2019-11-14T11:06:17-06:00 2018-12-31 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-01-01 746083124 Hill Country Memorial Hospital % JANICE MENKING HILL 8309974353 PO Box 835 Fredericksburg TX 78624 JAYNE POPE CEO 9727028262 2019-11-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720193185000001 2019-11-14 P 98C67C06075FADA3594A58B7FA41D63CA3097B7E EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-04-17 16:48:07Z JAYNE POPE PO BOX 835 FREDERICKSBURG TX 78624 110028998 false X WWW.HILLCOUNTRYMEMORIAL.ORG X 1966 TX TO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL. 12 12 824 105 0 1514 5243934 3949610 96298011 98693243 756254 874594 422224 377457 102720423 103894904 4500 42350 0 0 35869104 36120787 0 0 0 51114102 52783486 86987706 88946623 15732717 14948281 167047866 177378487 12439018 12977478 154608848 164401009 X HILL COUNTRY MEMORIAL HOSPITAL'S VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE HOSPITAL'S VALUES ARE: OTHERS FIRST, COMPASSION, INNOVATION, ACCOUNTABILITY, AND STEWARDSHIP. false false 72748836 42350 94510425 MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE - 5,015; INTENSIVE AND CRITICAL CARE UNITS - 1,022; NURSERY - 717; EMERGENCY ROOM CARE WAS PROVIDED FOR 13,203 VISITS; 208,067 LABORATORY TESTS WERE PERFORMED; 38,060 IMAGING PROCEDURES WERE PERFORMED; 44,449 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,802 OPERATIONS WERE PERFORMED, AND 443 BABIES WERE DELIVERED. 3138666 2585815 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. 1247941 1120505 WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING PHYSICAL REHABILITATION FACILITIES AND FITNESS EQUIPMENT; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATIONTHROUGH 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 2018 THERE WERE 42,269 PARTICIPANTS IN WELLNESS CENTER PROGRAMS. 452773 354004 WIC PROGRAM 170831 122494 CLINIC RENT INCOME 370776 Other Related Activities 623604 847274 77759047 true true false true false false false false false true true true false true true false false true false false false false false false false false true true true false true false false false false false false false true false false false false true true true true false false true 165 0 824 true true true false false false false false false false false false false false X 12 12 false true false false false false false true true false false true true true true false true true true true true X JANICE MENKING 8309971339 822 REUBEN ST FREDERICKSBURG TX 78624 X BRAD HARDIN DIRECTOR 0.5 1.0 X 0 0 0 REES FOREST CHAIRMAN 0.9 1.0 X X 0 0 0 PENNY MCBRIDE VICE-CHAIR 0.85 1.0 X X 0 0 0 PAUL URBAN DIRECTOR 0.5 1.0 X 0 0 0 JOHN WILLOME DIRECTOR 0.5 1.0 X 0 0 0 JAMES LINDLEY DIRECTOR 0.5 1.0 X 0 0 0 MICHAEL JOHNSON MD DIRECTOR 0.5 1.0 X 0 0 0 DALE CRENWELGE DIRECTOR 0.5 1.0 X 0 0 0 DEBORAH OTTMERS DIRECTOR 0.5 1.0 X 0 0 0 JENNY WIESER SECRETARY 0.56 1.0 X X 0 0 0 ANNE PLUENNEKE DIRECTOR 0.5 1.0 X 0 0 0 KEVIN GALLAGHER DO DIRECTOR 0.5 1.0 X 0 0 0 JAYNE POPE CEO 39.0 1.0 X 