STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CREATE HEALTHY MANAGEMENT: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349307893
Schema version
2023v5.1
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)
Return2024-11-15T10:25:17+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114221 Dallas Parkway Suite 400AddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN746083124EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Create Healthy ManagementBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCREABusinessNameControlTxt
Phone8309971297PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1339AddressLine1Txt
CityFREDERICKSBURGCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78624ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAYNE POPEPersonNm
Person TitleCEOPersonTitleTxt
Phone8309971297PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum
Preparation2024-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAYNE POPEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Receipts$204,701,382GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.createhealthy.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionCreate Healthy is on a mission for health and wellness in our community; Investing in wellness and empowering communities. CH is investing in and supporting local programs, organizations, and ventures that align with the priorities of our community and promote health and wellness in the Hill Country.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee651TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,817,603PYContributionsGrantsAmt
CY Contributions Grants$161,104CYContributionsGrantsAmt
PY Program Service Revenue$95,161,603PYProgramServiceRevenueAmt
CY Program Service Revenue$21,940,433CYProgramServiceRevenueAmt
PY Investment Income$1,617,172PYInvestmentIncomeAmt
CY Investment Income$41,719,560CYInvestmentIncomeAmt
PY Other Revenue-$3,464,773PYOtherRevenueAmt
CY Other Revenue$4,608,875CYOtherRevenueAmt
PY Total Revenue$101,131,605PYTotalRevenueAmt
CY Total Revenue$68,429,972CYTotalRevenueAmt
PY Grants And Similar Paid$63,105PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,468,600CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,972,787PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,657,567CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$62,417,181PYOtherExpensesAmt
CY Other Expenses$18,378,037CYOtherExpensesAmt
PY Total Expenses$99,453,073PYTotalExpensesAmt
CY Total Expenses$32,504,204CYTotalExpensesAmt
PY Revenues Less Expenses$1,678,532PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,925,768CYRevenuesLessExpensesAmt
Total Assets BOY$231,936,244TotalAssetsBOYAmt
Total Assets EOY$207,017,901TotalAssetsEOYAmt
Total Liabilities BOY$21,861,780TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,638,894TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$210,074,464NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$203,379,007NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCreate Healthy is on a mission for health and wellness in our community; Investing in wellness, empowering communities . We are investing in and supporting local programs, organizations, and ventures that align with the priorities of our community and promote health and wellness in the Hill Country. Our vision for the future: A Hill Country where all contribute and thrive.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$2,468,600ExpenseAmt
Grant$2,468,600GrantAmt
DescIN PARTNERSHIP WITH THE ENTIRE HILL COUNTRY REGION, CREATE HEALTHY SPENT ITS' FIRST YEAR IDENTIFYING AREAS OF GREATEST OPPORTUNITY TO ENHANCE THE COMMUNITY'S HEALTH AND WELLNESS. CREATE HEALTHY FUNDED COMMUNITY PROJECTS AND INITIATIVES IN THE AMOUNT OF $2,468,600 AND DONATED HOURS OF SERVICE TO THE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$19,885,242ExpenseAmt
Revenue$24,874,889RevenueAmt
DescMEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE AND OB - 944; INTENSIVE AND CRITICAL CARE UNITS - 219; NURSERY - 153; EMERGENCY ROOM CARE WAS PROVIDED FOR 3,003 VISITS; 58,517 LABORATORY TESTS WERE PERFORMED; 12,627 IMAGING PROCEDURES (ALL MODALITIES) WERE PERFORMED; 3,058 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 189 OPERATIONS AND 2,846 OUTPATIENT PROCEDURES WERE PERFORMED AND 99 BABIES WERE DELIVERED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$536,492ExpenseAmt
Revenue$355,338RevenueAmt
DescSurgery Center IncomeDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (5 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$532,544$722,960HOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE. A TOTAL OF 2,304 HOME CARE VISITS WERE MADE.
$426,330$303,408WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING FITNESS EQUIPMENT AND CLASSES; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2023 THERE WERE 77,224 VISITS IN WELLNESS CENTER PROGRAMS.
$72,282$64,660WIC Program
$22,189$211,930Clinic Rent Income
$196ACO Service Income
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,053,541TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,302,958TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$23,943,875TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document91IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee651EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRIS SEMMLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8309971297PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Ida Mae DriveAddressLine1Txt
CityFREDERICKSBURGCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78624ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRIS SCHOESSOW
DIRECTOR, Vice President0.51.0Yes (X)Yes (X)$0$0$0
JENNY WEISER PHD
CHAIRMAN0.91.0Yes (X)Yes (X)$0$0$0
JOEL JUNKER
SECRETARY0.51.0Yes (X)Yes (X)$0$0$0
CARLIN FRIAR
DIRECTOR0.51.0Yes (X)$0$0$0
DALE CRENWELGE
DIRECTOR0.51.0Yes (X)$0$0$0
DAN SECHRIST
DIRECTOR0.51.0Yes (X)$0$0$0
DR KEVIN GALLAGHER
DIRECTOR0.51.0Yes (X)$0$0$0
DR MICHAEL JOHNSON
DIRECTOR0.51.0Yes (X)$0$0$0
DRAKE MCLEAN
DIRECTOR0.51.0Yes (X)$0$0$0
JANE MORGAN
DIRECTOR0.51.0Yes (X)$0$0$0
JOHN WILLOME
DIRECTOR0.51.0Yes (X)$0$0$0
PENNY MCBRIDE
DIRECTOR0.61.0Yes (X)$0$0$0
ROYCE HUNTER
DIRECTOR0.51.0Yes (X)$0$0$0
TODD WILLINGHAM
DIRECTOR0.51.0Yes (X)$0$0$0
CHRIS SEMMLER
VP OF FINANCE38.02.0Yes (X)$180,351$0$8,830
JAYNE POPE
CEO37.02.8Yes (X)$789,610$0$29,489
SUSAN NEVES
CFO39.01.0Yes (X)$415,975$0$19,892
AMANDA STEVENS
Chief Strategy Officer30.010.0$181,856$91,303$33,907Yes (X)
CLINTON KOTAL
CHIEF INTEGRATION OFFICER20.819.2$417,519$0$20,578Yes (X)
MAUREEN O POLIVKA
CNO40.00$182,203$0$17,049Yes (X)
JANICE MENKING
Controller32.00$148,981$0$12,698Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,316,495TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$91,303TotReportableCompRltdOrgAmt
Total Other Compensation$142,443TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CAIN BROTHERS & COMPANY INCORPORATED
360 Madison Avenue5th FloorNew YorkNY10017Consulting$1,535,628
TEXAS SELECT STAFFING LLC
PO BOX 577WEST BENDWI53095AGENCY NURSING$570,188
REED CLAYMON MEEKER & HARGETT
5608 PARKCREST DRIVE SUITE 200AUSTINTX78731ATTORNEY SERVICES$391,744
FORVIS LLP
P O Box 200870DallasTX753200870Accounting and Auditing Services$302,254
ENDEAVOR HEALTHCARE
28 HUNTERS POINTNEW BRAUNFELSTX28260REVENUE CYCLE SVC$212,910
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$161,104RelatedOrganizationsAmt
Total Contributions$161,104TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT HOSPITAL REVENUE621110$20,282,137$20,282,137
HOME HEALTH CARE REVENUE621610$722,960$722,960
WELLNESS CENTER SERVICE REVENUE624100$303,408$303,408
WIC PROGRAM REVENUE624100$64,660$64,660
CLINIC RENT REVENUE531120$211,930$211,930

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$355,338TotalRevenueColumnAmt
Related Or Exempt Func Income$355,338RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$21,940,433TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,096,072TotalRevenueColumnAmt
Exclusion$5,096,072ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$98,056,743SecuritiesAmt
Other$74,748,028OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$97,962,308SecuritiesAmt
Other$38,218,975OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$94,435SecuritiesAmt
Other$36,529,053OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,623,488TotalRevenueColumnAmt
Exclusion$36,623,488ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$440,882GrossSalesOfInventoryAmt
Cost Of Goods Sold$90,127CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$350,755TotalRevenueColumnAmt
Related Or Exempt Func Income$350,755RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Miscellaneous Revenue900099$3,801,285$3,785,162$16,123
BAD DEBT RECOVERY900099$454,590$454,590
AUXILIARY REVENUE900099$1,950$1,950

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$295TotalRevenueColumnAmt
Related Or Exempt Func Income$295RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,258,120OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,429,972TotalRevenueColumnAmt
Related Or Exempt Func Income$26,533,185RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$41,735,683ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,418,408TotalAmt
Program Services$2,418,408ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$50,192TotalAmt
Program Services$50,192ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,286,661TotalAmt
Management And General$2,286,661ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,867,624TotalAmt
Program Services$6,073,032ProgramServicesAmt
Management And General$794,592ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$83,952TotalAmt
Program Services$83,952ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,713,952TotalAmt
Program Services$1,526,848ProgramServicesAmt
Management And General$187,104ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$705,378TotalAmt
Program Services$446,400ProgramServicesAmt
Management And General$258,978ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,330,083TotalAmt
Management And General$2,330,083ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,715TotalAmt
Management And General$54,715ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,389,161TotalAmt
Program Services$3,381,247ProgramServicesAmt
Management And General$1,007,914ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$259,776TotalAmt
Program Services$42,982ProgramServicesAmt
Management And General$216,794ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,292,323TotalAmt
Program Services$948,803ProgramServicesAmt
Management And General$343,520ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$183,968TotalAmt
Program Services$67,043ProgramServicesAmt
Management And General$116,925ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,695,007TotalAmt
Program Services$1,182,300ProgramServicesAmt
Management And General$512,707ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,965TotalAmt
Program Services$20,499ProgramServicesAmt
Management And General$17,466ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,928TotalAmt
Program Services$18,928ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,515TotalAmt
Management And General$17,515ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,478,872TotalAmt
Program Services$1,278,718ProgramServicesAmt
Management And General$200,154ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$106,784TotalAmt
Program Services$48,253ProgramServicesAmt
Management And General$58,531ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$5,174,703$5,174,703
Other Expenses$1,232,339$1,151,231$81,108
RECRUITMENT & RECOGNITION$44,900$13,270$31,630
DUES & SUBSCRIPTIONS$41,223$9,208$32,015

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,775TotalAmt
Program Services$7,858ProgramServicesAmt
Management And General$11,917ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,504,204TotalAmt
Program Services$23,943,875ProgramServicesAmt
Management And General$8,560,329ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,478,630BOYAmt
EOY$9,091,501EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$54,512,803BOYAmt
EOY$137,401,735EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,789,526BOYAmt
EOY$2,915,570EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,810,440BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,491,190BOYAmt
EOY$118,192EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,257,163LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,454,271LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$44,917,706BOYAmt
EOY$11,802,892EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$33,491,388BOYAmt
EOY$40,934,766EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$73,444,561BOYAmt
EOY$4,753,245EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$231,936,244BOYAmt
EOY$207,017,901EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,980,095BOYAmt
EOY$1,904,712EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,881,685BOYAmt
EOY$1,734,182EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,861,780BOYAmt
EOY$3,638,894EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$176,583,076BOYAmt
EOY$203,379,007EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,491,388BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$210,074,464BOYAmt
EOY$203,379,007EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$231,936,244BOYAmt
EOY$207,017,901EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$35,925,768ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,263,986NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$45,885,211OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$4,153OtherActivitiesAmt
Total Lobbying Expenditures$4,153TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationCREATE HEALTHY MANAGEMENT PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. THA Dues: $47,521 Lobbying %: 8.74% Lobbying $: $4,153ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,422,665BeginningYearBalanceAmt
Contributions$1,524,910ContributionsAmt
Investment Earnings Or Losses$4,071,399InvestmentEarningsOrLossesAmt
Other Expenditures$2,831OtherExpendituresAmt
End Year Balance$25,016,143EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,315,719BeginningYearBalanceAmt
Contributions$14,850ContributionsAmt
Investment Earnings Or Losses-$4,318,366InvestmentEarningsOrLossesAmt
Other Expenditures$589,538OtherExpendituresAmt
End Year Balance$19,422,665EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,012,569BeginningYearBalanceAmt
Contributions$20,555ContributionsAmt
Investment Earnings Or Losses$3,534,951InvestmentEarningsOrLossesAmt
Other Expenditures$252,356OtherExpendituresAmt
End Year Balance$24,315,719EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,879,729BeginningYearBalanceAmt
Contributions$7,535ContributionsAmt
Investment Earnings Or Losses$2,307,819InvestmentEarningsOrLossesAmt
Other Expenditures$182,514OtherExpendituresAmt
End Year Balance$21,012,569EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,042,722BeginningYearBalanceAmt
Contributions$113,054ContributionsAmt
Investment Earnings Or Losses$3,679,370InvestmentEarningsOrLossesAmt
Other Expenditures-$44,583OtherExpendituresAmt
End Year Balance$18,879,729EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.21BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.42PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.37TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,775,906OtherCostOrOtherBasisAmt
Book Value$4,775,906BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,523,271OtherCostOrOtherBasisAmt
Depreciation$1,216,615DepreciationAmt
Book Value$6,306,656BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$874,578OtherCostOrOtherBasisAmt
Depreciation$237,656DepreciationAmt
Book Value$636,922BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$83,408OtherCostOrOtherBasisAmt
Book Value$83,408BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,802,892TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInterest in Net Assets of FoundationDesc
Book Value$40,934,766BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$40,934,766TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred Compensation Plan Liability$1,213,118
Estimated Self Insurance Costs
Est Amount Due to Third Parties$92,700
Lease Liability$428,364
FieldValueIRS element (for citing)
Total Liability$1,734,182TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 ASC 740 FOOTNOTE:MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment fundsCreate Healthy Foundation holds and maintains Endowment funds for the benefit of certain community needs. Certain endowments are Board directed, while others are donor restricted. Endowment funds are designated for equipment and technology, nurse stipends, scholarships, health related professional certifications, and stroke education and awareness. Additionally there are several unrestricted endowment funds.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,995,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,995,236NetCommunityBenefitExpnsAmt
Total Expense0.0614TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$861,953TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$891,253DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,984TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,588DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,396NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,892,173TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$907,841DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,013,632NetCommunityBenefitExpnsAmt
Total Expense0.0619TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,468,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,468,600NetCommunityBenefitExpnsAmt
Total Expense0.0759TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,468,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,468,600NetCommunityBenefitExpnsAmt
Total Expense0.0759TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,360,773TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$907,841DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,482,232NetCommunityBenefitExpnsAmt
Total Expense0.1379TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Reimbursed By Medicare$6,108,241ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,139,308CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,031,067MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hill Country Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1339AddressLine1Txt
CityFREDERICKSBURGCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78624ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CREATEHEALTHY.ORGWebsiteAddressTxt
State License00219StateLicenseNum
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 Line1Hill Country Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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 (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION C, LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION C, LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION C, LINE 16JFAPSummaryOnWebsiteURLTxt
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 (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Hill Country Memorial Hospital. IN APRIL 2022, the hospital BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR GILLESPIE, BLANCO AND KENDALL COUNTIES AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS: -INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED IN JUNE - JULY 2022. -23 COMMUNITY MEMBERS PARTICIPATED IN INDIVIDUAL INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES FROM JULY 25-29, 2022. -423 SURVEYS WERE COMPLETED: 178 LANDLINE PHONE, 97 CELL PHONE, 148 WEB-BASED (23 VIA SURVEYMONKEY) FROM JULY 1-AUGUST 19, 2022. -VIDEOS WERE PRODUCED TO EDUCATE THE BOARD AND COMMUNITY ABOUT THE SECONDARY COMMUNITY HEALTH DATA AS WELL AS THE RESULTS OF THE COMMUNITY INTERVIEWS AND SURVEYS. -INPUT OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WAS RECEIVED THOUGH INTERVIEWS AND THE COMMUNITY SURVEY. AGENCIES REPRESENTING THESE POPULATION GROUPS WERE INTENTIONALLY INVITED TO THE INTERVIEWS. THE COMMUNITY SURVEY WAS REPRESENTATIVE OF THE WHOLE COMMUNITY - BY AGE, INCOME, AND EDUCATION. -THE TEXAS DEPARTMENT OF HEALTH PARTICIPATED IN THE INTERVIEWS. BELOW IS A LIST OF ALL THE ORGANIZATIONS THAT GAVE INPUT INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN: -BETHANY PRESCHOOL, SCHOOL DISTRICT, RED CROSS, GOLDEN HUB, ST. BARNABAS EPISCOPAL CHURCH, BETHANY LUTHERAN CHURCH, GILLESPIE COUNTY VETERANS SERVICE OFFICER, ECONOMIC DEVELOPMENT COMMISSON, EMERGENCY MEDICAL SERVICES, TEXAS A&M EXTENSION, GOOD SAMARITAN CLINIC, POLICE CHIEF, VICTORY FELLOWSHIP, ST. THOMAS ORTHODOX CHURCH, MAYOR, HOLY GHOST LUTHERAN CHURCH, CHAMBER OF COMMERCE, GILLESPIE COUNTY HEALTH DIVISION, EMERGENCY SERVICES DISTRICT BOARD, FREDERICKSBURG CITY COUNCIL; ST. BARNABAS EPISCOPAL CHURCH, NEEDS COUNCIL, FREDERICKSBURG INDEPENDENT SCHOOL DISTRICT, AND EMERGENCY SERVICES.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - Hill Country Memorial Hospital. AT THE BEGINNING OF THE 2023 TAX YEAR, CREATE HEALTHY MANAGEMENT COMPLETED ITS SALE OF THE HOSPITAL. AS THE ORGANIZATION IS NOT CURRENTLY A HOSPITAL, THESE DOCUMENTS ARE NO LONGER POSTED TO THE WEBSITE.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - HILL COUNTRY MEMORIAL HOSPITAL. BASED ON THE RESULTS OF THE CHNA, THE HOSPITAL HAS SELECTED FOUR OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. ACCESS TO AFFORDABLE CARE AND INSURANCE A) FOCUS, DEVELOP, AND IMPLEMENT HEALTHCARE RESOURCES AND HEALTHCARE LITERACY FOR THE UNDERSERVED 1. HAVE AN ACTION FAIR WITH INSURANCE PROVIDERS TO PROVIDE INFORMATION, IMPROVE LITERACY, AND INCREASE PREVENTION- TRANSLATE INTO MULTIPLE LANGUAGES, INCLUDE CHIP PROGRAM, MEDICARE ADVANTAGE, ETC 2. SELECT A COMMUNITY EXPERT/EDUCATOR TO PROVIDE COMMUNITY EDUCATION ON HEALTHCARE ACCESS, COVERAGE, RESOURCES, ETC 3. UTILIZE MEDICARE ADVANTAGE COMMUNITY LIAISONS TO HELP EDUCATE PEOPLE ON MEDICARE OPTIONS 4. WRITE REGULAR ARTICLES FOR THE NEWSPAPER TO IMPROVE HEALTH AND HEALTH INSURANCE LITERACY B) INCREASE ACCESS TO HEALTHCARE OUTSIDE THE HOSPITAL 1. DEVELOP A COALITION FOR TRANSPORTATION WITH A FOCUS ON GERIATRIC CARE AND FAMILY SUPPORT 2. CREATE A LIST OF VOLUNTEERS TO BRIDGE THE GAP OF CARE AND SUPPORT TO IMPROVE SENIOR SOCIALIZATION 2. BEHAVIORAL/MENTAL HEALTH A) INCREASE THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS 1. FORM RELATIONSHIPS WITH ESTABLISHED FACILITIES IN AUSTIN, KERRVILLE, AND SAN ANTONIO TO PROVIDE POSSIBLE SERVICES (TEXAS ADVISORY COUNCIL IN SAN ANTONIO) 2. EXPLORE TELE-HEALTH OPTIONS AND EDUCATION, INCLUDING SCHOOL COUNSELORS, JAILS, AND OTHER MEMBERS OF THE COMMUNITY 3. INTEGRATE BEHAVIORAL HEALTH INTO PRIMARY CARE OFFICES TO INCREASE ACCESS AND DECREASE STIGMA 4. PROVIDE MENTAL HEALTH FIRST AID IN THE COMMUNITY - POLICE, SCHOOLS, PUBLIC B) IMPROVE SUICIDE PREVENTION EDUCATION 1. REVIEW THE CURRENT SUICIDE PREVENTION EDUCATION PROCESS AND EXPLORE NEW OPPORTUNITIES FOR COMMUNICATION 2. FIND RESOURCES AND MAKE CONNECTIONS 3. SHARE THE INFORMATION AND MAKE ONE CENTRAL FACILITY/ORGANIZATION FOR REFERRALS AND NAVIGATION FOR PROVIDERS AND THE PUBLIC. CREATE A SHARED INFORMATION CENTER: "ONE CALL, THAT'S ALL". 3. HEALTHY EATING - ACTIVE LIVING A) INCREASE NUTRITION EDUCATION FOR THE YOUTH AND FAMILIES- EDUCATE 1,500 YOUTH AND FAMILIES ON NUTRITION, SHOPPING, SIMPLE MEALS, ETC. 1. INVITE MAJOR EMPLOYERS TO CREATE A HEALTH COUNCIL 2. CATALOG EXISTING RESOURCES AND WORK WITH MDS TO CREATE ACCESS TO FAMILIES WITH EDUCATION SESSIONS ON HEALTHY EATING B) INCREASE KNOWLEDGE OF THE ACCESS AND RESOURCES AVAILABLE. CREATE AN EXERCISE FAIR WITH NEW EXERCISE OPPORTUNITIES ACROSS THE COMMUNITY. MAKE A CULTURAL CHANGE FOR PHYSICAL ACTIVITY. 1. CREATE AN ONLINE RESOURCE OF ALL EXERCISE GROUPS/OPPORTUNITIES 2. ENCOURAGE EMPLOYERS TO INCENTIVIZE EXERCISE IN FAMILIES 3. ENCOURAGE MDS TO WRITE PRESCRIPTIONS FOR EXERCISE 4. INTEGRATE WITH INSURANCE PLANS FOR DISCOUNTS 4. ENVIRONMENTAL FACTORS A) INCREASE EDUCATION ON VAPING AMONG YOUTH WITHIN 3 YEARS 1. INCREASING YOUTH TO YOUTH EDUCATION TO REDUCE/PREVENT SUBSTANCE ABUSE/MISUSE BY UTILIZING HEALTHY TEXAN YOUTH AMBASSADORS. INCREASE NUMBER OF BILINGUAL AMBASSADORS 2. ENCOURAGE YOUTH TO EDUCATE COMMUNITY, PARENTS, GRANDPARENTS. B) REDUCE INJURY AND POOR HEALTH OUTCOMES RELATED TO SUBSTANCE ABUSE AMONG ADULTS WITHIN 3 YEARS 1. CATALOG AVAILABLE RESOURCES, EXPLORE GRANTS, EXPAND AVAILABLE RESOURCES, SERVICES, AND DONATIONS 2. COLLABORATE WITH BEHAVIORAL HEALTH PROVIDERS, LAW ENFORCEMENT, FAITH-BASED COMMUNITIES AND MEDICAL PROVIDERS. LINKAGE TO TREATMENT FOR THE ADDICTED C) HOUSING GOAL - INCREASE PERCENTAGE OF HOUSING STOCK THAT IS AFFORDABLE AT 30% OF THE MEDIAN HOUSEHOLD INCOME 1. CREATE/FOCUS ON MULTI-FAMILY INCOME-BASED HOUSING 2. RECRUIT OUTSIDE INVESTMENTS SUCH AS PHILANTHROPY, CITY DEVELOPMENT, CONSTRUCTION GROUPS TO INCREASE SUPPLY OF APPROPRIATE LOT TYPES 3. INCREASE BROADBAND SUPPLY AND RECRUIT ALTERNATIVE INDUSTRIES TO INCREASE JOB DIVERSITY D) WATER QUALITY GOAL - EVALUATE WATER QUALITY NEEDS ACROSS THE COUNTIES 1. IDENTIFY AREAS THAT NEED SUPPORT E) CHILDCARE GOAL - OPEN MORE THAN 300 SPACES IN PRE-SCHOOLS/DAY CARES 1. OBTAIN FUNDING FROM STATE AND FOUNDATIONS FOR CHILDCARE EFFORTS 2. PARTNER WITH CHURCHES, BUSINESSES, AND ORGANIZATIONS FOR EXPANDED AND NEWLY INFORMED PROGRAMS. CREATE INCENTIVES FOR EMPLOYEES F) HEALTH LITERACY FOR SENIORS GOAL - ESTABLISH A COMMUNITY LIAISON PROGRAM TO PREVENT ISOLATION AND PERFORM WELLNESS CHECKS 1. ASK THE LOCAL MAYOR'S OFFICE TO ESTABLISH A GRID SYSTEM TO CREATE REPS IN EACH GRID FOR COMMUNICATION 2. HIRE A COMMUNITY LIAISON TO COORDINATE PROGRAMS AND BE THE EYES AND EARS ACROSS THE COMMUNITY HILL COUNTRY MEMORIAL HOSPITAL DOES NOT INTEND TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS DUE TO LACK OF EXPERTISE AND RESOURCES: 1. ACCESS TO CARE AND INSURANCE IS A HEALTH NEED THAT HCM CANNOT DIRECTLY IMPACT AT THIS TIME. HILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO PROVIDE MORE ACCESS TO AFFORDABLE HEALTHCARE BY RECRUITING PRIMARY CARE DOCTORS TO EXPAND ACCESS AND CONTINUING TO OFFER ITS FINANCIAL ASSISTANCE PROGRAM. 2. SUBSTANCE USE: DUE TO RESOURCE LIMITATIONS, HILL COUNTRY MEMORIAL HOSPITAL IS NOT DIRECTLY ADDRESSING SUBSTANCE ABUSE/ADDITION HEALTH NEEDS AT THIS TIME. HILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO PARTNER WITH LOCAL REHABILITATION CENTERS AND SOCIAL SERVICES BETTER POSITIONED TO DIRECTLY ADDRESS THIS HEALTH NEED. 3. AFFORDABLE HOUSING: WHILE THIS IS IMPORTANT TO OUR COMMUNITY IT IS A DIFFICULT ITEM FOR HCM TO DIRECTLY ADDRESS. JILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO PARTNER WITH LOCAL GOVERNMENT AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE AFFORDABLE HOUSING AVAILABLE IN THE COMMUNITY. 4. CHILD CARE: WHILE WE AGREE THAT THIS IS A NEED IN OUR COMMUNITY, WE SEE OTHERS IN OUR COMMUNITY BETTER-POSITIONED TO FILL THE GAP AT THIS TIME. HILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO OFFER CHILDREN'S PROGRAMMING DURING CERTAIN SCHOOL HOLIDAYS AT OUR WELLNESS CENTER AND CONTINUE TO COLLABORATE WITH SOCIAL SERVICES FOCUSING ON CHILDREN. 5. SENIOR CARE: DUE TO RESOURCE LIMITATIONS, WE ARE NOT ADDRESSING GERIATRIC HEALTHCARE SERVICES AT THIS TIME. The Hospital WILL CONTINUE TO PARTNER WITH LOCAL SENIOR SERVICES AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE GERIATRIC HEALTHCARE SERVICES AVAILABLE IN THE COMMUNITY.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - HILL COUNTRY MEMORIAL HOSPITAL. THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - HILL COUNTRY MEMORIAL HOSPITAL. AT THE BEGINNING OF THE 2023 TAX YEAR, CREATE HEALTHY MANAGEMENT COMPLETED ITS SALE OF THE HOSPITAL. AS THE ORGANIZATION IS NOT CURRENTLY A HOSPITAL, THESE DOCUMENTS ARE NO LONGER POSTED TO THE WEBSITE.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HCM HOME CAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1808 REUBEN STREETAddressLine1Txt
CityFREDERICKSBURGCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78624ZIPCd
FieldValueIRS element (for citing)
FacilityHOME HEALTHFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE:THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS -NUMBER OF HOUSEHOLD MEMBERS
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COST COMPUTED ON IRS WORKSHEET 4 FROM THE GOOD SAMARITAN CENTER IS BASED ON CHARGES WRITTEN OFF. ALL OTHER ACTIVITY IS ACTUAL CASH COSTS. WORKSHEET 6 PULLED THE DATA FROM THE COST ACCOUNTING SYSTEM CONSISTING OF ACTUAL CHARGES AND RECEIPTS, ACTUAL COSTS AND OVERHEAD COSTS. WORKSHEET 8 IS CALCULATED USING THE INCOME STATEMENT AND INTERNAL COSTS SYSTEM.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountFOR GENERAL LEDGER PURPOSES, the hospital ESTIMATES THE BAD DEBTS EXPENSE BASED ON HISTORY. A MONTHLY REPORT DETERMINES THE PERCENTAGE OF COLLECTIONS ON EVERY PAYOR FOR THE LAST SIX MONTHS. THIS HISTORY OF THE PERCENTAGE OF UNCOLLECTIBLE CHARGES IS USED TO ESTIMATE THE BAD DEBT EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteNOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $2,031,067. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceThe hospital's COLLECTION POLICY EXCLUDES PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. OTHER FACTORS ARE USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS.
Schedule H, Part V, Section B, Line 16a FAP website- Hill Country Memorial Hospital: Line 16a URL: SEE SECTION C, LINE 16J;
Schedule H, Part V, Section B, Line 16b FAP Application website- Hill Country Memorial Hospital: Line 16b URL: SEE SECTION C, LINE 16J;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Hill Country Memorial Hospital: Line 16c URL: SEE SECTION C, LINE 16J;
Schedule H, Part VI, Line 2 Needs assessmentTHE HOSPITAL ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A TRIENNIAL COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT, CONDUCTED BY A THIRD PARTY IN COLLABORATION WITH INTERNAL STAKEHOLDERS. ADDITIONALLY, THE HOSPITAL ACCESSES AND REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENTS PUBLICALLY POSTED BY HEALTH ENTITIES IN OUR MORE DISTANT SERVICE AREAS. THESE ITEMS ARE INCORPORATED INTO OUR STRATEGIC PLAN. FINALLY, THE HOSPITAL CONDUCTS ANNUAL SWOT ASSESSMENTS WITH MORE THAN 100 KEY STAKEHOLDERS TO DETERMINE HEALTHCARE NEEDS BEFORE SETTING ITS ANNUAL STRATEGY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceTHE HOSPITAL'S PATIENTS SPEAK WITH A HOSPITAL BUSINESS OFFICE REPRESENTATIVE BEFORE CARE TO DETERMINE IF THEY ARE ELIGIBLE FOR ASSISTANCE UNDER THE FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THE ORGANIZATION'S CHARITY CARE POLICY. THE PATIENT'S ELIGIBILITY IS ASSESSED AND CAREFULLY MANAGED, SO THAT IF HE/SHE OVERPAYS, HE/SHE IS REIMBURSED THE RECONCILING AMOUNT. UPON DISCHARGE, PATIENTS ARE GIVEN THE INFORMATION, AND IT IS THEIR DECISION WHETHER OR NOT TO CONTACT THE HOSPITAL.
Schedule H, Part VI, Line 4 Community informationTHE POPULATION OF THE THREE COUNTIES IS PROJECTED TO INCREASE FROM 2021 TO 2026 (2.57% PER YEAR). TEXAS IS PROJECTED TO INCREASE 1.5% PER YEAR. THE U.S. IS PROJECTED TO INCREASE 0.70% PER YEAR. THE THREE COUNTIES HAD A HIGHER MEDIAN AGE (48.7 MEDIAN AGE) THAN TX (35.3) AND THE U.S. (38.8). IN THE THREE COUNTIES THE PERCENTAGE OF THE POPULATION 65 AND OVER WAS 26%, HIGHER THAN THE U.S. POPULATION 65 AND OVER AT 17.2%. THE THREE COUNTIES' MEDIAN HOUSEHOLD INCOME AT $74,906 WAS HIGHER THAN TX ($63,524) AND THE U.S. ($64,730). THE RATES OF POVERTY IN GILLESPIE, BLANCO AND KENDALL RESPECTIVELY WERE 9.2%, 9.8% AND 6.7% WHICH WERE ALL LOWER THAN TX (13.4%) AND THE U.S. (11.9%). THE HOUSEHOLD INCOME DISTRIBUTION OF THE THREE COUNTIES WAS 37% HIGHER INCOME (OVER $100,000), 51% MIDDLE INCOME, AND 12% LOWER INCOME (UNDER $25,000). THE LARGEST INCOME GROUP IS THE 19% MAKING $50,000 TO $74,999. THE HEALTH CARE INDEX MEASURES HOW MUCH THE POPULATIONS SPENT OUT-OF-POCKET ON HEALTH CARE SERVICES INCLUDING INSURANCE PREMIUMS. THE U.S. INDEX WAS 100. THE THREE COUNTIES' INDEX WAS 122, INDICATING 22% MORE SPENT OUT OF POCKET THAN THE AVERAGE U.S. HOUSEHOLD ON MEDICAL CARE (DOCTOR'S OFFICE VISITS, PRESCRIPTIONS, HOSPITAL VISITS) AND INSURANCE PREMIUMS. THE RACIAL AND ETHNIC MAKE-UP OF GILLESPIE, BLANCO AND KENDALL COUNTIES WAS 89% WHITE, 1% BLACK, 1% AMERICAN INDIAN, 1% ASIAN, 25% HISPANIC ORIGIN, 2% MORE THAN ONE RACE, AND 7% OTHER. (THESE PERCENTAGES TOTAL TO OVER 100% BECAUSE HISPANIC IS AN ETHNICITY, NOT A RACE.)
Schedule H, Part VI, Line 5 Promotion of community healthTHE HOSPITAL'S VISION IS TO EMPOWER OTHERS, CREATE HEALTHY. ENCOURAGING WELLNESS IS AN INVESTMENT IN OUR COMMUNITIES' HEALTH. WE EMPOWER OTHERS BY HOLDING EDUCATIONAL/COMMUNITY EVENTS. 2022 WAS A CHALLENGING YEAR FOR CREATING HEALTHY WITH THE END OF OUTBREAK OF COVID 19 IN OUR WORLD. THE HEALTHYU PROGRAM, HYPERTENSION MANAGEMENT THROUGH BEHAVIORAL CHANGES, CONTINUED WITH 150 PARTICIPANTS WITH REMOTE WEBINARS, NUTRITIONAL CONSULTATIONS, OFF SITE FITNESS ACTIVITIES. THE WELLNESS CENTER COMPLIED WITH PANDEMIC SAFETY PROTOCOLS TO PROVIDE A RESOURCE FOR WELLNESS ACTIVITIES; OUTDOOR GROUP EXERCISE CLASSES, SMALLER AQUA CLASSES, FITNESS EQUIPMENT SANITATION PROTOCOLS, AND TWO HOUR RESERVATION BLOCKS TO REDUCE THE USER INTERACTION. EMBRACING ITS VALUE OF OWNERSHIP, CHM PROACTIVELY INITIATED THE HILL COUNTRY COMMUNITY RESPONSE TO COVID-19 BY ORGANIZING REGULAR STAKEHOLDER MEETINGS WITH KEY COMMUNITY LEADERS; DISSEMINATING TRANSPARENT, RESEARCH BASED EDUCATION; IMPLEMENTING INNOVATIVE AND EXPANDED APPROACHES TO ACCESS CARE; AND SHARING BEST PRACTICES AT THE LOCAL, STATE, AND NATIONAL LEVEL. THESE MEETINGS CONTINUED INTO 2022. THE HOSPITAL COLLABORATES WITH CITY AND COUNTY OFFICIALS TO PREPARE FOR EMERGENCY SCENARIOS. CHM INVITES CITY AND COUNTY EMERGENCY OFFICIALS TO PARTICIPATE IN MOCK EMERGENCY SITUATIONS TO PREPARE FOR ACTUAL, LIKELY EMERGENCY BASED ON THE GEOGRAPHIC PROXIMITY OF THE HOSPIAL, SUCH AS A TORNADO OR MAJOR CHEMICAL SPILL. STARTING IN EARLY 2022 CHM HAS BEEN COLLABORATING WITH THOSE AGENCIES TO PREPARE FOR THE POTENTIAL HEALTH NEEDS OF THE INFLUX OF TENS OF THOUSANDS OF VISITORS FOR THE PARTIAL ECLIPSE IN FALL OF 2023 AND THE TOTAL ECLIPSE IN APRIL OF 2024 AS FREDERICKSBURG IS IN THE DIRECT PATH OF THE VIEWING AREA. THE HOSPITAL'S PURPOSE IS TO SERVE AND PARTNER WITH OTHERS TO CREATE HEALTHY COMMUNITIES FOR GENERATIONS TO COME. THE ORGANIZATION DOES THIS BY HAVING AN OPEN MEDICAL STAFF AND COMMUNITY BOARD. CHM ALSO PROVIDES MILLIONS OF DOLLARS OF CHARITY CARE EACH YEAR. AS A NOT-FOR PROFIT HEATLH CARE ORGANIZATION, OUR EARNINGS ARE INVESTED BACK INTO THE ORGANIZATION FOR IMPROVEMENTS TO THE FACILITIES, TECHNOLOGY AND THOSE WHO DELIVER CARE. IN 2022, CHM INVESTED IN CATH LAB AND SURGERY EQUIPMENT, NEW IT EQUIPMENT AND OPENED THE DEBBYE DOOLEY SIMULATION LAB TO TRAIN MEDICAL TEAMS THROUGHOUT THE HILL COUNTRY. FOR ADDITIONAL INFORMATION ABOUT ACTIVITIES THE HOSPITAL CONDUCTED TO PROMOTE COMMUNITY HEALTH, SEE THE SCHEDULE H, PART V, SECTION B, LINE 11 DISCLOSURE.
Schedule H, Part VI, Line 6 Affiliated health care systemTHE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES SIX ORGANIZATIONS. CREATE HEALTHY MANAGEMENT PROVIDES HEALTHCARE; CREATE HEALTHY FOUNDATION PROVIDES FUNDRAISING; FREDERICKSBURG PHYSICIANS NO 1 PROVIDES HEALTHCARE; FREDERICKSBURG PHYSICIANS NO 2 PROVIDES HEALTHCARE; AND FREDERICKSBURG HOSPICE NO 1 PROVIDES HOSPICE SERVICE. FREDERICKSBURG ACO, LLC & MARBLE FALLS ASC, LLC ARE FULLY OWNED BY THE HOSPITAL.
Schedule H, Part VI, Line 7 State filing of community benefit reportTX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
FREDERICKSBURG FRIENDS OF THE FIELDS
C/O SECURITY STATE BANKP O BOX 471FREDERICKSBURGTX78624872770300501(C)(3)$900,000Construction of Community Soccer Fields
LITTLE HEARTS CHILD DEVELOPMENT CENTER
P O BOX 2107FREDERICKSBURGTX78624920825896501(C)(3)$500,000Construction of Child Care Facility
BETHANY PRESCHOOL
110 W AUSTIN STREETFREDERICKSBURGTX78624741246245501(C)(3)$500,000Construction of Child Care Facility
GILLESPIE COUNTY FAIR AND FESTIVALS ASSOCIATION SCHOLARSHIP FEST
P O BOX 526FREDERICKSBURGTX78624741036549501(C)(3)$50,000Scholarships
HILL COUNTRY UNIVERSITY CENTER FOUNDATION
2818 E HIGHWAY 290FREDERICKSBURGTX78624743069497501(C)(3)$75,000Scholarships
THE HILL COUNTRY COMMUNITY NEEDS COUNCIL
P O BOX 73FREDERICKSBURGTX78624742276776501(C)(3)$45,000$25K General Support focusing on children's counseling, $20K Weekend backpacks for children's meals
GOOD SAMARITAN CENTER
140 INDUSTRIAL LOOPSUITE 100FREDERICKSBURGTX78624912129853501(C)(3)$25,000Medical care for indigent patients
GRACE CENTER OF FREDERICKSBURG
P O BOX 3433FREDERICKSBURGTX78624352639189501(C)(3)$35,000General Support
COMMUNITY RESOURCE CENTER OF TEXAS
1016 BROADWAYMARBLE FALLSTX78624470946288501(C)(3)$25,000General Support
CENTRAL TEXAS FOOD BANK
6500 METROPOLIS DRIVEAUSTINTX78624742217350501(C)(3)$25,000Support - Local delivery of mobile food pantry for Thanksgiving food
BOYS AND GIRLS CLUB OF TEXAS HILL COUNTRY
P O BOX 2307FREDERICKSBURGTX78624742758055501(C)(3)$65,000General Support
GOLDEN HUB COMMUNITY CENTER
1009 N LINCOLN STREETFREDERICKSBURGTX78624843438428501(C)(3)$25,000Support - Meals for Seniors
FREDERICKSBURG ISD EDUCATION FOUNDATION
P O BOX 3446FREDERICKSBURGTX78624825436079501(C)(3)$25,000General Support
TEXAS WINE AUCTION
P O BOX 2651FREDERICKSBURGTX78624873707415501(C)(3)$75,000Support - Healthcare for Workers
FISD BILLIE BOOSTERS INC
P O BOX 2135FREDERICKSBURGTX78624742617557501(C)(3)$15,000General Support - Healthy Living
FREDERICKSBURG INDEPENDENT SCHOOL DISTRICT
234 FRIENDSHIP LANDFREDERICKSBURGTX78624746000876501(C)(3)$15,000School supplies for local students
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Health improvement program1100$43,352Cost of staff, labs and value of membershipsFree membership in hypertension management program
Gym Club Membership153$6,840Value of memberships at retailFree membership provided to law enforcement and EMS personnel

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part III, Column (b) Estimated Number Of RecipientsHealth improvement program : Actual number of registered participants
Schedule I, Part III, Column (b) Estimated Number Of RecipientsGym Club Membership : Actual number of registered participants
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.Create Healthy partners with organizations which receive grant funding to review reports outlining how they used the grant funds received. These reports include key data points and are provided to Create Healthy at least annually and at the conclusion of their grant period. These reports are reviewed by the Create Healthy Councils and leadership and in aggregate by the Create Healthy Board.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
JAYNE POPE
CEO$379,610$0$0$0$410,000$0$18,151$0$11,337$0$819,098$0$0$0
SUSAN NEVES
CFO$90,975$0$0$0$325,000$0$12,200$0$7,692$0$435,867$0$0$0
CHRIS SEMMLER
VP OF FINANCE$160,557$0$19,793$0$0$0$8,830$0$0$0$189,180$0$0$0
CLINTON KOTAL
CHIEF INTEGRATION OFFICER$92,519$0$0$0$325,000$0$12,200$0$8,378$0$438,097$0$0$0
AMANDA STEVENS
Chief Strategy Officer$135,607$45,054$0$0$46,249$46,249$8,309$4,505$15,002$6,091$205,167$101,899$0$0
MAUREEN O POLIVKA
CNO$66,077$0$0$0$116,126$0$9,358$0$7,691$0$199,253$0$0$0
JANICE MENKING
Controller$108,191$0$21,861$0$18,929$0$5,495$0$7,203$0$161,679$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 4a Change-of-Control PaymentFormAndLineReferenceDesc
ExplanationThe Board of Directors consulted with legal counsel and approved retention/change of control payments in advance of the transaction in an effort to retain key senior staff in place for the duration of the transaction. Retention agreements are key elements in such transactions. The loss of key staff during the eighteen months of negotiation, diligence and closing, had the potential to result in an economic loss through either diminished operations or a reduction in the purchase price or both in excess of 10 million dollars. The amount of the retention agreements was confirmed through an independent third party national compensation consultant. The cost of the retention agreements was reasonable and appropriate in light of the material potential enterprise risk. The following individuals received payment: Jayne Pope $410,000 Susan Neves $325,000 Clinton Kotal $325,000 Maureen Polivka $116,126 Amanda Stevens $92,498ExplanationTxt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidHospital Real, Fixed and Moveable AssetsAssetsDistriOrExpnssPaidDesc
Distribution2023-03-31DistributionDt
PersonMethodist HospitalPersonNm
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessorInd
Employee Of SuccessorYes (true)EmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationYes (true)ReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd

Disposition Of Assets Detail DispositionOfAssetsDetail (3 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
METHODIST HEALTHCARE SYSTEM
LAND, BUILDINGS, FURNITURE, FIXTURES2023-03-31$51,385,843APPRAISAL, FAIR MARKET VALUE742730328P O BOX 570NASHVILLETN37202Limited Liability Partnership
METHODIST HEALTHCARE SYSTEM
ACCOUNTS RECEIVABLE2023-03-31$6,828,065ACTUAL COLLECTIONS742730328P O BOX 570NASHVILLETN37202Limited Liability Partnership
METHODIST HEALTHCARE SYSTEM
INVENTORY, PREPAID ASSETS2023-03-31$3,631,799ACTUAL VALUE742730328P O BOX 570NASHVILLETN37202Limited Liability Partnership
FieldValueIRS element (for citing)
Director Of Successor2Yes (true)DirectorOfSuccessor2Ind
Employee Of Successor2Yes (true)EmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2Yes (true)ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule N, Part II, Line 2a Interested person is a director or trustee of transferee org.Jenny Weiser, Board Chair Joel Junker, Secretary Carlin Friar, Trustee Dan Sechrist, Trustee
Schedule N, Part II, Line 2b Interested person is an employee of ind. contractor of transferee org.Jayne Pope, President & CEO Amanda Stevens, Vice President of Strategic Philanthropy
Schedule N, Part II, Line 2d Interested person received compensation from significant dispositionThe Board of Directors consulted with legal counsel and approved retention/change of control payments in advance of the transaction in an effort to retain key senior staff in place for the duration of the transaction. Retention agreements are key elements in such transactions. The loss of key staff during the eighteen months of negotiation, diligence and closing, had the potential to result in an economic loss through either diminished operations or a reduction in the purchase price or both in excess of 10 million dollars. The amount of the retention agreements was confirmed through an independent third party national compensation consultant. The cost of the retention agreements was reasonable and appropriate in light of the material potential enterprise risk. The following individuals received payment: Jayne Pope, CEO Susan Neves, CFO Clinton Kotal, CIO Maureen Polivka, CNO Amanda Stevens, Chief Strategy Officer

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3 Significant changes in program servicesHospital operations and assets sold to Methodist/HCA on 3/31/23. Remaining assets to be used for the new mission of Create Healthy.
Form 990, Part III, Line 4d Description of other program services(Expenses $ 532,544 including grants of $)(Revenue $ 722,960) HOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE. A TOTAL OF 2,304 HOME CARE VISITS WERE MADE.
Form 990, Part III, Line 4d Description of other program services(Expenses $ 426,330 including grants of $)(Revenue $ 303,408) WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING FITNESS EQUIPMENT AND CLASSES; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2023 THERE WERE 77,224 VISITS IN WELLNESS CENTER PROGRAMS.
Form 990, Part III, Line 4d Description of other program services(Expenses $ 72,282 including grants of $)(Revenue $ 64,660) WIC Program
Form 990, Part III, Line 4d Description of other program services(Expenses $ 22,189 including grants of $)(Revenue $ 211,930) Clinic Rent Income
Form 990, Part III, Line 4d Description of other program services(Expenses $ 196 including grants of $) ACO Service Income
Form 990, Part VI, Line 1a Delegate broad authority to a committeeTHE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY. THE CEO SHALL BE EX-OFFICIO, NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE COMMITTEE SHALL HAVE THE POWER TO TRANSACT BUSINESS OF THE CORPORATION AND THE ORGANIZATION SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE SUCH ADDITIONAL DUTIES AND RESPONSIBILITIES AS MAY BE SET FORTH IN THE BYLAWS. MINUTES OF THE EC MEETINGS SHALL BE SUBMITTED TO THE BOARD AND ITS ACTIONS SHALL BE BROUGHT TO THE BOARD AT THE NEXT REGULAR MEETING FOR RATIFICATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE CREATE HEALTHY MANAGEMENT BOARD MEMBERS ARE PROVIDED ELECTRONIC ACCESS TO THE FORM 990 IN ADVANCE OF A BOARD MEETING. FORMAL REVIEW IS THEN HELD AT A MEETING PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policyCONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, and HIGHLY COMPENSATED EMPLOYEES ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe Board reviews relevant wage survey and data to determine CEO compensation. Data and surveys are supplied by a national compensation firm that specializes in compensation consulting. The compensation evaluation process is as follows: The CEO compensation is set by the Board of directors. Salary is accounted for the size and complexity of the organization and the knowledge and experience of the employee. All salaries are reflective of the market. Leadership compensation is reviewed annually.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesAll leadership positions were evaluated utilizing data from a national compensation consulting firm to ensure all salaries are reflective of the market and the complexity of the organization as well as the knowledge and experience of the employee.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S GOVERNING DOCUMENTS INCLUDING BYLAWS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON REQUEST. FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC, HOWEVER CERTAIN SUMMARY FINANCIAL INFORMATION MAY BE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT TO THE COMMUNITY.
Form 990, Part VIII, Line 2f Other Program Service RevenueSurgery Center Revenue - Total Revenue: 355338, Related or Exempt Function Revenue: 355338, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueMEDICAL RECORDS - Total Revenue: 295, Related or Exempt Function Revenue: 295, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPurchased Services - Total Expense: 4389161, Program Service Expense: 3381247, Management and General Expenses: 1007914, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesLoss from discontinued operations - 4011312; Other Reconciling Differences - 51659; Closing of Receivables - -64818707; Change in net assets of Foundation - 7443378; Change in net assets of MFASC - 1412366; Change in net assets of ACO - -24856; Change in operating lease - 6039637;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FREDERICKSBURG ACO LLC
PO BOX 1339FREDERICKSBURGTX78624833115572ACOTX$0$0CHM
MARBLE FALLS ASC LLC
PO BOX 1339FREDERICKSBURGTX78624331039828SURGERY CTRTX$355,338$0CHM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CREATE HEALTHY FOUNDATION
PO BOX 1339FREDERICKSBURGTX78624742557105FUNDRAISINGTX501(c)(3)Type ICHMYes (true)
FREDERICKSBURG HOSPICE NO 1
PO BOX 1339FREDERICKSBURGTX78624174291264HOSPICETX501(c)(3)3CHMYes (true)
FREDERICKSBURG PHYSICIANS NO 2
PO BOX 1339FREDERICKSBURGTX78624226255319HEALTHCARETX501(c)(3)Type ICHMYes (true)
FREDERICKSBURG PHYSICIANS NO 1
PO BOX 1339FREDERICKSBURGTX78624127286010HEALTHCARETX501(c)(3)3CHMYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FREDERICKSBURG HOSPICE NO 1
Q$1,812,664ACTUAL CASH
FREDERICKSBURG HOSPICE NO 1
S$6,554,200ACTUAL CASH
FREDERICKSBURG PHYSICIANS NO 1
R$2,773,355FMV
Create Healthy Foundation
Q$157,080Cash paid
Create Healthy Foundation
C$161,104CASH PAID