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      <Description>PETERSON 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>
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        <Description>PETERSON 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 &amp; 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>
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        <Description>PETERSON 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>
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        <NamePerson>ALVA BAKER</NamePerson>
        <Title>DIRECTOR OF PHARMACY</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>140338</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13307</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1325569</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>93143</TotalOtherCompensation>
      <NumberIndividualsGT100K>16</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Hill Country Inpatients</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>551 HILL COUNTRY DR</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Hospitalist Program</DescriptionOfServices>
        <Compensation>741452</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Anesthesia Associates of Kerrville</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>420 WATER STREET SUITE 105B</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Anesthesia Services</DescriptionOfServices>
        <Compensation>462448</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Crothall Clinical Equipment Service</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>955 CHESTERBROOK BLVD</AddressLine1>
            <City>WAYNE</City>
            <State>PA</State>
            <ZIPCode>19087</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Equipment Maintenanc</DescriptionOfServices>
        <Compensation>568116</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SODEXHO INC AFFILIATES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 536922</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>303536922</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD SERVICES</DescriptionOfServices>
        <Compensation>477426</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>JR Ramon Sons</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1325 Frio City Rd</AddressLine1>
            <City>SAN ANTONIO</City>
            <State>TX</State>
            <ZIPCode>78226</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>BUILDING DEMOLITION</DescriptionOfServices>
        <Compensation>803891</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>27</NumberOfContractorsGT100K>
      <RelatedOrganizations>894808</RelatedOrganizations>
      <AllOtherContributions>53314</AllOtherContributions>
      <TotalContributions>948122</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Service Revenue</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>92268149</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>92268149</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>92268149</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1006983</TotalRevenueColumn>
        <ExclusionAmount>1006983</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>193913</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>228975</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>-35062</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>-35062</TotalRevenueColumn>
        <ExclusionAmount>-35062</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>6340542</Securities>
        <Other>487501</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>6897045</Securities>
        <Other>80674</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-556503</Securities>
        <Other>406827</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-149596</TotalRevenueColumn>
        <ExclusionAmount>-149596</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Audit Income</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>189765</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>189765</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Thrift Shop Revenue</Description>
        <BusinessCode>453310</BusinessCode>
        <TotalRevenueColumn>329934</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>329934</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Miscellaneous</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>150763</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>150763</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>670462</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>94709058</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>92938611</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>822325</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>9027</Total>
        <ProgramServices>9027</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>27243</Total>
        <ProgramServices>27243</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>228304</Total>
        <ManagementAndGeneral>228304</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>35403317</Total>
        <ProgramServices>31625853</ProgramServices>
        <ManagementAndGeneral>3616208</ManagementAndGeneral>
        <Fundraising>161256</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>955409</Total>
        <ManagementAndGeneral>951432</ManagementAndGeneral>
        <Fundraising>3977</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4931179</Total>
        <ManagementAndGeneral>4908718</ManagementAndGeneral>
        <Fundraising>22461</Fundraising>
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      <PayrollTaxes>
        <Total>2562760</Total>
        <ProgramServices>2331017</ProgramServices>
        <ManagementAndGeneral>219986</ManagementAndGeneral>
        <Fundraising>11757</Fundraising>
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      <FeesForServicesManagement>
        <Total>260163</Total>
        <ProgramServices>230163</ProgramServices>
        <ManagementAndGeneral>30000</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>106043</Total>
        <ManagementAndGeneral>106043</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>107237</Total>
        <ManagementAndGeneral>107237</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>6515204</Total>
        <ProgramServices>5044448</ProgramServices>
        <ManagementAndGeneral>1464912</ManagementAndGeneral>
        <Fundraising>5844</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>293266</Total>
        <ProgramServices>256209</ProgramServices>
        <ManagementAndGeneral>7519</ManagementAndGeneral>
        <Fundraising>29538</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>1526522</Total>
        <ProgramServices>1297194</ProgramServices>
        <ManagementAndGeneral>219924</ManagementAndGeneral>
        <Fundraising>9404</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>48575</Total>
        <ManagementAndGeneral>48575</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1467681</Total>
        <ProgramServices>1312703</ProgramServices>
        <ManagementAndGeneral>154978</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>148341</Total>
        <ProgramServices>148341</ProgramServices>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>157353</Total>
        <ProgramServices>127842</ProgramServices>
        <ManagementAndGeneral>29104</ManagementAndGeneral>
        <Fundraising>407</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>3876965</Total>
        <ProgramServices>3876965</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>8334618</Total>
        <ProgramServices>7251118</ProgramServices>
        <ManagementAndGeneral>1083500</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>-49295</Total>
        <ProgramServices>-42887</ProgramServices>
        <ManagementAndGeneral>-6408</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Bad Debt Expense</Description>
        <Total>6188504</Total>
        <ProgramServices>6188504</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
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        <ProgramServices>16255040</ProgramServices>
        <ManagementAndGeneral>6436</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equipment Repair/Maintenance</Description>
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        <ProgramServices>2131581</ProgramServices>
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      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITING EXPENSES</Description>
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        <ProgramServices>135401</ProgramServices>
        <ManagementAndGeneral>230675</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT/SUPPLY RENTAL</Description>
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        <ProgramServices>577281</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1293882</Total>
        <ProgramServices>766498</ProgramServices>
        <ManagementAndGeneral>479068</ManagementAndGeneral>
        <Fundraising>48316</Fundraising>
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      <TotalFunctionalExpenses>
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        <Fundraising>292960</Fundraising>
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        <EOY>1075</EOY>
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        <EOY>448953</EOY>
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      <LandBuildingsEquipmentBasisNet>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <GrantsPayable>
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      <TaxExemptBondLiabilities>
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        <EOY>74002085</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>1847563</BOY>
        <EOY>1753573</EOY>
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      <TotalLiabilities>
        <BOY>83366580</BOY>
        <EOY>80656836</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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        <EOY>110548902</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>220636</BOY>
        <EOY>222320</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>106704446</BOY>
        <EOY>110771222</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>190071026</BOY>
        <EOY>191428058</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
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      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
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      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksOfArtAmts />
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        <EndOfYearBalance>80263</EndOfYearBalance>
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        <EndOfYearBalance>77800</EndOfYearBalance>
      </CurrentYearMinus1Year>
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      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
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        <BookValue>5007539</BookValue>
      </Land>
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        <BookValue>73581106</BookValue>
      </Buildings>
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        <Depreciation>107404</Depreciation>
        <BookValue>64761</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>28375046</Depreciation>
        <BookValue>18764905</BookValue>
      </Equipment>
      <OtherLandBuildings />
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Self-Insurance Costs</Description>
        <Amount>1753573</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1753573</TotalOfAmounts>
      <TotalRevenue>94709058</TotalRevenue>
      <TotalExpenses>93851901</TotalExpenses>
      <ExcessOrDeficitForYear>857157</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3207938</NetUnrealizedGLOnInvestments>
      <OtherAmount>1506</OtherAmount>
      <TotalAdjustments>3209444</TotalAdjustments>
      <ExcessOrDeficitPerFS>4066601</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>97890384</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3207938</NetUnrealizedGainsInvestments>
      <OtherRevenues>228975</OtherRevenues>
      <RevenueNotRptdF990>3436913</RevenueNotRptdF990>
      <RevenueSubtotal>94453471</RevenueSubtotal>
      <OtherRevenuesNotIncluded>255587</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>255587</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>94709058</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>93823783</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>228975</OtherExpensesIncluded>
      <ExpensesNotRptdF990>228975</ExpensesNotRptdF990>
      <ExpensesSubtotal>93594808</ExpensesSubtotal>
      <OtherExpensesNotIncluded>257093</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>257093</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>93851901</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Describe the Inteneded uses of the organization's endowment funds.</ReturnReference>
        <Explanation>Earnings from the endowment fund will be used for the Hospice program. To date earnings have not been expended.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV />
      <Form990ScheduleDPartXIV />
      <Form990ScheduleDPartXIV />
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGE IN NET ASSETS- OTHER EXPENSE</Identifier>
        <ReturnReference>SCH D, PART XI, LINE 8</ReturnReference>
        <Explanation>SUPPLIES EXPENSE DIFFERENCE- 1,506</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE- 228,975</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XII, LINE 4B</ReturnReference>
        <Explanation>GAIN ON DISPOSAL OF ASSET IN AUDIT EXPENSE- 15,331 EXPENSES INCLUDED IN REVENUE PER BOOKS- 240,256 --------------- 255,587</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE- 228,975</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XIII, LINE 4B</ReturnReference>
        <Explanation>GAIN ON DISPOSAL OF ASSET IN AUDIT EXPENSE- 15,331 EXPENSES INCLUDED IN REVENUE ON BOOKS- 241,762 ----------- 257,093</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV />
      <Form990ScheduleDPartXIV />
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>174.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>6157092</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>6157092</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06560</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>5165160</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4501405</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>663755</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00710</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>985514</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1139329</DirectOffsettingRevenue>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>12307766</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5640734</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6820847</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07270</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>16</NumberOfActivitiesOrPrograms>
        <PersonsServed>2400</PersonsServed>
        <TotalCommunityBenefitExpense>94010</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15415</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>78595</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>9</NumberOfActivitiesOrPrograms>
        <PersonsServed>328</PersonsServed>
        <TotalCommunityBenefitExpense>128575</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>128575</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </HealthProfessionsEducation>
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        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>216640</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>216640</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00240</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>8982</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>8982</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>28</NumberOfActivitiesOrPrograms>
        <PersonsServed>2728</PersonsServed>
        <TotalCommunityBenefitExpense>448207</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15415</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>432792</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00470</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>28</NumberOfActivitiesOrPrograms>
        <PersonsServed>2728</PersonsServed>
        <TotalCommunityBenefitExpense>12755973</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5656149</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7253639</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07740</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2941220</BadDebtExpenseAmount>
      <AmountAttributableTo>1176488</AmountAttributableTo>
      <AmountReimbursedByMedicare>39408165</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>46752863</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-7344698</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Kerrville Cancer Ctr</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Radiation Treatment inpatient</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.00000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.75000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Peterson Regional Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>551 Hill Country Dr</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Peterson Ambulatory Care Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>260 Cully Drive</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Peterson Home Care</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1420 Water Street</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Peterson Hospice</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1121 Broadway</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
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      <Form990ScheduleHPartVI>
        <BadDebtFootnote>THE 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>
        <ShortfallAsCommunityBenefit>THE 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>
        <DebtCollectionPolicy>IF 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>
        <NeedsAssessment>PETERSON 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>
        <PatientEducationAssistance>PATIENTS 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>
        <CommunityInformation>PRMC 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>
        <CommunityBuildingActivities>PRMC 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>
        <OtherInformation>PRMC 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>
        <ReportsFiledWithStates>TX</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Education Assistance</TypeOfGrant>
        <NumberOfRecipients>19</NumberOfRecipients>
        <AmountOfCashGrant>27243</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Part I, Question 2</Identifier>
        <ReturnReference>Procedures for Monitoring the use of grant funds to U.S.</ReturnReference>
        <Explanation>In 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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Patrick Murray</NamePerson>
        <BaseCompensationFilingOrg>228304</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>7680</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Robert Walther</NamePerson>
        <BaseCompensationFilingOrg>148800</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Anne O'Brien</NamePerson>
        <BaseCompensationFilingOrg>147429</BaseCompensationFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>James Merrick</NamePerson>
        <BaseCompensationFilingOrg>161334</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8246</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4165</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>173745</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carlos Perez</NamePerson>
        <BaseCompensationFilingOrg>149583</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6302</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>155885</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALVA BAKER</NamePerson>
        <BaseCompensationFilingOrg>140338</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>6163</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>153645</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, QUESTION 4A</Identifier>
        <ReturnReference>INDIVIDUAL REPORTED IN FORM 990 PART VII RECEIVED SEVERANCE PAYMENT</ReturnReference>
        <Explanation>EMPLOYMENT 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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF KERRVILLE TX HEALTH FACILITIES DEV CORP</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>203591155</IssuerEIN>
        <CUSIPNumber>492436AA8</CUSIPNumber>
        <DateIssued>2005-10-26</DateIssued>
        <IssuePrice>81675000</IssuePrice>
        <DescriptionOfPurpose>finance cost of health facilities</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
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        <TotalProceeds>81675000</TotalProceeds>
        <AmountInReserveFund>5694385</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1959776</IssuanceCostsFromProceeds>
        <CapitalExpenditures>74020839</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HUSER CONSTRUCTION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DIRECTOR HUSER-OWNER</Relationship>
        <AmountOfTransaction>77655</AmountOfTransaction>
        <DescriptionOfTransaction>CONSTRUCTION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Elizabeth Murray</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Wife of CEO</Relationship>
        <AmountOfTransaction>23353</AmountOfTransaction>
        <DescriptionOfTransaction>SALARIES/WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Part VI, Question 11</Identifier>
        <ReturnReference>Describe process to review 990</ReturnReference>
        <Explanation>The 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Question 15a</Identifier>
        <ReturnReference>Describe process for determining compensation of ceo or top official</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Question 19</Identifier>
        <ReturnReference>Describe how documents are made available to the public</ReturnReference>
        <Explanation>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Question 12c</Identifier>
        <ReturnReference>describe how organization monitors and enforced compliance with policy</ReturnReference>
        <Explanation>The organization internally reviews transactions for possible conflict on a routine basis throughout the year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VII, SECTION A</Identifier>
        <ReturnReference>COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, ETC.</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Peterson Regional Medical Center Fdn</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>551 Hill Country Drive</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </AddressUS>
        <EIN>742645149</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PETERSON MEDICAL ASSOCIATES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>551 HILL COUNTRY DR</AddressLine1>
          <City>KERRVILLE</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </AddressUS>
        <EIN>272184637</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>509(a) C-CORP</TypeOfEntity>
        <ShareOfTotalIncome>295</ShareOfTotalIncome>
        <ShareOfEOYAssets>12719</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PETERSON REGIONAL MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>894808</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PETERSON MEDICAL ASSOCIATES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>67063</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>