COMANCHE COUNTY MEDICAL CENTER COMPANY: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- COMANCHE COUNTY MEDICAL CENTER COMPANY (EIN 27-3993262)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-11
- IRS object ID
- 202543159349304389
- Schema version
- 2024v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-11T14:02:17+00:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14221 Dallas Parkway Suite 400 | AddressLine1Txt |
| City | Dallas | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | 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) |
|---|---|---|
| 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 | Daniel Bonk | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2548794900 | PhoneNum |
| Signature | 2025-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Andrew Gray | PreparerPersonNm |
| PTIN | P01517705 | PTIN |
| Phone | 9727028262 | PhoneNum |
| Preparation | 2025-11-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIEL BONK | BusinessNameLine1Txt |
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 | $58,850,703 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://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 | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 420 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $720,777 | PYContributionsGrantsAmt |
| CY Contributions Grants | $255,697 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $52,424,675 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $58,323,343 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,566 | PYInvestmentIncomeAmt |
| CY Investment Income | $51,121 | CYInvestmentIncomeAmt |
| PY Other Revenue | $339,295 | PYOtherRevenueAmt |
| CY Other Revenue | $220,542 | CYOtherRevenueAmt |
| PY Total Revenue | $53,493,313 | PYTotalRevenueAmt |
| CY Total Revenue | $58,850,703 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $580,750 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $580,750 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,024,614 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,312,603 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,862,348 | PYOtherExpensesAmt |
| CY Other Expenses | $33,848,854 | CYOtherExpensesAmt |
| PY Total Expenses | $50,467,712 | PYTotalExpensesAmt |
| CY Total Expenses | $59,742,207 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,025,601 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$891,504 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,011,909 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,415,110 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,872,887 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,167,592 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,139,022 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,247,518 | 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 | $28,088,060 | ExpenseAmt |
| Grant | $580,750 | GrantAmt |
| Revenue | $37,520,472 | 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 YEAR 2024, WE SERVED 347 INPATIENTS, 1,409 OBSERVATIONS, 62 SWING BED PATIENTS, AND 14 HOSPICE PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,179,036 | ExpenseAmt |
| Revenue | $12,229,869 | RevenueAmt |
| Desc | NONPROFIT PHARMACIES AND PHARMACY SERVICES. ACCOMPLISHMENTS INCLUDE A TOTAL OF 133,526 PRESCRIPTIONS FOR ALL FOUR 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 |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,094,150 | ExpenseAmt |
| Revenue | $8,614,127 | RevenueAmt |
| Desc | RURAL HEALTH CLINICS. ACCOMPLISHMENTS INCLUDE A TOTAL OF 56,312 VISITS FOR ALL FOUR CLINICS. CLINIC OBJECTIVES ARE TO DELIVER EXCELLENT PRIMARY CARE AND IMPROVE ACCESS TO CARE IN OUR RURAL SERVICE AREA. WE EXTENDED SERVICES THROUGH 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $46,361,246 | 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 | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 98 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 420 | 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| 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 |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HONG WADE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2548794900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10201 HIGHWAY 16 | AddressLine1Txt |
