COMANCHE COUNTY MEDICAL CENTER COMPANY: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMANCHE COUNTY MEDICAL CENTER COMPANY (EIN 27-3993262)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-03
- IRS object ID
- 202233079349303123
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-03T16:42:57-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 N Valley Mills Drive 200 | AddressLine1Txt |
| City | Waco | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 767106075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273993262 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Comanche County Medical Center Company | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % HONG WADE | InCareOfNm |
| Business Name Control | COMA | BusinessNameControlTxt |
| Phone | 2548794900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10201 Highway 16 North | AddressLine1Txt |
| City | Comanche | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76442 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARRY G TROXELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2548794900 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Larry | PersonFirstNm |
| Person Last | Troxell | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 2547768244 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LARRY G TROXELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10201 HIGHWAY 16 NORTH | AddressLine1Txt |
| City | COMANCHE | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76442 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,957,536 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COMANCHECMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCELLENT AND COMPASSIONATE HEALTH CARE AND PROMOTE COMMUNITY HEALTH AND WELLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 377 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,778,276 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,322,504 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,300,805 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $39,308,883 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$14,608 | PYInvestmentIncomeAmt |
| CY Investment Income | $191,408 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,844,233 | PYOtherRevenueAmt |
| CY Other Revenue | $134,741 | CYOtherRevenueAmt |
| PY Total Revenue | $38,908,706 | PYTotalRevenueAmt |
| CY Total Revenue | $42,957,536 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,231,319 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,661,483 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,623,038 | PYOtherExpensesAmt |
| CY Other Expenses | $23,945,592 | CYOtherExpensesAmt |
| PY Total Expenses | $35,854,357 | PYTotalExpensesAmt |
| CY Total Expenses | $42,607,075 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,054,349 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $350,461 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,892,821 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,618,647 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,517,473 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,892,838 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,375,348 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,725,809 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,393,680 | ExpenseAmt |
| Revenue | $18,334,182 | RevenueAmt |
| Desc | 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 2021, WE SERVED 601 INPATIENTS, 488 OBSERVATIONS, 49 SWING BED PATIENTS, AND 10 HOSPICE PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,321,498 | ExpenseAmt |
| Revenue | $17,346,637 | RevenueAmt |
| Desc | RURAL HEALTH CLINICS. ACCOMPLISHMENTS INCLUDE A TOTAL OF 30,602 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,936,777 | ExpenseAmt |
| Revenue | $3,643,292 | RevenueAmt |
| Desc | NONPROFIT PHARMACIES AND PHARMACY SERVICES. ACCOMPLISHMENTS INCLUDE A TOTAL OF 48,619 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $35,651,955 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 109 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 377 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HONG WADE | PersonNm |
| Phone | 2548794900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10201 HIGHWAY 16 NORTH | AddressLine1Txt |
| City | COMANCHE | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76442 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| STEPHEN DICKEY | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $564,404 | $0 | $45,250 | ||
| GUYLE DONHAM | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $370,599 | $0 | $5,570 | ||
| DWAYNE MILLER | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $354,232 | $0 | $9,130 | ||
| GARRY DAVIS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $296,748 | $0 | $5,675 | ||
| ANNELLE ONISHI | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $259,736 | $0 | $32,425 | ||
| LARRY TROXELL | ||||||||
| CEO | 40.0 | 0.0 | $211,380 | $0 | $30,942 | Yes (X) | ||
| HONG WADE | ||||||||
| CFO | 40.0 | 0.0 | $117,539 | $0 | $37,739 | Yes (X) | ||
| PAUL MCKINZIE | ||||||||
| DIRECTOR | 0.5 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MIKE HARE | ||||||||
| VICE CHAIRMAN | 0.5 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| SUSAN CARRUTH | ||||||||
| SECRETARY | 0.5 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ROBERT PRATT | ||||||||
| DIRECTOR | 0.05 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| BARBARA WILLIAMS | ||||||||
| PRESIDENT | 0.5 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,174,638 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $166,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCORD MEDICAL GROUP | |||||
| 1602 AVENUE Q | LUBBOCK | TX | 79401 | PHYSICIAN SERVICES | $1,090,422 |
| COMANCHE PHYSICAL THERAPY | |||||
| PO BOX 130 | DE LEON | TX | 76444 | PHYSICAL THERAPY | $675,280 |
| AVERO DIAGNOSTICS | |||||
| PO BOX 675003 | DETROIT | MI | 48267 | LAB SERVICES | $374,432 |
| CANON MEDICAL SYSTEMS USA INC | |||||
| PO BOX 7476 | CAROL STREAM | IL | 60197 | EQUIPMENT SERVICES | $273,829 |
| NTT DATA SERVICES LLC | |||||
| PO BOX 677956 | DALLAS | TX | 75267 | DATA SERVICES | $231,406 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $8,000 | RelatedOrganizationsAmt |
| Government Grants | $3,041,507 | GovernmentGrantsAmt |
| All Other Contributions | $272,997 | AllOtherContributionsAmt |
| Total Contributions | $3,322,504 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Revenue | 621110 | $32,857,591 | $32,857,591 |
| Indigent Care Support | 624200 | $2,808,000 | $2,808,000 |
| Pharmacy Revenue | 446110 | $3,643,292 | $3,643,292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $39,308,883 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,408 | TotalRevenueColumnAmt |
| Exclusion | $191,408 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria Revenue | 722514 | $119,513 | $119,513 | |
| Miscellaneous Revenue | 900099 | $15,228 | $15,228 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $134,741 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,957,536 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,324,111 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $310,921 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,600 | TotalAmt |
| Management And General | $397,600 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,931,573 | TotalAmt |
| Program Services | $11,249,758 | ProgramServicesAmt |
| Management And General | $2,681,815 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,053 | TotalAmt |
| Program Services | $234,554 | ProgramServicesAmt |
| Management And General | $76,499 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,911,245 | TotalAmt |
| Program Services | $2,167,861 | ProgramServicesAmt |
| Management And General | $743,384 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,012 | TotalAmt |
| Program Services | $810,309 | ProgramServicesAmt |
| Management And General | $299,703 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,346 | TotalAmt |
| Management And General | $7,346 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,436 | TotalAmt |
| Management And General | $59,436 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,357,125 | TotalAmt |
| Program Services | $4,766,574 | ProgramServicesAmt |
| Management And General | $590,551 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,426 | TotalAmt |
| Program Services | $56,695 | ProgramServicesAmt |
| Management And General | $7,731 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,938 | TotalAmt |
| Program Services | $486,585 | ProgramServicesAmt |
| Management And General | $66,353 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,701 | TotalAmt |
| Program Services | $74,537 | ProgramServicesAmt |
| Management And General | $10,164 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,295,319 | TotalAmt |
| Program Services | $2,899,881 | ProgramServicesAmt |
| Management And General | $395,438 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,277 | TotalAmt |
| Program Services | $62,724 | ProgramServicesAmt |
| Management And General | $8,553 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,907 | TotalAmt |
| Program Services | $16,638 | ProgramServicesAmt |
| Management And General | $2,269 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,410 | TotalAmt |
| Program Services | $5,427 | ProgramServicesAmt |
| Management And General | $1,983 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $946,003 | TotalAmt |
| Program Services | $692,827 | ProgramServicesAmt |
| Management And General | $253,176 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,776 | TotalAmt |
| Program Services | $460,043 | ProgramServicesAmt |
| Management And General | $62,733 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $9,930,704 | $8,739,020 | $1,191,684 |
| BAD DEBT EXPENSE | $2,204,709 | $2,204,709 | |
| FOOD | $221,386 | $194,820 | $26,566 |
| DUES & SUBSCRIPTIONS | $187,153 | $164,695 | $22,458 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,976 | TotalAmt |
| Program Services | $364,298 | ProgramServicesAmt |
| Management And General | $49,678 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,607,075 | TotalAmt |
| Program Services | $35,651,955 | ProgramServicesAmt |
| Management And General | $6,955,120 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,832,304 | BOYAmt |
| EOY | $2,550 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,427,010 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,142,410 | BOYAmt |
| EOY | $4,589,148 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,504,733 | BOYAmt |
| EOY | $1,600,945 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,774,820 | BOYAmt |
| EOY | $283,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,152,867 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,048,668 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,243,683 | BOYAmt |
| EOY | $4,104,199 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,985 | BOYAmt |
| EOY | $136,669 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,239,886 | BOYAmt |
| EOY | $2,474,401 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,892,821 | BOYAmt |
| EOY | $17,618,647 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,349,223 | BOYAmt |
| EOY | $2,668,481 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,564,220 | BOYAmt |
| EOY | $399,058 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,902 | BOYAmt |
| EOY | $140,793 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,361,128 | BOYAmt |
| EOY | $3,684,506 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,517,473 | BOYAmt |
| EOY | $6,892,838 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,375,348 | BOYAmt |
| EOY | $10,725,809 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,375,348 | BOYAmt |
| EOY | $10,725,809 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,892,821 | BOYAmt |
| EOY | $17,618,647 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $350,461 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $977 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $977 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO National Rural Health Assoc and Texas Hospital Assoc., A PORTION OF WHICH ATTRIBUTED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,056,724 | OtherCostOrOtherBasisAmt |
| Depreciation | $421,381 | DepreciationAmt |
| Book Value | $1,635,343 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,978 | DepreciationAmt |
| Book Value | $5,022 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,672,635 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,166,662 | DepreciationAmt |
| Book Value | $1,505,973 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,409,508 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,451,647 | DepreciationAmt |
