2024-05-13T12:34:13+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2022-07-01 465033192 ContinueCare Hospital at Baptist Health Madisonville Inc CONT 9729436400 7950 LEGACY DRIVE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT 9729436400 2024-05-13 true JAMES HILL 999009999 Jodi Rosser P01255710 8173351900 2024-04-30 2022 2023-04-26 12:10:37Z ContinueCare Hospital at Baptist Health Deaconess Madisonville APRIL MYERS 7950 LEGACY DRIVE 1000 PLANO TX 75024 7654685 false 9703 X HTTPS://MADISONVILLE.CONTINUECARE.ORG X 2014 DE AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CCH MADISONVILLE TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. 5 4 67 0 0 0 1377546 179659 8023675 7468821 15674 6205 0 0 9416895 7654685 0 0 0 0 4098700 3790085 0 0 0 4448452 3815009 8547152 7605094 869743 49591 3774663 2165853 4153393 2494992 -378730 -329139 AS A 'HOSPITAL WITH-IN A HOSPITAL', IT IS THE MISSION OF CONTINUECARE HOSPITAL AT BAPTIST HEALTH MADISONVILLE, INC. (CCH MADISONVILLE) TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false false 6822129 7468821 CONTINUECARE HOSPITAL AT BAPTIST HEALTH MADISONVILLE, INC. (CCH MADISONVILLE) IS ESTABLISHED AS A LONG TERM ACUTE CARE HOSPITAL OPERATING AS A 'HOSPITAL WITHIN A HOSPITAL' AT BAPTIST HEALTH DEACONESS MADISONVILLE IN MADISONVILLE, KENTUCKY. CCH MADISONVILLE 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 JUNE 30, 2023, CCH MADISONVILLE'S TOTAL PATIENTS ADMITTED WERE 200 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 4,406. THE AVERAGE DAILY CENSUS WAS 12.1 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 22.2 DAYS. 6822129 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 9 0 true 67 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 Alisa Coleman DIRECTOR (start 6/2023) 1.0 0 X 0 0 0 DARRON BRAWNER DIRECTOR 1.0 0 X 0 0 0 Jason Vincent DIRECTOR (start 2/14/2023) 1.0 0 X 0 0 0 ROBERT RAMEY DIRECTOR (until 10/15/2022) 1.0 0 X 0 0 0 TRACIE LEAR 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 MICHELLE MULLEN CEO 40.0 0.0 X 0 220912 17738 Bonita Thorp REGISTERED NURSE 40.0 0 X 142144 0 418 Lindsey Morris RN Charge Nurse 40.0 0 X 103121 0 14271 Rachael Back REGISTERED NURSE 40.0 0 X 104498 0 14108 Tari Bailey RN Charge Nurse 40.0 0 X 117250 0 16833 John Jones Former CEO 0.0 40.0 X 0 162678 45006 467014 1594384 244361 4 true true false HUDSON STAFFING PLLC 4409 IVAN CREEK DRIVE FRANKLIN TN 37064 STAFFING SERVICES 349970 1 179659 179659 INPATIENT REVENUE 623000 7468821 7468821 0 0 0 0 7468821 6205 6205 0 0 0 0 0 0 0 0 0 7654685 7468821 0 6205 X 3182867 2896411 286456 50590 46037 4553 326775 297365 29410 229853 209166 20687 530400 530400 6078 6078 67724 67724 11762 11762 1090391 795983 294408 0 10147 10147 11916 11916 669199 669199 48698 48698 2888 2888 5245 5245 2226 2226 295942 295942 MEDICAL SUPPLIES 653848 653848 EQUIPMENT LEASE 228159 228159 STATE TAXES 74431 74431 LICENSE & PERMITS 22621 22621 83334 83334 0 0 7605094 6822129 782965 0 1255987 555591 1342235 897967 0 0 0 0 26006 22924 52407 72396 1934456 1317481 1098028 616975 0 0 0 0 3774663 2165853 2525832 1755905 0 0 0 1627561 739087 4153393 2494992 X -378730 -329139 -378730 -329139 3774663 2165853 49591 0 X false true X true false X false false false false false false false false true 11762 11762 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IN FISCAL YEAR 2023 CCH MADISONVILLE PAID: $5,393 TO THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) $2,453 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) $7,255 TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) $16,000 TO THE PICARD GROUP THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WERE: NALTH: 11.69% AHA: 27.29% KHA: 11.9% PICARD GROUP: 60.0% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: NALTH: $5,393 * 11.69% = $630 AHA: $2,453 * 27.29% = $669 KHA: $7,255 * 11.9% = $863 PICARD GROUP: $16,000 * 60.0% = $9,600 171560 171560 0 59334 39667 19667 1703562 1106254 