PARMER COUNTY COMMUNITY HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PARMER COUNTY COMMUNITY HOSPITAL INC (EIN 75-0703337)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202202279349305115
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T18:31:38-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750703337 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parmer County Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GAYLA QUILLIN | InCareOfNm |
| Business Name Control | PARM | BusinessNameControlTxt |
| Phone | 8062502754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1307 Cleveland Street | AddressLine1Txt |
| City | Friona | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79035 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GAYLA QUILLIN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8062502754 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GAYLA | PersonFirstNm |
| Person Last | QUILLIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parmer Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GAYLA QUILLIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1307 CLEVELAND STREET | AddressLine1Txt |
| City | FRIONA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,284,633 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARMERMEDICALCENTER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | ACUTE CARE HOSPITAL WITH PERSONALIZED SERVICE AND STATE-OF-THE-ART CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 140 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,135,250 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,654,448 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,986,241 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,514,811 | CYProgramServiceRevenueAmt |
| PY Investment Income | $80,431 | PYInvestmentIncomeAmt |
| CY Investment Income | $71,198 | CYInvestmentIncomeAmt |
| PY Other Revenue | $52,419 | PYOtherRevenueAmt |
| CY Other Revenue | $41,794 | CYOtherRevenueAmt |
| PY Total Revenue | $11,254,341 | PYTotalRevenueAmt |
| CY Total Revenue | $16,282,251 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,750 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,450 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,067,629 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,184,983 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,616,753 | PYOtherExpensesAmt |
| CY Other Expenses | $6,598,628 | CYOtherExpensesAmt |
| PY Total Expenses | $11,688,132 | PYTotalExpensesAmt |
| CY Total Expenses | $12,785,061 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$433,791 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,497,190 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,742,023 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,718,292 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,008,851 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,487,930 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,733,172 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,230,362 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE DEDICATED TO SERVING THE HEALTH NEEDS OF THE PEOPLE OF OUR AREA, UTILIZING THE SKILLS OF OUR HEALTHCARE FAMILY TO PROVIDE COMPASSIONATE AND EFFECTIVE CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,012,864 | ExpenseAmt |
| Grant | $1,450 | GrantAmt |
| Revenue | $11,522,852 | RevenueAmt |
| Desc | PARMER COUNTY COMMUNITY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL AND AN ON-CAMPUS RURAL HEALTH CLINIC LOCATED IN FRIONA, TEXAS. THE ORGANIZATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. THEY ARE NOT REPORTED AS REVENUE. THE AMOUNTS OF CHARGES FOREGONE FOR SERVICES PROVIDED UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS APPROXIMATELY $1,184,958 FOR THE YEAR ENDED SEPTEMBER 30, 2021. TOTAL DIRECT AND INDIRECT COST RELATED TO THOSE FOREGONE CHARGES WAS APPROXIMATELY $1,341,518 AT SEPTEMBER 30, 2021. PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: 1 - EXERCISE AND FITNESS PROGRAM FOR PHYSICAL THERAPY PATIENTS 2 - PROVIDE ACCESS FOR PATIENTS TO RECEIVE MAMMOGRAMS THROUGH HARRINGTON CANCER CENTER 3 - COMMUNITY EDUCATION RELATED TO VARIOUS HEALTHCARE TOPICS (I.E. INFLUENZA, PNEUMONIA, COVID-19, HEAT STROKE) 4 - PARTICIPATE IN CANCER TREATMENT AND EDUCATION THROUGH THE PARMER COUNTY CANCER COALITION ACTIVITIES 5 - PROVIDED CHILDREN'S AND SENIOR'S HEALTH AND SAFETY FAIRS 6 - PROVIDED CHARITY CARE 7 - THE HOSPITAL CONTINUED ITS SHADOWING PROGRAM, IN CONJUNCTION WITH AREA HIGH SCHOOLS, TO ALLOW STUDENTS WITH AN INTEREST IN A HEALTH CARE CAREER THE OPPORTUNITY TO VISIT THE HOSPITAL AND GET A HANDS ON VIEW OF THE VARIETY OF CAREERS AVAILABLE IN THE HEALTH CARE FIELD 8 - PARTICIPATE WITH THE OGALALA PROGRAM WHICH ALLOWS STUDENTS WHO ARE INTERESTED IN MEDICAL CAREERS TO WORK AT PARMER MEDICAL CENTER GASTROENTEROLOGIST) THROUGH ITS SPECIALTY CLINICS THIS ALLOWS PATIENTS THE OPPORTUNITY TO SEE A SPECIALIST WITHOUT HAVING TO TRAVEL LONG DISTANCES FOR SPECIALIZED HEALTH CARE. 9 - OFFERED FREE VACCINE CLINICS & FREE COVID-19 HOME TESTING KITS THROUGHOUT THE YEAR FOR THE SURROUNDING COMMUNITIES. 10 - PROVIDED FREE NUTRITIONAL COUNSELING WITH OUR DIETITIAN THROUGH THE CLINIC WITH A PROVIDER REFERRAL. 11 - GAVE AWAY SCHOOL SUPPLIES WITH THE KIDS FAIR. PROMOTED SAFETY AND HEALTHY LIFESTYLE PRACTICES AND TO HELP WITH GETTING READY FOR SCHOOL. 12- PROVIDED FOOD BOXES FOR NEEDY FAMILIES DURING HOLIDAYS VACCINE CLINICS AND EDUCATION FOR COVID-19 WERE HELD WEEKLY 13 - HOSTED PHYSICIAN ASSISTANT STUDENTS AND PROVIDE HOUSING AND MEALS DURING THEIR ROTATION AT THE HOSPITAL 14 - PROVIDED FREE MEDICARE EDUCATION AND ASSISTANCE FOR THOSE ABOUT TO ENROLL IN MEDICARE OR GETTING READY FOR RETIREMENT | Desc |
| Total Program Service Expenses | $10,012,864 | 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 | Yes (true) | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 140 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GAYLA QUILLIN | PersonNm |
| Phone | 8062502754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1307 CLEVELAND STREET | AddressLine1Txt |
| City | FRIONA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| NATHANIEL COVARRUBIAS | ||||||||
| PHYSICIAN ASSISTANT | 40.0 | 0.0 | Yes (X) | $195,379 | $0 | $14,896 | ||
| RENE MCCUTCHEN | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | Yes (X) | $168,281 | $0 | $23,616 | ||
| TYLER COPELAND | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | Yes (X) | $177,324 | $0 | $14,355 | ||
| AVNEE BHAKTA | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | Yes (X) | $169,672 | $0 | $14,578 | ||
| AMBER BONDS | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | Yes (X) | $158,496 | $0 | $13,790 | ||
| DANIEL KENDRICK | ||||||||
| PRESIDENT | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DALE SCHUELER | ||||||||
| VICE PRESIDENT | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| BRET WHITTEN | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DENNIS ANTHONY | ||||||||
| SECRETARY | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| RICKY BARNETT | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| GAYLA QUILLIN | ||||||||
| ADMINISTRATOR/CEO | 40.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| JOSHUA TUCKER | ||||||||
| CFO | 5.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $869,152 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $81,235 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PREFERRED MANAGEMENT CORPORATION | |||||
| 120 W MACARTHUR STE 121 | SHAWNEE | OK | 74804 | MANAGEMENT SERVICES | $499,941 |
| COMMUNITY CARE SPECIALISTS INC | |||||
| 120 W MACARTHUR STE 121 | SHAWNEE | OK | 74804 | PHYSICIAN SERVICES | $416,001 |
| AVERA HEALTH | |||||
| 3900 W AVERA DR | SIOUX FALLS | SD | 57108 | PHYSICIAN SERVICES | $147,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $692,000 | RelatedOrganizationsAmt |
| Government Grants | $3,962,418 | GovernmentGrantsAmt |
| All Other Contributions | $30 | AllOtherContributionsAmt |
