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GAINESVILLE COMMUNITY HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
GAINESVILLE COMMUNITY HOSPITAL INC (EIN 83-1683025)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-02
IRS object ID
202411239349301671
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-02T12:01:05+00:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1425 HOUSTON STAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN831683025EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Gainesville Community Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGAINBusinessNameControlTxt
Phone9406651751PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 HOSPITAL BLVDAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP76240ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS SLEDGEPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone9406128616PhoneNum
Signature2024-05-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAMESPersonFirstNm
Person LastHILLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelva ScottPreparerPersonNm
PTINP01207335PTIN
Phone8173351900PhoneNum
Preparation2024-04-30PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1NORTH TEXAS MEDICAL CENTERBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS SLEDGEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 HOSPITAL BLVDAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP76240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$43,911,930GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NTMCONLINE.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2018FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE MISSION OF GAINESVILLE COMMUNITY HOSPITAL IS TO PROVIDE EXCEPTIONAL PATIENT CENTERED CARE.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee418TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,297,000PYContributionsGrantsAmt
CY Contributions Grants$853,582CYContributionsGrantsAmt
PY Program Service Revenue$43,409,694PYProgramServiceRevenueAmt
CY Program Service Revenue$42,634,731CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$537,587PYOtherRevenueAmt
CY Other Revenue$244,219CYOtherRevenueAmt
PY Total Revenue$45,244,281PYTotalRevenueAmt
CY Total Revenue$43,732,532CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,634,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,332,855CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,187,708PYOtherExpensesAmt
CY Other Expenses$21,583,393CYOtherExpensesAmt
PY Total Expenses$43,822,359PYTotalExpensesAmt
CY Total Expenses$44,916,248CYTotalExpensesAmt
PY Revenues Less Expenses$1,421,922PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,183,716CYRevenuesLessExpensesAmt
Total Assets BOY$17,103,108TotalAssetsBOYAmt
Total Assets EOY$15,857,179TotalAssetsEOYAmt
Total Liabilities BOY$10,456,488TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,377,197TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,646,620NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,479,982NetAssetsOrFundBalancesEOYAmt
MissionNONEMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$29,855,821ExpenseAmt
Revenue$42,855,331RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$29,855,821TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee418EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS SLEDGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9406128616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 HOSPITAL BLVDAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP76240ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOE THOMASON
Director/President1.039.0Yes (X)Yes (X)$0$472,603$52,506
JIM KENDRICK
Director0.239.8Yes (X)$0$1,521,874$138,727
Shane Lee
Director1.00Yes (X)$0$0$0
JAMES HILL
Treasurer0.439.6Yes (X)$0$394,083$38,701
LINDA MOORE
Secretary0.139.9Yes (X)$0$424,165$33,792
SHELLE DIEHM
CFO (Until 12/22)40.00Yes (X)$0$217,761$52,265
Tania LeMons
CFO (Start 12/22)40.00Yes (X)$0$14,111$795
THOMAS SLEDGE
CEO40.00Yes (X)$0$312,889$52,265
Bonnie Hess
CNO40.00$0$143,941$10,002Yes (X)
BHUPINDER KHAIRA MD
GENERAL SURGEON40.00$676,891$0$0Yes (X)
Cedric L Buckley DO
Internal Med. Physician40.00$241,410$0$0Yes (X)
CHRISTIAN VISSERS MD
ORTHOPEDIC SURGEON40.00$635,215$0$0Yes (X)
Elizabeth S Newman DO
OB/GYN Physician40.00$305,564$0$0Yes (X)
ZAIRA JORAI-KHAN DO
OB/GYN PHYSICIAN40.00$365,984$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,225,064TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,501,428TotReportableCompRltdOrgAmt
Total Other Compensation$379,054TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
MEDICAL SOLUTIONS LLC
PO BOX 310737DES MOINESIA50331contract clinical labor$1,152,740
FARAHAT AND ASSOCIATES PLLC
8831 CEDAR RIDGELANTANATX76226hospitalist group$663,900
NOBLE ASSET MANAGEMENT LLC
2501 Scripture StDentonTX76201Contracted Physician$127,321Ste 300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$853,582GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$853,582TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE622110$38,614,577$38,614,577$0$0
SUPPLEMENTAL STATE FUNDING622110$4,020,154$4,020,154$0
$0$0$0$0
$0$0$0$0
$0$0$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$42,634,731TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$203,017RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$179,398RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$23,619RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,619TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$23,619ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Outsourced Pharmacy Staffing622110$60,425$60,425
TOBACCO FUND REVENUE622110$113,773$113,773
Trauma Fund Revenue622110$21,525$21,525

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,877TotalRevenueColumnAmt
Related Or Exempt Func Income$24,877RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$220,600OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,732,532TotalRevenueColumnAmt
Related Or Exempt Func Income$42,855,331RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$23,619ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,779,200TotalAmt
Program Services$15,398,944ProgramServicesAmt
Management And General$3,380,256ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$375,714TotalAmt
Program Services$90,171ProgramServicesAmt
Management And General$285,543ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,877,814TotalAmt
Program Services$690,675ProgramServicesAmt
Management And General$2,187,139ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,300,127TotalAmt
Program Services$312,030ProgramServicesAmt
Management And General$988,097ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$509,883TotalAmt
Management And General$509,883ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$41,682TotalAmt
Management And General$41,682ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$191,458TotalAmt
Management And General$191,458ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$769TotalAmt
Program Services$769ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,758,491TotalAmt
Program Services$5,603,515ProgramServicesAmt
Management And General$3,154,976ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$119,800TotalAmt
Management And General$119,800ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,183,762TotalAmt
Management And General$1,183,762ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,514,120TotalAmt
Program Services$1,029,602ProgramServicesAmt
Management And General$484,518ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$160,682TotalAmt
Management And General$160,682ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$352,401TotalAmt
