STRATEGY STUDIO / PUBLIC DATA EXPLORER

SID PETERSON MEMORIAL HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SID PETERSON MEMORIAL HOSPITAL (EIN 74-2557820)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-03-13
IRS object ID
202400739349300105
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-03-13T06:58:02-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN742752212PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MASSEY ITSCHNER & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1820 MAIN STREET SUITE 101AddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78028ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742557820EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SID PETERSON MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSIDPBusinessNameControlTxt
Phone8302587795PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78028ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA MEDOVICHPersonNm
Person TitleCFOPersonTitleTxt
Phone8302587728PhoneNum
Signature2024-03-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLISAPersonFirstNm
Person LastMEDOVICHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCASEY T MIKESKAPreparerPersonNm
PTINP01435690PTIN
Phone8302575330PhoneNum
Preparation2024-03-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCOREY EDMONDSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78028ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$214,991,344GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PETERSONHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE HOSPITAL'S MISSION IS TO PROVIDE WORLD CLASS CARE TODAY, TOMORROW, ALWAYS IN DELIVERING EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED CARE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1530TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,385,541PYContributionsGrantsAmt
CY Contributions Grants$7,442,940CYContributionsGrantsAmt
PY Program Service Revenue$200,713,486PYProgramServiceRevenueAmt
CY Program Service Revenue$181,407,610CYProgramServiceRevenueAmt
PY Investment Income$6,435,592PYInvestmentIncomeAmt
CY Investment Income$2,440,533CYInvestmentIncomeAmt
PY Other Revenue$929,401PYOtherRevenueAmt
CY Other Revenue$1,123,571CYOtherRevenueAmt
PY Total Revenue$217,464,020PYTotalRevenueAmt
CY Total Revenue$192,414,654CYTotalRevenueAmt
PY Grants And Similar Paid$107,214PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$145,670CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$90,859,961PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$100,014,204CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$433,051CYTotalFundraisingExpenseAmt
PY Other Expenses$103,833,327PYOtherExpensesAmt
CY Other Expenses$74,670,648CYOtherExpensesAmt
PY Total Expenses$194,800,502PYTotalExpensesAmt
CY Total Expenses$174,830,522CYTotalExpensesAmt
PY Revenues Less Expenses$22,663,518PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,584,132CYRevenuesLessExpensesAmt
Total Assets BOY$274,567,180TotalAssetsBOYAmt
Total Assets EOY$290,019,605TotalAssetsEOYAmt
Total Liabilities BOY$67,405,753TotalLiabilitiesBOYAmt
Total Liabilities EOY$68,786,255TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$207,161,427NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$221,233,350NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPETERSON REGIONAL MEDICAL CENTER PROVIDES EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$136,260,637ExpenseAmt
Grant$145,670GrantAmt
Revenue$170,773,195RevenueAmt
DescPETERSON 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: 24/7EMERGENCY 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,071,141ExpenseAmt
Grant$0GrantAmt
Revenue$5,186,410RevenueAmt
DescPETERSON 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 AND 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. HOME CARE HAD 1,196 ADMISSIONS DURING THE YEAR AND 21,639 VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,978,443ExpenseAmt
Grant$0GrantAmt
Revenue$6,574,346RevenueAmt
DescPETERSON 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 MANNER. 415 ADMISSIONS ACCOUNTED FOR 39,029 PATIENT DAYS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$89,529ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescDESCRIPTION OF OTHER PROGRAM SERVICES: THE ORGANIZATION HAS ONE LAB OFF-SITE OUTREACH LOCATION. THERE WERE 244,395 LAB TESTS PERFORMED FOR THE YEAR.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$89,529TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$146,399,750TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document112IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1530EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8302587728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78028ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRIAN P BOWERS
CHAIRMAN10.00Yes (X)$0$0$0
GREG L SHRADER
DIRECTOR5.00Yes (X)$0$0$0Yes (X)
JAMES A YOUNG MD
DIRECTOR5.00Yes (X)$0$0$0
KEITH WILLIAMS
DIRECTOR5.00Yes (X)$0$0$0
MARY LIZ EASTLAND
DIRECTOR5.00Yes (X)$0$0$0
OTTO SCHWETHELM
DIRECTOR5.00Yes (X)$0$0$0
ROBERT L SCHMERBECK III
VICE CHAIR7.00Yes (X)$0$0$0
ROSE BRADSHAW
