2023-11-01T15:42:42-05:00 2022-12-31 FORVIS LLP 510 N Valley Mills Drive 200 Waco TX 767106075 990 2022-01-01 273993262 Comanche County Medical Center Company % HONG WADE COMA 2548794900 10201 Highway 16 North Comanche TX 76442 LARRY G TROXELL CEO 2548794900 2023-11-15 true Larry Troxell 999009999 Jeanette Verrelli P00742631 2547768244 2023-11-15 2 2022 2023-04-26 12:10:37Z LARRY G TROXELL 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 46787468 false X WWW.COMANCHECMC.ORG X 2010 TX TO PROVIDE EXCELLENT AND COMPASSIONATE HEALTH CARE AND PROMOTE COMMUNITY HEALTH AND WELLNESS. 6 6 358 6 0 0 3322504 3367523 39308883 43144433 191408 3176 134741 272336 42957536 46787468 0 1800000 0 0 18661483 20090539 0 0 0 23945592 23509317 42607075 45399856 350461 1387612 17618647 16395670 6892838 4282249 10725809 12113421 COMANCHE COUNTY MEDICAL CENTER WILL BE THE RECOGNIZED PROVIDER OF EXCELLENT AND COMPASSIONATE HEALTH CARE FOR THE CUSTOMERS WE SERVE, WHILE STRIVING TO PROMOTE COMMUNITY WELLNESS AND HEALTH. false false 15432173 1800000 30437709 GENERAL AND ACUTE HOSPITAL SERVICES. OBJECTIVES ARE TO PROVIDE EXCELLENT MEDICAL CARE, HEAL THE SICK, AND REDUCE HOSPITAL READMISSION. OUR MAIN SERVICE LINES: INPATIENT HOSPITAL CARE, OBSERVATION STAYS, SWING BED, AND HOSPICE. DURING THE PANDEMIC YEAR 2022, WE SERVED 433 INPATIENTS, 750 OBSERVATIONS, 56 SWING BED PATIENTS, AND 12 HOSPICE PATIENTS. 12271418 7218362 RURAL HEALTH CLINICS. ACCOMPLISHMENTS INCLUDE A TOTAL OF 36,161 VISITS FOR ALL THREE CLINICS. CLINIC OBJECTIVES ARE TO DELIVER EXCELLENT PRIMARY CARE AND IMPROVE ACCESS TO CARE IN OUR RURAL SERVICE AREA. WE EXTENDED SERVICES THROUGH COVID-19 TESTING AND VACCINATION; CREATED AND IMPLEMENTED A MOBILE HEALTH CLINIC TO SERVE OUR MOST RURAL RESIDENTS; OFFERED CHRONIC CARE MANAGEMENT SERVICES; DELIVERED TELEHEALTH SERVICES TO THE PATIENTS. 8556382 5631842 NONPROFIT PHARMACIES AND PHARMACY SERVICES. ACCOMPLISHMENTS INCLUDE A TOTAL OF 70,184 PRESCRIPTIONS FOR ALL THREE RURAL RETAIL PHARMACIES. OUR OBJECTIVES ARE TO INCREASE ACCESS TO PHARMACY SERVICES IN THE RURAL AREA. WE PROVIDED FREE DELIVERY OF PRESCRIPTIONS AND HELPED PATIENTS FIND FINANCIAL ASSISTANCE FOR HIGH-PRICED MEDICATIONS. WE OFFERED MANY IMMUNIZATIONS IN THE PHARMACIES WITHOUT AN APPOINTMENT. 36259973 true true false true false false false false false false true false false true true false true false false false false false false false false false true true true false true false false false false false false false false false false false false false true true false false false true 84 0 true 358 true false false false false false false false false false false false false X 6 6 false false false false false false false true true false false true true true true true true true true false X HONG WADE 2548794900 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 X GUYLE DONHAM PHYSICIAN 40.0 0.0 X 425938 0 8790 STEPHEN DICKEY PHYSICIAN 40.0 0.0 X 350344 0 37488 LARRY TROXELL CEO 40.0 0.5 X 295422 0 72827 DWAYNE MILLER PHYSICIAN 40.0 0.0 X 312004 0 8457 GARRY DAVIS PHYSICIAN 40.0 0.0 X 284481 0 8232 ANNELLE ONISHI PHYSICIAN 