510124 0 23673 SUSAN NEVES Interim CFO 36.0 4.0 X 0 0 0 MARK JONES CFO END: 10/18 39.25 0.75 X 465653 0 10800 JAMES R PARTIN CMO 39.5 0.5 X 346636 0 39196 MIKE RENO COO 39.25 0.75 X 319760 0 31445 MAUREEN POLIVKA CNO 35.0 5.0 X 248618 0 8281 Clinton Kotal Medical Group COO 10.0 30.0 X 273072 0 27130 Emily Padula CSO 39.75 0.25 X 263699 0 8681 Jeff Darnaby Lean Specialist 40.0 0.0 X 205532 0 26369 Kevin Dickinson IT Director 20.0 20.0 X 162047 0 29527 Le Ann Myers Pharmacy Director 40.0 0.0 X 161753 0 18716 Edward Houser Hospitalist 40.0 0.0 X 155571 0 17322 3112465 0 241140 47 false true false BKD 510 N VALLEY MILLS DRIVE STE 200 WACO TX 76710 CPA/Home Care Bill 330438 ACCORDIAS HEALTHCARE SERVICES 1161 MURFREESBORO PIKE SUITE 100 NASHVILLE TN 37217 REVENUE CYCLE 273930 TEXAS SELECT STAFFING LLC PO BOX 577 WEST BEND WI 530950577 MEDICAL SERVICES 234903 C2XSEVEN LLC 25 HIGHLAND PARK VILLAGE STE 100-18 DALLAS TX 75205 management svcs 179815 CHANGE HEALTHCARE LLC 5995 WINDWARD PARKWAY ALPHARETTA GA 30005 Consulting 143539 10 1576985 2372625 3949610 Net Patient Hospital Revenue 621110 94510425 94510425 Home Health Care Revenue 621610 2585815 2585815 Wellness Center Service Revenue 624100 1120505 1120505 WIC Program Revenue 624100 354004 354004 Clinic Rent Revenue 531120 122494 122494 98693243 827597 827597 0 0 0 0 0 5916291 25000 5882803 11491 33488 13509 46997 46997 0 0 0 0 0 0 475337 239800 235537 235537 AUXILIARY REVENUE 900099 128752 128752 Medical Records Revenue 900099 6487 6487 MISCELLANEOUS REVENUE 900099 6681 6681 141920 103894904 99064019 881275 X 42350 42350 0 0 0 2306387 2306387 0 27303404 23474683 3828721 1148727 996000 152727 3308815 2711320 597495 2053454 1677386 376068 0 103731 103731 205705 205705 0 0 0 9473693 7895626 1578067 480450 445 480005 1181994 642554 539440 589158 589158 0 7907317 7494417 412900 148860 110150 38710 0 92576 44553 48023 290619 139913 150706 0 4735461 4735461 360329 360329 Medical Supplies 15522083 15522083 Bad Debt Expense 10886943 10886943 Dues & Subscriptions 123649 19657 103992 Recruitment & Recognition 70152 2260 67892 610766 413759 197007 88946623 77759047 11187576 0 34904248 24110132 18578760 28093969 0 1080000 10415562 10386738 0 0 0 0 0 0 1551745 1721052 7795278 7356845 109218472 62501702 44239246 46716770 0 0 24321863 21210114 0 0 45000 45000 25196164 36657867 167047866 177378487 7416377 8815324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5022641 4162154 12439018 12977478 X 130286985 143190895 15436529 12300328 8885334 8909786 154608848 164401009 167047866 177378487 X 14948281 -2044371 -3111749 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5134 5134 false Schedule C, Part II-B, Line 1i LOBBYING EXPENSES: HILL COUNTRY MEMORIAL HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES LOBBYING % LOBBYING $ THA $32,962 14.50% $4,779 TORCH 3,550 10.00% 355 ---------------------------------------------------------- TOTAL $36,512 $5,134 17720826 24451 -1760145 942311 99 15042722 17744630 52370 2483208 2559382 17720826 16977030 21784 1033609 287793 17744630 18051746 23710 -624844 473582 16977030 17332043 181978 706136 168411 18051746 0.18010 0.59230 0.22760 false true true 6289867 6289867 49360062 27199046 22161016 1174293 1174293 50199665 35302656 14897009 2194585 2194585 46716770 INTEREST IN FOUNDATION 21210114 F 21210114 Other Investments 11564 Due from Affiliates 36646303 36657867 0 HCM Refundable Advance 300000 HCM Financing 3556153 Estimated Self Insurance COsts 306001 4162154 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. true true X true X 300. true X 500. true true true false true true 3128343 3128343 0.04010 3210098 2511932 698166 0.00890 43362 41499 1863 6381803 2553431 3828372 0.04900 658171 658171 0.00840 1432185 862160 570025 0.00730 42350 42350 0.00050 2132706 862160 1270546 0.01620 8514509 3415591 5098918 0.06520 false 10886943 25649622 31044814 -5395192 X true true HILL COUNTRY SURGERY CENTER 0.51 0.1225 Memorial Surgery CTR 1 1 HILL COUNTRY MEMORIAL HOSPITAL 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 WWW.HILLCOUNTRYMEMORIAL.ORG 00219 X X X HILL COUNTRY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C X X true 16 true SEE PART V, SECTION C false true X 300. 500. X X X X X true true X X X true X see part v, section c X see part v, section c X see part v, section c X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY: HILL COUNTRY MEMORIAL HOSPITAL SOLICITED INPUT FROM HUNDREDS OF COMMUNITY MEMBERS, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, USING SEVERAL METHODS: - 40 COMMUNITY MEMBERS, EMPLOYERS, NOT-FOR-PROFIT ORGANIZATIONS (REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, SENIORS AND CHILDREN), HEALTH PLAN, ECONOMIC DEVELOPMENT, HEALTH DEPARTMENT, HEALTH PROVIDERS, AND GOVERNMENT REPRESENTATIVES PARTICIPATED IN FOCUS GROUPS AND INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES FROM SEPTEMBER 7 TO SEPTEMBER 27, 2016. - INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES OCCURRED IN SEPTEMBER AND OCTOBER OF 2016. - 705 COMMUNITY MEMBERS WERE SURVEYED ELECTRONICALLY AND ON PAPER REGARDING THEIR PERSPECTIVES ON COMMUNITY HEALTH STATUS AND NEEDS FROM SEPTEMBER 1-SEPTEMBER 30, 2016. 404 WERE SURVEYED VIA RANDOM DIAL TELEPHONE SURVEYS, INCLUDING 85 CELL PHONES, AND 301 WERE SURVEYED ELECTRONICALLY. 19 WERE COMPLETED ELECTRONICALLY IN SPANISH. - 186 HCM EMPLOYEES AND 12 COMMUNITY PROVIDERS WERE SURVEYED ELECTRONICALLY REGARDING THEIR PERSPECTIVES ON COMMUNITY HEALTH STATUS AND NEEDS FROM SEPTEMBER 1-30, 2016. - A COMMUNITY HEALTH SUMMIT WAS CONDUCTED ON OCTOBER 11, 2016 WITH 60 COMMUNITY STAKEHOLDERS. THE PARTICIPANTS CONSISTED OF HEALTHCARE PROVIDERS (HILL COUNTRY MEMORIAL AND PHYSICIANS, GOOD SAMARITAN CENTER), BUSINESS LEADERS, FIRE DEPARTMENT, GOVERNMENT REPRESENTATIVES, FAITH COMMUNITY, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, (MENTAL HEALTH, SUBSTANCE ABUSE, ELDERLY SERVICES), PUBLIC HEALTH PROVIDERS, AND OTHER COMMUNITY MEMBERS. BELOW IS A LIST OF ALL OF THE ORGANIZATIONS THAT GAVE INPUT INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN: BETHANY LUTHERAN CHURCH, BLANCO COUNTY HEALTHCARE MISSION, TRINITY LUTHERAN CHURCH, BLANCO COUNSELING CENTER, BLANCO COUNTY FITNESS CENTER, BLANCO ISD, CHAMBER OF COMMERCE- FREDERICKSBURG, CHRISTIAN JOB CORPS OF GILLESPIE COUNTY, CITY ADMINISTRATION-CITY OF BLANCO, CITY MANAGER- FREDERICKSBURG, GILLESPIE COUNTY HEALTH BOARD, CHAMBER OF COMMERCE- COMFORT, COMFORT FIRE AND EMS DEPARTMENT, COMFORT GOLDEN AGE SENIOR CENTER, COMFORT LIBRARY, COMMUNITY FOUNDATION, CORNERSTONE CLINIC, COUNTY ATTORNEY, STONEWALL VOLUNTEER FIRE DEPARTMENT, CRENWELGE MOTOR SALES, FIRST UNITED METHODIST CHURCH, GILLESPIE COUNTY MINISTERIAL ALLIANCE, FISCHER AND WIESER, FREDERICKSBURG ISD, SECURITY STATE BANK, FREDERICKSBURG FOOD PANTRY, FREDERICKSBURG FIRE AND EMS DEPARTMENT, GILLESPIE COUNTY COMMISSIONER, GILLESPIE COUNTY ECONOMIC DEVELOPMENT BOARD, GILLESPIE COUNTY HEALTH BOARD, GILLESPIE COUNTY MENTAL HEALTH DEPARTMENT, GOLDEN HUB SENIOR CENTER, GOOD SAMARITAN CENTER (FREE/REDUCED FEE PRIMARY CARE CLINIC), HILL COUNTRY COMMUNITY NEEDS COUNCIL, HILL COUNTRY FAMILY SERVICES, HILL COUNTRY MEMORIAL, JOHNSON CITY ISD, JUVENILE PROBATION, GILLESPIE COUNTY, PHYSICIANS, METHODIST HEALTHCARE MINISTRIES, MOM CENTER, OUR LADY OF GUADALUPE CHURCH, POLICE - CITY OF FREDERICKSBURG, SERENITY HOUSE - DRUG AND ALCOHOL REHAB, SOCIAL WORKERS, ST. BONIFACE EPISCOPAL CHURCH, ST. MARY'S CATHOLIC CHURCH, ST. VINCENT DEPAUL MINISTRY TO LOW INCOME, STEWART YOUTH COUNSELING, TEXAS A&M AGRILIFE EXTENSION, ZION LUTHERAN CHURCH 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://hillcountrymemorial.org/page/about-hcm/community-health-needs-asse ssment/ SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: THE STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IS INCLUDED IN THE CHNA WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THE HOSPITAL COMPLETED THE COMMUNITY NEEDS ASSESSMENT DATA COLLECTION IN OCTOBER 2016, THEN HELD A COMMUNITY SUMMIT. AT THE COMMUNITY HEALTH SUMMIT, THE ATTENDEES IDENTIFIED AND PRIORITIZED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY FOR THE NEXT THREE-YEAR PERIOD. THE GROUP USED THE CRITERIA OF MAGNITUDE/SCALE OF PROBLEM, SERIOUSNESS OF CONSEQUENCE, AND FEASIBILITY TO PRIORITIZE THE HEALTH NEEDS. USING A NOMINAL GROUP TECHNIQUE, EACH ATTENDEE RECEIVED THREE STICKY NOTES AND SELECTED THEIR TOP THREE HEALTH NEEDS AND POSTED THEIR IDEAS ON PAPER AT THE FRONT OF THE ROOM. THREE LARGE PRIORITY AREAS EMERGED: 1. OBESITY REDUCTION/EXERCISE AND NUTRITION ACCESS, 2. ACCESS TO PRIMARY CARE, HEALTH EDUCATION, AND CHRONIC DISEASE MANAGEMENT SUPPORT, AND 3. MENTAL HEALTH/BEHAVIORAL HEALTH. ACTION PLANS TO ADDRESS THESE NEEDS ARE LISTED BELOW AND THE ACTIVITIES FOR THIS GOAL WILL BE CARRIED OUT BY HCM LEADERSHIP AND IN PARTNERSHIP WITH THE LOCAL INDEPENDENT PRIMARY CARE PHYSICIAN PRACTICES PARTICIPATING IN THE FREDERICKSBURG COMMUNITY CARE TRANSFORMATION NETWORK. THE INTENDED IMPACTS ARE THAT, (1) OUR COMMUNITY WILL NOT CITE LACK OF ACCESS TO PRIMARY CARE AS A BARRIER TO THEIR HEALTH, (2) CHRONIC DISEASES WILL BE IDENTIFIED EARLY, AND APPROPRIATELY MANAGED, (3) THOSE WITH CHRONIC DISEASE WILL HAVE LOWER ILLNESS BURDEN AS A RESULT OF THEIR DISEASE MANAGEMENT. THE SELECTED ACTION ITEMS WILL BE SUPPORTED WITH MONETARY AND HUMAN RESOURCES BY HCM AND THE PRIMARY CARE PRACTICES PARTICIPATING IN THE TRANSFORMATION NETWORK. GOALS AND PLANNED ACTIONS ARE LISTED BELOW. GOAL 1 - INCREASE PHYSICAL ACTIVITY: THE HOSPITAL WILL UTILIZE THE BEST PRACTICE MOTIVATION PROGRAM SELECTED BY CREATE A HEALTHY COMMUNITY COUNCIL (CAHC). BY THE END OF 2019, THE PROGRAM WILL REACH AT LEAST 1,500 INDIVIDUALS. THE HOSPITAL ALSO PLANS TO CONTINUE OFFERING "SALUD FOR YOU" PARTICIPANTS WELLNESS CENTER MEMBERSHIPS. IN 2017, THE HOSPITAL COLLABORATED WITH "WALK ACROSS TEXAS" TO PROMOTE COMMUNITY ACTIVITY AND HAD 150 PARTICIPANTS. THE HOSPITAL ALSO COMPLETED 150 FITNESS EDUCATION PROGRAMS DEVELOPED BY CAHC. IN 2018, 702 INDIVIDUALS WERE PRESENTED WITH THE MOBILITY-EXERCISE 30 (MINUTES) X 5 (TIMES A WEEK) PROGRAM. THE HOSPITAL ALSO COLLABORATED WITH FREDERICKSBURG AND COMFORT BOYS AND GIRLS CLUB TO PRESENT 5X30 EXERCISE PROGRAM WITH ATTENDEES RECEIVING COMPLIMENTARY BASKETBALLS. THE HOSPITAL COLLABORATED WITH THE Fredericksburg Independent School District High School to present Exercise and Nutrition Self Management for high school graduates. GOAL 2 - IMPROVE NUTRITION - FOCUS ON KNOWLEDGE AND SELF-CARE: THE HOSPITAL WILL UTILIZE THE BEST PRACTICE FOR NUTRITION EDUCATION SELECTED BY CAHC, AND REACH AT LEAST 1,500 INDIVIDUALS THROUGH THIS PROGRAM. THE HOSPITAL WILL ALSO CONTINUE OFFERING DASH DIET EDUCATION TO "SALUD FOR YOU" PARTICIPANTS. IN 2017, 243 NUTRITION EDUCATION PROGRAMS WERE COMPLETED. IN 2018, the hospital collaborated with the Fredericksburg Independent School District High School to present Exercise and Nutrition Self-Management for high school graduates. The hospital ALSO collaborated with service/social groups (Jaycees, City of FBG, Central Texas Electrical Coop, Retired Teachers, and others) to present nutrition programS in collaboration with wellness initiatives. GOAL 3 - CONTINUE AND EXPAND CARE MANAGEMENT SERVICES: THE HOSPITAL PLANS TO PROVIDE CHRONIC CARE MANAGEMENT TO AT LEAST 1,000 INDIVIDUALS WHO ARE PATIENTS OF THE FREDERICKSBURG COMMUNITY ACO. IN 2017, 1,300 PATIENTS WITH 2 OR MORE CHRONIC COMORBIDITIES WERE SERVED THROUGH THE CCM TELEPHONIC PROGRAM. THE HOSPITAL ALSO PARTNERED WITH VARIOUS COMMUNITY ORGANIZATIONS TO PERFORM 242 DIABETES SCREENINGS AND 133 OTHER CHRONIC DISEASE SCREENINGS. IN 2018, the hospital collaborated with community organizations to perform 450 Diabetes Screening (A1c or glucose, at health fairs) and 314 chronic disease screenings (hypertension, cardiac sonograms, low cost calcium CT screening, cardiac risk assessments). IN AUGUST 2018, THE HOSPITAL PILOTED A BEHaVIOR MANAGEMENT PROGRAM ("HEALTHY") TARGETED TO REDUCE HYPERTENSION RISKS. THERE WERE 102 PARTICIPANTS. GOAL 4 - EXPAND PRIMARY CARE SERVICE OFFERINGS: THE HOSPITAL PLANS TO INCREASE PRIMARY CARE SERVICE OPPORTUNITIES IN GILLESPIE AND SURROUNDING COUNTIES. THE HOSPITAL ADDED AN IMMEDIATE CARE CLINIC IN LLANO. THE HOSPITAL ALSO PROVIDED A NAVIGATOR TO PERSONALIZE WELLNESS EDUCATION FOR THE RISING RISK POPULATIONS WITHIN THE COMMUNITY. IN 2017, 200 CARE NAVIGATION PATIENTS WERE SERVED. IN 2018, 678 INDIVIDUALS UTILIZED THE care navigation in ACO. THE HOSPITAL ALSO developed plan with HCM Medical Group for integrated primary care. GOAL 5 - IDENTIFY AND DOCUMENT EXISTING COMMUNITY RESOURCES AND GAPS FOR BEHAVIORAL HEALTH CONCERNS: IN 2017, THE HOSPITAL PARTNERED WITH THE HOGG FOUNDATION AND MHDD UTILIZING CAHC TO HELP DEVELOP A COMPREHENSIVE COMMUNITY PROGRAM. THE HOSPITAL WAS NOT AWARDED THE HOGG GRANT FOR 2018, BUT MHDD USED CAHC. GOAL 6 - IDENTIFY AND IMPLEMENT OPPORTUNITIES TO EXPAND SERVICES AS APPROPRIATE: IN 2017, THE HOSPITAL EVALUATED THE POSSIBILITY OF INTEGRATING THE BEHAVIORAL HEALTH AND PRIMARY CARE PROGRAMS. A TEAM HAS BEEN DEVELOPED TO CREATE A BUSINESS PROPOSAL TO COLLABORATE WITH LOCAL PSYCHIATRISTS. IN 2018 DR. GAYTAN (PRIMARY CARE) WAS ADDED TO THE BOERNE CLINIC. HCM DOES NOT INTEND TO DIRECTLY ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS: 1. AFFORDABLE HEALTH INSURANCE IS IMPORTANT FOR OUR COMMUNITY, BUT NOT SOMETHING THAT HCM CAN DIRECTLY IMPACT AT THIS TIME. HCM WILL PROVIDE MORE ACCESS TO AFFORDABLE HEALTHCARE BY RECRUITING MORE PRIMARY CARE DOCTORS TO EXPAND ACCESS, CONTINUING TO OFFER ITS FINANCIAL ASSISTANCE PROGRAM, AND THROUGH THE ACTIVITIES IN THE ACTION PLANS ABOVE THAT ARE SPECIFICALLY TARGETED TO OUR LOWER INCOME COMMUNITY MEMBERS, LIKE "SALUD FOR YOU." 2. AFFORDABLE HOUSING - AGAIN, WHILE THIS IS IMPORTANT TO OUR COMMUNITY IT IS A DIFFICULT ITEM FOR HCM TO DIRECTLY ADDRESS. WE WILL CONTINUE TO PARTNER WITH COMMUNITY LEADERS IN SEEKING SOLUTIONS TO MAKE AFFORDABLE HOUSING AVAILABLE. 3. 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. WE WILL CONTINUE TO OFFER CHILDREN'S PROGRAMMING DURING CERTAIN SCHOOL HOLIDAYS AT OUR WELLNESS CENTER. HCM WILL MONITOR THE PROGRESS THROUGH THE HOSPITAL'S EXECUTIVE TEAM AND THEN CREATE A HEALTHY COMMUNITY COUNCIL AND WILL ANNUALLY REPORT THE PROGRESS TO THE BOARD OF TRUSTEES AND 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. 2 HCM HOME CARE 808 REUBEN STREET FREDERICKSBURG TX 78624 HOME HEALTH HCM GO CLINIC 1031 S STATE HIGHWAY 16 FREDERICKSBURG TX 78624 IMMEDIATE CARE CLINIC 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 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 $10,886,943. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT: THE AMOUNT ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. 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: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Hospitals allowance for uncollectible accounts for self-pay patients was approximately 91% of the self-pay accounts receivable balance at December 31, 2018 and 2017. In addition, the Hospitals write-offs increased approximately $1,342,000 from approximately $5,908,000 for the year ended December 31, 2017, to approximately $7,250,000 for the year ended December 31, 2018. This increase is the result of negative trends experienced in the collection of amounts from self-pay patients in fiscal year 2018. 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 $5,395,192. 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: THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE THROUGH UP TO 40 PUBLIC HEALTH EVENTS AND SCREENINGS A YEAR WHICH ARE ADVERTISED AND WELL ATTENDED. SOME OF THE EVENTS AND SCREENINGS OFFERED WERE TEENAGE HEART SCREENINGS THROUGH SCORE, STUDENT ATHLETE SCREENINGS FOR INJURIES DURING FOOTBALL SEASON, HEARING SCREENINGS IN KENDALL COUNTY, BREAST CANCER SCREENING THROUGH THE SALUD FOR YOU PROGRAM, AND THE HOSPITAL ATTENDED THE SENIOR COALITION OF FREDERICKSBURG TO PERFORM A1C SCREENINGS. ADDITIONALLY, MORE THAN 125 RESIDENTS ATTENDED THE FIRST BILINGUAL HEART HEALTH EVENT, EL ROJO IN FRED, AND RECEIVED A1C SCREENING. THE HILL COUNTRY MEMORIAL WELLNESS CENTER OFFERS REMOTE IMMUNIZATION DRIVE-THRUS TO INCREASE IMMUNIZATION VOLUMES. EMPLOYEES DEVOTE TIME AND MONEY TO THE COMMUNITY NEEDS COUNCIL TO FURNISH SCHOOL SUPPLIES TO ELIGIBLE CHILDREN, TO THE AREA FOOD BANK FOR THE HUNGRY, AND TO THE LOCAL BOYS AND GIRLS CLUB FOR COMMUNITY CHILDREN ACTIVITIES. THE AUXILLARY, THE HOSPITAL'S VOLUNTEER ORGANIZATION, RAISES FUNDS TO FURTHER EMPLOYEE HEALTH CARE EDUCATION, WHICH NURTURES THE AVAILABLE WORKFORCE. THE ORGANIZATION HAS THE LARGEST VOLUNTEER BASE IN FREDERICKSBURG. ALSO, FUNDS WERE DONATED TO RELAY FOR LIFE, THE GOOD SAMARITAN CENTER AND ADMIRAL NIMITZ FOUNDATION. THE HOSPITAL ALSO PARTICIPATED IN THE RELAY FOR LIFE CANCER SURVIVORS DINNER TO PROVIDE BEREAVEMENT AND SUPPORT GROUP INFORMATION TO THE ATTENDESS. EMPLOYEES ALSO SERVED IN LEADERSHIP ROLES FOR COMMUNITY ORGANIZATIONS. HILL COUNTRY MEMORIAL ALSO COLLABORATES WITH CITY AND COUNTY OFFICIALS TO PREPARE FOR EMERGENCY SCENARIOS. HILL COUNTRY MEMORIAL 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. AFTER HURRICANE HARVEY CAUSED WIDESPREAD FLOODING ALONG THE COAST IN AUGUST OF 2017, TEAM MEMBERS TRAVELED TO THE AFFECTED AREA TO PROVIDE FIRST AID AND TO DISTRIBUTE DOZENS OF CASES OF BOTTLED WATER AND BOXES OF FOOD, TOILETRIES AND CLOTHES. HCM HAS AN OPEN MEDICAL STAFF AND A COMMUNITY BOARD. HCM PROVIDES MILLIONS OF DOLLARS OF CHARITY CARE EACH YEAR. 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. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS true The Good Samaritan Center 140 Industrial Loop STe 100 Fredericksburg TX 78624 912129853 501(c)(3) 42350 COMMUNITY ACCESS GRANT 1 SCHEDULE I, PART I, LINE 2 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 PARNTERS 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. X X X true false false false false false false false false JAYNE POPE CEO 407110 0 97101 0 5913 0 10800 0 12873 0 533797 0 0 0 MARK JONES CFO END: 10/18 318397 0 52000 0 95256 0 10800 0 0 0 476453 0 0 0 JAMES R PARTIN CMO 296636 0 50000 0 0 0 10800 0 28396 0 385832 0 0 0 MIKE RENO COO 268810 0 45000 0 5950 0 10592 0 20853 0 351205 0 0 0 MAUREEN POLIVKA CNO 214618 0 34000 0 0 0 8281 0 0 0 256899 0 0 0 Emily Padula CSO 227699 0 36000 0 0 0 8681 0 0 0 272380 0 0 0 Clinton Kotal Medical Group COO 268072 0 5000 0 0 0 0 0 27130 0 300202 0 0 0 Jeff Darnaby Lean Specialist 205532 0 0 0 0 0 8053 0 18316 0 231901 0 0 0 Kevin Dickinson IT Director 162047 0 0 0 0 0 3293 0 26234 0 191574 0 0 0 Le Ann Myers Pharmacy Director 161753 0 0 0 0 0 6444 0 12272 0 180469 0 0 0 Edward Houser Hospitalist 150796 0 4775 0 0 0 6048 0 11274 0 172893 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT: SEVERANCE IS A VOLUNTARY AGREEMENT THAT SET FORTH THE AGREED UPON SEPARATION DATE FOR EMPLOYMENT AND BENEFITS COVERAGE, THE AMOUNT OF PAYMENT, A CONFIDENTIALITY AGREEMENT CONCERNING COMPANY INFORMATION AND MATERIALS, RETURN OF COMPANY MATERIALS, AND COOPERATION CONCERNING BUSINESS MATTERS. SEVERANCE WAS PAID TO THE FOLLOWING INDIVIDUALS: MARK JONES $24,230 c2xseven llc owned by officer 179815 management contract false 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: $(3,111,749) FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES: DURING THE 2018 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 $192,415 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:9473693 HC Health LLC 1020 S Highway 16 Fredericksburg TX 78624 833115572 ACO TX 0 0 HCMH HILL COUNTRY MEMORIAL healthcare SYSTEM 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858904 SUPPORT TX 501(C)(3) 12, TYPE I HCMH true HILL COUNTRY MEMORIAL COMMUNITY SERVICES 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858907 HOME CARE SRV TX 501(C)(3) 12 Type III HCMH true HILL COUNTRY MEM MEDICAL OFFICE BLDG 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858909 OFFICE BLDG TX 501(C)(3) 12 Type III HCMH true HILL COUNTRY WELLNESS CENTER 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858905 HEALTH ED TX 501(C)(3) 12 Type III HCMH true HILL COUNTRY MEMORIAL FOUNDATION INC 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742557105 FUNDRAISING TX 501(C)(3) 12 TYPE III NA false HILL COUNTRY PHYSICIAN ASSOCIATES 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 262553196 HEALTHCARE TX 501(C)(3) 12, TYPE I HCMH true HILL COUNTRY PRIMARY CARE PHYSICIANS 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 272860109 HEALTHCARE TX 501(C)(3) 3 HCMH true GREATER HILL COUNTRY HOSPICE 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742912643 HOSPICE TX 501(C)(3) 3 HCMH true HILL COUNTRY MEMORIAL SURGERY CENTER PO BOX 835 FREDERICKSBURG TX 79624 331039828 SURGERY CENTER TX HCMH RELATED -6342 1017442 false 0 false 0.51000 false false true false false false false false false true false false true true true false true true true Hill Country Physician Associates R 886953 fmv Hill Country Primary Care Physicians S 9495934 fmv Greater Hill Country Hospice Q 5591359 fmv