2024-05-13T12:44:08+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2022-07-01 200925675 ContinueCare Hospital at Baptist Health LLC CONT 9729436431 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 PAMELA HARRISON CEO 9729436431 2024-05-13 true JAMES HILL 999009999 Melva Scott P01207335 8173351900 2024-04-30 2022 2023-04-26 12:10:37Z SEE SCHEDULE O APRIL MYERS 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 13553375 false X https://CORBIN.CONTINUECARE.ORG X 2004 KY AS A 'HOSPITAL WITHIN A HOSPITAL', IT IS THE MISSION OF CCHBH TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 5 4 96 0 0 0 1320630 263198 11868979 13272282 23710 17522 284 373 13213603 13553375 0 0 5750040 6661261 0 0 5768591 5303184 11518631 11964445 1694972 1588930 4194027 3602416 2530846 1323805 1663181 2278611 AS A 'HOSPITAL WITHIN A HOSPITAL', IT IS THE MISSION OF CCHBH TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 11076603 0 13272282 CONTINUECARE HOSPITAL AT BAPTIST HEALTH (CCHBH) IS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) OPERATING AS A HOSPITAL WITHIN A HOSPITAL AT BAPTIST HEALTH CORBIN IN CORBIN, KENTUCKY. AS AN LTACH, CCHBH PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN AN LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED 6/30/2023, CCHBH TOTAL PATIENTS ADMITTED WERE 236 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 7,950. THE AVERAGE DAILY CENSUS WAS 21.8 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS TOTALED 33.5 DAYS. 11076603 true false false true false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 14 0 true 96 true false false false false false false false false false false false false X 5 4 false true false false true true true true false false false true true true true true true false false false X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT/DIRECTOR 0.1 39.9 X X 0 392546 63494 ANTHONY POWERS DIRECTOR 1.0 0 X 0 0 0 BRAD HALL DIRECTOR 1.0 0 X 0 0 0 JEANNIE HENSLEY DIRECTOR 1.0 0 X 0 0 0 ROY TAYLOR DIRECTOR 1.0 0 X 0 0 0 JAMES HILL TREASURER 0.4 39.6 X 0 394083 38701 LINDA MOORE SECRETARY 0.1 39.9 X 0 424165 33792 PAMELA HARRISON CEO/CNO 40.0 0.0 X 0 193674 42749 Anna Lay REGISTERED NURSE 40.0 0 X 158477 0 0 ANNETTE BROWN REGISTERED NURSE 40.0 0 X 133085 0 29495 JENNIFER Gregory REGISTERED NURSE 40.0 0 X 210406 0 0 Lisa Porter CLINICAL SUPERVISOR 40.0 0 X 140608 0 14683 Susan Rose REGISTERED NURSE 40.0 0 X 126987 0 0 769564 1404468 222915 8 false true false 0 263198 263198 NET INPATIENT REVENUE 623000 13272282 13272282 0 0 0 0 13272282 17522 17522 0 0 0 0 MEDICAL RECORDS 900099 363 363 OTHER 900099 10 10 0 0 0 0 373 13553375 13272282 0 17895 X 5761950 5185754 576196 60147 54733 5414 468085 425957 42128 371079 337683 33396 549406 549406 4336 4336 86894 86894 12559 12559 2166948 2120582 46366 0 9363 9363 33890 33890 416503 416503 38329 38329 3821 3821 5421 5421 56064 56064 236056 236056 MEDICAL SUPPLIES 1094020 1094020 STATE HOSPITAL TAX 307755 307755 EQUIPMENT LEASE 165099 157390 7709 DUES AND SUBSCRIPTIONS 23163 23163 93557 93557 0 0 11964445 11076603 887842 0 1408732 1554270 1648116 1202684 0 0 0 0 112156 128615 126219 123927 2107590 1514670 898804 592920 0 0 0 0 4194027 3602416 1201327 962170 0 0 1329519 361635 2530846 1323805 1663181 2278611 1663181 2278611 4194027 3602416 X 1588930 -973500 X false true X true false X false false false false false false false false true 12559 12559 false Schedule C, Part II-B, Line 1i LOBBYING EXPENSE CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC PAID $5,393 TO NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH), $8,787.96 TO KENTUCKY HOSPITAL ASSOCIATION (KHA), $4,702 TO AMERICAN HOSPITAL ASSOCIATION (AHA) AND $16,000 TO PICARD GROUP IN FISCAL YEAR 2023. THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES WAS 11.69% FOR NALTH, 11.9% FOR KHA, 27.29% FOR AHA AND 60% FOR PICARD GROUP. TOTAL DUES PAID FOR LOBBYING ACTIVITIES WERE $12,559. ($630 NALTH, $1,046 KHA, $1,283 AHA AND $9,600 PICARD GROUP = $12,559) 83111 72100 11011 1081092 773573 307519 943387 668997 274390 592920 INTERCOMPANY PAYABLES - CCC & CHC 122178 SHORT TERM LEASE OBLIGATIONS 181144 LONG TERM LEASE OBLIGATIONS 101215 MEDICARE ADVANCES HHS STIMULUS FUNDS THIRD PARTY SETTLEMENTS -42902 361635 true true true X true X true true false true true 58636 58636 0.0049 4391066 7348000 0 0.0 0 0.0 0 0 4449702 7348000 58636 0.0049 0 0.0 16740 16740 0.0014 0 0.0 0 0.0 197263 197263 0.0165 0 0 214003 0 214003 0.0179 0 0 4663705 7348000 272639 0.0228 0 0.0 0 0.0 9 1030 1030 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 9 0 1030 0 1030 0.0001 true 3777115 3914060 -136945 X true true 1 1 CONTINUECARE HOSP AT BAPTIST HEALTH 1 TRILLUM WAY LOWER LEVEL CORBIN KY 40701 HTTPS://CORBIN.CONTINUECARE.ORG 100417 X X CONTINUECARE HOSP AT BAPTIST HEALTH 1 false false true X X X X X X X X X 22 true false false true X https://corbin.continuecare.org/chna/ X true 22 true https://corbin.continuecare.org/chna/ false true X 200.0 400.0 X X X true true X X X true X https://corbin.continuecare.org/for-families/financial-assistance/ X https://corbin.continuecare.org/for-families/financial-assistance/ X https://corbin.continuecare.org/for-families/financial-assistance/ X X X X X X true X false X false X X false false Schedule