40.0 0.0 X 261206 0 27486 HONG WADE CFO 40.0 0.0 X 124697 0 44218 LEXIE FEIST CNO START: 05/22 40.0 0.0 X 67173 0 6862 BARBARA WILLIAMS PRESIDENT 0.5 0.5 X X 0 0 0 BILLIE ENGEL DIRECTOR 0.5 0.0 X 0 0 0 MONTY COX DIRECTOR 0.5 0.0 X 0 0 0 PAUL MCKINZIE VICE PRESIDENT 0.5 0.5 X X 0 0 0 ROBERT PRATT DIRECTOR 0.5 0.0 X 0 0 0 SUSAN CARRUTH SECRETARY 0.5 0.0 X X 0 0 0 2121265 0 214360 27 false true false CONCORD MEDICAL GROUP 1602 AVENUE Q LUBBOCK TX 79401 PHYSICIAN SERVICES 1047037 COMANCHE PHYSICAL THERAPY PO BOX 130 DE LEON TX 76444 PHYSICAL THERAPY 892785 AMEDISTAF LLC PO BOX 674820 DALLAS TX 75267 STAFFING COMPANY 417772 CANON MEDICAL SYSTEMS USA INC PO BOX 7476 CAROL STREAM IL 60197 EQUIPMENT SERVICES 236612 HOSPITAL PRESCRIPTION MANAGEMENT PO BOX 207317 DALLAS TX 75320 PHARMACY CONSULTANT 205837 9 74448 3054275 238800 3367523 Patient Revenue 621110 34704591 34704591 Indigent Care Support 624200 2808000 2808000 Pharmacy Revenue 446110 5631842 5631842 43144433 3176 3176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722514 128856 128856 Miscellaneous Revenue 900099 143480 143480 272336 46787468 43287913 132032 X 1800000 1800000 0 0 0 611199 611199 0 14599334 11489875 3109459 393051 318795 74256 3399301 2508353 890948 1087654 785178 302476 0 0 98455 98455 0 0 0 5260121 4394032 866089 99459 81527 17932 678991 556569 122422 116817 95755 21062 0 3468506 2843135 625371 97394 79834 17560 0 41619 34115 7504 31050 22415 8635 0 852240 615232 237008 689017 564787 124230 Supplies 10265228 8414409 1850819 Bad Debt Expense 953750 953750 REPAIRS & MAINTENANCE 223630 183310 40320 FOOD 201355 165051 36304 431685 353851 77834 45399856 36259973 9139883 0 2550 2550 4427010 5672434 0 0 4589148 3477810 0 0 0 0 0 0 1600945 1488417 283725 523342 10540418 6700006 4104199 3840412 0 0 0 0 0 0 136669 119761 2474401 1270944 17618647 16395670 2668481 3121299 0 0 399058 100000 0 0 0 0 0 0 140793 431074 0 0 3684506 629876 6892838 4282249 X 10725809 12113421 0 0 10725809 12113421 17618647 16395670 1387612 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2134 2134 false SCHEDULE C, PART II-B, LINE 1(I) OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO Texas Organization of Rural & Community Hospitals and Texas Hospital Assoc. A PORTION OF WHICH ATTRIBUTED TO LOBBYING ACTIVITIES. 2085227 556019 1529208 14000 9645 4355 5752726 4565898 1186828 2688465 1568444 1120021 3840412 THIE Savings 185809 Due from third-party payers 634081 DUE FROM RELATED ORGANIZATIONS 451054 1270944 0 EST. AMOUNT DUE TO 3RD-PARTY PAYERS 629876 629876 45887039 -900429 -900429 46787468 46787468 44646611 200505 200505 44446106 953750 953750 45399856 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: BAD DEBT EXPENSE $(953,750) TX OUTPATIENT & INFUSION CENTER REVENUE 53,321 ------------- TOTAL $(900,429) SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: TX OUTPATIENT & INFUSION CENTER EXPENSES $200,505 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: BAD DEBT EXPENSE $953,750 true true X true X true X true true true false false 483991 483991 0.01090 2050587 3664983 160287 18082 142205 0.00320 