YOAKUM COMMUNITY HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: YOAKUM COMMUNITY HOSPITAL (EIN 74-2323822)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-08
IRS object ID: 202601289349302140
Schema version: 2024v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-08T10:36:29+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON ST	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	742323822	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Yoakum Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	YOAK	BusinessNameControlTxt
Phone	3612932321	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CARL RAMERT DRIVE	AddressLine1Txt
City	YOAKUM	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77995	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John Olivares	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3612932321	PhoneNum
Signature	2026-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melva Scott	PreparerPersonNm
PTIN	P01207335	PTIN
Phone	8173351900	PhoneNum
Preparation	2026-05-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	John Olivares CFO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CARL RAMERT DRIVE	AddressLine1Txt
City	YOAKUM	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77995	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$28,530,850	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.YOAKUMHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE OUR TRADITION OF COMPASSIONATE QUALITY, AND COST EFFECTIVE SERVICES WHICH RESULTS IN MEASURABLE BENEFITS TO OUR PATIENTS, COMMUNITY, EMPLOYEES, AND MEDICAL STAFF.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	301	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,676,303	PYContributionsGrantsAmt
CY Contributions Grants	$1,717,127	CYContributionsGrantsAmt
PY Program Service Revenue	$26,270,736	PYProgramServiceRevenueAmt
CY Program Service Revenue	$26,019,860	CYProgramServiceRevenueAmt
PY Investment Income	$11,291	PYInvestmentIncomeAmt
CY Investment Income	$8,745	CYInvestmentIncomeAmt
PY Other Revenue	$894,213	PYOtherRevenueAmt
CY Other Revenue	$673,908	CYOtherRevenueAmt
PY Total Revenue	$28,852,543	PYTotalRevenueAmt
CY Total Revenue	$28,419,640	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$16,023,710	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$16,146,288	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$12,932,902	PYOtherExpensesAmt
CY Other Expenses	$12,336,040	CYOtherExpensesAmt
PY Total Expenses	$28,956,612	PYTotalExpensesAmt
CY Total Expenses	$28,482,328	CYTotalExpensesAmt
PY Revenues Less Expenses	-$104,069	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$62,688	CYRevenuesLessExpensesAmt
Total Assets BOY	$21,218,000	TotalAssetsBOYAmt
Total Assets EOY	$20,277,000	TotalAssetsEOYAmt
Total Liabilities BOY	$6,240,000	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,377,000	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$14,978,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$14,900,000	NetAssetsOrFundBalancesEOYAmt
Mission	THE YOAKUM COMMUNITY HOSPITAL TEAM IS DEDICATED TO PROVIDING QUALITY CARE AND superior service WITH COMPASSION, DIGNITY, AND RESPECT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$25,325,209	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$26,758,030	RevenueAmt
Desc	YOAKUM 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, 23-BED COMMUNITY HOSPITAL HAS SERVED NEIGHBORS IN YOAKUM AND THE SURROUNDING AREA FOR 100 YEARS. THE YCH MEDICAL STAFF OF 43 PHYSICIANS INCLUDES NOT ONLY FAMILY PHYSICIANS BUT ALSO THOSE CERTIFIED IN A NUMBER OF MAJOR HEALTHCARE SPECIALTIES. MORE THAN 42 YCH STAFF NURSES AND 92 OTHER PERSONNEL 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. ADDITIONAL INFORMATION REGARDING YCH FOR FISCAL YEAR ENDED JUNE 30, 2025: - THE HOSPITAL PERFORMED 332 LIFESAVING SURGERIES. - YCH ADMITTED 508 LOCAL PATIENTS IN THE ACUTE STATE OF ILLNESS AND MANAGED 7,172 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. - IN 2012, YOAKUM COMMUNITY HOSPITAL RECEIVED THE 2012 TEXAS HEALTH CARE QUALITY IMPROVEMENT BRONZE 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. - LONE STAR EMERGENCY 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.	Desc
Total Program Service Expenses	$25,325,209	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	301	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN OLIVARES CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3612932321	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CARL RAMERT DRIVE	AddressLine1Txt
City	YOAKUM	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77995	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CLAY B HERMANN
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
ELORINE SITKA
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
JEFF PESEK
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
JIM KENDRICK
DIRECTOR	0.2	39.8	Yes (X)	$0	$1,910,049	$470,298
LARRY M LEAHY
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
MARVIN BOEDEKER
VICE CHAIR/SECRETARY	1.0	0	Yes (X)	$0	$0	$0
RONALD LECK
CHAIRPERSON	1.0	0	Yes (X)	$0	$0	$0
SAUNDRA ANDERSON DO
Physician	40.0	0	Yes (X)	$399,137	$0	$31,014
TOM KELLEY
DIRECTOR	1.0	0	Yes (X)	$0	$0	$0
JAMES HILL
TREASURER	0.0	40.0		$0	$451,879	$60,342	Yes (X)
JOHN OLIVARES
CFO	40.0	0.0		$0	$181,301	$39,400	Yes (X)
Kellee Horton
Executive Assistant	1.0	0		$69,689	$0	$914	Yes (X)
KIMBERLY MRAZ
CNO	40.0	0		$0	$142,215	$48,465	Yes (X)
LINDA MOORE
ASSIST SECRETARY	0.1	39.9		$0	$482,307	$52,098	Yes (X)
Tiffany Miller Hintze DBA MHA
CEO/Pres.	40.0	0.0		$0	$311,365	$29,753	Yes (X)
AMY L BARTON FNP
FAMILY NURSE PRACTITIONER	40.0	0		$132,289	$0	$2,779		Yes (X)
COURTNEY WELCH MD
PHYSICIAN	40.0	0		$356,681	$0	$31,180		Yes (X)
JAMES E DROST MD
PHYSICIAN	40.0	0		$441,932	$0	$17,431		Yes (X)
Jennifer Foster
Family Nurse Practitioner	40.0	0.0		$119,660	$0	$21,326		Yes (X)
SANDRA M CHILEK
LABORATORY DIRECTOR	40.0	0		$144,322	$0	$18,760		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,663,710	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,479,116	TotReportableCompRltdOrgAmt
Total Other Compensation	$823,760	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Lone Star Emergency Associates LLC
1900 Barton Springs Road 5030	Austin	TX	78704	Healthcare Services	$1,032,000
AAA CRNA Ltd
325 Suncrest Lane	Victoria	TX	77905	Anesthesia Services	$499,800
MedHost Inc
2739 Momentum Place	Chicago	IL	60689	Medical Services	$464,703
Hunter Pharmacy Services Inc
PO Box 30573	Austin	TX	78755	Medical Services	$299,808
Texas Elite Therapy Team LLC
PO Box 166	Hallettsville	TX	77964	Medical Services	$286,762

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,600,433	GovernmentGrantsAmt
All Other Contributions	$116,694	AllOtherContributionsAmt
Total Contributions	$1,717,127	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES REV	Desc
Business	622110	BusinessCd
Total Revenue Column	$26,019,860	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,019,860	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$26,019,860	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,745	TotalRevenueColumnAmt