597308 616975 Intercompany - CCC 35926 Intercompany - CHC 95565 Intercompany - Paducah 4297 Intercompany - Baptist Health 3156 Third Party Payor Settlements -730 HHS Stimulus ST LEASE OBLIGATIONS 512081 LT LEASE OBLIGATIONS 88015 Intercompany - Pineville 777 739087 true true X true X true X true true false false 0 0 0 0.0 1559376 2313000 0 0.0 0 0 0 0.0 0 0 1559376 2313000 0 0.0 0 0 0 0.0 47862 0 47862 0.0063 0 0 0 0.0 0 0 0 0.0 6150 0 6150 0.0008 0 0 54012 0 54012 0.0071 0 0 1613388 2313000 54012 0.0071 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2832685 2640924 191761 X true true 1 1 CCH at Baptist Health Madisonville 900 HOSPITAL DRIVE 4TH FLOOR MADISONVILLE KY 42431 HTTPS://MADISONVILLE.CONTINUECARE.ORG/ 100184 X X CCH at Baptist Health Madisonville 1 false false true X X X X X X X X X 22 true false false true X https://madisonville.continuecare.org/chna/ X true 22 true https://madisonville.continuecare.org/chna/ false true X 200.0 400.0 X X X true true X X X true X https://madisonville.continuecare.org/for-families/financial-assistance/ X https://madisonville.continuecare.org/for-families/financial-assistance/ X https://madisonville.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 THE 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 - CCH at Baptist Health Madisonville. CONTINUECARE HOSPITAL AT BAPTIST HEALTH MADISONVILLE (CCH MADISONVILLE) OPENED IN THE SUMMER OF 2015 AS A 36-BED LONG TERM ACUTE CARE HOSPITAL (LTACH). CCH MADISONVILLE OPERATES IN COLLABORATION WITH ITS HOST HOSPITAL, BAPTIST HEALTH DEACONESS MADISONVILLE LOCATED IN MADISONVILLE, KENTUCKY. AS THE ONLY LTACH IN THE AREA, CCH MADISONVILLE ENJOYS THE BEST OF BOTH WORLDS BY BEING IN PARTNERSHIP WITH A 410-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. CCH MADISONVILLE 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," CCH MADISONVILLE 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, POST COVID RECOVERY AND PATIENT MONITORING AND THERAPY FOR TRAUMATIC BRAIN INJURY PATIENTS. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. THE DEFINED SERVICE AREA OF CCH MADISONVILLE IS HOPKINS COUNTY, KENTUCKY. HOPKINS COUNTY COMPRISED 40% OF FISCAL YEAR 2022 INPATIENT DISCHARGES. THE POPULATION OF HOPKINS COUNTY IS EXPECTED TO DECREASE BY 1.3% FROM 2022 (44,991) TO 2027 (44,406), WHICH 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 HOPKINS COUNTY WAS 86.3% WHITE NON-HISPANIC, 6.5% BLACK, 0.5% ASIAN, 0.2% AMERICAN INDIAN AND 6.4% 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 HOPKINS COUNTY IS EXPECTED TO DECREASE BY 2.3% AND THE BLACK POPULATION IS EXPECTED TO DECREASE BY 2.0%. BY 2027, THE ASIAN POPULATION IN HOPKINS COUNTY IS EXPECTED TO INCREASE BY 0.9% AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 2.0%. BY 2027, ALL OTHER RACIAL ETHNIC GROUPS IN HOPKINS COUNTY ARE EXPECTED TO INCREASE BY 13.0%. AS OF 2022, THE HISPANIC POPULATION OF (1,112) IS NOT EXPECTED TO CHANGE IN THE NEXT FIVE YEARS. AS OF 2022, HOPKINS COUNTY (42.7 YEARS) HAD AN OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS). THE MEDIAN AGE IN BOTH HOPKINS COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). HOPKINS COUNTY ($55,347) HAD A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF KENTUCKY ($57,014) (2022). THE MEDIAN HOUSEHOLD INCOME IN BOTH HOPKINS COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). HOPKINS COUNTY (18.3%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE 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 SCORE IN HOPKINS COUNTY WAS 83.1, WHICH FALLS WITHIN THE DISTRESSED ECONOMIC CATEGORY AND IS MORE DISTRESSED AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN THE COUNTY AND THE STATE FLUCTUATED BETWEEN 2019 AND 2021. IN 2021, HOPKINS COUNTY (5.1) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (4.7). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN HOPKINS COUNTY OVERALL DECREASED. AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN HOPKINS COUNTY WERE WITHIN OFFICE & ADMINISTRATIVE SUPPORT. THE MOST COMMON EMPLOYED GROUPINGS ARE OFFICE & ADMINISTRATIVE SUPPORT (10.8%); PRODUCTION OCCUPATIONS (9.4%); SALES & RELATED OCCUPATIONS (7.3%); CONSTRUCTION & EXTRACTION OCCUPATIONS (7.1%); AND EDUCATION INSTRUCTION, & LIBRARY OCCUPATION (6.9%). HOPKINS COUNTY (22.3%) HAS A SLIGHTLY HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE (21.4%) (2022). BETWEEN 2016 AND 2020, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN HOPKINS COUNTY AND THE STATE DECREASED. IN 2020, HOPKINS COUNTY (23.6%) HAD A HIGHER PERCENTAGE OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (19.4%). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 15.7% OF HOPKINS COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 12.9% IN KENTUCKY (2020). ADDITIONALLY, 21.1% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN HOPKINS COUNTY ARE FOOD INSECURE AS COMPARED TO 16.1% IN KENTUCKY (2020). THE AVERAGE MEAL COST FOR A HOPKINS COUNTY ($2.89) RESIDENT IS SLIGHTLY HIGHER THAN THAT OF THE STATE ($2.79) (2020). BETWEEN 2015 AND 2019, HOPKINS COUNTY MAINTAINED A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE. IN 2019, HOPKINS COUNTY (12.6%) HAD A HIGHER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN THE STATE (11.9%). THE PERCENTAGE OF PUBLIC SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN HOPKINS COUNTY (58.0%) IS HIGHER THAN THE STATE RATE (56.2%) AND THE NATIONAL RATE (42.2%) (2020-2021). THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN HOPKINS COUNTY (90.4%) IS SLIGHTLY LOWER THAN THE STATE RATE (91.5%) AND SLIGHTLY HIGHER THAN THE NATIONAL RATE (87.7%) (2018-2019). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH HOPKINS COUNTY AND THE STATE (2016-2020). BETWEEN 2016 AND 2020, HEART DISEASE MORTALITY RATES IN HOPKINS COUNTY AND THE STATE OVERALL INCREASED. IN 2018-2020, THE HEART DISEASE MORTALITY RATE IN HOPKINS COUNTY (256.0 PER 100,000) WAS HIGHER THAN THE STATE (199.7 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTH HOPKINS COUNTY AND THE STATE (2016-2020). CANCER MORTALITY RATES IN HOPKINS COUNTY AND THE STATE OVERALL DECREASED BETWEEN 2016 AND 2020. IN 2018-2020, THE CANCER MORTALITY RATE IN HOPKINS COUNTY (180.1 PER 100,000) WAS HIGHER THAN THE RATE IN THE STATE (178.4 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE THIRD LEADING CAUSE OF DEATH IN HOPKINS COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2016-2020). CLRD MORTALITY RATES IN HOPKINS COUNTY AND THE STATE DECREASED BETWEEN 2016 AND 2020. IN 2018-2020, THE CLRD MORTALITY RATE IN HOPKINS COUNTY (64.2 PER 100,000) WAS HIGHER THAN THE RATE IN THE STATE (60.2 PER 100,000). FATAL ACCIDENTS ARE THE FOURTH LEADING CAUSE OF DEATH IN HOPKINS COUNTY AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2016-2020). ACCIDENT MORTALITY RATES OVERALL DECREASED IN HOPKINS COUNTY AND INCREASED IN THE STATE BETWEEN 2016 AND 2020. IN 2018-2020, THE ACCIDENT MORTALITY RATE IN HOPKINS COUNTY (48.4 PER 100,000) WAS LOWER THAN THE STATE (74.1 PER 100,000). IN 2018-2020, THE LEADING CAUSE OF FATAL ACCIDENTS IN HOPKINS COUNTY WAS DUE TO MOTOR VEHICLE ACCIDENTS. CEREBROVASCULAR DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN HOPKINS COUNTY AND THE STATE (2016-2020). BETWEEN 2016 AND 2020, CEREBROVASCULAR DISEASE MORTALITY RATES IN HOPKINS COUNTY OVERALL DECREASED, WHILE RATES IN THE STATE INCREASED. IN 2018-2020, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN HOPKINS COUNTY (54.4 PER 100,000) WAS HIGHER THAN THE STATE (42.1 PER 100,000). ALZHEIMER'S DISEASE, COVID-19, INFLUENZA AND PNEUMONIA, SEPTICEMIA, AND INTENTIONAL SELF-HARM (SUICIDE) ARE ALSO LEADING CAUSES OF DEATH IN HOPKINS COUNTY. AS OF DECEMBER 13, 2022, HOPKINS COUNTY (18.2 PER 100,000) HAS A HIGHER RATE OF AVERAGE DAILY NEW COVID-19 CASES THAN THE STATE (15.8 PER 100,000). AS OF DECEMBER 13, 2022, THE PERCENT OF THE POPULATION THAT IS FULLY VACCINATED IN HOPKINS COUNTY (58.1%) IS CONSISTENT WITH THE STATE (58.0%). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CCH AT BAPTIST HEALTH MADISONVILLE - CONTINUED. IN 2019, THE PERCENTAGE OF ADULTS (AGE 20+) WHO SELF-REPORTED THAT THEY HAVE A BODY MASS INDEX (BMI) GREATER THAN 30.0 (OBESE) IN HOPKINS COUNTY (32.7%) WAS HIGHER THAN THE STATE RATE (31.1%) AND HIGHER THAN THE NATIONAL RATE (29.0%). IN 2019, THE PERCENT OF ADULTS (AGE 20+) EVER DIAGNOSED WITH DIABETES BY A DOCTOR IN HOPKINS COUNTY (11.6%) WAS HIGHER THAN THE STATE (9.9%) AND THE NATION (9.0%). IN 2018, THE PERCENT OF MEDICARE BENEFICIARIES WITH DIABETES IN HOPKINS COUNTY (29.9%) WAS HIGHER THAN THE STATE (29.3%) AND THE NATION (27.0%). IN 2018, THE PERCENT OF MEDICARE BENEFICIARIES WITH HIGH BLOOD PRESSURE IN HOPKINS COUNTY (62.3%) WAS SLIGHTLY LOWER THAN THE STATE (62.6%) AND HIGHER THAN THE NATION (57.2%). THE PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH DEPRESSION IN HOPKINS COUNTY (21.7%) IS SLIGHTLY HIGHER THAN THE STATE RATE (21.5%) AND HIGHER THAN THE NATIONAL RATE (18.4%) (2018). THE PERCENT OF THE TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH A DISABILITY IN HOPKINS COUNTY (19.2%) IS HIGHER THAN THE STATE (17.5%) AND HIGHER THAN THE NATION (12.6%) (2015-2019). AS OF 2020, HOPKINS COUNTY (6.9%) HAS A CONSISTENT PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) WITH THE STATE (6.9%). HOPKINS COUNTY AND THE STATE INCREASED 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 MADISONVILLE (CCH MADISONVILLE), BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN HOPKINS COUNTY, KENTUCKY. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE FROM JULY 13, 2022 - AUGUST 9, 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 CCH MADISONVILLE BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 14, 2023. INTERVIEW METHODOLOGY: CCH MADISONVILLE WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CCH MADISONVILLE 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, COMMUNITY COMMONS, 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 CCH MADISONVILLE, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHIC INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING STRATASAN, SPARKMAP, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), THE U.S. CENSUS BUREAU, 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. CCH MADISONVILLE PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH 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. FROM THAT LIST, SEVEN IN DEPTH INTERVIEWS WERE CONDUCTED, USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN 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 57.1% 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. 28.6% 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 14.3% OF THOSE PROVIDING INPUT ARE COMMUNITY LEADERS. INTERVIEWEES INCLUDED: - KIM ASHBY: CHIEF FINANCIAL OFFICER, BAPTIST HEALTH DEACONESS - DENISE BEACH: HEALTH DIRECTOR, HOPKINS COUNTY HEALTH DEPARTMENT - BERNICE CROOKS: HEALTH EDUCATOR, HOPKINS COUNTY HEALTH DEPARTMENT - DR. IMRAN DOSANI: NEPHROLOGIST, INDEPENDENT PRACTICE - SHELLEY GOBIN: CHIEF EXECUTIVE OFFICER, HEALTH FIRST COMMUNITY HEALTH CENTER - CHAD HART: CHIEF EXECUTIVE OFFICER, HOPKINS COUNTY YMCA - RACHEL NEWMAN: AGING DIRECTOR, PENNYRILE ALLIED COMMUNITY SERVICES (PACS) 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 ALSO 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 CCH MADISONVILLE 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: YOUTH, LOW INCOME/WORKING POOR, RACIAL/ETHNIC GROUPS, ELDERLY, MEN AND HOMELESS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: YOUTH -MENTAL AND BEHAVIORAL HEALTH CONCERNS -DENTAL HEALTH CONCERNS -OBESITY, DIABETES, PHYSICAL INACTIVITY -HIGH RATES OF ADHD -IMPACT OF COVID-19 ON DEVELOPMENTAL STAGE -POVERTY -LACK OF RECREATIONAL ACTIVITY OPPORTUNITIES -LACK OF LOCAL INPATIENT CARE (PEDIATRIC) LOW INCOME / WORKING POOR -LACK OF AFFORDABLE CARE OPTIONS -UNEMPLOYMENT -LOW PRIORITIZATION OF HEALTHCARE NEEDS -TRANSPORTATION BARRIERS RACIAL/ETHNIC -HIGHER RATES OF DIABETES, HEART DISEASE, HYPERTENSION (AFRICAN AMERICAN) -LOWER RATES OF IMMUNIZATIONS (AFRICAN AMERICAN) -INSURANCE COVERAGE LIMITATIONS FOR UNDOCUMENTED RESIDENTS/FAMILIES ELDERLY -AFFORDABILITY OF MEDICATIONS, PRESCRIPTIONS -TRANSPORTATION BARRIERS -CHRONIC DISEASE MANAGEMENT -ACCESS TO HEALTHY FOOD OPTIONS -END OF LIFE PLANNING -ISOLATION MEN -LIMITED ACCESS TO LOCAL SUBSTANCE REHABILITATION SERVICES HOMELESS -INCREASED RATE DUE TO NATURAL DISASTERS (EX: TORNADO IN DAWSON SPRINGS) -LIMITED CAPACITY OF LOCAL SHELTERS Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CCH at Baptist Health Madisonville. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CONTINUECARE HOSPITAL AT BAPTIST HEALTH MADISONVILLE (CCH MADISONVILLE), WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES IDENTIFIED FROM THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. CCH MADISONVILLE 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 PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 5. ACCESS TO DENTAL CARE SERVICES AND PROVIDERS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS THREE OF THE FIVE 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. CCH MADISONVILLE 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. CCH MADISONVILLE PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, CCH MADISONVILLE WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. 1.C. CCH MADISONVILLE WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. INITIATIVES INCLUDE THE PROMOTION OF EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH (FORMERLY ACCOUNTABLE HEALTH), THE EMPLOYEE ASSISTANCE PROGRAM THROUGH BEACON HEALTH, OFFERING NEED SPECIFIC SPECIAL PROGRAMS, SMOKING CESSATION OPPORTUNITIES, WEIGHT MANAGEMENT, PROVIDING AND HIGHLIGHTING HEALTHY FOOD OPTIONS IN THE HOSPITAL CAFETERIA, AND PROMOTING FITNESS OPPORTUNITIES. ADDITIONALLY, CCH MADISONVILLE WILL CONTINUE TO INCENTIVIZE EMPLOYEES TO MAINTAIN HEALTHY LIFESTYLES ON THEIR HEALTH PLANS THROUGH OFFERING A REDUCTION ON A PORTION OF THEIR PREMIUMS IF EMPLOYEES MEET CERTAIN CRITERIA. 1.D. CCH MADISONVILLE 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. CCH MADISONVILLE 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. CCH MADISONVILLE WILL CONTINUE TO CONDUCT OUTREACH TO REFERRAL RESOURCES IN ORDER TO EDUCATE THEM ABOUT THE ROLE OF THE LONG TERM ACUTE CARE HOSPITAL (LTACH), AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. ADDITIONALLY, CCH MADISONVILLE PROVIDES EDUCATION TO PHYSICIANS AND CASE MANAGERS FROM THEIR HOST AND OTHER SHORT TERM ACUTE CARE HOSPITALS REGARDING LTACH CRITERIA. 1.F. CCH MADISONVILLE CONDUCTS POST DISCHARGE FOLLOW UP CALLS FOR EVERY PATIENT THAT HAS BEEN DISCHARGED WITHIN THE FIRST 24-72 HOURS POST DISCHARGE. 1.G. CCH MADISONVILLE 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. CCH MADISONVILLE 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 LTACH FACILITY ON A REGULAR BASIS. ADDITIONALLY, LIAISONS GIVE EDUCATION ON LTACH SERVICES AND PATIENTS WHO MAY NEED LTACH SERVICES AS OPPORTUNITIES ARISE. 1.I. CCH MADISONVILLE WILL CONTINUE TO PROVIDE ANNUAL IN-SERVICES AND OPEN HOUSES TO ENSURE AWARENESS OF THE LTACH AND TO PROMOTE ITS SERVICES. ADDITIONALLY, CCH MADISONVILLE WILL CONTINUE TO ATTEND ICU ROUNDS AT VARIOUS LOCAL FACILITIES WHEN INVITED IN ORDER TO INCREASE SOCIALIZATION WITH REFERRAL SOURCES. PRIORITY #2: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE ACCESS TO PRIMARY CARE SERVICES IN THE COMMUNITY 2.A. CCH MADISONVILLE 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 (LTACH) FACILITY, WHAT KIND OF PATIENTS QUALIFY FOR LTACH SERVICES, AND HOW THEY CAN WORK TOGETHER TO PROMOTE A HEALTHIER COMMUNITY. ADDITIONALLY, CCH MADISONVILLE ATTENDS MORNING ICU ROUNDS WITH THE HOST TO IDENTIFY AND EDUCATE ON WHAT WOULD MEET LTACH CRITERIA. 2.B. CCH MADISONVILLE SUPPORTS THE HOST HOSPITAL IN ANY RECRUITMENT OF PRIMARY AND/OR SPECIALTY CARE PHYSICIANS THROUGH DISCUSSION OF LTACH BENEFITS WITH PATIENTS AND OPPORTUNITIES TO BE ON THE CCH MADISONVILLE MEDICAL STAFF. CCH MADISONVILLE ORIENTS ANY PHYSICIANS HIRED BY THE HOST IN ORDER TO CREDENTIAL THEM WITH THE LTACH FACILITY. 2.C. CCH MADISONVILLE IS EXPLORING OPPORTUNITIES TO INCREASE COVERAGE OF LOCAL SPECIALTY SERVICES. 2.D. CCH MADISONVILLE EMPLOYEES WILL CONTINUE TO CALL A PATIENT'S PHYSICIAN - WHETHER 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. CCH MADISONVILLE WILL FIND A PRIMARY OR SPECIALTY CARE PROVIDER FOR ANY PATIENTS WHO CURRENTLY DO NOT HAVE ONE. 2.E. CCH MADISONVILLE ALLOWS FOR STUDENT CLINICAL ROTATIONS IN THE FACILITY THROUGH ITS AFFILIATION AGREEMENTS WITH LOCAL ACADEMIC INSTITUTIONS. ADDITIONALLY, SCHOLARSHIP OPPORTUNITIES ARE OFFERED IN COLLABORATION WITH LOCAL FACILITIES. PRIORITY #3: 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. 3.A. CCH MADISONVILLE 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, CCH MADISONVILLE OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CCH MADISONVILLE ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 3.B. CCH MADISONVILLE WILL CONTINUE TO SUPPORT AND PARTICIPATE IN HEALTH-RELATED EDUCATION EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS COLLABORATE WITH VARIOUS ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. CCH MADISONVILLE WILL ALSO CONTINUE TO PARTICIPATE IN THE HOST HOSPITAL'S LEADERSHIP MEETINGS IN ORDER TO LEARN ABOUT UPCOMING EVENTS THAT THE LTACH FACILITY MAY PARTICIPATE IN TO SUPPORT THE HOST AND/OR LOCAL ORGANIZATIONS. 3.C. CCH MADISONVILLE 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. 3.D. CCH MADISONVILLE WILL CONTINUE TO PROVIDE EDUCATION AND PREVENTION MATERIALS, PAPERWORK, AND MEDICATION INSTRUCTIONS IN MULTIPLE LANGUAGES TO APPLICABLE PATIENTS AS WELL AS TRANSLATION SERVICES WHEN NECESSARY. RESOURCES FOR THE HEARING AND VISION IMPAIRED ARE PROVIDED ON AN AS NEEDED BASIS. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CCH at Baptist Health Madisonville - CONTINUED. PRIORITIES NOT ADDRESSED: CCH MADISONVILLE DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS". BASED ON CCH MADISONVILLE'S STATUS AS A LONG-TERM ACUTE CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS" ARE NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CCH MADISONVILLE 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 LEADERSHIP 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 - CCH at Baptist Health Madisonville. CONTINUECARE HOSPITAL AT BAPTIST HEALTH MADISONVILLE DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part VI, Line 7 State Filing of Community Benefit Report NOT APPLICABLE Schedule H, Part I PAYMENT FOR CHARITY CARE IN THE STATE OF KENTUCKY, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENT. Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE COMMUNITY BENEFIT EXPENSE SINCE CCH MADISONVILLE IS A LONG TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. 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 THIRD-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 CCH MADISONVILLE QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENTS 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 - CCH at Baptist Health Madisonville: Line 16a URL: https://madisonville.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CCH at Baptist Health Madisonville: Line 16b URL: https://madisonville.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CCH at Baptist Health Madisonville: Line 16c URL: https://madisonville.continuecare.org/for-families/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION B, CCH MADISONVILLE CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING ITS FISCAL YEAR ENDED JUNE 30, 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 Hopkins COUNTY, 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 CCH MADISONVILLE BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 14, 2023. CCH MADISONVILLE IS PART OF AN INTERDISCIPLINARY COALITION OF COMMUNITY ASSETS FORMED TO WORK COLLABORATIVELY TO ADDRESS THESE AND OTHER ISSUES AFFECTING COMMUNITY HEALTH AND WELLNESS IN THE AREA. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN DISCUSSED ABOVE, THE HOSPITAL WILL BE WORKING WITH ITS COALITION PARTNERS TO PROVIDE EDUCATION, HEALTH SCREENINGS AND IMPROVED ACCESS TO MEDICAL AND NON-MEDICAL RESOURCES TO ENSURE THAT 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 CCH MADISONVILLE. A FACE-TO-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION. Schedule H, Part VI, Line 4 Community information CCH MADISONVILLE OPENED IN THE SUMMER OF 2015 AS A 36-BED LONG TERM ACUTE CARE HOSPITAL (LTACH) IN MADISONVILLE, KENTUCKY WHICH IS LOCATED IN HOPKINS COUNTY, KENTUCKY. HOPKINS COUNTY IS LOCATED IN THE WESTERN PART OF THE STATE OF KENTUCKY. THE CITY OF MADISONVILLE, KENTUCKY LOCATED IN HOPKINS COUNTY IS THE COUNTY SEAT. AS OF 2022, THERE WERE 44,991 RESIDENTS IN HOPKINS COUNTY AND THE POPULATION IS EXPECTED TO DECREASE 1.3% BY 2027. THE MAJORITY OF RESIDENTS IN HOPKINS COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 86.3% (2022). THE BLACK, ASIAN AND AMERICAN INDIAN POPULATION ARE ALL EXPECTED TO INCREASE SLIGHTLY BY 2027 WHEREAS THE WHITE POPULATION IS EXPECTED TO DECREASE SLIGHTLY. ALL OTHER RACES ARE EXPECTED TO INCREASE 13.0% BY 2027. AS OF 2022, THE MAJORITY OF RESIDENTS IN HOPKINS COUNTY WERE BETWEEN THE AGES OF 18-44 YEARS OLD. HOPKINS COUNTY (42.7 YEARS) HAD AN OLDER MEDIAN AGE THAN THE STATE OF KENTUCKY (40.2 YEARS) IN 2022. THE MEDIAN HOUSEHOLD INCOME IN HOPKINS COUNTY IN 2022 WAS $55,347, WHICH WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN KENTUCKY OF $57,014. IN 2022, HOPKINS COUNTY HAD LOWER EDUCATIONAL ATTAINMENT RATES THAN THE STATE. ADDITIONALLY, HOPKINS COUNTY HAD A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF KENTUCKY (21.4%) (2022). THERE WERE ALSO HIGHER RATES OF OVERALL FOOD INSECURITY, CHILD FOOD INSECURITY AND A HIGHER AVERAGE MEAL COST IN HOPKINS COUNTY THAN IN THE STATE OF KENTUCKY (2020). IN 2021, HOPKINS COUNTY (5.1%) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (4.7%). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN HOPKINS COUNTY OVERALL DECREASED. AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN HOPKINS COUNTY WERE WITHIN OFFICE & ADMINISTRATIVE SUPPORT. AS OF 2020, HOPKINS COUNTY (6.9%) HAD A CONSISTENT PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) WITH THE STATE OF KENTUCKY (6.9%). HOPKINS COUNTY AND THE STATE INCREASED IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2016 AND 2020. HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN HOPKINS COUNTY AND THE STATE (2016-2020). OVERALL MORTALITY RATES IN HOPKINS COUNTY REMAINED HIGHER THAN THE STATE BETWEEN 2016 AND 2020. ADDITIONALLY, OVERALL MORTALITY RATES IN HOPKINS COUNTY AND THE STATE INCREASED BETWEEN 2016 AND 2020. HOPKINS COUNTY HAS HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS DIABETES AND OBESITY THAN THE STATE OF KENTUCKY. AS OF 2019, THE PERCENTAGE OF ADULTS (AGE 20+) WHO SELF-REPORTED NO LEISURE TIME FOR PHYSICAL ACTIVITY OUTSIDE OF WORK IN HOPKINS COUNTY WAS APPROXIMATELY 7% HIGHER THAN THE STATE RATE AND 11% HIGHER THAN THE NATIONAL RATE. AS OF DECEMBER 13, 2022, THE PERCENT OF THE POPULATION THAT WAS FULLY VACCINATED FOR COVID-19 IN HOPKINS COUNTY (58.1%) WAS CONSISTENT WITH THE STATE (58.0%). WITH REGARDS TO MATERNAL AND CHILD HEALTH, BETWEEN 2015-2017, THE PERCENTAGE OF BIRTHS TO MOTHERS RECEIVING PRENATAL CARE IN HOPKINS COUNTY WAS SLIGHTLY HIGHER THAN IN THE STATE OF KENTUCKY. BETWEEN 2015-2019, HOPKINS COUNTY 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 CCH MADISONVILLE 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. THESE ACTIVITIES INCLUDE PARTICIPATION IN THE CITY OF MADISONVILLE HEALTH FAIR WITH ITS' AFFILIATE BAPTIST HEALTH deaconess MADISONVILLE, CONTINUED