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GAINESVILLE COMMUNITY HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GAINESVILLE COMMUNITY HOSPITAL INC (EIN 83-1683025)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202211329349306506
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-12T14:56:17-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1425 HOUSTON STREET STE 600AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN831683025EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GAINESVILLE COMMUNITY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% THOMAS SLEDGEInCareOfNm
Business Name ControlGAINBusinessNameControlTxt
Phone9406651751PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJames HillPersonNm
Person TitleTreasurerPersonTitleTxt
Phone8778295500PhoneNum
Signature2022-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJamesPersonFirstNm
Person LastHillPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELVA SCOTTPreparerPersonNm
PTINP01207335PTIN
Phone8173351900PhoneNum
Preparation2022-05-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTHOMAS SLEDGEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 HOSPITAL BLVDAddressLine1Txt
CityGAINSVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP76240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$44,924,018GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NTMCONLINE.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2018FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE MISSION OF GAINESVILLE COMMUNITY HOSPITAL IS TO PROVIDE EXCEPTIONAL PATIENT CENTERED CARE.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee374TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,215,000PYContributionsGrantsAmt
CY Contributions Grants$1,698,910CYContributionsGrantsAmt
PY Program Service Revenue$38,209,667PYProgramServiceRevenueAmt
CY Program Service Revenue$42,603,347CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$613,853PYOtherRevenueAmt
CY Other Revenue$567,074CYOtherRevenueAmt
PY Total Revenue$42,038,520PYTotalRevenueAmt
CY Total Revenue$44,869,331CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,241,073PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,338,863CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,108,800PYOtherExpensesAmt
CY Other Expenses$22,868,434CYOtherExpensesAmt
PY Total Expenses$38,349,873PYTotalExpensesAmt
CY Total Expenses$42,207,297CYTotalExpensesAmt
PY Revenues Less Expenses$3,688,647PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,662,034CYRevenuesLessExpensesAmt
Total Assets BOY$19,111,234TotalAssetsBOYAmt
Total Assets EOY$14,528,916TotalAssetsEOYAmt
Total Liabilities BOY$14,914,921TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,508,749TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,196,313NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,020,167NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF GAINESVILLE COMMUNITY HOSPITAL IS TO PROVIDE EXCEPTIONAL PATIENT CENTERED CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$28,953,102ExpenseAmt
Grant$0GrantAmt
Revenue$42,603,347RevenueAmt
DescGCH 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, 2021, WE HAD 1,027 ADMISSIONS, 4,708 PATIENT DAYS, 13,278 ER VISITS, 283 INPATIENT SURGERIES AND 1,545 OUTPATIENT SURGERIES. THE AVERAGE DAILY CENSUS WAS 12.9 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 3.4 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."Desc
Total Program Service Expenses$28,953,102TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee374EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS SLEDGEPersonNm
Phone9406128616PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndKey EmployeeKeyEmployeeInd
Jim Kendrick
Director1.039.0Yes (X)$0$1,200,779$52,853
BHUPINDER KHAIRA
General Surgeon40.00.0$818,510$0$0Yes (X)
Christian F Vissers
Orthopedic Surgeon40.00.0$697,119$0$0Yes (X)
Joe Thomason
Director/President1.039.0Yes (X)$0$408,439$51,760Yes (X)
James Hill
Treasurer1.039.0$0$361,422$41,844Yes (X)
Linda Moore
Secretary1.039.0$0$310,485$32,144Yes (X)
Thomas Sledge
CEO40.00.0$0$270,848$46,610Yes (X)
Leah Dill
General / Bariactric Surgeon3.50.0$252,606$0$0Yes (X)
Shelle Diehm
CFO40.00.0$0$209,043$40,108Yes (X)
Carrie Zbierski
CNO (until 2/2021)40.00.0$0$180,153$29,843Yes (X)
Molly Isola
OB/GYN Physician0.040.0$151,905$0$0Yes (X)
Zaira Jorai-Khan
OB/GYN Physician40.00.0$150,980$0$0Yes (X)
Andrew Anderson
Director1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,071,120TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,941,169TotReportableCompRltdOrgAmt
Total Other Compensation$295,162TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL SOLUTIONS LLC
PO BOX 310737DES MOINESIA50331NURSING SVCS$3,876,933
AMERISOURCE BERGEN
1 West First AvenueCONSHOHOCKENPA19428PHARMACY SERVICES$1,734,495
MEDLINE INDUSTRIES INC
Three Lakes DrNORTHFIELDIL60093HEALTHCARE SERVICES$1,094,480
GEBBS HEALTHCARE SOLUTIONS INC
600 CORPORATE POINT STE 1250CULVER CITYCA90292COLLECTIONS AGENCY$918,278
FARAHAT AND ASSOCIATES PLLC
8831 CEDAR RIDGELANTANATX76226ICU/ER/MED DIRECTOR$616,925
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Government Grants$1,698,910GovernmentGrantsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$1,698,910TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE622110$35,829,226$35,829,226$0$0
SUPPLEMENTAL STATE FUNDING622110$6,774,121$6,774,121$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$42,603,347TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$204,322RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$54,687RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$149,635RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,635TotalRevenueColumnAmt
Exclusion$149,635ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INSURANCE PROCEEDS622110$1,512$0$0$1,512
TOBACCO FUND REVENUE622110$215,209$0$0$215,209
INTEREST ON PATIENT PYMTS622110$3,685$0$0$3,685

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,033TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$197,033ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$417,439OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,869,331TotalRevenueColumnAmt
Related Or Exempt Func Income$42,603,347RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$567,074ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,776,778TotalAmt
Program Services$11,845,794ProgramServicesAmt
Management And General$3,930,984ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$296,787TotalAmt
Program Services$222,839ProgramServicesAmt
Management And General$73,948ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,170,691TotalAmt
Program Services$1,629,836ProgramServicesAmt
Management And General$540,855ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,094,607TotalAmt
Program Services$821,872ProgramServicesAmt
Management And General$272,735ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$780,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$780,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,625TotalAmt
Program Services$0ProgramServicesAmt
Management And General$33,625ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$243,775TotalAmt
Program Services$0ProgramServicesAmt
Management And General$243,775ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,345,215TotalAmt
Program Services$7,351,765ProgramServicesAmt
Management And General$1,993,450ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$228,448TotalAmt
Program Services$0ProgramServicesAmt
Management And General$228,448ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

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

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$251,357TotalAmt
Program Services$188,518ProgramServicesAmt
Management And General$62,839ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

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

Travel TravelGrp

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

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

FieldValueIRS element (for citing)
Total$297,816TotalAmt
Program Services$0ProgramServicesAmt
Management And General$297,816ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$378,330TotalAmt
Program Services$257,264ProgramServicesAmt
Management And General$121,066ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$479,630TotalAmt
Program Services$276,633ProgramServicesAmt
Management And General$202,997ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$4,600,618$4,564,962$35,656$0
REPAIRS & MAINT/CONTRACT$1,867,638$938,170$929,468$0
COLLECTION FEES$1,211,427$0$1,211,427$0
LEASES/EQUIPMENT RENTAL$1,121,256$388,157$733,099$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,029,299TotalAmt
Program Services$467,292ProgramServicesAmt
Management And General$1,562,007ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,207,297TotalAmt
Program Services$28,953,102ProgramServicesAmt
Management And General$13,254,195ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,678,599BOYAmt
EOY$8,394,950EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,618,251BOYAmt
EOY$4,834,360EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$581,061BOYAmt
EOY$663,275EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$599,113BOYAmt
EOY$76,261EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,462,690LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$902,620LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$634,210BOYAmt
EOY$560,070EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,111,234BOYAmt
EOY$14,528,916EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,656,879BOYAmt
EOY$4,775,974EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$174,397BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,083,645BOYAmt
EOY$3,732,775EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,914,921BOYAmt
EOY$8,508,749EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,196,313BOYAmt
EOY$6,020,167EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,196,313BOYAmt
EOY$6,020,167EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,111,234BOYAmt
EOY$14,528,916EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,662,034ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$838,180OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support CY5090.00000PublicSupportCY509Pct

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$268,021OtherCostOrOtherBasisAmt
Depreciation$48,691DepreciationAmt
Book Value$219,330BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$154,613OtherCostOrOtherBasisAmt
Depreciation$20,596DepreciationAmt
Book Value$134,017BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,040,056OtherCostOrOtherBasisAmt