DIRECTOR5.00Yes (X)$0$0$0
SYLVIA FRITZ DOBBS
DIRECTOR5.00Yes (X)$0$0$0
THOMAS HOUDESHELL
CHAIRMAN ELECT5.00Yes (X)$0$0$0
TONI MANCHESTER
DIRECTOR5.00Yes (X)$0$0$0
WILLIAM M JOHNSTON
DIRECTOR5.00Yes (X)$0$0$0
BRIAN ROBICHEAUX
CIO40.00$242,531$0$42,837Yes (X)
CORY EDMONSON
CEO40.00$668,140$0$91,921Yes (X)
DENTON GRUZENSKY
CHIEF HUMAN RESOURCES OFFI40.00$249,536$0$42,392Yes (X)
JOE PISZCZOR
VP OF OPERATIONS40.00$270,020$0$61,332Yes (X)
KAELI DRESSLER
CNO40.00$233,405$0$53,829Yes (X)
LISA MEDOVICH
CFO40.00$392,018$0$85,532Yes (X)
TRACY DAVIS
VP OF POPULATION HEALTH40.00$213,361$0$26,952Yes (X)
CHRISTOPHER GLANTON
CMO40.00$404,759$0$62,845Yes (X)
KAREN CLARK
DIRECTOR OF MATERIALS MGMT40.00$172,607$0$31,332Yes (X)
TIMOTHY RYE
PMA ADMINISTRATOR40.00$201,009$0$52,541Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,047,386TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$551,513TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdCompensationCompensationAmt
MEDLINE INDUSTRIES INC
12002 GENERAL MILTON DRLAREDOTX78045$5,034,365
ZIMMER US INC
1800 W CENTER STWARSAWIN465802304$3,171,297
FAVORITE HEALTHCARE STAFFING INC
4334 NORTH LOOP 1604 W SUITE 103SAN ANTONIOTX78249$3,163,041
TEXAS SELECT STAFFING LLC
1910 PACIFIC AVENUEDALLASTX75201$2,485,509
HEALTH CAROUSEL LLC
4000 SMITH RD SUITE 410CINCINNATIOH45209$1,969,570
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K137CntrctRcvdGreaterThan100KCnt
Related Organizations$7,075,595RelatedOrganizationsAmt
Government Grants$367,345GovernmentGrantsAmt
Total Contributions$7,442,940TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$180,908,348$180,908,348
MANAGEMENT FEE REVENUE900099$499,262$499,262
FieldValueIRS element (for citing)
Total Program Service Revenue$181,407,610TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,210,650TotalRevenueColumnAmt
Exclusion$3,210,650ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$238,192RealAmt
Personal$908,829PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$240,962RealAmt
Personal$908,829PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,770RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,770TotalRevenueColumnAmt
Exclusion-$2,770ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,656,782SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$21,426,899SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$770,117SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$770,117TotalRevenueColumnAmt
Exclusion-$770,117ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$1,126,341TotalRevenueColumnAmt
Related Or Exempt Func Income$1,126,341RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,126,341OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$192,414,654TotalRevenueColumnAmt
Related Or Exempt Func Income$182,533,951RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,437,763ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$77,575TotalAmt
Program Services$77,575ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$68,095TotalAmt
Program Services$68,095ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,083,988TotalAmt
Program Services$1,695,536ProgramServicesAmt
Management And General$1,301,347ManagementAndGeneralAmt
Fundraising$87,105FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,787,147TotalAmt
Program Services$67,703,052ProgramServicesAmt
Management And General$10,084,095ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,287,660TotalAmt
Program Services$9,576,838ProgramServicesAmt
Management And General$4,658,004ManagementAndGeneralAmt
Fundraising$52,818FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,855,409TotalAmt
Program Services$4,292,014ProgramServicesAmt
Management And General$556,388ManagementAndGeneralAmt
Fundraising$7,007FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$290,324TotalAmt
Program Services$89,582ProgramServicesAmt
Management And General$197,089ManagementAndGeneralAmt
Fundraising$3,653FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$279,563TotalAmt
Program Services$40,200ProgramServicesAmt
Management And General$227,395ManagementAndGeneralAmt
Fundraising$11,968FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$633,248TotalAmt
Management And General$633,248ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,394,818TotalAmt
Program Services$8,990,087ProgramServicesAmt
Management And General$2,369,850ManagementAndGeneralAmt
Fundraising$34,881FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$829,839TotalAmt
Program Services$93,070ProgramServicesAmt
Management And General$654,908ManagementAndGeneralAmt
Fundraising$81,861FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,394,905TotalAmt
Program Services$2,427,559ProgramServicesAmt
Management And General$1,946,212ManagementAndGeneralAmt
Fundraising$21,134FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,065,044TotalAmt
Program Services$1,762,714ProgramServicesAmt
Management And General$302,314ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,828TotalAmt
Program Services$35,032ProgramServicesAmt
Management And General$8,292ManagementAndGeneralAmt
Fundraising$504FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,951,755TotalAmt
Program Services$1,221,087ProgramServicesAmt
Management And General$722,630ManagementAndGeneralAmt
Fundraising$8,038FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,389,842TotalAmt
Program Services$5,215,963ProgramServicesAmt
Management And General$2,151,435ManagementAndGeneralAmt
Fundraising$22,444FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$446,685TotalAmt
Program Services$355,937ProgramServicesAmt
Management And General$90,733ManagementAndGeneralAmt
Fundraising$15FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$32,289,754$31,991,624$296,743$1,387
EQUIPMENT REPAIRS & MAI$5,611,731$4,860,764$729,601$21,366
BAD DEBT EXPENSE$3,171,643$3,171,643$0$0
OTHER EXPENSES$2,549,304$1,908,394$579,657$61,253

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,328,365TotalAmt
Program Services$822,984ProgramServicesAmt
Management And General$487,780ManagementAndGeneralAmt
Fundraising$17,601FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$174,830,522TotalAmt
Program Services$146,399,750ProgramServicesAmt
Management And General$27,997,721ManagementAndGeneralAmt
Fundraising$433,051FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,694,643BOYAmt
EOY$21,187,785EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,697,669BOYAmt
EOY$22,629,285EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,947,222BOYAmt
EOY$4,797,223EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,812,060BOYAmt
EOY$2,322,963EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$232,346,641LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$135,931,188LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$84,493,262BOYAmt
EOY$96,415,453EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$141,477,656BOYAmt
EOY$141,324,954EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,444,668BOYAmt
EOY$1,341,942EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$274,567,180BOYAmt
EOY$290,019,605EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,520,818BOYAmt
EOY$22,555,051EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,287,546BOYAmt
EOY$42,572,752EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,597,389BOYAmt
EOY$3,658,452EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,405,753BOYAmt
EOY$68,786,255EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$206,886,918BOYAmt
EOY$220,962,575EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$274,509BOYAmt
EOY$270,775EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$207,161,427BOYAmt
EOY$221,233,350EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$274,567,180BOYAmt
EOY$290,019,605EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,584,132ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,849,934NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$15,362,143OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$10,137GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$10,137TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPART II-B, QUESTION IF GRANTS TO OTHER ORGANIZATION FOR LOBBYING PURPOSES: AMOUNT REPORTED IN PART II-B, QUESTIONS 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$220,000ContributionsAmt
End Year Balance$220,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$134,138BeginningYearBalanceAmt
Investment Earnings Or Losses-$134,138InvestmentEarningsOrLossesAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$132,017BeginningYearBalanceAmt
Investment Earnings Or Losses$2,437InvestmentEarningsOrLossesAmt
Administrative Expenses$316AdministrativeExpensesAmt
End Year Balance$134,138EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$131,038BeginningYearBalanceAmt
Investment Earnings Or Losses$1,294InvestmentEarningsOrLossesAmt
Administrative Expenses$315AdministrativeExpensesAmt
End Year Balance$132,017EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$127,969BeginningYearBalanceAmt
Investment Earnings Or Losses$3,384InvestmentEarningsOrLossesAmt
Administrative Expenses$315AdministrativeExpensesAmt
End Year Balance$131,038EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,985,799OtherCostOrOtherBasisAmt
Book Value$6,985,799BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,854,255OtherCostOrOtherBasisAmt
Depreciation$58,187,540DepreciationAmt
Book Value$54,666,715BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,760,386OtherCostOrOtherBasisAmt
Depreciation$1,100,505DepreciationAmt
Book Value$659,881BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,697,986OtherCostOrOtherBasisAmt
Depreciation$76,643,143DepreciationAmt
Book Value$16,054,843BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,048,215OtherCostOrOtherBasisAmt
Book Value$18,048,215BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$96,415,453TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SELF- INSURANCE FUND$2,893,063
PROFESSIONAL LIABILITY$609,366
RIGH OF USE LIABILITY$156,023
FieldValueIRS element (for citing)
Total Liability$3,658,452TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$194,708,741TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$11,849,934NetUnrealizedGainsInvstAmt
Other Revenue-$3,171,643OtherRevenueAmt