PARTICIPATION IN LOCAL FOOD DRIVES, LOCAL DONATION DRIVES, CONTINUED PARTICIPATION AND SUPPORT OF A LOCAL CHARITY, HAPPY FEET, WHICH PROVIDES SHOES AND SOCKS TO CHILDREN IN NEED AND PARTICIPATION IN SMOKING CESSATION EDUCATION/FREE NICOTINE PATCH SERVICES. ADDITIONALLY, CCH MADISONVILLE WILL CONTINUE TO SUPPORT LOCAL FAITH-BASED INSTITUTIONS AND OTHER ORGANIZATIONS THAT SUPPORT VULNERABLE POPULATIONS, SUCH AS HOPKINS COUNTY REGIONAL SENIOR CENTER. CCH MADISONVILLE PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY SUCH AS HOPKINS COUNTY CHAMBER OF COMMERCE, WOUND CARE EDUCATION THROUGH KENTUCKY HOSPITAL ASSOCIATION, LOCAL PHYSICIAN MEETINGS AND LOCAL HOSPITAL MEETINGS IN ITS EFFORTS TO PROMOTE COMMUNITY HEALTH. Schedule H, Part VI, Line 6 Affiliated health care system CCH MADISONVILLE 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 MICHELLE MULLEN CEO 0 176817 0 42242 0 1853 0 14126 0 3613 0 238650 0 0 John Jones Former CEO 0 160925 0 0 0 1753 0 11903 0 33103 0 207684 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CCH MADISONVILLE DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. CHC COMMUNITY CARE LLC (CCC) COMPENSATES THE PRESIDENT of the organization. CCC 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 OFFICALS. 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 WAS BASED ON THE EBIDA OF THE ORGANIZATION. Form 990, Part VI, Line 15 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 (CCC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF CONTINUECARE HOSPITAL AT BAPTIST HEALTH MADISONVILLE, INC. (CCH MADISONVILLE) IS CHC COMMUNITY CARE, LLC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. THE BOARD OF MANAGERS SHALL BE COMPRISED OF FIVE VOTING MEMBERS, ONE FROM CHC, ONE FROM ITS COOPERATIVE PARTNER, BAPTIST HEALTH, AND THREE 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 OR PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE 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 HOSPITAL 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 6-30-16. 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: 503706, Program Service Expense: 367705, Management and General Expenses: 136001, Fundraising Expenses: ; PURCHASED SERVICES - LAB - Total Expense: 138010, Program Service Expense: 100747, Management and General Expenses: 37263, Fundraising Expenses: ; PURCHASED SERVICES - IT - Total Expense: 115976, Program Service Expense: 84663, Management and General Expenses: 31313, Fundraising Expenses: ; PURCHASED SERVICES - OTHER - Total Expense: 138947, Program Service Expense: 101429, Management and General Expenses: 37518, Fundraising Expenses: ; PURCHASED SERVICES - PHARMACY - Total Expense: 94550, Program Service Expense: 69022, Management and General Expenses: 25528, Fundraising Expenses: ; PURCHASED SERVICES - ADMIN - Total Expense: 99202, Program Service Expense: 72417, Management and General Expenses: 26785, Fundraising Expenses: ; 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 TX 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 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 TX 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 CHARI. 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 RURAL AND COMMUNITY HEALTHCARE COLLABORA 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 814337246 SUPPORT ORG TX 501(c)(3) 7 CHC 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 1200 CARL RAMERT DRIVE YOAKUM TX 77995 742323822 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 COMMUNITY HEALTH ASSURANCE SPC LTD CAPTIVE INSURANCE CJ CHC C Corporation false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE STE 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corporation false false false false false false false false false false false false false false false true true false false false COMMUNITY HOSPITAL CORPORATION P 1060518 COST CHC COMMUNITY CARE LLC P 637706 COST CHC COMMUNITY CARE LLC O 236072 COST