Depreciation$833,333DepreciationAmt
Book Value$206,723BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$560,070TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYERS$2,572,288
LIMITED PAYBACK TO GAINESVILLE HOSPITAL DISTRICT$1,160,487
FieldValueIRS element (for citing)
Total Liability$3,732,775TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$44,924,019TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$44,924,019RevenueSubtotalAmt
Other Revenues Not Included-$54,688OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$54,688RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$44,869,331TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$42,261,985TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$42,261,985ExpensesSubtotalAmt
Other Expenses Not Included-$54,688OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$54,688ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$42,207,297TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XI, LINE 4BFormAndLineReferenceDesc
ExplanationRENTAL EXPENSE: -54,688 PART XII, LINE 4B RENTAL EXPENSE: -54,688ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,771,265TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,771,265NetCommunityBenefitExpnsAmt
Total Expense0.08930TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,346,489TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,654,910DirectOffsettingRevenueAmt
Net Community Benefit Expns$691,579NetCommunityBenefitExpnsAmt
Total Expense0.01630TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,117,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,654,910DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,462,844NetCommunityBenefitExpnsAmt
Total Expense0.10560TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,117,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,654,910DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,462,844NetCommunityBenefitExpnsAmt
Total Expense0.10560TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$14,043,274ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$13,130,461CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$912,813MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 Hospital BlvdAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP76240ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://NTMCONLINE.NETWebsiteAddressTxt
State License100453StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTH TEXAS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYYes (true)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (true)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentfalseFAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesfalseCollectionActivitiesInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 2GAINESVILLE COMMUNITY HOSPITAL, INC. (GCH), WAS FORMED ON AUGUST 10, 2018 IN THE STATE OF TEXAS AS A NOT FOR PROFIT CORPORATION. THE ORGANIZATION WAS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. GCH RECEIVED ITS EXEMPTION LETTER FROM THE IRS ON JULY 2, 2019 WITH AN EFFECTIVE DATE OF EXEMPTION OF AUGUST 10, 2018 WITH A PUBLIC CHARITY STATUS OF A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). GCH IS DOING BUSINESS AS NORTH TEXAS MEDICAL CENTER (NTMC), AND OPERATES A FULL SERVICE, 42 BED LICENSED, ACUTE CARE HOSPITAL IN GAINESVILLE, TX WHICH SERVES THE RESIDENTS OF COOKE, EASTERN MONTAGUE, WESTERN GRAYSON AND NORTHERN DENTON COUNTIES IN TEXAS AS WELL AS SOUTHERN LOVE COUNTY, OKLAHOMA. COMMUNITY HOSPITAL CORPORATION IS THE CLASS A MEMBER OF GCH AND GAINESVILLE HOSPITAL DISTRICT IS THE CLASS B MEMBER.
SCHEDULE H, PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
SCHEDULE H, PART V, SECTION B, LINE 5NORTH 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. 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 -JI
SCHEDULE H, PART V, SECTION B, LINE 11THE 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 THATSEEK 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, LINES 16A-16CTHE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTPS://NTMCONLINE.NET/YOUR-HOSPITAL/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 20EGAINESVILLE COMMUNITY HOSPITAL, INC. (NORTH TEXAS MEDICAL CENTER) DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS.
SCHEDULE H, PART V, SECTION B, LINE 22DURING THE FISCAL YEAR ENDED JUNE 30, 2021 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.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NTMC HOME HEALTH
1615 HOSPITAL BLVD SUITE BGAINESVILLETX76240HOME HEALTH AGENCY
COOKE COUNTY MEDICAL CENTER
1902 HOSPITAL BOULEVARDGAINESVILLETX76240RURAL HEALTH CLINIC
NTMC SPECIALTY CLINIC
2024 US-82GAINESVILLETX76240PAIN MANAGEMENT/OCCUPATINAL MEDICINE CLINIC
SURGICAL SPECIALISTS OF NORTH TEXAS
1627 N GRAND AVEGAINESVILLETX76240SURGICAL SERVICES CLINIC
NTMC ORTHOPEDICS CLINIC
1615 HOSPITAL BLVDGAINESVILLETX76240ORTHOPEDICS CLINIC
ADVANCED SURGERY & BARIATRICS
2024 US-82GAINESVILLETX76240BARIATRICS SURGERY AND CLINIC
PEDIATRIC & ADULT SLEEP WELLNESS CENTER
1900 HOSPITAL BLVDGAINESVILLETX76240SLEEP STUDY CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, line 3CCRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE CALCULATION OF YEARLY HOUSEHOLD INCOME PERCENTAGE OF FPG, SCALE THEN ALLOWS A PERCENTAGE OF THE BALANCE AVAILABLE FOR WRITE-OFF.
SCHEDULE H, PART I, LINE 6ATHE COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING JUNE 30, 2021 WAS PREPARED BY OUR CORPORATE OFFICE, COMMUNITY HOSPITAL CORPORATION.
SCHEDULE H, PART III, LINE 4BAD 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 III, LINE 8COSTING METHODOLOGY 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 9BCOLLECTION PRACTICES 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 VI, LINE 2NEEDS 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 3PATIENT 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 4COMMUNITY 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 5PROMOTION 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. UNFORTUNATELY, WITH THE ONSET OF THE PANDEMIC, NTMC DID HAVE TO SCALE BACK ON THE NUMBER OF OPPORTUNITIES WITHIN THE COMMUNITY DUE TO THE SPONSOR OPTING TO FORGO THE EVENT IN ORDER TO AVOID THE POTENTIAL OF COVID EXPOSURE TO PARTICIPANTS. ADDITIONALLY, MANY ACTIVITIES WERE SCALED BACK DUE TO THE PROTOCOLS THAT WERE IN PLACE FOR COVID. HOWEVER, NTMC IS COMMITTED TO BRINGING ALL OF THE ACTIVITIES BACK IN THE FUTURE AS PART OF OUR COMMITMENT TO THE HEALTH AND WELL BEING OF OUR COMMUNITY. THE BELOW ACTIVITIES ARE SOME OF THOSE ACTIVITIES NTMC PARTICIPATED IN DURING 2019 AND/OR 2020. -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. -NTMC WILL CONTINUE TO HOST AREA HIGH SCHOOL STUDENTS DURING THE SUMMERTIME SO THAT THEY MAY OBSERVE DIFFERENT AREAS OF THE HOSPITAL. -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. -NTMC WILL CONTINUE TO PROVIDE TELEHEALTH SERVICES AND WILL EXPLORE EXPANDING TELEMEDICINE SERVICES AS OPPORTUNITIES ARISE. -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 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. -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. (EX: 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 SELF PAY 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. (EX: 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. (EX: 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. (EX: 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. (EX: 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 6AFFILIATED 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 VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jim Kendrick
Director$0$843,197$0$276,900$0$80,682$0$0$0$52,853$0$1,253,632$0$18,428
BHUPINDER KHAIRA
General Surgeon$818,510$0$0$0$0$0$0$0$0$0$818,510$0$0$0
Christian F Vissers
Orthopedic Surgeon$697,119$0$0$0$0$0$0$0$0$0$697,119$0$0$0
Joe Thomason
Director/President$0$331,014$0$36,294$0$41,131$0$0$0$51,760$0$460,199$0$5,091
Zaira Jorai-Khan
OB/GYN Physician$150,980$0$0$0$0$0$0$0$0$0$150,980$0$0$0
James Hill
Treasurer$0$282,617$0$32,063$0$46,742$0$0$0$41,844$0$403,266$0$0
Linda Moore
Secretary$0$174,274$0$27,041$0$109,170$0$0$0$32,144$0$342,629$0$0
Thomas Sledge
CEO$0$208,374$0$39,985$0$22,489$0$0$0$46,610$0$317,458$0$0
Leah Dill
General / Bariactric Surgeon$252,606$0$0$0$0$0$0$0$0$0$252,606$0$0$0
Shelle Diehm
CFO$0$163,401$0$30,323$0$15,319$0$0$0$40,108$0$249,151$0$0
Carrie Zbierski
CNO (until 2/2021)$0$133,251$0$25,528$0$21,374$0$0$0$29,843$0$209,996$0$0
Molly Isola
OB/GYN Physician$151,905$0$0$0$0$0$0$0$0$0$151,905$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3SUPPLEMENTAL COMPENSATION INFORMATION 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 6/30/2021 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
SCHEDULE J, PART I, LINE 4BNONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: LINDA MOORE - $12,060 JAMES HILL - $14,300 JIM KENDRICK - $46,285 JOE THOMASON - $16,187
SCHEDULE J, PART I, LINE 7A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (42 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DOING BUSINESS ASFORM 990, BOX C GAINESVILLE COMMUNITY HOSPITAL, INC. (GCH) IS DOING BUSINESS AS NORTH TEXAS MEDICAL CENTER.
DESCRIPTION OF MANAGEMENT ARRANGEMENTFORM 990, PART VI, LINE 3 COMMUNITY HOSPITAL CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6 CHC, A TEXAS NON-PROFIT CORPORATION IS THE CLASS A MEMBER AND GAINESVILLE HOSPITAL DISTRICT IS THE CLASS B MEMBER OF GCH.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7A CHC, AS THE CLASS A MEMBER OF GSH, 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.
DESCR CLASSES OF PERSONS/DECISIONS REQUIRING APPR/TYPE OF VOTINGRIGHTS FORM 990, PART VI, LINE 7B 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.
DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11B 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.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OFINTEREST FORM 990, PART VI, LINE 12C 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.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, LINES 15A & 15B 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.
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO PUBLICFORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9 NET ASSET TRANSFER TO MEMBERS -$838,180 TOTAL -$838,180
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL SVCS (CONTRACT LABOR) TOTAL FEES:4830264
FORM 990 PART IX LINE 11GDESCRIPTION:HOME HEALTH TOTAL FEES:877540
FORM 990 PART IX LINE 11GDESCRIPTION:ANESTHESIA TOTAL FEES:643633
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SVCS TOTAL FEES:681864
FORM 990 PART IX LINE 11GDESCRIPTION:DIETARY TOTAL FEES:490039
FORM 990 PART IX LINE 11GDESCRIPTION:COVID TOTAL FEES:322633
FORM 990 PART IX LINE 11GDESCRIPTION:EVS TOTAL FEES:307706
FORM 990 PART IX LINE 11GDESCRIPTION:FACILITIES TOTAL FEES:286154
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL IMAGING TOTAL FEES:175632
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSCRI/CODING/3M TOTAL FEES:169838
FORM 990 PART IX LINE 11GDESCRIPTION:ADMIN PURCHASED SERVICES TOTAL FEES:100835
FORM 990 PART IX LINE 11GDESCRIPTION:PHARMACY TOTAL FEES:84415
FORM 990 PART IX LINE 11GDESCRIPTION:LAB TOTAL FEES:57426
FORM 990 PART IX LINE 11GDESCRIPTION:THERAPY TOTAL FEES:50375
FORM 990 PART IX LINE 11GDESCRIPTION:PT REGIS REGISTRATION TOTAL FEES:49551
FORM 990 PART IX LINE 11GDESCRIPTION:HR TOTAL FEES:49272
FORM 990 PART IX LINE 11GDESCRIPTION:MOB TOTAL FEES:48851
FORM 990 PART IX LINE 11GDESCRIPTION:PACU TOTAL FEES:47800
FORM 990 PART IX LINE 11GDESCRIPTION:MED STAFF TOTAL FEES:31363
FORM 990 PART IX LINE 11GDESCRIPTION:CLINIC TOTAL FEES:31129
FORM 990 PART IX LINE 11GDESCRIPTION:EDUCATION TOTAL FEES:23114
FORM 990 PART IX LINE 11GDESCRIPTION:TELEMETRY TOTAL FEES:14090
FORM 990 PART IX LINE 11GDESCRIPTION:SLEEP TOTAL FEES:13478
FORM 990 PART IX LINE 11GDESCRIPTION:ADMIN TOTAL FEES:7345
FORM 990 PART IX LINE 11GDESCRIPTION:MATERIAL MGT TOTAL FEES:2928
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL DIRECTORS TOTAL FEES:1725
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASE SERVICES TOTAL FEES:782
FORM 990 PART IX LINE 11GDESCRIPTION:VOLUNTEERS TOTAL FEES:180
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY TOTAL FEES:148
FORM 990 PART IX LINE 11GDESCRIPTION:STERILE PROCESSING TOTAL FEES:14
FORM 990 PART IX LINE 11GDESCRIPTION:RENT EXPENSES TOTAL FEES:-54688
FORM 990 PART IX LINE 11GDESCRIPTION:OTHERS TOTAL FEES:-221

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
PO BOX 1591BEAUMONTTX77704741303720HOSPITALTX501(c)(3)3SWCH INCfalse
BAPTIST PHYSICIAN NETWORK
3080 COLLEGE STBEAUMONTTX77701760453250PRIMARY CARETX501(c)(3)3BHSETfalse
SOUTHWEST COMMUNITY HOSPITAL INC
7950 Legacy Drive Suite 1000PLANOTX75024752725353SUPPORT ORGTX501(c)(3)12C-III-FICHCfalse
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRYOAKUMTX77995742323822HOSPITALTX501(c)(3)3CHCfalse
CONTINUECARE HOSPITAL OF TYLER
800 E DAWSON STTYLERTX75701200991990HOSPITALDE501(c)(3)3CCCfalse
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACELA GRANGETX78945743019849HOSPITALTX501(c)(3)3CHCfalse
CHC COMMUNITY CARE LLC
7950 Legacy Drive Suite 1000PLANOTX75024371485773SUPPORT ORGDE501(c)(3)12C-III-FICHCfalse
CONTINUECARE HOSPITAL OF MIDLAND
4214 ANDREWS HIGHWAYMIDLANDTX79703463053684HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FLABILENETX79601463607347HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FLMADISONVILLEKY42431465033192HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FLPADUCAHKY42003465032999HOSPITALDE501(c)(3)3CCCfalse
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAYCORBINKY40701200925675HOSPITALKY501(c)(3)3CCCfalse
CRAWLEY MEMORIAL HOSPITAL
706 KINGS STREETKINGS MOUNTAINNC28086560691100HOSPITALNC501(c)(3)3CAR CCfalse
CAROLINAS COMMUNITY CARE LLC
7950 Legacy Drive Suite 1000PLANOTX75024465590355SUPPORT ORGDE501(c)(3)12B-IICHCfalse
JELLICO COMMUNITY HOSPITAL INC
188 HOSPITAL LANEJELLICOTN37762620924706HOSPITALTN501(c)(3)3CHCfalse
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREETODESSATX79761473539943HOSPITALDE501(c)(3)3CCCfalse
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVEYOAKUMTX77995453609830SUPPORT ORGTX501(C)(3)12A-1YCHfalse
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235BEAUMONTTX77701611557670SUPPORT ORGTX501(C)(3)7BHSETfalse
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROADCHARLOTTENC28210753054855HOSPITALNC501(c)(3)3CAR CCfalse
RURAL AND COMMUNITY HEALTHCARE COLLABORA
7950 Legacy Drive Suite 1000PLANOTX75024814337246SUPPORT ORGTX501(c)(3)7CHCfalse
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7950 Legacy Drive Suite 1000PLANOTX75024813048423HOSPITALTX501(c)(3)3CCCfalse
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVEHUNTSVILLETX77340843654542HOSPITALTX501(c)(3)3CHCfalse
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVEHUNTSVILLETX77340760500960PUBLIC CHARI.TX501(c)(3)10Huntsvillefalse
COMMUNITY HOSPITAL CORPORATION
7950 Legacy Drive Suite 1000PLANOTX75024752638469SUPPORT ORGTX501(c)(3)12C-III-FINAfalse
CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS
7800 N DALLAS PKWY STE 200PLANOTX75024201150480HOSPITALTX501(C)(3)3CCCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GTGRAND CAYMANCJCAPTIVE INSURANCECJCHCC CORP$0$0false
COMMUNITY HOSPITAL CONSULTING INC
MGM CONSULTINGCHCC CORP$0$0false7950 LEGACY DRIVE SUITE 1000PLANOTX75024204710183TX
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITAL CORPORATION
r$1,255,082COST
COMMUNITY HOSPITAL CORPORATION
p$4,724,490COST