SID PETERSON MEMORIAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SID PETERSON MEMORIAL HOSPITAL (EIN 74-2557820)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-03-07
IRS object ID
201120669349300167
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-03-07T16:29:12-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742557820EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sid Peterson Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSIDPNameControl
Phone8302587632Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 Hill Country DriveAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert H WaltherName
TitleCFOTitle
Date Signed2011-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Peterson Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert H WaltherNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1551 Hill Country DrAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode
FieldValueIRS element (for citing)
Gross Receipts101915752GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL'S MISSION IS TO LEAD THE HILL COUNTRY'S MEDICAL COMMUNITY IN DELIVERING EXCEPTIONAL, COMPASSIONATE, AND PATIENT-CENTERED HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1085TotalNbrEmployees
Total Nbr Volunteers123TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year11159647ContributionsGrantsPriorYear
Contributions Grants Current Year948122ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85099511ProgramServiceRevenuePriorYear
Program Service Revenue CY92268149ProgramServiceRevenueCY
Investment Income Prior Year-4303286InvestmentIncomePriorYear
Investment Income Current Year857387InvestmentIncomeCurrentYear
Other Revenue Prior Year914112OtherRevenuePriorYear
Other Revenue Current Year635400OtherRevenueCurrentYear
Total Revenue Prior Year92869984TotalRevenuePriorYear
Total Revenue Current Year94709058TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year58396GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY36270GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40587715SalariesEtcPriorYear
Salaries Etc Current Year44080969SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year292960TotalFundrsngExpCurrentYear
Other Expense Prior Year48592085OtherExpensePriorYear
Other Expenses Current Year49734662OtherExpensesCurrentYear
Total Expenses Prior Year89238196TotalExpensesPriorYear
Total Expenses Current Year93851901TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3631788RevenuesLessExpensesPriorYear
Revenues Less Expenses CY857157RevenuesLessExpensesCY
Total Assets BOY190071026TotalAssetsBOY
Total Assets EOY191428058TotalAssetsEOY
Total Liabilities BOY83366580TotalLiabilitiesBOY
Total Liabilities EOY80656836TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY106704446NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY110771222NetAssetsOrFundBalancesEOY
Mission DescriptionTHE HOSPITAL'S MISSION IS TO LEAD THE HILL COUNTRY'S MEDICAL COMMUNITY IN DELIVERING EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED HEALTH CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense76121312Expense
Grants9027Grants
Revenue88539188Revenue
DescriptionPETERSON REGIONAL MEDICAL CENTER IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL IN KERRVILLE, TEXAS. KERRVILLE IS LOCATED IN KERR COUNTY, APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO AND 80 MILES SOUTH WEST OF AUSTIN. PETERSON REGIONAL MEDICAL CENTER SERVES THE COMMUNITIES AND RESIDENTS IN THE FOLLOWING COUNTIES: KERR, BANDERA, GILLESPIE, KIMBLE, EDWARDS AND REAL. PETERSON REGIONAL MEDICAL CENTER ANCHORS A 35-ACRE CAMPUS INCLUDING A 124 BED ACUTE CARE HOSPITAL PROVIDING SERVICES INCLUDING: 24/7 EMERGENCY DEPARTMENT, WOMEN'S SERVICES (INCLUDING MATERNAL/NEWBORN), ACUTE INPATIENT REHABILITATION, ORTHOPEDICS, GENERAL SURGERY, DIAGNOSTIC IMAGING, INTENSIVE CARE UNIT, AND LABORATORY. ON THE SAME CAMPUS IS AN AMBULATORY CARE CENTER PROVIDING OUTPATIENT REHAB SERVICES, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTIC IMAGING AND HYPERBARIC WOUND CARE. PETERSON HOSPICE SERVICE AND PETERSON HOME CARE SERVICES ARE ALSO MEMBERS OF THE PETERSON REGIONAL FAMILY OF SERVICES BUT LOCATED OFF-SITE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1155603Expense
Revenue1285226Revenue
