2025-11-11T14:02:17+00:00 2024-12-31 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2024-01-01 273993262 Comanche County Medical Center Company COMA 2548794900 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 Daniel Bonk CEO 2548794900 2025-11-11 true Andrew Gray P01517705 9727028262 2025-11-17 2024 2025-03-06 01:10:19Z DANIEL BONK 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 58850703 false X http://www.comanchecmc.org/ X 2010 TX TO PROVIDE EXCELLENT AND COMPASSIONATE HEALTH CARE AND PROMOTE COMMUNITY HEALTH AND WELLNESS. 6 6 420 6 0 0 720777 255697 52424675 58323343 8566 51121 339295 220542 53493313 58850703 580750 580750 0 0 21024614 25312603 0 0 0 28862348 33848854 50467712 59742207 3025601 -891504 20011909 21415110 4872887 7167592 15139022 14247518 COMANCHE COUNTY MEDICAL CENTER WILL BE THE RECOGNIZED PROVIDER OF EXCELLENT AND COMPASSIONATE HEALTH CARE FOR THE CUSTOMERS WE SERVE, WHILE STRIVING TO PROMOTE COMMUNITY WELLNESS AND HEALTH. false false 28088060 580750 37520472 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. 9179036 12229869 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. 9094150 8614127 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. 46361246 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true true true false false true 98 0 true 420 true false false false false false false false false false false false false X 6 6 false false false false false false false true true false false false true true true true true true true true false false X HONG WADE 2548794900 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 BARBARA WILLIAMS PRESIDENT 0.5 X X 0 0 0 PAUL MCKINZIE VICE PRESIDENT 0.5 X X 0 0 0 SUSAN CARRUTH SECRETARY 0.5 X X 0 0 0 BILLIE ENGEL DIRECTOR 0.5 X 0 0 0 MONTY COX DIRECTOR 0.5 X 0 0 0 ROBERT PRATT DIRECTOR 0.5 X 0 0 0 HONG WADE CFO 40.0 X 145967 0 28216 LARRY TROXELL CEO 40.0 X 272725 0 73387 ROBERT HERRON CIO 40.0 X 176067 0 43058 DWAYNE MILLER PHYSICIAN 40.0 X 362302 13000 10032 GARRY DAVIS PHYSICIAN 40.0 X 377968 0 10350 GUYLE DONHAM PHYSICIAN 40.0 X 514509 0 2110 MOLLY GRAY PHYSICIAN 40.0 X 293603 0 21924 STEPHEN DICKEY PHYSICIAN 40.0 X 362998 0 39220 2506139 13000 228297 38 false true false SCI CONSTRUCTION 14170 FM 2964 WHITEHOUSE TX 75791 CONSTRUCTION 1182761 CONCORD MEDICAL GROUP 1602 AVENUE Q LUBBOCK TX 79401 PHYSICIAN SERVICES 968007 COMANCHE PHYSICAL THERAPY PO BOX 130 DE LEON TX 76444 PHYSICAL THERAPY 784033 BROWNWOOD ANESTHESIA PLLC 3221 CR 315 EARLY TX 76802 ANESTHESIA CONSULTANT 388000 HOSPITAL PRESCRIPTION MANAGEMENT PO BOX 207317 DALLAS TX 75320 PHARMACY CONSULTANT 338366 13 255697 255697 PATIENT REVENUE 621110 45535621 45535621 INDIGENT CARE SUPPORT 624200 420000 420000 PHARMACY REVENUE 446110 12367722 12367722 0 0 0 0 58323343 51121 51121 0 0 0 0 0 CAFETERIA REVENUE 722514 179417 179417 MISCELLANEOUS REVENUE 900099 41125 41125 0 0 0 0 220542 58850703 58364468 0 230538 X 580750 580750 0 0 739420 739420 17763427 13713433 4049994 495199 408026 87173 4933303 3722587 1210716 1381254 1023732 357522 39479 39479 144532 144532 375 375 6790700 5505018 1285682 0 651598 514334 137264 628083 495773 132310 177764 140317 37447 3492890 2757088 735802 128990 101817 27173 26283 20746 5537 65376 48454 16922 898942 666261 232681 337438 266354 71084 Supplies 17985598 14074464 3911134 Bad Debt Expense 1727384 1727384 Repairs & Maintenance 339761 268188 71573 Food 283537 223808 59729 130124 102712 27412 0 59742207 46361246 13380961 0 2851 2693 6957358 2745136 5231986 4767515 0 0 0 0 1540071 2434792 460318 1215922 14685602 8307618 4034527 6377984 0 0 214454 490209 1570344 3380859 20011909 21415110 3393042 4568177 0 0 433605 1067209 1046240 1532206 4872887 7167592 X 15139022 14247518 15139022 14247518 20011909 21415110 -891504 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 375 375 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE HOSPITAL PAYS DUES TO the Texas Association of Rural Health Clinics, A PORTION OF WHICH ATTRIBUTED TO LOBBYING ACTIVITIES. 