Revenue Not Reported$8,678,291RevenueNotReportedAmt
Revenue Subtotal$186,030,450RevenueSubtotalAmt
Investment Expenses Not Incld$633,248InvestmentExpensesNotIncldAmt
Other Revenues Not Included$5,750,956OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$6,384,204RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$192,414,654TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$172,180,163TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,154,532OtherExpensesIncludedAmt
Expenses Not Reported$1,154,532ExpensesNotReportedAmt
Expenses Subtotal$171,025,631ExpensesSubtotalAmt
Investment Expenses Not Incld2$633,248InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$3,171,643OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,804,891ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$174,830,522TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUND WILL BE USED PRIMARILY TO FUND EQUIPMENT IMPROVEMENTS/UPGRADES AND SCHOLARSHIPS. A SMALL PORTION MAY ALSO BE USED FOR RECRUITMENT OF PHYSICIANS, NURSES AND OTHER ADVANCED PRACTICE PROVIDERS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE -3,171,643.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE INCLUDED IN REVENUE -1,149,791. GAIN/(LOSS) ON FIXED ASSETS RE-CLASSED -4,743. NET ASSETS RELEASED FROM RESTRICTION 6,905,490.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UCC/DISPRO EXPENSE RENTAL EXPENSE INCLUDED IN REVENUE FOR 990 1,149,791. GAIN/(LOSS) ON FIXED ASSETS 4,743. ROUNDING -2.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE 3,171,643.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,529,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,598,078DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,931,473NetCommunityBenefitExpnsAmt
Total Expense0.03390TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,696,895TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,272,426DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,424,469NetCommunityBenefitExpnsAmt
Total Expense0.05390TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,889,671TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,149,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,740,599NetCommunityBenefitExpnsAmt
Total Expense0.02710TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,116,117TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,019,576DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,096,541NetCommunityBenefitExpnsAmt
Total Expense0.11490TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,095TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,095NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$140,546TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$140,546NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$206,641TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$206,641NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,322,758TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,019,576DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,303,182NetCommunityBenefitExpnsAmt
Total Expense0.11610TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$3,171,643BadDebtExpenseAmt
Bad Debt Expense Attributable$1,268,657BadDebtExpenseAttributableAmt
Reimbursed By Medicare$52,308,039ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$60,024,459CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,716,420MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SID PETERSON MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78028ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PETERSONHEALTH.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PETERSON REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PETERSONHEALTH.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.PETERSONHEALTH.COMStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.PETERSONHEALTH.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.PETERSONHEALTH.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.PETERSONHEALTH.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PETERSON REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: PETERSON HEALTH INCLUDED ALL LEVELS AND FACETS AND POPULATIONS OF THE KERRVILLE AREA COMMUNITY, AS WELL AS 7 OTHER REGIONS/COUNTIES TO SUCCESSFULLY AND COMPREHENSIVELY COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT. BROKEN INTO THREE MAIN PHASES, REPRESENTATIVES OF THE COMMUNITY WERE CULLED, CONTACTED, INTERVIEWED, INVITED TO MEETINGS AND A DIRECT PART OF THE CHNA SUMMIT AND REPORT AS FOLLOWS:- INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURED IN MARCH 2022- 30 COMMUNITY MEMBERS, NOT-FOR-PROFIT ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, THE ELDERLY, HEALTH PROVIDERS, EDUCATION PROVIDERS, AND THE HEALTH DEPARTMENT PARTICIPATED IN TWO FOCUS GROUPS AND INDIVIDUAL INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON APRIL 5TH, 2022.- A COMMUNITY HEALTH SUMMIT WAS CONDUCTED ON MAY 19, 2022 WITH 50 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, BUSINESS LEADERS, GOVERNMENT REPRESENTATIVES, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, EMPLOYERS AND OTHER COMMUNITY MEMBERS.
