CREATE HEALTHY MANAGEMENT: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201513169349305991
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-12T18:07:21-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2800 POST OAK BLVD STE 3200 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | 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 | Mark Jones | PersonNm |
| Person Title | Hosp CFO | PersonTitleTxt |
| Phone | 9727028262 | PhoneNum |
| Signature | 2015-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA MAYA | PreparerPersonNm |
| PTIN | P01067777 | PTIN |
| Phone | 7134994600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK JONES | 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 | $93,280,606 | 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 | 767 | TotalEmployeeCnt |
| Total Volunteers | 130 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,565,765 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,525,355 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $81,040,677 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $89,210,693 | CYProgramServiceRevenueAmt |
| PY Investment Income | $171,463 | PYInvestmentIncomeAmt |
| CY Investment Income | $104,036 | CYInvestmentIncomeAmt |
| PY Other Revenue | $611,735 | PYOtherRevenueAmt |
| CY Other Revenue | $608,936 | CYOtherRevenueAmt |
| PY Total Revenue | $83,389,640 | PYTotalRevenueAmt |
| CY Total Revenue | $92,449,020 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $997 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $83,345 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,216,451 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,788,597 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,134,292 | PYOtherExpensesAmt |
| CY Other Expenses | $40,573,885 | CYOtherExpensesAmt |
| PY Total Expenses | $70,351,740 | PYTotalExpensesAmt |
| CY Total Expenses | $73,445,827 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,037,900 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,003,193 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $108,612,289 | TotalAssetsBOYAmt |
| Total Assets EOY | $118,447,445 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,477,345 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,602,678 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $84,134,944 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $103,844,767 | 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 | $59,475,990 | ExpenseAmt |
| Grant | $83,345 | GrantAmt |
| Revenue | $85,426,724 | RevenueAmt |
| Desc | MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE - 7,839; INTENSIVE AND CRITICAL CARE UNITS - 1,008; NURSERY - 756; EMERGENCY ROOM CARE WAS PROVIDED FOR 15,343 VISITS; 161,432 LABORATORY TESTS WERE PERFORMED; 41,302 IMAGING PROCEDURES WERE PERFORMED; 35,531 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,544 OPERATIONS WERE PERFORMED, AND 472 BABIES WERE DELIVERED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,349,309 | ExpenseAmt |
| Revenue | $2,200,897 | 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 | $870,406 | ExpenseAmt |
| Revenue | $1,016,955 | RevenueAmt |
| Desc | WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING PHYSICA 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 2014 THERE WERE 38,579 PARTICIPANTS IN WELLNESS CENTER PROGRAMS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $328,117 | $373,585 | WIC PROGRAM |
| $299,526 | $192,532 | CLINIC RENT INCOME |
| $183,096 | OTHER RELATED ACTIVITIES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $627,643 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $749,213 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $63,323,348 | 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 | false | 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 | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln 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 | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 286 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 767 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| LAURA COOK | |||||||||
| CHAIRMAN | 0.25 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARK DELEON | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD ESTENSON | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES LINDLEY | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAN MITTEL | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT MURRAY | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| BRAD HARDIN | |||||||||
| VICE-CHAIRMAN | 0.25 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANNE PLUENNEKE | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| GORDON SAUER | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| CRISTOL SCHOESSOW | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL URBAN | |||||||||
| SECRETARY | 0.25 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARC WILLIAMSON | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PENNY MCBRIDE | |||||||||
| DIRECTOR | 0.25 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JAYNE POPE | |||||||||
| CEO | 39.0 | 1.0 | Yes (X) | $387,222 | $0 | $24,466 | |||
| MARK JONES | |||||||||
| CFO | 39.0 | 1.0 | Yes (X) | $312,529 | $0 | $18,802 | |||
| MIKE RENO | |||||||||
| COO | 40.0 | 0.0 | $267,442 | $0 | $28,215 | Yes (X) | |||
| JAMES R PARTIN | |||||||||
| CMO | 39.0 | 1.0 | $308,657 | $0 | $27,390 | Yes (X) | |||
| MAUREEN POLIVKA | |||||||||
| CNO | 40.0 | 0.0 | $201,511 | $0 | $0 | Yes (X) | |||
| DEBRA DOOLEY | |||||||||
| EXECUTIVE DIRECTOR | 40.0 | 0.0 | $247,059 | $0 | $22,900 | Yes (X) | |||
| MICHAEL BROWN | |||||||||
| LEAN SPECIALIST | 40.0 | 0.0 | $261,693 | $0 | $0 | Yes (X) | |||
| JEFF DARNABY | |||||||||
| LEAN SPECIALIST | 40.0 | 0.0 | $222,573 | $0 | $1,959 | Yes (X) | |||
| HOLLY SCHMIDT | |||||||||
| EXECUTIVE DIRECTOR | 40.0 | 0.0 | $162,955 | $0 | $22,662 | Yes (X) | |||
| EMILY PADULA | |||||||||
| EXECUTIVE DIRECTOR | 39.0 | 1.0 | $161,032 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,532,673 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $146,394 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | 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 | |||||
| 1901 REGAL ROW | DALLAS | TX | 75235 | CONSTRUCTION | $528,189 |
| FREDERICKSBURG ANESTHESIA | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ANESTHESIA SERVICES | $431,106 |
| LEIDOS HEALTH HOLDINGS INC | |||||
| 11951 FREEDOM DRIVE | RESTON | VA | 20190 | TECHNOLOGY SERVICES | $404,802 |
| KENDNEL KASPER CONSTRUCTION INC | |||||
| 162 LINDA DRIVE | FREDERICKSBURG | TX | 78624 | CONSTRUCTION | $370,878 |
| BKD LLP | |||||
| 910 E ST LOUIS STREET STE 400 | SPRINGFIELD | MO | 65801 | ACCOUNTING SERVICES | $303,084 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $2,525,355 | RelatedOrganizationsAmt |
| Total Contributions | $2,525,355 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT HOSPITAL REVENUE | 621110 | $85,426,724 | $85,426,724 |
| HOME HEALTHCARE REVENUE | 621610 | $2,200,897 | $2,200,897 |
| WELLNESS CTR SERVICE REVENUE | 624100 | $1,016,955 | $1,016,955 |
| WIC PROGRAM REVENUE | 624100 | $373,585 | $373,585 |
| CLINIC RENT REVENUE | 621110 | $192,532 | $192,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $89,210,693 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $270,124 | TotalRevenueColumnAmt |
| Exclusion | $270,124 | 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 | $161,818 | SecuritiesAmt |
| Other | $207,705 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $535,611 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $161,818 | SecuritiesAmt |
| Other | -$327,906 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$166,088 | TotalRevenueColumnAmt |
| Exclusion | -$166,088 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $479,071 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $295,975 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $183,096 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $183,096 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722320 | $209,495 | $209,495 |
| MEDICAL RECORDS | 621990 | $9,674 | $9,674 |
| MISCELLANEOUS REVENUE | 900099 | $206,671 | $206,671 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $425,840 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,449,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $89,393,789 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $529,876 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,345 | TotalAmt |
| Program Services | $83,345 | 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 | $1,576,232 | TotalAmt |
| Management And General | $1,576,232 | 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 | $25,427,743 | TotalAmt |
| Program Services | $21,240,253 | ProgramServicesAmt |
| Management And General | $4,187,490 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $863,106 | TotalAmt |
| Program Services | $712,158 | ProgramServicesAmt |
| Management And General | $150,948 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,076,195 | TotalAmt |
| Program Services | $2,620,045 | ProgramServicesAmt |
| Management And General | $456,150 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,845,321 | TotalAmt |
| Program Services | $1,511,406 | ProgramServicesAmt |
| Management And General | $333,915 | 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 | $98,731 | TotalAmt |
| Management And General | $98,731 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,424 | TotalAmt |
| Management And General | $225,424 | 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 | $5,779,897 | TotalAmt |
| Program Services | $4,320,737 | ProgramServicesAmt |
| Management And General | $1,459,160 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,883 | TotalAmt |
| Program Services | $8,519 | ProgramServicesAmt |
| Management And General | $269,364 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,815,129 | TotalAmt |
| Program Services | $1,285,234 | ProgramServicesAmt |
| Management And General | $529,895 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,936,261 | TotalAmt |
| Program Services | $7,608,951 | ProgramServicesAmt |
| Management And General | $327,310 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,990 | TotalAmt |
| Program Services | $172,758 | ProgramServicesAmt |
| Management And General | $49,232 | 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 | $330,059 | TotalAmt |
| Program Services | $162,155 | ProgramServicesAmt |
| Management And General | $167,904 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,653 | TotalAmt |
| Program Services | $245,653 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,836,294 | TotalAmt |
| Program Services | $3,836,294 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $916,498 | TotalAmt |
| Program Services | $916,498 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $12,893,569 | $12,893,569 | |
| BAD DEBT EXPENSE | $5,135,075 | $5,135,075 | |
| DUES & SUBSCRIPTIONS | $136,602 | $44,161 | $92,441 |
| LICENSE & PERMITS | $64,230 | $62,200 | $2,030 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,590 | TotalAmt |
| Program Services | $464,337 | ProgramServicesAmt |
| Management And General | $196,253 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,445,827 | TotalAmt |
| Program Services | $63,323,348 | ProgramServicesAmt |
| Management And General | $10,122,479 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,843,076 | BOYAmt |
| EOY | $12,191,858 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,004,693 | BOYAmt |
| EOY | $12,306,048 | 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 | $10,014,437 | BOYAmt |
| EOY | $9,955,326 | 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 | $1,449,572 | BOYAmt |
| EOY | $1,362,808 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,618,346 | BOYAmt |
| EOY | $8,082,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $83,289,148 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,448,986 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,384,451 | BOYAmt |
| EOY | $36,840,162 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,031,611 | BOYAmt |
| EOY | $21,780,736 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,266,103 | BOYAmt |
| EOY | $15,928,325 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,612,289 | BOYAmt |
| EOY | $118,447,445 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,601,738 | BOYAmt |
| EOY | $6,432,054 | 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 | $16,875,607 | BOYAmt |
| EOY | $8,170,624 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,477,345 | BOYAmt |
| EOY | $14,602,678 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,103,333 | BOYAmt |
| EOY | $82,064,031 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,454,258 | BOYAmt |
| EOY | $13,082,424 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,577,353 | BOYAmt |
| EOY | $8,698,312 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,134,944 | BOYAmt |
| EOY | $103,844,767 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,612,289 | BOYAmt |
| EOY | $118,447,445 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,003,193 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$42,495 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $749,125 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $3,767 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,767 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | LOBBYING EXPENSES | 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 $19,328 19.49% $3,767 --------------------------------------------------- TOTAL $19,328 $3,767 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,960,017 | OtherCostOrOtherBasisAmt |
| Book Value | $4,960,017 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,871,352 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,132,979 | DepreciationAmt |
| Book Value | $21,738,373 | 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 | $34,565,925 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,316,007 | DepreciationAmt |
| Book Value | $8,249,918 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $717,561 | OtherCostOrOtherBasisAmt |
| Book Value | $717,561 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,840,162 | 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 | $21,780,736 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $21,780,736 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER INVESTMENTS | $11,564 |
| Due From Affiliates | $9,349,951 |
| EHR Receivable | $6,566,810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,928,325 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| HCM REFUNDABLE ADVANCE | $300,000 |
| ESTIMATED SELF INSURANCE COSTS | $1,235,750 |
| HCM FINANCING | $6,634,874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,170,624 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $84,940,389 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$42,495 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$5,218,420 | OtherRevenueAmt |
| Revenue Not Reported | -$5,260,915 | RevenueNotReportedAmt |
| Revenue Subtotal | $90,201,304 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,247,716 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,247,716 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $92,449,020 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $68,505,046 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $277,639 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $277,639 | ExpensesNotReportedAmt |
| Expenses Subtotal | $68,227,407 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $5,218,420 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $5,218,420 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $73,445,827 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO RETURN: BAD DEBT EXPENSE $(5,135,075) AUXILIARY TRANSFER TO FDN (83,345) ---------------------------------------------- TOTAL $(5,218,420) |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO RETURN: THRIFT SHOP EXPENSES $(295,975) CONTRIBUTION FROM FDN 2,525,355 OTHER CLASSIFICATION DIFFERENCE 18,336 ---------------------------------------------- TOTAL $ 2,247,716 |
| SCHEDULE D, PART XII, LINE 2D | RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO RETURN: THRIFT SHOP EXPENSES $ 295,975 OTHER CLASSIFICATION DIFFERENCES (18,336) --------------------------------------------- TOTAL $ 277,639 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO RETURN: BAD DEBT EXPENSE $ 5,135,075 AUXILIARY TRANSFER TO FDN 83,345 ---------------------------------------------- TOTAL $ 5,218,345 |
| schedule d, part x, line 2 | liability for uncertain tax positions: The Hospital and its wholly owned subsidiaries have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, these entities are subject to federal income tax on any unrelated business taxable income. HCMSC is taxed as a partnership. With few exceptions, the Hospital and its wholly owned subsidiaries are no longer subject to U.S. federal examinations by tax authorities for years before 2011. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| 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 | $2,973,862 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,973,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,781,600 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,498,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $282,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $125,160 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $116,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,513 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,880,622 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,615,396 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,265,226 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04770 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $302,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $302,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $302,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $302,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,183,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,615,396 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,567,990 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05210 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,135,075 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $22,817,607 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,929,437 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,111,830 | 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 | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| HILL COUNTRY | |||
| SURGERY CENTER | 0.51000 | 0.07000 | 0.03500 |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | 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 | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | X | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | X | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | X | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3J | ABOUT HILL COUNTRY MEMORIAL: MISSION: REMARKABLE ALWAYS. HILL COUNTRY MEMORIAL IS AN 88 BED, NOT-FOR-PROFIT HOSPITAL, FULLY ACCREDITED BY THE JOINT COMMISSION. WHILE THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS UNDERTAKEN BECAUSE OF AN INTERNAL REVENUE SERVICE (IRS) REQUIREMENT, HILL COUNTRY MEMORIAL SEES ITSELF AS BEING THE HEALTHCARE PROVIDER OF CHOICE FOR THE CITIZENS OF GILLESPIE COUNTY AND THE MARKET SHARE CONFIRMS THIS TO BE TRUE. AS SUCH, HILL COUNTRY MEMORIAL ACCEPTS RESPONSIBILITY FOR EMPOWERING OTHERS AND IMPROVING THE HEALTH OF THE COMMUNITY. THE VISION STATEMENT IS: EMPOWER OTHERS. CREATE HEALTHY. HCM WANTS TO FULFILL THE HEALTH CARE NEEDS OF HILL COUNTRY PATIENTS. WE HAVE STUDIED AND ANALYZED THOUSANDS OF DATA POINTS IN A COMPREHENSIVE AND STRATEGIC MANNER TO GUIDE THE COMMUNITY AND HOSPITAL DECISIONS REGARDING THE HEALTH OF THE COMMUNITY AND TO PROVIDE A DOCUMENT OF THE ENTIRE PROCESS AND RESULTS. HCM CONDUCTED A FIVE STAGE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: STAGE 1 - MARKET BRIEF: DEMOGRAPHIC/PSYCHOGRAPHIC ANALYSIS/PATIENT MAPPING - REVIEW ALL DEMOGRAPHIC INFORMATION ON THE REGION - MAP PERTINENT DEMOGRAPHIC SUB-POPULATIONS - DOCUMENT ALL OTHER HEALTHCARE AND NON-PROFIT GROUPS IN THE COMMUNITY - ANALYZE PSYCHOGRAPHICS - COMMUTER PROFILES (DAYTIME VERSUS NIGHTTIME POPULATION) - HEALTH SERVICE DEMAND REPORTS AND MAPS (INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, AND PHYSICIAN OFFICE VISITS) - HCM PATIENT ORIGIN, INPATIENT, OUTPATIENT, ED - TEXAS DISCHARGES AND MARKET SHARE STAGE 2 - COMMUNITY HEALTH NEEDS ANALYSIS - DETERMINE NEEDS OF THE POPULATION THROUGH DATA ANALYSIS - DETERMINE HEALTH NEEDS THROUGH COMMUNITY FOCUS GROUP (20 PEOPLE PARTICIPATING) - PUBLIC EDUCATION/HEALTH EDUCATION - ACCESS TO HEALTHCARE STAGE 3 - VALIDATION/SURVEY - A TELEPHONE SURVEY WAS CONDUCTED JULY 29-AUGUST 6, AND SEPTEMBER 5 2013 TO 502 CITIZENS OF GILLESPIE COUNTY TO BETTER UNDERSTAND THE NEEDS OF THE COMMUNITY - AN ON-LINE MEDICAL STAFF SURVEY ABOUT HEALTH AND PHYSICIAN NEEDS FROM THE PHYSICIAN'S POINT OF VIEW WAS RECEIVED FROM 22 PHYSICIANS. - AN ON-LINE SURVEY OF HOSPITAL STAFF ABOUT HEALTH NEEDS WAS RECEIVED FROM 273 EMPLOYEES. STAGE 4 - ENGAGE COMMUNITY PARTNERS AND BUILD CONSENSUS VIA A COMMUNITY HEALTH SUMMIT - 70 COMMUNITY REPRESENTATIVES: DEPARTMENT OF HEALTH, NOT-FOR-PROFIT AGENCIES, SCHOOLS AND CITY/COUNTY GOVERNMENT, BUSINESS AND COMMUNITY LEADERS STAGE 5 - FINAL REPORTS - A COMPREHENSIVE REPORT TO INCLUDE SUMMARY OF ALL RESEARCH, FINDINGS, AND RECOMMENDATIONS - A REPORT TO THE COMMUNITY SUMMARIZING THE HEALTH NEEDS AND WORK OF THE SUMMIT SUITABLE FOR DISPLAY ON WEBSITES OVER THE PAST THREE MONTHS, THE FOLLOWING INTERACTION POINTS OCCURRED: - FOCUS GROUP WITH 20 BUSINESSES, GOVERNMENT DEPARTMENTS, NOT-FOR-PROFIT AGENCIES, AND CITIZENS - 22 PHYSICIANS AND 273 HCM EMPLOYEES SURVEYED - 70 LEADERS ATTENDED THE COMMUNITY HEALTH SUMMIT - MORE THAN 1,000 COMMUNITY DATA POINTS ANALYZED - MULTIPLE PRESENTATIONS (MARKET BRIEF, SURVEYS, COMMUNITY HEALTH SUMMIT) |
| 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 AND THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. - 20 COMMUNITY MEMBERS, EMPLOYERS, NOT-FOR-PROFIT ORGANIZATIONS, CLERGY, SCHOOL AND GOVERNMENT REPRESENTATIVES PARTICIPATED IN A FOCUS GROUP FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON JULY 26, 2013. - INFORMATION GATHERING, USING PUBLIC HEALTH SOURCES AND HOSPITAL-SPECIFIC DATA, OCCURRED JUNE THROUGH AUGUST. - A TELEPHONE SURVEY OF 502 RESIDENTS OF GILLESPIE COUNTY TO DETERMINE HEALTH STATUS WAS CONDUCTED FROM JULY 29-AUGUST 6 AND SEPTEMBER 5. - 22 PHYSICIANS AND 283 EMPLOYEES WERE SURVEYED ON-LINE REGARDING THEIR PERSPECTIVES ON COMMUNITY HEALTH STATUS AND NEEDS FROM JULY 30-AUGUST 23. - A COMMUNITY SUMMIT WAS CONDUCTED ON SEPTEMBER 5 WITH 70 COMMUNITY LEADERS AND CITIZENS. THE AUDIENCE CONSISTED OF HEALTHCARE WORKERS, BUSINESS LEADERS, SCHOOL SYSTEMS, GOVERNMENT REPRESENTATIVES, CLERGY AND OTHER COMMUNITY MEMBERS. - THIS REPORT TO THE COMMUNITY WAS COMPLETED AND PUBLISHED IN OCTOBER 2013. BELOW IS A LIST OF ALL THE ORGANIZATIONS THAT GAVE INPUT INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN: - HILL COUNTRY MEMORIAL BOARD OF TRUSTEES AND STAFF, HILL COUNTY MEMORIAL HOSPITAL FOUNDATION, STRATASAN, GILLESPIE COUNTY HEALTH DIVISION, FREDERICKSBURG POLICE DEPARTMENT, METHODIST HEALTHCARE MINISTRIES, ALAMO AREA AGENCY ON AGING, HEB, FRANTZEN, KADERLI AND KLIER INSURANCE, GILLESPIE COUNTY, FREDERICKSBURG CHAMBER OF COMMERCE, GILLESPIE COUNTY ECONOMIC DEVELOPMENT, HILL COUNTY COMMUNITY NEEDS COUNCIL, GOOD SAMARITAN CENTER, GILLESPIE COUNTY MINISTERIAL ALLIANCE, FREDERICKSBURG INDEPENDENT SCHOOL DISTRICT, CITY OF FREDERICKSBURG, TEXAS DEPARTMENT OF STATE HEALTH SERVICES, BOYS AND GIRLS CLUB OF FREDERICKSBURG, TEXAS A&M AGRILIFE-GILLESPIE COUNTY, GOLDEN HUB, ENCHANTED ROCK STATE PARK-TEXAS PARKS & WILDLIFE, ADMIRAL NIMITZ FOUNDATION, HILL COUNTRY COMMUNITY FOUNDATION, HCM SENIOR SERVICES, SOCIAL WORK, BUSINESS DEVELOPMENT, MARKETING AND WELLNESS CENTER. AGRILIFE-GILLESPIE COUNTY, GOLDEN HUB, ENCHANTED ROCK STATE PARK-TEXAS PARKS & WILDLIFE, ADMIRAL NIMITZ FOUNDATION, HILL COUNTRY COMMUNITY FOUNDATION, HCM SENIOR SERVICES, SOCIAL WORK, BUSINESS DEVELOPMENT, MARKETING AND WELLNESS CENTER. |
| SCHEDULE H, PART V, SECTION B, LINES 7A, 7D & 10A | AVAILABILITY TO THE PUBLIC: THE CHNA AND IMPLEMENTATION STRATEGY IS AVAILABLE ON THE HOSPITAL'S WEBSITE AND WAS MADE AVAILABLE TO THE FREDERICKSBURG STANDARD TO PUBLISH. IN ADDITION, WE HAVE MADE COPIES AVAILABLE BY CALLING OR EMAILING THE HOSPITAL. THE WEBSITE IS HTTP://WWW2.HILLCOUNTRYMEMORIAL.ORG/STATIC/FILES/GILLESPIE_COUNTY_CHNA_V1. PDF. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | ADDRESS OF NEEDS IDENTIFIED IN CHNA & NEEDS NOT ADDRESSED IN CHNA: 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 IN OCTOBER 2013. HOSPITAL LEADERSHIP SELECTED THREE PRIORITIES TO ADDRESS (TWO IN THE SAME CATEGORY OF CHRONIC DISEASE), LEAVING FIVE CATEGORIES THE HOSPITAL DID NOT ADDRESS. FIVE PRIORITIES ARE NOT BEING ADDRESSED BY THE HOSPITAL: - OBESITY AND LIFESTYLE (NUTRITION AND ACTIVITY) - SUBSTANCE ABUSE - BEHAVIORAL HEALTH - TEEN PREGNANCY - SOCIOECONOMICS ACCESS TO CARE AND CHRONIC DISEASES ARE AREAS WHERE HOSPITALS CAN MAKE A POSITIVE IMPACT IN A COMMUNITY. THE OTHER FIVE ISSUES, THE HOSPITAL FELT THAT OTHER ORGANIZATIONS WERE MORE APPROPRIATE TO MAKE THE BIGGEST IMPACT. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS: THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING AMOUNTS CHARGED TO PATIENTS. |
| SCHEDULE H, PART V, SECTION B, LINE 16 | MEANS BY WHICH HOSPITAL PUBLICIZED POLICY: THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND APPLICATION CAN BE FOUND AT THIS WEBSITE: http://hillcountrymemorial.org/page/patient-information/financial-assistan ce-forms/ THE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLICIZED THROUGH AREA PHYSICIAN PRACTICES. |
| SCHEDULE H, PART V, SECTION B, LINE 18 & 19 | BILLING AND COLLECTIONS UNDER FACILITY'S FAP: NEITHER HILL COUNTRY MEMORIAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY HILL COUNTRY MEMORIAL HOSPITAL, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| SCHEDULE H, PART V, SECTION B, LINE 20E | OTHER ACTIONS TAKEN BEFORE ANY COLLECTION ACTIONS: PATIENT ACCOUNT REPRESENTATIVES CONTACT PATIENTS BY PHONE BEFORE INITIATING COLLECTION ACTIONS. |
| SCHEDULE H, PART V, SECTION B, LINE 22D | OTHER BILLING DETERMINATION OF THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE: THE HOSPITAL CHARGE MASTER BILLS A STANDARD AMOUNT FOR ALL PATIENTS, THEREBY INSURING THAT THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE AND THE INSURED ARE BILLED THE SAME AMOUNT. ADDITIONALLY, PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED DISCOUNTS BASED ON THEIR INCOME LEVELS COMPARED TO FEDERAL POVERTY GUIDELINES (FPG). PATIENTS WITH INCOME AT OR BELOW 200% FPG HAVE 100% OF THE BALANCE ADJUSTED. PATIENTS WITH ABOVE 200% AND UNDER 225% OF FPG HAVE 80% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 225% AND UNDER 250% OF FPG HAVE 60% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 250% AND UNDER 275% OF FPG HAVE 40% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 275% AND UNDER 300% OF FPG HAVE 20% OF THE BALANCE ADJUSTED. THOSE WITH INCOME OVER 300% OF FPG DO NOT QUALIFY AS FINANCIALLY INDIGENT. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $5,135,075. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT: THE AMOUNT ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | Bad Debt Attributable to patients eligible under Financial Assistance Policy: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT FOOTNOTE: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Hospitals allowance for uncollectible accounts for self-pay patients was approximately 95% of self-pay accounts receivable at December 31, 2014 and December 31, 2013. Patient write-offs decreased from approximately $6,520,000 in 2013 to approximately $5,645,000 in 2014. The decrease in write-offs is the result of positive trends experienced in collections of amounts from self-pay patients in 2014. |
| SCHEDULE H, PART III, SECTION B, LINE 8a | 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 $2,111,830. 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 B, 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 COMMUNITY THROUGH PATIENT SURVEYS. PATIENTS RECEIVING CARE IN THE FOLLOWING SERVICE LINES ARE RANDOMLY SURVEYED BY PRESS GANEY, AN INDEPENDENT HOSPITAL AUDITING FIRM WHICH AUDITS 1800 HOSPITALS IN THE UNITED STATES: IN-PATIENT CARE, OUT-PATIENT CARE, ER, AND HOME HEALTH. THE FOLLOWING SERVICE LINES ARE SURVEYED IN AN HCM PAPER-GENERATED SURVEY DISSEMINATED AT THE POINT OF DISMISSAL: HILL COUNTRY MEMORIAL BREAST CENTER AND HILL COUNTRY MEMORIAL SLEEP LAB. |
| 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. |
| 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. 25,753) ACCOUNTS FOR ABOUT 59% OF HILL COUNTRY MEMORIAL PATIENTS. THE TOTAL SERVICE AREA POPULATION IS 191,806, 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. 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, HOSPITAL 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, HEALTH OCCUPATION STUDENT ASSOCIATION (HOSA), AND EISHBAHN. 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. COLLABORATING WITH THE CITY OF FREDERICKSBURG, PHYSICIANS AND THE FREDERICKSBURG CHAMBER OF COMMERCE, HILL COUNTRY MEMORIAL FUNDED THE CREATION OF AN ARCHITECTURAL PLAN FOR THE CENTER. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: THE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES TEN ORGANIZATIONS. HILL COUNTRY MEMORIAL HOSPITAL PROVIDES HEALTHCARE; HILL COUNTRY MEMORIAL FOUNDATION PROVIDES FUNDRAISING; HILL COUNTRY PHYSICIAN ASSOCIATES PROVIDES HEALTHCARE; HILL COUNTRY PRIMARY CARE PHYSICIANS PROVIDES HEALTHCARE; AND GREATER HILL COUNTRY HOSPICE PROVIDES HOSPICE SERVICE. IN ADDITION, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE FOLLOWING INACTIVE ENTITIES: HILL COUNTRY MEMORIAL HEALTH SYSTEM, HILL COUNTRY 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | hill country memorial foundation | 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) |
|---|---|---|
| Recipient EIN | 450599888 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $83,345 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | CHARITABLE SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURE FOR MONITORING THE USE OF GRANTS IN THE U.S.: THE ORGANIZATION DOES NOT USUALLY GIVE GRANTS TO OTHER ORGANIZATIONS OR INDIVIDUALS. THE GRANT LISTED ABOVE IS TRANSFER OF CASH IN SUPPORT OF THE HILL COUNTRY MEMORIAL FOUNDATION, A RELATED ORGANIZATION, FROM THE HILL COUNTRY MEMORIAL AUXILIARY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | $319,722 | $0 | $67,500 | $0 | $0 | $0 | $0 | $0 | $24,466 | $0 | $411,688 | $0 | $0 | $0 |
| MARK JONES | ||||||||||||||
| CFO | $266,029 | $0 | $39,000 | $0 | $7,500 | $0 | $0 | $0 | $18,802 | $0 | $331,331 | $0 | $0 | $0 |
| DEBRA DOOLEY | ||||||||||||||
| EXECUTIVE DIRECTOR | $215,559 | $0 | $31,500 | $0 | $0 | $0 | $0 | $0 | $22,900 | $0 | $269,959 | $0 | $0 | $0 |
| MICHAEL BROWN | ||||||||||||||
| LEAN SPECIALIST | $261,693 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $261,693 | $0 | $0 | $0 |
| JEFF DARNABY | ||||||||||||||
| LEAN SPECIALIST | $211,474 | $0 | $1,536 | $0 | $9,563 | $0 | $0 | $0 | $1,959 | $0 | $224,532 | $0 | $0 | $0 |
| HOLLY SCHMIDT | ||||||||||||||
| EXECUTIVE DIRECTOR | $140,935 | $0 | $18,000 | $0 | $4,020 | $0 | $0 | $0 | $22,662 | $0 | $185,617 | $0 | $0 | $0 |
| EMILY PADULA | ||||||||||||||
| EXECUTIVE DIRECTOR | $146,519 | $0 | $14,513 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $161,032 | $0 | $0 | $0 |
| MIKE RENO | ||||||||||||||
| COO | $253,379 | $0 | $14,063 | $0 | $0 | $0 | $0 | $0 | $28,215 | $0 | $295,657 | $0 | $0 | $0 |
| JAMES R PARTIN | ||||||||||||||
| CMO | $268,907 | $0 | $39,750 | $0 | $0 | $0 | $0 | $0 | $27,390 | $0 | $336,047 | $0 | $0 | $0 |
| MAUREEN POLIVKA | ||||||||||||||
| CNO | $180,261 | $0 | $21,250 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $201,511 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 15A | COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO: THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS RELEVANT WAGE SURVEY AND DATA TO DETERMINE CEO COMPENSATION. DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR. AND REPORTED TO THE HOSPITAL BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15B | COMPENSATION REVIEW & APPROVAL PROCESS FOR OTHER OFFICERS: THE CEO REVIEWS WAGE DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR. DATA TO DETERMINE CEO COMPENSATION. DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR. |
| 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 XII, LINE 9 | OTHER CHANGES IN NET ASSETS: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS $ 3,153,521 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 120,959 FOUNDATION CONTRIBUTION (2,525,355) --------------------- TOTAL $ 749,125 |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: THE HOSPITAL BOARD HAS GIVEN THE AUDIT COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. THE CFO DISCUSSES EACH SECTION WITH THE COMMITTEE AND DISCUSSES ANY ISSUES TO BE ADDRESSED FOR FUTURE YEARS. ALL BOARD MEMBERS ARE ALSO PROVIDED A LINK TO ACCESS THE 990 FOR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL AUXILIARY | 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) |
|---|---|---|
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Total Income | -$83,345 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCMH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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) | 11A | HCMH | Yes (true) |
| HILL COUNTRY MEMORIAL FOUNDATION | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742557105 | FUNDRAISING | TX | 501(C)(3) | 11C | NA | false |
| HILL COUNTRY MEMORIAL COMMUNITY SERVICES | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858907 | HOME CARE SRV | TX | 501(C)(3) | 11C | HCMH | Yes (true) |
| HILL COUNTRY MEM MEDICAL OFFICE BLDG | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 79624 | 742858909 | OFFICE BLDG | TX | 501(C)(3) | 11C | HCMH | Yes (true) |
| HILL COUNTRY WELLNESS CENTER | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858905 | HEALTH ED | TX | 501(C)(3) | 11C | HCMH | Yes (true) |
| HILL COUNTRY PHYSICIAN ASSOCIATES | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 262553196 | HEALTHCARE | TX | 501(C)(3) | 11A | 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 | ||||||||||
| P O BOX 835 | FREDERICKSBURG | TX | 78624 | 742912643 | HOSPICE | TX | 501(C)(3) | 3 | HCMH | Yes (true) |
| HEALTHCARE PARTNERSHIP OF GREATER SAN AN | ||||||||||
| 551 HILL COUNTRY DRIVE | KERRVILLE | TX | 78028 | 450599888 | HEALTHCARE | TX | 501(C)(3) | 7 | NA | false |
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 | 204 GATEWAY CIRCLE A | AddressLine1Txt |
| City | MARBLE FALLS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78654 | 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 | -$267,647 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $227,010 | 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 | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GREATER HILL COUNTRY HOSPICE | ||
| Q | $3,039,332 | FMV |
| HILL COUNTRY PHYSICIAN ASSOCIATES | ||
| r | $160,739 | FMV |
| HILL COUNTRY PRIMARY CARE PHYSICIANS | ||
| R | $2,039,656 | FMV |
| HILL COUNTRY MEMORIAL SURGERY CENTER | ||
| R | $450,151 | FMV |