2011-11-14T19:26:13-05:00 2010-12-31 BKD LLP 7901 Woodway Drive Suite 100 Waco TX 76712 990 2010-01-01 741545266 COLORADO-FAYETTE MEDICAL CENTER COLO 9797259531 400 Youens Drive Weimar TX 78962 Steven Gularte 2011-11-11 true Carol S McIntosh 2547768244 2010 2016-02-24 21:20:13Z Steven Gularte 400 Youens Drive Weimar TX 78962 13408657 false X www.cfmctx.org X 1966 TX To provide medical services to the residents of Central Texas, through the operation of an acute-care hospital, long-term care and assisted living facilities, rehabilitation center and two rural health clinics. 8 8 280 10 0 7184 68300 16026096 13198073 10343 120 163864 142164 16207487 13408657 0 0 7181052 7031335 0 0 10231323 7453859 17412375 14485194 -1204888 -1076537 8665133 7171703 8672910 8241534 -7777 -1069831 X To provide basic medical and surgical services to the residents of Central Texas, through the operation of a 38 bed acute-care hospital, a 100 bed long-term care facility, an outpatient center, a physical therapy and rehabilitation center, an assisted living facility, and two hospital-based rural health clinics. false false 622000 7416023 8102494 Provided medical care to residents in Colorado, Fayette and Lavaca counties. The care provided included: 2,344 emergency room visits and 2,932 patient days. Provided charity care in the amount of $335,760. 623000 2951354 3559837 Provided intermediate and heavy nursing home care to residents living in Parkview Manor Nursing Home and Park Place Center, a facility specifically designed for dementia residents. 621498 912624 1211790 Provided outpatient services to residents of Flatonia and Schulenburg, Texas through operation of the Flatonia Community Clinic and Schulenberg Community Clinic. Services included X-Ray and laboratory testing. 151268 323952 Operation of a "Type B" assisted living facility 151268 323952 11431269 true true false true false false false false false true false false false false false false true false false false false false false false false true true false false false false false false false false false false false false false false false false true false false false true 80 0 true 280 true false false false false false false false false false false X 8 8 false false false false false false false true true false false false true true true true true true true false X X JERRY PICKETT 9797259170 400 YOUENS DR WEIMAR TX 78962 Shirley Schoener 1.0 X X 0 0 0 David Fike 1.0 X X 0 0 0 James Heinrich 1.0 X X 0 0 0 AE Bill Hassell 1.0 X 0 0 0 Ted Stanzel 1.0 X 0 0 0 James Balcar 1.0 X 0 0 0 Bob Huette 1.0 X 0 0 0 Tommy Brasher 1.0 X 0 0 0 Mark Kloesel 1.0 X 0 0 0 Robert Youens MD 1.0 X 0 0 0 Shannon McBride 40.0 X 53778 0 218 Steven Gularte 40.0 X 52640 0 0 Chris Mattingly 40.0 X 84968 0 456 David Austin 40.0 X 52906 0 0 Vicki Lewis 40.0 X 8885 0 0 Melodie Young 40.0 X 66309 0 0 Crystal Curtis 40.0 X 44247 0 0 363733 0 674 0 false false false Concord Medical Group 313 E Fir Drive MULESHOE TX 79347 ER Physicians 479995 Juan Carlos Ortega MD 703 S College WEIMAR TX 78962 RHC Physician 194220 Susan Kraemer MD 108 W St Charles WEIMAR TX 78962 RHC Physician 155310 ITA Resources Inc 9821 Katy Frwy Ste 250 HOUSTON TX 77024 Resp Therapists 115356 4 60261 8039 68300 HOSPITAL PATIENT FEES 621990 8102494 8102494 NURSING HOME PATIENT FEES 623000 3559837 3559837 CLINICS PATIENT FEES 621110 1211790 1211790 ASSISTED LIVING FEES 623000 323952 323952 13198073 70 70 0 0 25714 25714 25714 50 50 50 50 0 0 0 CAFETERIA & VENDING SALES 722210 79401 79401 LIFELINE 621610 19721 19721 MEDICAL RECORDS/SUPPLIES 561000 2924 2924 14404 14404 116450 13408657 13314643 0 0 0 0 364407 0 364407 0 0 5111357 3934775 1176582 0 1152304 834507 317797 403267 289754 113513 0 86470 86470 55033 55033 0 0 0 2107834 2056824 51010 37660 98 37562 2217647 2042728 174919 124162 31894 92268 0 610724 556405 54319 28577 23502 5075 0 8766 3625 5141 330042 330042 0 570120 570120 134065 43510 90555 BAD DEBTS 1017227 1017227 MAINTENANCE & REPAIRS 289615 277639 11976 CREDENTIALING 7175 7175 CONTRIBUTIONS 257 257 COMMUNITY SVCE 183 183 -171698 -258514 86816 14485194 11431269 3053925 0 259006 187111 38862 32614 2200337 1156594 20745 38289 437510 443590 113303 108643 19498451 14293709 5595250 5204742 120 120 8665133 7171703 2382249 2292567 6290661 5948967 8672910 8241534 X -7777 -1069831 -7777 -1069831 8665133 7171703 X -1076537 14483 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3355 3355 Other Activities Description Part II-B, Line 1i The hospital pays dues to organizations, a portion of which is designated for lobbying: AHA dues $4,309 x 26.13% = $1,126 THA dues $7,621 x 25.98% = 1,979 TORCH dues $2,500 x 10.00% = 250 _____ $3,355 317144 317144 19181307 14293709 4887598 0 5204742 FIN 48 Disclosure Part X, Line 2 Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. true true true X true true true true false true true 231165 231165 0.01600 583042 573166 9876 0.00070 814207 573166 241041 0.01670 814207 573166 241041 0.01670 true 641463 5900360 5874191 26169 X true false 1 1 Colorado-Fayette Medical Center

