2020-09-24T09:48:47-05:00 2019-12-31 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2019-01-01 273993262 COMANCHE COUNTY MEDICAL CENTER COMPANY COMA 2548794900 10201 STATE HIGHWAY 16 COMANCHE TX 764424462 LARRY G TROXELL CEO 2548794900 2020-09-24 GAYLE DE HAAS P01774581 8067911591 12.86.242.26 2020-09-24 09:48:42 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0233A6F5F381DB5D6536E14B0823E12B194F9A03 2019 2021-01-29 14:40:06Z LARRY G TROXELL 10201 STATE HIGHWAY 16 COMANCHE TX 764424462 30231637 0 X WWW.COMANCHECMC.ORG X 2010 TX TO PROVIDE EXCELLENT AND COMPASSIONATE HEALTH CARE AND PROMOTE COMMUNITY HEALTH AND WELLNESS. 5 5 286 0 0 0 363513 434329 25469498 29142199 -89952 61304 679682 593805 26422741 30231637 0 0 0 0 9998818 13211441 0 0 0 15266839 16363782 25265657 29575223 1157084 656414 9483320 11504913 2818735 4183914 6664585 7320999 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. 0 0 25966960 29736004 GENERAL AND ACUTE HOSPITAL SERVICES 25966960 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 37 0 1 286 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X COMANCHE COUNTY MEDICAL CENTER COMPANY 2548794900 10201 STATE HIGHWAY 16 COMANCHE TX 76442 PAUL MCKINZIE PRESIDENT 0.50 X X 0 0 0 MIKE HARE VICE CHAIRMAN 0.50 X X 0 0 0 SUSAN CARRUTH SECRETARY 0.50 X X 0 0 0 JERRY MORGAN DIRECTOR 0.50 X 0 0 0 ROBERT PRATT DIRECTOR 0.50 X 0 0 0 LARRY TROXELL CEO 40.00 X 178924 0 0 HONG WADE CFO 40.00 X 4423 0 0 LADENA GANAWAY CNO 40.00 X 85064 0 0 MICHAEL DAIKEN CFO (FORMER) 40.00 X 67907 0 0 JENNIFER TREVINO CNO (FORMER) 40.00 X 79489 0 0 SHARON MAXWELL PHARMACIST 40.00 X 125056 0 0 WESLEY MAYR PHYSICIAN ASSISTANT 40.00 X 141354 0 0 RACHEL HILLIARD NURSE PRACTITIONER 40.00 X 127626 0 0 ANNELLE ONISHI PHYSICIAN 40.00 X 168927 0 0 KENDRA LUKER PHYSICIAN ASSISTANT 40.00 X 141025 0 0 1119795 0 0 6 0 1 0 CONCORD MEDICAL GROUP 1602 AVE Q LUBBOCK TX 79401 PHYSICIAN SERVICES 1042200 COMANCHE PHYSICAL THERAPY PO BOX 130 DE LEON TX 76444 PHYSICAL THERAPY 631959 DICKEY HOWARD 200 CR 461 DE LEON TX 76444 PHYSICIAN SERVICES 353460 DONHAM GUYLE 437 TIMBER CREEK STEPHENVILLE TX 76401 PHYSICIAN SERVICES 278778 DAVIS GARRY TODD 501 APACHE TRAIL COMANCHE TN 76442 PHYSICIAN SERVICES 258537 6 166131 268198 434329 NET PATIENT SERVICE 621990 28330943 28330943 NET RETAIL PHARMACY 621990 811256 811256 29142199 61304 61304 DSRIP 900099 473475 473475 CAFETERIA 900099 100221 100221 MISCELLANEOUS 900099 11607 11607 8502 8502 593805 30231637 29736004 0 61304 X 251254 251254 9982415 8398199 1584216 153858 129575 24283 2100183 1768721 331462 723731 609508 114223 276907 276907 35341 35341 333 333 3553653 3020605 533048 184422 168937 15485 498630 468667 29963 463273 463273 3619494 3521628 97866 41172 34897 6275 66122 56045 10077 79983 70498 9485 545237 503785 41452 169731 155480 14251 MEDICAL SUPPLIES 3526749 3526749 BAD DEBT 1933037 1933037 DUES, LICENSES & SUBSCR 1030177 873173 157004 DIETARY 216348 212779 3569 123173 51404 71769 29575223 25966960 