| Book Value | $957,861 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,104,199 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| THIE SAVINGS | $185,809 |
| EST DUE FROM 3RD PARTY PAYERS | $2,275,546 |
| DUE FROM HOSPITAL DISTRICT | $13,046 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,474,401 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD-PARTY PAYERS | Desc |
| Amt | $3,684,506 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,684,506 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $40,752,827 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,204,709 | OtherRevenueAmt |
| Revenue Not Reported | -$2,204,709 | RevenueNotReportedAmt |
| Revenue Subtotal | $42,957,536 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $42,957,536 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $40,402,366 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $40,402,366 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,204,709 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,204,709 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $42,607,075 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $(2,204,709) |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: BAD DEBT EXPENSE $2,204,709 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $889,837 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $889,837 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,904,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,687,127 | DirectOffsettingRevenueAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $253,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $245,288 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,048,577 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,695,664 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,135,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,048,577 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,695,664 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,135,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02810 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,204,709 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,294,330 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,430,015 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,004,946 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$574,931 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMANCHE COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10201 STATE HIGHWAY 16 | AddressLine1Txt |
| City | COMANCHE | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76442 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.COMANCHECMC.ORG | WebsiteAddressTxt |
| State License | 100123 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMANCHE COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 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 SURVERY 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 7a & 10a | 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.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. CANCER CARE: CCMC IDENTIFIED THE NEED FOR INCREASED CANCER SCREENINGS, PREVENTIVE CARE AND TREATMENT, ESPECIALLY FOR LUNG, BREAST AND COLON/RECTAL CANCERS. CCMC PLANS TO INCREASE AWARENESS OF ALL CANCER SCREENING SERVICES AVAILABLE THROUGH CCMC CLINICS THROUGH IN-CLINIC COMMUNICATION WITH PATIENTS AND MEDIA RELEASES. 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 HIRING 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 pre-diabetic 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| DOCTORS MEDICAL CENTER | ||||
| 10202 HIGHWAY 16 | COMANCHE | TX | 76442 | CLINIC |
| COMANCHE COUNTY RETAIL PHARMACY | ||||
| 10201 STATE HIGHWAY 16 | COMANCHE | TX | 76442 | PHARMACY |
| DUBLIN FAMILY MEDICINE | ||||
| 305 N PATRICK ST | DUBLIN | TX | 76446 | CLINIC |
| PATRICK STREET PHARMACY | ||||
| 303 N PATRICK ST | DUBLIN | TX | 76446 | PHARMACY |
| KIMMELL WELLNESS CENTER | ||||
| 400 S HOUSTON ST | DE LEON | TX | 76444 | PHYSICAL THERAPY |
| COMANCHE PHYSCIAL THERAPY | ||||
| W OAK AVE | COMANCHE | TX | 76442 | PHYSICAL THERAPY |
| RISING STAR HEALTH CLINIC | ||||
| 1870 A STATE HIGHWAY 36 | RISING STAR | TX | 76471 | CLINIC |
| RISING STAR PHARMACY | ||||
| 1870 B STATE HIGHWAY 36 | RISING STAR | TX | 76471 | PHARMACY |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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. |
| 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. |
| 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 $2,204,709. |
| SCHEDULE H, PART II | COMMUNITY SUPPORT ACTIVITIES: ACTIVITIES INCLUDED IN THE COMMUNITY SUPPORT ARE THE TOY DRIVE FOR DE LEON VOLUNTEER FIRE DEPARTMENT AND COMANCHE CHAMBER OF COMMERCE CALVES CANS & CORRIENTES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARRY TROXELL | ||||||||||||||
| CEO | $208,908 | $0 | $0 | $0 | $2,472 | $0 | $6,451 | $0 | $24,491 | $0 | $242,322 | $0 | $0 | $0 |
| HONG WADE | ||||||||||||||
| CFO | $117,539 | $0 | $0 | $0 | $0 | $0 | $3,803 | $0 | $33,936 | $0 | $155,278 | $0 | $0 | $0 |
| STEPHEN DICKEY | ||||||||||||||
| PHYSICIAN | $466,018 | $0 | $96,893 | $0 | $1,493 | $0 | $11,314 | $0 | $33,936 | $0 | $609,654 | $0 | $0 | $0 |
| DWAYNE MILLER | ||||||||||||||
| PHYSICIAN | $304,980 | $0 | $47,759 | $0 | $1,493 | $0 | $9,130 | $0 | $0 | $0 | $363,362 | $0 | $0 | $0 |
| ANNELLE ONISHI | ||||||||||||||
| PHYSICIAN | $237,515 | $0 | $20,850 | $0 | $1,371 | $0 | $7,934 | $0 | $24,491 | $0 | $292,161 | $0 | $0 | $0 |
| GARRY DAVIS | ||||||||||||||
| PHYSICIAN | $269,056 | $0 | $27,352 | $0 | $340 | $0 | $5,675 | $0 | $0 | $0 | $302,423 | $0 | $0 | $0 |
| GUYLE DONHAM | ||||||||||||||
| PHYSICIAN | $325,903 | $0 | $44,505 | $0 | $191 | $0 | $5,570 | $0 | $0 | $0 | $376,169 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 2020, CCMC BOARD OF DIRECTORS APPROVED CEO AND CFO 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 SVCS TOTAL FEES:3762101 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:125873 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:1469151 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMANCHE COUNTY HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 634 | AddressLine1Txt |
| City | COMANCHE | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76442 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202373650 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12, III | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |