GAINESVILLE COMMUNITY HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: GAINESVILLE COMMUNITY HOSPITAL INC (EIN 83-1683025)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-09
IRS object ID: 202321289349304322
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-09T01:00:14+00:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON ST SUITE 600	AddressLine1Txt
City	FT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	831683025	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	GAIN	BusinessNameControlTxt
Phone	9406651751	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 HOSPITAL BLVD	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76240	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS SLEDGE	PersonNm
Person Title	Chief Executive Officer	PersonTitleTxt
Phone	9406128616	PhoneNum
Signature	2023-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	HILL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melva Scott	PreparerPersonNm
PTIN	P01207335	PTIN
Phone	8173351900	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH TEXAS MEDICAL CENTER	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS SLEDGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 HOSPITAL BLVD	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76240	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$45,418,832	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NTMCONLINE.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2018	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF GAINESVILLE COMMUNITY HOSPITAL IS TO PROVIDE EXCEPTIONAL PATIENT CENTERED CARE.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	374	TotalEmployeeCnt
Total Volunteers	40	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,698,910	PYContributionsGrantsAmt
CY Contributions Grants	$1,297,000	CYContributionsGrantsAmt
PY Program Service Revenue	$42,603,347	PYProgramServiceRevenueAmt
CY Program Service Revenue	$43,409,694	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$567,074	PYOtherRevenueAmt
CY Other Revenue	$537,587	CYOtherRevenueAmt
PY Total Revenue	$44,869,331	PYTotalRevenueAmt
CY Total Revenue	$45,244,281	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$19,338,863	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$21,634,651	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$22,868,434	PYOtherExpensesAmt
CY Other Expenses	$22,187,708	CYOtherExpensesAmt
PY Total Expenses	$42,207,297	PYTotalExpensesAmt
CY Total Expenses	$43,822,359	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,662,034	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,421,922	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,528,916	TotalAssetsBOYAmt
Total Assets EOY	$17,103,108	TotalAssetsEOYAmt
Total Liabilities BOY	$8,508,749	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,456,488	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,020,167	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,646,620	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF GAINESVILLE COMMUNITY HOSPITAL IS TO PROVIDE EXCEPTIONAL PATIENT CENTERED CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$30,319,041	ExpenseAmt
Revenue	$43,913,704	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$30,319,041	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	40	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	374	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS SLEDGE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9406128616	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 HOSPITAL BLVD	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76240	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOE THOMASON
DIRECTOR/PRESIDENT	1.0	39.0	Yes (X)	Yes (X)	$0	$446,734	$54,259
ANDREW ANDERSON
DIRECTOR (UNTIL 8/2021)	1.0	0	Yes (X)		$0	$0	$0
JIM KENDRICK
DIRECTOR	0.2	39.8	Yes (X)		$0	$1,387,544	$150,013
Shane Lee
Director (start 8/2021)	1.0	0.0	Yes (X)		$0	$0	$0
JAMES HILL
TREASURER	0.4	39.6		Yes (X)	$0	$397,284	$32,639
LINDA MOORE
SECRETARY	0.1	39.9		Yes (X)	$0	$365,303	$35,016
THOMAS SLEDGE
CEO	40.0	0		Yes (X)	$0	$273,663	$50,154
SHELLE DIEHM
CFO	40.0	0			$0	$204,111	$40,982	Yes (X)
BHUPINDER KHAIRA MD
GENERAL SURGEON	40.0	0			$622,752	$0	$23,719		Yes (X)
CHRISTIAN VISSERS MD
ORTHOPEDIC SURGEON	40.0	0			$653,572	$0	$44,084		Yes (X)
MOLLY ISOLA MD
OB/GYN PHYSICIAN	0.0	0			$381,625	$0	$2,936		Yes (X)
Tracy Wang MD
Physician	40.0	0			$187,292	$0	$4,762		Yes (X)
ZAIRA JORAI-KHAN DO
OB/GYN PHYSICIAN	40.0	0			$358,637	$0	$33,384		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,203,878	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,074,639	TotReportableCompRltdOrgAmt
Total Other Compensation	$471,948	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	13	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
MEDICAL SOLUTIONS LLC
PO BOX 310737	DES MOINES	IA	50331	contract clinical labor	$2,351,616
GEBBS HEALTHCARE SOLUTIONS INC
600 CORPORATE POINT STE 1250	CULVER CITY	CA	90292	billing and collection svcs	$1,038,623
FARAHAT AND ASSOCIATES PLLC
8831 CEDAR RIDGE	LANTANA	TX	76226	hospitalist group	$666,000
MORRISON MANAGEMENT SPECIALISTS Inc
PO Box 102289	Atlanta	GA	303682289	Dietary/Food Svcs	$591,416
NORTHSTAR ANESTHESIA P
6225 N State Hwy 161	Irving	TX	75038	Anesthesia provider group	$464,648	Ste 200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$1,297,000	GovernmentGrantsAmt
Total Contributions	$1,297,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$38,970,289	$38,970,289
SUPPLEMENTAL STATE FUNDING	622110	$4,439,405	$4,439,405

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$43,409,694	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$208,128	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$174,551	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$33,577	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,577	TotalRevenueColumnAmt
Exclusion	$33,577	ExclusionAmt

Gain Or Loss GainOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Outsourced Pharmacy Staffing	622110	$126,060	$126,060
TOBACCO FUND REVENUE	622110	$97,661	$97,661
Trauma Fund Revenue	622110	$87,883	$87,883

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$192,406	TotalRevenueColumnAmt
Related Or Exempt Func Income	$192,406	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$504,010	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,244,281	TotalRevenueColumnAmt
Related Or Exempt Func Income	$43,913,704	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$33,577	ExclusionAmt

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,693,502	TotalAmt
Program Services	$13,421,569	ProgramServicesAmt
Management And General	$4,271,933	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$314,415	TotalAmt
Program Services	$238,502	ProgramServicesAmt
Management And General	$75,913	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,420,902	TotalAmt