H, Part V, Section B, Line 3E SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC. CONTINUECARE HOSPITAL AT BAPTIST HEALTH CORBIN (CCHBHC) OPENED IN THE SUMMER OF 2015 AS A 36-BED LONG TERM ACUTE CARE HOSPITAL (LTACH). CCHBHC OPERATES IN COLLABORATION WITH ITS HOST HOSPITAL, BAPTIST HEALTH CORBIN IN CORBIN, KENTUCKY. AS THE ONLY LTACH IN THE AREA, CCHBHC ENJOYS THE BEST OF BOTH WORLDS BY BEING IN PARTNERSHIP WITH A 273-BED ACUTE AND SKILLED CARE FACILITY, WHILE STILL MAINTAINING A SMALL HOSPITAL ATMOSPHERE. SINCE LTACH PATIENTS HAVE A LONGER LENGTH OF STAY, THE STAFF HAS THE OPPORTUNITY TO GET TO KNOW PATIENTS AND FAMILIES. CCHBHC HAS A DEDICATED TEAM OF EMPLOYEES WHO WORK TOGETHER TO PROVIDE CARE WITH AN INTERDISCIPLINARY APPROACH, DEVELOPING INDIVIDUALIZED CARE PLANS, ENCOURAGING FAMILY AND/OR CAREGIVER PARTICIPATION, TO ACHIEVE OPTIMAL PATIENT OUTCOMES. AS A "HOSPITAL-WITHIN-A-HOSPITAL," CCHBHC IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT. THE HOSPITAL HAS SPECIALTY PROGRAMS SPECIFICALLY DESIGNED TO MEET THE NEEDS OF LONG TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIOUS DISEASES. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. THE DEFINED SERVICE AREA OF CCHBHC IS WHITLEY, KNOX AND LAUREL COUNTIES, KENTUCKY. WHITLEY, KNOX AND LAUREL COUNTIES COMPRISED 55.1% OF FISCAL YEAR 2022 INPATIENT DISCHARGES. THE POPULATION OF WHITLEY COUNTY IS EXPECTED TO INCREASE BY 0.3% FROM 2022 (36,812) TO 2027 (36,931). THE POPULATION OF KNOX COUNTY, HOWEVER, IS EXPECTED TO DECREASE 2.0% BY 2027 (29,720) FROM 2022 (29,111). THE POPULATION OF LAUREL COUNTY IS EXPECTED TO INCREASE BY 0.3% FROM 2022 (63,162) TO 2027 (63,368). EXPECTED POPULATION GROWTH OF ALL THREE COUNTIES IS BELOW THE 0.7% EXPECTED GROWTH FOR THE STATE OF KENTUCKY FROM 2022 (4,537,160) TO 2027 (4,569,772). AS OF 2022, THE RACIAL/ETHNIC BREAKOUT OF WHITLEY COUNTY WAS 93.2% WHITE NON-HISPANIC, 1.6% BLACK, 0.6% ASIAN, 0.2% AMERICAN INDIAN AND 4.4% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE, IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2027, THE WHITE NON- HISPANIC POPULATION IN WHITLEY COUNTY IS EXPECTED TO DECREASE BY 0.4% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 8.6%. BY 2027, THE ASIAN POPULATION IN WHITLEY COUNTY IS EXPECTED TO INCREASE BY 11.6% AND THE AMERICAN INDIAN POPULATION IS NOT EXPECTED TO CHANGE. BY 2027, ALL OTHER RACIAL ETHNIC GROUPS IN WHITLEY COUNTY ARE EXPECTED TO INCREASE BY 11.7%. AS OF 2022, THE HISPANIC POPULATION OF 689 IS EXPECTED TO INCREASE 2.6%, TO 707, BY 2027. AS OF 2022, WHITLEY COUNTY (40.5 YEARS) HAD A SLIGHTLY OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS). THE MEDIAN AGE IN BOTH WHITLEY COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). AS OF 2022, THE RACIAL/ETHNIC BREAKOUT OF KNOX COUNTY WAS 94.6% WHITE NON-HISPANIC, 1.0% BLACK, 0.0% ASIAN, 0.3% AMERICAN INDIAN AND 4.0% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE, IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2027, THE WHITE NON- HISPANIC POPULATION IN KNOX COUNTY IS EXPECTED TO DECREASE BY 2.5% AND THE BLACK POPULATION IS EXPECTED TO DECREASE BY 4.5%. BY 2027, THE ASIAN POPULATION IN KNOX COUNTY IS EXPECTED TO INCREASE BY 5.8% AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 3.4%. BY 2027, ALL OTHER RACIAL ETHNIC GROUPS IN KNOX COUNTY ARE EXPECTED TO INCREASE BY 9.3%. AS OF 2022, THE HISPANIC POPULATION OF 347 IS EXPECTED TO INCREASE 0.3%, TO 348, BY 2027. AS OF 2022, KNOX COUNTY (41.5 YEARS) HAD A SLIGHTLY OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS). THE MEDIAN AGE IN BOTH KNOX COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). AS OF 2022, THE RACIAL/ETHNIC BREAKOUT OF LAUREL COUNTY WAS 93.8% WHITE NON-HISPANIC, 0.7% BLACK, 0.7% ASIAN, 0.3% AMERICAN INDIAN AND 4.0% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE, IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2027, THE WHITE NON-HISPANIC POPULATION IN LAUREL COUNTY IS EXPECTED TO DECREASE BY 0.3% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 0.7%. BY 2027, THE ASIAN POPULATION IN LAUREL COUNTY IS EXPECTED TO INCREASE BY 8.8% AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO DECREASE BY 2.4%. BY 2027, ALL OTHER RACIAL ETHNIC GROUPS IN LAUREL COUNTY ARE EXPECTED TO INCREASE BY 12.5%. AS OF 2022, THE HISPANIC POPULATION OF 999 IS EXPECTED TO DECREASE BY 2.3%, TO 976, BY 2027. AS OF 2022, LAUREL COUNTY (41.4 YEARS) HAD A SLIGHTLY OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS). THE MEDIAN AGE IN BOTH LAUREL COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). THE MEDIAN HOUSEHOLD INCOMES IN KNOX ($35,642), LAUREL ($49,044), AND WHITLEY ($47,740) COUNTIES ARE LOWER THAN THE STATE OF KENTUCKY ($57,014) (2022). BETWEEN 2022 AND 2027, THE MEDIAN HOUSEHOLD INCOMES IN KNOX, LAUREL, AND WHITLEY COUNTIES AND THE STATE ARE EXPECTED TO INCREASE. KNOX (16.2%), LAUREL (16.3%) AND WHITLEY (21.4%) COUNTIES HAVE LOWER PERCENTAGES OF RESIDENTS WITH BACHELORS OR ADVANCED DEGREES THAN THE STATE (26.7%) (2022). IN 2016-2020, 14.8% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 25.6% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2016-2020, 38.6% OF THE POPULATION IN KENTUCKY LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 14.8% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2016-2020, THE DISTRESS SCORES IN KNOX (95.2), LAUREL (82.6), AND WHITLEY COUNTIES (90.5) FALL WITHIN THE DISTRESSED ECONOMIC CATEGORY. WITH RESPECT TO UNEMPLOYMENT, RATES IN KNOX, LAUREL AND WHITLEY COUNTIES AND THE STATE OVERALL INCREASED BETWEEN 2019 AND 2021. IN 2021, KNOX COUNTY (6.2) HAD THE HIGHEST UNEMPLOYMENT RATE AS COMPARED TO LAUREL COUNTY (4.5), WHITLEY COUNTY (5.0) AND THE STATE (4.7). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES FOR KNOX, LAUREL, AND WHITLEY COUNTIES FLUCTUATED BUT OVERALL DECREASED. AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN KNOX AND LAUREL COUNTIES WERE WITHIN OFFICE & ADMINISTRATIVE SUPPORT, WHILE THE MAJORITY OF EMPLOYED PERSONS IN WHITLEY COUNTY WERE WITHIN EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS IN KNOX COUNTY ARE OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (13.2%), PRODUCTION OCCUPATIONS (9.6%), SALES & RELATED OCCUPATIONS (7.9%), EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS (7.5%), AND MANAGEMENT OCCUPATIONS (7.3%). IN LAUREL COUNTY THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (14.6%), SALES & RELATED OCCUPATIONS (9.8%), PRODUCTION OCCUPATIONS (8.4%), MANAGEMENT OCCUPATIONS (7.9%), AND MATERIAL MOVING OCCUPATION (6.7%). ADDITIONALLY, THE MOST COMMON EMPLOYED GROUPINGS IN WHITLEY COUNTY ARE EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS (10.7%), SALES & RELATED OCCUPATIONS (10.3%), OFFICE & ADMINISTRATIVE SUPPORT OCCUPATIONS (9.6%), FOOD PREPARATION & SERVING RELATED OCCUPATIONS (7.7%), AND PRODUCTION OCCUPATIONS (7.4%). KNOX (39.0%), LAUREL (27.4%) AND WHITLEY (30.6%) COUNTIES HAVE HIGHER PERCENTAGES OF FAMILIES LIVING BELOW POVERTY THAN THE STATE (21.4%) (2022). BETWEEN 2016 AND 2020, THE PERCENT OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN KNOX, LAUREL, AND WHITLEY COUNTIES AND THE STATE DECREASED. KNOX (36.1%), LAUREL (25.1%), AND WHITLEY (28.7%) COUNTIES HAD HIGHER RATES OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (19.4%) (2020). ACCORDING TO FEEDING AMERICA, KNOX COUNTY (20.6%) HAD THE HIGHEST ESTIMATED PERCENT OF RESIDENTS WHO ARE FOOD INSECURE AS COMPARED TO LAUREL COUNTY (16.4%), WHITLEY COUNTY (17.2%) AND THE STATE (12.9%) (2020). ADDITIONALLY, 23.9% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN KNOX COUNTY IS FOOD INSECURE AS COMPARED TO 19.4% IN LAUREL COUNTY, 18.5% IN WHITLEY COUNTY AND 16.1% IN KENTUCKY (2020). THE AVERAGE MEAL COST FOR KNOX COUNTY ($2.85) AND WHITLEY COUNTY ($2.87) ARE HIGHER THAN LAUREL COUNTY ($2.73) AND THE STATE ($2.79) (2020). BETWEEN 2015 AND 2019, KNOX COUNTY MAINTAINED A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN LAUREL COUNTY, WHITLEY COUNTY AND THE STATE. IN 2019, KNOX COUNTY (31.3%) HAD A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN LAUREL COUNTY (17.9%), WHITLEY COUNTY (23.5%) AND THE STATE (11.9%). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC - CONTINUED. THE PERCENTAGE OF PUBLIC SCHOOL STUDENTS ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN KNOX (71.6%), LAUREL (68.2%) AND WHITLEY (68.7%) COUNTIES IS HIGHER THAN THE STATE (56.2%) AND THE NATION (42.2%) (2020-2021). WHITLEY COUNTY (96.6%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE AS COMPARED TO KNOX (89.8%) AND LAUREL (84.0%) COUNTIES, THE STATE (91.5%) AND NATION (87.7%) (2018-2019). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN WHITLEY AND LAUREL COUNTIES AND THE STATE AND IS THE SECOND LEADING CAUSE OF DEATH IN KNOX COUNTY (2016-2020). BETWEEN 2016 AND 2020, HEART DISEASE MORTALITY RATES IN LAUREL AND WHITLEY COUNTIES INCREASED WHILE RATES IN KNOX COUNTY OVERALL DECREASED AND RATES IN THE STATE REMAINED RELATIVELY FLAT. IN 2018-2020, THE HEART DISEASE MORTALITY RATES IN WHITLEY COUNTY (325.1 PER 100,000) WERE HIGHER THAN KNOX (225.8 PER 100,000) AND LAUREL COUNTIES (243.6 PER 100,000) AND THE STATE (199.7 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN WHITLEY AND LAUREL COUNTIES AND THE STATE AND IS THE LEADING CAUSE OF DEATH IN KNOX COUNTY (2016-2020). CANCER MORTALITY RATES IN KNOX, LAUREL AND WHITLEY COUNTIES AND THE STATE DECREASED BETWEEN 2016 AND 2020. IN 2018-2020, THE CANCER MORTALITY RATES IN KNOX COUNTY (229.4 PER 100,000) WERE HIGHER THAN LAUREL (190.3 PER 100,000) AND WHITLEY COUNTIES (220.9 PER 100,000) AND THE STATE (178.4 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE THIRD LEADING CAUSE OF DEATH FOR KNOX, LAUREL, AND WHITLEY COUNTIES AND IS THE FOURTH LEADING CAUSE OF DEATH FOR THE STATE (2016-2020). CLRD MORTALITY RATES IN KNOX AND WHITLEY COUNTIES OVERALL INCREASED BETWEEN 2016 AND 2020, WHILE RATES IN LAUREL COUNTY AND THE STATE DECREASED. IN 2018-2020, THE CLRD MORTALITY RATES IN WHITLEY COUNTY (102.1 PER 100,000) WERE HIGHER THAN KNOX (82.3 PER 100,000) AND LAUREL COUNTIES (74.0 PER 100,000) AND THE STATE (60.2 PER 100,000). ACCIDENTS ARE THE FOURTH LEADING CAUSE OF DEATH IN KNOX, LAUREL, AND WHITLEY COUNTIES AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2016-2020). ACCIDENT MORTALITY RATES OVERALL INCREASED IN LAUREL AND WHITLEY COUNTIES AND THE STATE BETWEEN 2016 AND 2020, WHILE RATES IN KNOX COUNTY DECREASED. IN 2018-2020, THE ACCIDENT MORTALITY RATES IN WHITLEY COUNTY (86.2 PER 100,000) WERE HIGHER THAN