2694865 3683065 626196 0.01410 1800000 1800000 0.04050 1800000 1800000 0.04050 4494865 3683065 2426196 0.05460 9 4350 4350 0.00010 9 4350 4350 0.00010 true 953750 563585 13635093 14981588 -1346495 X true true 1 1 COMANCHE COUNTY MEDICAL CENTER 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 WWW.COMANCHECMC.ORG 100123 X X X X X COMANCHE COUNTY MEDICAL CENTER false false true X X X X X X X X X 20 true false false true X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 150. 300. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY: THE CHNA COMPLETED INCLUDED STAKEHOLDER INPUT FROM: INDIVIDUALS IN THE COMMUNITY, MEDICAL PROFESSIONALS (PHYSICIANS AND NURSING STAFF), AND BOARD MEMBERS OF CCMC. STAKEHOLDER INPUT WAS OBTAINED THROUGH A 35-QUESTION SURVEY DISTRIBUTED ACROSS MULTIPLE PLATFORMS SUCH AS THE CCMC WEBSITE, EMAIL, PAPER, LOCAL NEWSPAPERS, AND ON VARIOUS MEDIA NETWORKS. SCHEDULE H, PART V, SECTION B, LINE 7D CHNA AND IMPLEMENTATION STRATEGY AVAILABILITY: HTTPS://WWW.COMANCHECMC.ORG/PATIENTS-VISITORS/ SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: PRIMARY CARE FOR WOMEN AND CHILDREN: THE COMMUNITY NEEDS GREATER ACCESS TO PEDIATRIC CARE AND OB/GYN PROVIDERS, A REDUCTION IN INFANT MORTALITY AND TEEN BIRTHS AND INCREASE IN ACCESS TO FOOD FOR CHILDREN IN POVERTY. CCMC PLANS TO INCREASE COMMUNITY AWARENESS OF CLINIC PRENATAL PRIMARY CARE SERVICES AND PROVIDE HEALTHY PREGNANCY INFORMATION THROUGH POINT-OF-CARE COMMUNICATION WITH PATIENTS AND MEDIA RELEASES. THIS WILL ALSO INCREASE PATIENT AND COMMUNITY AWARENESS OF FAMILY MEDICINE CAPABILITIES FOR PEDIATRIC CARE. AWARENESS HAS BEEN SPREAD THROUGH POINT-OF-CARE MINI POSTERS, FLYERS AND ANNOUNCEMENTS IN SOCIAL MEDIA AND ADVERTISING. CCMC PROVIDERS WILL MAKE PERIODIC PRESENTATIONS IN MEETINGS WITH COMMUNITY PARTNERS REGARDING WOMEN'S HEALTH AND WELLNESS INCLUDING HEALTHY PREGNANCIES AND PLAN TO INCREASE VACCINATION RATES IN COMANCHE COUNTY BY 10% AMONG WOMEN OF CHILDBEARING AGE THROUGH MOBILE AND IN-CLINIC OUTREACH. THE HOSPITAL HIRED A LONG-TIME PEDIATRICIAN FROM ERATH COUNTY TO SERVE YOUNG PATIENTS IN THE COMMUNITY. There was also support for the CCMC partnership with Food Bank of West Central Texas to deliver the monthly Comanche County mobile food pantry program CCMC provided operational resources to employees and volunteers to coordinate and implement the monthly program which delivers food staples to qualifying families at pick up locations in De Leon and Comanche. CANCER CARE: CCMC IDENTIFIED THE NEED FOR INCREASED CANCER SCREENINGS, PREVENTIVE CARE AND TREATMENT, ESPECIALLY FOR LUNG, BREAST AND COLON/RECTAL CANCERS. CCMC INCREASED AWARENESS OF ALL CANCER SCREENING SERVICES AVAILABLE THROUGH CCMC CLINICS THROUGH IN-CLINIC COMMUNICATION WITH PATIENTS AND MEDIA RELEASES. WHEN POTENTIAL PATIENTS WERE IDENTIFIED THEY WERE CONTACTED DIRECTLY THROUGH TELEPHONE AND DIGITAL COMMUNICATIONS TO HELP MANAGE THEIR CONDITIONS. PROVIDERS WILL MONITOR AND CONDUCT FOLLOW-UPS ON POINT-OF-CARE SCREENING DATA RECEIVED FROM EVERY ELIGIBLE PATIENT PRESENTING IN CCMC CLINICS AND PROMOTE MEDICAID ENROLLMENT AT POINT-OF-CARE TO PATIENTS WHO MAY LACK INSURANCE OR KNOWLEDGE OF CANCER PREVENTION SERVICES AVAILABLE TO THEM THROUGH THE HEALTH PLAN. MENTAL HEALTH: CCMC IDENTIFIED THE NEED FOR INCREASE MENTAL HEALTH SERVICES. THERE IS PLANNED EXPANSION OF CCMC HEALTH SERVICES BY RESEARCHING SERVICE OPTIONS AND HIRED ONE FULL TIME LICENSED CLINICAL SOCIAL WORKER (LCSW) TO PROVIDE IN-PERSON MENTAL HEALTH CARE IN THE CLINICS. THROUGH IN-CLINIC COMMUNICATION WITH PATIENTS AND MEDIA RELEASES, THE HOSPITAL WILL PROMOTE THE AVAILABILITY OF COUNSELING APPOINTMENTS WITH THE NEW LCSW. CCMC ALSO PLANS TO RESEARCH THE AVAILABILITY OF FEDERAL FUNDING PROGRAMS WHICH MAY SUPPORT PROPOSED BEHAVIORAL HEALTH PROGRAMS FOR DELIVERY THROUGH CCMC CLINICS. THE THREE NOT DIRECTLY ADDRESSED WERE: CERTAIN LIFESTYLE NEEDS, TOBACCO USAGE, AND DENTAL CARE. CCMC HAS FAMILY MEDICINE PROVIDERS WHO ROUTINELY PROVIDE TO PATIENTS PREVENTIVE CARE, AND WELLNESS AND LIFESTYLE SUPPORT AND GUIDANCE. IN ADDITION, CCMC CONTINUES TO OFFER PREDIABETIC AND DIABETIC EDUCATION AND MEDICAL SERVICES WHICH ADDRESS NUTRITION. SELF-CARE, PREVENTION AND THERAPEUTICS. CCMC PROVIDERS ALSO ROUTINELY ENCOURAGE PATIENTS TO STOP SMOKING. CCMC IS NOT SUFFICIENTLY STAFFED TO PROVIDE DENTAL CARE BUT REGULARLY REFERS PATIENTS TO RECEIVE CARE WITH DENTAL PROVIDERS IN THE AREA. THE PANDEMIC CREATED NEGATIVE IMPACTS ON THE AVAILABILITY OF HUMAN AND FINANCIAL RESOURCES, THEREFORE CCMC WAS NOT ABLE TO ADDRESS ALL SIX HEALTH NEEDS IDENTIFIED IN THE 2020 CHNA. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C FINANCIAL ASSISTANCE AVAILABILITY: THE FAP, THE FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: https://www.comanchecmc.org/patients-visitors/ SCHEDULE H, PART V, SECTION B, LINE 20 NOTICE OF UPCOMING EXTRAORDINARY COLLECTION ACTIONS: THE HOSPITAL DOES NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS WHEN THERE IS NON-PAYMENT, SO THERE IS NO NEED TO PROVIDE A 30 DAY NOTICE. 9 DOCTOR MEDICAL CENTER 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 CLINIC COMANCHE COUNTY RETAIL PHARMACY 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 PHARMACY PATRICK STREET PHARMACY 303 N PATRICK ST DUBLIN TX 76446 PHARMACY DUBLIN FAMILY MEDICINE 305 N PATRICK ST DUBLIN TX 76446 CLINIC KIMMELL WELLNESS CENTER 400 S HOUSTON ST DE LEON TX 76444 PHYSICAL THERAPY COMANCHE PHYSICAL THERAPY 108 W OAK AVE COMANCHE TX 76442 PHYSICAL THERAPY RISING STAR PHARMACY 1870 B STATE HIGHWAY 36 RISING STAR TX 76471 PHARMACY RISING STAR HEALTH CLINIC 1870 A STATE HIGHWAY 36 RISING STAR TX 76471 CLINIC TEXAS OUTPATIENT & INFUSION CENTER 2410 CROCKETT DR B BROWNWOOD TX 76801 CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT METHODOLOGY: AFTER THREE BILLING STATEMENTS, THE UNPAID BILLS ARE SENT TO A THIRD PARTY COLLECTION AGENCY FOR ADDITIONAL COLLECTION EFFORTS. AFTER 120 DAYS, IF THE BILL REMAINS UNPAID, THE COLLECTION AGENCY RETURNS IT AND THEN IT IS CLASSIFIED AS UNCOLLECTIBLE. COMANCHE COUNTY MEDICAL CENTER THEN WRITES THE UNCOLLECTIBLES OFF AS BAD DEBT. SCHEDULE H, PART III, SECTION A, LINE 3 ESTIMATE AMOUNT OF BAD DEBT AS COMMUNITY BENEFIT: WE USE RATIO OF COST TO CHARGES. BAD DEBTS ARE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL PROVIDES EMERGNCY AND MEDICALLY NECESSARY CARE TO PATIENTS REGARDLESS OF THE PATIENTS'S ABILITY TO PAY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES: IT IS POLICY OF CCMC TO DISTINGUISH CHARITY CARE FROM BAD DEBT EXPENSE. TO BE ELIGIBLE FOR CHARITY CARE AS A FINANCIALLY INDIGENT PATIENT, A PERSON'S INCOME SHALL BE AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES. THE HOSPITAL MAY CONSIDER OTHER FINANCIAL ASSETS AND LIABILITIES OF THE PERSON WHEN DETERMINING ELIGIBILITY. TO BE ELIGIBLE FOR CHARITY CARE AS A MEDICALLY INDIGENT PATIENT, BASED UPON A DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THIS POLICY. THE HOSPITAL WILL POST NOTICE OF ITS CHARITY CARE PROGRAM AND HOW THE PATIENT MAY APPLY FOR CHARITY CARE. THE BUSINESS OFFICE WILL ATTEMPT TO IDENTIFY ALL CASES THAT WILL QUALIFY AS CHARITY AT THE TIME OF ADMISSION. PATIENTS IDENTIFIED AS POSSIBLE CHARITY CASES WILL BE ASKED TO COMPLETE A FINANCIAL ASSESSMENT FORM. THE BUSINESS OFFICE WILL TRANSFER THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM TO THE APPROPRIATE PROGRAM, SUCH AS MEDICAID. PATIENTS WHO ARE ELIGIBLE FOR MEDICAID AND OTHER INDIGENT HEALTH CARE PROGRAMS DO NOT QUALIFY AS FINANCIALLY INDIGENT. AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENTAL ASSISTANCE, A DETERMINATION WILL BE MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY CARE. NO COLLECTION EFFORTS WILL BE PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATION IS MADE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: COMANCHE COUNTY MEDICAL CENTER (CCMC) 2020 CHNA ASSESSES THE NEEDS OF THE COMMUNITY BY ANALYZING OTHER SOURCES OF HOSPITAL DATA. SOME OF THESE INCLUDE COLLECTING INFORMATION FROM PROVIDERS REGARDING PATIENT NEEDS, OBTAINING AND REVIEWING QUALITY ASSURANCE AND PATIENT SURVEY DATA, AND ANALYZING PATTERNS IN PATIENT MEDICAL CONDITIONS AND OUTCOMES. REGULAR COLLECTION AND ANALYSIS OVER TIME HAS RESULTED IN THE IDENTIFICATION OF NEEDS AND THE EXPANSION OF SERVICES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INFORMATION ABOUT CHARITY ASSISTANCE AVILABLE THROUGH THE HOSPITAL IS COMMUNICATED ON PRINTED NOTICES IN BILLS MAILED TO PATIENTS, IN POSTING OF NOTICES IN EMERGENCY ROOMS, ON HOSPITAL FORMS, AND DURING THE ADMITTING AND REGISTRATION PROCESS. IN ADDITION, THE HOSPITAL BUSINESS OFFICE PROVIDES PRINTED AND REGULAR CONSULTATIONS TO PATIENTS REGARDING ASSISTANCE OPTIONS. A SUMMARY OF THE CHARITY CARE POLICY IS PUBLISHED ON FACILITY WEBSITES, IN BROCHURES AVAILABLE IN-PATIENT ACCESS AREAS. REFERRAL OF PATIENTS FOR CHARITY MAY BE MADE BY ANY MEMBER OF THE CCMC STAFF, MEDICAL STAFF OR COMMUNITY PARTNERS SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE HOSPITAL SERVICES 6 COUNTIES COMPOSED OF BROWN, COMANCHE, EASTLAND, ERATH, HAMILTON AND MILLS COUNTIES. ALL 6 COUNTIES HAVE A LOWER HISPANIC OR LATINO POPULATION THAN THE TEXAS STATE AVERAGE, AN UNEMPLOYMENT RATE LOWER THAN BOTH THE TEXAS STATE AND NATIONAL AVERAGES, AND ARE ABOVE BOTH TEXAS STATE AND NATIONAL AVERAGES FOR PERCENTAGE OF POPULATION WITH ANY DISABILITY. 