400 Youens Dr Weimar TX 78962

X X X Colorado-Fayette Medical Center 1 X X X X X X 10 true false true X X X X X X false true true 200. true 275. true X X X X X X true true X X X X true X X true X X X X X X true X false true 4 Parkview Manor Nurs & Rehab

206 N Smith St Weimar TX 78962

Skilled and nursing care home The Homestead

302 Youens Dr Weimar TX 78962

Assisted living center Schulenburg Community Clinic

511 Summit Schulenberg TX 78956

Rural health clinic Flatonia Community Clinic

113 W South Main St Flatonia TX 78941

Rural health clinic Bad Debt Expense Part III, Section A, Line 4 Excerpt from Audit Note #3: Including bad debts and uncollected accounts, the total amount of uncompensated care was $6,576,996 and $8,759,705 in 2010 and 2009, respectively. Costing Methodology Part III, Section B, Line 8 Cost to charge ratio is used to determine the amount reported on line 6. Collection Policy Part III, Section B, Line 9b The collection policy currently does not contain explicit provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. However, provisions are detailed in the Charity Care Policy. Community Health Needs Assessment Part V, Section B, Line 3 To gain input from the community, the hospital sent assessment surveys to local schools and businesses, Health Fair participants, patients of all hospital-related facilities and a select sample of employees. Needs Assessment Availability Part V, Section B, Line 5c In addition to making the needs assessment available upon request, the assessment was mailed to interested community groups that had participated in the survey. Identification of Community Needs Part V, Section B, Line 7 The hospital did not address all of the needs identified in its most recently conducted Needs Assessment because many of the community needs are beyond the financial means of the hospital at this time. Actions before Initiating Collection Actions Part V, Section B, Line 17e Other actions the hospital took before initiating collection actions included notifying patients through telephone conversations if possible. Determination of Amounts Billed Part V, Section B, Line 19d The hospital determined the amounts billed to individuals who did not have insurance covering emergency or other medically necessary care by using a thirty percent discount intended to approximate the average insurance payment. Gross Service Charge Amount Part V, Section B, Line 21 The hospital charges all patients the same amount regardless of source of payment. Uninsured patients who do not qualify for charity or indigent programs are offered a discount at the point of service. Needs Assessment Part VI, Line 2 The organization assesses the health care needs of the community through informal observation and community feedback in addition to its formal Community Health Needs Assessment. Patient Education of Eligibility for Assistance Part VI, Line 3 The organization informs and educates patients about their eligbility for assistance under governmental programs or under the charity care policy through written and verbal communication as a part of collection efforts. Community Information Part VI, Line 4 The organization primarily serves a rural community in Colorado, Fayette and Lavaca Counties. This area specifically includes the towns of Weimar, Schulenburg and Flatonia in addition to numerous smaller communities. Promotiion of Community Health Part VI, Line 5 The organization furthers its exempt purpose of promoting the health of the community by offering health fairs, immunization programs, education programs, charity care, support groups and pediatric, adult and senior outreach programs. Additional forms of community involvement include: attendance at City Council, Commissioner's Court and School Board meetings; assistance to other not-for-profit organizations such as Parents as Teachers and the American Cancer Society; and recruitment of specialty physicians to the area. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI TX, Discontinued Operations Form 990, Part III, Line 3 Immediately following the end of the year, effective January 1, 2011, the Hospital discontinued Nursing Home and Assisted Living operations. However, these operations were conducted during the entire 2010 tax year. Form 990 Review process Form 990, Part VI, Line 11 Form 990 is prepared by an independent accounting firm. The preparation and review of the form is a joint process by the CFO and accounting firm. Conflicts of Interest Form 990, Part VI, Line 12c Board members and officers are required annually to sign a statement affirming compliance with the conflict of interest policy. When a conflict of interest arises, it must be disclosed to the Board and the person is excused from voting on related matters. Compensation Review Form 990, Part VI, Line 15b The Board of Directors evaluate the CEO's performance, review the area market comparisons for salaries and vote on level of merit increase. Other top management officials are evaluated by their supervisors on performance. Area market studies and recommended merit increases are sent to the CEO for approval. Organization Documents Form 990, Part VI, Line 19 Organizational governing documents, conflict of interest policy and financial statements are made available to the public upon request.` Other Changes in Net Assets Form 990, Part XI, Line 5 There was a transfer of net assets in the amount of $14,483 from supporting organization Colorado Fayette Medical Foundation to the Medical Center for the purpose of funding operations. Colorado-Fayette Medical Foundation Inc 400 Youens Dr Weimar TX 78962 742527874 Fin Assistanc TX 501(c)(3) 11c true false false true false true false false false false false false false false false false false false Colorado-Fayette Medical Foundation e 79217