2025-11-18T09:44:50+00:00 2024-12-31 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2024-01-01 452230827 Swisher Memorial Healthcare System SWIS 8069953581 PO Box 808 Tulia TX 79088 Luke Brewer CEO 9727028262 2025-11-18 true Andrew Gray P01517705 9727028262 2025-11-17 2024 2025-03-06 01:10:19Z Luke Brewer 539 SE SECOND STREET TULIA TX 79088 13107704 false X WWW.SWISHERHOSPITAL.COM X 2011 TX TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. 5 5 111 5 0 380622 462207 10842056 12499115 2940 0 188776 146382 11414394 13107704 6200 7731 0 0 6280604 6833148 0 0 0 6570209 8010034 12857013 14850913 -1442619 -1743209 7525014 6019374 980674 1218243 6544340 4801131 TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. false false 13348399 7731 12592827 PROVIDED ACCESSIBLE AND QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. THE HOSPITAL HAD 20,250 ENCOUNTERS - 11,510 CLINIC, 1,892 ER, 46 INPATIENT, 8,637 OUTPATIENT, 57 SWING BED, 3 ASSISTED LIVING; 0 SURGERIES; 129 INPATIENT DAYS; 772 SWING BED DAYS. IN 2024, SWISHER MEMORIAL CONTINUED TO OFFER CHIROPRACTIC SERVICES ONCE A WEEK. THE MEDICAL ADVICE LINE THAT IS AVAILABLE 24/7 TO OUR PATIENTS AND COMMUNITY IS STILL RUNNING SMOOTHLY. 13348399 true true false true false false 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 false false false false false false false true 20 0 true 111 true false false false false false false false false false false false false X 5 5 false false false false false false false true false false false false true true true true true true true true false false TX X Luke Brewer 8069958268 539 SE SECOND STREET TULIA TX 79088 CHARLOTTE O'DANIEL BOARD CHAIRMAN 1.0 X X 0 0 0 GWYN ANN SHANNON VICE CHAIRMAN 1.0 X X 0 0 0 KA WILFONG SECRETARY 1.0 X X 0 0 0 JAIME SUBEALDEA DIRECTOR 1.0 X 0 0 0 KELLY CRISWELL DIRECTOR 1.0 X 0 0 0 Lucas Brewer CEO 40.0 X 187993 0 51083 Mary Dutton CFO 40.0 X 119876 0 17711 Kelly Maxwell CNO 40.0 X 163826 0 50838 Cynthia Archer Physician Assistant 40.0 X 201915 0 22647 Deziree Durayappah D.O. 40.0 X 252004 0 36942 Kara Dyer Physical Therapist 40.0 X 178779 0 21082 Scott Dyer Physical Therapy Director 40.0 X 167583 0 33038 Travis King Physician 40.0 X 309550 0 54336 1581526 0 287677 14 false true false CONCORD MEDICAL 1602 AVENUE Q LUBBOCK TX 79401 HEALTH CARE 1000295 CERNER CORPORATION 2800 ROCKCREEK PKWY KANSAS CITY MO 64117 EHR SERVICES 305770 Excel Energy Group PO Box 1281 Russellville AR 72811 Lighting 144000 FORVIS MAZARS LLP 510 N VALLEY MILLS DRIVE WACO TX 76710 ACCOUNTING SERVICES 143672 4 0 0 0 445651 16556 0 462207 PATIENT SERVICE REVENUE 621110 11034866 11034866 0 0 INCENTIVE REVENUE 900099 998611 998611 0 0 PHARMACY 446110 383128 383128 0 0 OTHER OPERATING REVENUE 900099 82510 82510 0 0 0 0 0 0 12499115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GUEST & EMPLOYEE MEALS 722514 51196 0 0 51196 Rebates 900099 45715 45715 0 0 Wellness Center Revenue 713940 10520 10520 0 0 38951 37477 0 1474 146382 13107704 12592827 0 52670 X 7731 7731 0 0 0 0 0 0 591328 295664 295664 0 0 0 0 0 4958730 4518209 440521 0 151264 143382 7882 0 753386 711414 41972 0 378440 320290 58150 0 0 0 0 0 35480 0 35480 0 143672 0 143672 0 1467 0 1467 0 0 0 0 0 0 0 2000725 1743818 256907 0 20073 8579 11494 0 271002 159845 111157 0 244876 238780 6096 0 0 0 0 0 1065613 1054836 10777 0 10433 3451 6982 0 0 0 0 0 19803 13102 6701 0 13602 12217 1385 0 0 0 0 0 303040 272189 30851 0 100462 89706 10756 0 BAD DEBT EXPENSE 2385010 2385010 0 0 MEDICAL SUPPLIES 1280565 1280565 0 0 DUES AND SUBSCRIPTION 14903 2868 12035 0 Repairs & Maintenance 14723 12568 2155 0 84585 74175 10410 0 14850913 13348399 1502514 0 4088788 2401693 0 0 0 0 1334193 1085005 0 0 0 0 0 0 297865 263237 109750 152360 6087014 4525900 1552199 1561114 0 0 0 0 0 0 142219 555965 7525014 6019374 586219 740326 0 0 0 0 0 0 0 0 0 0 151191 102857 0 0 243264 375060 980674 1218243 X 6544340 4801131 0 0 0 0 0 0 0 0 6544340 4801131 7525014 6019374 -1743209 0 0 0 0 0 X false true false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1467 1467 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY TORCH: DUES PAID- $3085 % LOBBYING- 20.00% LOBBYING- $617 THA: DUES PAID- $3,104 % LOBBYING- 8.00% LOBBYING- $249 AHA: DUES PAID- $6,012 % LOBBYING- 10.00% LOBBYING- $601 0 0 0 0 0 0 0 0 1208984 898920 310064 0 4878030 3626980 1251050 0 0 0 0 1561114 EST Due From 3rd Party Payor 491627 THIE SAVINGS 64338 Construction in Process 0 555965 Federal Income Taxes Est Self-Insurance Costs 125060 DUE TO DISTRICT 250000 375060 10533853 0 0 -2385010 -2385010 12918863 188841 188841 13107704 12465903 0 0 0 0 0 12465903 2385010 2385010 14850913 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 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSE - -2385010 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Contribution for Acquisition of Property & Equipment - 188841 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad Debt Expense - 2385010 true true X true X 300 true X 1297187 949262 347925 0.02791 1253727 1693819 0 0.0 0 0 0 0.0 0 0 2550914 2643081 347925 0.02791 3 74283 0 74283 0.00596 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 7731 0 7731 0.00062 3 0 82014 0 82014 0.00658 3 0 2632928 2643081 429939 0.03449 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2385010 3244122 4011057 -766935 X true true 1 1 SWISHER MEMORIAL HEALTHCARE SYSTEM 539 SE SECOND STREET TULIA TX 79088 WWW.SWISHERHOSPITAL.COM 100122 X X X 1 1 1 false false true X X X X X X X X X 23 true false false true X https://www.swisherhospital.com/docs/Swisher_CHNA_%28002%29.pdf X true 23 true https://www.swisherhospital.com/docs/2023_Swisher_Memorial_Strategic_Plan.pdf false true X 300.0 300.0 X X X X X true true X X X true X https://www.swisherhospital.com/docs/Financial_Assistance_Policy.pdf X https://www.swisherhospital.com/docs/FAP_Summary.pdf X https://www.swisherhospital.com/getpage.php?name=Financial_Assistance&sub=Patient%20Info 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 Facility 1, 1 Facility 1, 1 - SWISHER MEMORIAL HEALTHCARE SYSTEM. THE HOSPITAL COMPLETED INTERVIEWS AND FOCUS GROUPS WITH REPRESENTATIVES FROM VARIOUS AREAS OF THE COMMUNITY INCLUDING: BUSINESS AND INDUSTRY LEADERS, ELECTED CITY OFFICIALS, CITIZENS OF OUTLYING COMMUNITIES, SENIOR CITIZENS AND YOUNG ADULTS, REPRESENTATIVES OF THE LOCAL CHURCH, THE CHAMBER OF COMMERCE, AND BOARD MEMBERS OF THE DISTRICT. ADDITIONAL INTERVIEWS WITH THE HOSPITAL DIRECTORS, THE CEO AND THE CFO WERE CONDUCTED AS WELL. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - SWISHER MEMORIAL HEALTHCARE SYSTEM. THE STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IS POSTED ON THE HOSPITAL'S WEBSITE. THE HOSPITAL COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN EARLY 2023. THE NEW CHNA IDENTIFIED THAT IT NEEDED TO CONTINUE TO ADDRESS THE FOUR NEEDS OF THE COMMUNITY IDENTIFIED IN THE 2021 CHNA: -AVAILABILITY OF LOCAL SPECIALISTS - CHRONIC DISEASE MANAGEMENT - COMMUNITY EDUCATION ON CHRONIC DISEASE, NUTRITION, AND HEALTHY LIFESTYLES - MARKETING OF THE HOSPITAL ALL NEEDS IDENTIFIED IN THE CHNA ARE BEING ADDRESSED BY THE HOSPITAL. THE HOSPITAL'S NEWEST PHYSICIAN SPECIALIZES IN PEDIATRIC CARE. WE ARE TRYING TO GET SPECIALISTS BACK IN, BUT COVID DETERRED MOST OF THAT. THE HEALTH NEEDS OF AN AGING POPULATION WERE DISCUSSED BY MANY. WE STILL HAVE THE ARCHITECTURAL PLANS FOR A NEW ASSISTED LIVING FACILITY, BUT ARE STILL ON HOLD FOR THAT PROJECT UNTIL FUNDING ALIGNS. WE HAVE IMPLEMENTED A CHRONIC CARE MANAGEMENT PROGRAM FOR OUR MEDICARE AGED POPULATION TO BETTER MANAGE THOSE CONDITIONS OF OUR AGING POPULATION. ADDRESSING MENTAL HEALTH, DRUG, AND ALCOHOL ABUSE WERE ALSO DISCUSSED DURING THE FOCUS GROUPS. SWISHER MEMORIAL HEALTHCARE SYSTEM CONTINUES TO OFFER COMMUNITY WIDE HEALTH FAIRS AND HAS HAD GREAT PARTICIPATION FROM THE COMMUNITY PRE-COVID. WE WILL CONTINUE TO OFFER EDUCATION ON DIABETES, NUTRITION, ALZHEIMER'S, AND DEMENTIA. SWISHER MEMORIAL HEALTHCARE SYSTEM PARTNERS WITH A THIRD PARTY, PHYCARE SOLUTIONS, FOR CHRONIC CARE MANAGEMENT. THIS PROGRAM HELPS TO ADDRESS CHRONIC PROBLEMS OR DISEASES FOR OUR PATIENTS WITH MONTHLY PHONE CALLS TO HELP MEET THE PATIENT'S HEALTH NEEDS. SMHS ALSO HAS CONTINUED TO OFFER TELEHEALTH VISITS THROUGH OUR RHC. OUR WELLNESS CENTER IS OPEN TO THE PUBLIC 24/7 WITH A MONTHLY MEMBERSHIP FEE. MENTAL HEALTH AND DRUG ABUSE ARE STILL PREVALENT NEEDS THAT WE CANNOT TACKLE ON OUR OWN. THE HOSPITAL'S MARKETING EFFORTS ARE CONTINUING TO PAY OFF. WE WILL CONTINUE TO PROMOTE OUR SERVICES AND PROVIDERS. WE WILL CONTINUE TO BRING READING MATERIALS IN BOTH ENGLISH AND SPANISH, AS OVER 40% OF THE POPULATION IS HISPANIC. THE HOSPITAL PARTICIPATED IN A TORCH MARKETING PROJECT TO CREATE A NEW TRIFOLD DESIGN AND DEVELOPED NEW FACEBOOK/SOCIAL MEDIA MATERIAL ACCESS. Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - SWISHER MEMORIAL HEALTHCARE SYSTEM. THE OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS THE PATIENT'S HOUSEHOLD SIZE. 0 Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL - MEDICAL INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS - HOUSEHOLD SIZE Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 2385010 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COSTS COMPUTED ON WORKSHEET 4 AND 8 WERE COMPUTED USING INTERNAL COST SYSTEMS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AN ATB IS PROCESSED FOR INPATIENTS AND OUTPATIENTS BY CURRENT FINANCIAL CLASS MONTHLY. BASED ON THE HISTORICAL DATA, A SET PERCENTAGE IS ESTABLISHED AND THAT PERCENTAGE IS APPLIED AND ASSUMED UNCOLLECTIBLE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE SYSTEM USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF SOURCE OF PAYMENT; THEREFORE, COSTS TO PROVIDE CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED MEDICARE REIMBURSEMENT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ONCE A PATIENT HAS QUALIFIED FOR OUR INDIGENT PROGRAM, NO ADDITIONAL COLLECTION EFFORTS ARE MADE ON THAT ACCOUNT. THERE ARE DIFFERENT LEVELS OF CHARITY THAT WE AWARD, MOST OF THE TIME 75-100%, AND WE DO TRY TO COLLECT ON THE REMAINING 25%. Schedule H, Part V, Section B, Line 16a FAP website 1 - SWISHER MEMORIAL HEALTHCARE SYSTEM: Line 16a URL: https://www.swisherhospital.com/docs/Financial_Assistance_Policy.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - SWISHER MEMORIAL HEALTHCARE SYSTEM: Line 16b URL: https://www.swisherhospital.com/docs/FAP_Summary.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - SWISHER MEMORIAL HEALTHCARE SYSTEM: Line 16c URL: https://www.swisherhospital.com/getpage.php?name=Financial_Assistance&sub=Patient%20Info; Schedule H, Part VI, Line 2 Needs assessment SWISHER MEMORIAL HEALTHCARE SYSTEM UTILIZES HCAHPS SURVEYS TO MEASURE THE PATIENTS' PERSPECTIVES AND SATISFACTION REGARDING HOSPITAL CARE. IN ADDITION, THE SYSTEM IS ACTIVE IN ALL OF ITS COMMUNITY SERVICE ORGANIZATIONS. THE CEO ATTENDS THESE SERVICE CLUB MEETINGS TO INVITE PATIENTS, THEIR FAMILIES, AND LOCAL CITIZENS TO SHARE THEIR CONCERNS ABOUT THE COMMUNITY'S NEEDS WITH THE ORGANIZATION. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND ON THE SYSTEM'S WEBSITE IN BOTH ENGLISH AND SPANISH AND DISCUSSED AT SERVICE ORGANIZATION MEETINGS IN OUR COMMUNITY. IT IS ALSO SHARED WITH VARIOUS GOVERNMENT AGENCIES SUCH AS HEALTH AND HUMAN SERVICES. FINALLY, ALL UNINSURED PATIENTS WHO ARE SEEN IN THE SYSTEM'S CLINIC OR EMERGENCY DEPARTMENT ARE REFERRED TO OUR PATIENT ADVOCATE WHO INVESTIGATES ALL POTENTIAL SOURCES OF ASSISTANCE. Schedule H, Part VI, Line 4 Community information SWISHER MEMORIAL HEALTHCARE SYSTEM SERVES ALL OF SWISHER COUNTY, TX AS WELL AS SOUTHERN RANDALL COUNTY, WESTERN BRISCOE COUNTY, HALE COUNTY AND EASTERN CASTRO COUNTY. Schedule H, Part VI, Line 5 Promotion of community health OUR HOSPITAL CEO, CFO AND CNO MEET WITH LOCAL AND COUNTY GOVERNMENT OFTEN TO DISCUSS ANY ACTIONS THE SYSTEM AND/OR DISTRICT MAY BE ABLE TO PARTICIPATE IN, PERFORM, OFFER, OR ENCOURAGE WITHIN OUR COMMUNITY. ALSO, OUR QUALITY ASSURANCE/PERFORMANCE IMPROVEMENT/DISASTER PREPAREDNESS DIRECTOR AND TRAUMA COORDINATOR ARE ACTIVE WITH THE REGIONAL ADVISORY COUNCIL AND OTHER COMMUNITY PREPAREDNESS ACTIVITIES. OUR CLINIC OFFERS AN INFLUENZA VACCINATION CLINIC YEARLY, FOR A FLAT FEE, WITH THE OPTION TO BILL MEDICARE FOR MEDICARE PATIENTS. WE CONTINUE TO PROVIDE A MEDICAL ADVICE LINE TO OUR PATIENTS FREE OF CHARGE TO THE CALLER. SMHS conducts a Health Fair every year that showcases the services we are able to provide AND the many resources that are available outside of our facility. Booths are filled with home health and hospice agencies, vision and hearing vendors, ambulance services, holistic offerings (massage therapy, reflexology, etc.) within our community, healthy meal options within our community, Panhandle Community Services, Area Agency on Aging, Medicaid associates, and many more. In 2024, SMHS also participated in "Shattered Dreams". with Tulia ISD. Shattered Dreams is a day that is dedicated to demonstrating all the dangers and heartbreak drinking and driving can cause. EMS arrives on scene to a car accident. The driver and passengers are brought into our ER to be "treated". We have also joined a Maternal Health Coalition to aid in addressing the "maternal desert" that is Swisher County. Schedule H, Part VI, Line 6 Affiliated health care system ALTHOUGH THERE IS NOT A CONTROL OF GOVERNANCE, SWISHER MEMORIAL HEALTHCARE SYSTEM AND SWISHER MEMORIAL HOSPITAL DISTRICT DO COOPERATE IN PROVIDING HEALTH CARE TO THE COMMUNITY. AS HIGHLIGHTED IN THE SCHEDULE H, PART VI - PROMOTION OF COMMUNITY HEALTH, BOTH ENTITIES PARTICIPATE IN VARIOUS PROGRAMS AND CLINICS TO FURTHER THE HEALTH OF SWISHER COUNTY. SWISHER MEMORIAL HOSPITAL DISTRICT CONTRACTS OUT THE EMERGENCY SERVICES TO AMR. SWISHER MEMORIAL HEALTHCARE SYSTEM OFFERS A LEVEL 4 EMERGENCY DEPARTMENT, CRITICAL ACCESS HOSPITAL WITH TWENTY BEDS, AND TULIA RURAL HEALTH CLINIC THAT SERVICES THE MAJORITY OF SWISHER COUNTY. THE DISTRICT AND THE SYSTEM WORK TOGETHER COHESIVELY IN PROVIDING EXCELLENT CARE TO ALL PATIENTS THAT UTILIZE OUR SERVICES. Schedule H, Part VI, Line 7 State filing of community benefit report TX X X X false false false false false false false true false Lucas Brewer CEO 152993 0 20000 0 15000 0 8000 0 43083 0 239076 0 0 0 Kelly Maxwell CNO 143119 0 19607 0 1100 0 7755 0 43083 0 214664 0 0 0 Travis King Physician 306950 0 1500 0 1100 0 11253 0 43083 0 363886 0 0 0 Scott Dyer Physical Therapy Director 160133 0 3275 0 4175 0 8419 0 24619 0 200621 0 0 0 Kara Dyer Physical Therapist 172635 0 683 0 5461 0 8773 0 12309 0 199861 0 0 0 Cynthia Archer Physician Assistant 200415 0 1500 0 0 0 10338 0 12309 0 224562 0 0 0 Deziree Durayappah D.O. 250504 0 1500 0 0 0 12323 0 24619 0 288946 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments A PERCENTAGE OF INCENTIVE COMPENSATION REPORTED BY THE INDIVIDUALS LISTED ON PART VII, SECTION A IS CONTINGENT ON MEETING THE ANNUAL BUDGET. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body ANY ACTIONS OF THE COMMITTEES (MEDICAL STAFF, QAPI, NURSING) THAT ARE PART OF THE SYSTEM'S OPERATION ARE REPORTED BY THE CNO/CEO/CFO AT QUARTERLY BOARD MEETINGS. THERE ARE NO COMMITTEES OF THE BOARD. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE ORGANIZATION'S CEO and CFO REVIEWS THE RETURN PRIOR TO FILING. A COPY IS ALSO SENT OUT TO THE GOVERNING BODY FOR REVIEW AND APPROVAL PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS ARE POLLED ANNUALLY TO DETERMINE IF/WHERE CONFLICTS MAY OCCUR. DEBBIE GARZA OF THE HR DEPARMENT MONITORS COMPLIANCE, AND IF A MEMBER HAS A POSSIBLE CONFLICT THEY ABSTAIN FROM VOTING ON THE TRANSACTION. Form 990, Part VI, Line 15a Process to establish compensation of top management official ALL KEY POSITIONS ARE EVALUATED IN COMPARISON TO THE TORCH ANNUAL SURVEY OF HOSPITAL SALARIES AND OTHER SOURCES. DIRECTOR EVALUATIONS ARE CONDUCTED EACH YEAR ON COMPENSATION BY THEIR RESPECTIVE OFFICER SUPERVISOR, IE. CEO, CFO, AND CNO. ONCE THEY HAVE BEEN REVIEWED, WE TAKE ALL COMPENSATION APPRAISALS TO THE BOARD FOR FURTHER REVIEW AND APPROVAL. THE CEO EVALUATES THE CFO AND CNO. THE BOARD OF DIRECTORS EVALUATES THE CEO. ANNUAL REVIEWS AND RAISES ARE CONDUCTED IN APRIL AND AWARDED IN MAY. ALL OF THE COMPENSATION APPROVAL IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2024 BY THE HOSPITAL CEO. Form 990, Part VI, Line 15b Process to establish compensation of other employees ALL KEY POSITIONS ARE EVALUATED IN COMPARISON TO THE TORCH ANNUAL SURVEY OF HOSPITAL SALARIES AND OTHER SOURCES. EVALUATIONS ARE CONDUCTED EACH YEAR ON COMPENSATION BY DEPARTMENT DIRECTORS. ONCE THEY HAVE BEEN REVIEWED, WE TAKE IT TO THE BOARD FOR FURTHER REVIEW AND APPROVAL. ANNUAL REVIEWS AND RAISES ARE CONDUCTED IN APRIL AND AWARDED IN MAY. ALL OF THE COMPENSATION APPROVAL IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2024 BY THE HOSPITAL CEO Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST AT THE ORGANIZATION'S OFFICE. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Reimbursements - Total Revenue: 38476, Related or Exempt Function Revenue: 37002, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1474; Medical Records - Total Revenue: 475, Related or Exempt Function Revenue: 475, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 496938, Program Service Expense: 240444, Management and General Expenses: 256494, Fundraising Expenses: 0; Contract Services - Total Expense: 340595, Program Service Expense: 340182, Management and General Expenses: 413, Fundraising Expenses: 0; Physician Fees - Total Expense: 1083383, Program Service Expense: 1083383, Management and General Expenses: 0, Fundraising Expenses: 0; Professional Fees - Total Expense: 79809, Program Service Expense: 79809, Management and General Expenses: 0, Fundraising Expenses: 0;