| City | NORTH COMANCHE | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76442 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BARBARA WILLIAMS | ||||||||
| PRESIDENT | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAUL MCKINZIE | ||||||||
| VICE PRESIDENT | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUSAN CARRUTH | ||||||||
| SECRETARY | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BILLIE ENGEL | ||||||||
| DIRECTOR | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| MONTY COX | ||||||||
| DIRECTOR | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT PRATT | ||||||||
| DIRECTOR | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| HONG WADE | ||||||||
| CFO | 40.0 | Yes (X) | $145,967 | $0 | $28,216 | |||
| LARRY TROXELL | ||||||||
| CEO | 40.0 | Yes (X) | $272,725 | $0 | $73,387 | |||
| ROBERT HERRON | ||||||||
| CIO | 40.0 | $176,067 | $0 | $43,058 | Yes (X) | |||
| DWAYNE MILLER | ||||||||
| PHYSICIAN | 40.0 | $362,302 | $13,000 | $10,032 | Yes (X) | |||
| GARRY DAVIS | ||||||||
| PHYSICIAN | 40.0 | $377,968 | $0 | $10,350 | Yes (X) | |||
| GUYLE DONHAM | ||||||||
| PHYSICIAN | 40.0 | $514,509 | $0 | $2,110 | Yes (X) | |||
| MOLLY GRAY | ||||||||
| PHYSICIAN | 40.0 | $293,603 | $0 | $21,924 | Yes (X) | |||
| STEPHEN DICKEY | ||||||||
| PHYSICIAN | 40.0 | $362,998 | $0 | $39,220 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,506,139 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,000 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $228,297 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | 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 |
|---|---|---|---|---|---|
| SCI CONSTRUCTION | |||||
| 14170 FM 2964 | WHITEHOUSE | TX | 75791 | CONSTRUCTION | $1,182,761 |
| CONCORD MEDICAL GROUP | |||||
| 1602 AVENUE Q | LUBBOCK | TX | 79401 | PHYSICIAN SERVICES | $968,007 |
| COMANCHE PHYSICAL THERAPY | |||||
| PO BOX 130 | DE LEON | TX | 76444 | PHYSICAL THERAPY | $784,033 |
| BROWNWOOD ANESTHESIA PLLC | |||||
| 3221 CR 315 | EARLY | TX | 76802 | ANESTHESIA CONSULTANT | $388,000 |
| HOSPITAL PRESCRIPTION MANAGEMENT | |||||
| PO BOX 207317 | DALLAS | TX | 75320 | PHARMACY CONSULTANT | $338,366 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $255,697 | AllOtherContributionsAmt |
| Total Contributions | $255,697 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621110 | $45,535,621 | $45,535,621 |
| INDIGENT CARE SUPPORT | 624200 | $420,000 | $420,000 |
| PHARMACY REVENUE | 446110 | $12,367,722 | $12,367,722 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $58,323,343 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,121 | TotalRevenueColumnAmt |
| Exclusion | $51,121 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| 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 | $179,417 | $179,417 | |
| MISCELLANEOUS REVENUE | 900099 | $41,125 | $41,125 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $220,542 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,850,703 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,364,468 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $230,538 | 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 | $580,750 | TotalAmt |
| Program Services | $580,750 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,420 | TotalAmt |
| Management And General | $739,420 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,763,427 | TotalAmt |
| Program Services | $13,713,433 | ProgramServicesAmt |
| Management And General | $4,049,994 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,199 | TotalAmt |
| Program Services | $408,026 | ProgramServicesAmt |
| Management And General | $87,173 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,933,303 | TotalAmt |
| Program Services | $3,722,587 | ProgramServicesAmt |
| Management And General | $1,210,716 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,381,254 | TotalAmt |
| Program Services | $1,023,732 | ProgramServicesAmt |
| Management And General | $357,522 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,479 | TotalAmt |
| Management And General | $39,479 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,532 | TotalAmt |
| Management And General | $144,532 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375 | TotalAmt |
| Management And General | $375 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,790,700 | TotalAmt |
| Program Services | $5,505,018 | ProgramServicesAmt |
| Management And General | $1,285,682 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,598 | TotalAmt |
| Program Services | $514,334 | ProgramServicesAmt |
| Management And General | $137,264 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,083 | TotalAmt |
| Program Services | $495,773 | ProgramServicesAmt |
| Management And General | $132,310 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,764 | TotalAmt |
| Program Services | $140,317 | ProgramServicesAmt |
| Management And General | $37,447 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,492,890 | TotalAmt |
| Program Services | $2,757,088 | ProgramServicesAmt |
| Management And General | $735,802 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,990 | TotalAmt |
| Program Services | $101,817 | ProgramServicesAmt |
| Management And General | $27,173 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,283 | TotalAmt |
| Program Services | $20,746 | ProgramServicesAmt |
| Management And General | $5,537 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,376 | TotalAmt |
| Program Services | $48,454 | ProgramServicesAmt |
| Management And General | $16,922 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $898,942 | TotalAmt |
| Program Services | $666,261 | ProgramServicesAmt |
| Management And General | $232,681 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,438 | TotalAmt |
| Program Services | $266,354 | ProgramServicesAmt |
| Management And General | $71,084 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $17,985,598 | $14,074,464 | $3,911,134 |
| Bad Debt Expense | $1,727,384 | $1,727,384 | |
| Repairs & Maintenance | $339,761 | $268,188 | $71,573 |
| Food | $283,537 | $223,808 | $59,729 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,124 | TotalAmt |
| Program Services | $102,712 | ProgramServicesAmt |
| Management And General | $27,412 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,742,207 | TotalAmt |
| Program Services | $46,361,246 | ProgramServicesAmt |
| Management And General | $13,380,961 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,851 | BOYAmt |
| EOY | $2,693 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,957,358 | BOYAmt |
| EOY | $2,745,136 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,231,986 | BOYAmt |
| EOY | $4,767,515 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,540,071 | BOYAmt |
| EOY | $2,434,792 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,318 | BOYAmt |
| EOY | $1,215,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,685,602 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,307,618 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,034,527 | BOYAmt |
| EOY | $6,377,984 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,454 | BOYAmt |
| EOY | $490,209 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,570,344 | BOYAmt |
| EOY | $3,380,859 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,011,909 | BOYAmt |
| EOY | $21,415,110 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,393,042 | BOYAmt |
| EOY | $4,568,177 | 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 | $433,605 | BOYAmt |
| EOY | $1,067,209 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,046,240 | BOYAmt |
| EOY | $1,532,206 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,872,887 | BOYAmt |
| EOY | $7,167,592 | 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 | $15,139,022 | BOYAmt |
| EOY | $14,247,518 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,139,022 | BOYAmt |
| EOY | $14,247,518 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,011,909 | BOYAmt |
| EOY | $21,415,110 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$891,504 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule 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) |
|---|---|---|
| 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 | $375 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $375 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAYS DUES TO the Texas Association of Rural Health Clinics, A PORTION OF WHICH ATTRIBUTED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,738,346 | OtherCostOrOtherBasisAmt |
| Depreciation | $875,904 | DepreciationAmt |
| Book Value | $1,862,442 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,655 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,937 | DepreciationAmt |
| Book Value | $38,718 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,866,742 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,418,777 | DepreciationAmt |
| Book Value | $2,447,965 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,028,859 | OtherCostOrOtherBasisAmt |
| Book Value | $2,028,859 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,377,984 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| THIE Savings | $162,767 |
| Due from third-party payers | $1,087,140 |
| Due from TXOIC | $2,130,952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,380,859 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| Est. Amount due to third-party payers | $1,055,560 |
| Finance Lease Liabilities | $451,616 |
| Operating Lease Liabilities | $25,030 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,532,206 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $58,103,365 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$747,338 | OtherRevenueAmt |
| Revenue Not Reported | -$747,338 | RevenueNotReportedAmt |
| Revenue Subtotal | $58,850,703 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $58,850,703 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $60,360,257 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,345,434 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,345,434 | ExpensesNotReportedAmt |
| Expenses Subtotal | $58,014,823 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,727,384 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,727,384 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $59,742,207 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 ASC 740 Footnote | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
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 |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $924,475 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $924,475 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01594 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,856,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,404,913 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $451,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00778 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,075 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,930 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00186 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,892,826 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,408,843 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,483,983 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02558 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $580,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $580,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $580,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $580,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01001 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,473,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,408,843 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,064,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03559 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $17,335 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $17,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,727,384 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $935,719 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,819,707 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,092,682 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,272,975 | 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 MEDICAL CENTER | BusinessNameLine1Txt |
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) |
|---|---|---|
| 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 MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://comanchecmc.org/patients-visitors/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://comanchecmc.org/patients-visitors/ | 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 | 150.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | 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 | https://comanchecmc.org/patients-visitors/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://comanchecmc.org/patients-visitors/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://comanchecmc.org/patients-visitors/ | 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 (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Doctor Medical Center. The CHNA completed included stakeholder input from: individuals in the community representing diverse occupations and experiences, patients, medical and nonmedical staff (physicians, nurses, administrators), and Board members of CCMC, the hospital district, and Comanche County Healthcare Foundation. Stakeholder input was obtained through multiple in-person interviews which were scheduled at the hospital, De Leon town hall, and CECA meeting space in Comanche. CCMC announced the opportunities to participate and provide input in social media, email, telephone, local newspapers, and through community partners. Secondary research and analyses were conducted on data from several public and private sources and the findings incorporated into the CHNA. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Doctor Medical Center. The CCMC hospital continued its focus on the greatest needs identified in the CHNA: mental health access, chronic disease management, and geriatric medical services. Our behavioral health provider continued to see patients on weekdays throughout the year in the hospital clinic. Psychiatric patients presenting in the ER requiring higher levels of care were referred and/or transferred to behavioral health providers in neighboring counties. Primary care screening for mental health conditions was conducted by family practice providers in clinic appointments. Mental health awareness messaging was advanced across the health system and through Facebook posts. CCMC partnered with Tarleton State University and other local behavioral health providers to submit a grant proposal to HRSA for a Rural Mental Health Network. CCMC's chronic care management program recorded 5,626 patient visits in 2024. Patients with high blood pressure, diabetes and/or chronic obstructive pulmonary disease (COPD) were served. CCMC continued to provide diabetes care, management and education through clinic sites and offered the on-going diabetes prevention program and support group. Geriatric health care services were provided through Medicare wellness exams, chronic care program, cardiac and pulmonary rehab services, and acute skilled nursing services. An oncologist was recruited to provide specialist care. A staff team conducted research on what chemotherapy services could be offered. Throughout the year, CCMC continued to build community awareness of skilled nursing options, using print and digital media. As healthcare access includes access to medications, CCMC planned for the construction of a 4,000 sq ft pharmacy adjacent to the hospital to include compounding and immunization areas, and customer drive-through facility. The hospital also partnered with a community pharmacy in Mills County to provide services. NEEDS NOT ADDRESSED: Needs not specifically addressed during 2024 identified in the 2023 CHNA were food insecurity and access, women's health services, child poverty, and dental services. CCMC is engaged in addressing these needs throughout the year, apart from dental services for which resources are lacking with a few dental providers in the service area. CCMC continued to address food insecurity through its long-running partnership with Food Bank of West Central Texas and the Comanche County mobile food pantry program. The hospital provided operational resources to the monthly food program including support for employee volunteerism to coordinate and implement the program. Food staples were provided to hundreds of qualifying families at pickup locations in De Leon and Comanche. CCMC also provided food support to employees in need and supported employee engagement with a local meal delivery program for seniors. Women's health services continued to be offered in hospital clinics for prenatal primary care, mammography, and annual women's health screenings. In 2024, CCMC pursued plans to provide gynecology services to commence in Q1 2025. The pediatric medical care program established by our board-certified pediatrician in mid-2023 grew, totaling 3,146 pediatric visits by year-end 2024. The Health on Campus in-school telehealth program supported the health needs of children whose parents signed them up to receive primary care services in their school. In 2024, another school district joined the in-school telehealth service with its high school and two elementary schools receiving equipment and connectivity. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - Doctor MEDICAL CENTER. 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 | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| COMANCHE COUNTY RETAIL PHARMACY | ||||
| 10201 HIGHWAY 16 NORTH | COMANCHE | SD | 76442 | PHARMACY |
| DOCTOR MEDICAL CENTER | ||||
| 10201 HIGHWAY 16 NORTH | COMANCHE | TX | 76442 | CLINIC |
| PATRICK STREET PHARMACY | ||||
| 303 N PATRICK ST | DUBLIN | TX | 76446 | PHARMACY |
| RISING STAR PHARMACY | ||||
| 1870 B STATE HIGHWAY 36 | RISING STAR | TX | 76471 | PHARMACY |
| DUBLIN FAMILY MEDICINE | ||||
| 305 N PATRICK ST | DUBLIN | TX | 76446 | CLINIC |
| CORNERSTONE FAMILY MEDICINE | ||||
| 408 N Austin St | Comanche | TX | 76442 | CLINIC |
| COMANCHE PHYSICAL THERAPY | ||||
| 108 W OAK AVE | COMANCHE | TX | 76442 | PHYSICAL THERAPY |
| KIMMELL WELLNESS CENTER | ||||
| 400 S HOUSTON ST | DE LEON | TX | 76444 | PHYSICAL THERAPY |
| RISING STAR HEALTH CLINIC | ||||
| 1870 A STATE HIGHWAY 36 | RISING STAR | TX | 76471 | CLINIC |
| MCMAHAN PHARMACY | ||||
| 1503 WEST FRONT ST | GOLDTHWAITE | TX | 76844 | PHARMACY |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE | THE ORGANIZATION USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL - INSURANCE STATUS - UNDERINSURANCE STATUS |
| Schedule H, Part I, Line 7 Costing Methodology | THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. WORKSHEET 8 WAS COMPUTED USING THE HOSPITAL'S INCOME STATEMENT AND GRANT SCHEDULE. |
| Schedule H, Part I, Line 7 COL (F) PERCENT OF TOTAL EXPENSE | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $1,727,384. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 1727384 |
| Schedule H, Part II Community Building Activities | ACTIVITIES INCLUDED IN THE COMMUNITY SUPPORT ARE EXPENSES PAID TO EVENTS TO PROVIDE EMERGENCY SAFE SHELTER, ADVOCACY, FOOD, COUNSELING AND CLOTHING TO THE COMMUNITY. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | 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, Line 3 Bad Debt Expense Methodology | WE USE RATIO OF COST TO CHARGES. BAD DEBTS ARE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL PROVIDES EMERGENCY AND MEDICALLY NECESSARY CARE TO PATIENTS REGARDLESS OF THE PATIENT'S ABILITY TO PAY. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | 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, Line 9b Collection practices for patients eligible for financial assistance | 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 V, Section B, Line 16a FAP website | - Comanche MEDICAL CENTER: Line 16a URL: https://comanchecmc.org/patients-visitors/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Comanche MEDICAL CENTER: Line 16b URL: https://comanchecmc.org/patients-visitors/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Comanche MEDICAL CENTER: Line 16c URL: https://comanchecmc.org/patients-visitors/; |
| Schedule H, Part VI, Line 2 Needs assessment | COMANCHE COUNTY MEDICAL CENTER (CCMC) 2023 CHNA ASSESSES THE NEEDS OF THE COMMUNITY BY ANALYZING OTHER SOURCES OF HOSPITAL DATA. SOME OF THESE INCLUDE COLLECTING INFORMATION FROM PROVIDERS REGARDING PATIENT NEEDS, OBTAINING AND REVIEWING QUALITY ASSURANCE AND PATIENT SURVEY DATA, AND ANALYZING PATTERNS IN PATIENT MEDICAL CONDITIONS AND OUTCOMES. REGULAR COLLECTION AND ANALYSIS OVER TIME HAS RESULTED IN THE IDENTIFICATION OF NEEDS AND THE EXPANSION OF SERVICES. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | INFORMATION ABOUT CHARITY ASSISTANCE AVILABLE THROUGH THE HOSPITAL IS COMMUNICATED ON PRINTED NOTICES IN BILLS MAILED TO PATIENTS, IN POSTING OF NOTICES IN EMERGENCY ROOMS, ON HOSPITAL FORMS, AND DURING THE ADMITTING AND REGISTRATION PROCESS. IN ADDITION, THE HOSPITAL BUSINESS OFFICE PROVIDES PRINTED AND REGULAR CONSULTATIONS TO PATIENTS REGARDING ASSISTANCE OPTIONS. A SUMMARY OF THE CHARITY CARE POLICY IS PUBLISHED ON FACILITY WEBSITES, IN BROCHURES AVAILABLE IN-PATIENT ACCESS AREAS. REFERRAL OF PATIENTS FOR CHARITY MAY BE MADE BY ANY MEMBER OF THE CCMC STAFF, MEDICAL STAFF OR COMMUNITY PARTNERS |
| Schedule H, Part VI, Line 4 Community information | THE HOSPITAL SERVICES 6 COUNTIES COMPOSED OF BROWN, COMANCHE, EASTLAND, ERATH, HAMILTON AND MILLS COUNTIES. ALL 6 COUNTIES HAVE A LOWER HISPANIC OR LATINO POPULATION THAN THE TEXAS STATE AVERAGE, AN UNEMPLOYMENT RATE LOWER THAN BOTH THE TEXAS STATE AND NATIONAL AVERAGES, AND ARE ABOVE BOTH TEXAS STATE AND NATIONAL AVERAGES FOR PERCENTAGE OF POPULATION WITH ANY DISABILITY. 5 OUT OF THE 6 COUNTIES HAVE A LARGER VETERAN POPULATION THAN THE TEXAS STATE AVERAGE. PER CAPITA INCOME IN ALL 6 COUNTIES FALLS BELOW THE TEXAS STATE AVERAGE OF $30,142, AND THE U.S. AVERAGE OF $32,620. LIMITED ACCESS TO DENTISTS IS AN ISSUE IN THE CCMC COMMUNITY. OBESITY AND DIABETES WERE IN THE TOP THREE MOST SIGNIFICANT PROBLEMS AND MAJOR HEALTH CHALLENGES IN THE CCMC COMMUNITY. THE NUMBER OF PRIMARY CARE PROVIDERS IN ALL COUNTIES, WITH THE EXCEPTION OF HAMILTION, FALL BELOW BOTH STATE AND NATIONAL AVERAGES. THERE IS A SHORTAGE OF PRIMARY CARE PROVIDERS IN THE CCMC COMMUNITY. |
| Schedule H, Part VI, Line 5 Promotion of community health | THE HOSPITAL HAS A BOARD OF DIRECTORS MADE UP OF VOLUNTEERS WHO REPRESENT THE COMMUNITY. ANNUALLY DURING HOSPITAL WEEK, WE PROVIDE A HEALTH FAIR AND INVITE HEALTH CARE VENDORS FROM THE AREA AND INDIVIDUALS TO ATTEND. AT THE HEALTH FAIR, WE OFFER FREE LIPID PROFIILES, HEALTH SERVICES INFORMATION, AND, THROUGH THE VENDOR PARTNER, PROVIDE OTHER FREE TESTING AT THE EVENT. OUR EMPLOYEES SPEAK AT VARIOUS EVENTS (CIVIC CLUBS, ETC.). OUR SOCIAL WORKERS HELP PATIENTS WITH NEEDS SUCH AS NURSING HOME PLACEMENT AND HOME HEALTH SERVICES. WE ALSO PROVIDE PATIENT EDUCATION MATERIAL, CONDUCT CPR CLASSES AND PRE-DIABETES CLASSES THAT INDIVIDUALS ATTEND. WE PROVIDE ANNUAL FLU SHOTS TO VOLUNTEERS, FOUNDATION MEMEBERS, BOARD MEMBERS, PHYSICIANS, EMPLOYEES, AND DISTRICT EMPLOYEES WHO WORK IN OUR BUILDING. WE ALSO OFFER FLU CLINICS FOR BUSINESSES AND SCHOOL GROUPS. ECONOMIC DEVELOPMENT - AS ADMINISTRATOR FOR CCCHD, SUBSTANTIAL MANAGEMENT AND OTHER RESOURCES WERE APPLIED IN 2023 TO THE PLANNING AND PRE-CONSTRUCTION PHASES OF A NEW NOT-FOR-PROFIT LONG-TERM CARE CENTER BEING BUILT ADJACENT TO THE HOSPITAL. NEW EMPLOYMENT OPPORTUNITIES, TOTALING 100, WERE DEFINED, AND RECRUITING IS UNDERWAY. THIS EFFORT HAS RESULTED IN THE CREATION OF NEW HEALTH INFRASTRUCTURE AND CREATED NEW PROFESSIONAL AND ALLIED HEALTH JOBS. COMMUNITY SUPPORT - NURSES PARTICIPATED IN VIOLENCE PREVENTION PROGRAMS TO THE COMMUNITY AND CCMC PARTICIPATED IN 2023 DISASTER READINESS TRAININGS WHICH IMPACT THE COMMUNITY. CCMC PROVIDED VOLUNTEER TIME AND EFFORT TO SUPPORT COMMUNITY ORGANIZATIONS AND EVENTS, SUCH AS NATIONAL NIGHT OUT AND THE HISPANIC HERITAGE FESTIVAL. WORKFORCE DEVELOPMENT - CCMC RECRUITED PROVIDERS TO JOIN PRIMARY CARE CLINICS, EACH OF THESE IN UNDERSERVED AREAS. CCMC COLLABORATED WITH EDUCATIONAL INSTITUTIONS INCLUDING RANGER COLLEGE TO TRAIN HEALTH PROFESSIONALS NEEDED IN THE COMMUNITY. CCMC FORMALLY ENDORSED THE DEVELOPMENT OF A CNA PROGRAM AT DE LEON HIGH SCHOOL AND MENTORS YOUNG STUDENTS INTERESTED IN NURSING. OTHER - TO IMPROVE COMMUNITY HEALTH, CCMC CONTRIBUTES TO UPSTREAM HEALTH FACTORS, ESPECIALLY NUTRITION, BY SUPPORTING FOOD DISTRIBUTION TO NEEDY FAMILIES. MANY VOLUNTEER HOURS WERE EXPENDED IN 2023 TO SUPPORT STAFF COORDINATION AND IMPLEMENTATION OF THE MONTHLY MOBILE FOOD BANK IN DE LEON AND COMANCHE, WHICH IS DELIVERED AND PROVIDED BY FOOD BANK OF WEST CENTRAL TEXAS. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | TX |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT | BusinessNameLine1Txt |
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) |
|---|---|---|
| Recipient EIN | 412048192 | RecipientEIN |
| IRC Section | GOVT | IRCSectionDesc |
| Cash Grant | $580,750 | CashGrantAmt |
| Purpose Of Grant | PRINCIPAL PAYMENT FOR CONSTRUCTION PROJECT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | CONTRACTORS SEND MONTHLY APPLICATIONS FOR THE PAYMENT OF FUNDS DIRECTLY TO THE HOSPITAL'S BANK. THE BANK HAS A 3RD PARTY CONTRACTOR VERIFY THE PROGRESS OF THE CONSTRUCTION ON THE DISTRICT'S NEW NURSING HOME BEFORE ANY PAYMENT IS MADE. | ExplanationTxt |
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 (8 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 | $264,253 | $0 | $6,000 | $0 | $2,472 | $0 | $45,113 | $0 | $28,274 | $0 | $346,112 | $0 | $0 | $0 |
| HONG WADE | ||||||||||||||
| CFO | $145,451 | $0 | $0 | $0 | $516 | $0 | $4,587 | $0 | $23,629 | $0 | $174,183 | $0 | $0 | $0 |
| ROBERT HERRON | ||||||||||||||
| CIO | $154,703 | $0 | $20,828 | $0 | $536 | $0 | $5,624 | $0 | $37,434 | $0 | $219,125 | $0 | $0 | $0 |
| GUYLE DONHAM | ||||||||||||||
| PHYSICIAN | $274,616 | $0 | $239,532 | $0 | $361 | $0 | $2,110 | $0 | $0 | $0 | $516,619 | $0 | $0 | $0 |
| STEPHEN DICKEY | ||||||||||||||
| PHYSICIAN | $260,283 | $0 | $101,191 | $0 | $1,524 | $0 | $10,171 | $0 | $29,049 | $0 | $402,218 | $0 | $0 | $0 |
| GARRY DAVIS | ||||||||||||||
| PHYSICIAN | $255,365 | $0 | $122,327 | $0 | $276 | $0 | $10,350 | $0 | $0 | $0 | $388,318 | $0 | $0 | $0 |
| DWAYNE MILLER | ||||||||||||||
| PHYSICIAN | $265,815 | $13,000 | $94,904 | $0 | $1,583 | $0 | $10,032 | $0 | $0 | $0 | $372,334 | $13,000 | $0 | $0 |
| MOLLY GRAY | ||||||||||||||
| PHYSICIAN | $257,482 | $0 | $35,934 | $0 | $187 | $0 | $7,983 | $0 | $13,941 | $0 | $315,527 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - STEPHEN DICKEY, COMPENSATION FROM UNRELATED ORGANIZATION - 12000, NAME OF UNRELATED ORGANIZATION - CCCHD, TYPE OF COMPENSATION - EMS DIRECTORSHIP |
| Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - DWAYNE MILLER, COMPENSATION FROM UNRELATED ORGANIZATION - 1200, NAME OF UNRELATED ORGANIZATION - WHITESTONE, TYPE OF COMPENSATION - MEDICAL DIRECTORSHIP |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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, Line 12c Conflict of interest policy | BOARD MEMBERS AND HIGHEST COMPENSATED PHYSICIANS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THROUGH THE SUBMISSION OF THE CCMC STATEMENT OF DISCLOSURE OF OUTSIDE INTERESTS AND ACTIVITIES AS THEY ARISE. IN THE EVENT THAT AN AGENDA ITEM IS DISCUSSED THAT CONFLICTS WITH A BOARD MEMBER, THAT BOARD MEMBER ABSTAINS FROM THE VOTING OF THE TOPIC. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | IN 2024, CCMC BOARD OF DIRECTORS APPROVED CEO CONTRACT AND COMPENSATION THROUGH REVIEW AND APPROVAL, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | 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, Line 19 Required documents available to the public | THE ORGANIZATIONAL DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part IX, Line 11g Other Fees | Purchased/Contract Services - Total Expense: 4724348, Program Service Expense: 3873958, Management and General Expenses: 850390, Fundraising Expenses: ; Consulting - Total Expense: 262147, Program Service Expense: 206924, Management and General Expenses: 55223, Fundraising Expenses: ; Physician Services - Total Expense: 1804205, Program Service Expense: 1424136, Management and General Expenses: 380069, Fundraising Expenses: ; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COMANCHE COUNTY HEALTHCARE FOUNDATION | ||||||||||
| PO BOX 634 | COMANCHE | TX | 76442 | 202373650 | SUPPORT | TX | 501(c)(3) | Type III-FI | NA | false |
| TEXAS OUTPATIENT & INFUSION CENTER | ||||||||||
| 10201 HWY 16 NORTH | COMANCHE | TX | 76442 | 881121653 | MEDICAL SERVICES | TX | 501(c)(3) | 3 | CCMC | Yes (true) |
| 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 | Yes (true) | 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 |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Comanche County Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $2,679,160 | InvolvedAmt |
| Method Of Amount Determination | Fair Market Value | MethodOfAmountDeterminationTxt |