2022-08-15T18:31:38-05:00 2021-09-30 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2020-10-01 750703337 Parmer County Community Hospital % GAYLA QUILLIN PARM 8062502754 1307 Cleveland Street Friona TX 79035 GAYLA QUILLIN CEO 8062502754 2022-08-15 true GAYLA QUILLIN 999009999 Jeanette Verrelli P00742631 9727028262 2 2020 2022-09-23 18:48:47Z Parmer Medical Center GAYLA QUILLIN 1307 CLEVELAND STREET FRIONA TX 79035 16284633 false X WWW.PARMERMEDICALCENTER.COM X 1956 TX ACUTE CARE HOSPITAL WITH PERSONALIZED SERVICE AND STATE-OF-THE-ART CARE. 5 5 140 30 0 0 1135250 4654448 9986241 11514811 80431 71198 52419 41794 11254341 16282251 3750 1450 0 0 6067629 6184983 0 0 0 5616753 6598628 11688132 12785061 -433791 3497190 17742023 16718292 8008851 3487930 9733172 13230362 X 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. false false 10012864 1450 11522852 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 10012864 true true false true false true false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 28 0 true 140 true false false false false false false false false false false false false X 5 5 false true false false false false false true false false false true true true true true true true true false X X GAYLA QUILLIN 8062502754 1307 CLEVELAND STREET FRIONA TX 79035 X NATHANIEL COVARRUBIAS PHYSICIAN ASSISTANT 40.0 0.0 X 195379 0 14896 RENE MCCUTCHEN NURSE PRACTITIONER 40.0 0.0 X 168281 0 23616 TYLER COPELAND NURSE PRACTITIONER 40.0 0.0 X 177324 0 14355 AVNEE BHAKTA NURSE PRACTITIONER 40.0 0.0 X 169672 0 14578 AMBER BONDS NURSE PRACTITIONER 40.0 0.0 X 158496 0 13790 DANIEL KENDRICK PRESIDENT 1.0 0.0 X X 0 0 0 DALE SCHUELER VICE PRESIDENT 1.0 0.0 X X 0 0 0 BRET WHITTEN DIRECTOR 1.0 0.0 X 0 0 0 DENNIS ANTHONY SECRETARY 1.0 0.0 X X 0 0 0 RICKY BARNETT DIRECTOR 1.0 0.0 X 0 0 0 GAYLA QUILLIN ADMINISTRATOR/CEO 40.0 0.0 X 0 0 0 JOSHUA TUCKER CFO 5.0 0.0 X 0 0 0 869152 0 81235 8 false true false PREFERRED MANAGEMENT CORPORATION 120 W MACARTHUR STE 121 SHAWNEE OK 74804 MANAGEMENT SERVICES 499941 COMMUNITY CARE SPECIALISTS INC 120 W MACARTHUR STE 121 SHAWNEE OK 74804 PHYSICIAN SERVICES 416001 AVERA HEALTH 3900 W AVERA DR SIOUX FALLS SD 57108 PHYSICIAN SERVICES 147037 3 692000 3962418 30 4654448 Net Patient Revenue 611110 11426437 11426437 Clinic Revenue 622110 929 929 Pharmacy Revenue 446110 87445 87445 11514811 71198 71198 0 0 8145 2382 5763 0 5763 5763 0 0 0 0 0 0 0 0 0 0 Tobacco Settlement 900099 27990 27990 MISCELLANEOUS REVENUE 900099 8041 8041 36031 16282251 11522852 104951 X 0 1450 1450 0 0 0 0 5160430 4238184 922246 76346 60396 15950 581680 459950 121730 366527 289964 76563 579623 579623 11089 11089 53656 53656 0 0 0 1817275 1709392 107883 6583 6583 1323465 1096515 226950 380800 16765 364035 0 229670 219095 10575 10133 6447 3686 0 28150 4751 23399 13231 4192 9039 0 666265 527074 139191 91959 53643 38316 Bad Debt 197251 197251 Medical Supplies 878202 878202 Repairs & Maintenance 140713 129886 10827 Dues & Licenses 29459 13557 15902 141104 106150 34954 12785061 10012864 2772197 0 7733634 4159572 4950000 4950000 0 0 1327571 1769145 0 0 0 0 6000 42000 162229 220730 256928 218886 7992783 4842715 2133897 3150068 0 0 282278 273633 0 0 0 0 889486 1934258 17742023 16718292 893288 672034 0 0 3229374 158061 0 0 0 0 0 0 280222 52122 0 0 3605967 2605713 8008851 3487930 X 9733172 13230362 0 0 9733172 13230362 17742023 16718292 3497190 X X false true X false true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 240 240 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO AHA, A PORTION OF WHICH ATTRIBUTED TO LOBBYING ACTIVITIES. 1 30 23110 false false 17741 17741 2195912 781013 1414899 5617118 4061702 1555416 162012 162012 3150068 Est Amount Due from 3rd Party 1000605 Other Receivables 55058 Intercompany 878595 1934258 0 Est Due to 3rd Party Payers 2488857 CAPITAL LEASE 116856 2605713 14515851 -210482 -210482 14726333 1555918 1555918 16282251 12576961 2382 2382 12574579 210482 210482 12785061 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 true true X true X 210. true X true true true false false 1284494 1284494 0.10200 2331294 584152 1747142 0.13880 3615788 584152 3031636 0.24080 2 1450 1450 0.00010 2 1450 1450 0.00010 2 3617238 584152 3033086 0.24090 false 197251 6546430 6620922 -74492 X true true 1 1 PARMER COUNTY COMMUNITY HOSPITAL 1307 CLEVELAND STREET FRIONA TX 79035 WWW.PARMERMEDICALCENTER.COM 000200 X X X PROVIDER BASED RHC PARMER COUNTY COMMUNITY HOSPITAL false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 210. 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false 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. 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. false false false false false false false false false AVNEE BHAKTA NURSE PRACTITIONER 169672 0 0 0 0 0 5090 0 9488 0 184250 0 0 0 TYLER COPELAND NURSE PRACTITIONER 177324 0 0 0 0 0 5320 0 9035 0 191679 0 0 0 AMBER BONDS NURSE PRACTITIONER 158496 0 0 0 0 0 4755 0 9035 0 172286 0 0 0 NATHANIEL COVARRUBIAS PHYSICIAN ASSISTANT 195379 0 0 0 0 0 5861 0 9035 0 210275 0 0 0 RENE MCCUTCHEN NURSE PRACTITIONER 168281 0 0 0 0 0 5048 0 18568 0 191897 0 0 0 SCHEDULE J, PART I, LINE 3 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. 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 PARMER COUNTY HOSPITAL DISTRICT 1307 CLEVELAND STREET FRIONA TX 79035 752383041 POLITICAL SUB TX GOVT N/A NA false false false true false false false false false false false true true false false false false false false false