CREATE HEALTHY MANAGEMENT: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201833199349303423
- Schema version
- 2017v2.3
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T08:54:27-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | 2018-11-15 | 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 | 70234720183195000004 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 15AEBD43F5283FBF8603E09484F3C281030BC02E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ACBA2431EF37DEF71821A9057AFD5F2E9C389335 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $111,179,703 | 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 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 827 | TotalEmployeeCnt |
| Total Volunteers | 293 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,792,505 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,243,934 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,545,694 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $96,298,011 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,035,586 | PYInvestmentIncomeAmt |
| CY Investment Income | $756,254 | CYInvestmentIncomeAmt |
| PY Other Revenue | $461,916 | PYOtherRevenueAmt |
| CY Other Revenue | $422,224 | CYOtherRevenueAmt |
| PY Total Revenue | $101,835,701 | PYTotalRevenueAmt |
| CY Total Revenue | $102,720,423 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,894,462 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,869,104 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,853,858 | PYOtherExpensesAmt |
| CY Other Expenses | $51,114,102 | CYOtherExpensesAmt |
| PY Total Expenses | $83,748,320 | PYTotalExpensesAmt |
| CY Total Expenses | $86,987,706 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,087,381 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,732,717 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $152,705,061 | TotalAssetsBOYAmt |
| Total Assets EOY | $167,047,866 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,417,447 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,439,018 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $137,287,614 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $154,608,848 | 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: OTHERS FIRST, COMPASSION, INNOVATION, ACCOUNTABILITY, AND STEWARDSHIP. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $71,484,676 | ExpenseAmt |
| Grant | $4,500 | GrantAmt |
| Revenue | $91,888,907 | RevenueAmt |
| Desc | MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE - 8,768; INTENSIVE AND CRITICAL CARE UNITS - 1,066; NURSERY - 794; EMERGENCY ROOM CARE WAS PROVIDED FOR 15,358 VISITS; 193,658 LABORATORY TESTS WERE PERFORMED; 44,726 IMAGING PROCEDURES WERE PERFORMED; 44,241 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,959 OPERATIONS WERE PERFORMED, AND 464 BABIES WERE DELIVERED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,761,732 | ExpenseAmt |
| Revenue | $2,704,188 | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $986,096 | ExpenseAmt |
| Revenue | $1,246,297 | RevenueAmt |
| Desc | WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING PHYSICAL REHABILITATION FACILITIES AND FITNESS EQUIPMENT; 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 2017 THERE WERE 38,986 PARTICIPANTS IN WELLNESS CENTER PROGRAMS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $267,655 | $337,955 | WIC PROGRAM |
| $138,900 | $120,664 | CLINIC RENT INCOME |
| $0 | $181,574 | Other Related Activities |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $406,555 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $640,193 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $75,639,059 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 | false | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 202 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 827 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | 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 (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Forest Rees | |||||||||
| Vice Chairman | 0.85 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Penny McBride | |||||||||
| Secretary | 0.56 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jenny Wieser PhD | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Dale Crenwelge | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Kevin Gallagher DO PhD | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Brad Hardin | |||||||||
| Chairman | 0.9 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jim Lindley MD | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Deborah Ottmers | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Anne Pluenneke MD | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Paul Urban | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Laura Cook | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Gordon Sauer | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| George Lee III | |||||||||
| Director | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Jayne Pope | |||||||||
| CEO | 39.0 | 1.0 | Yes (X) | $514,805 | $0 | $39,402 | |||
| Mark Jones | |||||||||
| CFO | 39.0 | 1.0 | Yes (X) | $396,562 | $0 | $10,600 | |||
| James R Partin | |||||||||
| CMO | 39.5 | 0.5 | $348,634 | $0 | $38,996 | Yes (X) | |||
| Mike Reno | |||||||||
| COO | 39.25 | 0.75 | $316,581 | $0 | $30,867 | Yes (X) | |||
| Maureen Polivka | |||||||||
| CNO | 39.75 | 0.25 | $258,323 | $0 | $8,274 | Yes (X) | |||
| Emily Padula | |||||||||
| CSO | 39.75 | 0.25 | $269,616 | $0 | $8,592 | Yes (X) | |||
| Jeff Darnaby | |||||||||
| Lean Specialist | 40.0 | 0.0 | $206,030 | $0 | $26,696 | Yes (X) | |||
| Kevin Dickinson | |||||||||
| IT Director | 40.0 | 0.0 | $157,423 | $0 | $23,267 | Yes (X) | |||
| Le Ann Myers | |||||||||
| Pharmacy Director | 40.0 | 0.0 | $158,475 | $0 | $23,338 | Yes (X) | |||
| Holly Schmidt | |||||||||
| Patient Experience Director | 40.0 | 0.0 | $145,133 | $0 | $26,774 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,771,582 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $236,806 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | 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 |
|---|---|---|---|---|---|
| ROGERS-O'BRIEN CONSTRUCTION CO | |||||
| 1901 REGAL ROAD | DALLAS | TX | 75235 | CONSTRUCTION | $714,581 |
| TEXAS CHILLER SYSTEMS | |||||
| PO BOX 792248 | SAN ANTONIO | TX | 78279 | HVAC/PLUMBING | $492,969 |
| TEXAS EMERGENCY ROOM SERVICES | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | MEDICAL SVS | $325,575 |
| BKD | |||||
| 7901 WOODWAY DR | WACO | TX | 76712 | CPA & ADVISORS | $270,150 |
| ROYCE BRADLEY MARTIN | |||||
| 840 TEALWOOD CIRCLE | FLOWER MOUND | TX | 75028 | Consulting | $203,677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $5,243,934 | RelatedOrganizationsAmt |
| Total Contributions | $5,243,934 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Hospital Revenue | 621110 | $91,888,907 | $91,888,907 |
| Home Health Care Revenue | 621610 | $2,704,188 | $2,704,188 |
| Wellness Center Service Revenue | 624100 | $1,246,297 | $1,246,297 |
| WIC Program Revenue | 624100 | $337,955 | $337,955 |
| Clinic Rent Revenue | 531120 | $120,664 | $120,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $96,298,011 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $536,046 | TotalRevenueColumnAmt |
| Exclusion | $536,046 | 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 | $8,420,867 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,200,659 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $220,208 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $220,208 | TotalRevenueColumnAmt |
| Exclusion | $220,208 | 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 | $432,503 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $258,621 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $173,882 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $173,882 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria Revenue | 722514 | $178,994 | $178,994 | |
| Medical Records Revenue | 561000 | $7,692 | $7,692 | |
| MISCELLANEOUS REVENUE | 900099 | $61,656 | $61,656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $248,342 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,720,423 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,479,585 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $996,904 | 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 | $4,500 | TotalAmt |
| Program Services | $4,500 | 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 | $1,963,044 | TotalAmt |
| Management And General | $1,963,044 | 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 | $27,784,058 | TotalAmt |
| Program Services | $23,240,738 | ProgramServicesAmt |
| Management And General | $4,543,320 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $995,775 | TotalAmt |
| Program Services | $868,553 | ProgramServicesAmt |
| Management And General | $127,222 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,031,559 | TotalAmt |
| Program Services | $2,404,163 | ProgramServicesAmt |
| Management And General | $627,396 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,094,668 | TotalAmt |
| Program Services | $1,710,076 | ProgramServicesAmt |
| Management And General | $384,592 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,375 | TotalAmt |
| Management And General | $57,375 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,522 | TotalAmt |
| Management And General | $165,522 | 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 | $9,088,015 | TotalAmt |
| Program Services | $7,503,875 | ProgramServicesAmt |
| Management And General | $1,584,140 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,716 | TotalAmt |
| Program Services | $2,302 | ProgramServicesAmt |
| Management And General | $450,414 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,822,961 | TotalAmt |
| Program Services | $1,331,329 | ProgramServicesAmt |
| Management And General | $491,632 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,339 | TotalAmt |
| Program Services | $5,339 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,947,945 | TotalAmt |
| Program Services | $7,598,560 | ProgramServicesAmt |
| Management And General | $349,385 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,967 | TotalAmt |
| Program Services | $162,082 | ProgramServicesAmt |
| Management And General | $55,885 | 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 | $112,137 | TotalAmt |
| Program Services | $80,210 | ProgramServicesAmt |
| Management And General | $31,927 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,749 | TotalAmt |
| Program Services | $167,749 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,607,063 | TotalAmt |
| Program Services | $4,607,063 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,586 | TotalAmt |
| Program Services | $450,586 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $15,904,671 | $15,904,671 | |
| Bad Debt Expense | $9,042,484 | $9,042,484 | |
| Dues & Subscriptions | $176,752 | $56,029 | $120,723 |
| RECRUITMENT & RECOGNITION | $217,065 | $6,217 | $210,848 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,755 | TotalAmt |
| Program Services | $492,533 | ProgramServicesAmt |
| Management And General | $185,222 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,987,706 | TotalAmt |
| Program Services | $75,639,059 | ProgramServicesAmt |
| Management And General | $11,348,647 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,159,769 | BOYAmt |
| EOY | $34,904,248 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,066,192 | BOYAmt |
| EOY | $18,578,760 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,570,049 | BOYAmt |
| EOY | $10,415,562 | 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 | $1,532,694 | BOYAmt |
| EOY | $1,551,745 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,231,596 | BOYAmt |
| EOY | $7,795,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $103,502,095 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $59,262,849 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,243,217 | BOYAmt |
| EOY | $44,239,246 | 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 | $23,964,249 | BOYAmt |
| EOY | $24,321,863 | 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 | $45,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,892,295 | BOYAmt |
| EOY | $25,196,164 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,705,061 | BOYAmt |
| EOY | $167,047,866 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,612,155 | BOYAmt |
| EOY | $7,416,377 | 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 | $5,805,292 | BOYAmt |
| EOY | $5,022,641 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,417,447 | BOYAmt |
| EOY | $12,439,018 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,323,365 | BOYAmt |
| EOY | $130,286,985 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,220,443 | BOYAmt |
| EOY | $15,436,529 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,743,806 | BOYAmt |
| EOY | $8,885,334 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,287,614 | BOYAmt |
| EOY | $154,608,848 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,705,061 | BOYAmt |
| EOY | $167,047,866 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $15,732,717 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,230,901 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $357,616 | 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
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 | $4,302 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,302 | 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 $34,040 10.03% $3,414 TORCH 3,550 25.00% 888 ---------------------------------------------------------- TOTAL $37,590 $4,302 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,332,043 | BeginningYearBalanceAmt |
| Contributions | $181,978 | ContributionsAmt |
| Investment Earnings Or Losses | $706,136 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $168,411 | OtherExpendituresAmt |
| End Year Balance | $18,051,746 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,450,743 | BeginningYearBalanceAmt |
| Contributions | $252,682 | ContributionsAmt |
| Investment Earnings Or Losses | $2,083,530 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $454,912 | OtherExpendituresAmt |
| End Year Balance | $17,332,043 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.19030 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.50140 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.30830 | 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) |
|---|---|---|
| Other Cost Or Other Basis | $5,341,598 | OtherCostOrOtherBasisAmt |
| Book Value | $5,341,598 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,518,519 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,252,244 | DepreciationAmt |
| Book Value | $23,266,275 | 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 | $43,254,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,010,605 | DepreciationAmt |
| Book Value | $9,243,942 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,213,138 | OtherCostOrOtherBasisAmt |
| Book Value | $5,213,138 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,239,246 | 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 | $24,321,863 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $24,321,863 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Investments | $11,564 |
| Due from Affiliates | $25,184,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,196,164 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| HCM Refundable Advance | $300,000 |
| HCM Financing | $4,366,640 |
| Estimated Self Insurance COsts | $356,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,022,641 | 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. THE FUNDS ARE HELD FOR THE BENEFIT OF HILL COUNTRY MEMORIAL HOSPITAL. THE PROCEEDS OF THE FUNDS ARE USED FOR SCHOLARSHIPS/STIPENDS, EDUCATION, CAPITAL IMPROVEMENTS AND TEDDY BEARS FOR CHILDREN. |
| 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $2,710,294 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,710,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,604,752 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,125,003 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $479,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,338 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,174 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,350,384 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,174,177 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,190,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04100 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $717,469 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $717,469 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00920 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,054,606 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,606,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $447,806 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,776,575 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,606,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,169,775 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,126,959 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,780,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,359,818 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05600 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,042,484 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $25,934,765 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $31,077,018 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,142,253 | 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 | 16 | 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 |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | 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 | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | 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 |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. 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. 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. 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. 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. 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. 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 THE 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 THE 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. |
| SCHEDULE H, PART V, SECTION B | COMPLIANCE WITH 501R: DURING THE TIME THE 990 TAX RETURN WAS BEING PREPARED, HILL COUNTRY MEMORIAL HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT WAS IN THE PROCESS OF IDENTIFYING FAP-ELIGIBLE PATIENTS, IF ANY, WHO MAY HAVE BEEN CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB). SHOULD ANY FAP-ELIGIBLE PATIENT CHARGED MORE THAN AGB BE IDENTIFIED, THE HOSPITAL WILL PROVIDE CORRECTED BILLING STATEMENTS AND A REFUND OF ANY PAYMENTS IN EXCESS OF THE AMOUNTS OWED. HILL COUNTRY PERSONNEL ARE WORKING DILIGENTLY TOWARD COMPLIANCE AND WILL CORRECT ANY ADDITIONAL FAILURES TO COMPLY AS THEY ARE IDENTIFIED. THE PATIENT ACCOUNTS DEPARTMENT AND TOP MANAGEMENT WILL MONITOR THE STATEMENTS OF FAP-ELIGIBLE PATIENTS ON A QUARTERLY BASIS TO STAY COMPLIANT WITH THE BILLING REQUIREMENT UNDER 501R. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $9,042,484. |
| 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 HOSPITAL'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 91% OF THE SELF-PAY ACCOUNTS RECEIVABLE BALANCE AT DECEMBER 31, 2017 AND DECEMBER 31, 2016. PATIENT WRITE-OFFS WERE COMPARABLE FROM 2016 AND 2017 AND WERE APPROXIMATELY $4,200,000 IN BOTH YEARS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COSTING METHODOLOGY: THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID 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 $5,142,253. 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. |
| 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 HOSPITAL 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 COMMUNITY SERVICES, HILL COUNTRY MEMORIAL OFFICE BUILDING, AND HILL COUNTRY WELLNESS CENTER. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS |
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 (10 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 | $376,267 | $0 | $138,538 | $0 | $0 | $0 | $10,600 | $0 | $28,802 | $0 | $554,207 | $0 | $0 | $0 |
| Mark Jones | ||||||||||||||
| CFO | $318,314 | $0 | $78,248 | $0 | $0 | $0 | $10,600 | $0 | $0 | $0 | $407,162 | $0 | $0 | $0 |
| James R Partin | ||||||||||||||
| CMO | $286,634 | $0 | $62,000 | $0 | $0 | $0 | $10,600 | $0 | $28,396 | $0 | $387,630 | $0 | $0 | $0 |
| Mike Reno | ||||||||||||||
| COO | $259,581 | $0 | $57,000 | $0 | $0 | $0 | $10,600 | $0 | $20,267 | $0 | $347,448 | $0 | $0 | $0 |
| Maureen Polivka | ||||||||||||||
| CNO | $208,323 | $0 | $50,000 | $0 | $0 | $0 | $8,274 | $0 | $0 | $0 | $266,597 | $0 | $0 | $0 |
| Emily Padula | ||||||||||||||
| CSO | $217,023 | $0 | $52,593 | $0 | $0 | $0 | $8,592 | $0 | $0 | $0 | $278,208 | $0 | $0 | $0 |
| Jeff Darnaby | ||||||||||||||
| Lean Specialist | $202,175 | $0 | $913 | $0 | $2,942 | $0 | $8,625 | $0 | $18,071 | $0 | $232,726 | $0 | $0 | $0 |
| Kevin Dickinson | ||||||||||||||
| IT Director | $156,510 | $0 | $913 | $0 | $0 | $0 | $0 | $0 | $23,267 | $0 | $180,690 | $0 | $0 | $0 |
| Le Ann Myers | ||||||||||||||
| Pharmacy Director | $157,562 | $0 | $913 | $0 | $0 | $0 | $6,632 | $0 | $16,706 | $0 | $181,813 | $0 | $0 | $0 |
| Holly Schmidt | ||||||||||||||
| Patient Experience Director | $136,113 | $0 | $5,000 | $0 | $4,020 | $0 | $5,998 | $0 | $20,776 | $0 | $171,907 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 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 & 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 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 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 XI, LINE 9 | OTHER CHANGES IN NET ASSETS: UNDISTRIBUTED PORTION OF CHANGE IN INTEREST IN NET ASSETS OF HCMH FOUNDATION: $357,616 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:9088015 |
Schedule R IRS990ScheduleR
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 HOSPITAL SYSTEM | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858904 | support | TX | 501(C)(3) | 12, Type I | 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 |
| 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 | 79624 | 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 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) |
| GREATER HILL COUNTRY HOSPICE | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742912643 | HOSPICE | 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 | $1,050,771 | 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 | Yes (true) | 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 Physician Associates | ||
| R | $55,890 | fmv |
| Hill Country Primary Care Physicians | ||
| S | $6,266,346 | fmv |
| Greater Hill Country Hospice | ||
| Q | $4,856,553 | fmv |