2022-11-15T11:12:08-06:00 2021-12-31 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-01-01 272860109 Hill Country Primary Care Physicians % JANICE MENKING HILL 8309974353 PO Box 835 Fredericksburg TX 78624 JAYNE POPE HOSPITAL CFO 9727028262 2022-11-15 true Susan Neves 999009999 Jeanette Verrelli P00742631 9727028262 2 2021 2022-09-23 18:48:47Z JAYNE POPE PO BOX 835 FREDERICKSBURG TX 78624 10654147 false X N/A X 2010 TX TO ENCOURAGE QUALITY HEALTHCARE PROVIDERS TO LOCATE IN THE FREDERICKSBURG AREA TO PROVIDE HEALTHCARE SERVICES TO PATIENTS. 5 0 20 6 0 0 264862 254943 7861877 10399204 -44610 -121767 0 0 8082129 10532380 0 0 0 0 10903783 12753719 0 0 0 4245862 4497989 15149645 17251708 -7067516 -6719328 3019631 2591094 43717311 50008104 -40697680 -47417010 HILL COUNTRY MEMORIAL HOSPITAL'S VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE HOSPITAL'S VALUES ARE: COMPASSION, OWNERSHIP, INNOVATION, AND EXCELLENCE. false false 13686864 10399204 PROVIDED OUTPATIENT PRIMARY CARE AND RELATED HEALTH SERVICES TO PATIENTS IN THE FREDERICKSBURG AREA. THE ORGANIZATION ALSO HAS VARIOUS SPECIALISTS IN FIELDS SUCH AS ENT, OB/GYN, GASTROENTEROLOGY, GENERAL SURGERY, ORTHOPEDICS, PAIN MANAGEMENT, PODIATRY, PULMONOLOGY, UROLOGY AND VASCULAR CARE WHO PROVIDE SPECIALTY CARE TO PATIENTS IN THE AREA. 13686864 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 4 0 true 20 true false false false false false false false false false false false false X 5 0 false true false false true true true true true false false true true true true false true false false false X JANICE MENKING 8309971339 822 REUBEN ST FREDERICKSBURG TX 78624 Christopher Fincke PHYSICIAN 40.0 0.0 X 884860 0 45171 Christopher Love PHYSICIAN 40.0 0.0 X 657713 0 39728 Andrew Bowser Director/Physician 39.0 1.0 X X 610530 0 15106 Jayne Pope HOSPITAL CEO 0.25 39.75 X 0 553451 24831 Clinton Kotal CHIEF INTEGRATION OFFICER 15.0 25.0 X 0 414239 45082 Ralph Menard Director/Physician 39.0 1.0 X 403008 0 42233 Dureshahwar Fernandez PHYSICIAN 40.0 0.0 X 423590 0 11600 Susan Neves CFO 0.25 39.75 X 0 401367 23633 Gregory Andreassian PHYSICIAN 40.0 0.0 X 386506 0 33083 Bryce Karulak PHYSICIAN 40.0 0.0 X 293212 0 27388 Michael Abel Director/Physician/Chair 39.0 1.0 X X 305363 0 11096 Felice Howard Director/Physician 39.0 1.0 X 255233 0 22183 James Partin Hospital CMO 0.0 40.0 X 0 238675 0 Rebecca Turbeville Director/Physician/Vice Pres 39.0 1.0 X 211826 0 8561 4431841 1607732 349695 10 true true false NASH BUILDERS LTD P O BOX 8327 HORSESHOE BAY TX 78657 CONTRACTOR 1602365 ECLINICAL WORKS LLC P O BOX 847950 BOSTON MA 02284 BILLING-COLLECTING 561308 CHRISTOPHER STRECKER HALL MD PLLC 5404 N SCOUT ISLAND CIRCLE AUSTIN TX 78731 PHYSICIAN 218378 3 254943 254943 NET PATIENT REVENUE 621110 10394453 10394453 Clinic Rent Revenue 531120 4751 4751 10399204 0 0 0 0 0 0 121767 -121767 -121767 -121767 0 0 0 0 0 0 0 0 0 0 10532380 10399204 -121767 0 0 0 0 1885135 1507640 377495 0 9197687 7357923 1839764 179715 143772 35943 1225748 969422 256326 265434 212347 53087 0 0 7300 7300 0 0 0 909743 733634 176109 57533 2988 54545 187820 45867 141953 521355 417084 104271 0 1221761 952109 269652 10764 8611 2153 0 11471 9177 2294 0 0 291525 233220 58305 198128 158996 39132 Supplies 544991 435993 108998 DUES AND SUBSCRIPTIONS 79760 63808 15952 Recruitment 88145 70516 17629 BAD DEBT EXPENSE 348012 348012 0 19681 15745 3936 17251708 13686864 3564844 0 150884 10815 0 0 0 0 467350 592173 0 0 0 0 0 0 0 0 12000 12000 4078693 2102587 2389397 1976106 0 0 0 0 0 0 0 0 0 0 3019631 2591094 329270 483715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43388041 49524389 43717311 50008104 X -40697680 -47417010 0 0 -40697680 -47417010 3019631 2591094 -6719328 -2 X false true X true true true X SCHEDULE A, PART I, LINE 3 Reason for public charity status: HILL COUNTRY PRIMARY CARE PHYSICIANS IS classified as a hospital for exempt purposes only. The organization is not a licensed hospital under Texas state law and therefore not required to complete schedule H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19732 19732 2670956 914354 1756602 1388005 1188233 199772 1976106 0 DUE TO HOSPITAL 49524389 49524389 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. false