| Total Contributions | $4,654,448 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 611110 | $11,426,437 | $11,426,437 |
| Clinic Revenue | 622110 | $929 | $929 |
| Pharmacy Revenue | 446110 | $87,445 | $87,445 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,514,811 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,198 | TotalRevenueColumnAmt |
| Exclusion | $71,198 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,145 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,382 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,763 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,763 | TotalRevenueColumnAmt |
| Exclusion | $5,763 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Tobacco Settlement | 900099 | $27,990 | $27,990 | |
| MISCELLANEOUS REVENUE | 900099 | $8,041 | $8,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $36,031 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,282,251 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,522,852 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $104,951 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,450 | TotalAmt |
| Program Services | $1,450 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,160,430 | TotalAmt |
| Program Services | $4,238,184 | ProgramServicesAmt |
| Management And General | $922,246 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,346 | TotalAmt |
| Program Services | $60,396 | ProgramServicesAmt |
| Management And General | $15,950 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,680 | TotalAmt |
| Program Services | $459,950 | ProgramServicesAmt |
| Management And General | $121,730 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,527 | TotalAmt |
| Program Services | $289,964 | ProgramServicesAmt |
| Management And General | $76,563 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $579,623 | TotalAmt |
| Management And General | $579,623 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,089 | TotalAmt |
| Management And General | $11,089 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,656 | TotalAmt |
| Management And General | $53,656 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,817,275 | TotalAmt |
| Program Services | $1,709,392 | ProgramServicesAmt |
| Management And General | $107,883 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,583 | TotalAmt |
| Management And General | $6,583 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,323,465 | TotalAmt |
| Program Services | $1,096,515 | ProgramServicesAmt |
| Management And General | $226,950 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,800 | TotalAmt |
| Program Services | $16,765 | ProgramServicesAmt |
| Management And General | $364,035 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,670 | TotalAmt |
| Program Services | $219,095 | ProgramServicesAmt |
| Management And General | $10,575 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,133 | TotalAmt |
| Program Services | $6,447 | ProgramServicesAmt |
| Management And General | $3,686 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,150 | TotalAmt |
| Program Services | $4,751 | ProgramServicesAmt |
| Management And General | $23,399 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,231 | TotalAmt |
| Program Services | $4,192 | ProgramServicesAmt |
| Management And General | $9,039 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,265 | TotalAmt |
| Program Services | $527,074 | ProgramServicesAmt |
| Management And General | $139,191 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,959 | TotalAmt |
| Program Services | $53,643 | ProgramServicesAmt |
| Management And General | $38,316 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $197,251 | $197,251 | |
| Medical Supplies | $878,202 | $878,202 | |
| Repairs & Maintenance | $140,713 | $129,886 | $10,827 |
| Dues & Licenses | $29,459 | $13,557 | $15,902 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,104 | TotalAmt |
| Program Services | $106,150 | ProgramServicesAmt |
| Management And General | $34,954 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,785,061 | TotalAmt |
| Program Services | $10,012,864 | ProgramServicesAmt |
| Management And General | $2,772,197 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,733,634 | BOYAmt |
| EOY | $4,159,572 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,950,000 | BOYAmt |
| EOY | $4,950,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,327,571 | BOYAmt |
| EOY | $1,769,145 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000 | BOYAmt |
| EOY | $42,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,229 | BOYAmt |
| EOY | $220,730 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,928 | BOYAmt |
| EOY | $218,886 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,992,783 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,842,715 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,133,897 | BOYAmt |
| EOY | $3,150,068 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,278 | BOYAmt |
| EOY | $273,633 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $889,486 | BOYAmt |
| EOY | $1,934,258 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,742,023 | BOYAmt |
| EOY | $16,718,292 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $893,288 | BOYAmt |
| EOY | $672,034 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,229,374 | BOYAmt |
| EOY | $158,061 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,222 | BOYAmt |
| EOY | $52,122 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,605,967 | BOYAmt |
| EOY | $2,605,713 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,008,851 | BOYAmt |
| EOY | $3,487,930 | 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 | $9,733,172 | BOYAmt |
| EOY | $13,230,362 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,733,172 | BOYAmt |
| EOY | $13,230,362 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,742,023 | BOYAmt |
| EOY | $16,718,292 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,497,190 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $240 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $240 | 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 1I | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO AHA, A PORTION OF WHICH ATTRIBUTED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Contri | $30 | DonorAdvisedFundsContriAmt |
| Donor Advised Funds Vl EOY | $23,110 | DonorAdvisedFundsVlEOYAmt |
| Disclosed Org Leg Ctrl | false | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,741 | OtherCostOrOtherBasisAmt |
| Book Value | $17,741 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,195,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $781,013 | DepreciationAmt |
| Book Value | $1,414,899 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,617,118 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,061,702 | DepreciationAmt |
| Book Value | $1,555,416 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,012 | OtherCostOrOtherBasisAmt |
| Book Value | $162,012 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,150,068 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Est Amount Due from 3rd Party | $1,000,605 |
| Other Receivables | $55,058 |
| Intercompany | $878,595 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,934,258 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Est Due to 3rd Party Payers | $2,488,857 |
| CAPITAL LEASE | $116,856 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,605,713 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $14,515,851 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$210,482 | OtherRevenueAmt |
| Revenue Not Reported | -$210,482 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,726,333 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,555,918 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,555,918 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,282,251 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,576,961 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,382 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,382 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,574,579 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $210,482 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $210,482 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,785,061 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: BAD DEBT EXPENSE $(197,251) INTEREST EXPENSE (13,231) ----------- TOTAL $(210,482) |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: TRANSFER FROM AFFILIATE $692,000 RENT EXPENSES (2,382) FORGIVENESS OF DEBT 866,300 ---------- TOTAL $1,555,918 |
| SCHEDULE D, PART XII, LINE 2D | RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: RENT EXPENSES $2,382 |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: BAD DEBT EXPENSE $197,251 INTEREST EXPENSE 13,231 --------- TOTAL $210,482 |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 210. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,284,494 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,284,494 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,331,294 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $584,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,747,142 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,615,788 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $584,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,031,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $1,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $1,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $3,617,238 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $584,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,033,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $197,251 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,546,430 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,620,922 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$74,492 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | PARMER COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1307 CLEVELAND STREET | AddressLine1Txt |
| City | FRIONA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PARMERMEDICALCENTER.COM | WebsiteAddressTxt |
| State License | 000200 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | PROVIDER BASED RHC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARMER COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 210. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| 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 |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY: INTERVIEWS WERE CONDUCTED WITH COUNTY AND CITY LEADERSHIP INCLUDING THE COUNTY JUDGE, CITY MANAGER, SCHOOL SUPERINTENDENT AND MANAGER OF THE TEXAS REGIONAL ADVISORY COUNCIL (RAC) RESPONSIBLE FOR TRAUMA OVERSIGHT IN THE PANHANDLE. COMMUNITY MEMBERS WERE ALSO INTERVIEWED. THE HOSPITAL ALSO GATHERED VIA INTERVIEWS INPUT FROM THE PROVIDERS WHO COVER THE PMC EMERGENCY DEPARTMENT AND STAFF THE FRIONA RURAL HEALTH CLINIC AND PROVIDE PRIMARY CARE TO THE MAJORITY OF PARMER COUNTY RESIDENTS AND HAVE FIRST-HAND KNOWLEDGE OF HEALTHCARE NEEDS AND CONCERNS. |
| SCHEDULE H, PART V, SECTION B, LINE 7A & 10A | CHNA AND IMPLEMENTATION STRATEGY AVAILABILITY: WWW.PARMERMEDICALCENTER.COM/COMMUNITYHEALTHNEEDSASSESSMENT.HTML |
| SCHEDULE H, PART V, SECTION B, LINE 11 | NEEDS ADDRESSED AND NOT ADDRESSED: PARMER MEDICAL CENTER ADDRESSED MANAGEMENT OF CHRONIC CARE DISEASES WITH THE SAME RESOURCES AS IN THE PAST. THE HOSPITAL HIRED PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, PHARMACIST, DIETITIAN AND A SOCIAL WORKER TO ASSIST IN MEETING THE INDIVIDUAL NEEDS OF THOSE WHO STRUGGLE WITH CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND HYPERTENSION AND COMPLIANCE WITH THE TREATMENT PLAN. THE CHRONIC DISEASE MANAGEMENT HAS IMPACTED POSITIVE RESULTS FOR OUR PATIENTS. WE HAVE SEEN A DECREASE IN EMERGENCY DEPARTMENT VISITS RELATED TO THOSE CHRONIC DISEASES FOR THOSE PATIENTS INVOLVED IN THE CARE MANAGEMENT PROCESS. Patients who reside in our local nursing home receive routine visits from a Nurse Practitioner in coordination with our physician to capture early onset of symptoms or exacerbation of any chronic or acute disease. PATIENTS RECEIVE FREE NUTRITIONAL COUNSELING, EDUCATION, AND ASSISTANCE WITH ACQUIRING MEDICATION IF NEEDED. THE HOSPITAL HAS PAID FOR MEDICATIONS WHEN NECESSARY AND CONNECTED PEOPLE WITH APPROPRIATE RESOURCES (INSURANCE, DISCOUNT PROGRAMS, ETC) TO PAY FOR MEDICATIONS AND SUPPLIES ON AN ONGOING BASIS. DUE TO PHYSICIAN AND ADVANCED PRACTITIONER TURNOVER DURING THE PAST YEAR, THE CHRONIC CARE DISEASE CLINIC HAS BEEN PUT ON PAUSE AND CHRONIC CARE PATIENTS HAVE BEEN TAKEN CARE OF AT THE HOSPITAL AND RURAL HEALTH CLINIC. OTHER NEEDS PER THE CHNA, WHICH INCLUDE ACCESS TO CARE AND INCREASE USE OF PREVENTIVE SERVICES, ARE BEING ADDRESSED BY THE HOSPITAL WITH SIMILAR RESOURCES AS USED IN PRIOR YEARS. And, in addition to the previous efforts to increase access to care, we addressed care needs related to COVID-19. We offered free screening and free vaccine clinics in order to reach anyone in our service area. Special accommodations and outreach efforts were made for the Guatemalan population here in our county and service area. Education related to COVID-19, prevention and care were offered via social media, newspapers, community outreach and a community health worker. The Organization contributed to furthering access to care by purchasing a building to provide Specialty physicians to come to our community for patients in order to make it easier for patients to receive specialty care without having to travel outside our county. We currently have a Gastroenterologist that travels to our clinic. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE ORGANIZATION USES AN INTERNAL SCHEDULE TO CALCULATE PERCENTAGE DISCOUNTS RANGING FROM 10% TO 100% BASED ON ANNUAL HOUSEHOLD INCOME AND NUMBER OF DEPENDENTS FOR THE PATIENT OR GUARANTOR. THE SCHEDULE IS BASED ON 210% OF THE US DEPARTMENT OF HHS POVERTY INCOME GUIDELINES FOR 2020/2021 EVEN IF PATIENTS DO NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON OTHER FACTORS, PHYSICIAN REFERRALS MAY BE TAKEN INTO CONSIDERATION. |
| SCHEDULE H, PART V, SECTION B, LINE 16J | OTHER METHODS TO PUBLICIZE FAP: THE HOSPITAL POSTS A SUMMARY OF ITS CHARITY CARE POLICY WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE EMERGENCY ROOM AND IN THE HOSPITAL FACILITY'S ADMISSION OFFICES. A SUMMARY OF THE POLICY IS PROVIDED IN ALL FINANCIAL LITERATURE THE PATIENT RECEIVES. |
| SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C | FINANCIAL ASSISTANCE AVAILABILITY: THE FAP, THE FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: https://www.parmermedicalcenter.com/financialassistanceprogram.html |
| SCHEDULE H, PART V, SECTION B | 501R COMPLIANCE: DURING A COMPLIANCE REVIEW OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP), MANAGEMENT BECAME AWARE OF AN INADVERTENT ERROR WHICH RESULTED IN NON-COMPLIANCE WITH 501R REGULATIONS. WHILE THE REQUIRED DOCUMENTS ARE POSTED TO THE HOSPITAL'S WEBSITE, THE PROVIDER LIST IS NOT ATTACHED TO THE POLICY, NOR IS IT LISTED AS A SEPARATE SITE LINK. MANAGEMENT IS TAKING ACTION TO CORRECT THIS OVERSIGHT IN ORDER TO BE IN FULL COMPLIANCE WITH ALL 501R REGULATIONS. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT METHODOLOGY: ACCOUNTS ARE NOT WRITTEN OFF TO BAD DEBT UNTIL ALL PAYMENTS, DISCOUNTS AND CONTRACTUAL ALLOWANCES ARE APPLIED. WHEN A PAYMENT IS RECEIVED ON AN ACCOUNT PREVIOUSLY WRITTEN OFF TO BAD DEBT, THE PAYMENT REDUCES THE CURRENT YEAR'S BAD DEBT EXPENSE. BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | ESTIMATE AMOUNT OF BAD DEBT AS COMMUNITY BENEFIT: THE HOSPITAL IS UNABLE TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY AND HAS ELECTED TO LEAVE THIS LINE BLANK. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT FOOTNOTE: THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COSTING METHODOLOGY: TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE FY2021 MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICAID AND MEDICARE SERVICES. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | COLLECTION PRACTICES: PARMER MEDICAL CENTER'S DEBT COLLECTION POLICIES ARE AVAILABLE UPON REQUEST. THE HOSPITAL RESERVES THE RIGHT TO TAKE CERTAIN ACTIONS IN THE EVENT OF NONPAYMENT OR NON-PARTICIPATION IN THE FINANCIAL ASSISTANCE APPLICATION PROCESS, INCLUDING, BUT NOT LIMITED TO, COLLECTIONS ACTION AND REPORTING TO CREDIT AGENCIES. FOR PATIENTS WHO HAVE SUBMITTED A FINANCIAL ASSISTANCE APPLICATION, PROVIDED ALL REQUESTED DOCUMENTATION, AND ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, PARMER MEDICAL CENTER WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION EFFORTS FOR A PERIOD OF 120 DAYS FROM THE DATE THE FIRST STATEMENT FOR SERVICES IS MAILED TO THE PATIENT. PARMER MEDICAL CENTER WILL ENSURE EXTRAORDINARY COLLECTION ACTIONS DO NOT OCCUR WITHOUT DOCUMENTED REASONABLE EFFORTS TO PROVIDE NOTICE AND TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS POLICY. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: PARMER COUNTY COMMUNITY HOSPITAL PROVIDES INFORMATION AND ASSESSMENTS AT KID'S HEALTH FAIR AND SENIOR HEALTH FAIRS AS WELL AS PARTICIPATING IN VARIOUS COMMUNITY ACTIVITIES. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL POSTS A SUMMARY OF ITS CHARITY POLICY WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE EMERGENCY ROOM AND IN THE HOSPITAL FACILITY'S ADMISSIONS' OFFICES. A SUMMARY OF THE POLICY IS PROVIDED IN ALL FINANCIAL LITERATURE THE PATIENT RECEIVES. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: PARMER COUNTY COMMUNITY HOSPITAL D/B/A PARMER MEDICAL CENTER (PMC) IS A CRITICAL ACCESS HOSPITAL LOCATED IN FRIONA, A RURAL COMMUNITY IN NORTHWEST PANHANDLE OF TEXAS. PARMER COUNTY IS A MEDICALLY UNDERSERVED AREA, AS WELL AS A HEALTH PROFESSIONAL SHORTAGE AREA AND IS HOME TO APPROXIMATELY 10,124 PEOPLE. THE MEDIAN INCOME WAS $45,326 COMPARED TO $53,207 IN THE STATE OF TEXAS. UNEMPLOYMENT WAS 2.8% COMPARED TO 4.9% IN THE STATE OF TEXAS. THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IN 2014 WAS 17.6%. THE MOST COMMON INDUSTRIES WERE NATURAL RESOURCES AND EDUCATION AND HEALTH SERVICES. PMC AND THE TOWN'S RURAL HEALTH CLINIC, FRIONA RURAL HEALTH CLINIC, HAVE A WIDE SERVICE AREA OF APPROXIMATELY 882 SQUARE MILES. UNLIKE URBAN AREAS IN WHICH RESIDENTS GENERALLY HAVE ACCESS TO A HOSPITAL, PHYSICIAN CLINIC OR URGENT CARE FACILITY IN CLOSE PROXIMITY TO THEIR HOMES, THE NEAREST HOSPITAL AND/OR CLINIC TO PMC IS APPROXIMATELY 25 MILES AWAY. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: ALL GOVERNING BODIES OF THE ORGANIZATION RESIDE IN THE ORGANIZATION'S SERVICE AREA. THEY ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AND MEDICAL EDUCATION. THE HOSPITAL PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS BY PARTICIPATING AS A CLINICAL ROTATION SITE FOR PHYSICIAN ASSISTANT AND NURSING STUDENTS, AND BY PROVIDING SCHOLARSHIP FOR AREA STUDENTS WHO ARE COMMITTED TO PURSUING CAREERS IN THE HEALTHCARE/MEDICAL FIELD. PMC OPERATES AN EMERGENCY DEPARTMENT THAT PROVIDES CARE TO ALL REGARDLESS OF ABILITY TO PAY, PARTICIPATES IN MEDICARE AND MEDICAID PROGRAMS, AND OFFERS VOLUNTEER OPPORTUNITIES FOR COMMUNITY MEMBERS IN OUR AUXILIARY PROGRAM. VOLUNTEER OPPORTUNITIES WERE SUSPENDED IN THE CURRENT YEAR DUE TO THE PUBLIC HEALTH EMERGENCY WITH COVID-19. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTHCARE SYSTEM: N/A |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: N/A |
| SCHEDULE H, PART I, LINE 7 | FINANCIAL AID ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. CASH CONTRIBUTIONS TO THE COMMUNITY ON LINE 7I WERE CALCULATED USING THE HOSPITAL'S INCOME STATEMENT ACTIVITY. |
| 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: - MEDICAL INDIGENCY - UNDERINSURANCE STATUS - PHYSICIAN REFERRALS - HOUSEHOLD DEPENDENTS |
| 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 $197,251. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVNEE BHAKTA | ||||||||||||||
| NURSE PRACTITIONER | $169,672 | $0 | $0 | $0 | $0 | $0 | $5,090 | $0 | $9,488 | $0 | $184,250 | $0 | $0 | $0 |