Management And General$352,401ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$323,657TotalAmt
Program Services$220,087ProgramServicesAmt
Management And General$103,570ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$362,935TotalAmt
Program Services$225,020ProgramServicesAmt
Management And General$137,915ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,892,745$3,892,745
REPAIRS & MAINT/CONTRACT$847,497$432,222$415,275
LEASES/EQUIPMENT RENTAL$1,182,672$650,470$532,202
Legal Settlement$215,000$215,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,925,839TotalAmt
Program Services$1,309,571ProgramServicesAmt
Management And General$616,268ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$44,916,248TotalAmt
Program Services$29,855,821ProgramServicesAmt
Management And General$15,060,427ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,297,483BOYAmt
EOY$754,091EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,075,330BOYAmt
EOY$7,876,575EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$773,627BOYAmt
EOY$728,032EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$761,926BOYAmt
EOY$642,100EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,356,758LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,500,377LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,764,536BOYAmt
EOY$5,856,381EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$430,206BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,103,108BOYAmt
EOY$15,857,179EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,747,649BOYAmt
EOY$5,295,676EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,708,839BOYAmt
EOY$5,081,521EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,456,488BOYAmt
EOY$10,377,197EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,612,667BOYAmt
EOY$5,196,017EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,033,953BOYAmt
EOY$283,965EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,646,620BOYAmt
EOY$5,479,982EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,103,108BOYAmt
EOY$15,857,179EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,183,716ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$17,078OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$769OtherActivitiesAmt
Total Lobbying Expenditures$769TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationIN FISCAL YEAR 2023 Gainesville Community Hospital PAID $4,483 TO TEXAS HOSPITAL ASSOCIATION, (THA). THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES BY THA WERE 17.16% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: THA: $4,484* 17.16%= $769ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$399,267OtherCostOrOtherBasisAmt
Depreciation$177,982DepreciationAmt
Book Value$221,285BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,481,523OtherCostOrOtherBasisAmt
Depreciation$1,322,395DepreciationAmt
Book Value$1,159,128BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,475,968OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$4,475,968BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,856,381TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYERS$295,223
LIMITED PAYBACK TO GAINESVILLE HOSP
Current Lease Liability - Operating$1,061,646
long term lease liablity - operating$3,366,908
related party payables$357,744
FieldValueIRS element (for citing)
Total Liability$5,081,521TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$43,911,930TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$43,911,930RevenueSubtotalAmt
Other Revenues Not Included-$179,398OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$179,398RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$43,732,532TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$45,095,646TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$45,095,646ExpensesSubtotalAmt
Other Expenses Not Included-$179,398OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$179,398ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$44,916,248TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsRENTAL EXPENSE - -179398
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsRENTAL EXPENSE - -179398

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
Most Hospitals PolicyYes (X)MostHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,943,039TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$175DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,942,864NetCommunityBenefitExpnsAmt
Total Expense0.0655TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,413,993TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,353,095DirectOffsettingRevenueAmt
Net Community Benefit Expns$60,898NetCommunityBenefitExpnsAmt
Total Expense0.0014TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,357,032TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,353,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,003,762NetCommunityBenefitExpnsAmt
Total Expense0.0669TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,357,032TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,353,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,003,762NetCommunityBenefitExpnsAmt
Total Expense0.0669TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$12,931,505ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,515,144CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,583,639MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH TEXAS MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 HOSPITAL BLVDAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP76240ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://NTMCONLINE.NETWebsiteAddressTxt
State License100453StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTH TEXAS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://ntmconline.net/your-hospital/community-health-needs-assessment/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://ntmconline.net/your-hospital/community-health-needs-assessment/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentfalseFAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesfalseCollectionActivitiesInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE 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 , 1Facility , 1 - NORTH TEXAS MEDICAL CENTER. NORTH TEXAS MEDICAL CENTER, (NTMC), IS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TEXAS AND SERVES THE RESIDENTS OF COOKE, EASTERN MONTAGUE, WESTERN GRAYSON AND NORTHERN DENTON COUNTIES IN TEXAS AND SOUTHERN LOVE COUNTY, OKLAHOMA. NTMC IS OPERATED BY COMMUNITY HOSPITAL CORPORATION AND OWNED BY GAINESVILLE HOSPITAL DISTRICT. THE 125,000-SQUARE-FOOT MEDICAL CENTER HOUSES 42 MEDICAL/SURGICAL BEDS, A 6-BED INTENSIVE CARE UNIT, AND A 12-BED WOMEN'S CENTER WITH A DEDICATED C-SECTION OPERATING SUITE. THE HOSPITAL FEATURES AN 11-BED EMERGENCY ROOM WITH 3 TRAUMA ROOMS, 4 OPERATING ROOMS, 2 PROCEDURE ROOMS, 2 INPATIENT SLEEP STUDY ROOMS AND 3 WOUND CARE TREATMENT AREAS. ADDITIONALLY, NTMC OFFERS THERAPY, LABORATORY AND MOST MEDICAL IMAGING SERVICES. THE DEFINED SERVICE AREA OF NTMC IS COOKE COUNTY. COOKE COUNTY COMPRISED 78% OF FY2022 INPATIENT DISCHARGES. THE POPULATION OF COOKE COUNTY IS EXPECTED TO INCREASE BY 2.1% FROM 2022 (42,275) TO 2027 (43,158), WHICH IS BELOW THE 4.5% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2022 (30,157,100) TO 2027 (31,502,395). AS OF 2022, THE RACIAL/ETHNIC BREAKOUT OF COOKE COUNTY WAS 75.1% WHITE NON HISPANIC, 3.0% BLACK, 0.8% ASIAN, 1.3% AMERICAN INDIAN AND 19.8% 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 COOKE COUNTY IS EXPECTED TO DECREASE BY 0.5% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 6.1%. BY 2027, THE ASIAN POPULATION IN COOKE COUNTY IS EXPECTED TO INCREASE BY 4.7% AND THE AMERICAN INDIAN POPULATION IS EXPECTED