PETERSON REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: A COLLABORATIVE VENTURE WHICH BROUGHT TOGETHER ALL OF THE CARE PROVIDERS, CITIZENS, GOVERNMENT, SCHOOLS, CHURCHES, NOT-FOR-PROFIT ORGANIZATIONS, AND BUSINESS AND INDUSTRY AROUND AN EFFECTIVE PLAN OF ACTION TOOK PLACE. PRMC SELECTED KEY ELEMENTS OF THE ASSESSMENT TO ADDRESS, AS SET FORTH IN THE IMPLEMENTATION PLAN, AND ENCOURAGED OTHER ORGANIZATIONS IN THE COMMUNITY TO DO THE SAME.BASED ON THE RESULTS OF THIS CHNA, PRMC SELECTED FOUR (4) OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS.1. MENTAL HEALTH2. ACCESS TO HEALTHCARE AND INSURANCE, COORDINATION OF RESOURCES3. HEALTHY EATING/LIVING - DECREASE OBESITY AND DIABETES4. SUBSTANCE ABUSEPRMC WILL MONITOR THE PROGRESS THROUGH THE HOSPITAL'S EXECUTIVE TEAM AND WILL ANNUALLY REPORT THE PROGRESS TO THEIR BOARD AND THE COMMUNITY.
PETERSON REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS ALSO AVAILABLE IN SPANISH AT THE FOLLOWING WEBSITE: WWW.PETERSONHEALTH.COM/WP-CONTENT/DOWNLOADS/PLS2017-SPANISH.PDF
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PETERSON AMBULATORY CARE CENTER
260 CULLY DRIVEKERRVILLETX78028AMBULATORY SURGICAL CENTER
2 - PETEERSON HOME CARE
250 CULLY DRIVEKERRVILLETX78028HOME HEALTH SERVICES
3 - PETERSON HOSPICE
250 CULLY DRIVEKERRVILLETX78028HOSPICE CARE
4 - KMP OUTREACH LAB
1331 BANDERA HWYKERRVILLETX78028LAB DRAW SITE
5 - PETERSON COMMUNITY CARE CLINIC
823 JUNCTION HWYKERRVILLETX78028RURAL HEALTH HOSPITAL BASED CLINIC

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USED INSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7, COLUMN FPERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $30,407,836 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL" IN THIS COLUMN.
SCHEDULE H, PART I, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: 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 ARRAGNEMENTS IS REFERRED TO HOSPITAL RECEIVABLES SOLUTION (H.S.I.) (A GROUP CONTRACTED BY THE 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 H.S.I., REGISTRATION STAFF OFFER AN INTERNAL FINANCIAL AID APPLICATION (CHARITY CARE) AND EXPLAIN THE PROCESS. H.S.I. CONTACT ALL REFERRED UNINSURED PATIENTS, NOT SEEN AT THE TIME OF HOSPITAL PRE-REGISTRATION OR AT REGISTRATION, BY SENDING A LETTER, CONTRACT 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, H.S.I. WILL ASSIST WITH THE APPLICATION PROCESS AND GATHERING OF NECESSARY VERIFICATION. IF NO ASSISTANCE IS AVAILABLE THROUGH THESE PROGRAMS, H.S.I. 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 MEAND TO PAY THE BILL, AN OFFER IS AGAIN MADE TO CONTACT H.S.I. 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 PROVIDED) FOR DETAILS.
PART III, LINE 2:AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3:AMOUNT REPORTED IN ITEM 3 IS THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 40%.
PART III, LINE 4:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS . MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WI TH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE , THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS , IF NECESSARY . FOR RECEIVABLES ASSOCIATED WITH SELF- PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $8,498,393 LESSENING THE BURDEN OF GOVERNMENT. IN ADDITION, THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.
PART III, LINE 9B: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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERR CONNECTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 290194AddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78029ZIPCd
FieldValueIRS element (for citing)
Recipient EIN821998719RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$0CashGrantAmt
Non Cash Assistance$10,000NonCashAssistanceAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEDUCATION ASSISTANCEGrantTypeTxt
Recipient20RecipientCnt
Cash Grant$68,095CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
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 BILLS 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) 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CORY EDMONSON
CEO$668,140$0$0$0$0$0$47,500$0$44,421$0$760,061$0$0$0
LISA MEDOVICH
CFO$392,018$0$0$0$0$0$47,500$0$38,032$0$477,550$0$0$0
CHRISTOPHER GLANTON
CMO$404,759$0$0$0$0$0$23,308$0$39,537$0$467,604$0$0$0
JOE PISZCZOR
VP OF OPERATIONS$270,020$0$0$0$0$0$20,500$0$40,832$0$331,352$0$0$0
DENTON GRUZENSKY
CHIEF HUMAN RESOURCES OFFI$249,536$0$0$0$0$0$20,500$0$21,892$0$291,928$0$0$0
KAELI DRESSLER
CNO$233,405$0$0$0$0$0$25,486$0$28,343$0$287,234$0$0$0
BRIAN ROBICHEAUX
CIO$242,531$0$0$0$0$0$4,100$0$38,737$0$285,368$0$0$0
TIMOTHY RYE
PMA ADMINISTRATOR$201,009$0$0$0$0$0$10,828$0$41,713$0$253,550$0$0$0
TRACY DAVIS
VP OF POPULATION HEALTH$213,361$0$0$0$0$0$26,634$0$318$0$240,313$0$0$0
KAREN CLARK
DIRECTOR OF MATERIALS MGMT$172,607$0$0$0$0$0$16,711$0$14,621$0$203,939$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationPERSONS PARTICIPATING IN, OR RECEIVING PAYMENT FROM, A RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP. AMOUNTS FOR THE CURRENT YEAR WERE AS FOLLOWS: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION ------------------------ --------------- --------------- KAELI DRESSLER 233,405 25,846 CHRISTOPHER GLANTON 404,759 23,308 LISA MEDOVICH 392,018 47,500 BRIAN ROBICHEAUX 242,531 4,100 TRACY DAVIS 213,361 26,634 JOE PISZCZOR 270,020 20,500 CORY EDMONSON 668,140 47,500 DENTON GRUZENSKY 249,536 41,000 TIMONTHY RYE 201,009 10,828 KAREN CLARK 172,607 16,711 INDIVIDUALS ARE NOT ELIGIBLE TO RECEIVE ANY FUNDS UNTIL AFTER 5 YEARS OF SERVICE OR RETIRE AFTER 3 YEARS OF PROGRAM IMPLEMENTATION.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF KERRVILLE TX HEALTH FACILITIES DEV CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN203591155BondIssuerEIN
CUSIP492436AZ3CUSIPNum
Bond Issued2015-11-24BondIssuedDt
Issue Price$59,726,042IssuePriceAmt
PurposeTO REFINANCE 2005 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$59,726,042TotalProceedsAmt
Issuance Costs From Proceeds$1,053,005IssuanceCostsFromProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: THE EXTERNAL ACCOUNTING FIRM PREPARES THE FORM 990 AND THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION INTERNALLY REVIEWS TRANSACTIONS FOR POSSIBLE CONFLICT ON A ROUTINE BASIS THROUGHOUT THE YEAR. ALL BOARD MEMBERS ARE COVERED UNDER THIS POLICY. THE BOARD REVIEWS ALL POSSIBLE CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15AREVIEW OF CEO OR TOP MANAGEMENT. OFFICIAL COMPENSATION: THE BOARD OF DIRECTORS USED AN OUTSIDE AGENCY TO CONDUCT A MARKET SURVEY. THE RESULTS OF THE SURVEY WERE USED TO DETERMINE THE CEO'S SALARY FOR THE YEAR.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CLASSIFICATION DIFFERENCE -3,733. TRANSFER TO AFFILIATES -15,358,410.
FORM 990, PART XII, LINE 2C:PROCESS HAS NOT CHANGED FROM PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PETERSON REGIONAL MEDICAL CENTER FDNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78028ZIPCd
FieldValueIRS element (for citing)
EIN742645149EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PETERSON MEDICAL ASSOCIATESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1Txt
CityKERRVILLECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78028ZIPCd
FieldValueIRS element (for citing)
EIN272184637EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PETERSON REGIONAL MEDICAL CENTER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$7,178,451InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt