CREATE HEALTHY MANAGEMENT: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202033219349306303
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T10:06:16-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 746083124 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hill Country Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JANICE MENKING | InCareOfNm |
| Business Name Control | HILL | BusinessNameControlTxt |
| Phone | 8309974353 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 835 | AddressLine1Txt |
| City | Fredericksburg | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78624 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAYNE POPE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9727028262 | PhoneNum |
| Signature | 2020-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 70234720203215000001 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-16 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FB41EA828068FF325885780B549D30EBDB8EE529 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EB976710118F518B8933A72D91D1D85239D99EDA | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAYNE POPE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 835 | AddressLine1Txt |
| City | FREDERICKSBURG | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $109,855,280 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HILLCOUNTRYMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | MISSION IS REMARKABLE ALWAYS - TO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 789 | TotalEmployeeCnt |
| Total Volunteers | 152 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,949,610 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,286,700 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,693,243 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $98,588,981 | CYProgramServiceRevenueAmt |
| PY Investment Income | $874,594 | PYInvestmentIncomeAmt |
| CY Investment Income | $369,742 | CYInvestmentIncomeAmt |
| PY Other Revenue | $377,457 | PYOtherRevenueAmt |
| CY Other Revenue | -$306,818 | CYOtherRevenueAmt |
| PY Total Revenue | $103,894,904 | PYTotalRevenueAmt |
| CY Total Revenue | $100,938,605 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $42,350 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $47,091 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,120,787 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,862,934 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $52,783,486 | PYOtherExpensesAmt |
| CY Other Expenses | $52,822,530 | CYOtherExpensesAmt |
| PY Total Expenses | $88,946,623 | PYTotalExpensesAmt |
| CY Total Expenses | $84,732,555 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,948,281 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,206,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $177,378,487 | TotalAssetsBOYAmt |
| Total Assets EOY | $201,063,998 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,977,478 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,127,528 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $164,401,009 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $188,936,470 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HILL COUNTRY MEMORIAL HOSPITAL'S VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE HOSPITAL'S VALUES ARE: COMPASSION, OWNERSHIP, INNOVATION, EXCELLENCE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $67,480,505 | ExpenseAmt |
| Grant | $47,091 | GrantAmt |
| Revenue | $94,490,285 | RevenueAmt |
| Desc | MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE AND OB - 5,865; INTENSIVE AND CRITICAL CARE UNITS - 1,116; NURSERY - 704; EMERGENCY ROOM CARE WAS PROVIDED FOR 13,030 VISITS; 221,275 LABORATORY TESTS WERE PERFORMED; 67,123 IMAGING PROCEDURES (ALL MODALITIES) WERE PERFORMED; 47,521 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,514 OPERATIONS AND 4,514 OUTPATIENT PROCEDURES WERE PERFORMED AND 435 BABIES WERE DELIVERED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,951,801 | ExpenseAmt |
| Revenue | $2,613,217 | RevenueAmt |
| Desc | HOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE. A TOTAL OF 12,135 HOME CARE VISITS WERE MADE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,267,944 | ExpenseAmt |
| Revenue | $1,105,326 | RevenueAmt |
| Desc | WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING FITNESS EQUIPMENT AND CLASSES; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2019 THERE WERE 42,574 PARTICIPANTS IN WELLNESS CENTER PROGRAMS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $293,288 | $364,513 | WIC PROGRAM |
| $146,628 | $128,869 | CLINIC RENT INCOME |
| $174,031 | Surgery Center Income |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $439,916 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $667,413 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $72,140,166 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 149 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 789 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANICE MENKING | PersonNm |
| Phone | 8309971339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 822 REUBEN ST | AddressLine1Txt |
| City | FREDERICKSBURG | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| JAYNE POPE | |||||||||
| CEO | 39.0 | 1.0 | Yes (X) | $493,214 | $0 | $24,135 | |||
| JAMES R PARTIN | |||||||||
| CMO | 39.5 | 0.5 | $350,567 | $0 | $42,446 | Yes (X) | |||
| MIKE RENO | |||||||||
| COO | 39.25 | 0.75 | $311,724 | $0 | $33,634 | Yes (X) | |||
| CLINTON KOTAL | |||||||||
| MEDICAL GROUP COO | 10.0 | 30.0 | $292,126 | $0 | $34,225 | Yes (X) | |||
| MAUREEN POLIVKA | |||||||||
| CNO | 35.0 | 5.0 | $247,311 | $0 | $8,533 | Yes (X) | |||
| JEFF DARNABY | |||||||||
| LEAN SPECIALIST | 40.0 | 0.0 | $203,028 | $0 | $29,263 | Yes (X) | |||
| Amanda Stevens | |||||||||
| Foundation Exec. Director | 20.0 | 20.0 | $83,447 | $83,447 | $37,528 | Yes (X) | |||
| KEVIN DICKINSON | |||||||||
| IT DIRECTOR | 20.0 | 20.0 | $166,578 | $0 | $35,429 | Yes (X) | |||
| Winter Honig-Peuziat | |||||||||
| HOSPITALIST | 40.0 | 0.0 | $166,048 | $0 | $25,619 | Yes (X) | |||
| LE ANN MYERS | |||||||||
| PHARMACY DIRECTOR | 40.0 | 0.0 | $167,103 | $0 | $19,998 | Yes (X) | |||
| Alysha Metzger | |||||||||
| Chief Human RESOURCES OFFICER | 20.0 | 20.0 | $147,742 | $0 | $35,888 | Yes (X) | |||
| joel junker | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| Rees Forest | |||||||||
| CHAIRMAN | 0.9 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Penny Mcbride | |||||||||
| Secretary | 0.85 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| dutch bouwman | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| John WILLOME | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| JAMES LINDLEY | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| MICHAEL JOHNSON MD | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| DALE CRENWELGE | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| DEBORAH OTTMERS | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| JENNY WIESER | |||||||||
| Vice Chairman | 0.56 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ANNE PLUENNEKE | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| KEVIN GALLAGHER DO | |||||||||
| DIRECTOR | 0.5 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| SUSAN NEVES | |||||||||
| CFO | 36.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,628,888 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $83,447 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $326,698 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 46 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TEXAS SELECT STAFFING | |||||
| PO BOX 577 | WEST BEND | WI | 530950577 | contact staffing | $639,527 |
| C2XSEVEN LLC | |||||
| 25 Highland Park Village ste 100-18 | DALLAS | TX | 75205 | Management Services | $442,970 |
| ETTAIN GROUP | |||||
| 1601 Elm St 4343 | DALLAS | TX | 75201 | IT STAFF SUPPORT | $337,577 |
| ACCORDIAS HEALTHCARE SERVICES | |||||
| 1161 Murfreesboro Pike Suite 100 | NASHVILLE | TN | 37217 | agency staffing | $236,660 |
| BKD LLP | |||||
| 510 N Valley Mills Drive Ste 200 | WACO | TX | 76710 | CPA SERVICES | $223,646 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,286,700 | AllOtherContributionsAmt |
| Total Contributions | $2,286,700 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Hospital Revenue | 621110 | $94,203,025 | $94,203,025 |
| Home Health Care Revenue | 621610 | $2,613,217 | $2,613,217 |
| Wellness Center Service Revenue | 624100 | $1,105,326 | $1,105,326 |
| WIC Program Revenue | 624100 | $364,513 | $364,513 |
| Clinic Rent Revenue | 531120 | $128,869 | $128,869 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $174,031 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $98,588,981 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,024,916 | TotalRevenueColumnAmt |
| Exclusion | $1,024,916 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,966,822 | SecuritiesAmt |
| Other | $31,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,938,551 | SecuritiesAmt |
| Other | $714,945 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,271 | SecuritiesAmt |
| Other | -$683,445 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$655,174 | TotalRevenueColumnAmt |
| Exclusion | -$655,174 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $487,780 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $263,179 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $224,601 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $224,601 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Auxiliary Revenue | 900099 | $59,950 | $59,950 | |
| GOODWILL IMPAIRMENT | 900099 | -$594,935 | -$594,935 | |
| Medical Records Revenue | 900099 | $2,709 | $2,709 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $857 | TotalRevenueColumnAmt |
| Exclusion | $857 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$531,419 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,938,605 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $98,876,241 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$224,336 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,091 | TotalAmt |
| Program Services | $47,091 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,940,123 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,940,123 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,243,315 | TotalAmt |
| Program Services | $21,198,893 | ProgramServicesAmt |
| Management And General | $3,044,422 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,422 | TotalAmt |
| Program Services | $497,259 | ProgramServicesAmt |
| Management And General | $44,163 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,273,384 | TotalAmt |
| Program Services | $2,942,998 | ProgramServicesAmt |
| Management And General | $330,386 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,864,690 | TotalAmt |
| Program Services | $1,552,442 | ProgramServicesAmt |
| Management And General | $312,248 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,970 | TotalAmt |
| Management And General | $442,970 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,421 | TotalAmt |
| Management And General | $180,421 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,432 | TotalAmt |
| Management And General | $180,432 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,623,624 | TotalAmt |
| Program Services | $10,456,263 | ProgramServicesAmt |
| Management And General | $2,167,361 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,041 | TotalAmt |
| Program Services | $11,250 | ProgramServicesAmt |
| Management And General | $310,791 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,105,931 | TotalAmt |
| Program Services | $675,331 | ProgramServicesAmt |
| Management And General | $430,600 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,826 | TotalAmt |
| Program Services | $333,826 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,431,686 | TotalAmt |
| Program Services | $6,646,766 | ProgramServicesAmt |
| Management And General | $1,784,920 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,571 | TotalAmt |
| Program Services | $122,522 | ProgramServicesAmt |
| Management And General | $38,049 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,801 | TotalAmt |
| Program Services | $63,689 | ProgramServicesAmt |
| Management And General | $17,112 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,786 | TotalAmt |
| Program Services | $111,086 | ProgramServicesAmt |
| Management And General | $26,700 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,819,060 | TotalAmt |
| Program Services | $3,999,820 | ProgramServicesAmt |
| Management And General | $819,240 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,740 | TotalAmt |
| Program Services | $249,614 | ProgramServicesAmt |
| Management And General | $51,126 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $16,643,733 | $16,643,733 | |
| Bad Debt Expense | $6,099,271 | $6,099,271 | |
| Dues & Subscriptions | $163,098 | $38,427 | $124,671 |
| Recruitment & Recognition | $63,682 | $7,860 | $55,822 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,857 | TotalAmt |
| Program Services | $442,025 | ProgramServicesAmt |
| Management And General | $290,832 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,732,555 | TotalAmt |
| Program Services | $72,140,166 | ProgramServicesAmt |
| Management And General | $12,592,389 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,110,132 | BOYAmt |
| EOY | $32,768,706 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,093,969 | BOYAmt |
| EOY | $32,209,339 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,000 | BOYAmt |
| EOY | $1,025,040 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,386,738 | BOYAmt |
| EOY | $10,753,042 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,721,052 | BOYAmt |
| EOY | $1,953,313 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,356,845 | BOYAmt |
| EOY | $10,528,698 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $112,534,546 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $67,191,242 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,716,770 | BOYAmt |
| EOY | $45,343,304 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,210,114 | BOYAmt |
| EOY | $25,702,916 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,657,867 | BOYAmt |
| EOY | $40,779,640 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,378,487 | BOYAmt |
| EOY | $201,063,998 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,815,324 | BOYAmt |
| EOY | $7,565,206 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,162,154 | BOYAmt |
| EOY | $4,562,322 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,977,478 | BOYAmt |
| EOY | $12,127,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,190,895 | BOYAmt |
| EOY | $163,233,554 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,210,114 | BOYAmt |
| EOY | $25,702,916 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,401,009 | BOYAmt |
| EOY | $188,936,470 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,378,487 | BOYAmt |
| EOY | $201,063,998 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,206,050 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,628,695 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,700,716 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,613 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,613 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1i | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES: HILL COUNTRY MEMORIAL HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES LOBBYING % LOBBYING $ THA $33,608 14.50% $4,873 TORCH 7,395 10.00% 740 ------------------------------------------------------------------ TOTAL $41,003 $5,613 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,042,722 | BeginningYearBalanceAmt |
| Contributions | $113,054 | ContributionsAmt |
| Investment Earnings Or Losses | $3,679,370 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$44,583 | OtherExpendituresAmt |
| End Year Balance | $18,879,729 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,720,826 | BeginningYearBalanceAmt |
| Contributions | $24,451 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,760,145 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $942,311 | OtherExpendituresAmt |
| Administrative Expenses | $99 | AdministrativeExpensesAmt |
| End Year Balance | $15,042,722 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,744,630 | BeginningYearBalanceAmt |
| Contributions | $52,370 | ContributionsAmt |
| Investment Earnings Or Losses | $2,483,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,559,382 | OtherExpendituresAmt |
| End Year Balance | $17,720,826 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,977,030 | BeginningYearBalanceAmt |
| Contributions | $21,784 | ContributionsAmt |
| Investment Earnings Or Losses | $1,033,609 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $287,793 | OtherExpendituresAmt |
| End Year Balance | $17,744,630 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,051,746 | BeginningYearBalanceAmt |
| Contributions | $23,710 | ContributionsAmt |
| Investment Earnings Or Losses | -$624,844 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $473,582 | OtherExpendituresAmt |
| End Year Balance | $16,977,030 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.19910 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.47790 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.32300 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,535,491 | OtherCostOrOtherBasisAmt |
| Book Value | $6,535,491 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,706,925 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,003,447 | DepreciationAmt |
| Book Value | $23,703,478 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,174,293 | OtherCostOrOtherBasisAmt |
| Book Value | $1,174,293 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,631,803 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,187,795 | DepreciationAmt |
| Book Value | $13,444,008 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $486,034 | OtherCostOrOtherBasisAmt |
| Book Value | $486,034 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $45,343,304 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST IN FOUNDATION | Desc |
| Book Value | $25,702,916 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $25,702,916 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Investments | $11,564 |
| Due from Affiliates | $40,754,097 |
| REFUND ASSET | $13,979 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $40,779,640 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| HCM Refundable Advance | $300,000 |
| EST DUE TO 3RD PARTY PAYERS | $1,239,482 |
| HCM Financing | $2,716,839 |
| Estimated Self Insurance COsts | $306,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,562,322 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | INTENDED USE OF ENDOWMENT FUNDS: HILL COUNTRY MEMORIAL FOUNDATION HOLDS AND MAINTAINS THE ENDOWMENT FUNDS FOR THE BENEFIT OF THE HOSPITAL. THERE ARE ENDOWMENTS DESIGNATED FOR THE FOLLOWING: EQUIPMENT AND TECHNOLOGY AT HCM; HCM NURSE STIPENDS, SCHOLARSHIPS, AND CERTIFICATIONS; AND STROKE EDUCATION AND AWARENESS. ADDITIONALLY, THERE ARE SEVERAL ENDOWMENT FUNDS ESTABLISHED AT THE FOUNDATION FOR HCM WHICH ARE UNRESTRICTED FOR PURPOSE. |
| 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,431,420 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,431,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,861,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,237,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $624,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,221 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,170 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,308,298 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,252,465 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,055,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,167,314 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,167,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,595,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,135,992 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,091 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,810,263 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,135,992 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,214,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,118,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,388,457 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,270,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07970 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,099,271 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $28,701,308 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $31,780,185 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,078,877 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| HILL COUNTRY | ||
| SURGERY CENTER | 0.51 | 0.1225 |
| Memorial Surgery CTR | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 KERRVILLE HWY | AddressLine1Txt |
| City | FREDERICKSBURG | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HILLCOUNTRYMEMORIAL.ORG | WebsiteAddressTxt |
| State License | 00219 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | see part v, section c | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | see part v, section c | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | see part v, section c | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | INPUT FROM PERSONS WHO RESPRESENT THE COMMUNITY: GILLESPIE, BLANCO AND KENDALL COUNTIES WERE THE PRIMARY FOCUS OF THE CHNA DUE TO THE SERVICE AREA OF HILL COUNTRY MEMORIAL HOSPITAL. USED AS THE STUDY AREA, GILLESPIE, BLANCO AND KENDALL COUNTIES PROVIDED 63% OF INPATIENT DISCHARGES. THE COMMUNITY INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH HILL COUNTRY MEMORIAL HOSPITAL DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER HILL COUNTRY MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IN MAY 2019, HILL COUNTRY MEMORIAL HOSPITAL BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR GILLESPIE, BLANCO AND KENDALL COUNTIES, AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS: - INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED IN JUNE 2019. - 38 COMMUNITY MEMBERS, NOT-FOR-PROFIT ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, THE ELDERLY, HEALTH PROVIDERS, EDUCATION PROVIDERS, AND THE HEALTH DEPARTMENT PARTICIPATED IN EIGHT FOCUS GROUPS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON AUGUST 1 THROUGH AUGUST 19, 2019. - 410 COMMUNITY MEMBERS PARTICIPATED IN A RANDOM COMMUNITY SURVEY CONDUCTED FROM JULY 1, 2019 THROUGH AUGUST 19, 2019. - A COMMUNITY HEALTH SUMMIT WAS CONDUCTED ON AUGUST 28, 2019 WITH 91 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, GOVERNMENT REPRESENTATIVES, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, STATE AND LOCAL HEALTH DEPARTMENTS, EMPLOYERS AND OTHER COMMUNITY MEMBERS. - INPUT OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WAS RECEIVED DURING THE FOCUS GROUPS, INTERVIEWS, SURVEYS, AND THE COMMUNITY HEALTH SUMMIT. AGENCIES REPRESENTING THESE POPULATION GROUPS WERE INTENTIONALLY INVITED TO THE FOCUS GROUPS AND SUMMIT. ADDITIONALLY, THE COMMUNITY SURVEY WAS RANDOM AND REPRESENTED SOME LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS. THE COMMUNITY SURVEY WAS REPRESENTATIVE OF THE WHOLE COMMUNITY. - THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES AND THE GILLESPIE COUNTY HEALTH DIVISION PARTICIPATED IN THE FOCUS GROUPS AND THE SUMMIT. FIVE HUNDRED AND TWENTY-EIGHT INDIVIDUALS FROM THIRTY-SIX COMMUNITY AND HEALTHCARE ORGANIZATIONS COLLABORATED TO IMPLEMENT A COMPREHENSIVE CHNA PROCESS FOCUSED ON IDENTIFYING AND DEFINING SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS OF GILLESPIE, BLANCO AND KENDALL COUNTIES. THE THREE-MONTH PROCESS CENTERED ON GATHERING AND ANALYZING DATA AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY TO PROVIDE DIRECTION FOR THE COMMUNITY AND HOSPITAL TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITIES. BELOW IS A LIST OF ALL OF THE ORGANIZATIONS THAT GAVE INPUT INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN: ORGANIZATION POPULATION REPRESENTED (KIDS, LOW INCOME, MINORITIES, THOSE W/O ACCESS) PARTICIPATION AREA AGENCY ON AGING/AACOGLOW INCOME SENIORS FOCUS GROUP, BETHANY LUTHERAN CHURCH FAITH COMMUNITY SUMMIT, BETHANY PRESCHOOL COMMUNITY CHILDREN FOCUS GROUP, BLANCO INDEPENDENT SCHOOL DISTRICT KIDS SUMMIT, BOYS AND GIRLS CLUB - FREDERICKSBURG COMMUNITY CHILDREN FOCUS GROUP, BVK SUMMIT, CHAMBER BUSINESSES SUMMIT, CHRISTIAN JOB CORPS OF GILLESPIE COUNTYLOW SKILLED/INCOME FOCUS GROUP, CITY HEALTH DEPARTMENT COMMUNITY SUMMIT, CITY OF FREDERICKSBURG SUMMIT, CITY/COUNTY EMERGENCY MANAGEMENT ALL FOCUS GROUP, COMFORT GOLDEN AGE CENTER SENIOR COMMUNITY FOCUS GROUP, COMFORT PUBLIC LIBRARY FOCUS GROUP, COMMUNITY VISIONING SUMMIT, CORNERSTONE CLINIC PRIMARY CARE SUMMIT, COUNCIL WOMAN, MASON CANCER BENEFIT BOARD FOCUS GROUP, DOGOLOGIE SUMMIT, FCUB SUMMIT, FELLOWSHIP OF CHRISTIAN ATHLETICS KIDS SUMMIT, FIRST UNITED METHODIST CHURCH ALL FOCUS GROUP, FISCHER AND WIESER SPECIALISTS FOUNDATION, LOW INCOME, MINORITIES, LACK OF ACCESS SUMMIT, FISD COMMUNITY EDUCATION, HILL COUNTRY COMMUNITY FOCUS GROUP FREDERICKSBURG CLINIC HEALTHCARE, KIDS, LOW INCOME SUMMIT, FREDERICKSBURG FIRE MarShALL FOCUS GROUP, FREDERICKSBURG INDEPENDENT SCHOOL DISTRICT FISD FAMILIES, EVERYONE FOCUS GROUP, SUMMIT FREDERICKSBURG POLICE DEPARTMENT YOUTH, ALL SUMMIT FRONTERA HEALTHCARE NETWORK MASON COUNTY FOCUS GROUP, SUMMIT GABLE S CORP. COMMUNITY SUMMIT, GILLESPIE COUNTY ATTORNEY GILLESPIE COUNTY/STATE OF TEXAS SUMMIT, GILLESPIE COUNTY HEALTH DIVISIONAL FOCUS GROUP, SUMMIT GILLESPIE COUNTY VETERANS SERVICE OFFICE VETERANS - 2,800 FOCUS GROUP, SUMMIT HARPER VOLUNTEER FIRE DEPARTMENT FOCUS GROUP, SUMMIT HCC NEEDS COUNCIL LOW INCOME, MINORITIES SUMMIT, HEB COMMUNITY SUMMIT, HILL COUNTRY MEMORIAL ALL FOCUS GROUP SUMMIT, HILL COUNTRY MEMORIAL FOUNDATION COMMUNITY SUMMIT, HILL COUNTRY MEMORIAL HOME CARE HOME BOUND SENIORS FOCUS GROUP SUMMIT, HILL COUNTRY MEMORIAL HOSPICE END OF LIFE- PRIMARILY SENIORS FOCUS GROUP SUMMIT, HILL COUNTRY MEMORIAL MEDICAL GROUP HOSPITAL SUMMIT, HILL COUNTRY UNIVERSITY CENTER of HIGHER EDUCATION, HEALTHCARE SUMMIT, HILL COUNTRY WELLNESS CENTER SUMMIT, HOLY CHRIST CHURCH PRESCHOOL AND ELDERLY SUMMIT, JP/COURT & HARPER VOLUNTEER FIRE DEPARTMENT ALL FOCUS GROUP SUMMIT, JUNCTION/KIMBLE CO EMS FOCUS GROUP, KIMBLE COUNTY SCHOOL DISTRICT FOCUS GROUP |
| SCHEDULE H, PART V, SECTION B, LINE 11 | needs addressed and not addressed: TO SUCCESSFULLY MAKE OUR COMMUNITY HEALTHIER, IT IS NECESSARY TO HAVE A COLLABORATIVE VENTURE WHICH BRINGS TOGETHER ALL OF THE CARE PROVIDERS, CITIZENS, GOVERNMENT, SCHOOLS, CHURCHES, NOT-FOR-PROFIT ORGANIZATIONS AND BUSINESS AND INDUSTRY AROUND AN EFFECTIVE PLAN OF ACTION. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED PREVIOUSLY AND POSTED ON HCM'S WEBSITE. BASED ON THE RESULTS OF THE CHNA, HCM HAS SELECTED THREE OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. BEHAVIORAL HEALTH A) MENTAL HEALTH SERVICES 1. IDENTIFY AND IMPLEMENT OPPORTUNITIES TO EXPAND MENTAL HEALTH SERVICES AS APPROPRIATE. SUPPORT EXISTING RESOURCES E.G. FIND VOLUNTEERS WITH EXPERIENCE TO TRAIN OTHERS AND ENHANCE SUPPORT GROUPS LIKE AA, AL ANON AND NAMI. 2. EVALUATE TELEMEDICINE, MEDICAL SCHOOLS, PRIMARY CARE INTEGRATED BEHAVIORAL HEALTH, GERIATRIC PSYCHIATRY, AND ALLIED MENTAL HEALTH PROFESSIONALS AS POTENTIAL COMMUNITY RESOURCES. B) SUBSTANCE ABUSE 1. IDENTIFY AND IMPLEMENT OPPORTUNITIES TO EXPAND behavior and MENTAL HEALTH SERVICES AS APPROPRIATE. SUPPORT EXISTING RESOURCES E.G. FIND VOLUNTEERS WITH EXPERIENCE TO TRAIN OTHERS AND ENHANCE SUPPORT GROUPS LIKE AA, AL ANON AND NAMI. 2. EVALUATE TELEMEDICINE, MEDICAL SCHOOLS, PRIMARY CARE INTEGRATED BEHAVIORAL HEALTH, GERIATRIC PSYCHIATRY, AND ALLIED MENTAL HEALTH PROFESSIONALS AS POTENTIAL COMMUNITY RESOURCES. 2.HEALTHY EATING/ACTIVE LIVING A) CHILDREN HEALTH AND WELLNESS 1. CREATE A HEALTHY COMMUNITY COUNCIL (CAHC) WILL EVALUATE BEST PRACTICE PHYSICAL ACTIVITY PROGRAMS/IDEAS WITH A FOCUS ON CHILDREN'S (<18 YEARS) HEALTH AND WELLNESS. CAHC WILL SELECT A PLAN TO MOTIVATE HEALTHY BEHAVIORS, E.G. EDUCATE ON WAYS TO GET EXERCISE AND EXISTING RESOURCES, MEDIA CAMPAIGNS, SCHOOL-BASED HEALTH CENTERS, TEXT MESSAGE-BASED HEALTH INTERVENTIONS, WALKS/RUNS, A RESOURCE DESCRIBING LOCAL OPPORTUNITIES FOR FITNESS ACTIVITIES, ETC. B) SENIOR HEALTH AND WELLNESS 1. CREATE A HEALTHY COMMUNITY COUNCIL (CAHC), IN COLLABORATION WITH HCM HOME CARE AND HCM HOSPICE SERVICES, WILL EVALUATE BEST PRACTICE PHYSICAL ACTIVITY PROGRAMS/IDEAS WITH A FOCUS ON SENIOR'S (> 65 YEARS) HEALTH AND WELLNESS. CAHC/HCM HOME CARE/HCM HOSPICE WILL SELECT A PLAN TO MOTIVATE HEALTHY BEHAVIORS, E.G. EDUCATE ON WAYS TO GET EXERCISE AND EXISTING RESOURCES, MEDIA CAMPAIGNS, ACTIVITY PROGRAMS FOR OLDER ADULTS, COMMUNITY-BASED SOCIAL SUPPORT FOR PHYSICAL ACTIVITY, WALKS/RUNS, TELEMEDICINE SERVICES FOR REMOTE TREATMENT SERVICES, TEXT MESSAGE BASED HEALTH INTERVENTIONS, ETC. 3. HEALTH LITERACY A) ACCESS TO CARE IN RURAL AREA 1. IDENTIFY AND IMPLEMENT BEST PRACTICES FOR INDIVIDUALS TO HAVE THE OPPORTUNITY TO OBTAIN, PROCESS, AND UNDERSTAND BASIC HEALTH INFORMATION AND SERVICES NEEDED TO MAKE APPROPRIATE HEALTH DECISIONS IN HCM'S RURAL SERVICE AREAS OR GILLESPIE COUNTY, BLANCO COUNTY, AND KENDAL COUNTY. SUPPORT EXISTING RESOURCES E.G. FIND VOLUNTEERS WITH EXPERIENCE TO TRAIN OTHERS AND ENHANCE SUPPORT GROUPS AND ANTICIPATED HEALTHCARE SERVICES PARTNERS INCLUDING LOCAL SOCIAL SERVICE PROVIDERS, THE GOOD SAMARITAN CENTER, MHDD, TELEMEDICINE, SCHOOLS, LAW ENFORCEMENT, EMERGENCY MEDICAL SERVICES, AND LOCAL FQHCS. EVALUATE TELEMEDICINE, MEDICAL SCHOOLS, PRIMARY CARE INTEGRATED BEHAVIORAL HEALTH, GERIATRIC PSYCHIATRY, AND ALLIED MENTAL HEALTH PROFESSIONALS AS POTENTIAL COMMUNITY RESOURCES. INCREASE CONVENIENT PRIMARY CARE OPPORTUNITIES (E.G. CLINICS, FQHCS) IN SURROUNDING COUNTIES AFTER CONDUCTING A FEASIBILITY STUDY AND DETERMINING COMMUNITY SUPPORT. B) CHRONIC DISEASE MANAGEMENT 1. RECRUIT NEW PRIMARY CARE PROVIDERS TO SERVE OUR COMMUNITIES THROUGH CHRONIC CARE MANAGEMENT. IDENTIFY AND ACT UPON ADDITIONAL SCREENING OPPORTUNITIES FOR CHRONIC DISEASES AND PROVIDING ACTIONABLE INFORMATION. HCM DOES NOT INTEND TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS DUE TO LACK OF EXPERTISE AND RESOURCES: 1. ACCESS TO CARE AND INSURANCE IS A HEALTH NEED THAT HCM CANNOT DIRECTLY IMPACT AT THIS TIME. HCM WILL CONTINUE TO PROVIDE MORE ACCESS TO AFFORDABLE HEALTHCARE BY RECRUITING PRIMARY CARE DOCTORS TO EXPAND ACCESS AND CONTINUING TO OFFER ITS FINANCIAL ASSISTANCE PROGRAM. 2. SUBSTANCE USE: DUE TO RESOURCE LIMITATIONS, HCM IS NOT DIRECTLY ADDRESSING SUBSTANCE ABUSE/ADDICTION HEALTH NEEDS AT THIS TIME. HCM WILL CONTINUE TO PARTNER WITH LOCAL REHABILITATION CENTERS AND SOCIAL SERVICES BETTER POSITIONED TO DIRECTLY ADDRESS THIS HEALTH NEED. 3. AFFORDABLE HOUSING: WHILE THIS IS IMPORTANT TO OUR COMMUNITY IT IS A DIFFICULT ITEM FOR HCM TO DIRECTLY ADDRESS. HCM WILL CONTINUE TO PARTNER WITH LOCAL GOVERNMENT AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE AFFORDABLE HOUSING AVAILABLE IN THE COMMUNITY. 4. CHILD CARE: WHILE WE AGREE THAT THIS IS A NEED IN OUR COMMUNITY, WE SEE OTHERS IN OUR COMMUNITY BETTER-POSITIONED TO FILL THE GAP AT THIS TIME. HCM WILL CONTINUE TO OFFER CHILDREN'S PROGRAMMING DURING CERTAIN SCHOOL HOLIDAYS AT OUR WELLNESS CENTER AND CONTINUE TO COLLABORATE WITH SOCIAL SERVICES FOCUSING ON CHILDREN. 5. SENIOR CARE: DUE TO RESOURCE LIMITATIONS, WE ARE NOT ADDRESSING GERIATRIC HEALTHCARE SERVICES AT THIS TIME. HCM WILL CONTINUE TO PARTNER WITH LOCAL SENIOR SERVICES AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE GERIATRIC HEALTHCARE SERVICES AVAILABLE IN THE COMMUNITY. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | OTHER FACTORS USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE: THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART V, SECTION B, LINE 16 | MEANS BY WHICH HOSPITAL PUBLICIZED POLICY: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION CAN BE FOUND AT THIS WEBSITE: https://hillcountrymemorial.org/page/patient-information/financial-assista nce-forms/ THE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLICIZED THROUGH AREA PHYSICIAN PRACTICES. |
| SCHEDULE H, PART V, SECTION B, LINES 18 & 19 | BILLING AND COLLECTIONS UNDER FACILITY'S FAP: NEITHER HILL COUNTRY MEMORIAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY HILL COUNTRY MEMORIAL HOSPITAL, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| SCHEDULE H, PART V, SECTION B, LINE 7 & 10 | AVAILABILITY TO THE PUBLIC: THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AND ARE MADE AVAILABLE TO THE FREDERICKSBURG STANDARD TO PUBLISH. IN ADDITION, WE HAVE MADE COPIES AVAILABLE BY CALLING OR EMAILING THE HOSPITAL. THE WEBSITE IS https://www.hillcountrymemorial.org/about/who-we-are/community-needs/commu nity-needs-health-assessment/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCM HOME CARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 808 REUBEN STREET | AddressLine1Txt |
| City | FREDERICKSBURG | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | HOME HEALTH | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT: For general ledger purposes, HCM estimates the bad debts expense based on history. A monthly report determines the percentage of collections on every payor for the last six months. This history of the percentage of uncollectible charges is used to estimate the bad debt expense. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COSTING METHODOLOGY: THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICARD DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $3,078,877. 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 | PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS: HILL COUNTRY MEMORIAL HOSPITAL'S COLLECTION POLICY EXCLUDES PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. OTHER FACTORS ARE USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: HILL COUNTRY MEMORIAL ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A TRIENNIAL COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT, CONDUCTED BY A THIRD PARTY IN COLLABORATION WITH INTERNAL STAKEHOLDERS. ADDITIONALLY, HCM ACCESSES AND REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENTS PUBLICALLY POSTED BY HEALTH ENTITIES IN OUR MORE DISTANT SERVICE AREAS. THESE ITEMS ARE INCORPORATED INTO OUR STRATEGIC PLAN. FINALLY, HCM CONDUCTS ANNUAL SWOT ASSESSMENTS WITH MORE THAN 100 KEY STAKEHOLDERS TO DETERMINE HEALTHCARE NEEDS BEFORE SETTING ITS ANNUAL STRATEGY. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: HILL COUNTRY MEMORIAL PATIENTS SPEAK WITH A HILL COUNTRY MEMORIAL BUSINESS OFFICE REPRESENTATIVE BEFORE CARE TO DETERMINE IF THEY ARE ELIGIBLE FOR ASSISTANCE UNDER THE FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THE ORGANIZATION'S CHARITY CARE POLICY. THE PATIENT'S ELIGIBILITY IS ASSESSED AND CAREFULLY MANAGED, SO THAT IF HE/SHE OVERPAYS, HE/SHE IS REIMBURSED THE RECONCILING AMOUNT. UPON DISCHARGE, PATIENTS ARE GIVEN THE INFORMATION, AND IT IS THEIR DECISION WHETHER OR NOT TO CONTACT THE HOSPITAL. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: THE ORGANIZATION SERVES EIGHT COUNTIES IN THE HILL COUNTRY: GILLESPIE, BLANCO, BURNET, KENDALL, KERR, KIMBLE, MASON, AND LLANO. THE PRIMARY SERVICE AREA OF GILLESPIE COUNTY (POP. 26,646) ACCOUNTS FOR ABOUT 50% OF HILL COUNTRY MEMORIAL PATIENTS. THE TOTAL SERVICE AREA POPULATION IS 210,664, AND THE AVERAGE PATIENT AGE IS 69 YEARS OLD. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: Hill Country Memorial Hospitals vision is to Empower others, Create Healthy. Encouraging wellness is an investment in our communities health. We empower others by holding Educational/Community Events. In 2019 we provided active living-health eating education at schools and youth centers with a goal to give the youth a head start on a healthy life. Health Fairs were also provided at area schools. To help prevent, manage, and reverse chronic disease HCMH sponsored a plant based diet community talk. HCMH sponsors the HealthyU Program which targets the low income population of Gillespie County, ages 21-55 who are at risk for hypertension, to provide a free health screening program, education and wellness services. HCMH also provided adult mental health first aid training. HCM encourages outdoor physical activity by yearly sponsoring the Wildflower Run for those who want to walk or run 5k/10k. HCMH provided no-cost screenings for cardiac risk assessment, skin cancer screenings, polypharmacy screenings, SCORE heart screening for teens, injury screening for adults, and sports injury clinics for student athletes for the area. The organization has the largest volunteer base in Fredericksburg. Employees served in leadership roles for many community organizations. HCM also collaborates with city and county officials to prepare for emergency scenarios. HCM invites city and county emergency officials to participate in mock emergency situations to prepare for an actual, likely emergency based on the geographic proximity of the hospital, such as a tornado or major chemical spill. HCMs purpose is to serve and partner with others to create healthy communities for generations to come. The organization does this by having an open medical staff and a community board. HCM also provides millions of dollars of charity care each year. As a not-for-profit health care organization, our earnings are invested back into the organization for improvements in the facilities, technology and those who deliver care. In 2019, HCM invested in new equipment for Cardiac Rehab, GI equipment, beds for hospice patients, pediatric equipment for hospice, and a savi scout. The birthing center received an extensive renovation and addition of four LBRP suites equipped with hydrotherapy tubs for prelabor comfort, two dedicated antepartum rooms, and a second nurses station all to provide new families with the very best birthing experience. For additional information about activities the Hospital conducted to promote community health, see the Schedule H, Part V, Section B, Line 11 disclosure. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: THE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES TEN ORGANIZATIONS. HILL COUNTRY MEMORIAL HOSPITAL PROVIDES HEALTHCARE; HILL COUNTRY MEMORIAL FOUNDATION PROVIDES FUNDRAISING; HILL COUNTRY PHYSICIAN ASSOCIATES PROVIDES HEALTHCARE; HILL COUNTRY PRIMARY CARE PHYSICIANS PROVIDES HEALTHCARE; AND GREATER HILL COUNTRY HOSPICE PROVIDES HOSPICE SERVICE. IN ADDITION, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE FOLLOWING INACTIVE ENTITIES: HILL COUNTRY MEMORIAL HEALTH SYSTEM, HILL COUNTRY MEMORIAL COMMUNITY SERVICES, HILL COUNTRY MEMORIAL MEDICAL OFFICE BUILDING, AND HILL COUNTRY WELLNESS CENTER. HC HEALTH, LLC, AN ACO, WAS CREATED IN 2019 AND IS FULLY OWNED BY THE HOSPITAL. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS |
| SCHEDULE H, PART I, LINE 7 COLUMN F | FINANCIAL ASSISTANCE & CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE AMOUNT OF BAD DEBT EXPENSES REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT PERCENTAGE WAS $6,099,271. |
| 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 -NUMBER OF HOUSEHOLD MEMBERS |
| SCHEDULE H, PART I, LINE 7 | COSTING METHODOLOGY: 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 IRS WORKSHEET 4 FROM THE GOOD SAMARITAN CENTER IS BASED ON CHARGES WRITTEN OFF. ALL OTHER ACTIVITY IS ACTUAL CASH COSTS. WORKSHEET 6 PULLED THE DATA FROM THE COST ACCOUNTING SYSTEM CONSISTING OF ACTUAL CHARGES AND RECEIPTS, ACTUAL COSTS AND OVERHEAD COSTS. THE COST COMPUTED ON WORKSHEET 8 WERE FROM THE HOSPITAL'S INCOME STATEMENT AND GRANT SCHEDULE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOOD SAMARITAN CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 Industrial Loop STe 100 | AddressLine1Txt |
| City | FREDERICKSBURG | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 912129853 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $40,000 | CashGrantAmt |
| Purpose Of Grant | HEALTH CARE FOR UNINSURED | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES TO MONITOR THE USE OF GRANT FUNDS IN THE U.S.: THE BOARD OF DIRECTORS COLLABORATED AND DECIDED TO DONATE TO THE CHARITABLE ORGANIZATION LISTED AS THEIR PROGRAMS FILL A GAP IN THE COMMUNITY BY SERVING IN THE UNINSURED THROUGH CHARITABLE MEDICAL, DENTAL AMD MENTAL HEALTH-CLINICS THROUGH DIRECT CARE AND COMMUNITY PARTNERSHIPS. THE HOSPITAL IS ONE OF THOSE PARTNERS AND BY PROVIDING COMMUNITY ACCESS GRANT WE ARE HELPING KEEP PATIENTS OUT OF OUR ER BY GIVING THEM ACCESS TO MORE TIMELY, APPROPRIATE CARE. THE MONEY IS TRACKED AND MONITORED AND IS USED FOR DIAGNOSTIC TESTING PREDOMINANTLY LAB AND IMAGING. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAYNE POPE | ||||||||||||||
| CEO | $408,139 | $0 | $33,569 | $0 | $51,506 | $0 | $11,000 | $0 | $13,135 | $0 | $517,349 | $0 | $0 | $0 |
| JAMES R PARTIN | ||||||||||||||
| CMO | $295,715 | $0 | $0 | $54,852 | $0 | $11,000 | $0 | $31,446 | $0 | $393,013 | $0 | $0 | $0 | |
| MIKE RENO | ||||||||||||||
| COO | $269,363 | $0 | $0 | $42,361 | $0 | $10,985 | $0 | $22,649 | $0 | $345,358 | $0 | $0 | $0 | |
| MAUREEN POLIVKA | ||||||||||||||
| CNO | $214,854 | $0 | $0 | $32,457 | $0 | $8,533 | $0 | $0 | $0 | $255,844 | $0 | $0 | $0 | |
| CLINTON KOTAL | ||||||||||||||
| MEDICAL GROUP COO | $267,041 | $0 | $20,000 | $0 | $5,085 | $0 | $1,269 | $0 | $32,956 | $0 | $326,351 | $0 | $0 | $0 |
| JEFF DARNABY | ||||||||||||||
| LEAN SPECIALIST | $202,927 | $0 | $101 | $0 | $0 | $8,400 | $0 | $20,863 | $0 | $232,291 | $0 | $0 | $0 | |
| KEVIN DICKINSON | ||||||||||||||
| IT DIRECTOR | $166,477 | $0 | $101 | $0 | $0 | $6,757 | $0 | $28,672 | $0 | $202,007 | $0 | $0 | $0 | |
| LE ANN MYERS | ||||||||||||||
| PHARMACY DIRECTOR | $167,002 | $0 | $101 | $0 | $0 | $6,608 | $0 | $13,390 | $0 | $187,101 | $0 | $0 | $0 | |
| Winter Honig-Peuziat | ||||||||||||||
| HOSPITALIST | $161,548 | $0 | $4,500 | $0 | $0 | $715 | $0 | $24,904 | $0 | $191,667 | $0 | $0 | $0 | |
| Alysha Metzger | ||||||||||||||
| Chief Human RESOURCES OFFICER | $127,613 | $0 | $8,000 | $0 | $12,129 | $0 | $4,777 | $0 | $31,111 | $0 | $183,630 | $0 | $0 | $0 |
| Amanda Stevens | ||||||||||||||
| Foundation Exec. Director | $77,318 | $77,318 | $4,000 | $4,000 | $2,129 | $2,129 | $2,896 | $2,896 | $15,868 | $15,868 | $102,211 | $102,211 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | C2XSEVEN LLC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OWNED BY OFFICER | RelationshipDescriptionTxt |
| Transaction | $442,970 | TransactionAmt |
| Transaction | MANAGEMENT CONTRACT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DELEGATION OF MANAGEMENT DUTIES: During the 2019 Tax year, THE HOSPITAL ENTERED INTO A MANAGEMENT AGREEMENT WITH C2XSEVEN, LLC TO CONTRACT AN INDIVIDUAL TO ACT AS THE INTERIM CHIEF FINANCIAL OFFICER OF THE HOSPITAL. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THIS INDIVIDUAL: SUSAN NEVES $413,500 |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: THE HOSPITAL BOARD HAS GIVEN THE AUDIT COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. THE CFO DISCUSSES EACH SECTION WITH THE COMMITTEE AND DISCUSSES ANY ISSUES TO BE ADDRESSED FOR FUTURE YEARS. ALL BOARD MEMBERS ARE ALSO PROVIDED A LINK TO ACCESS THE 990 FOR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES, AND ALL DEPARTMENT DIRECTORS ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE HOSPITAL BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION REVIEW AND APPROVAL PROCESS FOR CEO: THE CEO COMPENSATION AND EVALUATION COMMITTEE OF THE BOARD REVIEWS RELEVANT WAGE SURVEY AND DATA TO DETERMINE CEO COMPENSATION. DATA AND SURVEYS ARE SUPPLIED BY THE HUMAN RESOURCE DIRECTOR AND REPORTED TO THE HOSPITAL BOARD. THE REVIEW IS CONDUCTED ANNUALLY AND DOCUMENTED IN THE MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15B | COMPENSATION REVIEW AND APPROVAL PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES: THE CEO REVIEWS WAGE DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR. THE REVIEWS ARE CONDUCTED ANNUALLY AND DOCUMENTED IN THE HR FILES. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION A, LINE 1 | DELEGATION OF AUTHORITY: THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, VICE-CHAIRMAN, SECRETARY AND ONE AT-LARGE TRUSTEE. THE CEO AND CHIEF OF THE HOSPITAL'S MEDICAL STAFF SHALL BE EX-OFFICIO, NON-VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE COMMITTEE SHALL HAVE THE POWER TO TRANSACT BUSINESS OF THE CORPORATION AND THE HOSPITAL SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE SUCH ADDITIONAL DUTIES AND RESPONSIBILITIES AS MAY BE SET FORTH IN THE BYLAWS. ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE BROUGHT TO THE BOARD AT THE NEXT REGULAR MEETING FOR RATIFICATION. |
| FORM 990, PART III, LINE 4D | DESCRIPTION OF OTHER PROGRAM SERVICES: WIC PROGRAM - PROVIDE NUTRITIONAL EDUCATION, BREAST FEEDING SUPPORT, WIC FOODS AND SOCIAL SERVICe REFERRALS FOR WOMEN AND CHILDREN MEETING WIC ELIGIBILITY REQUIREMENTS; AND COMMUNITY HEALTH PROGRAMS SUCH AS IMMUNIZATIONS FOR Children. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: UNDISTRIBUTED PORTION OF CHANGE IN INTEREST IN NET ASSETS OF HCMH FOUNDATION $ 4,492,802 RECLASSIFICATION OF BAD DEBT ALLOWANCE 207,914 ---------------- TOTAL $ 4,700,716 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:12623624 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HC HEALTH LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 S HIGHWAY 16 | AddressLine1Txt |
| City | FREDERICKSBURG | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833115572 | EIN |
| Primary Activities | ACO | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $16,458 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCMH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HILL COUNTRY MEMORIAL healthcare SYSTEM | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858904 | SUPPORT | TX | 501(C)(3) | 12, TYPE I | HCMH | Yes (true) |
| HILL COUNTRY MEMORIAL COMMUNITY SERVICES | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858907 | HOME CARE SRV | TX | 501(C)(3) | 12 Type III | HCMH | Yes (true) |
| HILL COUNTRY MEM MEDICAL OFFICE BLDG | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858909 | OFFICE BLDG | TX | 501(C)(3) | 12 TYPE III | HCMH | Yes (true) |
| HILL COUNTRY WELLNESS CENTER | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858905 | HEALTH ED | TX | 501(C)(3) | 12 TYPE III | HCMH | Yes (true) |
| HILL COUNTRY MEMORIAL FOUNDATION INC | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742557105 | FUNDRAISING | TX | 501(C)(3) | 12 TYPE III | NA | false |
| GREATER HILL COUNTRY HOSPICE | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742912643 | HOSPICE | TX | 501(C)(3) | 3 | HCMH | Yes (true) |
| HILL COUNTRY PHYSICIAN ASSOCIATES | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 262553196 | HEALTHCARE | TX | 501(C)(3) | 12, TYPE I | HCMH | Yes (true) |
| HILL COUNTRY PRIMARY CARE PHYSICIANS | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 272860109 | HEALTHCARE | TX | 501(C)(3) | 3 | HCMH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL SURGERY CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 835 | AddressLine1Txt |
| City | FREDERICKSBURG | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331039828 | EIN |
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCMH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$6,340 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $452,763 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HILL COUNTRY PRIMARY CARE PHYSICIANS | ||
| S | $6,026,925 | FMV |
| Hill Country Physician Associates | ||
| r | $383,302 | FMV |
| greater hill country hospice | ||
| q | $6,082,173 | fmv |