KNOX (68.9 PER 100,000) AND LAUREL COUNTIES (66.3 PER 100,000) AND THE STATE (74.1 PER 100,000). IN 2018-2020, THE LEADING CAUSE OF FATAL ACCIDENTS IN ALL THREE COUNTIES WAS DUE TO ACCIDENTAL POISONING AND EXPOSURE TO NOXIOUS SUBSTANCES. CEREBROVASCULAR DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN WHITLEY COUNTY AND THE STATE AND IS THE SIXTH LEADING CAUSE OF DEATH IN KNOX AND LAUREL COUNTIES (2016-2020). BETWEEN 2016 AND 2020, CEREBROVASCULAR DISEASE MORTALITY RATES IN LAUREL COUNTY AND THE STATE OVERALL INCREASED, WHILE RATES IN KNOX AND WHITLEY COUNTIES OVERALL DECREASED. IN 2018-2020, THE CEREBROVASCULAR DISEASE MORTALITY RATES IN WHITLEY COUNTY (56.5 PER 100,000) WERE HIGHER THAN KNOX (34.2 PER 100,000) AND LAUREL COUNTIES (41.3 PER 100,000) AND THE STATE (42.1 PER 100,000). ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN LAUREL COUNTY, THE SEVENTH LEADING CAUSE OF DEATH IN THE IN KNOX COUNTY, AND THE EIGHTH LEADING CAUSE OF DEATH IN WHITLEY COUNTY. BETWEEN 2016 AND 2020, ALZHEIMER'S DISEASE MORTALITY RATES IN KNOX COUNTY, LAUREL COUNTY AND WHITLEY COUNTY INCREASED, WHILE RATES IN THE STATE DECREASED. IN 2018-2020, THE ALZHEIMER'S DISEASE MORTALITY RATES IN LAUREL COUNTY (52.0 PER 100,000) WERE HIGHER THAN KNOX COUNTY (32.9 PER 100,000), WHITLEY COUNTY (32.3 PER 100,000), AND THE STATE (32.3 PER 100,000). DIABETES IS THE FIFTH LEADING CAUSE OF DEATH IN KNOX COUNTY, THE EIGHTH LEADING CAUSE OF DEATH IN LAUREL COUNTY, THE SEVENTH LEADING CAUSE OF DEATH IN THE STATE OF KENTUCKY AND THE NINTH LEADING CAUSE OF DEATH IN WHITLEY COUNTY. BETWEEN 2016 AND 2020, DIABETES MORTALITY RATES IN LAUREL COUNTY INCREASED, RATES IN KNOX COUNTY AND WHITLEY COUNTY DECREASED, AND RATES IN THE STATE REMAINED FLAT. SEPTICEMIA, INFLUENZA AND PNEUMONIA, AND INTENTIONAL SELF-HARM (SUICIDE) ARE ALSO LEADING CAUSES OF DEATH IN KNOX, LAUREL, AND WHITLEY COUNTIES. AS OF DECEMBER 12, 2022, WHITLEY COUNTY (15.8 PER 100,000) AND THE STATE (15.8 PER 100,000) HAS A HIGHER RATE OF AVERAGE DAILY NEW COVID-19 CASES THAN KNOX (11.0 PER 100,000) AND LAUREL (14.8 PER 100,000) COUNTIES. AS OF DECEMBER 12, 2022, THE PERCENT OF THE POPULATION THAT ARE FULLY VACCINATED FOR COVID-19 IN KNOX (41.2%), LAUREL (46.2%), AND WHITLEY COUNTIES (51.3%) ARE LOWER THAN THE STATE (58.0%). IN 2019-2020, THE CUMBERLAND VALLEY ADD (44.3%), WHICH INCLUDES KNOX, LAUREL AND WHITLEY COUNTIES, HAD A HIGHER PERCENT OF OBESE ADULTS (AGE 18+) THAN THE STATE (36.5%).IN 2018, THE PERCENTAGE OF MEDICARE BENEFICIARIES WITH DIABETES IN KNOX COUNTY (36.3%) WAS HIGHER THAN LAUREL (33.7%) AND WHITLEY COUNTIES (35.4%), THE STATE (29.3%), AND THE NATION (27.0%). IN 2019-2020, THE CUMBERLAND VALLEY AREA DEVELOPMENT DISTRICT (ADD) (17.7%) HAD A HIGHER PERCENT OF ADULTS (AGE 18+) WHO HAD EVER BEEN DIAGNOSED WITH DIABETES THAN THE STATE (13.2%).IN 2018, KNOX COUNTY (69.1%) HAD A HIGHER RATE OF MEDICARE BENEFICIARIES WITH HIGH BLOOD PRESSURE WHEN COMPARED TO LAUREL (66.7%) AND WHITLEY COUNTIES (66.4%), THE STATE (62.6%), AND THE NATION (57.2%).THE PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH DEPRESSION IN KNOX (19.0%), LAUREL (20.6%) AND WHITLEY COUNTIES (18.2%) IS LOWER THAN THE STATE (21.5%) AND THE NATION (18.4%) (2018). THE PERCENT OF THE TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH A DISABILITY IN WHITLEY COUNTY (20.9%) IS HIGHER THAN KNOX COUNTY (17.1%), LAUREL COUNTY (17.5%), THE STATE (17.5%) AND THE NATION (12.6%) (2015-2019). AS OF 2020, LAUREL COUNTY (7.5%) HAD A HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) THAN KNOX (6.8%) AND WHITLEY (6.8%) COUNTIES AND THE STATE (6.9%). ALL THREE COUNTIES AND THE STATE EXPERIENCED AN INCREASE IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2016 AND 2020. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR CONTINUECARE HOSPITAL AT BAPTIST HEALTH CORBIN (CCHBHC), BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN KNOX, LAUREL AND WHITLEY COUNTIES IN KENTUCKY. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM JULY 8, 2022 - JULY 18, 2022. 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 CCHBHC BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 28, 2023. INTERVIEW METHODOLOGY: CCHBHC WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CCHBHC 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. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, THE KENTUCKY DEPARTMENT OF STATE HEALTH SERVICES, THE KENTUCKY CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT CCHBHC, 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 CONTINUECARE USING STRATASAN, SPARKMAP, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND FEEDING AMERICA, AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC - CONTINUED. CCHBHC PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, SIX 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. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 33.3% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 50.0% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AND 16.7% OF THOSE PROVIDING INPUT ARE COMMUNITY LEADERS. INTERVIEWEES INCLUDED: - TYLER CALDWELL: PUBLIC HEALTH SERVICES SUPERVISOR, LAUREL COUNTY HEALTH DEPARTMENT - BRITNEY FAULKNER: GUIDANCE COUNSELOR, WHITLEY COUNTY HIGH SCHOOL - JEANNIE HENSLEY: WHITLEY COUNTY MARKET PRESIDENT, CUMBERLAND VALLEY NATIONAL BANK AND TRUST - MARCY REIN: PUBLIC HEALTH DIRECTOR, WHITLEY COUNTY HEALTH DEPARTMENT - LYNNETT RENNER: DIABETES AND NUTRITIONIST COORDINATOR, LAUREL COUNTY HEALTH DEPARTMENT - TAMMY SUTTON: HEALTH EDUCATOR, KNOX COUNTY HEALTH DEPARTMENT 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. AN EVALUATION OF THE HOSPITAL'S IMPACT WAS ASSESSED USING A DESCRIPTION OF THE PROGRESS AND/OR COMPLETION OF COMMUNITY BENEFIT ACTIVITIES DOCUMENTED IN THE PREVIOUS IMPLEMENTATION PLAN AND FROM A REPORT PROVIDED TO CHC CONTINUECARE BY CCHBHC OF COMMUNITY BENEFIT ACTIVITY PROGRESS SINCE THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: ADOLESCENTS AND YOUNG ADULTS, OBSTETRIC POPULATION, ELDERLY, VETERANS, RACIAL/ETHNIC GROUPS, LOW INCOME/WORKING POOR AND HOMELESS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: ADOLESCENTS AND YOUNG ADULTS - E-CIGARETTES/VAPE USE - SUBSTANCE USE - TRANSPORTATION BARRIERS - PHYSICAL INACTIVITY, OBESITY - CUSTODIAL ISSUES (KNOX COUNTY) - TEEN PREGNANCIES - NEONATAL ABSTINENCE SYNDROME OBSTETRIC POPULATION - LACK OF ACCESS TO OB/GYN SERVICES (WHITLEY COUNTY) ELDERLY - TRANSPORTATION BARRIERS, PARTICULARLY WITH RTEC - RELUCTANCE IN ACCESSING CARE WITHOUT FAMILY SUPPORT - FOOD INSECURITY - LIMITED NURSING FACILITIES FOR COMPLEX PATIENTS (WHITLEY COUNTY) VETERANS - MENTAL AND BEHAVIORAL HEALTH CONCERNS - DIFFICULTY ACCESSING VA CLINIC AND VA HOSPITAL - TRANSPORTATION BARRIERS RACIAL/ETHNIC - LANGUAGE BARRIERS (NON-ENGLISH SPEAKING) - HESITANCY TO SEEK CARE DUE TO GENERATIONAL EDUCATION, PARTICULARLY HISPANIC - LACK OF BILINGUAL WORKERS (LAUREL COUNTY) LOW INCOME / WORKING POOR - COST/INSURANCE BARRIERS - TRANSPORTATION BARRIERS - AFFORDABLE HOUSING/HOUSING STABILITY - LIMITED ACCESS TO LOW COST, HEALTHY FOOD HOMELESS - LACK OF HOUSING - LACK OF A HOMELESS SHELTER (WHITLEY COUNTY) - LIMITED HOURS OF OPERATION FOR FOOD OPTIONS (WHITLEY COUNTY) Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CONTINUECARE HOSPITAL AT BAPTIST HEALTH CORBIN (CCHBHC), WHICH WERE DETERMINED BY ASSESSING THE SIZE AND PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. CCHBHC LEADERSHIP PRIORITIZED THOSE NEEDS 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. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 2. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 3. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 4. CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE 5. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 6. ACCESS TO DENTAL CARE SERVICES ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS THREE OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY. 1.A. CCHBHC WILL CONTINUE TO PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF EDUCATION AND HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 1.B. CCHBHC PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCHBHC WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. 1.C. CCHBHC WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. IF EMPLOYEES MEET CERTAIN CRITERIA, THEY WILL RECEIVE A REDUCTION ON A PORTION OF THEIR PREMIUMS. OTHER INITIATIVES INCLUDE: PROMOTE EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH (FORMERLY ACCOUNTABLE HEALTH); OFFER NEED SPECIFIC SPECIAL PROGRAMS; SMOKING CESSATION OPPORTUNITIES; WEIGHT MANAGEMENT; AND CONTINUE THE TOBACCO-FREE NEW HIRE POLICY. ADDITIONALLY, CCHBHC WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH OPTUM TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 1.D. CCHBHC HOSTS INTERDISCIPLINARY TEAM MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENT-CENTERED APPROACH. CCHBHC STAFF ENCOURAGE FAMILY MEMBERS TO ATTEND AS WELL IN ORDER TO FULLY UNDERSTAND THE NEEDS OF THE PATIENT AND WILL ACCOMMODATE THOSE FAMILY MEMBERS WHOSE SCHEDULES DO NOT ALIGN WITH THE SCHEDULED WEEKLY MEETINGS. 1.E. CCHBHC WILL CONDUCT POST-DISCHARGE FOLLOW UP CALLS 24-48 HOURS POST DISCHARGE TO PATIENTS' HOME SETTING. 1.F. CCHBHC WILL CONTINUE TO USE THE HOST HOSPITAL'S EPIC SYSTEM TO EASILY ACCESS LAB RESULTS, RADIOLOGY RESULTS, AND OTHER INFORMATION. 1.G. CCHBHC CONDUCTS A THOROUGH MEDICATION MANAGEMENT EDUCATION PROCESS FOR PATIENTS THAT REQUIRES PATIENT DEMONSTRATION OF PROPER MEDICATION ADMINISTRATION AND DOCUMENTATION OF THE PATIENT'S PROPER MEDICATION METHODS BEFORE ALLOWING THE PATIENT TO BE DISCHARGED HOME. 1.H. CCHBHC WILL CONTINUE TO PROVIDE ANNUAL IN-SERVICES AND OPEN HOUSES TO ENSURE AWARENESS OF THE LTACH AND TO PROMOTE ITS SERVICES. ADDITIONALLY, CCHBHC WILL CONTINUE TO PARTICIPATE IN LUNCH AND LEARN SEMINAR EVENTS TO EDUCATE LOCAL HEALTH CARE PROVIDERS, ORGANIZATIONS AND THE COMMUNITY ON SERVICES OFFERED BY THE LTAC FACILITY ON A REGULAR BASIS. LIAISONS PROVIDE EDUCATION ON LONG TERM ACUTE CARE (LTAC) SERVICES AND THE TYPE OF PATIENTS WHO MAY NEED LTAC SERVICES, AS OPPORTUNITIES ARISE. PRIORITY #2: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS. 2.A. CCHBHC WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN OUR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. IN ADDITION, CCHBHC OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCHBHC ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 2.B. CCHBHC WILL CONTINUE TO PROVIDE FINANCIAL DONATIONS TO SUPPORT THE BAPTIST HEALTH CORBIN FOUNDATION, WHICH PROVIDES PAYMENT ASSISTANCE FOR VARIOUS PATIENT NEEDS POST DISCHARGE. 2.C. CCHBHC WORKS TO CONNECT PATIENTS TO AFFORDABLE RESOURCES UPON DISCHARGE. EMPLOYEES WILL ALSO ASSIST IN SETTING UP TRANSPORTATION, PRESCRIPTIONS, NECESSARY EQUIPMENT, OR ANY OTHER RESOURCES NEEDED IN THE PATIENT'S PLAN OF CARE BEFORE THE PATIENT IS DISCHARGED. 2.D. CCHBHC WILL CONTINUE TO SUPPORT AND PARTICIPATE IN HEALTH-RELATED EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. CCHBHC WILL ALSO CONTINUE TO PARTICIPATE IN THE HOST HOSPITAL'S LEADERSHIP MEETINGS IN ORDER TO LEARN ABOUT UPCOMING EVENTS THAT THE LTAC FACILITY MAY PARTICIPATE IN TO SUPPORT THE HOST AND/OR LOCAL ORGANIZATIONS. 2.E. CCHBHC WILL CONTINUE TO PROVIDE EDUCATION MATERIALS, PAPERWORK, AND MEDICATION INSTRUCTIONS IN MULTIPLE LANGUAGES TO APPLICABLE PATIENTS, AS WELL AS TRANSLATION SERVICES WHEN NECESSARY THROUGH THE HOST HOSPITAL VIA PSA. RESOURCES FOR THE HEARING AND VISION IMPAIRED ARE PROVIDED ON AN AS NEEDED BASIS. PRIORITY #3: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS. OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY. 3.A. CCHBHC LIAISONS MEET WITH LOCAL PHYSICIANS TO ESTABLISH SUPPORTING RELATIONSHIPS, AS WELL AS TO EDUCATE THE PHYSICIANS ABOUT THE ROLE OF THE LONG TERM ACUTE CARE (LTAC) FACILITY, WHAT KIND OF PATIENTS QUALIFY FOR LTAC SERVICES, AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. ADDITIONALLY, CCHBHC WILL CONTINUE TO ATTEND ICU ROUNDS AT VARIOUS LOCAL FACILITIES WHEN INVITED IN ORDER TO INCREASE AWARENESS WITH REFERRAL SOURCES. 3.B. CCHBHC SUPPORTS THE HOST HOSPITAL IN ANY RECRUITMENT OF PRIMARY AND/OR SPECIALTY CARE PHYSICIANS THROUGH DISCUSSION OF LTAC BENEFITS WITH PATIENTS AND OPPORTUNITIES TO BE ON THE CCHBHC MEDICAL STAFF. CCHBHC ORIENTS ANY PHYSICIANS HIRED BY THE HOST IN ORDER TO CREDENTIAL THEM WITH THE LTACH FACILITY AND IS CONTINUOUSLY EXPLORING OPPORTUNITIES TO INCREASE COVERAGE OF LOCAL SERVICES. 3.C. CCHBHC EMPLOYEES WILL CONTINUE TO CALL A PATIENT'S PHYSICIAN - EITHER PRIMARY OR SPECIALTY, WHICHEVER IS NECESSARY - UPON DISCHARGE TO PROVIDE THE PHYSICIAN'S OFFICE WITH THE NECESSARY INFORMATION AND TO SET UP THEIR FOLLOW UP APPOINTMENT. CCHBHC WILL FIND A PRIMARY OR SPECIALTY CARE PROVIDER FOR ANY PATIENTS WHO CURRENTLY DO NOT HAVE ONE. 3.D. CCHBHC ALLOWS FOR STUDENT CLINICAL ROTATIONS IN THE FACILITY THROUGH ITS AFFILIATION AGREEMENTS WITH LOCAL ACADEMIC INSTITUTIONS. ADDITIONALLY, GRADUATE NURSES MAY BE HIRED ON A PROVISIONAL LICENSE UNTIL RECEIVING THEIR FULL, NURSING LICENSURE. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC - CONTINUED. PRIORITIES NOT ADDRESSED: CCHBHC DECIDED NOT TO SPECIFICALLY ADDRESS "CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE", "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS", AND "ACCESS TO DENTAL CARE SERVICES". BASED ON CCHBHC'S STATUS AS A LONG-TERM ACUTE CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE", "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS", AND "ACCESS TO DENTAL CARE SERVICES" ARE NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CCHBHC ACKNOWLEDGES THAT THESE ARE SIGNIFICANT NEEDS IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THESE AREAS, THE IDENTIFIED PRIORITIES WILL NOT BE ADDRESSED BY THE HOSPITAL SINCE THEY ARE NOT CORE BUSINESS FUNCTIONS OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING PRIORITIZED NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC. CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part I, Line 7 STATE PROVIDER TAX PAID FOR DISTRIBUTION PER INDIGENT CARE NEEDS: $17,456.83 TAX IS COLLECTED MONTHLY FROM CONTINUECARE HOSPITAL AT BAPTIST HEALTH, LLC (CCHBHC). FEDERAL MATCHING DOLLARS ARE APPLIED, AND THEN DISTRIBUTED BACK TO SHORT TERM ACUTE HOSPITALS ON A PRO- RATED BASIS PER EACH HOSPITAL'S LEVEL OF CHARITY CONTRIBUTION. LTACH'S PAY THE TAX, BUT DO NOT GET THE DISTRIBUTION IN KENTUCKY AS IT IS NOT PERMISSIBLE IN KENTUCKY TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. Schedule H, Part I, Line 7 COMMUNITY BENEFIT EXPENSE SINCE CCHBHC IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT NOT APPLICABLE Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE NET RECEIVABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THRID-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO- CHARGE COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF A PATIENT OF CCHBHC 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 - CONTINUECARE HOSP AT BAPTIST HEALTH: Line 16a URL: https://corbin.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CONTINUECARE HOSP AT BAPTIST HEALTH: Line 16b URL: https://corbin.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CONTINUECARE HOSP AT BAPTIST HEALTH: Line 16c URL: https://corbin.continuecare.org/for-families/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION B, CCHBHC CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN THE FISCAL YEAR ENDING JUNE 30, 2023. THE CHNA WAS ADOPTED BY ITS GOVERNING BOARD ON FEBRUARY 28, 2023. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE HAS BEEN ABLE TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF ITS COMMUNITY THROUGH A REVIEW OF COUNTY LEVEL HEALTH DATA GATHERED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND AREA DEVELOPMENT DISTRICT INFORMATION, PROVIDED BY THE KENTUCKY DEPARTMENT FOR PUBLIC HEALTH AND TEAM KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES, ADDITIONALLY, THE COMMITTEE REVIEWED MULTIPLE NATIONAL HEALTH DATA PLATFORMS AND RESOURCES AND CONDUCTED INTERVIEWS WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN the study area, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. HOSPITAL LEADERSHIP DEVELOPED AN IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THE IDENTIFIED 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 STATUS, AND PROGRESS UPDATES (AS APPROPRIATE). THE CCHBHC BOARD REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 28, 2023. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN DISCUSSED ABOVE, THE HOSPITAL WILL BE WORKING WITH ITS COMMUNITY HEALTHCARE COALITION PARTNERS AND OTHER COMMUNITY RESOURCES TO ENSURE IT IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO CCHBHC. A FACE-TO-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION. Schedule H, Part VI, Line 4 Community information CCHBHC OPENED IN AUGUST 2004 AS A 32-BED LONG TERM ACUTE CARE HOSPITAL (LTACH) LOCATED ON THE LOWER LEVEL OF ITS HOST HOSPITAL, BAPTIST HEALTH CORBIN IN CORBIN, KENTUCKY. CCHBHC PRIMARILY SERVES THE RESIDENTS OF KNOX, LAUREL, AND WHITLEY COUNTIES IN KENTUCKY. CCHBHC LIES IN THE CUMBERLAND PLATEAU REGION OF APPALACHIA IN SOUTHEASTERN KENTUCKY. IT IS CENTRALLY LOCATED WITH EASY ACCESS TO THE CITIES OF LEXINGTON, LOUISVILLE, AND KNOXVILLE. AS OF 2022, THERE WERE 36,812 RESIDENTS IN WHITLEY COUNTY AND THE POPULATION IS EXPECTED TO INCREASE BY 0.3% BY 2027. IN KNOX COUNTY AS OF 2022, THERE WERE 29,111 RESIDENTS AND THE POPULATION IS EXPECTED TO DECREASE 2.0% BY 2027. AS OF 2022, THERE WERE 63,162 RESIDENTS OF LAUREL COUNTY AND THE POPULATION IS EXPECTED TO INCREASE BY 0.3% BY 2027. EXPECTED POPULATION GROWTH OF ALL THREE COUNTIES IS BELOW THE 0.7% EXPECTED GROWTH FOR THE STATE OF KENTUCKY FROM 2022 (4,537,160) TO 2027 (4,569,772). THE MAJORITY OF RESIDENTS IN WHITLEY COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 93.2% (2022). THE BLACK, ASIAN AND ALL OTHER ETHNIC GROUPS, WITH THE EXCEPTION OF THE AMERICAN INDIAN POPULATION, ARE ALL EXPECTED TO INCREASE BY 2027 IN WHITLEY COUNTY, WHEREAS THE WHITE POPULATION IS EXPECTED TO DECREASE SLIGHTLY. THE HISPANIC POPULATION, WHICH IS CONSIDERED AN ETHNICITY AND IS CLASSIFIED SEPARATELY FROM THE OTHERS, IS ALSO EXPECTED TO INCREASE BY 2027 IN WHITLEY COUNTY. AS OF 2022, THE MAJORITY OF RESIDENTS OF KNOX COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 94.6%. BY 2027, THE WHITE NON- HISPANIC POPULATION AND THE BLACK POPULATION IN KNOX COUNTY ARE EXPECTED TO DECREASE. BY 2027, THE ASIAN AND AMERICAN INDIAN POPULATIONS IN KNOX COUNTY ARE EXPECTED TO INCREASE. THE HISPANIC POPULATION, WHICH IS CONSIDERED AN ETHNICITY AND IS CLASSIFIED SEPARATELY FROM THE OTHERS, IS ALSO EXPECTED TO INCREASE BY 2027. ALL OTHER RACIAL ETHNIC GROUPS IN KNOX COUNTY ARE ALSO EXPECTED TO INCREASE BY 2027. AS OF 2022, THE MAJORITY OF RESIDENTS IN LAUREL COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 93.8%. BY 2027, THE BLACK, ASIAN AND OTHER ETHNIC POPULATION GROUPS IN LAUREL COUNTY ARE EXPECTED TO INCREASE. HOWEVER, THE WHITE NON-HISPANIC AND THE AMERICAN INDIAN POPULATIONS IN LAUREL COUNTY ARE EXPECTED TO DECREASE BY 2027. THE HISPANIC POPULATION, WHICH IS CONSIDERED AN ETHNICITY AND IS CLASSIFIED SEPARATELY FROM THE OTHERS, IS ALSO EXPECTED TO DECREASE BY 2027 IN LAUREL COUNTY. AS OF 2022, THE MAJORITY OF RESIDENTS IN WHITLEY, KNOX AND LAUREL COUNTIES WERE BETWEEN THE AGES OF 18-44 YEARS OLD. ALL THREE COUNTIES HAD AN OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS) IN 2022. THE MEDIAN HOUSEHOLD INCOME IN KNOX ($35,642), LAUREL ($49,044), AND WHITLEY ($47,740) COUNTIES, AS OF 2022, WERE ALL LOWER THAN THE STATE OF KENTUCKY ($57,014). IN 2022, KNOX, LAUREL, AND WHITLEY COUNTIES ALL HAD LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE OF KENTUCKY. ADDITIONALLY, KNOX (39.0%), LAUREL (27.4%) AND WHITLEY (30.6%) COUNTIES ALL HAD HIGHER PERCENTAGES OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF KENTUCKY (21.4%) (2022). THERE WERE HIGHER RATES OF OVERALL FOOD INSECURITY AND CHILD FOOD INSECURITY IN WHITLEY, KNOX, AND LAUREL COUNTIES THAN IN THE STATE OF KENTUCKY (2020). THE AVERAGE MEAL COST FOR KNOX COUNTY AND WHITLEY COUNTIES IN 2020 WERE HIGHER THAN LAUREL COUNTY AND THE STATE. IN 2021, KNOX COUNTY (6.2) HAD THE HIGHEST UNEMPLOYMENT RATE AS COMPARED TO LAUREL COUNTY (4.5), WHITLEY COUNTY (5.0) AND THE STATE (4.7). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES FOR KNOX, LAUREL, AND WHITLEY COUNTIES FLUCTUATED BUT OVERALL DECREASED. AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN KNOX AND LAUREL COUNTIES WERE WITHIN OFFICE & ADMINISTRATIVE SUPPORT, WHILE THE MAJORITY OF EMPLOYED PERSONS IN WHITLEY COUNTY WERE WITHIN EDUCATION INSTRUCTION, & LIBRARY OCCUPATIONS. AS OF 2020, LAUREL COUNTY (7.5%) HAD A HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) THAN KNOX (6.8%) AND WHITLEY (6.8%) COUNTIES AND THE STATE (6.9%). ALL THREE COUNTIES, AND THE STATE, EXPERIENCED AN INCREASE IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2016 AND 2020. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN WHITLEY AND LAUREL COUNTIES, AND THE STATE OF KENTUCKY, AND IS THE SECOND LEADING CAUSE OF DEATH IN KNOX COUNTY (2016-2020). CANCER IS THE LEADING CAUSE OF DEATH IN KNOX COUNTY AND THE SECOND LEADING CAUSE OF DEATH IN WHITLEY AND LAUREL COUNTIES AND THE STATE AND (2016-2020). IN 2018-2020, THE HEART DISEASE MORTALITY RATES IN WHITLEY, KNOX, AND LAUREL COUNTIES, WERE ALL HIGHER THAN THE STATE. IN 2018-2020, THE CANCER MORTALITY RATES IN KNOX COUNTY WERE HIGHER THAN LAUREL AND WHITLEY COUNTIES AND THE STATE. CANCER MORTALITY RATES IN KNOX, LAUREL AND WHITLEY COUNTIES AND THE STATE OF KENTUCKY DECREASED BETWEEN 2016 AND 2020. IN 2019-2020, KNOX, LAUREL AND WHITLEY COUNTIES HAD HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS DIABETES AND OBESITY THAN THE STATE OF KENTUCKY. IN 2019-2020, THE PERCENTAGE OF ADULTS (AGE 18+) THAT PARTICIPATED IN PHYSICAL ACTIVITY IN THE CUMBERLAND VALLEY ADD (62.4), WHICH INCLUDES KNOX, LAUREL, AND WHITLEY COUNTIES, ARE LOWER THAN THE STATE (68.3%). AS OF DECEMBER 12, 2022, THE PERCENT OF THE POPULATION THAT ARE FULLY VACCINATED IN KNOX (41.2%), LAUREL (46.2%), AND WHITLEY COUNTIES (51.3%) ARE LOWER THAN THE STATE (58.0%). WITH REGARDS TO MATERNAL AND CHILD HEALTH, BETWEEN 2015-2017, THE PERCENTAGE OF BIRTHS TO MOTHERS RECEIVING PRENATAL CARE IN KNOX, LAUREL AND WHITLEY COUNTIES WAS LOWER THAN IN THE STATE OF KENTUCKY. BETWEEN 2015-2019, KNOX, LAUREL, AND WHITLEY COUNTIES ALL HAD HIGHER RATES OF FEMALES SMOKING DURING PREGNANCY THAN THE STATE AND ALSO HIGHER RATES OF TEEN BIRTHS (AGE 15-19) THAN THE STATE. Schedule H, Part VI, Line 5 Promotion of community health CCHBHC WILL CONTINUE TO PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF EDUCATION AND HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH VARIOUS AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCHBHC WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES, LOCAL PHYSICIAN MEETINGS AND ITS HOST HOSPITAL MEETINGS, IN AN EFFORT TO BETTER FOCUS ON ITS PATIENT POPULATION'S NEEDS IN ITS EFFORTS TO PROMOTE COMMUNITY HEALTH. Schedule H, Part VI, Line 6 Affiliated health care system CCHBHC IS AN AFFILIATE OF BAPTIST HEALTH, A LOUISVILLE, KENTUCKY BASED HEALTH SYSTEM. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR-REACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY. false true false false false false false true false APRIL MYERS PRESIDENT/DIRECTOR 0 323805 0 49763 0 18978 0 24676 0 38818 0 456040 0 0 JAMES HILL TREASURER 0 323943 0 49687 0 20453 0 9150 0 29551 0 432784 0 0 LINDA MOORE SECRETARY 0 338309 0 50550 0 35306 0 12304 0 21488 0 457957 0 5208 PAMELA HARRISON CEO/CNO 0 152717 0 38621 0 2336 0 9731 0 33018 0 236423 0 0 ANNETTE BROWN REGISTERED NURSE 125461 0 7590 0 34 0 4145 0 25350 0 162580 0 0 0 JENNIFER Gregory REGISTERED NURSE 210406 0 0 0 0 0 0 0 0 0 210406 0 0 0 Anna Lay REGISTERED NURSE 158477 0 0 0 0 0 0 0 0 0 158477 0 0 0 Lisa Porter CLINICAL SUPERVISOR 134249 0 6194 0 165 0 1439 0 13244 0 155291 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. THE ORGANIZATION REIMBURSES CHC COMMUNITY CARE LLC (CCC) FOR THE PRESIDENT'S COMPENSATION. CCC FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (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, 2023 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: LINDA MOORE - $20,980 JAMES HILL - $15,502 APRIL MYERS - $15,526 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. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6-30-23 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. Form 990, Part VI, Line 3 Delegation of management duties CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC IS CHC COMMUNITY CARE, LLC ('CCC'). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. THE BOARD OF MANAGERS SHALL BE COMPRISED OF SIX VOTING MEMBERS, 1 FROM CHC, 1 FROM ITS COOPERATIVE PARTNER, BAPTIST HEALTH, AND FOUR COMMUNITY MEMBERS. EACH VOTING MEMBER CARRIES EQUAL WEIGHT AND CONSIDERATION WHEN TAKING ANY OFFICIAL BOARD ACTION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRENCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000 Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE WERE NO COMMITTEES OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CHC COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HEALTH CORPORATION, WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ('COVERED PERSONS') TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED 6-30-14. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. 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 IX, Line 11g Other Fees PURCHASED SERVICES - MEDICAL - Total Expense: 1985885, Program Service Expense: 1985885, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - IT - Total Expense: 134697, Program Service Expense: 134697, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - DATA/ADMI - Total Expense: 46366, Program Service Expense: , Management and General Expenses: 46366, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances DISTRIBUTIONS TO MEMBERS - -973500; FORM 990, BOX C DOING BUSINESS AS CONTINUECARE HOSPITAL AT BAPTIST HEALTH LLC DOES BUSINESS AS CONTINUECARE HOSPITAL AT BAPTIST HEALTH CORBIN. 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