2024-07-16T12:27:28-05:00 2023-08-31 Forvis Mazars LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2022-09-01 741471231 Falls Community Hospital & Clinic Inc % JESSICA FORD FALL 2548033561 PO Box 60 Marlin TX 76661 Jessica Ford Administrator 2548038561 2024-07-15 true Jessica Ford 999009999 Jeanette Verrelli P00742631 9727028262 3 2022 2023-04-26 12:10:37Z Jessica Ford PO BOX 60 MARLIN TX 76661 14629333 false X WWW.FALLSHOSPITAL.com X 1960 TX PROVIDING QUALITY CARE IN INPATIENT AND OUTPATIENT SERVICES, EMERGENCY SERVICES, RURAL HEALTH CLINIC AND ANCILLARY SERVICES. 4 4 154 4 0 0 408615 185336 13506883 13883174 23001 2016 299650 558807 14238149 14629333 977 12755 0 0 5678371 5657158 0 0 0 9994592 9881165 15673940 15551078 -1435791 -921745 15091870 14111159 2818067 2759101 12273803 11352058 PROVIDING QUALITY CARE IN INPATIENT AND OUTPATIENT SERVICES, EMERGENCY SERVICES, RURAL HEALTH CLINIC, AND ANCILLARY SERVICES. false false 8613291 12755 6162352 OPERATED A 36 BED HOSPITAL PROVIDING INPATIENT AND OBSERVATION HOSPITAL STAYS. 68 INPATIENT DAYS AND 164 OBS PATIENTS FOR 208 OBS DAYS. WE HAVE RADIOLOGY, LAB, RESPIRATORY, PHYSICIAN, AND IV THERAPIES. TOTAL INPATIENT AND OUTPATIENT PROCEDURES INCLUDED: 1,241 EKG/EEG, 639 RESP. THERAPY, 4,643 RADIOLOGY, 2,646 IV, 2,212 PHYSICAL THERAPY, AND 41,992 LAB. 2684456 5114630 WE OPERATE 3 RURAL HEALTH CLINICS AND AN ADDITIONAL OUTPATIENT CLINIC THAT PROVIDE PRIMARY CARE AND SPECIALTY SERVICES INCLUDING WOMEN'S HEALTH, WELL CHILD CARE, PREVENTATIVE CARE, CARDIOLOGY, PODIATRY, PSYCHOLOGY, AND CHIROPRACTIC CARE. 1926185 2612576 WE OPERATE A 5 BED EMERGENCY ROOM. WE STABILIZE PATIENTS FOR TRANSFER WHEN HIGHER LEVEL CARE IS REQUIRED. WE HAVE THE CAPACITY TO PROVIDE PRECIPITOUS DELIVERY. WE PROVIDE TEL-PSYCH SERVICES WHEN REQUIRED. WE ALSO PROVIDE STROKE EVALUATION AND INTERVENTION. 13223932 true true false true false false false false false false true false false true true false false false false false false false false false false false true true false true true false false false false false false false false false false false false false false false false false true 39 0 true 154 true false false false false false false false false false false false false X 4 4 false false false false false false false true true false false true true true true true true true true false X JESSICA FORD 2548033561 322 COLEMAN STREET MARLIN TX 76661 X Robin Argyle nurse practitioner 40.0 0.0 X 212177 0 5931 Danielle Janicek physician's assistant 40.0 0.0 X 206086 0 0 Savannah Wetzler physician's assistant 40.0 0.0 X 141077 0 1383 Jessica Ford administrator 40.0 0.0 X 107392 0 44 LEW ROBBINS CFO 15.0 0.0 X 54421 0 0 KEN TOMLINSON President 2.0 0.0 X X 0 0 0 JAN STIMMEL Vice President 2.0 0.0 X X 0 0 0 Roger Nutt Secretary Treasurer 2.0 0.0 X X 0 0 0 Justin Hay Director 2.0 0.0 X 0 0 0 721153 0 7358 4 false true false MCCARTHY PSYCHIATRIC SERVICES PLLC 5010 LAKELAND CIRCLE WACO TX 76710 MEDICAL SERVICES 497385 JEREMY REYNOLDS PA-C MPAS PLLC 3015 STURGIS LANE WACO TX 76708 MEDICAL SERVICES 208960 DJF ENTERPRISE PLLC 628 N ROBINSON DRIVE ROBINSON TX 76706 MEDICAL SERVICES 183900 PRACTIKELL HEALTH CARE LLC 20456 BEAVERS COVE RD THORTON TX 76687 CHIRO SERVICES 237942 Rabroker Air Conditioning and Plumb PO Box 2157 WACO TX 76702 HVAC SERVICES 145225 7 185336 185336 NET PATIENT SERVICE REVENUE 621110 14069776 14069776 CLOSING 340B PHARMACY LOSS 446110 -191642 -191642 MEDICAL OFFICE RENT 531120 5040 5040 13883174 2016 2016 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA SALES 722320 103841 103841 MEDICAL RECORDS 561000 6384 6384 ALL OTHER MISC REVENUE 900099 448582 448582 448582 448582 558807 14629333 13889558 554439 X 1355 1355 11400 11400 0 0 161857 161857 0 4912089 4043045 869044 12020 9613 2407 190240 151589 38651 380952 303555 77397 0 69732 69732 37090 37090 0 0 0 2565607 1856649 708958 0 137387 49973 87414 178101 171030 7071 0 354397 291906 62491 2720 2720 0 4241 4241 18787 18787 0 842209 842209 196614 85673 110941 BAD DEBT EXPENSE 4096106 4096106 MEDICAL SUPPLIES 1124072 1124072 MAINTENANCE AND REPAIRS 52332 50951 1381 DUES AND FEES 22392 2460 19932 179378 109318 70060 15551078 13223932 2327146 0 1382583 870820 339596 1088861 0 0 2507071 1863542 0 0 0 0 0 0 107710 147167 105195 117322 21865160 12697806 9862491 9167354 0 0 0 0 0 0 0 0 787224 856093 15091870 14111159 2262623 2061822 0 0 309590 309590 0 0 0 0 0 0 129271 271106 0 0 116583 116583 2818067 2759101 X 12273803 11352058 0 0 12273803 11352058 15091870 14111159 -921745 X X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 770 770 false SCHEDULE C, PART II-B, LINE 1I LOBBYING EXPENSES PAID WITH DUES: TORCH - $3,850 X 20% = $770 937411 937411 12681917 5337517 7344400 8245832 7360289 885543 9167354 THIE SURPLUS 226843 OTHER RECEIVABLES 1091 DUE FROM MEDICAID 628159 856093 0 EST DUE TO 3RD PARTY PAYERS 116583 116583 true true X true X true X true true false false 487168 487168 0.04250 1620228 709506 910722 0.07950 129283 92729 36554 0.00320 2236679 802235 1434444 0.12520 30295 30295 0.00260 12755 12755 0.00110 43050 43050 0.00370 2279729 802235 1477494 0.12890 false 4096106 1188409 2643280 -1454871 X true true 1 1 FALLS COMMUNITY HOSPITAL & CLINIC INC 322 COLEMAN STREET MARLIN TX 76661 WWW.FALLSHOSPITAL.COM 00517 X X X FALLS COMMUNITY HOSPITAL & CLINIC INC 1 false false true X X X X X X X X X 21 true false false true X WWW.FALLSHOSPITAL.COM X true 21 true WWW.FALLSHOSPITAL.COM false true X 100 200. X X X true true X X X true X see section c X see section c X see section c 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 REPRESENTATIVES FROM THE COMMUNITY: IN 2021 THE HOSPITAL CONDUCTED FOCUS GROUP MEETINGS TO DISCUSS THE HEALTH NEEDS OF THE COMMUNITY WITH REPRESENTATIVES FROM THE FOLLOWING CONSTITUENCIES: MARLIN CITY MAYOR, COUNTY PUBLIC SAFETY OFFICERS AND FIRE DEPARTMENT, DISTRICT ATTORNEY, MARLIN HOUSING AUTHORITY, FALLS COUNTY EXTENSION AGENT, GOLDEN YEARS NURSING HOME ADMINISTRATOR AND STAFF, AMD EMERGENCY MEDICAL SERVICES (EMS), HEART OF TEXAS MHMR, MARLIN INDEPENDENT SCHOOL DISTRICT, COMMUNITY NON-PROFIT ORGANIZATION LEADERS, DIVERSE PRIVATE CITIZENS, BUSINESS LEADERS, FCHC ADMINISTRATOR AND DEPARTMENT LEADERS, FCHC BOARD OF DIRECTORS, AND ADVANCED PRACTICE PROFESSIONALS, AND OTHER HEALTHCARE WORKERS. ADDITIONALLY, SOME RESIDENTS WITHIN THE CITY AND SERVICE AREA WERE RANDOMLY ASKED ABOUT THEIR PERCEPTIONS OF THE LOCAL HOSPITAL AND ACCESS TO HEALTHCARE. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: THE CHNA IDENTIFIED THE FOLLOWING NEEDS TO ADDRESS IN THE IMPLEMENTATION STRATEGY: EMERGENCY MEDICAL SERVICES (EMS / AMBULANCE) - TIMELY RESPONSE IS CRITICAL IN EMERGENCY SITUATIONS. THE SINGLE BIGGEST NEED ECHOED THROUGHOUT THE COUNTY IS FASTER EMS RESPONSE TO EMERGENCIES. FCHC IS LOOKING INTO OPTIONS THROUGH COLLABORATION WITH OTHER FALLS COUNTY OFFICES, GRANTS, AND/OR OTHER MEANS TO IMPROVE THE EMS SERVICE IN FALLS COUNTY. COMMUNITY COMMUNICATION, AWARENESS, & COLLABORATION - THE CITY OF MARLIN AND FALLS COUNTY OFFERS DEDICATED PEOPLE, LOCAL BUSINESSES, AND GROUPS WHO ARE ACTIVELY ENGAGED IN PROVIDING GOOD SERVICES. LIKE MOST COMMUNITIES, HOWEVER, THESE GROUPS OFTEN WORK INDEPENDENTLY WITH LITTLE INTERACTION, COLLABORATION, OR JOINT PLANNING AMONG EACH OTHER. ENTHUSIASTIC DISCUSSION BROKE OUT DURING THE COMMUNITY FOCUS GROUP SESSIONS AS PARTICIPANTS BEGAN LEARNING FROM EACH OTHER ABOUT RESOURCES THAT EACH OFFERED. A DESIRE WAS CREATED TO CONTINUE THESE DISCUSSIONS AND COLLABORATE ON WAYS THAT THEY MAY COLLECTIVELY ENGAGE IN EFFORTS TO IMPROVE THE LIFE, HEALTH, AND WELLBEING OF THOSE LIVING IN FALLS COUNTY. INFORMAL NETWORKS FOR COLLABORATION CAN BE VERY EFFECTIVE. COMMUNITY HEALTH EDUCATION, OUTREACH, AND COLLABORATION - COMMUNITY HEALTH EDUCATION AND EXPANDED OUTREACH IS OFFERED AS A PRIMARY RECOMMENDATION. FCHC HAS RECEIVED SEVERAL GRANTS TO PROMOTE HEALTH AND VACCINE AWARENESS AND IS UTILIZING THE FUNDS TO PROVIDE EDUCATION AND BUILD VACCINE CONFIDENCE. IN ADDITION, FCHC IS COLLABORATING WITH FALLS COUNTY AG EXTENSION OFFICE, COMMUNITIES IN SCHOOLS, AND OTHER AGENCIES TO PARTICIPATE IN JOINT EVENTS PROMOTING HEALTH AND WELLNESS. MENTAL HEALTH - BASED UPON COMMUNITY RESPONSE AND PUBLIC DATA, MENTAL HEALTH RANKS AS A PRIORITY HEALTH NEED IN FALLS COUNTY. ISSUES OF MENTAL HEALTH ARE COMPLEX AND TYPICALLY LINKED TO ENVIRONMENTAL FACTORS BEYOND THE SCOPE OF THE HOSPITAL, MEDICAL PROVIDERS, OR ANY SINGLE ORGANIZATION. THE ROOT CAUSES OR RESULTS OF MENTAL HEALTH ISSUES ARE OFTEN LINKED TO SOCIAL ISSUES LIKE UNEMPLOYMENT, POVERTY, NUTRITION, DRUG ABUSE, FAMILY DISFUNCTION, EDUCATION, HOUSING, AND OTHER FACTORS. MENTAL HEALTH, REGARDLESS OF CAUSES, IMPACTS THE PHYSICAL HEALTH AND WELLBEING OF INDIVIDUALS. A NEED EXISTS FOR BOTH IMPROVED AWARENESS OF AND LOCAL ACCESS TO MENTAL HEALTH COUNSELING SERVICES IN MARLIN. FALLS COMMUNITY HOSPITAL HAS PARTNERED WITH TEXAS A&M TO PROVIDE FREE BEHAVIORAL HEALTH SERVICES THROUGH TELEMEDICINE AT OUR CLINIC IN ROSEBUD. TELEHEALTH IS ALSO BEING USED EFFECTIVELY IN COUNTIES ACROSS TEXAS TO EXPAND ACCESS TO PSYCHIATRY AND OTHER MENTAL HEALTH SERVICES. CONSULTATIVE SERVICES CAN BE ACCESSED LOCALLY BY PATIENTS WHILE LINKED TO REMOTE PROVIDERS. EXPANSION OF TELEHEALTH SHOULD BE CONSIDERED AS AN OPTION FOR EXPANDING LOCAL ACCESS TO MENTAL HEALTH. CHRONIC DISEASE SELF-MANAGEMENT - THE PROGRAMS SEEK TO TEACH PATIENTS TO TAKE CHARGE OF THEIR OWN HEALTH THROUGH EDUCATION, ACTIVE MONITORING, AND BEHAVIORAL ADJUSTMENTS. MANY WHO SUFFER FROM CHRONIC DISEASE SUCH AS DIABETES, HYPERTENSION, COPD, CHF, AND OTHER ILLNESSES HAVE LOW INCOME AND LACK INSURANCE TO AFFORD A PERSONAL PRIMARY CARE PRACTITIONER OR PURCHASE MEDICATION. EACH NEW PATIENT RECEIVES A BASELINE EVALUATION WITH AN ADVANCED PRACTICE PROVIDER (NURSE PRACTITIONER OR PHYSICIAN ASSISTANT) AND A "MEDICAL HOME" PLACE TO RETURN FOR MONITORING AND CHECK-UP. THE PROGRAM PROVIDES THE PATIENT WITH NUTRITIONAL CONSULTS AND PERSONALIZED EDUCATION ON HOW TO MANAGE THEIR SPECIFIC DISEASE. THE GOAL IS TO ENGAGE THE PATIENT IN IMPROVING THEIR OVERALL HEALTH AND WELLBEING AND PROVIDE A MEANINGFUL CONTINUUM OF CARE WITH AN ESTABLISHED PROVIDER. AN ADDED BENEFIT IS TO REDUCE UNFUNDED UTILIZATION OF THE ED FOR CHRONIC CARE VISITS THAT CAN BE MORE APPROPRIATELY MANAGED IN A LOWER COST SETTING. MARLIN RHC'S PHYSICIANS ARE IMPLEMENTING NEW PROGRAMS TO EDUCATE PATIENTS DURING THEIR VISIT AND TRAINING PROVIDERS AND STAFF ON THE IMPORTANCE OF PATIENT EDUCATION. DRUG ABUSE - DRUG ABUSE IS WIDELY RECOGNIZED AS A MAJOR PROBLEM IN FALLS COUNTY, AS WELL AS THE STATE OF TEXAS. ILLEGAL DRUG USAGE ADVERSELY IMPACTS THE ENTIRE COUNTY, BOTH THE PUBLIC SECTOR AND PRIVATE SECTOR. THERE IS NO SINGLE SOURCE SOLUTION TO REDUCING ILLEGAL DRUG USAGE. THE PROBLEM MUST BE ADDRESSED AS A COMMUNITY PROBLEM AND RECEIVE INPUT FROM MULTIPLE SECTORS OF THE COUNTY. FALLS COMMUNITY HOSPITAL HAS CREATED NEW POLICIES REGARDING ADMINISTRATION OF NARCOTICS AND PAIN MANAGEMENT. WATER - SUPPLY AND DISTRIBUTION OF SAFE HOUSEHOLD WATER SHOULD BE CONTINUED FOR IMPROVEMENT BY THE CITY OF MARLIN. ACCESS TO SAFE WATER IS A BASIC ESSENTIAL TO COMMUNITY HEALTH. THE CITY OF MARLIN IS CONSTANTLY WORKING TO MAKE UPGRADES TO THE WATER SYSTEM IN MARLIN. FCHC REPRESENTATIVES ARE ATTENDING CITY WATER MEETINGS TO STAY UP TO DATE ON IMPROVEMENTS AND CURRENT CONDITIONS. ECONOMIC DEVELOPMENT AND SOCIAL INFRASTRUCTURE - COMMUNITY HEALTH IS HEAVILY IMPACTED BY SOCIAL AND ECONOMIC FACTORS SUCH AS JOBS, INCOME, HOUSING, EDUCATION. IT IS RECOMMENDED THAT LEADERS FROM THE PUBLIC AND PRIVATE SECTORS ASSESS NEEDS, RESOURCES AVAILABLE, AND OPPORTUNITIES TOGETHER IN AN EFFORT TO EXPAND JOBS, LOCAL EMPLOYMENT, AND TAX BASE. CREATING JOBS AND IMPROVING ECONOMIC DEVELOPMENT WILL HELP TO IMPROVE THE SOCIAL INFRASTRUCTURE, REDUCE GENERATIONAL POVERTY, AND INCREASE LOCAL TAX REVENUE THAT WILL ENABLE THE CITY AND COUNTY TO AFFORD TO PROVIDE MORE SERVICES. DUE TO LIMITED RESOURCES THE HOSPITAL HAS NOT ADDRESSED COMMUNITY COMMUNICATION, AWARENESS, & COLLABORATION AND ECONOMIC DEVELOPMENT AND SOCIAL INFRASTRUCTURE. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C FINANCIAL ASSISTANCE DOCUMENTS: THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION CAN BE FOUND AT https://fallshospital.com/patient-information/ SCHEDULE H, PART V, SECTION B COMPLIANCE WITH 501R: FALLS COMMUNITY HOSPITAL & CLINIC, INC. IDENTIFIED A FEW AREAS WHERE THEY WERE NOT YET FULLY COMPLIANT WITH THE FINAL 501R REGULATIONS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) DOES NOT INCLUDE ALL THE INFORMATION NEEDED TO MEET THE REQUIREMENTS UNDER SECTION 501(R)(4). SOME OF THE LANGUAGE MISSING FROM THE FAP INCLUDES THE FOLLOWING: -DESCRIPTION OF THE METHOD USED TO CALCULATE THE AMOUNTS GENERALLY BILLED TO PATIENTS -A LIST OF PROVIDERS OR DESCRIPTION OF THE DEPARTMENTS, CLINICS, PRACTICES, ETC. DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE COVERED OR NOT COVERED BY THE FAP THE HOSPITAL ALSO IDENTIFIED THAT THE FAP DOES NOT INCLUDE ANY LANGUAGE IDENTIFYING ANY EXTRAORDINARY COLLECTION ACTIONS. THE HOSPITAL'S PERSONNEL AND MANAGEMENT ARE WORKING DILIGENTLY TOWARD CORRECTING THE POLICIES TO MEET THE REGULATIONS. ANY ADDITIONAL FAILURES TO COMPLY WILL BE CORRECTED AS THEY ARE IDENTIFIED. TOP MANAGEMENT WILL MONITOR THE COMPLIANCE ANNUALLY TO CONFIRM THE HOSPITAL CONTINUES TO STAY COMPLIANT WITH THE REQUIREMENTS UNDER 501R. 4 FCHC RURAL HEALTH CLINIC 307 LIVE OAK STREET MARLIN TX 76661 CLINIC FCHC BREMOND MEDICAL CLINIC 201 S MAIN BREMOND TX 76629 CLINIC FCHC ROSEBUD MEDICAL CLINIC 312 N STALLWORTH ROSEBUD TX 76570 CLINIC FCHC RUCKER MEDICAL CLINIC 200 N PEARL MART TX 76664 CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: AT THE END OF EACH INTERIM PERIOD AND AT YEAR END, WE CALCULATE AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS USING AGGREGATED INFORMATION ABOUT PATIENT ACCOUNTS RECEIVABLE AND RECENT HISTORICAL STATISTICS ABOUT THE AMOUNTS THAT WE HAVE COLLECTED ON SIMILAR ACCOUNTS AS DEFINED BY PAYER CLASSIFICATION AND THE AGE OF THE RECEIVABLE. BAD DEBT EXPENSE/RECOVERY IS THE AMOUNT OF THE ADJUSTMENT NECESSARY AT THE END OF EACH PERIOD BASED ON OUR ANALYSIS PLUS THE SUM OF THE AMOUNTS ACTUALLY WRITTEN OFF TO BAD DEBT DURING THE PERIOD. WRITE OFFS FOR PATIENTS THAT QUALIFY FOR CHARITY AND INDIGENT CARE WILL NOT BE INCLUDED IN BAD DEBT. SCHEDULE H, PART III, SECTION A, LINE 3 COMMUNITY BENEFIT METHODOLOGY: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS LEFT IT BLANK. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY AND SHORTFALL: THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ANCILLARY COSTS BASED ON MEDICARE OR MEDICAID COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, 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 DEBT COLLECTION PROCESS: THE COLLECTION POLICY STATES THAT AN ITEMIZED STATEMENT IS SENT TO THE COLLECTIONS COUNSELOR FOR VERIFICATION OF CHARITY COVERAGE AND ADJUSTMENT FOR THOSE WHO HAVE QUALIFIED FOR CHARITY ASSISTANCE. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR THE HOSPITAL'S CHARITY ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT IN EXCESS OF THE CO-PAY REQUIRED OF THAT PATIENT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: FALLS COMMUNITY HOSPITAL PERFORMS A REGULAR ASSESSMENT OF THE COMMUNITY POPULATION AND FACILITIES TO DETERMINE NEEDS IN THEIR AREA. FALLS COMMUNITY HOSPITAL THEN IDENTIFIES STRATEGIES TO MEET THOSE NEEDS THROUGH IMPROVED PHYSICIAN RECRUITING, ADDITIONAL SERVICES, OR INCREASING PUBLIC AWARENESS OF SERVICES AND PROGRAMS OFFERED BY THE HOSPITAL. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE FOR PATIENTS UNABLE TO PAY FOR HEALTH CARE IS AVAILABLE AND PUBLICIZED. IT IS POSTED IN THE LOCAL NEWSPAPER AT LEAST ANNUALLY AND IS POSTED NEAR THE ADMISSION DESKS OF THE HOSPITAL AND CLINICS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: FALLS COUNTY IS A RURAL COUNTY WITH A POPULATION OF APPROXIMATELY 17,493 PEOPLE. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $33,744 AND 21% OF THE POPULATION LIVE IN POVERTY. THE MEDIAN RESIDENT AGE IS 39.9 YEARS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL ANNUALLY HOSTS A COUNTY HEALTH FAIR THAT PROVIDES FREE CHOLESTEROL, PSA AND GLUCOSE SCREENINGS AS WELL AS NUTRITION EDUCATION. THESE SCREENINGS HELP IMPROVE THE DIETS OF THE COMMUNITY IN AN EFFORT TO DECREASE OBESITY AND ENCOURAGE PREVENTIVE TESTING. ADDITIONALLY, THE ORGANIZATION OFFERS A PEDIATRIC IMMUNIZATION CLINIC AND PROVIDES TEXAS HEALTH STEP EXAMS TO MEDICAID RECIPIENTS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: NOT APPLICABLE FOR 2023 FISCAL YEAR. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE IN THE AMOUNT OF $4,096,106 WAS INCLUDED ON FORM 990, PART IX, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COST COMPUTED ON WORKSHEET 6 AND 8 WAS FROM THE HOSPITAL'S INCOME STATEMENT. SCHEDULE H, PART I, LINE 3 FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE CARE: - MEDICAL INDIGENCY - INSURANCE STATUS - RESIDENCY true scholarships 38 11400 SCHEDULE I, PART I, LINE 2 PROCEDURE TO MONITOR THE USE OF GRANT FUNDS IN THE US: SMALL $300 SCHOLARSHIPS WERE GIVEN TO GRADUATING STUDENTS AT A SCHOOL WITHIN THE COMMUNITY. DUE THE SIZE AND NATURE OF THE SCHOLARSHIPS GIVEN, THE HOSPITAL DOES NOT MONITOR THE USE OF FUNDS. X X false false false false false false false true false Robin Argyle nurse practitioner 211974 203 0 0 5931 218108 0 Danielle Janicek physician's assistant 206035 51 0 0 0 206086 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: THE HOSPITAL PROVIDES NON-FIXED PAYMENTS TO EMPLOYEES AS BONUS PAYMENTS DETERMINED BY THE DISCRETION OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY ALL OFFICERS AND ACCOUNTING PERSONNEL OF FALLS COMMUNITY HOSPITAL. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NEEDED CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS REVIEWED BY THE BOARD OF TRUSTEES WITH THE ADMINISTRATOR AND FINANCIAL COUNSELOR PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO PROMPTLY REPORT IN WRITING ANY POTENTIAL CONFLICTS OF INTEREST TO THE ADMINISTRATOR OR BOARD CHAIRPERSON. THE BOARD IS ALSO REQUIRED TO SIGN AN ANNUAL STATEMENT REGARDING ANY POTENTIAL CONFLICTS. THE BOARD CONSIDERS THE CONFLICT AND DIRECT THE PROPER ACTION TO BE TAKEN DEPENDING UPON WHETHER THE HOSPITAL'S INTERESTS WILL BE AFFECTED ADVERSELY. ANY MEMBER OF THE BOARD OF TRUSTEES SHALL ABSTAIN FROM VOTING ON A MATTER WHEN A CONFLICT OF INTEREST WITH THAT BOARD MEMBER EXISTS. WHEN A MEMBER DETERMINES THAT NO CONFLICT EXISTS, SUCH MEMBER SHALL SO ANNOUNCE IT TO THE BOARD OF TRUSTEES AND SUCH ANNOUNCEMENT SHALL BE PLACED IN THE MINUTES OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 15A & 15B REVIEW OF OFFICER COMPENSATION: THE BOARD HAS A COMPENSATION COMMITTEE TO MAKE RECOMMENDATIONS REGARDING THE OFFICER'S COMPENSATION. THESE RECOMMENDATIONS ARE THEN APPROVED ANNUALLY BY THE BOARD CHAIRMAN AND OTHER BOARD MEMBERS. ALL DOCUMENTATION OF THE REVIEW IS KEPT IN THE HUMAN RESOURCES' EMPLOYEE FILES. THE MOST RECENT REVIEW WAS CONDUCTED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IV, LINE 12 & Part XII, Line 2 AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART IV, LINE 12 AND PART XII. THE ORGANIZATION IS IN THE PROCESS OF AN AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2023. HOWEVER, AT THE TIME OF FILING THIS RETURN, THE AUDIT IS NOT YET COMPLETE. THE ORGANIZATION HAS ATTACHED A COPY OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2021 TO THE 990 AND ANSWERED YES TO PART IV, LINE 20B. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1144491 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:27560 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:623782 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:582366 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATION CONSULTING TOTAL FEES:162854 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:24554