2018-11-15T08:54:27-06:00 2017-12-31 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2017-01-01 746083124 Hill Country Memorial Hospital % JANICE MENKING HILL 8309974353 PO Box 835 Fredericksburg TX 78624 JAYNE POPE CEO 9727028262 2018-11-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720183195000004 2018-11-15 P 15AEBD43F5283FBF8603E09484F3C281030BC02E ACBA2431EF37DEF71821A9057AFD5F2E9C389335 2017 2019-02-21 02:37:17Z JAYNE POPE PO Box 835 Fredericksburg TX 78624 111179703 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. 13 13 827 293 0 0 1792505 5243934 98545694 96298011 1035586 756254 461916 422224 101835701 102720423 0 4500 0 0 34894462 35869104 0 0 0 48853858 51114102 83748320 86987706 18087381 15732717 152705061 167047866 15417447 12439018 137287614 154608848 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 71484676 4500 91888907 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. 2761732 2704188 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. 986096 1246297 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. 267655 337955 WIC PROGRAM 138900 120664 CLINIC RENT INCOME 0 181574 Other Related Activities 406555 640193 75639059 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 false false true false false false false false false false false false false false false false true true true false false true 202 0 827 true false false false false false false false false false false X 13 13 false false 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 Forest Rees Vice Chairman 0.85 1.0 X X 0 0 0 Penny McBride Secretary 0.56 1.0 X X 0 0 0 Jenny Wieser PhD Director 0.5 1.0 X 0 0 0 Dale Crenwelge Director 0.5 1.0 X 0 0 0 Kevin Gallagher DO PhD Director 0.5 1.0 X 0 0 0 Brad Hardin Chairman 0.9 1.0 X X 0 0 0 Jim Lindley MD Director 0.5 1.0 X 0 0 0 Deborah Ottmers Director 0.5 1.0 X 0 0 0 Anne Pluenneke MD Director 0.5 1.0 X 0 0 0 Paul Urban Director 0.5 1.0 X 0 0 0 Laura Cook Director 0.5 1.0 X 0 0 0 Gordon Sauer Director 0.5 1.0 X 0 0 0 George Lee III Director 0.5 1.0 X 0 0 0 Jayne Pope CEO 39.0 1.0 X 514805 0 39402 Mark Jones CFO 39.0 1.0 X 396562 0 10600 James R Partin CMO 39.5 0.5 X 348634 0 38996 Mike Reno COO 39.25 0.75 X 316581 0 30867 Maureen Polivka CNO 39.75 0.25 X 258323 0 8274 Emily Padula CSO 39.75 0.25 X 269616 0 8592 Jeff Darnaby Lean Specialist 40.0 0.0 X 206030 0 26696 Kevin Dickinson IT Director 40.0 0.0 X 157423 0 23267 Le Ann Myers Pharmacy Director 40.0 0.0 X 158475 0 23338 Holly Schmidt Patient Experience Director 40.0 0.0 X 145133 0 26774 2771582 0 236806 39 false true false ROGERS-O'BRIEN CONSTRUCTION CO 1901 REGAL ROAD DALLAS TX 75235 CONSTRUCTION 714581 TEXAS CHILLER SYSTEMS PO BOX 792248 SAN ANTONIO TX 78279 HVAC/PLUMBING 492969 TEXAS EMERGENCY ROOM SERVICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 MEDICAL SVS 325575 BKD 7901 WOODWAY DR WACO TX 76712 CPA & ADVISORS 270150 ROYCE BRADLEY MARTIN 840 TEALWOOD CIRCLE FLOWER MOUND TX 75028 Consulting 203677 17 X 5243934 5243934 Net Patient Hospital Revenue 621110 91888907 91888907 Home Health Care Revenue 621610 2704188 2704188 Wellness Center Service Revenue 624100 1246297 1246297 WIC Program Revenue 624100 337955 337955 Clinic Rent Revenue 531120 120664 120664 96298011 536046 536046 0 0 0 0 0 8420867 8200659 220208 220208 220208 0 0 0 0 0 0 432503 258621 173882 173882 Cafeteria Revenue 722514 178994 178994 Medical Records Revenue 561000 7692 7692 MISCELLANEOUS REVENUE 900099 61656 61656 248342 102720423 96479585 996904 X 4500 4500 0 0 0 1963044 1963044 0 27784058 23240738 4543320 995775 868553 127222 3031559 2404163 627396 2094668 1710076 384592 0 57375 57375 165522 165522 0 0 0 9088015 7503875 1584140 452716 2302 450414 1822961 1331329 491632 5339 5339 0 7947945 7598560 349385 217967 162082 55885 0 112137 80210 31927 167749 167749 0 4607063 4607063 450586 450586 Medical Supplies 15904671 15904671 Bad Debt Expense 9042484 9042484 Dues & Subscriptions 176752 56029 120723 RECRUITMENT & RECOGNITION 217065 6217 210848 677755 492533 185222 86987706 75639059 11348647 0 33159769 34904248 17066192 18578760 0 0 8570049 10415562 0 0 0 0 0 0 1532694 1551745 7231596 7795278 103502095 59262849 42243217 44239246 0 0 23964249 24321863 0 0 45000 45000 18892295 25196164 152705061 167047866 9612155 7416377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5805292 5022641 15417447 12439018 X 113323365 130286985 15220443 15436529 8743806 8885334 137287614 154608848 152705061 167047866 X 15732717 1230901 357616 X false true X true false X false false false false false false false false true 4302 4302 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 $34,040 10.03% $3,414 TORCH 3,550 25.00% 888 ---------------------------------------------------------- TOTAL $37,590 $4,302 17744630 52370 2483208 2559382 17720826 16977030 21784 1033609 287793 17744630 18051746 23710 -624844 473582 16977030 17332043 181978 706136 168411 18051746 15450743 252682 2083530 454912 17332043 0.19030 0.50140 0.30830 false true true 5341598 5341598 48518519 25252244 23266275 1174293 1174293 43254547 34010605 9243942 5213138 5213138 44239246 INTEREST IN FOUNDATION 24321863 F 24321863 Other Investments 11564 Due from Affiliates 25184600 25196164 0 HCM Refundable Advance 300000 HCM Financing 4366640 Estimated Self Insurance COsts 356001 5022641 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. true true X true X true X true true true false true true 2710294 2710294 0.03480 3604752 3125003 479749 0.00620 35338 49174 0.00000 6350384 3174177 3190043 0.04100 717469 717469 0.00920 4054606 3606800 447806 0.00570 4500 4500 0.00010 4776575 3606800 1169775 0.01500 11126959 6780977 4359818 0.05600 false 9042484 25934765 31077018 -5142253 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 200. 300. 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 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. 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. 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 $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 X X X false false false false false false false false false Jayne Pope CEO 376267 0 138538 0 0 0 10600 0 28802 0 554207 0 0 0 Mark Jones CFO 318314 0 78248 0 0 0 10600 0 0 0 407162 0 0 0 James R Partin CMO 286634 0 62000 0 0 0 10600 0 28396 0 387630 0 0 0 Mike Reno COO 259581 0 57000 0 0 0 10600 0 20267 0 347448 0 0 0 Maureen Polivka CNO 208323 0 50000 0 0 0 8274 0 0 0 266597 0 0 0 Emily Padula CSO 217023 0 52593 0 0 0 8592 0 0 0 278208 0 0 0 Jeff Darnaby Lean Specialist 202175 0 913 0 2942 0 8625 0 18071 0 232726 0 0 0 Kevin Dickinson IT Director 156510 0 913 0 0 0 0 0 23267 0 180690 0 0 0 Le Ann Myers Pharmacy Director 157562 0 913 0 0 0 6632 0 16706 0 181813 0 0 0 Holly Schmidt Patient Experience Director 136113 0 5000 0 4020 0 5998 0 20776 0 171907 0 0 0 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 HILL COUNTRY MEMORIAL HOSPITAL SYSTEM 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858904 support TX 501(C)(3) 12, Type I 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 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 79624 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 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 -6340 1050771 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 55890 fmv Hill Country Primary Care Physicians S 6266346 fmv Greater Hill Country Hospice Q 4856553 fmv