| TYLER COPELAND | ||||||||||||||
| NURSE PRACTITIONER | $177,324 | $0 | $0 | $0 | $0 | $0 | $5,320 | $0 | $9,035 | $0 | $191,679 | $0 | $0 | $0 |
| AMBER BONDS | ||||||||||||||
| NURSE PRACTITIONER | $158,496 | $0 | $0 | $0 | $0 | $0 | $4,755 | $0 | $9,035 | $0 | $172,286 | $0 | $0 | $0 |
| NATHANIEL COVARRUBIAS | ||||||||||||||
| PHYSICIAN ASSISTANT | $195,379 | $0 | $0 | $0 | $0 | $0 | $5,861 | $0 | $9,035 | $0 | $210,275 | $0 | $0 | $0 |
| RENE MCCUTCHEN | ||||||||||||||
| NURSE PRACTITIONER | $168,281 | $0 | $0 | $0 | $0 | $0 | $5,048 | $0 | $18,568 | $0 | $191,897 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT COMPENSATION: PARMER COUNTY COMMUNITY HOSPITAL DOES NOT PAY COMPENSATION TO THE ADMINISTRATOR DIRECTLY. THE ADMINISTRATOR IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY, PREFERRED MANAGEMENT CORPORATION. THE HOSPITAL BOARD OF DIRECTORS USES ONE OR MORE OF THE PROCESSES DESCRIBED IN PART I, QUESTION 3 TO DETERMINE APPROPRIATE COMPENSATION FOR THE ADMINISTRATOR. THE BOARD OF DIRECTORS ALSO APPROVES THE ORGANIZATION'S CONTRACT WITH THE MANAGEMENT COMPANY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DELEGATION OF MANAGEMENT DUTIES: PARMER MEDICAL CENTER HAS A MANAGEMENT AGREEMENT WITH PREFERRED MANAGEMENT CORPORATION FOR THE DAY-TO-DAY MANAGEMENT OF THE HOSPITAL. PREFERRED MANAGEMENT PROVIDES TECHNICAL ASSISTANCE AND MANAGEMENT PERSONNEL (HOSPITAL ADMINISTRATOR) TO THE BOARD OF DIRECTORS OF PARMER MEDICAL CENTER. ADDITIONAL SERVICES WERE ADDED IN A NEW FINANCIAL SERVICES AGREEMENT IN JULY 2020 TO INCLUDE A CFO, ACCOUNTING, A/P AND PAYROLL SERVICES. PER IRS GUIDANCE, THE COMPENSATION PAID BY THE MANAGEMENT COMPANY IS NOT SHOWN ON FORM 990, PART VII, FOR THE 2020 CALENDAR YEAR FOR THESE INDIVIDUALS: GAYLA QUILLIN $173,015 JOSH TUCKER $ 33,655 |
| FORM 990, PART VI, SECTION A, LINE 8B | COMMITTEES: THERE ARE NO COMMITTEES THAT CAN ACT ON BEHALF OF THE GOVERNING BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW FORM 990: THE FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND PRESENTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS AND KEY EMPLOYEES ARE COVERED BY THE POLICY. AUDITORS, ADMINISTRATION, BOARD OF DIRECTORS, OFFICERS OR ANY KEY EMPLOYEE CAN DETERMINE WHETHER A CONFLICT EXISTS. PERSONS WITH CONFLICTS ARE NOT ALLOWED TO WORK WITHIN THE SAME DEPARTMENT OR WITH AUTHORITY OVER ANOTHER. THE BOARD OF DIRECTORS REVIEWS FOR POTENTIAL CONFLICTS AND REPORTS ON THE CONFLICTS AT THE NEXT BOARD MEETING. THE INDIVIDUALS WHO HAVE CONFLICTS ARE NOT PRESENT DURING DISCUSSIONS BY THE BOARD OR VOTE REGARDING CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION REVIEW: THE ORGANIZATION'S ADMINISTRATOR IS PAID BY PREFERRED MANAGEMENT CORPORATION, AN UNRELATED MANAGEMENT COMPANY. THE ORGANIZATION RELIES ON PREFERRED MANAGEMENT CORPORATION TO DETERMINE THE COMPENSATION PAID FOR SERVICES RENDERED TO THE ORGANIZATION. TOTAL COMPENSATION IS REVIEWED BY THE BOARD DURING THE ANNUAL BUDGET PROCESS TO DETERMINE COMPENSATION. MANAGEMENT MAKES CHANGES TO COMPENSATION BASED ON REVIEWS, MERIT INCREASES, ETC. ALL KEY EMPLOYEE COMPENSATION WAS REVIEWED BY THE CEO IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF DOCUMENTS: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | AUDIT OVERSIGHT: THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1468036 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:56583 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:245972 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ADMINISTRATIVE FEES TOTAL FEES:46684 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARMER COUNTY HOSPITAL DISTRICT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1307 CLEVELAND STREET | AddressLine1Txt |
| City | FRIONA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752383041 | EIN |
| Primary Activities | POLITICAL SUB | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Exempt Code Section | GOVT | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | 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 |