Program Services	$1,836,397	ProgramServicesAmt
Management And General	$584,505	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,205,832	TotalAmt
Program Services	$914,695	ProgramServicesAmt
Management And General	$291,137	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$755,605	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$755,605	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$15,738	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$15,738	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$234,974	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$234,974	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$405	TotalAmt
Program Services	$405	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,550,932	TotalAmt
Program Services	$6,034,143	ProgramServicesAmt
Management And General	$3,516,789	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$176,168	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$176,168	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,774	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$51,774	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$371,885	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$371,885	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$274,099	TotalAmt
Program Services	$274,099	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$528,746	TotalAmt
Program Services	$327,751	ProgramServicesAmt
Management And General	$200,995	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$5,305,776	$5,266,525	$39,251
REPAIRS & MAINT/CONTRACT	$1,805,583	$911,988	$893,595
LEASES/EQUIPMENT RENTAL	$1,047,287	$574,351	$472,936

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,068,736	TotalAmt
Program Services	$518,616	ProgramServicesAmt
Management And General	$1,550,120	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,822,359	TotalAmt
Program Services	$30,319,041	ProgramServicesAmt
Management And General	$13,503,318	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,394,950	BOYAmt
EOY	$4,297,483	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,834,360	BOYAmt
EOY	$4,075,330	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$663,275	BOYAmt
EOY	$773,627	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$76,261	BOYAmt
EOY	$761,926	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,941,255	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,176,719	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$560,070	BOYAmt
EOY	$6,764,536	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$430,206	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,528,916	BOYAmt
EOY	$17,103,108	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,775,974	BOYAmt
EOY	$3,747,649	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,732,775	BOYAmt
EOY	$6,708,839	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,508,749	BOYAmt
EOY	$10,456,488	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,020,167	BOYAmt
EOY	$5,612,667	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,033,953	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,020,167	BOYAmt
EOY	$6,646,620	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,528,916	BOYAmt
EOY	$17,103,108	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,421,922	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$795,469	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$405	OtherActivitiesAmt
Total Lobbying Expenditures	$405	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	IN FISCAL YEAR 2022 Gainesville Community Hospital PAID $4,483 TO TEXAS HOSPITAL ASSOCIATION, (THA). THE PORTION OF DUES THAT WERE REPORTED FOR LOBBYING PURPOSES BY THA WERE 9.03% TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: THA: $4,483* 9.03%= $405	ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$374,334	OtherCostOrOtherBasisAmt
Depreciation	$110,427	DepreciationAmt
Book Value	$263,907	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,432,166	OtherCostOrOtherBasisAmt
Depreciation	$1,066,292	DepreciationAmt
Book Value	$365,874	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,134,755	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$6,134,755	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,764,536	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYERS
LIMITED PAYBACK TO GAINESVILLE HOSP
Current Lease Liability - Operating	$1,111,740
long term lease liablity - opeating	$4,499,087
related party payables	$1,098,012

Field	Value	IRS element (for citing)
Total Liability	$6,708,839	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$45,418,832	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$45,418,832	RevenueSubtotalAmt
Other Revenues Not Included	-$174,551	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$174,551	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$45,244,281	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$43,996,910	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$43,996,910	ExpensesSubtotalAmt
Other Expenses Not Included	-$174,551	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$174,551	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$43,822,359	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENTAL EXPENSE - -174551
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	RENTAL EXPENSE - -174551

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	false	FinancialAssistancePolicyInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,722,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,722,150	NetCommunityBenefitExpnsAmt
Total Expense	0.0393	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,928,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,663,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$264,775	NetCommunityBenefitExpnsAmt
Total Expense	0.0060	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,650,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,663,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,986,925	NetCommunityBenefitExpnsAmt
Total Expense	0.0453	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

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

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,650,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,663,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,986,925	NetCommunityBenefitExpnsAmt
Total Expense	0.0453	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$11,403,294	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,662,079	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$741,215	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH TEXAS MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 HOSPITAL BLVD	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76240	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://NTMCONLINE.NET	WebsiteAddressTxt
