2026-08-11T17:01:14+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 14221 DALLAS PARKWAY SUITE 400 DALLAS TX 75254 990 2024-10-01 750703337 PARMER COUNTY COMMUNITY HOSPITAL PARM 8062502754 1307 CLEVELAND STREET FRIONA TX 79035 GAYLA QUILLIN CEO 8062502754 2026-08-11 true ANDREW J GRAY P01517705 9727028262 2026-08-17 2024 2025-03-06 01:10:19Z PARMER MEDICAL CENTER GAYLA QUILLIN 1307 CLEVELAND STREET FRIONA TX 79035 13196787 false X WWW.PARMERMEDICALCENTER.COM X 1956 TX ACUTE CARE HOSPITAL WITH PERSONALIZED SERVICE AND STATE-OF-THE-ART CARE. 5 5 138 35 0 900355 1475123 11588175 11526807 146350 150829 73748 28702 12708628 13181461 11957 4381 0 0 5596927 6437008 0 0 0 7668968 6770935 13277852 13212324 -569224 -30863 13419508 14346051 686004 1643410 12733504 12702641 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 10797952 4381 11562685 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 $1,328,026 FOR THE YEAR ENDED SEPTEMBER 30, 2025. TOTAL DIRECT AND INDIRECT COST RELATED TO THOSE FOREGONE CHARGES WAS APPROXIMATELY $1,413,066 AT SEPTEMBER 30, 2025. 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 - PARTICIPATE WITH THE OGALALA PROGRAM WHICH ALLOWS STUDENTS WHO ARE INTERESTED IN MEDICAL CAREERS TO WORK AT PARMER MEDICAL CENTER WHILE STUDYING FOR THEIR DEGREE. 8 - THE SPECIALTY CLINIC ALLOWS PATIENTS THE OPPORTUNITY TO SEE A SPECIALIST WITHOUT HAVING TO TRAVEL LONG DISTANCES FOR SPECIALIZED HEALTH CARE (GASTROENTEROLOGIST) 9 - OFFERED FREE VACCINE CLINICS AND 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 15 - PROVIDED FOUR SCHOLARSHIPS TO LOCAL AREA GRADUATING HIGH SCHOOL STUDENTS WHO ARE PURSUING CAREERS IN THE MEDICAL FIELD 10797952 true true false true false true false false false false true false false true true true false true 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 true false false false false true 35 0 true 138 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 false true true true true true true false false false false X X GAYLA QUILLIN 8062502754 1307 CLEVELAND STREET FRIONA TX 79035 DALE SCHUELER BOARD PRESIDENT 1.0 0.0 X X 0 0 0 DENNIS ANTHONY BOARD SECRETARY 1.0 0.0 X X 0 0 0 RICKY BARNETT BOARD VICE PRESIDENT 1.0 0.0 X X 0 0 0 BRET WHITTEN BOARD DIRECTOR 1.0 0.0 X 0 0 0 CLINT HURST BOARD 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 AMBER BONDS NURSE PRACTITIONER 40.0 0.0 X 244563 0 0 CONNIE MCCOY NURSE PRACTITIONER 40.0 0.0 X 298559 0 0 DEVIN CARPENTER CHIEF NURSING OFFICER 40.0 0.0 X 104596 0 0 GLENDORA JORDAN NURSE MANAGER 40.0 0.0 X 125418 0 0 RENE MCCUTCHEN NURSE PRACTITIONER 40.0 0.0 X 199550 0 0 972686 0 0 6 false true false ONESTAFF MEDICAL 10802 FARNAM DR OMAHA NE 68154 CONTRACT LABOR SERVICES 932014 PREFERRED MANAGEMENT CORP 120 W MACARTHUR SUITE 121 SHAWNEE OK 74804 MANAGEMENT & FINANCIAL SERVICES 677929 FLINT MEDICAL STAFFING INC 2800 CORPORATE DR FLOWER MOUND TX 75028 PHYSICIAN SERVICES 531730 COMMUNITY CARE SPECIALISTS INC 120 W MACARTHUR SUITE 121 SHAWNEE OK 74804 PHYSICIAN SERVICES 445934 AVEL ECARE LLC 4500 N LEWIS AVE SIOUX FALLS SD 57104 TELEMEDICINE SERVICES 156205 6 852000 621948 1175 1475123 NET PATIENT REVENUE 622110 11475177 11475177 PHARMACY REVENUE 446110 51630 51630 0 0 0 0 11526807 150829 150829 8150 15326 -7176 0 -7176 -7176 0 0 MISCELLANEOUS REVENUE 900099 35878 35878 0 0 0 0 35878 13181461 11562685 0 143653 X 1881 1881 2500 2500 5445194 4896449 548745 100340 79875 20465 516838 504865 11973 374636 298226 76410 646797 646797 17765 17765 46913 46913 2521600 2429907 91693 0 11655 11655 282721 20303 262418 502877 13492 489385 174848 169923 4925 28618 22565 6053 35553 19930 15623 6588 6588 419033 333568 85465 246019 197458 48561 MEDICAL SUPPLIES 1078036 1078036 BAD DEBT 409267 409267 REPAIRS & MAINTENANCE 113661 113432 229 DUES & LICENSES 42513 15103 27410 186471 179517 6954 0 13212324 10797952 2414372 0 2671606 3391737 4950000 4500000 933591 1007307 0 0 0 0 181222 181222 369621 314139 8897609 6456909 2049756 2440700 0 0 2263712 2510946 13419508 14346051 656340 830324 0 350000 0 0 29664 463086 686004 1643410 X 12733504 12702641 12733504 12702641 13419508 14346051 -30863 0 X false true false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 617 617 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE HOSPITAL PAYS DUES TO TORCH, A PORTION OF WHICH ATTRIBUTED TO LOBBYING ACTIVITIES. 1 0 0 24410 false false 17741 17741 1885030 1885030 6994838 6456909 537929 2440700 EST AMOUNT DUE FROM 3RD PARTY PAYER 280514 OTHER RECEIVABLES 88338 INTERCOMPANY 1878311 LEASE ASSETS, NET THIE INVESTMENT 263783 2510946 FEDERAL INCOME TAXES CAPITAL LEASE 463086 463086 X 11451354 -415855 -415855 11867209 1314252 1314252 13181461 12811795 15326 15326 12796469 415855 415855 13212324 SCHEDULE D, PART X, LINE 2 FIN 48 (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. true true X true X 210 true X true true true false false 1284467 1284467 0.10356 1102742 1602050 0 0.0 0 0.0 0 0 2387209 1602050 1284467 0.10356 0 0.0 0 0.0 0 0.0 0 0.0 4381 4381 0.00035 0 0 4381 0 4381 0.00035 0 0 2391590 1602050 1288848 0.10392 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 false 409267 0 6309005 7637858 -1328853 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 1 false false true X X X X X X X X X 22 true false false true X WWW.PARMERMEDICALCENTER.COM X true 22 true WWW.PARMERMEDICALCENTER.COM false true X 210.0 300.0 X X X true true X X X true X WWW.PARMERMEDICALCENTER.COM X WWW.PARMERMEDICALCENTER.COM X WWW.PARMERMEDICALCENTER.COM 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 FACILITY , 1 FACILITY , 1 - PARMER COUNTY COMMUNITY HOSPITAL. 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 11 FACILITY , 1 FACILITY , 1 - PARMER COUNTY COMMUNITY HOSPITAL. 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. THE HOSPITAL PROVIDES ACCESS TO EMERGENCY MEDICINE PHYSICIANS AND CRITICAL CARE NURSES IN THE PMC EMERGENCY DEPARTMENT THROUGH AVERA ECARE, A TELEMEDICINE SERVICE THAT ALLOWS EMERGENCY MEDICINE SPECIALISTS TO WORK "VIRTUALLY" SIDE BY SIDE WITH LOCAL PMC PROVIDERS VIA A NETWORK OF CAMERAS AND MONITORS INSTALLED IN THE TRAUMA AND CARDIAC ROOMS. 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. 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. A NEW PRIMARY CARE PHYSICIAN JOINED IN OCTOBER 2022 AND THE HOSPITAL IS ACTIVELY SEARCHING FOR A SECOND. THERE IS ALSO A GYNECOLOGIST INTERESTED IN STARTING AN OUTPATIENT CLINIC WITH THE HOSPITAL IN THE NEXT YEAR. IN ADDITION TO THE PREVIOUS EFFORTS TO INCREASE ACCESS TO CARE, THE HOSPITAL GAVE A LITTLE OVER 2,500 VACCINES IN THE CLINIC OVER THE LAST YEAR WITH 744 FLU VACCINATIONS. ALSO, THE MEALS ON WHEELS PROGRAM IS ACTIVE AGAIN AND SERVING MEALS TO THE ELDERLY AND HOMEBOUND. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - PARMER COUNTY COMMUNITY HOSPITAL. 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 16 FACILITY , 1 FACILITY , 1 - PARMER COUNTY COMMUNITY HOSPITAL. 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. 0 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 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 7 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 $409,267. 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 SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT 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, LINE 3 BAD DEBT EXPENSE METHODOLOGY 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, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE FY2024 MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICAID AND MEDICARE SERVICES. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE 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 V, SECTION B, LINE 16A FAP WEBSITE - PARMER COUNTY COMMUNITY HOSPITAL: LINE 16A URL: WWW.PARMERMEDICALCENTER.COM; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - PARMER COUNTY COMMUNITY HOSPITAL: LINE 16B URL: WWW.PARMERMEDICALCENTER.COM; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - PARMER COUNTY COMMUNITY HOSPITAL: LINE 16C URL: WWW.PARMERMEDICALCENTER.COM; 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 9,639 PEOPLE. THE MEDIAN INCOME WAS $58,558 COMPARED TO $63,826 IN THE STATE OF TEXAS. UNEMPLOYMENT WAS 2.6% COMPARED TO 7.6% IN THE STATE OF TEXAS. THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IN 2020 WAS 15.2%. COMPARED TO 14.2% IN THE STATE OF TEXAS. 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 35 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. SURPLUS FUNDS, IF ANY, 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, NURSE PRACTITIONER, PHYSICAL THERAPY, OCCUPATIONAL THERAPY 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. true SCHOLARSHIPS 2 2500 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS PARMER MEDICAL CENTER WORKS WITH THEIR HOSPITAL MANAGEMENT GROUP, PREFERRED MANAGEMENT, TO APPLY FOR AND MONITOR GRANTS. GRANT MONITOR AND REPORTING IS COMPLETED BY THE SPECIAL PROJECTS MANAGER AND CHIEF FINANCIAL OFFICER AT PREFERRED MANAGEMENT AND WORKS IN CONJUNCTION WITH THE HOSPITAL CEO. NECESSARY REPORTS ARE SUBMITTED WHEN DUE AND FUNDS ARE MONITORED MONTHLY AS TO HOW MUCH IS SPENT/HOW MUCH REMAINS TO EACH RESPECTIVE GRANT. false false false false false false false false false AMBER BONDS NURSE PRACTITIONER 185763 0 58800 0 0 0 0 0 0 0 244563 0 0 0 RENE MCCUTCHEN NURSE PRACTITIONER 141560 0 57990 0 0 0 0 0 0 0 199550 0 0 0 CONNIE MCCOY NURSE PRACTITIONER 294969 0 3590 0 0 0 0 0 0 0 298559 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, 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 ANDPAYROLL SERVICES. PER IRS GUIDANCE, THE COMPENSATION PAID BY THE MANAGEMENT COMPANY IS NOT SHOWN ON FORM 990, PART VII, FOR THE 2024 CALENDAR YEAR FOR THESE INDIVIDUALS: GAYLA QUILLIN $144,659 JOSHUA TUCKER $25,280 FORM 990, PART VI, LINE 8B DOCUMENTATION OF MEETINGS HELD BY COMMITTEES OF GOVERNING BODY THERE ARE NO COMMITTEES THAT CAN ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND PRESENTED TO THE BOARD OF DIRECTORS TO BE APPROVED BY THE BOARD BEFORE IT IS FILED. FORM 990, PART VI, LINE 12C 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, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES PHYSICIAN FEES - TOTAL EXPENSE: 1198319, PROGRAM SERVICE EXPENSE: 1198319, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 836945, PROGRAM SERVICE EXPENSE: 781363, MANAGEMENT AND GENERAL EXPENSES: 55582, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 322800, PROGRAM SERVICE EXPENSE: 290089, MANAGEMENT AND GENERAL EXPENSES: 32711, FUNDRAISING EXPENSES: ; TELEMEDICINE - TOTAL EXPENSE: 160136, PROGRAM SERVICE EXPENSE: 160136, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; ADMINISTRATIVE FEES - TOTAL EXPENSE: 3400, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 3400, FUNDRAISING EXPENSES: ; 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. PART VI, LINE 15A AND 15B COMPENSATION REVIEW 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. ACCORDINGLY, AND PURSUANT TO THE FORM 990 INSTRUCTIONS, THE ORGANIZATION HAS ANSWERED PART VI, LINES 15A AND 15B AS "NO". PARMER COUNTY HOSPITAL DISTRICT 1307 CLEVELAND STREET FRIONA TX 79035 752383041 POLITICAL SUB TX 501(C)(1) NA false false false true false false false false false false false true true false false false false false false false