TO INCREASE BY 6.1%. BY 2027, ALL OTHER RACIAL ETHNIC GROUPS IN COOKE COUNTY ARE EXPECTED TO INCREASE BY 11.0%. THE HISPANIC POPULATION OF 8,893 IS EXPECTED TO INCREASE TO 9,593, BY 2027. AS OF 2022, COOKE COUNTY (41.0 YEARS) HAD AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (35.4 YEARS). THE MEDIAN AGE IN BOTH COOKE COUNTY AND THE STATE IS EXPECTED TO SLIGHTLY INCREASE OVER THE NEXT FIVE YEARS (2022-2027). COOKE COUNTY ($68,352) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS ($70,834) (2022). THE MEDIAN HOUSEHOLD INCOME IN BOTH COOKE COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2022-2027). COOKE COUNTY (23.4%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE THAN THE STATE OF TEXAS (33.4%) (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, 21.2% OF THE POPULATION IN TEXAS LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 27.0% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2016-2020, THE DISTRESS SCORE IN COOKE COUNTY WAS 18, WHICH FALLS WITHIN THE PROSPEROUS ECONOMIC CATEGORY AND IS MORE PROSPEROUS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN COOKE COUNTY AND THE STATE OF TEXAS FLUCTUATED BETWEEN 2019 AND 2021. IN 2021, COOKE COUNTY (5.0) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (5.7). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN COOKE COUNTY OVERALL DECREASED. AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS IN COOKE COUNTY WERE WITHIN OFFICE & ADMINISTRATION SUPPORT OCCUPATIONS. THE MOST COMMON EMPLOYED GROUPINGS WERE WITHIN OFFICE & ADMINISTRATION SUPPORT OCCUPATIONS (10.9%); PRODUCTION OCCUPATIONS (10.4%); MANAGEMENT OCCUPATIONS (10.1%); SALES & RELATED OCCUPATIONS (7.2%); & CONSTRUCTION AND EXTRACTION OCCUPATIONS (7.1%). COOKE COUNTY (13.0%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF TEXAS (15.5%) (2022). BETWEEN 2017 AND 2021, THE PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN COOKE COUNTY AND THE STATE DECREASED. IN 2022, COOKE COUNTY (19.3%) HAD A LOWER PERCENTAGE OF CHILDREN LIVING BELOW POVERTY THAN THE STATE (19.5%). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 14.8% OF COOKE COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.0% IN TEXAS (2020). ADDITIONALLY, 21.1 % OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN COOKE COUNTY IS FOOD INSECURE AS COMPARED TO 18.9% IN TEXAS (2020). THE AVERAGE MEAL COST FOR A COOKE COUNTY RESIDENT IS $3.12 AS COMPARED TO $2.76 IN TEXAS (2020). BETWEEN 2015 AND 2019, COOKE COUNTY MAINTAINED A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE OF TEXAS. IN 2019, COOKE COUNTY (10.2%) HAD A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN THE STATE (11.8%). IN 2020-2021, COOKE COUNTY (53.2%) HAS A LOWER PERCENTAGE OF PUBLIC SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH THAN THE STATE (60.2%) AND A COMPARABLE RATE TO THE NATION (53.2%). COOKE COUNTY (94.1%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.4%) AND THE NATION (87.7%) (2018-2019). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN BOTH COOKE COUNTY AND THE STATE OF TEXAS (2016-2020). BETWEEN 2016 AND 2020, HEART DISEASE MORTALITY RATES IN COOKE COUNTY DECREASED WHILE RATES IN THE STATE REMAINED FLAT. THE HEART DISEASE MORTALITY RATE IN COOKE COUNTY (164.9 PER 100,000) WAS LOWER THAN THE STATE (169.1 PER 100,000). CANCER IS THE SECOND LEADING CAUSE OF DEATH OVERALL IN BOTH COOKE COUNTY AND THE STATE (2016-2020). BETWEEN 2016 AND 2020, CANCER MORTALITY RATES IN COOKE COUNTY INCREASED WHILE RATES IN THE STATE DECREASED. IN 2018-2020, THE CANCER MORTALITY RATE IN COOKE COUNTY (181.5 PER 100,000) WAS HIGHER THAN THE STATE RATE (141.4 PER 100,000). CEREBROVASCULAR DISEASES ARE THE THIRD LEADING CAUSE OF DEATH IN COOKE COUNTY AND IN THE STATE (2016-2020). BETWEEN 2016 AND 2020, CEREBROVASCULAR DISEASE MORTALITY RATE IN COOKE COUNTY INCREASED, AND THE RATE IN THE STATE DECREASED SLIGHTLY. IN 2018-2020, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN COOKE COUNTY (58.7 PER 100,000) WAS HIGHER THAN THE STATE RATE (40.1 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE FOURTH LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN THE STATE (2016-2020). BETWEEN 2016 AND 2020, CLRD MORTALITY RATES IN COOKE COUNTY INCREASED AND IN THE STATE SLIGHTLY DECREASED. THE CLRD MORTALITY RATE IN COOKE COUNTY (54.1 PER 100,000) WAS HIGHER THAN THE RATE IN THE STATE (38.1 PER 100,000). ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN COOKE COUNTY AND IN THE STATE OF TEXAS (2016-2020). BETWEEN 2016 AND 2020, ALZHEIMER'S MORTALITY RATES IN COOKE COUNTY AND THE STATE INCREASED.THE ALZHEIMER'S DISEASE MORTALITY RATE IN COOKE COUNTY (52.3 PER 100,000) WAS HIGHER THAN THE STATE RATE (40.6 PER 100,000). FATAL ACCIDENTS, INTENTIONAL SELF-HARM (SUICIDE), NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, DIABETES MELLITUS, AND COVID-19 ARE ALSO LEADING CAUSES OF DEATH IN COOKE COUNTY. AS OF 2023, COOKE COUNTY (23.6 PER 100,000) HAS A LOWER RATE OF COVID-19 CASES THAN THE STATE (36.0 PER 100,000). AS OF DECEMBER 8, 2022, COOKE COUNTY HAD A LOWER PERCENT OF ITS POPULATION THAT IS FULLY VACCINATED (40.5%) AS COMPARED TO THE STATE OF TEXAS (58.0%). IN 2019, COOKE COUNTY (21.5%) HAD A LOWER PERCENTAGE OF ADULTS (AGE 20+) WHO REPORTED HAVING A BODY MASS INDEX (BMI) GREATER THAN 30.0 (OBESE) THAN THE STATE RATE (29.8%) AND THE NATION (29.0%). IN 2019, THE PERCENT OF ADULTS (AGE 20+) EVER DIAGNOSED WITH DIABETES BY A DOCTOR IN COOKE COUNTY (7.2%) WAS LOWER THAN THE STATE (9.4%) AND THE NATION (9.0%). IN 2018, THE PERCENT OF MEDICARE BENEFICIARIES WITH DIABETES IN COOKE COUNTY (24.9%) WAS LOWER THAN THE STATE (28.8%) AND THE NATION (27.0%). COOKE COUNTY (60.4%) HAS A HIGHER RATE OF MEDICARE BENEFICIARIES WITH HYPERTENSION THAN THE STATE (59.9%) AND THE NATION (57.2%) (2018). IN 2019-2021, COOKE, WISE, AND GRAYSON COUNTIES (20.6%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER THAN THE STATE (17.8%). IN 2019-2021, THE PERCENT OF ADULTS (AGE 18+) THAT HAD A DISABILITY IN COOKE, WISE, AND GRAYSON COUNTIES (29.0%) WAS HIGHER THAN THE STATE (27.5%). AS OF 2020, COOKE COUNTY (22.6%) HAD A HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE OF TEXAS (19.9%). THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) IN COOKE COUNTY AND THE STATE INCREASED BETWEEN 2016 AND 2020. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR NORTH TEXAS MEDICAL CENTER (NTMC), BY COMMUNITY HOSPITAL CORPORATION (CHC). THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN COOKE COUNTY, TEXAS. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC FROM NOVEMBER 17, 2022 - DECEMBER 15, 2022.
Schedule H, Part V, Section B, Line 5 Facility , 2Facility , 2 - NORTH TEXAS MEDICAL CENTER (CONTINUED). 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 NTMC BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 16, 2023. INTERVIEW METHODOLOGY: NTMC WORKED WITH COMMUNITY HOSPITAL CORPORATION, (CHC), IN THE DEVELOPMENT OF ITS CHNA. NTMC 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. THE STUDY AREA FOR NTMC IS BASED ON HOSPITAL INPATIENT DISCHARGE DATA FROM JULY 1, 2021 - JUNE 30, 2022 AND DISCUSSIONS WITH HOSPITAL STAFF. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS STATE DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, THE UNITED STATES CENSUS BUREAU, AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). BACKGROUND INFORMATION ABOUT NTMC INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WERE PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INCLUDE POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN INCOME ANALYSIS, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. DEMOGRAPHIC DATA SOURCES INCLUDE, BUT ARE NOT LIMITED TO, STRATASAN, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS. NTMC PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN COOKE COUNTY AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, THIRTEEN 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 61.5% 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. 7.7% 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 30.8% OF THOSE PROVIDING INPUT ARE COMMUNITY LEADERS. INTERVIEWEES INCLUDED: -MEGAN ANDERLE: MARKETING DIRECTOR, RENAISSANCE CENTER OF GAINESVILLE -WADE BROWER: MINISTER, HILLCREST CHURCH OF CHRIST -DARA IRWIN: EXECUTIVE DIRECTOR, CASA OF NORTH TEXAS -CHERYL GOMEZ: DIRECTOR, WORKFORCE SOLUTIONS TEXOMA -GINGER JOHNSON: EXECUTIVE DIRECTOR, ABIGAIL'S ARMS COOKE COUNTY FAMILY CRISIS CENTER -EMILY LEWIS, RN: BOARD MEMBER, NORTH TEXAS MEDICAL CENTER; INSTRUCTOR OF NURSING DEPARTMENT, NORTH CENTRAL TEXAS COLLEGE -TOMMY MOORE: MAYOR, CITY OF GAINESVILLE -WILLIAM MYERS: EXECUTIVE DIRECTOR, GAINESVILLE ECONOMIC DEVELOPMENT CORPORATION; BOARD MEMBER, NORTH TEXAS MEDICAL CENTER FOUNDATION -ALEX RUCKER: DIRECTOR, BOYS AND GIRLS CLUB OF COOKE COUNTY -JENNIFER SHUMATE: EXECUTIVE DIRECTOR, GAINESVILLE AREA CHAMBER OF COMMERCE -RONDA SILMON: NURSE SUPERVISOR, TEXAS DEPARTMENT OF STATE HEALTH SERVICES -STEVE STARNES: COUNTY JUDGE, COOKE COUNTY -DES STEWART: SUPERINTENDENT, GAINESVILLE INDEPENDENT SCHOOL DISTRICT 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 COMMUNITY HOSPITAL CORPORATION (CHC) BY NTMC 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, ELDERLY, OBSTETRIC POPULATION, LOW INCOME/WORKING POOR, RACIAL/ETHNIC GROUPS, UNDOCUMENTED, VETERANS AND HOMELESS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: YOUTH - MENTAL HEALTH CONCERNS - LACK OF PREVENTIVE CARE - NEED FOR MORE VISION CARE - SEXUALLY TRANSMITTED INFECTIONS (STIS) - INCREASING SUICIDE RATE - VAPING - LACK OF ENTERTAINMENT, RECREATIONAL ACTIVITIES ELDERLY - TRANSPORTATION BARRIERS - DIFFICULTY USING TELEHEALTH SERVICES - NEED FOR ADDITIONAL COMMUNITY OUTREACH - COST BARRIER TO CARE (MEDICATIONS, DENTAL SERVICES) - LACK OF LOCAL SPECIALIZED SERVICES (GERIATRICIANS) OBSTETRIC POPULATION - LIMITED ACCESS TO LOCAL RESOURCES LOW INCOME/WORKING POOR - ACCESS TO AFFORDABLE CARE -LIMITED COMPUTER SKILLS - LACK OF LOCAL MEAL SERVICES - HIGH RATE OF UNINSURED - INAPPROPRIATE USE OF THE EMERGENCY ROOM RACIAL/ETHNIC - LANGUAGE BARRIERS (NON-ENGLISH SPEAKING) - INCREASING POPULATION (HISPANIC) - LIMITED NUMBER OF BILINGUAL PROVIDERS - LACK OF PREVENTIVE CARE UNDOCUMENTED -TUBERCULOSIS - FOREGOING CARE - LANGUAGE BARRIERS VETERANS - LACK OF ACCESS TO LOCAL CARE - LACK OF AWARENESS OF LOCAL SERVICES HOMELESS - CONFLICTING PERCEPTIONS ON ISSUE OF HOMELESSNESS - LACK OF PROGRAMS - LACK OF AWARENESS OF TRUE NUMBER OF HOMELESS PERSONS - MENTAL HEALTH CONCERNS
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - NORTH TEXAS MEDICAL CENTER, (NTMC). THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY NORTH TEXAS MEDICAL CENTER (NTMC), 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. NTMC 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 ORDER OF IMPORTANCE, IS AS FOLLOWS: 1. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 2. CONTINUED EMPHASIS ON PROVIDER RECRUITMENT AND RETENTION 3. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 4. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 5. CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE ONCE THIS PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FOUR OF THE FIVE HEALTH 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. NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT OR PARTNER WITH LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. 1.B. NTMC WILL CONTINUE TO INCREASE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS. 1.C. NTMC PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, NTMC WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES AND IN LOCAL CONSORTIUMS FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. 1.D. NTMC WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERINGS IN THE COMMUNITY THROUGH LOCAL MEDIA OUTLETS, SUCH AS THE RADIO, BILLBOARDS, DIRECT MAIL, FACEBOOK AND ADVERTISEMENTS, UPDATING THE HOSPITAL'S WEBSITE. 1.E. NTMC WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT RESOURCES TO PATIENTS UPON DISCHARGE AS NEEDED. PRIORITY #2: CONTINUED EMPHASIS ON PROVIDER RECRUITMENT AND RETENTION OBJECTIVE: CONTINUE TO PRIORITIZE PROVIDER RECRUITMENT AND RETENTION BASED ON COMMUNITY NEED 2.A. NTMC WILL CONTINUE TO CONSULT ITS MEDICAL STAFF DEVELOPMENT PLAN REPORT TO DETERMINE THE PHYSICIAN NEEDS OF THE COUNTY AND CONSIDER THE RECRUITMENT OF PROVIDERS ACCORDINGLY. 2.B. NTMC WILL CONTINUE TO STRENGTHEN THE CONTINUUM OF CARE BY INCREASING HEALTH INFORMATION EXCHANGE OPPORTUNITIES, SUCH AS ELECTRONICALLY EXCHANGING PATIENT SUMMARIES OF CARE WITH OTHER PHYSICIANS TO RECONCILE ANY MEDICATION CONCERNS. 2.C. NTMC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR HEALTH CARE STUDENTS FROM SEVERAL LOCAL ACADEMIC INSTITUTIONS TO ROTATE THROUGH THE FACILITY. 2.D. NTMC WILL CONTINUE TO HOST AREA HIGH SCHOOL STUDENTS DURING THE SUMMER TIME SO THAT THEY MAY OBSERVE DIFFERENT AREAS OF THE HOSPITAL. 2. E. NTMC WILL CONTINUE TO PROVIDE A VARIETY OF PRIMARY AND SPECIALTY CARE SERVICES IN ORDER TO INCREASE ACCESS TO LOCAL CARE FOR RESIDENTS. PRIORITY #3: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY 3.A. NTMC IS EVALUATING THE STAFFING OF A LICENSED SOCIAL WORKER IN THE PEDIATRIC CLINIC. 3.B. NTMC WILL CONTINUE TO EVALUATE AND TRANSFER ANY PATIENTS THAT PRESENT TO THE EMERGENCY ROOM WITH A MENTAL OR BEHAVIORAL HEALTH ISSUE TO APPLICABLE FACILITIES AS APPROPRIATE. ADDITIONALLY, A CASE MANAGER WILL PROVIDE A BROCHURE OF COMMUNITY RESOURCES TO APPLICABLE PATIENTS, AND WILL WORK TO UPDATE THE INFORMATION BASED ON NEW AGENCIES IN THE AREA. 3.C. NTMC WILL CONTINUE TO PROVIDE SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN THE HOSPITAL FOR APPROPRIATE PATIENTS, AND COLLABORATE WITH LOCAL ORGANIZATIONS TO PROVIDE SUPPORT FOR VICTIM ADVOCACY. PRIORITY #4: 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 4.A. NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN FUNDRAISING EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS EDUCATIONAL EVENTS. 4.B. NTMC WILL CONTINUE STRENGTHENING ITS PARTNERSHIPS WITH LOCAL NURSING HOMES TO PROVIDE LAB AND IMAGING SERVICES. 4.C. NTMC WILL CONTINUE TO WORK WITH SELF PAY PATIENTS ON PAYMENT PLANS AND/OR INSURANCE COVERAGE THROUGH FINANCIAL COUNSELING. 4.D. NTMC WILL CONTINUE TO PROVIDE TRANSLATION SERVICES AND RESOURCES IN MULTIPLE LANGUAGES, INCLUDING FOR THOSE WHO MAY BE VISION AND/OR HEARING IMPAIRED. 4.E. NTMC WILL CONTINUE TO PARTICIPATE IN PROGRAMS TO CONNECT PATIENTS TO AFFORDABLE RESOURCES WHEN AVAILABLE, SUCH AS DISCOUNT PHARMACY PRICING THROUGH THE 340B PHARMACY PROGRAM. 4.F. NTMC PROVIDES THE MD SAVE PROGRAM FOR SELF-PAY AND THOSE WITH HIGH DEDUCTIBLES IN ORDER TO OFFER CERTAIN SERVICES AT A DISCOUNTED RATE TO ASSIST THE COMMUNITY WITH THEIR HIGH DEDUCTIBLE PLANS OR INDIVIDUALS SERVICES WHO ARE UNINSURED. PRIORITIES NOT ADDRESSED: NTMC DECIDED NOT TO SPECIFICALLY ADDRESS "CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE." BASED ON NTMC'S STATUS AS AN ACUTE CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "CONTINUED FOCUS ON COMMUNITY INFRASTRUCTURE" ARE NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE NTMC ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY, THE HOSPITAL WILL CLOSELY MONITOR POPULATION GROWTH AND RESPOND ACCORDINGLY AND WITHIN ITS CAPABILITIES. NTMC WILL CONTINUE TO SUPPORT LOCAL ORGANIZATIONS AND EFFORTS TO ADDRESS THIS NEED IN THE COMMUNITY.
Schedule H, Part V, Section B, Line 20 Facility , 1Facility , 1 - NORTH TEXAS MEDICAL CENTER. GAINESVILLE COMMUNITY HOSPITAL, INC. (NORTH TEXAS MEDICAL CENTER) DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
COOKE COUNTY MEDICAL CENTER
1902 HOSPITAL BOULEVARDGAINESVILLETX76240RURAL HEALTH CLINIC
NTMC ORTHOPEDICS CLINIC
1615 HOSPITAL BLVDGAINESVILLETX76240ORTHOPEDICS CLINIC
SURGICAL SPECIALISTS OF NORTH TEXAS
1627 N GRAND AVEGAINESVILLETX76240SURGICAL SERVICES CLINIC
ADVANCED SURGERY & BARIATRICS
2024 US-82GAINESVILLETX76240BARIATRICS SURGERY AND CLINIC
PEDIATRIC & ADULT SLEEP WELLNESS CENTER
1900 HOSPITAL BLVDGAINESVILLETX76240SLEEP STUDY CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a SCHEDULE H, PART I, LINE 6ATHE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDED JUNE 30, 2023 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION.
Schedule H, Part V, Section B, Line 22 SCHEDULE H, PART V, SECTION B, LINE 22DURING THE FISCAL YEAR ENDED JUNE 30, 2023 NTMC USED A COMBINATION OF THE LOOKBACK METHOD AND THE PRESUMPTIVE MEDICARE AND MEDICAID METHOD IN DETERMINING THE MAXIMUM AMOUNTS TO BE CHARGED TO FAPS ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. LOOKING BACK AT WHAT MEDICARE AND MEDICAID REIMBURSEMENT / CONTRACTUALS WERE BEING CALCULATED AT OVER THE PRIOR 12 MONTH PERIOD, A WEIGHTED AVERAGE WAS THEN TAKEN. THIS RESULT LED TO THE APPLICATION OF A 75% DISCOUNT FOR ALL SELF-PAY PATIENTS.
Schedule H, Part III, Line 4 BAD DEBT EXPENSE FOOTNOTEPATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS 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 REALIZABLE 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 VI, Line 6 AFFILIATED HEALTH CARE SYSTEMGAINESVILLE COMMUNITY HOSPITAL (D/B/A NORTH TEXAS MEDICAL CENTER) IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceBased off of 2022 cost report and a cost to charge ratio of 27.1596%
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBad debt accounts are written off after they are returned from our final collectors at MDS with no collections recovered after 365 days. All discounts and payments are subtracted from the original balance before the account is expensed.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE 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 assistanceALL PATIENTS WITHOUT INSURANCE, AND OR AFTER INSURANCE IS BILLED AND COLLECTED, ARE SENT A LETTER FROM OUR EARLY OUT VENDOR FOR THEIR PATIENT BALANCE. ALL STATEMENTS SENT INDICATE NTMC HAS A FINANCIAL ASSISTANCE POLICY AND THAT PATIENTS THINK IT APPLIES TO THEM TO CALL THE NUMBER INDICATED. ALL EMERGENT SERVICES ARE PROVIDED WITHOUT ASKING FOR MONEY AND PATIENT IS BILLED AFTER THE SERVICES ARE PROVIDED. THE ONLY DIFFERENCE ON PATIENTS WITH FINANCIAL ASSISTANCE IS RELATED TO ELECTIVE (NON-EMERGENT) SERVICES. THOSE HAVE TO BE APPROVED PRIOR TO PROVIDING / SCHEDULING THE SERVICE. IF PATIENTS HAVE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE, THE SELF-PAY PERCENT (IS APPLIED FIRST IF TRUE SELF PAY) THEN IF THEY QUALIFY FOR FINANCIAL ASSISTANCE THE APPLICABLE PERCENT IS APPLIED AND ANY REMAINING BALANCE (IF LESS THAN 100% FA) IS THEN BILLED TO THE PATIENT. ONLY THE PART THEY ARE RESPONSIBLE FOR IS BILLED TO THEM.
Schedule H, Part V, Section B, Line 16a FAP website- NORTH TEXAS MEDICAL CENTER: Line 16a URL: https://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website- NORTH TEXAS MEDICAL CENTER: Line 16b URL: https://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- NORTH TEXAS MEDICAL CENTER: Line 16c URL: https://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessmentGAINESVILLE COMMUNITY HOSPITAL (A/K/A NORTH TEXAS MEDICAL CENTER) WAS FORMED ON AUGUST 10, 2018 AS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TX TO SERVE THE RESIDENTS OF COOKE COUNTY AND SURROUNDING AREAS IN TEXAS. AS REPORTED IN SCHEDULE H, PART V, SECTION B, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE 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 STATE AND COUNTY AREA INFORMATION, PROVIDED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. ADDITIONALLY, THE COMMITTEE REVIEWED MULTIPLE NATIONAL HEALTH DATA PLATFORMS AND RESOURCES AND CONDUCTED INTERVIEWS WITH PERSONS HAVING SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN COOKE 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 NTMC BOARD REVIEWED AND ADOPTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 16, 2023. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN DISCUSSED ABOVE, THE HOSPITAL WILL CONTINUE TO WORK WITH 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 assistancePATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED UPON ADMISSION TO THE HOSPITAL BY A FACE TO FACE VISIT WITH THE HOSPITAL/ADMISSIONS STAFF. THE PATIENT FINANCIAL OBLIGATION IS DISCUSSED WITH THE RESPONSIBLE PARTY. THE HOSPITAL CHARITY CARE POLICY IS DISCUSSED WITH EACH RESPONSIBLE PARTY AND IF IT IS FELT THAT THE PATIENT WOULD QUALIFY FOR THE CHARITY PROGRAM THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY THE RESPONSIBLE PARTY TO THE BUSINESS OFFICE ASSOCIATE FOR REVIEW. THE CHARITY CARE POLICY IS ALSO POSTED IN THE ADMISSIONS OFFICE AND ON ITS WEBSITE.