5 OUT OF THE 6 COUNTIES HAVE A LARGER VETERAN POPULATION THAN THE TEXAS STATE AVERAGE. PER CAPITA INCOME IN ALL 6 COUNTIES FALLS BELOW THE TEXAS STATE AVERAGE OF $30,142, AND THE U.S. AVERAGE OF $32,620. LIMITED ACCESS TO DENTISTS IS AN ISSUE IN THE CCMC COMMUNITY. OBESITY AND DIABETES WERE IN THE TOP THREE MOST SIGNIFICANT PROBLEMS AND MAJOR HEALTH CHALLENGES IN THE CCMC COMMUNITY. THE NUMBER OF PRIMARY CARE PROVIDERS IN ALL COUNTIES, WITH THE EXCEPTION OF HAMILTION, FALL BELOW BOTH STATE AND NATIONAL AVERAGES. THERE IS A SHORTAGE OF PRIMARY CARE PROVIDERS IN THE CCMC COMMUNITY. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL HAS A BOARD OF DIRECTORS MADE UP OF VOLUNTEERS WHO REPRESENT THE COMMUNITY. ANNUALLY DURING HOSPITAL WEEK, WE PROVIDE A HEALTH FAIR AND INVITE HEALTH CARE VENDORS FROM THE AREA AND INDIVIDUALS TO ATTEND. AT THE HEALTH FAIR, WE OFFER FREE LIPID PROFIILES, HEALTH SERVICES INFORMATION, AND, THROUGH THE VENDOR PARTNER, PROVIDE OTHER FREE TESTING AT THE EVENT. OUR EMPLOYEES SPEAK AT VARIOUS EVENTS (CIVIC CLUBS, ETC.). OUR SOCIAL WORKERS HELP PATIENTS WITH NEEDS SUCH AS NURSING HOME PLACEMENT AND HOME HEALTH SERVICES. WE ALSO PROVIDE PATIENT EDUCATION MATERIAL, CONDUCT CPR CLASSES AND PRE-DIABETES CLASSES THAT INDIVIDUALS ATTEND. WE PROVIDE ANNUAL FLU SHOTS TO VOLUNTEERS, FOUNDATION MEMEBERS, BOARD MEMBERS, PHYSICIANS, EMPLOYEES, AND DISTRICT EMPLOYEES WHO WORK IN OUR BUILDING. WE ALSO OFFER FLU CLINICS FOR BUSINESSES AND SCHOOL GROUPS. Economic development - As Administrator for CCCHD, substantial management and other resources were applied in 2022 to the planning and pre-construction phases of a new not-for-profit long-term care center being built adjacent to the Hospital. New employment opportunities, totaling 70, were defined, and recruiting is underway. This effort has resulted in the creation of new health infrastructure and created new professional and allied health jobs. Community support - Nurses participated in violence prevention programs to the community and CCMC participated in 2022 disaster readiness trainings which impact the community. CCMC provided volunteer time and effort to support community organizations and events, such as National Night Out and the Hispanic Heritage Festival. Workforce development - CCMC recruited providers to join primary care clinics, each of these in underserved areas. CCMC collaborated with educational institutions including Ranger College to train health professionals needed in the community. CCMC formally endorsed the development of a CNA program at De Leon High School and mentors young students interested in nursing. Other - To improve community health, CCMC contributes to upstream health factors, especially nutrition, by supporting food distribution to needy families. Many volunteer hours were expended in 2022 to support staff coordination and implementation of the monthly mobile food bank in De Leon and Comanche, which is delivered and provided by Food Bank of West Central Texas. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTHCARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE ORGANIZATION USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - Asset Level - Insurance status - Underinsurance status SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. WORKSHEET 8 WAS COMPUTED USING THE HOSPITAL'S INCOME STATEMENT AND GRANT SCHEDULE. SCHEDULE H, PART I, LINE 7, COL (F) PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $953,750. SCHEDULE H, PART II COMMUNITY SUPPORT ACTIVITIES: ACTIVITIES INCLUDED IN THE COMMUNITY SUPPORT ARE EXPENSES PAID TO EVENTS TO PROVIDE EMERGENCY SAFE SHELTER, ADVOCACY, FOOD, COUNSELING AND CLOTHING TO THE COMMUNITY. true COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 412048192 GOVT 1800000 CONSTRUCTION PROJECT 1 SCHEDULE I, PART I, LINE 2 PROCEDURE TO MONITOR THE USE OF GRANT FUNDS IN THE U.S.: CONTRACTORS SEND MONTHLY APPLICATIONS FOR THE PAYMENT OF FUNDS DIRECTLY TO THE HOSPITAL'S BANK. THE BANK HAS A 3RD PARTY CONTRACTOR VERIFY THE PROGRESS OF THE CONSTRUCTION ON THE DISTRICT'S NEW NURSING HOME BEFORE ANY PAYMENT IS MADE. X X X false false false false false false false false false HONG WADE CFO 124621 0 0 0 76 0 4072 0 40146 0 168915 0 0 0 LARRY TROXELL CEO 215398 0 80000 0 24 0 42804 0 30023 0 368249 0 0 0 ANNELLE ONISHI PHYSICIAN 239438 0 21672 0 96 0 5604 0 21882 0 288692 0 0 0 DWAYNE MILLER PHYSICIAN 270000 0 41908 0 96 0 8457 0 0 0 320461 0 0 0 GARRY DAVIS PHYSICIAN 250000 0 34385 0 96 0 8232 0 0 0 292713 0 0 0 GUYLE DONHAM PHYSICIAN 272000 0 153842 0 96 0 8790 0 0 0 434728 0 0 0 STEPHEN DICKEY PHYSICIAN 255980 0 94268 0 96 0 8518 0 28970 0 387832 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: THE TAX RETURN IS PREPARED BY AN INDEPENDENT, THIRD-PARTY ACCOUNTANT. THE ORGANIZATION'S MANAGEMENT REVIEWS THE RETURN FOR ACCURACY, AND THE ORGANIZATION'S BOARD OF DIRECTORS APPROVES THE RETURN PRIOR TO IT BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS AND HIGHEST COMPENSATED PHYSICIANS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THROUGH THE SUBMISSION OF THE CCMC STATEMENT OF DISCLOSURE OF OUTSIDE INTERESTS AND ACTIVITIES AS THEY ARISE. IN THE EVENT THAT AN AGENDA ITEM IS DISCUSSED THAT CONFLICTS WITH A BOARD MEMBER, THAT BOARD MEMBER ABSTAINS FROM THE VOTING OF THE TOPIC. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: IN 2022, CCMC BOARD OF DIRECTORS APPROVED CEO CONTRACT AND COMPENSATION THROUGH REVIEW AND APPROVAL, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS ALSO INCLUDES APPROVAL BY THE HOSPITAL'S CEO, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATIONAL DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED/CONTRACT SCVS TOTAL FEES:4127295 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:88628 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:1044198 COMANCHE COUNTY HEALTHCARE FOUNDATION PO BOX 634 COMANCHE TX 76442 202373650 SUPPORT TX 501(C)(3) 12, III NA false TEXAS OUTPATIENT & INFUSION CENTER 10201 HWY 16 NORTH COMANCHE TX 76442 881121653 MEDICAL SRVS TX 501(C)(3) 3 CCMC true false false true false false false false false false false false false false false false false false true false