2738346 875904 1862442 51655 12937 38718 9866742 7418777 2447965 2028859 2028859 6377984 THIE Savings 162767 Due from third-party payers 1087140 Due from TXOIC 2130952 3380859 Federal Income Taxes Est. Amount due to third-party payers 1055560 Finance Lease Liabilities 451616 Operating Lease Liabilities 25030 1532206 58103365 -747338 -747338 58850703 0 0 58850703 60360257 2345434 2345434 58014823 1727384 1727384 59742207 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. true true X true X true X 924475 924475 0.01594 2856276 2404913 451363 0.00778 112075 3930 108145 0.00186 0 0 3892826 2408843 1483983 0.02558 0 0.0 0 0.0 0 0.0 0 0.0 580750 580750 0.01001 0 0 580750 0 580750 0.01001 0 0 4473576 2408843 2064733 0.03559 0 0.0 0 0.0 18 17335 17335 0.00030 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 18 0 17335 0 17335 0.00030 true 1727384 935719 16819707 20092682 -3272975 X true true 1 1 Comanche MEDICAL CENTER 10201 Highway 16 North Comanche TX 76442 www.comanchecmc.org 100123 X X X X X Comanche MEDICAL CENTER 1 false false true X X X X X X X X X 23 true false false true X https://comanchecmc.org/patients-visitors/ X true 23 true https://comanchecmc.org/patients-visitors/ false true X 150.0 300.0 X X X true true X X X X true X https://comanchecmc.org/patients-visitors/ X https://comanchecmc.org/patients-visitors/ X https://comanchecmc.org/patients-visitors/ X X X X X X true X false X X X true X false false 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. 10 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 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 true COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 412048192 GOVT 580750 PRINCIPAL PAYMENT FOR CONSTRUCTION PROJECT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CONTRACTORS SEND MONTHLY APPLICATIONS FOR THE PAYMENT OF FUNDS DIRECTLY TO THE HOSPITAL'S BANK. THE BANK HAS A 3RD PARTY CONTRACTOR VERIFY THE PROGRESS OF THE CONSTRUCTION ON THE DISTRICT'S NEW NURSING HOME BEFORE ANY PAYMENT IS MADE. X X X false false false false false false false false false LARRY TROXELL CEO 264253 0 6000 0 2472 0 45113 0 28274 0 346112 0 0 0 HONG WADE CFO 145451 0 0 0 516 0 4587 0 23629 0 174183 0 0 0 ROBERT HERRON CIO 154703 0 20828 0 536 0 5624 0 37434 0 219125 0 0 0 GUYLE DONHAM PHYSICIAN 274616 0 239532 0 361 0 2110 0 0 0 516619 0 0 0 STEPHEN DICKEY PHYSICIAN 260283 0 101191 0 1524 0 10171 0 29049 0 402218 0 0 0 GARRY DAVIS PHYSICIAN 255365 0 122327 0 276 0 10350 0 0 0 388318 0 0 0 DWAYNE MILLER PHYSICIAN 265815 13000 94904 0 1583 0 10032 0 0 0 372334 13000 0 0 MOLLY GRAY PHYSICIAN 257482 0 35934 0 187 0 7983 0 13941 0 315527 0 0 0 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 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: ; 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 true false false true true false false false false false false false false false false false false false false false Comanche County Medical Center D 2679160 Fair Market Value