State License	100453	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH TEXAS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://ntmconline.net/your-hospital/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://ntmconline.net/your-hospital/community-health-needs-assessment/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://ntmconline.net/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	false	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	false	CollectionActivitiesInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 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. COOKE COUNTY COMPRISES 81.1% OF FY 2019 INPATIENT DISCHARGES. 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. ALSO INCLUDED IN THE MEDICAL FACILITY ARE A 15-BED OUTPATIENT SURGERY CENTER, AN EXPANDED SURGICAL DEPARTMENT, A VASCULAR LAB AND A GREATLY EXPANDED EMERGENCY DEPARTMENT (FIVE FASTTRACK, THREE TRAUMA AND THREE SPECIALTY ROOMS). THE MISSION OF NORTH TEXAS MEDICAL CENTER IS TO PROVIDE EXCEPTIONAL, PATIENT CENTERED CARE. NTMC IS OPERATED BY COMMUNITY HOSPITAL CORPORATION AND OWNED BY GAINESVILLE HOSPITAL DISTRICT. THE DEFINED SERVICE AREA OF NTMC IS COOKE COUNTY. THE POPULATION OF COOKE COUNTY IS EXPECTED TO INCREASE BY 3.0% FROM 2019 (41,283) TO 2024 (42,517), WHICH IS BELOW THE 8.2% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2019 (29,443,411) TO 2024 (31,853,753). IN 2019, THE RACIAL/ETHNIC BREAKOUT OF COOKE COUNTY WAS 82.7% WHITE NON HISPANIC, 3.3% BLACK, 1.1% ASIAN, 1.1% AMERICAN INDIAN AND 11.8% ALL OTHERS. BY 2024, THE WHITE POPULATION IN COOKE COUNTY IS EXPECTED TO INCREASE BY 0.7%. BY 2024, THE BLACK POPULATION AND THE ASIAN POPULATION IN COOKE COUNTY IS EXPECTED TO INCREASE BY 9.5% AND 27.9%, RESPECTIVELY. ADDITIONALLY, BY 2024, THE HISPANIC POPULATION AND THE AMERICAN INDIAN POPULATION IN COOKE COUNTY IS EXPECTED TO INCREASE BY 15.7% AND 5.7%, RESPECTIVELY. ALL OTHER RACIAL/ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 14.8% IN COOKE COUNTY BY 2024. AS OF 2019, COOKE COUNTY (40.3 YEARS) HAS AN OLDER MEDIAN AGE THAN THE STATE OF TEXAS (35.0 YEARS). THE MEDIAN AGE IN BOTH COOKE COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). COOKE COUNTY ($57,681) HAS A LOWER MEDIAN HOUSEHOLD INCOME THAN THE OF STATE TEXAS ($59,676) (2019). THE MEDIAN HOUSEHOLD INCOME IN BOTH COOKE COUNTY AND THE STATE IS PROJECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024). UNEMPLOYMENT RATES IN COOKE COUNTY AND THE STATE DECREASED BETWEEN 2016 AND 2018. IN 2018, COOKE COUNTY (3.1) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE OF TEXAS (3.9). COOKE COUNTY (16.2%) HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY AS COMPARED TO THE STATE (19.6%) (2019). IN 2017, COOKE COUNTY (20.6%) HAS A SLIGHTLY LOWER PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY THAN TEXAS (21.0%). BETWEEN 2015 AND 2017, THE PERCENT OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN COOKE COUNTY REMAINED RELATIVELY STEADY WHILE RATES IN THE STATE DECREASED. COOKE COUNTY (23.8%) HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (30.1%) (2019). COOKE COUNTY (94.1%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.0%) AND THE NATION (86.8%)(2016-2017). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 15.6% OF COOKE COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 14.9% IN TEXAS. ADDITIONALLY, 23.9% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN COOKE COUNTY ARE FOOD INSECURE, AS COMPARED TO 22.5% IN TEXAS (2017). IN 2016-2017, COOKE COUNTY (56.8%) HAS A SLIGHTLY LOWER PERCENTAGE OF PUBLIC-SCHOOL STUDENTS ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH THAN THE STATE (58.9%), BUT A HIGHER RATE THAN THE NATION (49.2%). COOKE COUNTY (94.1%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.0%) AND THE NATION (86.8%)(2016-2017). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE STATE OF TEXAS (2014-2018). BETWEEN 2014 AND 2018, HEART DISEASE MORTALITY RATES IN COOKE COUNTY AND THE STATE DECREASED. CANCER IS THE SECOND LEADING CAUSE OF DEATH IN THE COOKE COUNTY AND THE STATE (2014-2018). BETWEEN 2014 AND 2018, CANCER MORTALITY RATES INCREASED IN COOKE COUNTY AND DECREASED IN THE STATE. FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE OF TEXAS (2014-2018). BETWEEN 2014 AND 2018, ACCIDENT MORTALITY RATES DECREASED IN COOKE COUNTY AND INCREASED IN THE STATE. THE LEADING CAUSE OF FATAL ACCIDENTS IN COOKE COUNTY IS DUE TO MOTOR VEHICLE ACCIDENTS (2016-2018). CEREBROVASCULAR DISEASES ARE THE FOURTH LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE THIRD LEADING CAUSE OF DEATH IN THE STATE (2014-2018). BETWEEN 2014 AND 2018, CEREBROVASCULAR DISEASE MORTALITY RATES IN COOKE COUNTY AND THE STATE DECREASED. CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE FIFTH LEADING CAUSE OF DEATH IN COOKE COUNTY AND THE FOURTH LEADING CAUSE OF DEATH IN THE STATE (2014-2018). BETWEEN 2016 AND 2018, CLRD MORTALITY RATES INCREASED IN COOKE COUNTY AND SLIGHTLY DECREASED IN THE STATE. ALZHEIMER'S DISEASE, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INTENTIONAL SELF-HARM (SUICIDE), DIABETES MELLITUS AND INFLUENZA AND PNEUMONIA ARE ALSO LEADING CAUSES OF DEATH IN COOKE COUNTY. ARTHRITIS IS A PREVALENT CHRONIC CONDITION IN NTMC 4-COUNTY AREA, WHICH INCLUDES COOKE, MONTAGUE, GRAYSON AND WISE COUNTIES. BETWEEN 2014 AND 2018, ARTHRITIS PREVALENCE RATES IN ADULTS (AGE 18+) IN THE NTMC 4-COUNTY AREA AND THE STATE INCREASED IN 2016-2018, THE NTMC 4-COUNTY AREA THE NTMC 4-COUNTY AREA (59.9%) HAD A HIGHER PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ARTHRITIS THAN THE STATE (21.5%). PHYSICAL INACTIVITY, OBESITY, DIABETES, SMOKING AND TOBACCO USE ARE HIGHLY PREVALENT HEALTH ISSUES IN THE AREA AS WELL. AS OF 2017, COOKE COUNTY (20.7%) HAS A SLIGHTLY HIGHER RATE OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO THE STATE (19.4%). COOKE COUNTY AND THE STATE DID NOT EXPERIENCE SIMILAR DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2017 (4.8% AND 5.4%, RESPECTIVELY). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR 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, AND IS THE FIRST CHNA CONDUCTED FOR NTMC DUE TO ITS TRANSITION TO TAX EXEMPT STATUS ON DECEMBER 1, 2018. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED FROM FEBRUARY 6, 2020 - MARCH 4, 2020. 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 2020 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 19, 2020. 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, 2018 - JUNE 30, 2019 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, THE CARES ENGAGEMENT NETWORK, 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, THE UNITED STATES BUREAU OF LABOR STATISTICS. NTMC PROVIDED CHC WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE COOKE COUNTY AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, EIGHTEEN 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. BACKGROUND INFORMATION WAS GATHERED ON EACH INTERVIEWEE.
Schedule H, Part V, Section B, Line 5 Facility , 2	Facility , 2 - NORTH TEXAS MEDICAL CENTER (CONTINUED). WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 94.4% 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. 5.6% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: -MEGAN ANDERLE: MARKETING DIRECTOR, RENAISSANCE CENTER OF GAINESVILLE -JASON BRINKLEY: COUNTY JUDGE, COOKE COUNTY -JIM GOLDSWORTHY: MAYOR, CITY OF GAINESVILLE -CHERYL GOMEZ: DIRECTOR, WORKFORCE SOLUTIONS -MELANIE HESSE: EXECUTIVE DIRECTOR, ABBA WOMEN'S CENTER -GINGER JOHNSON: INTERIM DIRECTOR, ABIGAIL'S ARMS COOKE COUNTY FAMILY CRISIS CENTER -BEKKI JONES: EXECUTIVE DIRECTOR, VISTO OF GAINESVILLE -EMILY LEWIS, RN: BOARD MEMBER, NORTH TEXAS MEDICAL CENTER; INSTRUCTOR OF NURSING DEPARTMENT, NORTH CENTRAL TEXAS COLLEGE -ARLEENE LLOYD: EXECUTIVE DIRECTOR, GAINESVILLE ECONOMIC DEVELOPMENT CORPORATION -NICKI PICKETT: PASTOR, REAL LIFE CHURCH -VICKI ROBERTSON: EXECUTIVE DIRECTOR, COURT APPOINTED SPECIAL ADVOCATES (CASA) FOR KIDS OF NORTH TEXAS -DOREEN RUE: CHIEF EXECUTIVE OFFICER, HEALTH SERVICES OF NORTH TEXAS -MARIA SMITH: HEALTH SERVICES COORDINATOR, TEXAS DEPARTMENT OF STATE HEALTH SERVICES - GAINESVILLE OFFICE -DES STEWART: SUPERINTENDENT, GAINESVILLE INDEPENDENT SCHOOL DISTRICT -JEREMY THOMPSON: SUPERINTENDENT, ERA INDEPENDENT SCHOOL DISTRICT -MORGAN TOBIAS: EXECUTIVE DIRECTOR, GAINESVILLE AREA CHAMBER OF COMMERCE -SHAWN WHITE, MD: PHYSICIAN, GAINESVILLE CLINIC -NIKI WILLIS: PROGRAM DIRECTOR, COURT APPOINTED SPECIAL ADVOCATES (CASA) FOR KIDS OF NORTH TEXAS 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. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: YOUTH, ELDERLY, HOMELESS, LOW INCOME/WORKING POOR AND RACIAL/ETHNIC GROUPS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: YOUTH -POVERTY -TEEN PREGNANCY -LACK OF EXTRACURRICULAR ACTIVITIES -TRANSPORTATION BARRIERS -MENTAL HEALTH CONCERNS (BULLYING, SUICIDE) -DRUG USE, VAPING -ACCESS TO PRIMARY CARE -INCREASING HOMELESS RATE -HEALTH CARE INDEPENDENCE ELDERLY -LIMITED HOME HEALTH OPTIONS -TRANSPORTATION BARRIERS -ISOLATION -LACK OF AFFORDABLE MEDICATIONS -LACK OF ACCESS TO LOCAL SPECIALTY CARE HOMELESS -GROWING POPULATION -LACK OF SHELTERS IN COMMUNITY LOW INCOME/WORKING POOR -LACK OF AWARENESS/EDUCATION REGARDING HEALTH CARE SETTINGS -LIMITED COMPUTER SKILLS -LOW PRIORITIZATION OF HEALTH CARE NEEDS -LACK OF ACCESS TO HEALTHY FOOD -MISUSE OF THE EMERGENCY ROOM RACIAL/ETHNIC GROUPS -LANGUAGE BARRIERS (HISPANIC) -LIMITED NUMBER OF BILINGUAL PROVIDERS -FEAR OF HEALTH CARE SYSTEM (UNDOCUMENTED)
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTH TEXAS MEDICAL CENTER, (NTMC). THE CHNA IDENTIFIED FOUR 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. CONTINUED EMPHASIS ON PHYSICIAN RECRUITMENT AND RETENTION 2. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE PROVIDERS AND SERVICES 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE RANKED HEALTH NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: CONTINUED EMPHASIS ON PHYSICIAN RECRUITMENT AND RETENTION OBJECTIVE: PROVIDE AND PROMOTE ACCESS TO PRIMARY HEALTH CARE SERVICES IN THE COMMUNITY 1.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. 1.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 AND CONDUCTING ROUTINE FOLLOW-UP PHONE CALLS WITH DISCHARGED PATIENTS. 1.C. NTMC WILL CONTINUE TO SERVE AS A CLINICAL SITE FOR HEALTH CARE STUDENTS FROM SEVERAL LOCAL ACADEMIC INSTITUTIONS TO ROTATE THROUGH THE FACILITY. 1.D. NTMC WILL CONTINUE TO HOST AREA HIGH SCHOOL STUDENTS DURING THE SUMMERTIME SO THAT THEY MAY OBSERVE DIFFERENT AREAS OF THE HOSPITAL. 1.E. NTMC WILL CONTINUE TO PROVIDE SPECIALTY SERVICES SUCH AS GENERAL SURGERY, BARIATRIC SURGERY, CARDIOLOGY, ORTHOPEDIC SURGERY, OB/GYN, OPHTHALMOLOGY, PAIN MANAGEMENT, PODIATRY AND PULMONOLOGY IN ORDER TO INCREASE ACCESS TO SPECIALTY CARE PROVIDERS AND SERVICES IN THE COMMUNITY. 1.F. NTMC WILL CONTINUE TO PROVIDE TELEHEALTH SERVICES, AND WILL EXPLORE EXPANDING TELEMEDICINE SERVICES AS OPPORTUNITIES ARISE. PRIORITY #2: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE PROVIDERS AND SERVICES OBJECTIVE: PROVIDE AND PROMOTE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES IN THE COMMUNITY 2.A. NTMC WILL CONTINUE TO STAFF A LICENSED SOCIAL WORKER WHO COUNSELS PATIENTS ON VARYING ISSUES AS APPROPRIATE. 2.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, NTMC SOCIAL WORKERS WILL CONTINUE TO PROVIDE A BROCHURE OF COMMUNITY RESOURCES TO APPLICABLE PATIENTS AND WILL WORK TO UPDATE THE INFORMATION BASED ON NEW AGENCIES IN THE AREA. 2.C. NTMC WILL CONTINUE TO PROVIDE SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES IN THE HOSPITAL FOR APPROPRIATE PATIENTS. 2.D. NTMC WILL CONTINUE TO EDUCATE LOCAL HIGH SCHOOL STUDENTS ON MENTAL AND BEHAVIORAL HEALTH TOPICS. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 3.A. 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. 3.B. NTMC WILL CONTINUE STRENGTHENING ITS PARTNERSHIPS WITH LOCAL NURSING HOMES TO PROVIDE LAB AND IMAGING SERVICES. 3.C. NTMC WILL CONTINUE TO WORK WITH SELF PAY PATIENTS ON PAYMENT PLANS AND/OR INSURANCE COVERAGE THROUGH FINANCIAL COUNSELING. 3.D. NTMC WILL CONTINUE TO PROVIDE TRANSLATION SERVICES AND RESOURCES IN MULTIPLE LANGUAGES, INCLUDING SERVICES FOR THOSE WHO MAY BE VISION AND/OR HEARING IMPAIRED. 3.E. NTMC WILL CONTINUE TO CONNECT PATIENTS TO AFFORDABLE RESOURCES, SUCH AS DISCOUNT PHARMACY SERVICES WHEN AVAILABLE. PRIORITY #4: 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. 4.A. NTMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN LOCALHEALTH-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. 4.B. NTMC WILL CONTINUE TO INCREASE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS. 4.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. 4.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 ADVERTISEMENTS, FACEBOOK AND UPDATING THE HOSPITAL'S WEBSITE. 4.E. NTMC WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT RESOURCES TO PATIENTS UPON DISCHARGE AS NEEDED.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 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.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
COOKE COUNTY MEDICAL CENTER
1902 HOSPITAL BOULEVARD	GAINESVILLE	TX	76240	RURAL HEALTH CLINIC
NTMC ORTHOPEDICS CLINIC
1615 HOSPITAL BLVD	GAINESVILLE	TX	76240	ORTHOPEDICS CLINIC
SURGICAL SPECIALISTS OF NORTH TEXAS
1627 N GRAND AVE	GAINESVILLE	TX	76240	SURGICAL SERVICES CLINIC
ADVANCED SURGERY & BARIATRICS
2024 US-82	GAINESVILLE	TX	76240	BARIATRICS SURGERY AND CLINIC
NTMC HOME HEALTH
1615 HOSPITAL BLVD SUITE B	GAINESVILLE	TX	76240	HOME HEALTH AGENCY
PEDIATRIC & ADULT SLEEP WELLNESS CENTER
1900 HOSPITAL BLVD	GAINESVILLE	TX	76240	SLEEP STUDY CLINIC
NTMC SPECIALTY CLINIC
2024 US-82	GAINESVILLE	TX	76240	PAIN MANAGEMENT/OCCUPATINAL MEDICINE CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a SCHEDULE H, PART I, LINE 6A	THE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2022 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION.
Schedule H, Part V, Section B, Line 22 SCHEDULE H, PART V, SECTION B, LINE 22	DURING THE FISCAL YEAR ENDED JUNE 30, 2022 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 FOOTNOTE	PATIENT 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 SYSTEM	GAINESVILLE COMMUNITY HOSPITAL (D/B/A NORTH TEXAS MEDICAL CENTER) IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ALL 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 assessment	GCH WAS FORMED ON AUGUST 10, 2018 AS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TX AND SERVING THE RESIDENTS OF COOKE COUNTY, TEXAS. AS REPORTED IN SCHEDULE H, PART V, SECTION C, THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THE FISCAL YEAR ENDING JUNE 30, 2020. THE CHNA WAS ADOPTED BY ITS GOVERNING BOARD ON MAY 19, 2020. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE IN SCHEDULE H, PART V, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. THE ORGANIZATION SPEAKS WITH MEMBERS OF THE COMMUNITY AND LOCAL LEADERS TO SEE WHAT THEY FEEL ARE MAJOR NEEDS OF THE COMMUNITY. THE MISSION OF THE NTMC FAMILY IS TO PROVIDE EXCEPTIONAL, PATIENT CENTERED CARE. THE NTMC VISION IS TO EXPAND HEALTHCARE SERVICES TO THE COMMUNITY WE SERVE. NTMC OPERATES UNDER THE VALUES OF "HEART" HONESTY, EXCELLENCE, ACCOUNTABILITY, RESPECT AND TEAMWORK. BASED ON THE FINDINGS FROM THE NTMC 2020 CHNA THAT WAS RECENTLY COMPLETED, NTMC WILL FOCUS ON THE IDENTIFIED ISSUES AND ADDRESS THOSE IDENTIFIED NEEDS THROUGH ITS IMPLEMENTATION PLAN. A FEW EXAMPLES OF ACTIONS BEING TAKEN BY THE HOSPITAL TO PROMOTE THE HEALTH OF THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: WEIGHT LOSS SURGERY SEMINARS, MONTHLY EDUCATION SESSIONS AT THE STANFORD HOUSE, THE ANNUAL HALLOWEEN HUSTLE, THE HEART HUSTLE, BACK TO SCHOOL WELLNESS EVENTS, BLOOD DRIVES AND LOCAL MEDIAL OUTLET EDUCATIONAL SEGMENTS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS 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 information	NORTH TEXAS MEDICAL CENTER (NTMC) IS AN ACUTE CARE HOSPITAL LOCATED IN GAINESVILLE, TEXAS WHICH IS IN COOKE COUNTY TEXAS. 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. ALSO INCLUDED IN THE MEDICAL FACILITY ARE A 15-BED OUTPATIENT SURGERY CENTER, AN EXPANDED SURGICAL DEPARTMENT, A VASCULAR LAB AND A GREATLY EXPANDED EMERGENCY DEPARTMENT (FIVE FAST-TRACK, THREE TRAUMA AND THREE SPECIALTY ROOMS). NTMC 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. 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 INCLUDING FISHING, BOATING, SAILING, STATE PARKS AND MUSEUMS. THE CITY OF GAINESVILLE HAS NUMEROUS CITY PARKS AND AN INTEGRATED SOCCER COMPLEX WHICH HOSTS YEAR ROUND SOFTBALL. THE CITY ALSO HAS A POPULAR ZOO, MUSEUMS, DINING AND SHOPPING. THE CITY OF GAINESVILLE ALSO HAS A HISTORIC TRAIN DEPOT WHICH OPERATES DAILY BETWEEN OKLAHOMA CITY AND FORT WORTH AND A MUNICIPAL AIRPORT. GAINESVILLE HAS AN EXCELLENT ECONOMY AND A NUMBER OF LARGE MANUFACTURING COMPANIES HEADQUARTERED IN THE CITY. THE CITY OFFERS RESIDENTS A QUIET SUBURBAN LIVING WITH A LOW COST OF LIVING, LOW UNEMPLOYMENT, A GOOD PUBLIC SCHOOL SYSTEM AND A PUBLIC COLLEGE WHICH SERVES ALL OF COOKE COUNTY. THE DEFINED SERVICE AREA OF NTMC FOR PURPOSES OF THEIR CHNA IS COOKE COUNTY, TEXAS. DURING FISCAL YEAR ENDED JUNE 30, 2019, COOKE COUNTY COMPRISED 81.1% OF ALL INPATIENT DISCHARGES FROM NTMC. THE POPULATION OF COOKE COUNTY IS EXPECTED TO GROW BY 3.0% FROM 2019 (41,283) TO 2024 (42,517), WHICH IS BELOW THE 8.2% EXPECTED GROWTH FOR THE STATE OF TEXAS FROM 2019 (29,443,411) TO 2024 (31,853,753). AS OF 2019, THE RACIAL/ETHNIC BREAKOUT OF COOKE COUNTY WAS 82.7% WHITE, 3.3% BLACK, 1.1% ASIAN, 1.1% AMERICAN INDIAN, 11.8% ALL OTHERS AND 18.9% HISPANIC. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN COOKE COUNTY, AS OF 2019, WAS APPROXIMATELY $57,681 WHICH WAS SLIGHTLY LOWER THAN THE STATE OF TEXAS AT $59,676. THE UNEMPLOYMENT RATE FOR COOKE COUNTY IN 2018 WAS 3.1%. AS OF 2019, APPROXIMATELY 16.2% OF FAMILIES IN COOKE COUNTY LIVED BELOW THE POVERTY LEVEL COMPARED TO THE STATE AT 19.6%. IN 2017, 20.6% OF THE CHILDREN, (<18 YEARS OLD), IN COOKE COUNTY LIVED BELOW THE POVERTY LEVEL, WHICH WAS SLIGHTLY LOWER THAN THE STATE OF TEXAS AT 20.6%. IN 2019, APPROXIMATELY 23.8% OF THE RESIDENTS OF COOKE COUNTY HAD A BACHELORS OR ADVANCED DEGREE COMPARED TO THE STATE OF TEXAS, WHICH HAD A HIGHER PERCENTAGE, AT 30.1%. AS OF 2016-2017, COOKE COUNTY (94.1%) HAS A HIGHER HIGH SCHOOL GRADUATION RATE THAN THE STATE (91.0%) AND THE NATION (86.8%). COOKE COUNTY (40.3 YEARS) HAS AN OLDER MEDIAN AGE THAN TEXAS (35.0 YEARS) (2019). THE MEDIAN AGE IN COOKE COUNTY AND THE STATE IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2019-2024).
Schedule H, Part VI, Line 5 Promotion of community health	North 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 2020 and/or 2021. 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. 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 and conducting routine follow-up phone calls with discharged patients. NTMC will continue to serve as a clinical site for health care students from several local academic institutions to rotate through the facility. Current Examples include: North Central Texas College nursing students NTMC will continue to host area high school students during the summer time so that they may observe different areas of the hospital. Current Examples include: Lindsay ISD, Callisburg ISD, Muenster ISD NTMC will continue to provide specialty services such as general surgery, bariatric surgery, cardiology, orthopedic surgery, OB/GYN, ophthalmology, pain management, and wound care in order to increase access to specialty care providers and services in the community. NTMC will continue to staff a licensed social worker who counsels patients on varying issues as appropriate. 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, NTMC social workers will continue to provide a brochure of community resources to applicable patients, and will work to update the information based on new agencies in the area. NTMC will continue to provide Sexual Assault Nurse Examiner (SANE) services in the hospital for appropriate patients. NTMC will continue to educate local high school students on mental and behavioral health topics. Current Examples include: risky lifestyle behaviors (alcohol use) 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. Current examples include: blood drives, Taste of NTMC, Great Basket Raffle, Great Day for United Way, Red River Steakoff, NTMC Scrub Fair, Zoo La La Fashion Show, Gainesville Area Chamber of Commerce Golf Tournament, VISTO fundraising events NTMC will continue strengthening its partnerships with local nursing homes to provide lab and imaging services. NTMC will continue to work with uninsured patients on payment plans and/or insurance coverage through financial counseling NTMC will continue to provide translation services and resources in multiple languages, including services for those who may be vision and/or hearing impaired. NTMC will continue to connect patients to affordable resources, such as discount pharmacy services when available. 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. Current examples include: NTMC Auxiliary Thanksgiving Bake Sale, Annual Halloween Hustle, Back to School Wellness Event, Heart Hustle NTMC will continue to increase educational opportunities for the public concerning wellness topics and health risk concerns. Current examples include: Facebook education (lymphedema, sleep awareness, brain injury awareness, national heart month, cardiac rehabilitation week), stroke education, health and safety (COVID-19 prevention), Joint Camp, Childbirth Class, Weight Loss Surgery seminars, snake bite education, health information and education contributions to the Gainesville Register journal, monthly education at the Stanford House 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. Current examples include: Gainesville Area Chamber of Commerce, Gainesville Economic Development Corporation, Leadership Gainesville, NTMC Foundation, Kiwanis Group, United Way of Cooke County, Rotary 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. Current examples include: KGAF educational segments, Facebook, hospital website NTMC will continue to provide medication management resources to patients upon discharge as needed
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOE THOMASON
DIRECTOR/PRESIDENT	$0	$364,522	$0	$56,075	$0	$26,137	$0	$15,676	$0	$38,583	$0	$500,993	$0	$8,329
JIM KENDRICK
DIRECTOR	$0	$934,482	$0	$370,443	$0	$82,619	$0	$112,430	$0	$37,583	$0	$1,537,557	$0	$27,685
JAMES HILL
TREASURER	$0	$327,262	$0	$49,537	$0	$20,485	$0	$3,854	$0	$28,785	$0	$429,923	$0	$0
LINDA MOORE
SECRETARY	$0	$302,507	$0	$41,778	$0	$21,018	$0	$14,293	$0	$20,723	$0	$400,319	$0	$2,412
THOMAS SLEDGE
CEO	$0	$244,461	$0	$26,521	$0	$2,681	$0	$18,771	$0	$31,383	$0	$323,817	$0	$0
SHELLE DIEHM
CFO	$0	$182,734	$0	$17,598	$0	$3,779	$0	$12,452	$0	$28,530	$0	$245,093	$0	$0
MOLLY ISOLA MD
OB/GYN PHYSICIAN	$375,147	$0	$6,478	$0	$0	$0	$2,936	$0	$0	$0	$384,561	$0	$0	$0
ZAIRA JORAI-KHAN DO
OB/GYN PHYSICIAN	$332,113	$0	$26,524	$0	$0	$0	$3,001	$0	$30,383	$0	$392,021	$0	$0	$0
BHUPINDER KHAIRA MD
GENERAL SURGEON	$419,464	$0	$201,003	$0	$2,285	$0	$2,996	$0	$20,723	$0	$646,471	$0	$0	$0
CHRISTIAN VISSERS MD
ORTHOPEDIC SURGEON	$537,655	$0	$115,917	$0	$0	$0	$8,700	$0	$35,384	$0	$697,656	$0	$0	$0
Tracy Wang MD
Physician	$156,542	$0	$30,750	$0	$0	$0	$4,762	$0	$0	$0	$192,054	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	GAINESVILLE 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 6/30/2022 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JIM KENDRICK - $52,788 LINDA MOORE - $13,982 JAMES HILL - $15,607 JOE THOMASON - $17,441
Schedule J, Part I, Line 7 Non-fixed payments	A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	GCH 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, 2022, WE HAD 1,455 ADMISSIONS, 7,041 PATIENT DAYS, 16,890 ER VISITS, 201 INPATIENT SURGERIES AND 1,082 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 15.4 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 3.7 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 BEGUN	THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO 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 duties	COMMUNITY HOSPITAL CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHC, 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 body	CHC, 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 stockholders	CLASS 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 body	THE 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 policy	CONFLICT 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 public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service Revenue	- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Operating income - Total Revenue: 192406, Related or Exempt Function Revenue: 192406, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	MEDICAL SVCS (CONTRACT LABOR) - Total Expense: 3745922, Program Service Expense: 2956077, Management and General Expenses: 789845, Fundraising Expenses: ; HOME HEALTH - Total Expense: 582862, Program Service Expense: 472322, Management and General Expenses: 110540, Fundraising Expenses: ; ANESTHESIA - Total Expense: 518743, Program Service Expense: 389057, Management and General Expenses: 129686, Fundraising Expenses: ; PHYSICIAN SVCS - Total Expense: 614425, Program Service Expense: 578425, Management and General Expenses: 36000, Fundraising Expenses: ; DIETARY - Total Expense: 445925, Program Service Expense: 356740, Management and General Expenses: 89185, Fundraising Expenses: ; COVID - Total Expense: 119540, Program Service Expense: 119540, Management and General Expenses: 0, Fundraising Expenses: ; EVS - Total Expense: 340694, Program Service Expense: 187382, Management and General Expenses: 153312, Fundraising Expenses: ; FACILITIES - Total Expense: 246975, Program Service Expense: 148185, Management and General Expenses: 98790, Fundraising Expenses: ; MEDICAL IMAGING - Total Expense: 244930, Program Service Expense: 244930, Management and General Expenses: 0, Fundraising Expenses: ; TRANSCRI/CODING/3M - Total Expense: 228294, Program Service Expense: 0, Management and General Expenses: 228294, Fundraising Expenses: ; ADMIN PURCHASED SERVICES - Total Expense: 159834, Program Service Expense: 159834, Management and General Expenses: 0, Fundraising Expenses: ; PHARMACY - Total Expense: 2390, Program Service Expense: 2390, Management and General Expenses: 0, Fundraising Expenses: ; LAB - Total Expense: 100146, Program Service Expense: 100146, Management and General Expenses: 0, Fundraising Expenses: ; THERAPY - Total Expense: 47060, Program Service Expense: 47060, Management and General Expenses: 0, Fundraising Expenses: ; PT REGIS REGISTRATION - Total Expense: 43242, Program Service Expense: 0, Management and General Expenses: 43242, Fundraising Expenses: ; HR - Total Expense: 20600, Program Service Expense: 0, Management and General Expenses: 20600, Fundraising Expenses: ; MOB - Total Expense: 31892, Program Service Expense: 0, Management and General Expenses: 31892, Fundraising Expenses: ; PACU - Total Expense: 17238, Program Service Expense: 17238, Management and General Expenses: 0, Fundraising Expenses: ; MED STAFF - Total Expense: 36527, Program Service Expense: 0, Management and General Expenses: 36527, Fundraising Expenses: ; CLINIC - Total Expense: 190046, Program Service Expense: 0, Management and General Expenses: 190046, Fundraising Expenses: ; EDUCATION - Total Expense: 38057, Program Service Expense: 0, Management and General Expenses: 38057, Fundraising Expenses: ; SLEEP - Total Expense: 6696, Program Service Expense: 6696, Management and General Expenses: 0, Fundraising Expenses: ; ADMIN - Total Expense: 17663, Program Service Expense: 0, Management and General Expenses: 17663, Fundraising Expenses: ; MATERIAL MGT - Total Expense: 9514, Program Service Expense: 0, Management and General Expenses: 9514, Fundraising Expenses: ; MEDICAL DIRECTORS - Total Expense: 1950, Program Service Expense: 0, Management and General Expenses: 1950, Fundraising Expenses: ; LAUNDRY - Total Expense: 76530, Program Service Expense: 76530, Management and General Expenses: 0, Fundraising Expenses: ; IT SERVICES - Total Expense: 228788, Program Service Expense: 171591, Management and General Expenses: 57197, Fundraising Expenses: ; COLLECTIONS - Total Expense: 1434449, Program Service Expense: 0, Management and General Expenses: 1434449, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Distributions - -2067906; Contributions from members - 1272437;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591	BEAUMONT	TX	77704	741303720	HOSPITAL	TX	501(c)(3)	3	SWCH INC	false
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE ST	BEAUMONT	TX	77701	760453250	PRIMARY CARE	TX	501(c)(3)	3	BHSET	false
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235	BEAUMONT	TX	77701	611557670	SUPPORT ORG	TX	501(c)(3)	7	BHSET	false
CAROLINAS COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	465590355	SUPPORT ORG	DE	501(c)(3)	Type II	CHC	false
CHC COMMUNITY CARE LLC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	371485773	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(c)(3)	Type III-FI	NA	false
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FL	PADUCAH	KY	42003	465032999	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FL	ABILENE	TX	79601	463607347	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FL	MADISONVILLE	KY	42431	465033192	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY	CORBIN	KY	40701	200925675	HOSPITAL	KY	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREET	ODESSA	TX	79761	473539943	HOSPITAL	DE	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	813048423	HOSPITAL	TX	501(c)(3)	3	CCC	false
CONTINUECARE HOSPITAL OF TYLER INC
800 E DAWSON ST	TYLER	TX	75701	200991990	HOSPITAL	TX	501(c)(3)	3	CCC	false
CRAWLEY MEMORIAL HOSPITAL INC
7950 Legacy Drive	Plano	TX	75024	560691100	HOSPITAL	NC	501(c)(3)	3	CAR CC	false	Suite 1000
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	760500960	PUBLIC CHARI.	TX	501(c)(3)	10	HUNTSVILLE	false
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVE	HUNTSVILLE	TX	77340	843654542	HOSPITAL	TX	501(c)(3)	3	CHC	false
JELLICO COMMUNITY HOSPITAL INC
188 HOSPITAL LANE	JELLICO	TN	37762	620924706	HOSPITAL	TN	501(c)(3)	3	CHC	false
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROAD	CHARLOTTE	NC	26210	753054855	HOSPITAL	NC	501(c)(3)	3	CAR CC	false
RURAL AND COMMUNITY HEALTHCARE COLLABORA
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	814337246	SUPPORT ORG	TX	501(c)(3)	7	CHC	false
SOUTHWEST COMMUNITY HOSPITAL INC
7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	752725353	SUPPORT ORG	TX	501(c)(3)	Type III-FI	CHC	false
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACE	LA GRANGE	TX	78945	743019849	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	742323822	HOSPITAL	TX	501(c)(3)	3	CHC	false
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	453609830	SUPPORT ORG	TX	501(c)(3)	Type I	YCH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GT	GRAND CAYMAN	CJ	CAPTIVE INSURANCE	CJ	CHC	C Corporation	false
COMMUNITY HOSPITAL CONSULTING INC
			MGMT CONSULTING		CHC	C Corporation	false	7950 LEGACY DRIVE SUITE 1000	PLANO	TX	75024	204710183	TX

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITAL CORPORATION
P	$5,336,085	cost
COMMUNITY HOSPITAL CORPORATION
R	$419,090	cost