3608263 0 2956502 2475334 1827648 3573025 817809 928198 329090 263404 7037469 4428764 2028382 2608705 1523889 1656247 9483320 11504913 2066177 2113470 754015 1330535 -1457 739909 2818735 4183914 X 6664585 7320999 6664585 7320999 9483320 11504913 656414 0 X 1 X 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 828999 241666 587333 5930391 4187098 1743293 278079 278079 2608705 DUE FROM MEDICARE COST REPORT 140488 OTHER RECEIVABLES 1070156 DUE FROM HOSPITAL DISTRICT 28478 UNCOMPENSATED REVENUE RECEIVABLE 417125 1656247 DUE TP/FROM ASSISTED LIVING -91 UNCOMPENSATED CARE RECOUPMENT PAYABLE 740000 739909 X 28298600 -1933037 -1933037 30231637 0 30231637 27642186 0 27642186 1933037 1933037 29575223 PART X, LINE 2: PER AUDIT REPORT, "THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY FASB INTERPRETATION 48 (FIN 48) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE HOSPITAL EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ASC 450, CONTINGENCIES. AS A RESULT, MANAGEMENT DOES NOT BELIEVE THAT ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL HAS FILED ALL APPLICABLE TAX RETURNS." PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -1,933,037. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,933,037. 1 1 1 X 300.000000000000 1 X 1 1 0 0 1671183 2808000 0 0.00000 1671183 2808000 0 0.00000 1671183 2808000 0 0.00000 1 1105468 1786598 3148323 4883225 -1734902 X 1 1 1 1 COMANCHE COUNTY MEDICAL CENTER 10201 STATE HIGHWAY 16 COMANCHE TX 76442 WWW.COMANCHECMC.ORG 100123 X X X X COMANCHE COUNTY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X WWW.COMANCHECMC.ORG X 1 17 1 WWW.COMANCHECMC.ORG 0 1 X 125.000000000000 200.000000000000 X X X X X 1 1 X X 1 X WWW.COMANCHECMC.ORG X WWW.COMANCHECMC.ORG X WWW.COMANCHECMC.ORG X X X X X 1 X 0 1 0 0 COMANCHE COUNTY MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA COMPLETED INCLUDED STAKEHOLDER INPUT FROM: INDIVIDUALS IN THE COMMUNITY, MEDICAL PROFESSIONALS (PHYSICIANS AND NURSING STAFF), AND BOARD MEMBERS OF CCMC. STEAKEHOLDER INPUT WAS OBTAINED THROUGH FOCUS GROUPS, SURVEYS AND INTERVIEWS. COMANCHE COUNTY MEDICAL CENTER PART V, SECTION B, LINE 11: CCMC IDENTIFIED THREE COMMUNITY HEALTH NEEDS IN ITS IMPLEMENTATION STRATEGY: BREAKING THROUGH THE LANGUAGE BARRIER, COMMUNITY EDUCATION, AND INCREASING SPECIALISTS AND SERVICES.BREAKING THROUGH THE LANGUAGE BARRIER: CCMC DEVELOPED HOSPITAL AND HEALTH-RELATED INFORMATION IN SPANISH, PROVIDED HOSPITAL INFORMATION PRINTED IN SPANISH, REACHED OUT TO CHURCH COMMUNITY ORGANIZATIONS, AND OFFERED TO PROVIDE HEALTH-RELATED PRESENTATIONS TO GROUPS IN ENGLISH AND SPANISH.COMMUNITY EDUCATION: CCMC DEVELOPED INFORMATVE MATERIALS LISTING HOSPITAL SERVICES AND DESCRIBING FINANCIAL ASSISTANCE PROGRAMS AND DISTRIBUTED THESE THROUGHOUT THE COMMUNITY. CCMC PRESENTED INFORMATION TO AND CONDUCTED HEALTH SCREENINGS FOR COMMUNITY GROUPS, AND PROVIDED HOSPITAL BOOTHS AT VARIOUS FAIRS AND ACTIVITIES. CCMC ATTENDED MINISTERIAL ALLIANCE MEETINGS TO NETWORK WITH AREA CHURCHES, AND OFFERED PRINTED HOSPITAL AND HEALTH INFORMATION MATERIALS TO OTHER COMMUNITY GROUPS. IN ADDITION, CCMC ADVERTISED SERVICES ON LOCAL RADIO STATIONS AND IN LOCAL NEWSPAPERS. INCREASE SPECIALISTS AND SERVICES: CCMC EVALUATED CURRENT VISITING SPECIALISTS AND RESEARCHED OPPORTUNITIES FOR NEW SPECIALISTS. CCMC RESEARCHED AND DISSEMINATED INFORMATION TO THE COMMUNITY INFORMATION ABOUT TRANSPORTATION SERVICES AVAILABLE, AND RESEARCHED AND EVALUATED MOBILE MEDICAL SERVICES FOR MEDICAL NEEDS. SCHEDULE H, PART V, SECTION B, LINE 2 CCMC IS A MEMBER OF THE REGIONAL HEALTHCARE PARTNERSHIP 11 IN THE STATE WHICH HAS CONDUCTED AN AREA COMMUNITY NEEDS SURVEY. SCHEDULE H, PART V, SECTION B, LINE 1 CCMC SERVES COMANCHE COUNTY, AN AREA OF 948 SQUARE MILES, AND THE ESTIMATED POPULATION IN 2019 WAS 13,635 WITH A 2018 MEDIAN HOUSEHOLD INCOME OF $42,419. PART III, LINE 2: RATIO OF COST TO CHARGES PART III, LINE 3: SUM OF CHARGES AT COST PART III, LINE 4: BAD DEBTS ARE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL PROVIDES EMERGENCY AND MEDICALLY NECESSARY CARE TO PATIENTS REGARDLESS OF THE PATIENTS' ABILITY TO PAY.SEE PAGES 5-7 OF THE AUDIT REPORT. PART III, LINE 8: THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. PART III, LINE 9B: IT IS THE 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 1 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 PROFILES, HEALTH SERVICES INFORMATION, AND, THROUGH THE VENDOR PARTNERS, 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 MEMBERS, BOARD MEMBERS, PHYSICIANS, EMPLOYEES, AND DISTRICT EMPLOYEES WHO WORK IN OUR BUILDING. WE ALSO OFFER FLU CLINICS FOR BUSINESSES AND SCHOOL GROUPS. WE PARTICIPATE IN THE LOCAL ANNUAL RELAY FOR LIFE EACH YEAR AND SPONSOR THEIR PROGRAM. 0 0 0 0 0 0 0 0 0 LARRY TROXELL CEO 178924 0 0 0 0 0 0 0 0 0 178924 0 0 0 ANNELLE ONISHI PHYSICIAN 168927 0 0 0 0 0 0 0 0 0 168927 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B 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 BOARD MEMBERS AND PHYSICIANS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST THROUGH THE SUBMISSION OF THE CCMC STATEMENT OF DISCLOSURE OF OUTSIDE INTERESTS AND ACTIVITIES AS THEY ARISE. FORM 990, PART VI, SECTION B, LINE 15 IN 2013, CCMC BOARD OF DIRECTORS APPROVED CEO CONTRACT AND COMPENSATION THROUGH REVIEW AND APPROVAL, COMPARABILITY DATA, AND COMTEMPORANEOUS 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 18 EXCEPT AS PROVIDED FOR IN THE ORGANIZATION'S FORM 1023 AND FORM 990S, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOUCMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONAL DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,020,605. MANAGEMENT AND GENERAL EXPENSES 533,048. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,553,653. COMANCHE COUNTY HEALTHCARE FOUNDATION PO BOX 634 COMANCHE TX 76442 202373650 SUPPORTING ORGANIZATION TX 501(C)(3) 11C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMANCHE COUNTY HEALTHCARE FOUNDATION C 50000 ACV