Exclusion	$8,745	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$46,948	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$111,210	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$64,262	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$64,262	TotalRevenueColumnAmt
Exclusion	-$64,262	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
304B DISPENSED FEE-PHARMACY	900099	$84,019	$84,019
PFS - CAFETERIA REVENUE	900099	$204,557	$204,557
Trauma Fund	900099	$22,938	$22,938

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$426,656	TotalRevenueColumnAmt
Related Or Exempt Func Income	$426,656	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$738,170	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,419,640	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,758,030	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$55,517	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$501,015	TotalAmt
Program Services	$475,964	ProgramServicesAmt
Management And General	$25,051	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$12,850,317	TotalAmt
Program Services	$12,207,801	ProgramServicesAmt
Management And General	$642,516	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$214,816	TotalAmt
Program Services	$201,927	ProgramServicesAmt
Management And General	$12,889	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,697,173	TotalAmt
Program Services	$1,595,343	ProgramServicesAmt
Management And General	$101,830	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$882,967	TotalAmt
Program Services	$706,374	ProgramServicesAmt
Management And General	$176,593	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$175,740	TotalAmt
Program Services	$108,959	ProgramServicesAmt
Management And General	$66,781	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$94,521	TotalAmt
Program Services	$11,343	ProgramServicesAmt
Management And General	$83,178	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,022	TotalAmt
Program Services	$5,022	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,346,826	TotalAmt
Program Services	$3,694,803	ProgramServicesAmt
Management And General	$652,023	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$42,914	TotalAmt
Program Services	$42,914	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$739,192	TotalAmt
Program Services	$657,881	ProgramServicesAmt
Management And General	$81,311	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$248,656	TotalAmt
Program Services	$124,328	ProgramServicesAmt
Management And General	$124,328	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$523,660	TotalAmt
Program Services	$418,928	ProgramServicesAmt
Management And General	$104,732	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$56,256	TotalAmt
Program Services	$28,128	ProgramServicesAmt
Management And General	$28,128	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$185,835	TotalAmt
Program Services	$148,668	ProgramServicesAmt
Management And General	$37,167	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$541,094	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$541,094	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$913,539	TotalAmt
Program Services	$730,831	ProgramServicesAmt
Management And General	$182,708	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$249,362	TotalAmt
Program Services	$199,490	ProgramServicesAmt
Management And General	$49,872	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MED/PHARM SUPPLIES	$1,183,836	$1,183,836	$0	$0
COLLECTION FEES	$361,585	$361,585	$0	$0
REPAIR & MAINTENANCE	$212,584	$212,584	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,455,418	TotalAmt
Program Services	$2,208,500	ProgramServicesAmt
Management And General	$246,918	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,482,328	TotalAmt
Program Services	$25,325,209	ProgramServicesAmt
Management And General	$3,157,119	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,767,000	BOYAmt
EOY	$3,444,000	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,667,000	BOYAmt
EOY	$2,667,000	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,519,000	BOYAmt
EOY	$3,434,000	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$432,000	BOYAmt
EOY	$429,000	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,128,000	BOYAmt
EOY	$1,092,000	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$25,911,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$16,700,000	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$9,705,000	BOYAmt
EOY	$9,211,000	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,218,000	BOYAmt
EOY	$20,277,000	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,682,000	BOYAmt
EOY	$803,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,636,000	BOYAmt
EOY	$3,496,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$922,000	BOYAmt
EOY	$1,078,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,240,000	BOYAmt
EOY	$5,377,000	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,905,000	BOYAmt
EOY	$14,853,000	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,000	BOYAmt
EOY	$47,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,978,000	BOYAmt
EOY	$14,900,000	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,218,000	BOYAmt
EOY	$20,277,000	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$62,688	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$15,312	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$5,022	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$5,022	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	IN FISCAL YEAR 2025, YOAKUM COMMUNITY HOSPITAL PAID: $11,295 TO AMERICA HOSPITAL ASSOCIATION (AHA) $4,221 TO THE TEXAS HOSPITAL ASSOCIATION (THA) $3,085 TO THE TEXAS ORGANIZATION OF RURAL & COMMUNITY HOSPITALS (TORCH) THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: AHA: 39% THA: 0% TORCH: 20% DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES TOTALED $5,022 AS FOLLOWING: AHA: $11,295 * 39% = $4,405 THA: $4,221 * 0% = $0 TORCH: $3,085 * 20% = $617 TOTAL: $4,405 + $0 + $617 = $5,022	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,000	OtherCostOrOtherBasisAmt
Book Value	$1,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,479,000	OtherCostOrOtherBasisAmt
Depreciation	$3,699,000	DepreciationAmt
Book Value	$7,780,000	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,814,000	OtherCostOrOtherBasisAmt
Depreciation	$1,696,000	DepreciationAmt
Book Value	$118,000	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,443,000	OtherCostOrOtherBasisAmt
Depreciation	$10,429,000	DepreciationAmt
Book Value	$1,014,000	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,174,000	OtherCostOrOtherBasisAmt
Depreciation	$876,000	DepreciationAmt
Book Value	$298,000	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,211,000	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Federal Income Taxes
INTERCOMPANY NOTES & CHARGES-CHC
MEDICARE ADVANCED	$1,078,000

Field	Value	IRS element (for citing)
Total Liability	$1,078,000	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,301,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,238,923	NetCommunityBenefitExpnsAmt
Total Expense	0.07861	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,923,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,053,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,225,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,116,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,238,923	NetCommunityBenefitExpnsAmt
Total Expense	0.07861	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,225,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,116,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,238,923	NetCommunityBenefitExpnsAmt
Total Expense	0.07861	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$9,617,476	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,305,879	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$311,597	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	YOAKUM COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CARL RAMERT DRIVE	AddressLine1Txt
City	YOAKUM	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77995	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://YOAKUMHOSPITAL.ORG	WebsiteAddressTxt
State License	000023	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	YOAKUM COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.yoakumhospital.org/about-ych/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.yoakumhospital.org/about-ych/community-health-needs-assessment/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA FOR YOAKUM COMMUNITY HOSPITAL ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - YOAKUM COMMUNITY HOSPITAL. YOAKUM COMMUNITY HOSPITAL (YCH) IS A 23-BED HOSPITAL LOCATED IN THE TEXAS HILL COUNTRY AND HAS PROVIDED HEALTHCARE TO THIS AREA SINCE 1922. YCH PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF ITS COMMUNITY AND IS THE ONLY LEVEL IV TRAUMA CENTER IN THE AREA. THE SERVICES YCH PROVIDES INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY AND URGENT CARE, GENERAL MEDICINE, DIABETES EDUCATION, TREATMENT FOR SLEEP DISORDERS, SURGERY, CARDIOLOGY, AND THE MANY SPECIALTY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. PATIENTS BENEFIT FROM THE LATEST MEDICAL TECHNOLOGY ALONG WITH COMPREHENSIVE HEALTH CARE DELIVERED BY HIGHLY SKILLED PHYSICIANS, NURSES, AND PROFESSIONAL STAFF. THE DEFINED SERVICE AREA OF YCH IS DEWITT AND LAVACA COUNTIES IN TEXAS. BOTH COUNTIES COMBINED COMPRISE 92.5% OF FISCAL YEAR 2023 INPATIENT DISCHARGES. THE POPULATION OF DEWITT COUNTY IS EXPECTED TO DECREASE 0.4% FROM 2024 (19,815) TO 2029 (19,741) AND THE POPULATION OF LAVACA COUNTY IS EXPECTED TO INCREASE 0.9% FROM 2024 (20,674) TO 2029 (20,862), WITH THE EXPECTED GROWTH RATE OF BOTH COUNTIES FALLING BELOW THE 5.6% EXPECTED GROWTH RATE FOR THE STATE OF TEXAS FROM 2024 (30,857,478) TO 2029 (32,581,174). AS OF 2024, THE RACIAL/ETHNIC BREAKOUT OF DEWITT COUNTY WAS 66.0% WHITE, 8.4% BLACK, 0.4%, ASIAN, 0.6% AMERICAN INDIAN AND 24.6% ALL OTHERS. THE RACIAL/ETHNIC BREAKOUT OF LAVACA COUNTY IN 2024 WAS 77.0% WHITE, 6.3% BLACK, 0.5% ASIAN, 0.6% AMERICAN INDIAN AND 15.7% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2029, THE WHITE NON-HISPANIC POPULATION IN DEWITT COUNTY IS EXPECTED TO DECREASE BY 3.1% AND DECREASE BY 0.9% IN LAVACA COUNTY. BY 2029 THE BLACK POPULATION IS EXPECTED TO DECREASE BY 0.2% IN DEWITT COUNTY AND TO INCREASE BY 3.5% IN LAVACA COUNTY. THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 4.7% IN DEWITT COUNTY AND BY 5.2% IN LAVACA COUNTY BY 2029. THE AMERICAN INDIAN POPULATION IS ALSO EXPECTED TO DECREASE BY 0.9% IN DEWITT COUNTY AND TO INCREASE BY 6.9% IN LAVACA COUNTY BY 2029. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 6.8% IN DEWITT COUNTY AND BY 8.6% IN LAVACA COUNTY BY 2029. THE HISPANIC POPULATION IS EXPECTED TO INCREASE BY 6.7% IN DEWITT COUNTY AND BY 9.5% IN LAVACA COUNTY BY 2029. BETWEEN 2014 AND 2022, THE PERCENTAGE OF FOREIGN-BORN RESIDENTS INCREASED IN LAVACA COUNTY, THE STATE, AND THE NATION, WHILE THE PERCENT DECREASED IN DEWITT COUNTY. IN 2018-2022, DEWITT COUNTY (2.7%) HAD A LOWER PERCENTAGE OF FOREIGN-BORN RESIDENTS THAN LAVACA COUNTY (5.3%), THE STATE (17.1%), AND THE NATION (13.7%). AS OF 2024, LAVACA COUNTY (44.7 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH DEWITT COUNTY (43.1 YEARS) AND THE STATE (36.3 YEARS). THE MEDIAN AGE IN LAVACA AND DEWITT COUNTIES AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS. AS OF 2024, THE MEDIAN HOUSEHOLD INCOMES IN BOTH LAVACA ($62,802) AND DEWITT ($60,806) COUNTIES ARE LOWER THAN THE STATE ($77,169). BETWEEN 2024 AND 2029, THE MEDIAN HOUSEHOLD LAVACA AND INCOME IN DEWITT COUNTIES AND THE STATE ARE EXPECTED TO INCREASE. LAVACA (22.0%) AND DEWITT (15.0%) COUNTIES AND HAVE A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (35.7%) (2024). IN 2017-2021, 15.6% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 24.4% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2017-2021, 23.5% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.6% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2017-2021, LAVACA COUNTY IS COMFORTABLE WITH A DISTRESS SCORE OF 34.8, WHICH IS MORE PROSPEROUS THAN DEWITT COUNTY WITH A DISTRESS SCORE OF 87.0 AND OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN DEWITT AND LAVACA COUNTIES AND THE STATE DECREASED BETWEEN 2021 AND 2023. IN 2023, LAVACA (3.3) AND DEWITT (3.3) COUNTIES HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN LAVACA AND DEWITT COUNTIES FLUCTUATED. FOR LAVACA COUNTY, DECEMBER 2023 HAD THE LOWEST UNEMPLOYMENT RATE (2.6) AS COMPARED TO JUNE 2024 WITH THE HIGHEST RATE (3.5). FOR DEWITT COUNTY, APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE (2.8) AS COMPARED TO FEBRUARY 2024 AND JUNE 2024 WITH THE HIGHEST RATE (3.8). AS OF 2022, THE MAJORITY OF EMPLOYED PERSONS IN LAVACA COUNTY ARE WITHIN PRODUCTION OCCUPATIONS, AS COMPARED TO DEWITT COUNTY WHERE THE MAJORITY OF EMPLOYED PERSONS ARE WITHIN OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS. IN DEWITT COUNTY THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (12.6%), EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS (9.9%), SALES & RELATED OCCUPATIONS (9.1%), CONSTRUCTION & EXTRACTION OCCUPATIONS (8.9%) AND FOOD PREPARATION & SERVING RELATED OCCUPATIONS (7.6%). IN LAVACA COUNTY, AS OF 2022, THE MOST COMMON EMPLOYED GROUPINGS ARE PRODUCTION OCCUPATIONS (10.9%); MANAGEMENT OCCUPATIONS (10.6%); OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (10.2%); SALES & RELATED OCCUPATIONS (9.2%); AND CONSTRUCTION & EXTRACTION OCCUPATIONS (7.2%). DEWITT COUNTY (19.6%) HAS THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO LAVACA COUNTY (15.6%) AND THE STATE (14.4%) (2024). BETWEEN 2018 AND 2022, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING IN POVERTY OVERALL DECREASED IN LAVACA COUNTY AND THE STATE OF TEXAS BUT FLUCTUATED IN DEWITT COUNTY. IN 2022, DEWITT COUNTY (25.6%) HAD A HIGHER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING IN POVERTY THAN THE STATE (19.2%), WHILE THE IN LAVACA COUNTY (16.5%) WAS LOWER THAN THE STATE. ACCORDING TO FEEDING AMERICA, DEWITT COUNTY (17.6%) HAD THE HIGHEST ESTIMATED PERCENT OF RESIDENTS WHO ARE FOOD INSECURE AS COMPARED TO LAVACA COUNTY (14.7%) AND THE STATE (16.4%) (2022). ADDITIONALLY, 21.3% OF CHILDREN (UNDER 18 YEARS OF AGE) IN LAVACA COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.1% IN DEWITT COUNTY AND 22.8% IN TEXAS (2022). THE AVERAGE MEAL COST FOR A LAVACA COUNTY RESIDENT IS $3.31 AS COMPARED TO $3.27 IN DEWITT COUNTY AND $3.45 IN TEXAS (2022). BETWEEN 2017 AND 2021, DEWITT COUNTY MAINTAINED A HIGHER PERCENTAGE OF SNAP BENEFIT RECIPIENTS THAN LAVACA COUNTY AND THE STATE. IN 2021, DEWITT COUNTY (15.1%) HAD A HIGHER PERCENTAGE OF SNAP BENEFIT RECIPIENTS THAN BOTH LAVACA COUNTY (9.6%) AND THE STATE (10.6%). IN 2022-2023, DEWITT COUNTY (65.9%) HAD A HIGHER PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED PRICE LUNCH THAN LAVACA COUNTY (38.1%), THE STATE (61.3%), AND THE NATION (53.5%). LAVACA COUNTY (97.4%) AND DEWITT COUNTY (97.2%) HAVE A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.2%) AND THE NATION (81.1%) (2020-2021).
Schedule H, Part V, Section B, Line 5 Facility , 2	Facility , 2 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE STATE OF TEXAS AND IS THE SECOND LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). BETWEEN 2018 AND 2022, HEART DISEASE MORTALITY RATES OVERALL INCREASED IN LAVACA COUNTY AND THE STATE AND DECREASED IN DEWITT COUNTY. IN 2020-2022, THE HEART DISEASE MORTALITY RATE IN LAVACA COUNTY (327.6 PER 100,000) WAS HIGHER THAN BOTH DEWITT COUNTY (220.5 PER 100,000) AND THE STATE (170.4 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE STATE AND THE LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE STATE AND THE LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). BETWEEN 2018 AND 2022, CANCER MORTALITY RATES OVERALL INCREASED IN LAVACA COUNTY AND THE STATE AND DECREASED IN DEWITT COUNTY. IN 2020-2022, THE CANCER MORTALITY RATE IN LAVACA COUNTY (288.5 PER 100,000) WAS HIGHER THAN DEWITT COUNTY (242.2 PER 100,000) AND THE STATE (144.1 PER 100,000). COVID-19 IS THE THIRD LEADING CAUSE OF DEATH IN LAVACA AND DEWITT COUNTIES AND THE STATE (2018-2022). BETWEEN 2018 AND 2022, COVID-19 MORTALITY RATES INCREASED IN BOTH COUNTIES AND THE STATE. IN 2020-2022, THE COVID-19 MORTALITY RATE IN DEWITT COUNTY (192.1 PER 100,000) WAS HIGHER THAN LAVACA COUNTY (163.0 PER 100,000) AND THE STATE (101.1 PER 100,000). CEREBROVASCULAR DISEASES IS THE FOURTH LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE FIFTH LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE STATE (2018- 2022). BETWEEN 2018 AND 2022, CEREBROVASCULAR DISEASES MORTALITY RATES INCREASED IN LAVACA COUNTY AND THE STATE BUT DECREASED IN DEWITT COUNTY. IN 2020-2022, THE CEREBROVASCULAR DISEASES MORTALITY RATE IN LAVACA COUNTY (70.1 PER 100,000) WAS HIGHER THAN DEWITT COUNTY (65.1 PER 100,000) AND THE STATE RATE (40.3 PER 100,000). DIABETES IS THE FOURTH LEADING CAUSE OF DEATH IN DEWITT COUNTY AND THE EIGHTH LEADING CAUSE OF DEATH N LAVACA COUNTY AND THE STATE. BETWEEN 2018 AND 2022, DIABETES MORTALITY RATES INCREASED IN LAVACA AND DEWITT COUNTIES AND IN THE STATE. IN 2020-2022, THE DIABETES MORTALITY RATE IN DEWITT COUNTY (98.6 PER 100,000) WAS HIGHER THAN LAVACA COUNTY (44.0 PER 100,000) AND THE STATE (27.0 PER 100,000). ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN LAVACA COUNTY AND THE EIGHTH LEADING CAUSE OF DEATH IN DEWITT COUNTY (2018-2022). BETWEEN 2018 AND 2022, ALZHEIMER'S DISEASE MORTALITY RATES DECREASED IN LAVACA AND DEWITT COUNTIES BUT REMAINED CONSISTENT IN THE STATE. IN 2020-2022, THE ALZHEIMER'S DISEASE MORTALITY RATE IN LAVACA COUNTY (55.4 PER 100,000) WAS HIGHER THAN THE RATE IN DEWITT COUNTY (35.1 PER 100,000) AND THE STATE (36.9 PER 100,000). FATAL ACCIDENTS, CHRONIC LOWER RESPIRATORY DISEASE (CLRD), AND NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS ARE ALSO LEADING CAUSES OF DEATH IN BOTH LAVACA AND DEWITT COUNTIES. BETWEEN 2020 AND 2022, THE PERCENTAGE OF ADULTS (AGE 18+) WHO WERE OBESE IN LAVACA AND DEWITT COUNTIES INCREASED AND THE STATE FLUCTUATED. IN 2022, DEWITT COUNTY (41.0%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WHO WERE OBESE THAN LAVACA COUNTY (37.7%) AND THE STATE (35.7%). BETWEEN 2020 AND 2022, LAVACA AND DEWITT COUNTIES AND THE STATE HAD AN INCREASE IN HYPERTENSION AMONG MEDICARE BENEFICIARIES. IN 2022, LAVACA COUNTY (75.0%) HAD A HIGHER PERCENTAGE OF MEDICARE BENEFICIARIES WITH HYPERTENSION THAN DEWITT COUNTY (71.0%) AND THE STATE (66.0%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF ADULTS (AGE 18+) WITH ASTHMA IN LAVACA AND DEWITT COUNTIES INCREASED WHILE THE STATE OVERALL DECREASED. IN 2022, LAVACA COUNTY (10.2%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH ASTHMA THAN DEWITT COUNTY (9.6%) THE STATE (7.9%). IN 2022, LAVACA (6.0%) AND DEWITT COUNTIES (5.0%) HAD A LOWER PERCENTAGE OF MEDICARE BENEFICIARIES WITH ASTHMA THAN THE STATE (7.0%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF ADULTS (AGE 18+) WITH ARTHRITIS IN LAVACA AND DEWITT COUNTIES INCREASED. IN 2022, LAVACA COUNTY (24.4%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH ARTHRITIS THAN DEWITT COUNTY (23.9%) AND THE STATE (21.4%). IN 2022, DEWITT COUNTY (34.5%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) WITH A DISABILITY THAN LAVACA COUNTY (33.3%) AND THE STATE (28.9%). BETWEEN 2020 AND 2022, THE PERCENTAGE OF MEDICARE BENEFICIARIES WITH A DISABILITY IN LAVACA AND DEWITT COUNTIES AND THE STATE DECREASED. IN 2022, DEWITT COUNTY (19.0%) HAD A HIGHER PERCENTAGE OF MEDICARE BENEFICIARIES WITH A DISABILITY THAN LAVACA COUNTY (16.0%) AND THE STATE (15.0%). BETWEEN 2018 AND 2022, THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) OVERALL DECREASED IN LAVACA COUNTY AND THE STATE BUT INCREASED IN DEWITT COUNTY. AS OF 2022, LAVACA COUNTY (17.6%) HAD THE LOWEST PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO DEWITT COUNTY (22.0%) AND THE STATE (22.3%). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR YOAKUM COMMUNITY HOSPITAL (YCH) BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN DEWITT AND LAVACA COUNTIES IN TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC FROM SEPTEMBER 16, 2024 - SEPTEMBER 27, 2024. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE YCH BOARD REVIEWED AND ADOPTED THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 28, 2025. INTERVIEW METHODOLOGY: YCH WORKED WITH CHC IN THE DEVELOPMENT OF ITS CHNA. YCH PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT YCH, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC AND INCLUDED POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. DEMOGRAPHIC DATA WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, SYNTELLIS, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS. ADDITIONALLY, A VARIETY OF SOURCES WAS USED IN THE COLLECTION OF HEALTH DATA, INCLUDING, BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, THE U.S. CENSUS BUREAU. AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION YCH PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN DEWITT AND LAVACA COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST FOURTEEN IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW AND THEN QUANTIFIED BASED ON RESPONSES, COMMUNITIES AND POPULATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 57.1% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY INTERESTS OF SUCH POPULATIONS. 14.3% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. 28.6% OF THOSE THAT PROVIDED INPUT ARE COMMUNITY LEADERS.
Schedule H, Part V, Section B, Line 5 Facility , 3	Facility , 3 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. INTERVIEWEES INCLUDED: - SANDRA BERGEY, DDS: FAMILY DENTIST, SANDRA B. BERGEY, DDS - LISA CAMPOS: NURSE MANAGER, DEWITT COUNTY, HEALTH DEPARTMENT - GRACE FOREMAN: LEAD PHARMACIST, YOAKUM DISCOUNT PHARMACY - JENNY FOSTER, FNP: FAMILY NURSE PRACTITIONER, YOAKUM FAMILY PRACTICE - GREGORY GREMMEL, M.D.: EMERGENCY MEDICINE-PHYSICIAN DIRECTOR, YOAKUM COMMUNITY HOSPITAL - TOM KELLEY: SUPERINTENDENT, YOAKUM ISD; BOARD MEMBER, YOAKUM COMMUNITY HOSPITAL - RONNIE LECK: CHAIRMAN OF THE BOARD, YOAKUM COMMUNITY HOSPITAL - DEBBIE LONG: DIRECTOR OF PATIENT ACCESS/OUTPATIENT CLINIC, YOAKUM COMMUNITY HOSPITAL - MICHAEL MITCHELL: CITY MANGER, CITY OF YOAKUM - CARL O'NEILL: MAYOR, CITY OF YOAKUM - ANNIE RODRIGUEZ: RETIRED CITY COUNCIL MEMBER, CITY OF YOAKUM - LAUREN WERNER: PUBLIC HEALTH NURSE, LAVACA COUNTY HEALTH DEPARTMENT - TEXAS DEPT. OF STATE HEALTH SERVICES - BROTHER ELVIS WHALEY: CLERGY, AUSTIN STREET BAPTIST CHURCH POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE N THE COMMUNITY BY INTERVIEWEES WERE: ELDERLY, LOW INCOME/WORKING POOR, RACIAL/ETHNIC GROUPS, YOUTH, NEW PARENT POPULATION, VETERANS AND HOMELESS POPULATION. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: ELDERLY - LACK OF ASSISTED LIVING OPTIONS - LACK OF LOCAL SPECIALTY SERVICES - SOCIAL ISOLATION - LITERACY - SAFE, AFFORDABLE HOUSING - ACCESS TO AFFORDABLE PRESCRIPTIONS LOW INCOME/WORKING POOR - INCREASE IN FOOD BANK RECIPIENTS - FOREGOING CARE DUE TO LACK OF INSURANCE - LACK OF HIGHER PAYING JOBS, SOME LIVING PAYCHECK TO PAYCHECK RACIAL/ETHNIC - GROWING RACIAL POPULATION CREATING GREATER DEMAND FOR SERVICES, PARTICULARLY THE VENEZUELAN AND HONDURAN POPULATION - BARRIERS TO ACCESSING HEALTHCARE SERVICES DUE TO LANGUAGE BARRIERS, LACK OF JOB/INSURANCE, ESPECIALLY OF THE HISPANIC/SPANISH SPEAKING POPULATION - INCREASE IN TUBERCULOSIS CASES WITHIN THE IMMIGRANT POPULATION - NEED FOR AFFORDABLE HOUSING YOUTH - LACK OF MENTAL HEALTH RESOURCES - CONCERN FOR NEGLECTED, HOMELESS CHILDREN - LACK OF RECREATIONAL OPPORTUNITIES - VIOLENCE, DRUGS, AND ALCOHOL USE AMONG ADOLESCENTS - SOCIAL MEDIA'S INFLUENCE ON BEHAVIOR AND MENTAL HEALTH - LITERACY CHALLENGES WITH READING AND WRITING - LACK OF DESIGNATED PRIMARY CARE PHYSICIAN NEW PARENT POPULATION - NEED FOR NEW PARENT EDUCATION - NEED FOR EDUCATION AROUND APPROPRIATE EMERGENCY ROOM USE VETERANS - TRAVEL TO SAN ANTONIO, HOUSTON, AUSTIN, AND VICTORIA FOR SERVICES - LONG WAIT TIMES AND SLOW HEALTHCARE SERVICE OPTIONS HOMELESS POPULATION - LACK OF SHELTERS AND RESOURCES - TRANSIENT POPULATION - MENTAL HEALTH AND ADDICTION CONCERNS
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - YOAKUM COMMUNITY HOSPITAL. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY YOAKUM COMMUNITY HOSPITAL, (YCH). THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 2. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 3. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES. 4. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, YCH LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE FOUR PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS. OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY. 1.A. YCH WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN TO DETERMINE THE PHYSICIAN NEEDS OF THE COMMUNITY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. 1.B. YCH WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERING IN THE COMMUNITY AND TO SUPPORT MEDICAL STAFF DEVELOPMENT EFFORTS THROUGH PROMOTION OF AVAILABLE PHYSICIANS AND MAINTAINING AN UPDATED DIRECTORY FOR DISTRIBUTION. THE HOSPITAL INTRODUCES ALL NEW PHYSICIANS THROUGH ADVERTISEMENTS IN THE LOCAL NEWSPAPER AND FACEBOOK IN LINE WITH STARK REGULATIONS. 1.C. YCH PROVIDES AN OUTPATIENT CLINIC FOR ROTATING SPECIALISTS IN ORDER TO INCREASE ACCESS TO SPECIALTY CARE FOR LOCAL RESIDENTS. 1.D. YCH PROVIDES WOUND CARE, HYPERBARIC CENTER AND BIOFIRE LAB SERVICES ON-SITE TO INCREASE ACCESS TO LOCAL SERVICES. 1.E. YCH WILL CONTINUE TO PROVIDE THE GOLD STANDARD OF BOTH CARE AND TECHNOLOGY THROUGH ITS NEW 3D- TOMOSYNTHESIS MAMMOGRAPHY UNIT. 1.F. YCH WILL CONTINUE TO PROVIDE THE TELENEUROLOGY AND TELESTROKE PROGRAM, AS WELL AS READING SERVICES FOR EEGS, THROUGH ITS PARTNERSHIP WITH ST. DAVID'S. 1.G. YCH HELPS PATIENTS THROUGH THE CONTINUUM OF CARE BY ASSISTING IN SETTING UP FOLLOW-UP APPOINTMENTS WITH NECESSARY PROVIDERS FOR ANY PATIENTS DISCHARGED FROM INPATIENT CARE, CASE MANAGEMENT SERVICES WILL ASSIST IN COORDINATING FOLLOW-UP CARE FOR PATIENTS AS NEEDED, AND PATIENTS RECEIVE A COPY OF THEIR WRITTEN DISCHARGE SUMMARY AND AN ELECTRONIC SUMMARY IS SENT TO THEIR PRIMARY CARE PROVIDER. UPON DISCHARGE FROM THE EMERGENCY ROOM, PATIENTS' PRIMARY CARE PROVIDERS ARE PROVIDED WITH A SUMMARY OF THEIR EMERGENT VISIT. 1.H. YCH IS A DESIGNATED SUPPORT LEVEL III STROKE FACILITY BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, AND WILL CONTINUE ITS ONGOING COMMITMENT TO ENSURE QUALITY CARE IS AVAILABLE FOR STROKE PATIENTS IN ITS AREA. 1.I. YCH WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR A VARIETY OF HEALTH CARE STUDENTS FROM LOCAL ACADEMIC INSTITUTIONS. 1.J. YCH IS FOCUSING ON IMPLEMENTING DIFFERENT PRIMARY CARE INITIATIVES TO STREAMLINE ACCESS TO CARE, SUCH AS LEVERAGING ATHENA TO IMPROVE THE REGISTRATION PROCESS AND SAME DAY ACCESS, AIMING TO HAVE ACCESS TO APPOINTMENTS WITHIN 14 DAYS. PRIORITY #2: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS. OBJECTIVE: INCREASE PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY. 2.A. THE HOSPITAL WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH OPTUM TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 2.B. THE NEW HORIZONS PROGRAM IS AVAILABLE AT YOAKUM COMMUNITY HOSPITAL FOR PATIENTS AGE 13 AND ABOVE. THIS PROGRAM IS DESIGNED TO ADDRESS A SIGNIFICANT NEED IN OUR COMMUNITY FOR THOSE WHO ARE EXPERIENCING DIFFICULT BEHAVIOR, MENTAL, EMOTIONAL, AND/OR PHYSICAL CHANGES THAT ARE IMPACTING THEIR QUALITY OF LIFE. NEW HORIZONS AT YOAKUM COMMUNITY HOSPITAL PROVIDES A MENTAL HEALTH ASSESSMENT AND APPROPRIATE INTERVENTIONS FOR THESE INDIVIDUALS. 2.C. YCH WILL CONTINUE TO COLLECT DATA FROM THE NEW HORIZONS PROGRAM TO CONFIRM ITS POSITIVE IMPACT ON THE NEED OF MENTAL AND BEHAVIORAL HEALTH WITHIN THE PATIENT POPULATION IN THE COMMUNITY AND CONDUCT PRESENTATIONS AT LOCAL SCHOOLS TO PROMOTE AWARENESS ON MENTAL AND BEHAVIORAL HEALTHCARE. 2.D. YCH CONTINUES TO CONDUCT PRESENTATIONS AT LOCAL SCHOOLS TO PROMOTE AWARENESS ON MENTAL AND BEHAVIORAL HEALTHCARE. 2.E. YCH CONTINUES TO STAFF SOCIAL WORK CANDIDATES WORKING TO COMPLETE THEIR CREDENTIALS AND HOURS IN ORDER TO ATTAIN THEIR APPROPRIATE LICENSURE. 2.F. YCH RECEIVED A GRANT FROM THE DICKSON ALLEN FOUNDATION FOR BEHAVIORAL HEALTH SERVICES FOR LAVACA COUNTY RESIDENTS AS WELL AS PARTICIPATES IN THE MD SAVE PROGRAM TO IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES. 2.G. YCH PROVIDES SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN CONJUNCTION WITH THE LOCAL NORMA'S HOUSE ORGANIZATION. 2.H. YCH WILL CONTINUE TO PROMOTE THE LOCAL SUICIDE PREVENTION HOTLINE FOR APPLICABLE PATIENTS AS NEEDED. PRIORITY #3: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES. OBJECTIVE: HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY. 3.A. YCH WILL CONTINUE TO REACH OUT TO THE COMMUNITY BY OFFERING NUMEROUS CLASSES, SPEAKERS AND OTHER INFORMATIVE ACTIVITIES.HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC UPON REQUEST. 3.B. YCH WILL CONTINUE TO SUPPORT AND PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO SHARE INFORMATION ON HEALTH EDUCATION AND PROVIDE VARIOUS WELLNESS SCREENINGS. 3.C. THE HOSPITAL WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY, AS APPROPRIATE. 3.D. THE HOSPITAL WILL CONTINUE TO COORDINATE WITH SOUTH TEXAS BLOOD AND TISSUE CENTER TO PARTICIPATE IN BLOOD DRIVES ON A QUARTERLY BASIS, WHICH ARE OPEN TO HOSPITAL EMPLOYEES AND THE COMMUNITY. 3.E. YCH WILL SERVE AS A SITE FOR PROPER MEDICATION DISPOSAL TO ENCOURAGE THE SAFE DISPOSAL OF UNUSED AND REMAINDER MEDICATIONS FOR RESIDENTS IN THE COMMUNITY. 3.F. UPON DISCHARGE, YCH PHARMACISTS CALL PATIENTS WITHIN THE FIRST 24-72 HOURS TO ENSURE THAT THEIR MEDICATION PROCESS IS UNDERSTOOD AND TO ANSWER ANY QUESTIONS. 3.G. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. PRIORITY #4: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY. 4.A. YCH PROVIDES THE MD SAVE PROGRAM FOR SELF-PAY AND THOSE WITH HIGH DEDUCTIBLES IN ORDER TO OFFER CERTAIN SERVICES AT A DISCOUNTED RATE TO ASSIST THE COMMUNITY WITH THEIR HIGH-DEDUCTIBLE PLANS OR INDIVIDUALS WHO ARE UNINSURED. 4.B. YCH WILL PARTICIPATE IN THE 340B PHARMACY PROGRAM WHICH PROVIDES DISCOUNTED PHARMACY PRICING TO INDIGENT PATIENTS. 4.C. YCH PROVIDES MEDICATION SUPPORT TO INDIGENT PATIENTS (AS APPROPRIATE) THROUGH THE TAX DISTRICT AND THEIR ALLOWANCE OF ADDITIONAL FUNDING AND INCREASING THE DOLLAR AMOUNT PROVIDED. 4.D. THE EMPLOYEES OF YCH ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS THROUGH THE CLUB MED PROGRAM. WITH CLUB MED, YCH LEADERSHIP AND STAFF VOLUNTEER TO MEET MONTHLY WITH JUNIOR AND SENIOR HIGH SCHOOL STUDENTS TO DISCUSS CAREERS IN HEALTHCARE AT THE HOSPITAL FACILITY. CLUB MED PROGRAM STUDENTS WILL BE ELIGIBLE TO RECEIVE SCHOLARSHIPS BASED ON RAISED FUNDS. 4.E. YCH PROVIDES NON-HEALTHCARE CPR CLASSES TO LOCAL GROUPS UPON REQUEST. 4.F. YCH HAS A CONTRACT WITH AN INTERPRETING SERVICE TO PROVIDE TRANSLATION SERVICES FOR NON-ENGLISH SPEAKING AND ASL PATIENTS AND FAMILIES AS NEEDED. 4.G. YCH'S CASE MANAGEMENT DEPARTMENT CONTINUES TO IDENTIFY COMPLEX PATIENTS WITH MULTIPLE CHRONIC ILLNESSES AND PROVIDE ADDITIONAL HOSPITAL SUPPORT AS APPROPRIATE. 4.H. YCH WILL CONTINUE TO PROVIDE LAB WORK FOR THE ELDERLY THROUGH THE PHLEBOTOMIST THAT GOES TO THE LOCAL NURSING HOMES. 4.I. YCH WILL CONTINUE TO HOST DRIVE EVENTS TO BENEFIT VARIOUS GROUPS WITHIN THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - YOAKUM COMMUNITY HOSPITAL - CONTINUED. 4.J. YCH, LOCAL NURSING HOMES, HOME HEALTH AGENCIES, AND PHARMACIES WILL CONTINUE TO CO-SPONSOR COMMUNITY EDUCATION AT LOCAL CHURCHES, EVENT CENTERS, ETC. WHICH PROVIDES INFORMATION, FREE OF CHARGE TO THE COMMUNITY, ON ROTATING HEALTH-RELATED TOPICS, SPECIFICALLY SURROUNDING THE ELDERLY (I.E., MEDICARE, EHAVIORAL HEALTH) UPON REQUEST. 4.K. YCH PARTNERS WITH THE GOLDEN CRESCENT AREA ON AGING TO HOST MEDICARE OPEN ENROLLMENT FOR SENIORS IN THE COMMUNITY. 4.L. THE HOSPITAL WILL CONTINUE TO PROVIDE A LOCATION FOR WIC. 4.M. YOAKUM FAMILY PRACTICE HELPS WITH THE ANNUAL ATHLETIC PREPARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - YOAKUM COMMUNITY HOSPITAL. YOAKUM COMMUNITY HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ON ANY OUTSTANDING PATIENT ACCOUNTS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c PART I, LINE 3C	THE ASSETS TEST IS USED IN ORDER TO DETERMINE THE AMOUNT OF DISCOUNTED CARE. PAY STUBS FOR PATIENT & SPOUSE, LAST YEAR'S TAX RETURN, SOCIAL SECURITY AWARD LETTER ARE REQUIRED IF EMPLOYED. IF UNEMPLOYED, FOOD STAMP APPROVAL/DENIAL, UNEMPLOYMENT APPROVAL/DENIAL AND LAST YEAR'S TAX RETURN ARE REQUIRED. THE PATIENT IS ALSO REQUIRED 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.
Schedule H, Part I, Line 6a PART I, LINE 6A	THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2025 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PATIENTS ACCOUNTS RECEIVABLE CONSIST OF AMOUNTS DUE FOR THE PROVISION OF HEALTH CARE SERVICES WHICH ARE RECORDED AT AMORTIZED COST AT THE NET AMOUNT EXPECTED TO BE COLLECTED. IN EVALUATION THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, MANAGEMENT REGULARLY REVIEWS DATA AND DEVELOPS A LOSS RATE TO DETERMINE EXPECTED CREDIT LOSSES BASED ON SEVERAL FACTORS INCLUDING WHETHER A PATIENT HAS THIRD PARTY PAYOR COVERAGE OR IS UNINSURED, THE AGING OF RECEIVABLES, HISTORICAL COLLECTIONS AND LOSS EXPERIENCE, CURRENT CONTRACT PRICES OR CLAIMS PAID DATA, AND TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES OF ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. MANAGEMENT BELIEVES THE COMPOSITION OF RECEIVABLES AT YEAR-END IS CONSISTENT WITH HISTORICAL CONDITIONS AS CREDIT TERMS AND PRACTICES AND THE CUSTOMER BASE HAS NOT CHANGED SIGNIFICANTLY; THEREFORE, THE ORGANIZATION HAS MAINTAINED CONSISTENT METHODOLOGY IN ESTIMATE OF CREDIT LOSSES. MANAGEMENT HAS DETERMINED THE ESTIMATE OF EXPECTED CREDIT LOSSES IS NOT MATERIAL TO THE FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	INPATIENT ACUTE CARE SERVICES AND SUBSTANTIALLY ALL OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. THE HOSPITAL IS REIMBURSED FOR CERTAIN SERVICES AT TENTATIVE RATES WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE HOSPITAL AND AUDITS THEREOF BY THE MEDICARE ADMINISTRATIVE CONTRACTOR.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IF A PATIENT OF YOAKUM COMMUNITY HOSPITAL QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF.
Schedule H, Part V, Section B, Line 16a FAP website	- YOAKUM COMMUNITY HOSPITAL: Line 16a URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- YOAKUM COMMUNITY HOSPITAL: Line 16b URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- YOAKUM COMMUNITY HOSPITAL: Line 16c URL: HTTPS://WWW.YOAKUMHOSPITAL.ORG/ABOUT-YOAKUM-HOSPITAL/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, YOAKUM COMMUNITY HOSPITAL, (YCH), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FISCAL YEAR 6/30/2025. YCH LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE TOP PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, RESPONSIBLE LEADERS, ANNUAL UPDATES AND PROGRESS, AND KEY RESULTS (AS APPROPRIATE). THE CHNA AND IMPLEMENTATION STRATEGY FOR THE FISCAL YEAR ENDED JUNE 30, 2025, WAS REVIEWED AND ADOPTED BY THE HOSPITAL'S GOVERNING BOARD ON MAY 28, 2025. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED IN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN THE INTERVIEWS CONDUCTED WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN LAVAC AND DEWITT COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WE HAVE A COPY OF OUR CHARITY CARE POLICY POSTED ON OUR HOSPITAL WEBSITE AND HAVE AN 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.
Schedule H, Part VI, Line 4 Community information	YOAKUM COMMUNITY HOSPITAL IS A 23-BED HOSPITAL LOCATED IN THE TEXAS HILL COUNTRY. THE HOSPITAL IS CENTRALLY LOCATED APPROXIMATELY 200 MILES FROM SAN ANTONIO AND HOUSTON. YCH SERVES LAVACA AND DEWITT COUNTIES. THE POPULATION OF DEWITT COUNTY IS 19,815 (2024) AND IS EXPECTED TO DECREASE BY 0.4% BY 2029. THE POPULATION OF LAVACA COUNTY IS 20,674 AND IS EXPECTED TO INCREASE 0.9% BY 2029. IN 2024, THE MAJORITY OF RESIDENTS IN DEWITT COUNTY (66.0%) AND LAVACA COUNTY IDENTIFY AS WHITE (77.0%) (NON-HISPANIC). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. THE HISPANIC POPULATION IN DEWITT COUNTY IS EXPECTED TO INCREASE IN BY 6.7% AND BY 9.5% IN LAVACA COUNTY BY 2029. THE FASTEST GROWING POPULATION IN DEWITT COUNTY IS THE ALL OTHERS RACIAL/ETHIC GROUP (NON- WHITE, BLACK, ASIAN OR AMERICAN INDIAN) AND IN LAVACA COUNTY, THE HISPANIC POPULATION IS THE FASTEST GROWING POPULATION. IN 2024, LAVACA COUNTY (44.7 YEARS) HAS AN OLDER MEDIAN AGE THAN BOTH DEWITT COUNTY (43.1 YEARS) AND THE STATE OF TEXAS (36.3 YEARS). THE MEDIAN AGES IN LAVACA COUNTY, DEWITT COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2024-2029). IN 2023, LAVACA (3.3) AND DEWITT (3.3) COUNTIES HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (3.9). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN LAVACA AND DEWITT COUNTIES FLUCTUATED. FOR LAVACA COUNTY, DECEMBER 2023 HAD THE LOWEST UNEMPLOYMENT RATE (2.6) AS COMPARED TO JUNE2024 WITH THE HIGHEST RATE (3.5). FOR DEWITT COUNTY, APRIL 2024 HAD THE LOWEST UNEMPLOYMENT RATE (2.8) AS COMPARED TO FEBRUARY 2024 AND JUNE 2024 WITH THE HIGHEST RATE (3.8). AS OF 2024, THE MEDIAN HOUSEHOLD INCOMES IN BOTH LAVACA ($62,802) AND DEWITT ($60,806) COUNTIES ARE LOWER THAN THE STATE ($77,169). BETWEEN 2024 AND 2029, THE MEDIAN HOUSEHOLD INCOME IN LAVACA AND DEWITT COUNTIES AND THE STATE ARE EXPECTED TO INCREASE. IN 2024, LAVACA (22.0%) AND DEWITT (15.0%) COUNTIES HAD A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (35.7%). THE PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVEL IN DEWITT COUNTY (19.6%) WAS HIGHER THAN IN LAVACA COUNTY (15.6%) AND THE STATE OF TEXAS (14.4%) (2024). IN 2022, DEWITT COUNTY (17.6%) HAD THE HIGHEST ESTIMATED PERCENTAGE OF RESIDENTS WHO WERE FOOD INSECURE AS COMPARED TO LAVACA COUNTY (14.7%) AND THE STATE (16.4%). ADDITIONALLY, 21.3% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN LAVACA COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.1.% IN DEWITT COUNTY AND 22.8% IN TEXAS (2022). THE AVERAGE MEAL COST FOR A LAVACA COUNTY RESIDENT WAS $3.31 AS COMPARED TO $3.27 IN DEWITT COUNY AND $3.45 IN THE STATE OF TEXAS (2022). AS OF 2022, LAVACA COUNTY (17.6%) HAD THE LOWEST PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO DEWITT COUNTY (22.0%) AND THE STATE (22.3%). HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN DEWITT AND LAVACA COUNTY. BETWEEN 2018 AND 2022, OVERALL MORTALITY RATES IN LAVACA AND DEWITT COUNTIES REMAINED HIGHER THAN THE STATE RATE. ADDITIONALLY, DEWITT COUNTY HAD HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS CHRONIC LOWER RESPIRATORY DISEASES (CLRD), NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS AND DIABETES THAN THE STATE OF TEXAS IN 2022. LAVACA COUNTY HAD HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, ALZHEIMER'S DISEASE, AND CEREBROVASCULAR DISEASES THAN THE STATE IN 2022. IN 2022, THE PERCENTAGE OF ADULTS IN LAVACA AND DEWITT COUNTIES WITH CONDITIONS SUCH AS OBESITY, HYPERTENSION, ASTHMA AND ARTHRITIS THAN THE STATE OF TEXAS. LAVACA AND DEWITT COUNTIES HAD A HIGHER RATE OF DISABLED ADULTS THAN THE STATE OF TEXAS (2022).
Schedule H, Part VI, Line 5 Promotion of community health	PROMOTION OF COMMUNITY HEALTH YCH PROMOTES COMMUNITY HEALTH THROUGH: PARTICIPATION IN COMMUNITY OUTREACH BY OFFERING SPEAKERS AND OTHER INFORMATIVE ACTIVITIES. HOSPITAL PERSONNEL ARE MADE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS AND MEDIA APPEARANCES, AS WELL AS AT HEALTH RELATED EVENTS TO ADDRESS HEALTH TOPICS OF PARTICULAR CONCERN TO THE PUBLIC. CURRENT EXAMPLES INCLUDE: ROTARY CLUB, STOP THE BLEED, WRAP TRAINING - LOCAL EMS AND POLICE, NATIONAL NIGHT OUT, AND THE LOCAL FALL HEALTH FAIR AT LAVACA MEDICAL CENTER. THE HOSPITAL WILL CONTINUE TO PROVIDE FREE MEETING SPACE FOR VARIOUS SUPPORT GROUPS TO INCREASE AWARENESS ABOUT DISEASES AND RESOURCES OFFERED THROUGH THE COMMUNITY, AS APPROPRIATE. CURRENT EXAMPLES INCLUDE: ALZHEIMER'S SUPPORT GROUP, YCH AUXILIARY, WIDOW SUPPORT GROUP, YOAKUM GARDEN CLUB, GRIEF SUPPORT GROUP, YCH AUXILIARY TO ACTION STEP, RETIRED TEACHERS. THE HOSPITAL WILL CONTINUE TO PROVIDE A LOCATION FOR WIC. YCH PERSONNEL SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. CURRENT EXAMPLES INCLUDE: ROTARY CLUB AND THE LOCAL BOY SCOUTS OF AMERICA CHAPTER, LITTLE LEAGUE BASEBALL BOARD MEMBER, YOAKUM BUILDING AND STANDARDS COMMISSION, TREASURER OF THE MC JAMISON YOUTH CENTER. ADDITIONALLY, THE EMPLOYEES OF YCH ARE DEDICATED TO ENHANCING COMMUNITY WELLNESS THROUGH THE CLUB MED PROGRAM. WITH CLUB MED, YCH LEADERSHIP AND STAFF VOLUNTEER TO MEET MONTHLY WITH JUNIOR AND SENIOR HIGH SCHOOL STUDENTS TO DISCUSS CAREERS IN HEALTHCARE AT THE HOSPITAL FACILITY. CLUB MED PROGRAM STUDENTS WILL BE ELIGIBLE TO RECEIVE SCHOLARSHIPS BASED ON RAISED FUNDS. CURRENT EXAMPLES INCLUDE: YOAKUM, (NEW) MOULTON HIGH SCHOOL, ST. PAUL. YOAKUM FAMILY PRACTICE HELPS WITH THE ANNUAL ATHLETIC PREPARTICIPATION SPORTS PHYSICALS FOR THE LOCAL JUNIOR HIGH AND HIGH SCHOOLS AT NO COST. YCH ALSO PROVIDES NON-HEALTHCARE CPR CLASSES TO LOCAL GROUPS UPON REQUEST. CURRENT EXAMPLES INCLUDE: POLICE DEPARTMENT, SPH, EMPLOYEES OF THE CITY OF YOAKUM, YOAKUM ISD. YCH WILL CONTINUE TO HOST DRIVE EVENTS TO BENEFIT VARIOUS GROUPS WITHIN THE COMMUNITY. CURRENT EXAMPLES INCLUDE: NORMA'S HOUSE, BLUE SANTA, ADOPT A FAMILY, ADOPT SENIOR CITIZEN, THANKSGIVING FOOD DRIVE, DRIVE - THRU FLU-CLINIC FOR ELDERLY. YCH, LOCAL NURSING HOMES, HOME HEALTH AGENCIES, AND PHARMACIES WILL CONTINUE TO CO-SPONSOR COMMUNITY EDUCATION AT LOCAL CHURCHES, EVENT CENTERS, ETC. WHICH PROVIDES INFORMATION, FREE OF CHARGE TO THE COMMUNITY, ON ROTATING HEALTH-RELATED TOPICS, SPECIFICALLY SURROUNDING THE ELDERLY (I.E., MEDICARE, BEHAVIORAL HEALTH) UPON REQUEST. YCH ALSO PARTNERS WITH THE GOLDEN CRESCENT AREA ON AGING TO HOST MEDICARE OPEN ENROLLMENT FOR SENIORS IN THE COMMUNITY. IN ADDITION, THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, AND EDUCATION. THE MAJORITY OF THE YCH BOARD ARE MAJORITY COMMUNITY MEMBERS.
Schedule H, Part VI, Line 6 Affiliated health care system	YOAKUM COMMUNITY HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. YOAKUM COMMUNITY HOSPITAL IS A 23 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.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SAUNDRA ANDERSON DO
Physician	$342,857	$0	$52,795	$0	$3,485	$0	$7,721	$0	$23,293	$0	$430,151	$0	$0	$0
JIM KENDRICK
DIRECTOR	$0	$1,136,361	$0	$615,419	$0	$158,269	$0	$426,812	$0	$43,486	$0	$2,380,347	$0	$74,596
JAMES HILL
TREASURER	$0	$345,401	$0	$81,611	$0	$24,867	$0	$28,012	$0	$32,330	$0	$512,221	$0	$0
Tiffany Miller Hintze DBA MHA
CEO/Pres.	$0	$246,579	$0	$62,661	$0	$2,125	$0	$17,137	$0	$12,616	$0	$341,118	$0	$0
LINDA MOORE
ASSIST SECRETARY	$0	$370,712	$0	$74,202	$0	$37,393	$0	$28,381	$0	$23,717	$0	$534,405	$0	$0
KIMBERLY MRAZ
CNO	$0	$117,081	$0	$23,719	$0	$1,415	$0	$9,129	$0	$39,336	$0	$190,680	$0	$0
JOHN OLIVARES
CFO	$0	$151,311	$0	$28,204	$0	$1,786	$0	$12,745	$0	$26,655	$0	$220,701	$0	$0
SANDRA M CHILEK
LABORATORY DIRECTOR	$141,229	$0	$2,262	$0	$831	$0	$4,467	$0	$14,293	$0	$163,082	$0	$0	$0
JAMES E DROST MD
PHYSICIAN	$403,125	$0	$36,749	$0	$2,058	$0	$6,575	$0	$10,856	$0	$459,363	$0	$0	$0
COURTNEY WELCH MD
PHYSICIAN	$314,662	$0	$41,749	$0	$270	$0	$5,243	$0	$25,937	$0	$387,861	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	COMPENSATION OF CEO/EXECUTIVE DIRECTOR THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, COMMUNITY HOSPITAL 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 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 ORGANIZATION FOLLOWED THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2025 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $416,461 LINDA MOORE - $18,031 JAMES HILL - $17,662
Schedule J, Part I, Line 7 Non-fixed payments	A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 3 Delegation of management duties	COMMUNITY HOSPITAL CORPORATION ('CHC') PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHC IS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH").
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHC AS THE SOLE MEMBER OF YCH ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES OF YCH AND IS EMPOWERED WITH THE ABILITY TO REMOVE TRUSTEES, WITH OR WITHOUT CAUSE.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	ARTICLES OF INCORPORATION - BOARD OF DIRECTORS SECTION 7.1 POWERS. THE AFFAIRS OF THIS CORPORATION SHALL BE MANAGED BY ITS BOARD OF TRUSTEES (HEREINAFTER 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 ARTICLES 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 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 USUAL 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 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.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A REVIEW OF THE 990 FORM IS PERFORMED BY THE CFO OF THE HOSPITAL FOLLOWING FORM PREPARATION. ELECTRONIC COPIES ARE SENT TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM. THE FORMS ARE THEN FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	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 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 ESPONSE AND MAKING FURTHER INVESTIGATION, IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, THEN APPROPRIATE DISCIPLINARY ACTION IS TAKEN WHICH CAN INCLUDE WITHOUT IMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT.
Form 990, Part VI, Line 19 Required 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.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 426656, Related or Exempt Function Revenue: 426656, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES-HOSPITAL - Total Expense: 3093180, Program Service Expense: 2629203, Management and General Expenses: 463977, Fundraising Expenses: 0; PURCHASED SERVICES-CLINIC - Total Expense: 162883, Program Service Expense: 138451, Management and General Expenses: 24432, Fundraising Expenses: 0; PROFESSIONAL FEES-HOSPITAL - Total Expense: 1090763, Program Service Expense: 927149, Management and General Expenses: 163614, Fundraising Expenses: 0;
FORM 990, PART VI, Line 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN	THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC AS ADOPTED BY YOAKUM COMMUNITY HOSPITAL. 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 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591	BEAUMONT	TX	77704	741303720	HOSPITAL	TX	501(c)(3)	3	SWCH INC	false
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE ST	BEAUMONT	TX	77701	760453250	PRIMARY CARE	TX	501(c)(3)	3	BHSET	false
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235	BEAUMONT	TX	77701	611557670	SUPPORT ORG	TX	501(c)(3)	7	BHSET	false
CAROLINAS COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	465590355	SUPPORT ORG	DE	501(c)(3)	Type II	CHC	false
CHC COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	371485773	SUPPORT ORG	DE	501(c)(3)	Type III-FI	CHC	false
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(c)(3)	Type III-FI	NA	false
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FL	PADUCAH	KY	42003	465032999	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FL	ABILENE	TX	79601	463607347	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FL	MADISONVILLE	KY	42431	465033192	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY	CORBIN	KY	40701	200925675	HOSPITAL	KY	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREET	ODESSA	TX	79761	473539943	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	813048423	HOSPITAL	TX	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL OF TYLER INC
800 E DAWSON ST	TYLER	TX	75701	200991990	HOSPITAL	DE	501(c)(3)	3	CCC	false
CRAWLEY MEMORIAL HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	560691100	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
GAINESVILLE COMMUNITY HOSPITAL INC
1900 HOSPITAL BLVD	GAINESVILLE	TX	76240	831683025	HOSPITAL	TX	501(c)(3)	3	CHC	false
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	760500960	PUBLIC CHARITY	TX	501(c)(3)	10	HUNTSVILLE	false
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	843654542	HOSPITAL	TX	501(c)(3)	3	CHC	false
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROAD	CHARLOTTE	NC	26210	753054855	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
SOUTHWEST COMMUNITY HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752725353	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACE	LA GRANGE	TX	78945	743019849	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	453609830	SUPPORT ORG	TX	501(c)(3)	Type I	YCH	false
HUNTSVILLE COMMUNITY HOSPITAL INC FOUNDATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	320771710	SUPPORT ORG	TX	501(c)(3)	7	HUNTSVILLE	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
PO BOX 1051 BLDG 4 2ND FL	GOVERNORS SQUARE	GEORGE TOWN	GRAND CAYMAN	CJ	KY11102	CAPTIVE INSURANCE	CJ	CHC	C Corporation	false
COMMUNITY HOSPITAL CONSULTING INC
						MGMT CONSULTING		CHC	C Corporation	false	7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	204710183	TX

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	P	TransactionTypeTxt
Involved	$4,435,203	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt