Texas County Memorial Hospital (TCMH), a 66-bed primary care facility in Houston, Missouri, is dedicated to providing comprehensive and quality healthcare to our community and surrounding areas. With a mission to be "Totally Committed to Maximum Healthcare," we offer 24/7 emergency services, surgery, ICU, obstetrics, physical therapy, and complete respiratory and diagnostic services. Our clinics throughout Texas and Wright counties provide accessible care for all ages. TCMH is your trusted healthcare partner, offering advanced technology and compassionate care, close to home.
| Hospital Name | Texas County Memorial Hospital |
|---|---|
| Facility ID | 260024 |
| Address | 1333 SAM HOUSTON BOULEVARD |
|---|---|
| City/Town | Houston |
| State | MO |
| ZIP Code | 65483 |
| County/Parish | TEXAS |
| Health System | CoxHealth |
|---|---|
| Health System Website Domain | coxhealth.com |
| Recently Joined Health System (Past 4 Years) | No |
| Health System Total Hospitals | 6 |
|---|---|
| Health System Total Beds | 1165 |
| Health System Hospital Locations | Missouri |
| Hospital Type | Acute Care Hospitals |
|---|---|
| Hospital Ownership | Voluntary non-profit - Other |
| Ownership Details | Independent |
| Emergency Services | Yes |
33-year employee of TCMH. Served as interim CEO since February 2024 and was made permanent CEO in August 2024. Previously served as the director of the TCMH emergency medical services department. Obtained a master's degree in business administration from William Woods University and served four years in the United States Navy. Owns a small farm in Houston with his wife, Shannon.
Served as the hospital's CFO for nearly 30 years as of February 2024. Was part of an interim leadership team in July 2022 and was reinstated as CFO in February 2024.
Served as Chief Nursing Officer as of February 2024 and was part of an interim leadership team in July 2022. Also listed in relation to Home Health Care Of Ozarks at the TCMH address.
| Allopathic Residency Program | No |
|---|---|
| Dental Residency Program | No |
| Osteopathic Residency Program | No |
| Other Residency Programs | No |
| Pediatric Residency Program | No |
| Licensed Beds | 66 |
|---|
| FTE Employees on Payroll | 257.96 |
|---|---|
| FTE Interns & Residents | NA |
| Inpatient Days (Title V) | NA |
|---|---|
| Inpatient Days (Title XVIII) | 1810 |
| Inpatient Days (Title XIX) | 219 |
| Total Inpatient Days | 3728 |
| Bed Count | 47 |
| Available Bed Days | 17155 |
| Discharges (Title V) | NA |
| Discharges (Title XVIII) | 291 |
| Discharges (Title XIX) | 57 |
| Total Discharges | 865 |
| Inpatient Days (Title V; Adults & Peds) | NA |
|---|---|
| Inpatient Days (Title XVIII; Adults & Peds) | 890 |
| Inpatient Days (Title XIX; Adults & Peds) | 169 |
| Total Inpatient Days (Adults & Peds) | 2374 |
| Bed Count (Adults & Peds) | 43 |
| Available Bed Days (Adults & Peds) | 15695 |
| Discharges (Title V; Adults & Peds) | NA |
| Discharges (Title XVIII; Adults & Peds) | 291 |
| Discharges (Title XIX; Adults & Peds) | 57 |
| Total Discharges (Adults & Peds) | 865 |
| Care Quality Stengths | High overall patient satisfaction. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the cleanliness of the hospital. Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. |
|---|---|
| Care Quality Concerns | Hospital struggles with high infection rates |
| Nurse Communication – Star Rating | |
|---|---|
| Doctor Communication – Star Rating | |
| Staff Responsiveness – Star Rating | |
| Communication About Medicines – Star Rating | |
| Discharge Information – Star Rating | |
| Care Transition – Star Rating | |
| Cleanliness – Star Rating | |
| Quietness – Star Rating | |
| Overall Hospital Rating – Star Rating | |
| Recommend Hospital – Star Rating |
| Percent of Patients Who Definitely Recommend the Hospital | 60% |
|---|
| Mortality Group – Rate of Complications for Hip/Knee Replacement Patients | |
|---|---|
| Mortality Group – Death Rate for Heart Attack Patients | |
| Mortality Group – Death Rate for CABG Surgery Patients | |
| Mortality Group – Death Rate for COPD Patients | No Different Than National Average |
| Mortality Group – Death Rate for Heart Failure Patients | No Different Than National Average |
| Mortality Group – Death Rate for Pneumonia Patients | Worse Than National Average |
| Mortality Group – Death Rate for Stroke Patients | |
| Mortality Group – Pressure Ulcer Rate | No Different Than National Average |
| Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications | |
| Mortality Group – Iatrogenic Pneumothorax Rate | No Different Than National Average |
| Mortality Group – In-Hospital Fall with Hip Fracture Rate | |
| Mortality Group – Postoperative Hemorrhage or Hematoma Rate | |
| Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate | |
| Mortality Group – Postoperative Respiratory Failure Rate | |
| Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate | |
| Mortality Group – Postoperative Sepsis Rate | |
| Mortality Group – Postoperative Wound Dehiscence Rate | |
| Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate | No Different Than National Average |
| Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite | No Different Than National Average |
| Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) | 122 |
|---|
| Readmission Score Hospital Return Days for Heart Attack Patients | Not Available |
|---|---|
| Readmission Score Hospital Return Days for Heart Failure Patients | 13.7 |
| Readmission Score Hospital Return Days for Pneumonia Patients | -1.6 |
| Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) | 12.7 |
| Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy | Not Available |
| Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy | Not Available |
| Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery | Not Available |
| Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | Not Available |
| Readmission Score Rate of Readmission for CABG | Not Available |
| Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients | 19.2 |
| Readmission Score Heart Failure (HF) 30-Day Readmission Rate | 20.7 |
| Readmission Score Rate of Readmission After Hip/Knee Replacement | Not Available |
| Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) | 15.1 |
| Readmission Score Pneumonia (PN) 30-Day Readmission Rate | 15.8 |
| Readmission Group Hospital Return Days for Heart Attack Patients | Number of Cases Too Small |
| Readmission Group Hospital Return Days for Heart Failure Patients | Average Days per 100 Discharges |
| Readmission Group Hospital Return Days for Pneumonia Patients | Average Days per 100 Discharges |
| Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) | No Different Than the National Rate |
| Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy | Number of Cases Too Small |
| Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy | Number of Cases Too Small |
| Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery | Number of cases too small |
| Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | Number of Cases Too Small |
| Readmission Group Rate of Readmission for CABG | Not Available |
| Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients | No Different Than the National Rate |
| Readmission Group Heart Failure (HF) 30-Day Readmission Rate | No Different Than the National Rate |
| Readmission Group Rate of Readmission After Hip/Knee Replacement | Not Available |
| Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) | No Different Than the National Rate |
| Readmission Group Pneumonia (PN) 30-Day Readmission Rate | No Different Than the National Rate |
| CLABSI SIR (Standardized Infection Ratio) | N/A |
|---|---|
| CAUTI SIR (Standardized Infection Ratio) | N/A |
| SSI SIR (Standardized Infection Ratio) | N/A |
| CDI SIR (Standardized Infection Ratio) | 1.068 |
| MRSA SIR (Standardized Infection Ratio) | N/A |
| Fiscal Year Begin | Jan 01, 2022 |
|---|---|
| Fiscal Year End | Dec 31, 2022 |
| Charity Care Cost | $3 |
|---|---|
| Bad Debt Expense | $4,219 |
| Uncompensated Care Cost | $1,781 |
| Total Uncompensated Care | $2,806 |
| Total Salaries | $20,247 |
|---|---|
| Overhead Expenses (Non-Salary) | $19,236 |
| Depreciation Expense | $2,493 |
| Total Operating Costs | $31,378 |
| Inpatient Charges | $16,107 |
|---|---|
| Outpatient Charges | $57,777 |
| Total Patient Charges | $73,884 |
| Core Wage Costs | $2,141 |
|---|---|
| Wage Costs (RHC/FQHC) | $322 |
| Adjusted Salaries | $19,776 |
| Contract Labor (Patient Care) | $13 |
| Wage Costs (Part A Teaching) | |
| Wage Costs (Interns & Residents) |
| Cash & Bank Balances | $5,134 |
|---|---|
| Short-Term Investments | |
| Notes Receivable | |
| Accounts Receivable | $5,067 |
| Allowance for Doubtful Accounts | $-1,870 |
| Inventory | $670 |
| Prepaid Expenses | $165 |
| Other Current Assets | |
| Total Current Assets | $9,609 |
| Land Value | $260 |
|---|---|
| Land Improvements Value | $227 |
| Building Value | $35,108 |
| Leasehold Improvements | |
| Fixed Equipment Value | |
| Major Movable Equipment | $16,249 |
| Minor Depreciable Equipment | |
| Health IT Assets | |
| Total Fixed Assets | $24,161 |
| Long-Term Investments | $10,418 |
|---|---|
| Other Assets | $1,567 |
| Total Other Assets | $11,985 |
| Total Assets | $45,755 |
| Accounts Payable | $711 |
|---|---|
| Salaries & Wages Payable | $1,326 |
| Payroll Taxes Payable | $953 |
| Short-Term Debt | $509 |
| Deferred Revenue | |
| Other Current Liabilities | $3,470 |
| Total Current Liabilities | $6,969 |
| Mortgage Debt | $14,706 |
|---|---|
| Long-Term Notes Payable | |
| Unsecured Loans | |
| Other Long-Term Liabilities | |
| Total Long-Term Liabilities | $14,706 |
| Total Liabilities | $21,675 |
| General Fund Balance | $24,080 |
|---|---|
| Total Fund Balances | $24,080 |
| Total Liabilities & Equity | $45,755 |
| DRG (Non-Outlier) | |
|---|---|
| DRG (Pre-Oct 1) | $1,473 |
| DRG (Post-Oct 1) | $381 |
| Outlier Payments | |
| DSH Adjustment | $56 |
| Eligible DSH % | $0 |
| Simulated MC Payments | |
| Total IME Payments |
| Inpatient Revenue | $16,974 |
|---|---|
| Outpatient Revenue | $69,858 |
| Total Patient Revenue | $86,833 |
| Contractual Allowances & Discounts | $52,097 |
| Net Patient Revenue | $34,736 |
| Total Operating Expenses | $39,483 |
| Net Service Income | $-4,748 |
| Other Income | $2,819 |
| Total Income | $-1,929 |
| Other Expenses | $10 |
| Net Income | $-1,939 |
| Cost-to-Charge Ratio | $0 |
|---|---|
| Net Medicaid Revenue | $5,843 |
| Medicaid Charges | $16,171 |
| Net CHIP Revenue | |
| CHIP Charges |
| EHR | Epic |
|---|---|
| EHR Version | EpicCare Inpatient (not Community Connect) |
| EHR is Changing | Yes--In Process of Replacing |
| ERP | Workday |
|---|---|
| ERP Version | NA |
| EHR is Changing | Yes--In Process of Replacing |