727983TotalRevenueColumn
Related Or Exempt Function Income15658336RelatedOrExemptFunctionIncome
Exclusion$14,348ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total417809Total
Program Services396919ProgramServices
Management And General20890ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5105945Total
Program Services4850648ProgramServices
Management And General255297ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total104444Total
Program Services98177ProgramServices
Management And General6267ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total923766Total
Program Services868340ProgramServices
Management And General55426ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total368597Total
Program Services294878ProgramServices
Management And General73719ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total185576Total
Program Services115057ProgramServices
Management And General70519ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73000Total
Program Services8760ProgramServices
Management And General64240ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2252830Total
Program Services1914906ProgramServices
Management And General337924ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total29076Total
Program Services29076ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total54043Total
Program Services48098ProgramServices
Management And General5945ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total42376Total
Program Services21188ProgramServices
Management And General21188ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total399670Total
Program Services319736ProgramServices
Management And General79934ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total25443Total
Program Services12721ProgramServices
Management And General12722ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total138028Total
Program Services110422ProgramServices
Management And General27606ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total282000Total
Management And General282000ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total541680Total
Program Services433344ProgramServices
Management And General108336ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total69787Total
Program Services55830ProgramServices
Management And General13957ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES (EXCL OFFICE SUPP)15752781401997173281
Bad Debts13239911323991
ALL OTHER EXPENSES95657886092095658

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14869917Total
Program Services13165008ProgramServices
Management And General1704909ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY238052BOY
EOY459748EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY87934BOY
EOY1109624EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY946612BOY
EOY1124961EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1287389BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY306455BOY
EOY319330EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY212884BOY
EOY222630EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6858721LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5296905LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1509921BOY
EOY1561816EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY400000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY297721BOY
EOY121894EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4886968BOY
EOY5320003EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1075426BOY
EOY1085533EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY816693BOY
EOY544624EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2250130BOY
EOY2087164EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4142249BOY
EOY3717321EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY693034BOY
EOY1551103EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY51685BOY
EOY51579EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY744719BOY
EOY1602682EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4886968BOY
EOY5320003EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis832OtherCostOrOtherBasis
Book Value832BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis271145OtherCostOrOtherBasis
Depreciation37104Depreciation
Book Value234041BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6563463OtherCostOrOtherBasis
Depreciation5259801Depreciation
Book Value1303662BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23281OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value23281BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1561816TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY NOTES & CHARGESDescription
Amount$2,087,164Amount
FieldValueIRS element (for citing)
Total Of Amounts2087164TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense584911TotalCommunityBenefitExpense
Direct Offsetting Revenue270700DirectOffsettingRevenue
Net Community Benefit Expense314211NetCommunityBenefitExpense
Percent Of Total Expense0.02320PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense15190598TotalCommunityBenefitExpense
Direct Offsetting Revenue15714000DirectOffsettingRevenue
Net Community Benefit Expense-523402NetCommunityBenefitExpense
Percent Of Total Expense0.03860PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15775509TotalCommunityBenefitExpense
Direct Offsetting Revenue15984700DirectOffsettingRevenue
Net Community Benefit Expense-209191NetCommunityBenefitExpense
Percent Of Total Expense0.01540PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense65700TotalCommunityBenefitExpense
Direct Offsetting Revenue28200DirectOffsettingRevenue
Net Community Benefit Expense37500NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense4000TotalCommunityBenefitExpense
Net Community Benefit Expense4000NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense69700TotalCommunityBenefitExpense
Direct Offsetting Revenue28200DirectOffsettingRevenue
Net Community Benefit Expense41500NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense15845209TotalCommunityBenefitExpense
Direct Offsetting Revenue16012900DirectOffsettingRevenue
Net Community Benefit Expense-167691NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,323,991BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare17744000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare10264000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall7480000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Yoakum Community HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11200 Carl Ramert DriveAddressLine1
CityYoakumCity
StateTXState
ZIP Code77995ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaWe use the assets test in order to determine the amount of free/discounted care. We required pay stubs for patient & spouse, last year's tax return, social security award letter if employed. If unemployed, we require food stamp approval/denial, unemployment approval/denial and last year's tax return. We also require the patient to submit a Financial Information Form showing bills, bank accounts, and any other support they may be receiving to determine if they are eligible for charity care.IncomeBasedCriteria
Annual Community Benefit ExplnOur community benefit report for FY 2010 was prepared by Vivante Group, LLC with the assistance of our corporate office.AnnualCommunityBenefitExpln
Percent Of Total Expense ExplnOur total expense from Form 990, Part IX, Line 25, Column (A) was $14,869,917. The bad debt expense included in this amount was $1,323,991. This left a total expense of $13,545,926 for purposes of calculating Line 7, Column (F).PercentOfTotalExpenseExpln
Bad Debt FootnoteThe hospital reports patient accounts receivable for services rendered at net realizable amounts from government payers, managed care plans, patients and others. Amounts due from patients include both amounts due from fully uninsured patients and co-payments and deductibles for which insured patients are responsible. A service to the patient, the hospital bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. The hospital provides an allowance for doubtful accounts for estimated losses resulting from payers' inability to make payments on accounts. The hospital estimates its allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. Accounts are considered delinquent, and subsequently written off as bad debts, based on individual credit evaluation and specific circumstances of the account, estimates its allowance for doubtful accounts based upon a review of outstanding receivables.BadDebtFootnote
Shortfall As Community BenefitThe Medicare shortfall was computed using the annual Medicare cost report for the period 11/01/09 thru 10/31/10.ShortfallAsCommunityBenefit
Debt Collection PolicyOur patients are sent a letter from the centralized business office informing them their balance due and that there are programs available for assistance. These accounts are reviewed by a vendor and the patients are then contacted regarding charity or financial assistance programs they may qualify for until they are either approved, denied or do not comply with the requirements for assistance.DebtCollectionPolicy
Needs AssessmentAs stated in our FY 2010 Community Benefits Plan, "As a not-for-profit hospital, part of YCH's mission is to engage in community benefit activities to improve the health status of the community as a whole. These activities are based on a specific community wide assessment of need using a variety of sources including discussions with leaders of community organizations, state and community data and hospital admission and ER trends."NeedsAssessment
Patient Education AssistanceWe have a copy of our charity care policy posted on our hospital website and have a Cardon Healthcare eligibility consultant on site who will screen all customers who are self pay for all programs they may be eligible for. Our insured customers are also referred to the eligibility consultant if they are not able to set up financial arrangements after they are moved to being self pay. We have signs posted in our registration area stating "YCH provides financial assistance through our charity or indigent programs to those who qualify. See registration clerk for more information." Our billing statements also have contact information for customers who cannot pay the claim in full to call to discuss more payment options.PatientEducationAssistance
Community InformationYoakum Community Hospital is centrally located approximately 200 miles from San Antonio & Houston. Our service area covers approximately 2000 square miles and approximately 40,000 people (Dewitt & Lavaca Counties combined). The entire population of Lavaca and Dewitt counties is classified as medically underserved. YCH serves Health Service Region 8.CommunityInformation
Community Building ActivitiesYCH hold various activities to promote health care to our community. We hold health fairs, Donna's Day (free health screenings for blood pressure, cholesterol, and glucose levels), and we have a diabetic clinic available in our outpatient clinic.CommunityBuildingActivities
Affiliated Health Care SystemYoakum Community Hospital is a 25 bed Critical Access Hospital offering general medical and surgical care to the citizens of Yoakum and the surrounding communities. Established in 1922, Yoakum Community Hospital has been an integral part of the community since its inception and continues to search for ways to better serve our community.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael D Williams
0595995026886901388680172000151850103611700
Karen Barber RN
011608302497502563501118600017787900
Robert Foret
6371557790018189057583892549914940691018723600
David Butler
024445006915302852016747018188035139000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 3ReturnReference
ExplanationTHE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, VHA SOUTHWEST COMMUNITY HEALTH 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 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. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO DAVID L. BUTLER - 10,204 MICHAEL D. WILLIAMS - 141,726 SCHEDULE J, PART I, LINE 7 NON-FIXED BONUSES WERE PAID AND REPORTED AT SCHEDULE J, PART II FOR: ROBERT FORET - $18,189Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AYOAKUM COMMUNITY HOSPITAL (YCH) IS A NOT-FOR-PROFIT, CRITICAL-ACCESS HOSPITAL DELIVERING COMPREHENSIVE SERVICES WITH COMPASSION AND COMMITMENT. HOSPITAL LEADERSHIP AND PHYSICIANS WORK TOGETHER TO GUIDE THE DIRECTION OF THE FACILITY. THE BUSY, 25-BED COMMUNITY HOSPITAL HAS SERVED NEIGHBORS IN YOAKUM AND THE SURROUNDING AREA FOR 86 YEARS. THE YCH MEDICAL STAFF OF 23 PHYSICIANS INCLUDES NOT ONLY FAMILY PHYSICIANS BUT ALSO THOSE CERTIFIED IN A NUMBER OF MAJOR HEALTH CARE SPECIALTIES. MORE THAN 80 YCH STAFF NURSES PROVIDE SPECIAL EXPERTISE AND A COMPASSIONATE BEDSIDE MANNER. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY, GENERAL MEDICINE, DIABETES EDUCATION, SLEEP DISORDER TREATMENT, SURGERY AND THE MANY MEDICAL SPECIALISTS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. THE YCH TEAM TAKES PRIDE IN THE FACILITY'S QUALITY OF CARE AND OUR ONGOING COMMITMENT TO PATIENTS IN YOAKUM AND THE SURROUNDING COMMUNITIES. A FEW YCH FACTS FOR FISCAL YEAR ENDED JUNE 30, 2010: - THE HOSPITAL DELIVERED APPROXIMATELY 80 BABIES PERFORMED 461 LIFESAVING SURGERIES. - YCH ADMITTED 755 LOCAL PATIENTS IN THE ACUTE STATE OF ILLNESS AND MANAGED 4,672 EMERGENCY ROOM VISITS WITH THE RAPID, RELIABLE CARE OUR COMMUNITY DESERVES. - THE EMERGENCY SERVICES AT YCH HAVE EARNED THE HOSPITAL DISTINGUISHED RECOGNITION AS THE FIRST LEVEL IV TRAUMA CENTER IN THE AREA. - IN 2007, YOAKUM CHAMBER OF COMMERCE PRESENTED YCH WITH ITS BUSINESS OF THE YEAR AWARD, AND THE HOSPITAL ALSO RECEIVED THE 2007 TEXAS HEALTH CARE QUALITY IMPROVEMENT AWARD. HOSPITAL SERVICES: YCH PROVIDES A BROAD RANGE OF SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE: - UP-TO-DATE LABORATORY, PHYSICAL THERAPY AND RADIOLOGY SERVICES-INCLUDING MRI, MAMMOGRAPHY, CT, RADIOGRAPHY/FLUOROSCOPY AND ULTRASOUND DIAGNOSTIC SERVICES. - EMCARE PHYSICIANS IN YOAKUM COMMUNITY HOSPITAL'S EMERGENCY ROOM TREAT TRAUMA PATIENTS AT ANY TIME OF DAY OR NIGHT, SEVEN DAYS A WEEK. - MEDICAL SPECIALISTS, INCLUDING CARDIOLOGY, EAR NOSE AND THROAT, GASTROENTEROLOGY, GENERAL SURGERY, OPHTHALMOLOGY, ORTHOPEDICS, OB / GYN, PODIATRY AND UROLOGY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC ON A REGULAR BASIS. - SURGICAL SERVICES FOR MANY INPATIENT AND OUTPATIENT PROCEDURES IN OUR FULLY EQUIPPED OPERATING ROOMS. - CONVENIENT ACCESS TO NUMEROUS OUTPATIENT SERVICES FOR PATIENTS WITH SLEEP DISORDERS, DIABETES AND PULMONARY REHABILITATION NEEDS. YCH MISSION AND VISION MISSION: TO ENHANCE OUR TRADITION OF COMPASSIONATE, QUALITY, AND COST-EFFECTIVE SERVICE, WHICH RESULTS IN MEASURABLE BENEFITS TO OUR PATIENTS, OUR EMPLOYEES AND OUR MEDICAL STAFF VISION: TO PROVIDE FOR THE HEALTHCARE NEEDS OF ALL INDIVIDUALS IN OUR COMMUNITY THROUGHOUT THEIR LIFE SPAN WITH SELFLESS COMMITMENT AND IN HARMONY WITH THE RESOURCES THAT EXIST. COMMITMENT TO COMMUNITY BENEFIT: AS A NOT-FOR-PROFIT HOSPITAL, PART THE YCH MISSION IS TO ENGAGE IN COMMUNITY BENEFIT ACTIVITIES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AS A WHOLE. THESE ACTIVITIES ARE BASED ON A SPECIFIC COMMUNITY WIDE ASSESSMENT OF NEED USING A VARIETY OF SOURCES INCLUDING DISCUSSIONS WITH LEADERS OF COMMUNITY ORGANIZATIONS, STATE AND COMMUNITY DATA AND HOSPITAL ADMISSION AND ER TRENDS. THE COMMUNITY BENEFITS PLAN IS DESIGNED IN ACCORDANCE WITH THE TEXAS STATUTES AND CODES OF HEALTH AND SAFETY, TITLE 4F. HEALTH FACILITIES, POWERS AND DUTIES OF HOSPITALS, CHAPTER 311. POWERS AND DUTIES OF HOSPITALS, SUBCHAPTER C. HOSPITAL DATA REPORTING AND COLLECTION SYSTEM AND SUBCHAPTER D. COMMUNITY BENEFITS AND CHARITY CARE.
DESCRIPTION OF MANAGEMENT ARRANGEMENTFORM 990, PART VI, QUESTION 3VHA SOUTHWAST COMMUNITY HEALTH CORPORATION D/B/A COMMUNITY HOSPITAL CORPORATION PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 VHA SOUTHWEST COMMUNITY HOSPITAL CORPORATION ("CHC") IS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH"). DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A VHA SOUTHWEST COMMUNITY HOSPITAL CORPORATION ("CHC") AS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH") ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES OF YCH AND IS EMPOWERED WITH THE ABILITY TO REMOVE TRUSTEES, WITH OR WITHOUT CAUSE. DESCR CLASSES OF PERSONS, DECISIONS REQUIR APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B ARTICLES OF INCORPORATION - BOARD OF DIRECTORS SECTION 7.1 POWERS. THE AFFAIRS OF THIS CORPORATION SHALL BE MANAGED BY ITS BOARD OF TRUSTEES (HERINAFTER SOMETIMES CALLED THE "BOARD") PROVIDED THAT THE APPROVAL OF THE MEMBER OF THIS CORPORATION SHALL BE NECESSARY FOR EACH OF 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 ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; C. ANY AMENDMENTS OR REVISIONS OF THE ARTICLE OF INCORPORATION 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 BUDGET; H. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET; I. 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; J. THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; K. 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; L. ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION, EXCEPT USUSAL AND CUSTOMARY TRADE DEBTS, WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION; M. SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; N. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; O. 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; P. ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; Q. THE ELECTION OF THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION OR THE REMOVAL OF SAID TRUSTEE, WHETHER WITH OR WITHOUT CAUSE; R. THE ENGAGEMENT OF OR REMOVAL OF THE HOSPITAL ADMINISTRATOR; S. THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; T. THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND-RAISING; AND U. THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM OF THE CORPORATION. DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A A REVIEW OF THE 990 FORM IS PERFORMED BY THE CFO OF THE HOSPITAL FOLLOWING FORM PREPARATION. ELECTRONIC COPIES ARE GIVEN TO EACH BOARD MEMBER UPON COMPLETION OF THE FORM. THE FORMS ARE THEN FILED WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C CONFLICT OF INTEREST STATEMENTS ARE FILLED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE PRESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD /COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING FURTHER INVESTIGATION IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, APPROPRIATE DISCIPLINARY ACTION WHICH CAN INCLUDE WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B THE ORGANIZATION EXECUTIVES 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 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. THE PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. AVAIL 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. RELATED HOURS DISCLOSURE FORM 990, 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 CARSON TAHOE - 1 HOUR CONTINUECARE HOSPITAL OF TYLER - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 30 HOURS COMMUNITY HOSPITAL CONSULTING, INC. - 6 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOUR WALKER COUNTY HOSPITAL - 1 HOUR DAVID BUTLER: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR CONTINUECARE HOSPITAL OF TYLER - 1 HOUR HMH PHYSICIANS ORGANIZATION - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 38 HOURS COMMUNITY HOSPITAL CONSULTING, INC. - 1 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOURS WALKER COUNTY HOSPITAL - 1 HOUR FORM 990, PART XI, QUESTION 2C THE AUDIT COMMITTEE OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, WHICH IS THE PARENT ORGANIZATION OF YOAKUM COMMUNITY HOSPITAL, IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BAPTIST HOSPITALS OF SE TEXAS
POST OFFICE BOX 1591BEAUMONTTX77704741303720HOSPITALTX501( C)(3)3NA
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE STREETBEAUMONTTX77701760453250PRIMARY CARETX501( C)(3)3NA
ARTESIA GENERAL HOSPITAL
702 NORTH 13TH STREETARTESIANM88210742851819HOSPITALNM501( C)(3)3NA
LAIRD MEMORIAL HOSPITAL
5801 TENNYSON PKWY STE 550PLANOTX75024020643367HOSPITALTX501( C)(3)3NA
WALKER COUNTY HOSPITAL CORPORATION
PO BOX 4001HUNTSVILLETX77342203069241HOSPITALTX501( C)(3)3NA
HMH PHYSICIAN ORGANIZATION
3000 INTERSTATE 45HUNTSVILLETX77340760500960HOSPITALTX501( C)(3)3NA
SOUTHWEST COMMUNITY HOSPITAL INC
5801 TENNYSON PKWY STE 550PLANOTX75024752725353HOSPITALTX501( C)(3)3NA
CONTINUECARE HOSPITAL OF TYLER
800 E DAWSON STREETTYLERTX75701200991990HOSPITALTX501( C)(3)3NA
CONTINUECARE HOSPITAL OF SE TEXAS
5801 TENNYSON PKWY STE 550PLANOTX75024201150480HOSPITALTX501( C)(3)3NA
CONTINUECARE HOSPITAL OF CARSON TAHOE
5801 TENNYSON PKWY STE 550PLANOTX75024261635881HOSPITALTX501( C)(3)3NA
CHC COMMUNITY CARE LLC
5801 TENNYSON PKWY STE 550PLANOTX75024371485773SUPPORT ORGTX501( C)(3)11CNA
VHASW COMMUNITY HEALTH CORPORATION
5801 TENNYSON PKWY STE 550PLANOTX75024752638469SUPPORT ORG.TX501(C)(3)11DNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1CountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
COMMUNITY HEALTH ASSURANCE SPC LTD
CAYMAN ISLANDS GRAND CAYMANCJPOB 69GTCAPTIVE INSURANCECJNAC CORP
CHC ACQUISITION CORP
CONSULTINGNAC CORP5801 TENNYSON PARKWAY STE 500PlanoTX75024752750360TX
COMMUNITY HOSPITAL CONSULTING INC
MGMT CONSULTINGNAC CORP5801 TENNYSON PARKWAY STE 550PLANOTX75024204710183TX
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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