false false false false false false false false Christopher Fincke PHYSICIAN 644463 0 240397 0 0 0 11600 0 33571 0 930031 0 0 0 Christopher Love PHYSICIAN 574916 0 82797 0 0 0 8935 0 30793 0 697441 0 0 0 Dureshahwar Fernandez PHYSICIAN 327400 0 96190 0 0 0 11600 0 0 0 435190 0 0 0 Gregory Andreassian PHYSICIAN 382737 0 3769 0 0 0 11600 0 21483 0 419589 0 0 0 Bryce Karulak PHYSICIAN 286395 0 6817 0 0 0 0 0 27388 0 320600 0 0 0 Michael Abel Director/Physician/Chair 277400 0 27963 0 0 0 11096 0 0 0 316459 0 0 0 Andrew Bowser Director/Physician 458894 0 151636 0 0 0 11600 0 3506 0 625636 0 0 0 Ralph Menard Director/Physician 396659 0 6349 0 0 0 11600 0 30633 0 445241 0 0 0 Rebecca Turbeville Director/Physician/Vice Pres 211303 0 523 0 0 0 8456 0 105 0 220387 0 0 0 Felice Howard Director/Physician 246420 0 8813 0 0 0 9961 0 12222 0 277416 0 0 0 Jayne Pope HOSPITAL CEO 0 409951 0 143500 0 0 0 11600 0 13231 0 578282 0 0 James Partin Hospital CMO 0 191961 0 46714 0 0 0 0 0 0 0 238675 0 0 Susan Neves CFO 0 303867 0 97500 0 0 0 0 0 23633 0 425000 0 0 Clinton Kotal CHIEF INTEGRATION OFFICER 0 314665 0 99574 0 0 0 11600 0 33482 0 459321 0 0 SCHEDULE J, PART I, LINE 3 EXECUTIVE COMPENSATION: HILL COUNTRY MEMORIAL HOSPITAL, A RELATED ORGANIZATION, DETERMINES COMPENSATION OF THE CEO THROUGH THE USE OF THE FOLLOWING: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS; THE MEMBER SHALL BE HILL COUNTRY MEMORIAL HOSPITAL (MEMBER). FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE MEMBER, UPON THE APPROVAL OF A MAJORITY OF THE BOARD OF DIRECTORS, SHALL APPOINT THE REQUISITE NUMBER OF DIRECTORS FROM PERSONS WHO MEET ALL QUALIFICATION REQUIREMENTS TO BE A DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL BY THE MEMBERS OR STOCKHOLDERS: ACCORDING TO THE BYLAWS, POWERS RESERVED TO THE MEMBER INCLUDE: APPROVAL AND SALES OF REAL PROPERTY; CREATION OF PARTNERSHIPS OR JOINT VENTURES AND DISSOLUTION OR LIQUIDATION, AMONG OTHER POWERS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE HOSPITAL BOARD HAS GIVEN THE AUDIT/FINANCE COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. THE CFO DISCUSSES EACH SECTION WITH THE COMMITTEE AND DISCUSSES ANY ISSUES THAT NEED TO BE ADDRESSED FOR FUTURE YEARS. ALL BOARD MEMBERS ARE ALSO PROVIDED A LINK TO ACCESS THE 990 FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND ALL DEPARTMENT DIRECTORS ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE SYSTEM BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VI, Section A, Line 3 FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES: JUST BEFORE 2021, HILL COUNTRY MEMORIAL HOSPITAL, A RELATED ORGANIZATION ENDED THE MANAGEMENT AGREEMENT WITH C2XSEVEN, LLC. THE CHIEF FINANCIAL OFFICER OF ALL ITS ORGANIZATIONS RECEIVED A 1099 FOR HER INVOLVEMENT WITH C2XSEVEN BEFORE STARTING FULL TIME AS A HOSPITAL EMPLOYEE. PER IRS GUIDANCE, THE AMOUNT PAID THROUGH THE MANAGEMENT AGREEMENT IS NOT SHOWN ON FORM 990, PART VII, FOR THIS INDIVIDUAL: SUSAN NEVES $26,400 HILL COUNTRY MEMORIAL HEALTH SYSTEM 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858904 SUPPORT TX 501(C)(3) 12, TYPE I HCMH true HILL COUNTRY MEMORIAL HOSPITAL 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 746083124 HOSPITAL TX 501(C)(3) 3 NA false HILL COUNTRY MEM MEDICAL OFFICE BUILDING 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858909 DR OFFICES TX 501(C)(3) 12 TYPE III HCMH true HILL COUNTRY MEMORIAL FOUNDATION INC 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742557105 FUNDRAISING TX 501(C)(3) 12 TYPE III NA false HILL COUNTRY COMMUNITY SERVICES CORP 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858907 HOME CARE SVC TX 501(C)(3) 12 TYPE III HCMH true HILL COUNTRY PHYSICIAN ASSOCIATES 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 262553196 HEALTHCARE TX 501(C)(3) 12, TYPE I HCMH true HILL COUNTRY WELLNESS CENTER 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858905 HEALTH ED TX 501(C)(3) 12 TYPE III HCMH true GREATER HILL COUNTRY HOSPICE 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742912643 HOSPICE TX 501(C)(3) 3 HCMH true false false false false false false false false false false false false false false true true false false false