DescriptionPETERSON HOME CARE - PETERSON HOME CARE PROVIDES A COMPREHENSIVE TEAM OF HEALTHCARE PROFESSIONALS TO THE RESIDENTS OF THE HILL COUNTRY, SPECIFICALLY KERR, GILLESPIE AND BANDERA COUNTIES. PETERSON HOME CARE IS A NOT-FOR PROFIT ORGANIZATION PROVIDING A COMPREHENSIVE RANGE OF PROFESSIONAL SERVICES INCLUDING: NURSING CARE, PHYSICAL & SPEECH THERAPY, OSTOMY AND WOUND CARE, IV ANTIBIOTICS, CHEMOTHERAPY, AIDE SERVICES AND MEDICATION MANAGEMENT. ALL SERVICES ARE COORDINATED THROUGH AN INTERDISCIPLINARY APPROACH TO PATIENT CARE AND ESTABLISHED UNDER A PLAN OF TREATMENT OF A PHYSICIAN. DIAGNOSTIC AND LABORATORY SERVICES, AS WELL AS MEDICAL AND SURGICAL SUPPLIES ARE ALSO PROVIDED IN CONJUNCTION WITH SKILLED CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2272626Expense
Revenue3114197Revenue
DescriptionPETERSON HOSPICE IS A DEPARTMENT OF PRMC AND IS LOCATED OFF CAMPUS. IT OPERATES AS ONE OF THE HOSPITAL'S MANY OUTREACHES FOR THE HILL COUNTRY COMMUNITIES IT SERVES. PETERSON HOSPICE IS THE ONLY NON-PROFIT HOSPICE IN THE HILL COUNTRY WITH A MISSION THAT NO ONE WILL BE DENIED HOSPICE CARE BECAUSE OF AN INABILITY TO PAY. IN ADDITION TO PROVIDING HOSPICE CARE, PETERSON HOSPICE ALSO PROVIDES THE FOLLOWING UNFUNDED COMMUNITY SERVICES: 1. NAVIGATING THE WATERS OF GRIEF ~ A SIX WEEK GRIEF SUPPORT GROUP FOR ADULTS. THIS PROGRAM IS FACILITATED TWICE A YEAR BY A GRIEF EXPERT WHO IS A LICENSED MEDICAL SOCIAL WORKER (MSW). NAVIGATING THE WATERS OF GRIEF WORKS CLOSELY WITH HILL COUNTRY CLERGY AND THE LOCAL COMMUNITIES TO SERVE HOSPICE FAMILIES AS WELL AS OTHERS FACING THE LOSS OF A LOVED ONE OR FRIEND. 2. BRIDGING THE GAP ~ A SIX WEEK GRIEF SUPPORT GROUP FOR CHILDREN AGES KINDER THROUGH 12TH GRADE. THIS PROGRAM GIVES THEM THE TOOLS THEY NEED TO WORK THROUGH THE GRIEVING PROCESS. THE PARENTS ATTEND AS WELL TO OPEN COMMUNICATION AND FEELINGS TO HELP THE CHILD DEAL WITH GRIEF AT THEIR AGE APPROPRIATE LEVEL. BTG WORKS WITH ALL HILL COUNTRY SCHOOLS AND THEIR COUNSELORS. THE LOCAL COMMUNITY SERVES AS FACILITATORS AND VOLUNTEERS FOR THIS EXCELLENT PROGRAM. 3. CAMP RAYS OF HOPE ~ IS A STATEWIDE PROGRAM WHICH IS A WEEKEND RETREAT FOR GRIEVING CHILDREN THAT INCORPORATES THE PARENTS AS WELL. THE CHILDREN LEARN NEW WAYS TO COPE WITH THEIR LOSS, AND TO MEET OTHERS WITH SIMILAR CIRCUMSTANCES TO REMEMBER SPECIAL TIMES, TO MAKE NEW FRIENDS, AND TO HAVE FUN. 4. FLORAL PROGRAM ~ IS A VOLUNTEER DRIVEN PROGRAM THAT DELIVERS FLOWERS TO OUR PATIENTS. THE LOCAL FLORISTS IN THE AREA DONATE THE FLOWERS AND VOLUNTEERS ARRANGE AND DELIVER THEM. VOLUNTEERS ALSO SUPPORT FAMILIES AND PATIENTS WITH THEIR VISITS. 5. PATHWAYS ~ THIS VOLUNTEER OUTREACH OFFERS HOME BASED SOCIAL AND EMOTIONAL SUPPORT TO CLIENTS WITH AN ILLNESS THAT HAS A LIMITED LIFE EXPECTANCY BUT IS NOT YET HOSPICE APPROPRIATE. VOLUNTEERS HELP REDUCE THE ISOLATION AND VULNERABILITY THAT CLIENTS AND FAMILIES EXPERIENCE DURING A DIFFICULT TIME. EDUCATION IS AVAILABLE THROUGH PRMC RESOURCES REGARDING DISEASE PROCESSES, COPING STRATEGIES, ADVANCE DIRECTIVES, AND PRACTICAL AND SPIRITUAL ISSUES. THIS SUPPORT HELPS CLIENTS DEFINE THEIR QUALITY OF LIFE. 6. COMMUNITY SERVE PROGRAM ~ OFFERING OPPORTUNITIES FOR CITIZENS TO FULFILL COURT OBLIGATIONS IN A BENEFICIAL MATTER.Description
FieldValueIRS element (for citing)
Total Program Service Expense79549541TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1085NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSID PETERSON MEMORIAL HOSPITALNamePerson
Telephone Number8308964200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
V Earl Merritt Jr MD
Vice President3.0XX000
Stephen Huser
Secretary4.0XX000
Sam Junkin
Trustee3.0X000
William Allen Jr MD
Trustee2.0X000
Cecil Atkission
President4.0XX000
Louis Romero
Trustee2.0X000
MIKE BAUMANN
TRUSTEE2.5X000
REBECCA BARRINGTON MD
TRUSTEE2.0X000
WARREN FERGUSON
TRUSTEE4.0X000
HAROLD WILSON
TRUSTEE2.0X000
GLORIA OLSEN PHD
TRUSTEE4.0X000
Patrick Murray
CEO40.0X228304017057
Robert Walther
CFO40.0X148800013237
STEVE PAULTER
COO40.0X8708604514
Anne O'Brien
Chief of Nursing Officer40.0147429011620X
James Merrick
Pharmacist Supervisor40.0161334012411X
Carlos Perez
Pharmacist40.014958306302X
Larry Nelson
Pharmacist40.013951705698X
WILLIAM DANIEL
PHARMACIST40.012317808997X
ALVA BAKER
DIRECTOR OF PHARMACY40.0140338013307X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1325569TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation93143TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Hill Country Inpatients
551 HILL COUNTRY DRKERRVILLETX78028Hospitalist Program741452
Anesthesia Associates of Kerrville
420 WATER STREET SUITE 105BKERRVILLETX78028Anesthesia Services462448
Crothall Clinical Equipment Service
955 CHESTERBROOK BLVDWAYNEPA19087Equipment Maintenanc568116
SODEXHO INC AFFILIATES
PO BOX 536922ATLANTAGA303536922FOOD SERVICES477426
JR Ramon Sons
1325 Frio City RdSAN ANTONIOTX78226BUILDING DEMOLITION803891
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Related Organizations894808RelatedOrganizations
All Other Contributions53314AllOtherContributions
Total Contributions948122TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code900099BusinessCode
Total Revenue Column92268149TotalRevenueColumn
Related Or Exempt Function Income92268149RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue92268149TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1006983TotalRevenueColumn
Exclusion$1,006,983ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real193913Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real228975Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-35062Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-35062TotalRevenueColumn
Exclusion-$35,062ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6340542Securities
Other487501Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6897045Securities
Other80674Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-556503Securities
Other406827Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-149596TotalRevenueColumn
Exclusion-$149,596ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Audit Income900099189765189765
Thrift Shop Revenue453310329934329934
Miscellaneous900099150763150763
FieldValueIRS element (for citing)
Total Other Revenue670462TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column94709058TotalRevenueColumn
Related Or Exempt Function Income92938611RelatedOrExemptFunctionIncome
Exclusion$822,325ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9027Total
Program Services9027ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total27243Total
Program Services27243ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total228304Total
Management And General228304ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35403317Total
Program Services31625853ProgramServices
Management And General3616208ManagementAndGeneral
Fundraising161256Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total955409Total
Management And General951432ManagementAndGeneral
Fundraising3977Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4931179Total
Management And General4908718ManagementAndGeneral
Fundraising22461Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2562760Total
Program Services2331017ProgramServices
Management And General219986ManagementAndGeneral
Fundraising11757Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total260163Total
Program Services230163ProgramServices
Management And General30000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total106043Total
Management And General106043ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total107237Total
Management And General107237ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6515204Total
Program Services5044448ProgramServices
Management And General1464912ManagementAndGeneral
Fundraising5844Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total293266Total
Program Services256209ProgramServices
Management And General7519ManagementAndGeneral
Fundraising29538Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1526522Total
Program Services1297194ProgramServices
Management And General219924ManagementAndGeneral
Fundraising9404Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total48575Total
Management And General48575ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1467681Total
Program Services1312703ProgramServices
Management And General154978ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total148341Total
Program Services148341ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total157353Total
Program Services127842ProgramServices
Management And General29104ManagementAndGeneral
Fundraising407Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3876965Total
Program Services3876965ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8334618Total
Program Services7251118ProgramServices
Management And General1083500ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total-49295Total
Program Services-42887ProgramServices
Management And General-6408ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense61885046188504
Medical Supplies16261476162550406436
Equipment Repair/Maintenance22547702131581123189
RECRUITING EXPENSES366076135401230675
EQUIPMENT/SUPPLY RENTAL577281577281

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1293882Total
Program Services766498ProgramServices
Management And General479068ManagementAndGeneral
Fundraising48316Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total93851901Total
Program Services79549541ProgramServices
Management And General14009400ManagementAndGeneral
Fundraising292960Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY875BOY
EOY1075EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY28744108BOY
EOY20387533EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8777680BOY
EOY10628793EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2664913BOY
EOY2669164EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY566517BOY
EOY448953EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis166983650LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec69565339LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY101375130BOY
EOY97418311EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY44774546BOY
EOY56430526EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3167257BOY
EOY3443703EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY190071026BOY
EOY191428058EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5997201BOY
EOY4901177EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY1EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY75521816BOY
EOY74002085EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1847563BOY
EOY1753573EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY83366580BOY
EOY80656836EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY106483810BOY
EOY110548902EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY220636BOY
EOY222320EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106704446BOY
EOY110771222EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY190071026BOY
EOY191428058EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$7,079GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB7079TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance77800BeginningOfYearBalance
Investment Earnings Or Losses2661InvestmentEarningsOrLosses
Administrative Expenses198AdministrativeExpenses
End Of Year Balance80263EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance76860BeginningOfYearBalance
Investment Earnings Or Losses1116InvestmentEarningsOrLosses
Administrative Expenses176AdministrativeExpenses
End Of Year Balance77800EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5007539OtherCostOrOtherBasis
Book Value5007539BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis114663995OtherCostOrOtherBasis
Depreciation41082889Depreciation
Book Value73581106BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis172165OtherCostOrOtherBasis
Depreciation107404Depreciation
Book Value64761BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis47139951OtherCostOrOtherBasis
Depreciation28375046Depreciation
Book Value18764905BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings97418311TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSelf-Insurance CostsDescription
Amount$1,753,573Amount
FieldValueIRS element (for citing)
Total Of Amounts1753573TotalOfAmounts
Total Revenue94709058TotalRevenue
Total Expenses93851901TotalExpenses
Excess Or Deficit For Year857157ExcessOrDeficitForYear
Net Unrealized GL On Investments3207938NetUnrealizedGLOnInvestments
Other$1,506OtherAmount
Total Adjustments3209444TotalAdjustments
Excess Or Deficit Per FS4066601ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt97890384TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3207938NetUnrealizedGainsInvestments
Other Revenues228975OtherRevenues
Revenue Not Rptd F9903436913RevenueNotRptdF990
Revenue Subtotal94453471RevenueSubtotal
Other Revenues Not Included255587OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt255587RevenueNotRptdOnFinStmt
Total Revenue Per Form99094709058TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt93823783TotExpensesEtcAuditedFinclStmt
Other Expenses Included228975OtherExpensesIncluded
Expenses Not Rptd F990228975ExpensesNotRptdF990
Expenses Subtotal93594808ExpensesSubtotal
Other Expenses Not Included257093OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt257093ExpensesNotRptdOnFinStmt
Total Expenses Per Form99093851901TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4Describe the Inteneded uses of the organization's endowment funds.Earnings from the endowment fund will be used for the Hospice program. To date earnings have not been expended.
RECONCILIATION OF CHANGE IN NET ASSETS- OTHER EXPENSESCH D, PART XI, LINE 8SUPPLIES EXPENSE DIFFERENCE- 1,506
RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURNSCH D, PART XII, LINE 2DRENTAL EXPENSES NETTED WITH REVENUE- 228,975
RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURNSCH D, PART XII, LINE 4BGAIN ON DISPOSAL OF ASSET IN AUDIT EXPENSE- 15,331 EXPENSES INCLUDED IN REVENUE PER BOOKS- 240,256 --------------- 255,587
RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURNSCH D, PART XIII, LINE 2DRENTAL EXPENSES NETTED WITH REVENUE- 228,975
RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURNSCH D, PART XIII, LINE 4BGAIN ON DISPOSAL OF ASSET IN AUDIT EXPENSE- 15,331 EXPENSES INCLUDED IN REVENUE ON BOOKS- 241,762 ----------- 257,093
FieldValueIRS element (for citing)
Form990 Schedule D Part XIVForm990ScheduleDPartXIV
Form990 Schedule D Part XIVForm990ScheduleDPartXIV
Form990 Schedule D Part XIVForm990ScheduleDPartXIV
Form990 Schedule D Part XIVForm990ScheduleDPartXIV
Form990 Schedule D Part XIVForm990ScheduleDPartXIV

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage174.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6157092TotalCommunityBenefitExpense
Net Community Benefit Expense6157092NetCommunityBenefitExpense
Percent Of Total Expense0.06560PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5165160TotalCommunityBenefitExpense
Direct Offsetting Revenue4501405DirectOffsettingRevenue
Net Community Benefit Expense663755NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense985514TotalCommunityBenefitExpense
Direct Offsetting Revenue1139329DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12307766TotalCommunityBenefitExpense
Direct Offsetting Revenue5640734DirectOffsettingRevenue
Net Community Benefit Expense6820847NetCommunityBenefitExpense
Percent Of Total Expense0.07270PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served2400PersonsServed
Total Community Benefit Expense94010TotalCommunityBenefitExpense
Direct Offsetting Revenue15415DirectOffsettingRevenue
Net Community Benefit Expense78595NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served328PersonsServed
Total Community Benefit Expense128575TotalCommunityBenefitExpense
Net Community Benefit Expense128575NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Benefit Expense216640TotalCommunityBenefitExpense
Net Community Benefit Expense216640NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense8982TotalCommunityBenefitExpense
Net Community Benefit Expense8982NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs28NumberOfActivitiesOrPrograms
Persons Served2728PersonsServed
Total Community Benefit Expense448207TotalCommunityBenefitExpense
Direct Offsetting Revenue15415DirectOffsettingRevenue
Net Community Benefit Expense432792NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs28NumberOfActivitiesOrPrograms
Persons Served2728PersonsServed
Total Community Benefit Expense12755973TotalCommunityBenefitExpense
Direct Offsetting Revenue5656149DirectOffsettingRevenue
Net Community Benefit Expense7253639NetCommunityBenefitExpense
Percent Of Total Expense0.07740PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$2,941,220BadDebtExpenseAmount
Amount Attributable To1176488AmountAttributableTo
Amount Reimbursed By Medicare39408165AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare46752863CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7344698MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1Kerrville Cancer CtrBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityRadiation Treatment inpatientDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.00000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.75000PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalEr24 HoursEr24Hours
Peterson Regional Medical Center
551 Hill Country DrKerrvilleTX78028XX
Peterson Ambulatory Care Center
260 Cully DriveKerrvilleTX78028X
Peterson Home Care
1420 Water StreetKerrvilleTX78028X
Peterson Hospice
1121 BroadwayKerrvilleTX78028X

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteTHE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS, BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. AMOUNT REPORTED IN ITEM 3 ARE THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 40%.BadDebtFootnote
Shortfall As Community BenefitTHE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICAID OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.ShortfallAsCommunityBenefit
Debt Collection PolicyIF THE PATIENT QUALIFIES FOR CHARITY CARE PER WRITTEN HOSPITAL CRITERIA, THE QUALIFYING BALANCE IS WRITTEN OFF TO CHARITY CARE AND NO FURTHER COLLECTION EFFORTS ARE MADE.DebtCollectionPolicy
Needs AssessmentPETERSON REGIONAL MEDICAL CENTER (PRMC) ASSESSES COMMUNITY NEEDS THROUGH A COMBINATION OF OUTSIDE SOURCES LIKE FOCUS GROUPS TO DETERMINE COMMUNITY PERCEPTIONS ABOUT OUR SERVICES (EMERGENCY DEPARTMENT AND WOMEN'S HEALTH SERVICES MOST RECENTLY), THOMSON REUTERS, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND ORGANIZATIONS INCLUDING CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT COMMISSION AND TEXAS HOSPITAL ASSOCIATION. ALONG WITH INFORMATION AND DATA GATHERED FROM THESE EXTERNAL SOURCES PRMC USES PRESSGANEY SURVEYS FOR PATIENTS, EMPLOYEES AND PHYSICIANS. PRESENTLY PRMC OFFERS MOST OF THE SAME HIGH-TECH MEDICAL TREATMENTS AND PROCEDURES FOUND IN NEARBY URBAN AREAS. ADDITIONALLY, THE 35-ACRE PRMC CAMPUS INCLUDES AN AMBULATORY CARE CENTER COMPLETE WITH OUTPATIENT SURGERY, IMAGING, LABORATORY, INFUSION SERVICES AND REHABILITATION SERVICES INCLUDING A LARGE INDOOR HEATED THERAPY POOL AS WELL AS A REGIONAL WOUND HEALING CENTER.NeedsAssessment
Patient Education AssistancePATIENTS WHO HAVE OR WILL HAVE A PATIENT RESPONSIBILITY ARE APPROACHED BY PATIENT REGISTRATION STAFF TO MAKE FINANCIAL ARRANGEMENTS PRIOR TO OR AT THE TIME OF SERVICE. ANY PATIENT WHO CANNOT MAKE APPROPRIATE FINANCIAL ARRANGEMENTS IS REFERRED TO MEDICAL THIRD PARTY RESOURCES (MTPR) (A GROUP CONTRACTED BY HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR FINANCIAL ASSISTANCE) FOR POSSIBLE FINANCIAL ASSISTANCE FOR WHICH THEY MAY QUALIFY. IF PATIENT DOES NOT QUALIFY FOR ASSISTANCE THROUGH MTPR, REGISTRATION STAFF OFFER AN INTERNAL FINANCIAL AID APPLICATION (CHARITY CARE) AND EXPLAIN THE PROCESS. MTPR CONTACTS ALL REFERRED UNINSURED PATIENTS, NOT SEEN AT THE TIME OF HOSPITAL PRE-REGISTRATION OR AT REGISTRATION, BY SENDING A LETTER, CONTACT BY PHONE, AND OR PERSONAL VISIT, INFORMING THEM OF FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS THAT MAY ASSIST WITH UNPAID MEDICAL BILLS. THE PATIENT IS INSTRUCTED TO CALL OR COME BY THE OFFICE TO BE SCREENED FOR POSSIBLE ASSISTANCE. IF PATIENT IS POTENTIALLY ELIGIBLE, MTPR WILL ASSIST WITH THE APPLICATION PROCESS AND GATHERING OF NECESSARY VERIFICATION. IF NO ASSISTANCE IS AVAILABLE THROUGH THESE PROGRAMS, MTPR WILL OFFER A FINANCIAL AID APPLICATION (CHARITY CARE) FOR POSSIBLE ASSISTANCE WITH THE HOSPITAL BILL. AT THE TIME OF BILLING FOR PATIENTS WITH SELF PAY BALANCES, BUSINESS OFFICE INCLUDE LETTERS WHICH STATE TO CALL IF FINANCIAL ASSISTANCE IS NEEDED. WHEN PAYMENTS ARE NOT RECEIVED IN A TIMELY MANNER, A COURTESY CALL TO THE PATIENT IS ATTEMPTED TO MAKE PAYMENT ARRANGEMENTS. IF THE PATIENT STATES THAT THEY DO NOT HAVE MEANS TO PAY THE BILL, AN OFFER IS AGAIN MADE TO CONTACT MTPR FOR FINANCIAL ASSISTANCE OR WE OFFER TO MAIL OUR FINANCIAL AID APPLICATION. A POSTING IS DISPLAYED IN REGISTRATION AREAS THAT WE OFFER CHARITY CARE AND TO CONTACT THE BUSINESS OFFICE (PHONE NUMBER IS PROVIDED) FOR DETAILS.PatientEducationAssistance
Community InformationPRMC SERVES A REGION OF APPROXIMATELY 6 COUNTIES, MORE THAN 40,000 PEOPLE LIVE WITHIN PRMC'S PRIMARY SERVICE AREA AND APPROXIMATELY 80,000 PEOPLE RESIDE IN PRMC'S OVERALL SERVICE AREA REPRESENTED BY KERR, KENDALL, KIMBLE, BANDERA, EDWARDS, GILLESPIE AND REAL COUNTIES. PRMC OPERATES WITHIN A COMPETITIVE HEALTHCARE MARKETPLACE. LOCATED APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO, RESIDENTS OF THE TEXAS HILL COUNTRY HAVE RELATIVELY EASY ACCESS TO THE SOUTH TEXAS MEDICAL CENTER, A MEDICAL DISTRICT CONSISTING OF 45 MEDICALLY RELATED INSTITUTIONS- VARIOUS SEPARATE MEDICAL, DENTAL AND NURSING SCHOOLS, TWELVE HOSPITALS AND FIVE SPECIALTY INSTITUTIONS.CommunityInformation
Community Building ActivitiesPRMC ACTIVELY PROMOTES HEALTHCARE AND WELLNESS EDUCATION WITHIN THE COMMUNITIES WE SERVE THROUGH LOW OR NO COST SCREENINGS, MONTHLY EDUCATIONAL SEMINARS ADDRESSING IMPORTANT AND TIMELY MEDICAL ISSUES, EVENTS AND PUBLICATIONS. PRMC EMPLOYS A HEALTH AND WELLNESS COORDIANTOR TO HELP ORGANIZE, SCHEDULE, AND EXECUTE THE COMMUNITY SEMINARS AND SCREENINGS. WORKING WITH LOCAL BUSINESSES, CHURCHES, COMMUNITY GROUPS, AND SENIORS, PRMC BRINGS INFORMATION AND EDUCATION OUT INTO THE COMMUNITIES WE SERVE THROUGH PROGRAMS LIKE THE ANNUAL FLU CLINIC, LOW COST LAB TESTING OPTIONS, AND EVEN A COMMUNITY VEGETABLE GARDEN GROWN BY UNDERPRIVILEGED SCHOOL CHILDREN TO HELP BETTER NUTRITION.CommunityBuildingActivities
Other InformationPRMC HAS AN OPEN MEDICAL STAFF. THE HOSPITAL IS ACTIVE IN OUR COMMUNITY BY CONTRIBUTING BOTH TIME AND EMPLOYEE VOLUNTEERS TO HELP HEALTH AND WELLNESS ACTIVITIES OF AMERICAN HEART ASSOCIATION, RELAY FOR LIFE AND OUR LOCAL SPECIAL OLYMPICS EVENT - JUST TO NAME A FEW. PRMC WORKS CLOSELY WITH THE RAPHAEL CLINIC (THE LOCAL NO-COST MEDICAL CLINIC FOR PATIENTS WHO HAVE NO INSURANCE) ASSISTING THEM WITH SUPPLIES, STAFF, FREE LAB AND IMAGING SERVICES AND EDUCATIONAL SUPPORT. PRMC PROVIDED IN EXCESS OF $1,000,000 IN CHARITY CARE PER MONTH THIS PAST FISCAL YEAR. SEVERAL TIMES A YEAR, IN DIFFERENT COMMUNITIES, PRMC HAS FREE CHILD SAFETY SEAT CHECKUPS TO BE SURE BOTH CHILD SEATS AND BOOSTERS ARE INSTALLED PROPERLY. FREE CHILD SEATS ARE GIVEN TO THOSE WHO ATTEND AND EITHER DO NOT HAVE A CAR SEAT OR WHEN THE ONE BEING USED IS UNSAFE.OtherInformation
Reports Filed With StatesTXReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEducation AssistanceTypeOfGrant
Number Of Recipients19NumberOfRecipients
Amount Of Cash Grant27243AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPart I, Question 2Identifier
Return ReferenceProcedures for Monitoring the use of grant funds to U.S.ReturnReference
ExplanationIn order to be eligible to receive funds from Peterson Regional Medical Center's School or Work Study Programs, the following criteria must be met: 1)A copy of the student's degree plan from the educational institution 2)A copy of the bill 3)The requested courses for the semester 4)A current copy of the student's FAFSA confirmation 5)E-mail/MOX from the unit manager acknowledging the student is enrolling 6)Personal data from current to this semester 7)Copy of grades from any previous paid classes 8)If work study, a copy of the signed promissory agreement 9)If work study, the application every student is required to complete and present this information for every semester they request scholarship funds. The request for funds is considered only after all paperwork is turned in and passing grades from the previous semester funds are presented.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Patrick Murray
228304000009377076800245361000
Robert Walther
148800000007652055850162037000
Anne O'Brien
147429000006574050460159049000
James Merrick
161334000008246041650173745000
Carlos Perez
149583000006302000155885000
ALVA BAKER
140338000007144061630153645000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPART I, QUESTION 4AIdentifier
Return ReferenceINDIVIDUAL REPORTED IN FORM 990 PART VII RECEIVED SEVERANCE PAYMENTReturnReference
ExplanationEMPLOYMENT OF ANNE O'BRIEN, CHIEF OF NURSING OFFICER, TERMINATED IN DECEMBER 2009 RESULTING IN CALENDAR YEAR 2009 AND 2010 SEVERANCE PAYMENTS IN THE AMOUNTS OF $4,954 AND $28,624, RESPECTIVELY.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF KERRVILLE TX HEALTH FACILITIES DEV CORPBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN203591155IssuerEIN
CUSIP Number492436AA8CUSIPNumber
Date Issued2005-10-26DateIssued
Issue Price81675000IssuePrice
Description Of Purposefinance cost of health facilitiesDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds81675000TotalProceeds
Amount In Reserve Fund5694385AmountInReserveFund
Issuance Costs From Proceeds1959776IssuanceCostsFromProceeds
Capital Expenditures74020839CapitalExpenditures
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
HUSER CONSTRUCTION
DIRECTOR HUSER-OWNER77655CONSTRUCTIONfalse
Elizabeth Murray
Wife of CEO23353SALARIES/WAGESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Question 11Describe process to review 990The organization engages an outside accounting firm to perpare form 990. Once prepared, the form is reviewed by the organization's internal accountants, CEO, CFO, and Controller, and copies of the return are provided to each Board Member for input prior to filing.
Part VI, Question 15aDescribe process for determining compensation of ceo or top officialTHE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS COMPOSED OF THREE DIRECTORS AND ONE ADVISORY DIRECTOR APPOINTED BY THE CHAIRMAN OF THE BOARD AND APPROVED BY THE BOARD. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE HISTORY OF COMPENSATION FOR THE CEO, COMPARES COMPENSATION FOR PETERSON REGIONAL MEDICAL CENTER WITH THAT OF OTHER NOT FOR PROFIT HOSPITALS OF SIMILAR SIZE AND SERVICE, ANALYZES LOCAL AND NATIONAL DATA REGARDING SUCH COMPENSATION, AND RECOMMENDS ACTION TO THE BOARD OF DIRECTORS. AFTER EXTENSIVE EVALUATION OF THE WORK OF THE CEO, AND REVIEW OF THE DATA GATHERED BY THE COMMITTEE, THE BOARD DETERMINES COMPENSATION FOR THE YEAR.
Part VI, Question 19Describe how documents are made available to the publicThe organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Part VI, Question 12cdescribe how organization monitors and enforced compliance with policyThe organization internally reviews transactions for possible conflict on a routine basis throughout the year.
PART VII, SECTION ACOMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, ETC.KAELI DRESSLER ASSUMED THE ROLE OF CNO IN APRIL 2010. BECAUSE KEY EMPLOYEES ARE REPORTED BASED ON COMPENSATION EARNED DURING THE 2009 CALENDAR YEAR, KAELI DRESSLER DOES NOT MEET THE DEFINITION OF KEY EMPLOYEE FOR THE CURRENT YEAR AND ACCORDINGLY, IS NOT REPORTED ON FORM 990, PART VII.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Peterson Regional Medical Center FdnBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1551 Hill Country DriveAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode
FieldValueIRS element (for citing)
EIN742645149EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateTXLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status11aPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PETERSON MEDICAL ASSOCIATESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRAddressLine1
CityKERRVILLECity
StateTXState
ZIP Code78028ZIPCode
FieldValueIRS element (for citing)
EIN272184637EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of Entity509(a) C-CORPTypeOfEntity
Share Of Total Income295ShareOfTotalIncome
Share Of EOY Assets12719ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
PETERSON REGIONAL MEDICAL CENTER FOUNDATION
C894808
PETERSON MEDICAL ASSOCIATES
D67063

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