Schedule H, Part VI, Line 4 Community informationNORTH TEXAS MEDICAL CENTER, (NTMC), IS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TEXAS AND SERVES THE RESIDENTS OF COOKE, EASTERN MONTAGUE, WESTERN GRAYSON AND NORTHERN DENTON COUNTIES IN TEXAS AND SOUTHERN LOVE COUNTY, OKLAHOMA. GAINESVILLE, TEXAS IS PART OF THE TEXOMA REGION. LAKE TEXOMA IS SITUATED ON THE BORDER BETWEEN OKLAHOMA AND TEXAS AND INCLUDES GRAYSON AND COOKE COUNTIES ON THE TEXAS SIDE. THE LAKE IS ONE OF THE LARGEST RESERVOIRS IN THE COUNTRY AND DRAWS MILLIONS OF VISITORS EACH YEAR DUE TO THE DIVERSE RECREATIONAL ACTIVITIES AVAILABLE. NTMC IS OPERATED BY COMMUNITY HOSPITAL CORPORATION AND OWNED BY GAINESVILLE HOSPITAL DISTRICT. THE 125,000-SQUARE-FOOT MEDICAL CENTER HOUSES 42 MEDICAL/SURGICAL BEDS, A 6-BED INTENSIVE CARE UNIT, AND A 12-BED WOMEN'S CENTER WITH A DEDICATED C-SECTION OPERATING SUITE. THE HOSPITAL FEATURES AN 11-BED EMERGENCY ROOM WITH 3 TRAUMA ROOMS, 4 OPERATING ROOMS, 2 PROCEDURE ROOMS, 2 INPATIENT SLEEP STUDY ROOMS AND 3 WOUND CARE TREATMENT AREAS. ADDITIONALLY, NTMC OFFERS THERAPY, LABORATORY AND MOST MEDICAL IMAGING SERVICES. AS OF 2022, THERE WERE 42,275 RESIDENTS IN COOKE COUNTY AND THE POPULATION IS EXPECTED TO INCREASE 2.1% BY 2027. THE MAJORITY OF RESIDENTS IN COOKE COUNTY IDENTIFY AS WHITE (NON HISPANIC) AT 75.1% (2022) BY 2027, THE WHITE POPULATION IS EXPECTED TO DECREASE 0.5% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 6.1%. THE ASIAN AND AMERICAN INDIAN POPULATION ARE EXPECTED TO INCREASE BY 4.7% AND 6.1%, RESPECTIVELY, BY 2027. ALL OTHER RACES ARE EXPECTED TO INCREASE 11.0% BY 2027. THE MAJORITY OF RESIDENTS IN COOKE COUNTY WERE BETWEEN THE AGES OF 18-44 YEARS OLD (2022). COOKE COUNTY (41.0 YEARS) HAD AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (35.4 YEARS) IN 2022. THE MEDIAN HOUSEHOLD INCOME IN COOKE COUNTY IN 2022 WAS $68,352, WHICH WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN TEXAS OF $70,834. COOKE COUNTY HAS LOWER EDUCATIONAL ATTAINMENT RATES THAN THOSE OF THE STATE OF TEXAS (2022). ADDITIONALLY, COOKE COUNTY (13.0%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF TEXAS (15.5%) (2022).IN COOKE COUNTY AN ESTIMATED 14.8% OF RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.0% IN TEXAS (2020). COOKE COUNTY HAS HIGHER RATES OF CHILD FOOD INSECURITY AS WELL AS A HIGHER AVERAGE MEAL COST THAN THE STATE OF TEXAS (2020). IN 2021. COOKE COUNTY (5.0) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE (5.7). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN COOKE COUNTY OVERALL DECREASED. AS OF 2020, THE MAJORITY OF EMPLOYED PERSONS WERE WITHIN OFFICE & ADMINISTRATION SUPPORT OCCUPATIONS. AS OF 2020, COOKE COUNTY (22.6%) HAD A HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE OF TEXAS (19.9%). THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) IN COOKE COUNTY AND THE STATE INCREASED BETWEEN 2016 AND 2020. HEART DISEASE AND CANCER ARE THE TWO LEADING CAUSES OF DEATH IN COOKE COUNTY AND THE STATE OF TEXAS (2016-2020). OVERALL MORTALITY RATES IN COOKE COUNTY REMAINED HIGHER THAN THE STATE BETWEEN 2016 AND 2020. ADDITIONALLY, OVERALL MORTALITY RATES IN COOKE COUNTY AND THE STATE INCREASED BETWEEN 2016 AND 2020. COOKE COUNTY HAS LOWER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS OBESITY AND DIABETES THAN THE STATE AND A HIGHER PREVALENCE RATE OF HYPERTENSION AMONG MEDICARE BENEFICIARIES THAN THE STATE OF TEXAS. AS OF 2019, THE PERCENTAGE OF ADULTS (AGE 20+) WHO SELF-REPORTED NO LEISURE TIME FOR PHYSICAL ACTIVITY OUTSIDE OF WORK IN COOKE COUNTY WAS APPROXIMATELY 3.3% LOWER THAN THE STATE RATE AND 3.4% LOWER THAN THE NATIONAL RATE. AS OF DECEMBER 8, 2022, COOKE COUNTY HAD A LOWER PERCENT OF ITS POPULATION THAT IS FULLY VACCINATED FOR COVID-19 (40.5%) AS COMPARED TO THE STATE OF TEXAS (58.0%). WITH REGARDS TO MATERNAL AND CHILD HEALTH, BETWEEN 2016-2019, THE PERCENTAGE OF TEEN BIRTHS (AGES 15-19 YEARS) IN COOKE COUNTY WAS HIGHER THAN THE STATE OF TEXAS. BETWEEN 2016-2019 COOKE COUNTY HAD HIGHER RATES OF MOTHERS SMOKING DURING PREGNANCY THAN THE STATE OF TEXAS.
Schedule H, Part VI, Line 5 Promotion of community healthNORTH TEXAS MEDICAL CENTER (NTMC) PARTICIPATES IN A NUMBER OF ACTIVITIES IN ORDER TO PROMOTE AND IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY. BELOW ARE SOME OF THOSE ACTIVITIES NTMC PARTICIPATED IN DURING FISCAL YEAR 2023 WITH ONGOING PLANS TO CONTINUE AS OPPORTUNITIES ARISE. NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN FUNDRAISING EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY, AS WELL AS EDUCATIONAL EVENTS. EXAMPLES INCLUDED: HOSTED 4 BLOOD DRIVES; ACTIVE MEMBER OF TEAMS; GAINESVILLE CHAMBER OF COMMERCE GOLF TOURNAMENT SPONSOR; COOKE COUNTY UNITED WAY; CNO SPEAKING TO AREA SCHOOLS; GUEST SPEAKERS AT KIWANIS CLUB, LIONS CLUB, RETIRED TEACHERS MEETING. PRESENTING PROGRAMS AT CIVIC ORGANIZATIONS AND SCHOOLS ALLOWS NTMC TO EDUCATE THE COMMUNITY ON HEALTH ISSUES AFFECTING THEM AND THEIR FAMILIES. NTMC WILL CONTINUE STRENGTHENING ITS PARTNERSHIPS WITH LOCAL NURSING HOMES TO PROVIDE LAB AND IMAGING SERVICES. THE HOSPITAL WILL CONTINUE TO WORK WITH NURSING HOMES TO MAKE THEIR PATIENTS VISITS QUICK AND SEEMLESS TO AVOID TAKING THE PATIENT OUT OF THEIR NORMAL SURROUNDINGS FOR TOO LONG. PATIENTS FROM NURSING HOMES TEND TO GET DISORIENTED SO PROVIDING A PROCESS TO GET IN AND OUT OF THE HOSPITAL AS QUICKLY AS POSSIBLE AND BACK INTO THEIR FAMILIAR SURROUNDINGS IS A BENEFIT TO THE PATIENT. NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT OR PARTNER WITH LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO VULNERABLE POPULATIONS. EXAMPLES INCLUDED: THE SPRING FLING; FREE PHYSICALS FOR GISD ATHLETES; CHEER AND BAND; BACK TO SCHOOL WELLNESS EVENT; BLOOD DRIVES INTRODUCED THE HOSPITAL AND OUR PROVIDERS TO MEMBERS OF THE COMMUNITY WHO MAY NOT HAVE OTHERWISE KNOWN ABOUT NTMC'S SERVICES. NTMC WILL CONTINUE TO CONNECT PATIENTS TO AFFORDABLE RESOURCES, SUCH AS DISCOUNT PHARMACY SERVICES WHEN AVAILABLE. NTMC CONTINUALLY GIVES OUT RESOURCES THAT ARE AVAILABLE IN THE COMMUNITY. THESE RESOURCES HAVE INCLUDED DISCOUNT CARDS, PRESCRIPTION ASSISTANCE PROGRAMS, AND COMMUNITY RESOURCES SUCH AS 2-1-1, VISTO, VETERAN'S SERVICES, ETC. NTMC WILL CONTINUE TO INCREASE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS. EXAMPLES INCLUDED PROVIDING GUEST SPEAKERS, INCLUDING THE DIETICIAN AND THERAPY SERVICES DIRECTOR ON THE KGAF DAILY RADIO SEGMENT "TO YOUR HEALTH" WHICH SPECIFICALLY FOCUSES ON HEATH TOPICS. MONTHLY INTERVIEW ON KGAF MORNING SHOW; PRESS RELEASES SENT TO AREA NEWSPAPERS AND RADIO STATIONS. NTMC ALSO PROVIDED GUEST SPEAKERS TO KIWANIS CLUB, LIONS CLUB AND RETIRED TEACHERS ASSOCIATION. NTMC PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. ADDITIONALLY, NTMC WILL CONTINUE TO PROVIDE STAFF REPRESENTATION AT VARIOUS CONFERENCES AND IN LOCAL CONSORTIUMS FOCUSED AROUND ITS PATIENT POPULATION'S NEEDS. NTMC STAFF SERVE ON BOARDS AT UNITED WAY, GAINESVILLE ECONOMIC DEVELOPMENT CORPORATION AND BUTTERFIELD STAGE. TWO MEMBERS OF NTMC STAFF SERVED ON UNITED WAY ALLOCATIONS COMMITTEE DURING THE FISCAL YEAR. ADDITIONALLY, STAFF ARE MEMBERS OF KIWANIS CLUB. NTMC WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERINGS IN THE COMMUNITY THROUGH LOCAL MEDIA OUTLETS, SUCH AS THE RADIO, BILLBOARDS, DIRECT MAIL ADVERTISEMENTS, FACEBOOK AND UPDATING THE HOSPITAL'S WEBSITE. EXAMPLES HAVE INCLUDED UTILIZING SOCIAL MEDIA - INCLUDING FACEBOOK, TWITTER, AND YOUTUBE. FOUR BILLBOARD ADS WERE ALSO UTILIZED IN THE GAINESVILLE AREA AS WELL AS NEWSPAPER ADS IN SEVEN PAPERS. ADDITIONALLY, THERE WERE COMMERCIALS ON TWO RADIO STATIONS. NTMC WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT RESOURCES TO PATIENTS UPON DISCHARGE AS NEEDED. DURING THE FISCAL YEAR, IMPROVEMENTS WERE MADE TO PATIENT DISCHARGE PACKETS.
Schedule H, Part VI, Line 7 State filing of community benefit reportTX

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOE THOMASON
Director/President$0$380,712$0$57,907$0$33,984$0$12,788$0$39,718$0$525,109$0$11,817
JIM KENDRICK
Director$0$976,164$0$437,586$0$108,124$0$99,909$0$38,818$0$1,660,601$0$38,242
JAMES HILL
Treasurer$0$323,943$0$49,687$0$20,453$0$9,150$0$29,551$0$432,784$0$0
LINDA MOORE
Secretary$0$338,309$0$50,550$0$35,306$0$12,304$0$21,488$0$457,957$0$5,208
SHELLE DIEHM
CFO (Until 12/22)$0$186,435$0$27,409$0$3,917$0$21,862$0$30,403$0$270,026$0$0
THOMAS SLEDGE
CEO$0$264,622$0$45,361$0$2,906$0$21,862$0$30,403$0$365,155$0$0
Bonnie Hess
CNO$0$126,191$0$16,699$0$1,052$0$10,002$0$0$0$153,944$0$0
BHUPINDER KHAIRA MD
GENERAL SURGEON$676,891$0$0$0$0$0$0$0$0$0$676,891$0$0$0
CHRISTIAN VISSERS MD
ORTHOPEDIC SURGEON$635,215$0$0$0$0$0$0$0$0$0$635,215$0$0$0
ZAIRA JORAI-KHAN DO
OB/GYN PHYSICIAN$365,984$0$0$0$0$0$0$0$0$0$365,984$0$0$0
Elizabeth S Newman DO
OB/GYN Physician$305,564$0$0$0$0$0$0$0$0$0$305,564$0$0$0
Cedric L Buckley DO
Internal Med. Physician$241,410$0$0$0$0$0$0$0$0$0$241,410$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationGAINESVILLE COMMUNITY HOSPITAL, INC. (GCH) DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. COMMUNITY HOSPITAL CONSULTING COMPENSATES THE GCH PRESIDENT. COMMUNITY HOSPITAL CONSULTING 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 6/30/2023 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planNONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $186,178 LINDA MOORE - $20,980 JAMES HILL - $15,502 JOE THOMASON - $30,005
Schedule J, Part I, Line 7 Non-fixed paymentsA PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTIONGCH IS A COMMUNITY HEALTH PROVIDER THAT SERVES THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S RACE, CREED, NATIONALITY, OR ABILITY TO PAY FOR SERVICES INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE IN SUPPORT OF THE HOSPITAL'S HEALTHCARE MISSION. DURING THE YEAR ENDED JUNE 30, 2023, WE HAD 1,539 ADMISSIONS, 6,470 PATIENT DAYS, 18,037 ER VISITS, 223 INPATIENT SURGERIES AND 1,122 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 17.7 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 4.2 DAYS. GCH UTILIZES THE MOST ADVANCED TECHNOLOGIES RIVALING THOSE OF MAJOR CITIES IN A COMFORTABLE ENVIRONMENT CLOSE TO HOME. WE OFFER INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES WITH COMPASSIONATE CARE, FOCUSING ON RESPECT AND CARE FOR THE WHOLE PERSON. AT GCH, WE ARE DETERMINED TO BUILD AN UNRIVALED REPUTATION FOR OUR OUTSTANDING SERVICE AND DELIVERY OF CARE. WE OFFER ADVANCED SERVICES AND PROGRAMS INCLUDING A SERENE BIRTHING CENTER, SPECIALTY CLINICS, COMPREHENSIVE PUBLIC HEALTH SERVICES AND SPECIALIZED NUTRITION PROGRAMS FOR WOMEN, INFANTS AND CHILDREN. WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH 'ADVANCED HOMETOWN WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH "ADVANCED HOMETOWN HEALTHCARE."
Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNTHE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR.
Form 990, Part VI, Line 3 Delegation of management dutiesCOMMUNITY HOSPITAL CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
Form 990, Part VI, Line 6 Classes of members or stockholdersCHC, A TEXAS NON-PROFIT CORPORATION IS THE CLASS A MEMBER AND GAINESVILLE HOSPITAL DISTRICT IS THE CLASS B MEMBER OF GCH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyCHC, AS THE CLASS A MEMBER OF GCH, SHALL APPOINT TWO OF THE THREE MEMBERS OF THE BOARD OF DIRECTORS. GAINESVILLE HOSPITAL DISTRICT SHALL APPOINT ONE MEMBER OF THE BOARD OF DIRECTORS AS THE CLASS B MEMBER OF GCH. ANY DIRECTOR MAY BE REMOVED, WITH OR WITHOUT CAUSE, BY THE MEMBER WHICH APPOINTED THE DIRECTOR.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersCLASS A AND CLASS B APPROVALS. THE APPROVAL OF THE CLASS A MEMBER AND THE CLASS B MEMBER OF THE CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: 1. THE ESTABLISHMENT OF OR ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBERS, INCLUDING BUT NOT LIMITED TO THE PROVISION OF INDIGENT CARE. 2. ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OF CORPORATION. 3. ANY AMENDMENTS OR REVISIONS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF CORPORATION. 4. THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE. 5. ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY, TO WHICH CORPORATION IS A PARTY. 6. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF CORPORATION OR SUBSIDIARY ENTITY. 7. THE APPROVAL OF MAJOR (IN EXCESS OF $3,000,000.00) DEVELOPMENT CAMPAIGNS AND FUND-RAISING. 8. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT TO MEET ITS STATUTORY OR CONSTITUTIONAL OBLIGATIONS WITH REGARD TO INDIGENT CARE. 9. THE ENTRY INTO ANY AGREEMENT WHICH WOULD HAVE A MATERIALLY NEGATIVE EFFECT ON THE DISTRICT'S BOND RATING OR ABILITY TO MEET ITS OBLIGATIONS UNDER ANY BONDS. CLASS A APPROVALS. THE APPROVAL OF THE CLASS A MEMBER OF THE CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: 1. THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. 2. ALL MATERIAL EXPENDITURE DEVIATIONS (GREATER THAN $25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING BUDGET. 3. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET. 4. THE PURCHASE OR ACQUISITION OF ANY REAL, PERSONAL, OR MIXED PROPERTY BY THE CORPORATION IN EXCESS OF $100,000.00 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS. 5. THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION. 6. ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF THE PERSONAL PROPERTY OF CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEEDS $100,000.00. 7. ANY DEBT OR FINANCING ARRANGEMENT OF CORPORATION, EXCEPT USUAL AND CUSTOMARY TRADE DEBT WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION. 8. SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION IN EXCESS OF $100,000.00. 9. THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT, WITH AN ANNUAL COMPENSATION IN EXCESS: OF $50,000.00 OR AN AGGREGATE COMPENSATION IN EXCESS OF $100,000.00. 10. ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT CONTEMPLATED BY AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS IN EXCESS OF $100,000.00; PROVIDED, HOWEVER, THAT NO DEBT IN EXCESS OF $100,000 SHALL BE APPROVED BY THE CLASS A MEMBER OR INCURRED BY THE CORPORATION WITHOUT UNANIMOUS WRITTEN APPROVAL OF THE BOARD OF DIRECTORS OF THE CORPORATION. 11. THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. ELECTRONIC COPIES ARE PROVIDED TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyCONFLICT OF INTEREST STATEMENTS ARE FILED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE RESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE ISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD/COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING FURTHER INVESTIGATION IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, THEN APPROPRIATE DISCIPLINARY ACTION IS TAKEN WHICH CAN INCLUDE WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Misc. Revenue - Total Revenue: 24877, Related or Exempt Function Revenue: 24877, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesMEDICAL SVCS (CONTRACT LABOR) - Total Expense: 2411044, Program Service Expense: 2316727, Management and General Expenses: 94317, Fundraising Expenses: ; HOME HEALTH - Total Expense: 0, Program Service Expense: 0, Management and General Expenses: 0, Fundraising Expenses: 0; ANESTHESIA - Total Expense: 1275519, Program Service Expense: 956639, Management and General Expenses: 318880, Fundraising Expenses: ; PHYSICIAN SVCS - Total Expense: 672000, Program Service Expense: 504000, Management and General Expenses: 168000, Fundraising Expenses: ; DIETARY - Total Expense: 602889, Program Service Expense: 482311, Management and General Expenses: 120578, Fundraising Expenses: ; COVID - Total Expense: 1097, Program Service Expense: 1097, Management and General Expenses: , Fundraising Expenses: ; EVS - Total Expense: 357415, Program Service Expense: 268061, Management and General Expenses: 89354, Fundraising Expenses: ; FACILITIES - Total Expense: 231789, Program Service Expense: 173842, Management and General Expenses: 57947, Fundraising Expenses: ; MEDICAL IMAGING - Total Expense: 193362, Program Service Expense: 193362, Management and General Expenses: , Fundraising Expenses: ; TRANSCRI/CODING/3M - Total Expense: 289146, Program Service Expense: , Management and General Expenses: 289146, Fundraising Expenses: ; ADMIN PURCHASED SERVICES - Total Expense: 195584, Program Service Expense: , Management and General Expenses: 195584, Fundraising Expenses: ; PHARMACY - Total Expense: 34847, Program Service Expense: 34847, Management and General Expenses: , Fundraising Expenses: ; LAB - Total Expense: 516898, Program Service Expense: 516898, Management and General Expenses: , Fundraising Expenses: ; THERAPY - Total Expense: 59282, Program Service Expense: 59282, Management and General Expenses: , Fundraising Expenses: ; PT REGIS REGISTRATION - Total Expense: 46895, Program Service Expense: , Management and General Expenses: 46895, Fundraising Expenses: ; HR - Total Expense: 22533, Program Service Expense: , Management and General Expenses: 22533, Fundraising Expenses: ; MOB - Total Expense: 2561, Program Service Expense: , Management and General Expenses: 2561, Fundraising Expenses: ; MED STAFF - Total Expense: 36383, Program Service Expense: , Management and General Expenses: 36383, Fundraising Expenses: ; CLINIC - Total Expense: 268887, Program Service Expense: 45295, Management and General Expenses: 223592, Fundraising Expenses: ; EDUCATION - Total Expense: 16168, Program Service Expense: , Management and General Expenses: 16168, Fundraising Expenses: ; SLEEP - Total Expense: 21924, Program Service Expense: 21924, Management and General Expenses: , Fundraising Expenses: ; MATERIAL MGT - Total Expense: 12652, Program Service Expense: , Management and General Expenses: 12652, Fundraising Expenses: ; LAUNDRY - Total Expense: 14343, Program Service Expense: , Management and General Expenses: 14343, Fundraising Expenses: ; IT SERVICES - Total Expense: 279456, Program Service Expense: , Management and General Expenses: 279456, Fundraising Expenses: ; COLLECTIONS - Total Expense: 1166587, Program Service Expense: , Management and General Expenses: 1166587, Fundraising Expenses: ; RESPIRATORY - Total Expense: 29230, Program Service Expense: 29230, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesContributions from members - 17078;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2Txt
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591BEAUMONTTX77704741303720HOSPITALTX501(c)(3)3SWCH INCfalse
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE STBEAUMONTTX77701760453250PRIMARY CARETX501(c)(3)3BHSETfalse
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235BEAUMONTTX77701611557670SUPPORT ORGTX501(c)(3)7BHSETfalse
CAROLINAS COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000PLANOTX75024465590355SUPPORT ORGDE501(c)(3)Type IICHCfalse
CHC COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000PLANOTX75024371485773SUPPORT ORGTX501(c)(3)Type III-FICHCfalse
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DRIVE SUITE 1000PLANOTX75024752638469SUPPORT ORGTX501(c)(3)Type III-FINAfalse
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FLPADUCAHKY42003465032999HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FLABILENETX79601463607347HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FLMADISONVILLEKY42431465033192HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAYCORBINKY40701200925675HOSPITALKY501(c)(3)3CCCfalse
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREETODESSATX79761473539943HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 LEGACY DRIVE SUITE 1000PLANOTX75024813048423HOSPITALTX501(c)(3)3CCCfalse
CONTINUECARE HOSPITAL OF TYLER INC
800 E DAWSON STTYLERTX75701200991990HOSPITALTX501(c)(3)3CCCfalse
CRAWLEY MEMORIAL HOSPITAL INC
7950 Legacy DrivePlanoTX75024560691100HOSPITALNC501(c)(3)3CAR CCfalseSuite 1000
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVEHUNTSVILLETX77340760500960PUBLIC CHARI.TX501(c)(3)10HUNTSVILLEfalse
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVEHUNTSVILLETX77340843654542HOSPITALTX501(c)(3)3CHCfalse
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROADCHARLOTTENC26210753054855HOSPITALNC501(c)(3)3CAR CCfalse
RURAL AND COMMUNITY HEALTHCARE COLLABORA
7950 LEGACY DRIVE SUITE 1000PLANOTX75024814337246SUPPORT ORGTX501(c)(3)7CHCfalse
SOUTHWEST COMMUNITY HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000PLANOTX75024752725353SUPPORT ORGTX501(c)(3)Type III-FICHCfalse
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACELA GRANGETX78945743019849HOSPITALTX501(c)(3)3CHCfalse
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRIVEYOAKUMTX77995742323822HOSPITALTX501(c)(3)3CHCfalse
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVEYOAKUMTX77995453609830SUPPORT ORGTX501(c)(3)Type IYCHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GTGRAND CAYMANCJCAPTIVE INSURANCECJCHCC Corporationfalse
COMMUNITY HOSPITAL CONSULTING INC
MGMT CONSULTINGCHCC Corporationfalse7950 LEGACY DRIVE SUITE 1000PLANOTX75024204710183TX
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$6,136,106InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt