CREATE HEALTHY MANAGEMENT: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202243199349310409
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T11:08:45-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY SUITE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	746083124	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Hill Country Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JANICE MENKING	InCareOfNm
Business Name Control	HILL	BusinessNameControlTxt
Phone	8309974353	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 835	AddressLine1Txt
City	Fredericksburg	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78624	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUSAN NEVES	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9727028262	PhoneNum
Signature	2022-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Susan	PersonFirstNm
Person Last	Neves	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jeanette Verrelli	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9727028262	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAYNE POPE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 835	AddressLine1Txt
City	FREDERICKSBURG	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78624	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$137,077,394	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HILLCOUNTRYMEMORIAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1966	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	MISSION IS REMARKABLE ALWAYS - TO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	738	TotalEmployeeCnt
Total Volunteers	49	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,758,654	PYContributionsGrantsAmt
CY Contributions Grants	$9,736,209	CYContributionsGrantsAmt
PY Program Service Revenue	$83,100,139	PYProgramServiceRevenueAmt
CY Program Service Revenue	$89,602,371	CYProgramServiceRevenueAmt
PY Investment Income	-$8,009	PYInvestmentIncomeAmt
CY Investment Income	$3,294,591	CYInvestmentIncomeAmt
PY Other Revenue	$118,189	PYOtherRevenueAmt
CY Other Revenue	$156,886	CYOtherRevenueAmt
PY Total Revenue	$90,968,973	PYTotalRevenueAmt
CY Total Revenue	$102,790,057	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$32,933,880	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,432,264	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$52,939,461	PYOtherExpensesAmt
CY Other Expenses	$56,440,121	CYOtherExpensesAmt
PY Total Expenses	$85,873,341	PYTotalExpensesAmt
CY Total Expenses	$90,872,385	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,095,632	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,917,672	CYRevenuesLessExpensesAmt
Total Assets BOY	$229,903,609	TotalAssetsBOYAmt
Total Assets EOY	$246,858,307	TotalAssetsEOYAmt
Total Liabilities BOY	$26,115,122	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$24,200,924	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$203,788,487	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$222,657,383	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HILL COUNTRY MEMORIAL HOSPITAL'S VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE HOSPITAL'S VALUES ARE: COMPASSION, OWNERSHIP, INNOVATION, EXCELLENCE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$70,943,299	ExpenseAmt
Revenue	$84,220,037	RevenueAmt
Desc	MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE AND OB - 4,336; INTENSIVE AND CRITICAL CARE UNITS - 1,580; NURSERY - 613; EMERGENCY ROOM CARE WAS PROVIDED FOR 12,145 VISITS; 228,065 LABORATORY TESTS WERE PERFORMED; 83,387 IMAGING PROCEDURES (ALL MODALITIES) WERE PERFORMED; 12,154 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,327 OPERATIONS AND 4,182 OUTPATIENT PROCEDURES WERE PERFORMED AND 360 BABIES WERE DELIVERED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,190,888	ExpenseAmt
Revenue	$2,691,107	RevenueAmt
Desc	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 12,827 HOME CARE VISITS WERE MADE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,382,513	ExpenseAmt
Revenue	$682,648	RevenueAmt
Desc	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 2021 THERE WERE 73,461 VISITS IN WELLNESS CENTER PROGRAMS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmt	RevenueRevenueAmt	DescDesc
$379,491	$555,738	WIC PROGRAM
$169,454	$220,412	CLINIC RENT INCOME
$0	$54,136	Surgery Center Income
$886,875	$1,334,106	ACO SERVICE REVENUE

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,435,820	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$2,164,392	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$76,952,520	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	141	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	738	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JANICE MENKING	PersonNm
Phone	8309974353	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	822 REUBEN ST	AddressLine1Txt
City	FREDERICKSBURG	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78624	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Jayne Pope
CEO	39.0	1.0	Yes (X)	$553,451	$0	$24,831
Clinton Kotal
Chief Integration Officer	15.75	24.25		$414,239	$0	$45,082	Yes (X)
Susan Neves
CFO	39.0	1.0	Yes (X)	$401,367	$0	$23,633
Nikki Rivers
Chief Clinical Officer	40.0	0.0		$283,995	$0	$0	Yes (X)
Maureen Polivka
CNO	40.0	0.0		$273,917	$0	$8,769	Yes (X)
Amanda Stevens
CSO/Fdn Executive Director	20.0	20.0		$116,719	$116,719	$38,834	Yes (X)
James Partin
CMO	40.0	0.0		$238,675	$0	$0	Yes (X)
Le Ann Myers
DIRECTOR OF ANCILLARY SERVICES	40.0	0.0		$215,792	$0	$20,077		Yes (X)
Katelyn Vinklarek
DIRECTOR POST ACUTE SERVICES	30.0	10.0		$176,552	$0	$40,353		Yes (X)
Rita Urbanek
DIRECTOR OF POPULATION HEALTH	35.0	5.0		$179,421	$0	$37,112		Yes (X)
Kevin Shane Dickinson
IT DIRECTOR	25.0	15.0		$174,344	$0	$28,449		Yes (X)
Timothy Boyd Roberts
Facility Director	25.0	15.0		$152,526	$0	$29,337		Yes (X)
PENNY MCBRIDE
CHAIRMAN	0.85	1.0	Yes (X)	$0	$0	$0			Yes (X)
JENNY WIESER
VICE CHAIR	0.56	1.0	Yes (X)	$0	$0	$0			Yes (X)
JOEL JUNKER
SECRETARY	0.5	1.0	Yes (X)	$0	$0	$0			Yes (X)
DALE CRENWELGE
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)
CARLIN FRIAR
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)
DR KEVIN GALLAGHER
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)
DR MICHAEL JOHNSON
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)
DRAKE MCLEAN
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)
JANE MORGAN
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)
DAN SECHRIST
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)
JOHN WILLOME
DIRECTOR	0.5	1.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,180,998	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$116,719	TotReportableCompRltdOrgAmt
Total Other Compensation	$296,477	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	50	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ENDEAVOR REVENUE CYCLE SERVICES LLC
28 HUNTERS POINT	NEW BRAUNFELS	TX	78132	REVENUE CYCLE SVC	$733,783
ETTAIN GROUP
P O BOX 60070	CHARLOTTE	NC	28260	COMPUTER AGENCY SVC	$554,980
FORVIS LLP
510 N VALLEY MILLS DRIVE	WACO	TX	76710	AUDIT/TAX SERVICES	$322,997
ACCESS PHYSICIANS PLLC
1717 MAIN ST SUITE 5850	DALLAS	TX	75201	PHYSICIAN STAFFING	$221,200
JAY STAUFFER MD
205 WEST WINDCREST	FREDERICKSBURG	TX	78624	PHYSICIAN ON CALL	$142,500

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	7	CntrctRcvdGreaterThan100KCnt
Related Organizations	$888,927	RelatedOrganizationsAmt
Government Grants	$6,356,618	GovernmentGrantsAmt
All Other Contributions	$2,490,664	AllOtherContributionsAmt
Total Contributions	$9,736,209	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Hospital Revenue	621110	$84,064,224	$84,064,224
Home Health Care Revenue	621610	$2,691,107	$2,691,107
Wellness Center Service Revenue	624100	$682,648	$682,648
WIC Program Revenue	624100	$555,738	$555,738
Clinic Rent Revenue	531120	$220,412	$220,412

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,388,242	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,388,242	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$89,602,371	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$670,495	TotalRevenueColumnAmt
Exclusion	$670,495	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,609,470	SecuritiesAmt
Other	$7,250	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$33,976,555	SecuritiesAmt
Other	$16,069	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,632,915	SecuritiesAmt
Other	-$8,819	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,624,096	TotalRevenueColumnAmt
Exclusion	$2,624,096	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$413,956	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$294,713	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$119,243	TotalRevenueColumnAmt
Related Or Exempt Func Income	$119,243	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Auxiliary Revenue	900099	$35,075	$35,075
MEDICAL RECORDS REVENUE	561000	$1,495	$1,495
All Other Misc Revenue	900099	$1,073		$1,073

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,073	TotalRevenueColumnAmt
Exclusion	$1,073	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$37,643	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$102,790,057	TotalRevenueColumnAmt
Related Or Exempt Func Income	$89,758,184	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,295,664	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,404,105	TotalAmt
Management And General	$2,404,105	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,569,625	TotalAmt
Program Services	$22,413,984	ProgramServicesAmt
Management And General	$4,155,641	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$634,444	TotalAmt
Program Services	$573,509	ProgramServicesAmt
Management And General	$60,935	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,871,311	TotalAmt
Program Services	$2,400,888	ProgramServicesAmt
Management And General	$470,423	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,952,779	TotalAmt
Program Services	$1,576,577	ProgramServicesAmt
Management And General	$376,202	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$94,594	TotalAmt
Management And General	$94,594	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$322,997	TotalAmt
Management And General	$322,997	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,638,034	TotalAmt
Program Services	$11,569,459	ProgramServicesAmt
Management And General	$2,068,575	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$448,194	TotalAmt
Program Services	$43,391	ProgramServicesAmt
Management And General	$404,803	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,323,098	TotalAmt
Program Services	$768,278	ProgramServicesAmt
Management And General	$554,820	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$333,119	TotalAmt
Program Services	$331,243	ProgramServicesAmt
Management And General	$1,876	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,983,715	TotalAmt
Program Services	$7,228,807	ProgramServicesAmt
Management And General	$1,754,908	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$91,480	TotalAmt
Program Services	$85,736	ProgramServicesAmt
Management And General	$5,744	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90,102	TotalAmt
Program Services	$38,223	ProgramServicesAmt
Management And General	$51,879	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$120,381	TotalAmt
Program Services	$50,321	ProgramServicesAmt
Management And General	$70,060	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,768,780	TotalAmt
Program Services	$3,958,087	ProgramServicesAmt
Management And General	$810,693	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$396,836	TotalAmt
Program Services	$329,374	ProgramServicesAmt
Management And General	$67,462	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$20,451,245	$20,451,245
Bad Debt Expense	$4,816,445	$4,816,445
Dues & Subscriptions	$140,546	$59,821	$80,725
Recruitment & Recognition	$56,366	$24,915	$31,451

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$364,189	TotalAmt
Program Services	$232,217	ProgramServicesAmt
Management And General	$131,972	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$90,872,385	TotalAmt
Program Services	$76,952,520	ProgramServicesAmt
Management And General	$13,919,865	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$33,585,269	BOYAmt
EOY	$30,837,297	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$45,382,889	BOYAmt
EOY	$50,992,001	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,050,040	BOYAmt
EOY	$550,040	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,143,479	BOYAmt
EOY	$9,084,074	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,453,361	BOYAmt
EOY	$2,509,372	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,554,555	BOYAmt
EOY	$6,638,626	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$122,072,762	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$77,222,968	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$44,532,628	BOYAmt
EOY	$44,849,794	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$33,862,063	BOYAmt
EOY	$38,716,555	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$49,339,325	BOYAmt
EOY	$62,680,548	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,903,609	BOYAmt
EOY	$246,858,307	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,989,087	BOYAmt
EOY	$11,500,722	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,126,035	BOYAmt
EOY	$12,700,202	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,115,122	BOYAmt
EOY	$24,200,924	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$169,926,424	BOYAmt
EOY	$183,940,828	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,862,063	BOYAmt
EOY	$38,716,555	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$203,788,487	BOYAmt
EOY	$222,657,383	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$229,903,609	BOYAmt
EOY	$246,858,307	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,917,672	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,398,817	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,552,407	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,816	OtherActivitiesAmt
Total Lobbying Expenditures	$2,816	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSES: HILL COUNTRY MEMORIAL HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES LOBBYING % LOBBYING $ THA $16,235 14.50% $2,354 TORCH 4,624 10.00% 462 ----------------------------------------------------------- TOTAL $20,859 $2,816	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,042,722	BeginningYearBalanceAmt
Contributions	$113,054	ContributionsAmt
Investment Earnings Or Losses	$3,679,370	InvestmentEarningsOrLossesAmt
Other Expenditures	-$44,583	OtherExpendituresAmt
End Year Balance	$18,879,729	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,720,826	BeginningYearBalanceAmt
Contributions	$24,451	ContributionsAmt
Investment Earnings Or Losses	-$1,760,145	InvestmentEarningsOrLossesAmt
Other Expenditures	$942,311	OtherExpendituresAmt
Administrative Expenses	$99	AdministrativeExpensesAmt
End Year Balance	$15,042,722	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,744,630	BeginningYearBalanceAmt
Contributions	$52,370	ContributionsAmt
Investment Earnings Or Losses	$2,483,208	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,559,382	OtherExpendituresAmt
End Year Balance	$17,720,826	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.21000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.37000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.42000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,786,007	OtherCostOrOtherBasisAmt
Book Value	$8,786,007	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,180,244	OtherCostOrOtherBasisAmt
Depreciation	$33,612,525	DepreciationAmt
Book Value	$19,567,719	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,174,293	OtherCostOrOtherBasisAmt
Book Value	$1,174,293	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,405,414	OtherCostOrOtherBasisAmt
Depreciation	$43,610,443	DepreciationAmt
Book Value	$11,794,971	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,526,804	OtherCostOrOtherBasisAmt
Book Value	$3,526,804	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$44,849,794	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN FOUNDATION	Desc
Book Value	$38,716,555	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$38,716,555	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMP PLAN INVESTMENT	$1,323,578
Due from Affiliates	$55,646,823
EST AMOUNTS FROM 3RD PARTIES	$1,860,171
PURCHASE OPTIONS	$3,849,976

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$62,680,548	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
HCM Refundable Advance	$300,000
DEFERRED COMPENSATION PLAN LIAB	$1,323,577
HCM Financing	$947,595
Estimated Self Insurance COsts	$262,660
EST AMOUNT DUE TO 3RD PARTY PAYERS	$9,863,008
OTHER LIABILITIES	$3,362

Field	Value	IRS element (for citing)
Total Liability	$12,700,202	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

INTENDED USE OF ENDOWMENT FUNDS: HILL COUNTRY MEMORIAL FOUNDATION HOLDS AND MAINTAINS THE ENDOWMENT FUNDS FOR THE BENEFIT OF THE HOSPITAL. THERE ARE ENDOWMENTS DESIGNATED FOR THE FOLLOWING: EQUIPMENT AND TECHNOLOGY AT HCM; HCM NURSE STIPENDS, SCHOLARSHIPS, AND CERTIFICATIONS; AND STROKE EDUCATION AND AWARENESS. ADDITIONALLY, THERE ARE SEVERAL ENDOWMENT FUNDS ESTABLISHED AT THE FOUNDATION FOR HCM WHICH ARE UNRESTRICTED FOR PURPOSE.

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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,069,259	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,069,259	NetCommunityBenefitExpnsAmt
Total Expense	0.04730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,336,361	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,109,039	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,551	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,446	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,523,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,160,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,135,705	NetCommunityBenefitExpnsAmt
Total Expense	0.04810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$786,802	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$749,919	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,784,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,912,454	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,872,419	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,571,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,949,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,622,338	NetCommunityBenefitExpnsAmt
Total Expense	0.02370	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,095,302	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,109,927	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,758,043	NetCommunityBenefitExpnsAmt
Total Expense	0.07180	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,816,445	BadDebtExpenseAmt
Reimbursed By Medicare	$28,147,958	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,153,213	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,005,255	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
hill country
SURGERY CENTER	0.51	0.1225
Memorial Surgery CTR

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HILL COUNTRY MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1020 KERRVILLE HWY	AddressLine1Txt
City	FREDERICKSBURG	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78624	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HILLCOUNTRYMEMORIAL.ORG	WebsiteAddressTxt
State License	00219	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HILL COUNTRY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see part v, section c	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see part v, section c	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see part v, section c	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FROM PERSONS WHO RESPRESENT THE COMMUNITY: GILLESPIE, BLANCO AND KENDALL COUNTIES WERE THE PRIMARY FOCUS OF THE CHNA DUE TO THE SERVICE AREA OF HILL COUNTRY MEMORIAL HOSPITAL. USED AS THE STUDY AREA, GILLESPIE, BLANCO AND KENDALL COUNTIES PROVIDED 63% OF INPATIENT DISCHARGES. THE COMMUNITY INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH HILL COUNTRY MEMORIAL HOSPITAL DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER HILL COUNTRY MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IN MAY 2019, HILL COUNTRY MEMORIAL 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 2019. - 38 COMMUNITY MEMBERS, NOT-FOR-PROFIT ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, THE ELDERLY, HEALTH PROVIDERS, EDUCATION PROVIDERS, AND THE HEALTH DEPARTMENT PARTICIPATED IN EIGHT FOCUS GROUPS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON AUGUST 1 THROUGH AUGUST 19, 2019. - 410 COMMUNITY MEMBERS PARTICIPATED IN A RANDOM COMMUNITY SURVEY CONDUCTED FROM JULY 1, 2019 THROUGH AUGUST 19, 2019. - A COMMUNITY HEALTH SUMMIT WAS CONDUCTED ON AUGUST 28, 2019 WITH 91 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, GOVERNMENT REPRESENTATIVES, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, STATE AND LOCAL HEALTH DEPARTMENTS, EMPLOYERS AND OTHER COMMUNITY MEMBERS. - INPUT OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WAS RECEIVED DURING THE FOCUS GROUPS, INTERVIEWS, SURVEYS, AND THE COMMUNITY HEALTH SUMMIT. AGENCIES REPRESENTING THESE POPULATION GROUPS WERE INTENTIONALLY INVITED TO THE FOCUS GROUPS AND SUMMIT. ADDITIONALLY, THE COMMUNITY SURVEY WAS RANDOM AND REPRESENTED SOME LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS. THE COMMUNITY SURVEY WAS REPRESENTATIVE OF THE WHOLE COMMUNITY. - THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES AND THE GILLESPIE COUNTY HEALTH DIVISION PARTICIPATED IN THE FOCUS GROUPS AND THE SUMMIT. FIVE HUNDRED AND TWENTY-EIGHT INDIVIDUALS FROM THIRTY-SIX COMMUNITY AND HEALTHCARE ORGANIZATIONS COLLABORATED TO IMPLEMENT A COMPREHENSIVE CHNA PROCESS FOCUSED ON IDENTIFYING AND DEFINING SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS OF GILLESPIE, BLANCO AND KENDALL COUNTIES. THE THREE-MONTH PROCESS CENTERED ON GATHERING AND ANALYZING DATA AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY TO PROVIDE DIRECTION FOR THE COMMUNITY AND HOSPITAL TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITIES. BELOW IS A LIST OF ALL OF THE ORGANIZATIONS THAT GAVE INPUT INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN: ORGANIZATION POPULATION REPRESENTED (KIDS, LOW INCOME, MINORITIES, THOSE W/O ACCESS) PARTICIPATION AREA AGENCY ON AGING/AACOGLOW INCOME SENIORS FOCUS GROUP, BETHANY LUTHERAN CHURCH FAITH COMMUNITY SUMMIT, BETHANY PRESCHOOL COMMUNITY CHILDREN FOCUS GROUP, BLANCO INDEPENDENT SCHOOL DISTRICT KIDS SUMMIT, BOYS AND GIRLS CLUB - FREDERICKSBURG COMMUNITY CHILDREN FOCUS GROUP, BVK SUMMIT, CHAMBER BUSINESSES SUMMIT, CHRISTIAN JOB CORPS OF GILLESPIE COUNTYLOW SKILLED/INCOME FOCUS GROUP, CITY HEALTH DEPARTMENT COMMUNITY SUMMIT, CITY OF FREDERICKSBURG SUMMIT, CITY/COUNTY EMERGENCY MANAGEMENT ALL FOCUS GROUP, COMFORT GOLDEN AGE CENTER SENIOR COMMUNITY FOCUS GROUP, COMFORT PUBLIC LIBRARY FOCUS GROUP, COMMUNITY VISIONING SUMMIT, CORNERSTONE CLINIC PRIMARY CARE SUMMIT, COUNCIL WOMAN, MASON CANCER BENEFIT BOARD FOCUS GROUP, DOGOLOGIE SUMMIT, FCUB SUMMIT, FELLOWSHIP OF CHRISTIAN ATHLETICS KIDS SUMMIT, FIRST UNITED METHODIST CHURCH ALL FOCUS GROUP, FISCHER AND WIESER SPECIALISTS FOUNDATION, LOW INCOME, MINORITIES, LACK OF ACCESS SUMMIT, FISD COMMUNITY EDUCATION, HILL COUNTRY COMMUNITY FOCUS GROUP FREDERICKSBURG CLINIC HEALTHCARE, KIDS, LOW INCOME SUMMIT, FREDERICKSBURG FIRE MARSHALL FOCUS GROUP, FREDERICKSBURG INDEPENDENT SCHOOL DISTRICT FISD FAMILIES, EVERYONE FOCUS GROUP, SUMMIT FREDERICKSBURG POLICE DEPARTMENT YOUTH, ALL SUMMIT FRONTERA HEALTHCARE NETWORK MASON COUNTY FOCUS GROUP, SUMMIT GABLE S CORP. COMMUNITY SUMMIT, GILLESPIE COUNTY ATTORNEY GILLESPIE COUNTY/STATE OF TEXAS SUMMIT, GILLESPIE COUNTY HEALTH DIVISIONAL FOCUS GROUP, SUMMIT GILLESPIE COUNTY VETERANS SERVICE OFFICE VETERANS - 2,800 FOCUS GROUP, SUMMIT HARPER VOLUNTEER FIRE DEPARTMENT FOCUS GROUP, SUMMIT HCC NEEDS COUNCIL LOW INCOME, MINORITIES SUMMIT, HEB COMMUNITY SUMMIT, HILL COUNTRY MEMORIAL ALL FOCUS GROUP SUMMIT, HILL COUNTRY MEMORIAL FOUNDATION COMMUNITY SUMMIT, HILL COUNTRY MEMORIAL HOME CARE HOME BOUND SENIORS FOCUS GROUP SUMMIT, HILL COUNTRY MEMORIAL HOSPICE END OF LIFE- PRIMARILY SENIORS FOCUS GROUP SUMMIT, HILL COUNTRY MEMORIAL MEDICAL GROUP HOSPITAL SUMMIT, HILL COUNTRY UNIVERSITY CENTER OF HIGHER EDUCATION, HEALTHCARE SUMMIT, HILL COUNTRY WELLNESS CENTER SUMMIT, HOLY CHRIST CHURCH PRESCHOOL AND ELDERLY SUMMIT, JP/COURT & HARPER VOLUNTEER FIRE DEPARTMENT ALL FOCUS GROUP SUMMIT, JUNCTION/KIMBLE CO EMS FOCUS GROUP, KIMBLE COUNTY SCHOOL DISTRICT FOCUS GROUP
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS ADDRESSED AND NOT ADDRESSED: TO SUCCESSFULLY MAKE OUR COMMUNITY HEALTHIER, IT IS NECESSARY TO HAVE A COLLABORATIVE VENTURE WHICH BRINGS TOGETHER ALL OF THE CARE PROVIDERS, CITIZENS, GOVERNMENT, SCHOOLS, CHURCHES, NOT-FOR-PROFIT ORGANIZATIONS AND BUSINESS AND INDUSTRY AROUND AN EFFECTIVE PLAN OF ACTION. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED PREVIOUSLY AND POSTED ON HCM'S WEBSITE. BASED ON THE RESULTS OF THE CHNA, HCM HAS SELECTED THREE OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. BEHAVIORAL HEALTH A) MENTAL HEALTH SERVICES 1. IDENTIFY AND IMPLEMENT OPPORTUNITIES TO EXPAND MENTAL HEALTH SERVICES AS APPROPRIATE. SUPPORT EXISTING RESOURCES E.G. FIND VOLUNTEERS WITH EXPERIENCE TO TRAIN OTHERS AND ENHANCE SUPPORT GROUPS LIKE AA, AL ANON AND NAMI. 2. EVALUATE TELEMEDICINE, MEDICAL SCHOOLS, PRIMARY CARE INTEGRATED BEHAVIORAL HEALTH, GERIATRIC PSYCHIATRY, AND ALLIED MENTAL HEALTH PROFESSIONALS AS POTENTIAL COMMUNITY RESOURCES. B) SUBSTANCE ABUSE 1. IDENTIFY AND IMPLEMENT OPPORTUNITIES TO EXPAND BEHAVIOR AND MENTAL HEALTH SERVICES AS APPROPRIATE. SUPPORT EXISTING RESOURCES E.G. FIND VOLUNTEERS WITH EXPERIENCE TO TRAIN OTHERS AND ENHANCE SUPPORT GROUPS LIKE AA, AL ANON AND NAMI. 2. EVALUATE TELEMEDICINE, MEDICAL SCHOOLS, PRIMARY CARE INTEGRATED BEHAVIORAL HEALTH, GERIATRIC PSYCHIATRY, AND ALLIED MENTAL HEALTH PROFESSIONALS AS POTENTIAL COMMUNITY RESOURCES. 2.HEALTHY EATING/ACTIVE LIVING A) CHILDREN HEALTH AND WELLNESS 1. CREATE A HEALTHY COMMUNITY COUNCIL (CAHC) WILL EVALUATE BEST PRACTICE PHYSICAL ACTIVITY PROGRAMS/IDEAS WITH A FOCUS ON CHILDREN'S (LESS THAN18 YEARS) HEALTH AND WELLNESS. CAHC WILL SELECT A PLAN TO MOTIVATE HEALTHY BEHAVIORS, E.G. EDUCATE ON WAYS TO GET EXERCISE AND EXISTING RESOURCES, MEDIA CAMPAIGNS, SCHOOL-BASED HEALTH CENTERS, TEXT MESSAGE-BASED HEALTH INTERVENTIONS, WALKS/RUNS, A RESOURCE DESCRIBING LOCAL OPPORTUNITIES FOR FITNESS ACTIVITIES, ETC. IN THE FIRST QUARTER OF 2020, A HEALTHY COMMUNITY COUNCIL WAS FORMED WITH MEMBERS FROM THE GILLESPIE COUNTY AGRICUTLTURAL EXTENSION AGENCY (FAMILY AND COMMUNITY HEALTH AGENT), METHODIST HEALTH CARE, GREATER HILL COUNTRY HOSPICE, HILL COUNTRY MEMORIAL MARKETING OUTREACH, GILLESPIE COUNTY HEALTH DIVISION (DIRECTOR OF HEALTH SERVICES), AND OTHERS. DURING 2021, HEALTHY EATING PRESENTATIONS WERE MADE AT SCHOOLS IN GILLESPIE AND MASON COUNTY TOUCHING 1,500 STUDENTS. DURING OCTOBER OF 2021, HCM COMMUNITY LIASION IMPLEMENTED A PROGRAM PRESENTED AT FISD TO EDUCATE CHILDREN ON SAFE HALLOWEEN PRACTICES. THIS ACTIVITY IS VERY SIMILAR TO OUR EDUCATION PROGRAMS FOR CHILDREN UNDER 18 YEARS OLD. IT PRESENTED SAFETY PRECAUTIONS ON TRICK OR TREATING AS WELL AS WHAT TO DO WITH ALL OF THE CANDY. B) SENIOR HEALTH AND WELLNESS 1. CREATE A HEALTHY COMMUNITY COUNCIL (CAHC), IN COLLABORATION WITH HCM HOME CARE AND HCM HOSPICE SERVICES, WILL EVALUATE BEST PRACTICE PHYSICAL ACTIVITY PROGRAMS/IDEAS WITH A FOCUS ON SENIOR'S (GREATER THAN 65 YEARS) HEALTH AND WELLNESS. CAHC/HCM HOME CARE/HCM HOSPICE WILL SELECT A PLAN TO MOTIVATE HEALTHY BEHAVIORS, E.G. EDUCATE ON WAYS TO GET EXERCISE AND EXISTING RESOURCES, MEDIA CAMPAIGNS, ACTIVITY PROGRAMS FOR OLDER ADULTS, COMMUNITY-BASED SOCIAL SUPPORT FOR PHYSICAL ACTIVITY, WALKS/RUNS, TELEMEDICINE SERVICES FOR REMOTE TREATMENT SERVICES, TEXT MESSAGE BASED HEALTH INTERVENTIONS, ETC. DURING 2021, COOKING SCHOOLS TARGETING CARDIAC RISK SENIORS WERE HELD AND ATTENDED BY 30 PERSONS. 3. HEALTH LITERACY A) ACCESS TO CARE IN RURAL AREA 1. IDENTIFY AND IMPLEMENT BEST PRACTICES FOR INDIVIDUALS TO HAVE THE OPPORTUNITY TO OBTAIN, PROCESS, AND UNDERSTAND BASIC HEALTH INFORMATION AND SERVICES NEEDED TO MAKE APPROPRIATE HEALTH DECISIONS IN HCM'S RURAL SERVICE AREAS OR GILLESPIE COUNTY, BLANCO COUNTY, AND KENDAL COUNTY. SUPPORT EXISTING RESOURCES E.G. FIND VOLUNTEERS WITH EXPERIENCE TO TRAIN OTHERS AND ENHANCE SUPPORT GROUPS AND ANTICIPATED HEALTHCARE SERVICES PARTNERS INCLUDING LOCAL SOCIAL SERVICE PROVIDERS, THE GOOD SAMARITAN CENTER, MHDD, TELEMEDICINE, SCHOOLS, LAW ENFORCEMENT, EMERGENCY MEDICAL SERVICES, AND LOCAL FQHCS. EVALUATE TELEMEDICINE, MEDICAL SCHOOLS, PRIMARY CARE INTEGRATED BEHAVIORAL HEALTH, GERIATRIC PSYCHIATRY, AND ALLIED MENTAL HEALTH PROFESSIONALS AS POTENTIAL COMMUNITY RESOURCES. INCREASE CONVENIENT PRIMARY CARE OPPORTUNITIES (E.G. CLINICS, FQHCS) IN SURROUNDING COUNTIES AFTER CONDUCTING A FEASIBILITY STUDY AND DETERMINING COMMUNITY SUPPORT. B) CHRONIC DISEASE MANAGEMENT 1. RECRUIT NEW PRIMARY CARE PROVIDERS TO SERVE OUR COMMUNITIES THROUGH CHRONIC CARE MANAGEMENT. IDENTIFY AND ACT UPON ADDITIONAL SCREENING OPPORTUNITIES FOR CHRONIC DISEASES AND PROVIDING ACTIONABLE INFORMATION. DURING 2021, CARDIAC RISK AND CALCIUM ASSESSMENT SCREENINGS AND VACCINATIONS WERE HELD WITH 4,501 PARTICIPANTS RECEIVING AT LEAST ONE OF THE TWO. DUE TO THE PANDEMIC, HILL COUNTRY MEMROIAL PIVOTED FROM SCREENING TO MOSTLY VACCINATIONS. IN 2021 HILL COUNTRY MEMORIAL EXECUTED TWO CHNA GOALS TO ADDRESS THE COVID PANDEMIC. ON JANUARY 21, 2021 HCM OPENED A VACCINATION CLINIC FOR THE SURROUNDING COUNTIES. IT WAS OPEN FOR NINETY CLINIC DAYS AND HAD 1,358 LOCAL VOLUNTEERS AND 42 EMPLOYEES INVOLVED WITH THE VACCINATIONS. THE CHNA THREE YEAR GOAL FOR CHRONIC DISEASE SCREENINGS IS 1100. THE VACCINE IS CONSIDERED PREVENTATIVE MANAGEMENT FOR A CHRONIC DISEASE. HILL COUNTRY MEMORIAL IS CONTINUING RECRUITING EFFORTS FOR PRIMARY CARE PROVIDERS. HCM 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. HCM 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, HCM IS NOT DIRECTLY ADDRESSING SUBSTANCE ABUSE/ADDICTION HEALTH NEEDS AT THIS TIME. HCM 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. HCM 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. HCM 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. HCM WILL CONTINUE TO PARTNER WITH LOCAL SENIOR SERVICES AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE GERIATRIC HEALTHCARE SERVICES AVAILABLE IN THE COMMUNITY. GERIATRIC HEALTHCARE SERVICES AT THIS TIME. HCM WILL CONTINUE TO PARTNER WITH LOCAL SENIOR SERVICES AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE GERIATRIC HEALTHCARE SERVICES AVAILABLE IN THE COMMUNITY. GERIATRIC HEALTHCARE SERVICES AT THIS TIME. HCM WILL CONTINUE TO PARTNER WITH LOCAL SENIOR SERVICES AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE GERIATRIC HEALTHCARE SERVICES AVAILABLE IN THE COMMUNITY. MAKE GERIATRIC HEALTHCARE SERVICES AVAILABLE IN THE COMMUNITY.
SCHEDULE H, PART V, SECTION B, LINE 13H	OTHER FACTORS USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE: THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINES 18 & 19	BILLING AND COLLECTIONS UNDER FACILITY'S FAP: NEITHER HILL COUNTRY MEMORIAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY HILL COUNTRY MEMORIAL HOSPITAL, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, SECTION B, LINE 7 & 10	AVAILABILITY TO THE PUBLIC: THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AND ARE MADE AVAILABLE TO THE FREDERICKSBURG STANDARD TO PUBLISH. IN ADDITION, WE HAVE MADE COPIES AVAILABLE BY CALLING OR EMAILING THE HOSPITAL. THE WEBSITE IS https://www.hillcountrymemorial.org/about/who-we-are/community-needs/commu nity-needs-health-assessment/
Schedule H, PART V, SECTION B, LINE 16	MEANS BY WHICH HOSPITAL PUBLICIZED POLICY: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION CAN BE FOUND AT THIS WEBSITE: HTTPS://HILLCOUNTRYMEMORIAL.ORG/PAGE/PATIENT-INFORMATION/FINANCIAL-ASSISTA NCE-FORMS/ THE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLICIZED THROUGH AREA PHYSICIAN PRACTICES.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HCM HOME CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	808 REUBEN STREET	AddressLine1Txt
City	FREDERICKSBURG	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78624	ZIPCd

Field	Value	IRS element (for citing)
Facility	HOME HEALTH	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT: FOR GENERAL LEDGER PURPOSES, HCM 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, SECTION A, LINE 3	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
SCHEDULE H, PART III, SECTION B, LINE 8	COSTING METHODOLOGY: THE 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 $3,005,255. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.
SCHEDULE H, PART III, SECTION C, LINE 9B	PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS: HILL COUNTRY MEMORIAL 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 VI, LINE 2	NEEDS ASSESSMENT: HILL COUNTRY MEMORIAL 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, HCM 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, HCM 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 ASSISTANCE: HILL COUNTRY MEMORIAL PATIENTS SPEAK WITH A HILL COUNTRY MEMORIAL 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 INFORMATION: THE ORGANIZATION SERVES EIGHT COUNTIES IN THE HILL COUNTRY: GILLESPIE, BLANCO, BURNET, KENDALL, KERR, KIMBLE, MASON, AND LLANO. THE PRIMARY SERVICE AREA OF GILLESPIE COUNTY (POP. 26,646) ACCOUNTS FOR ABOUT 50% OF HILL COUNTRY MEMORIAL PATIENTS. THE TOTAL SERVICE AREA POPULATION IS 215,600, AND THE AVERAGE PATIENT AGE IS 69 YEARS OLD. Demographics of the region align with the 2019 data from the U.S. Census Bureau reporting 78.7% of the state's population is white, 12.9% is African-American, 5.2% is Asian, 1.0% is American Indian or Alaska Native, 0.1% is Native Hawaiian or Other Pacific Islander, and 39.7% is of Hispanic or Latino origin. As a not-for-profit healthcare system, HCM is committed to ensuring all residents have access to care by directly with our most vulnerable population through outreach organizations. 18.4% of Texas residents lack health insurance. According to the USDA Economic Research Service, the average per capita income for Texans in 2019 was $52,813, with the rural per capita income at $42,214. The ERS reports, based on 2019 ACS data, that the poverty rate in rural Texas is 17.1%, compared with 13.3% in urban areas of the state. 20.0% of the rural population has not completed high school, while 15.9% of the urban population lacks a high school diploma according to 2015-2019 ACS data reported by ERS. The unemployment rate in rural Texas is 3.7%, and in urban Texas it is 3.5%.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: HILL COUNTRY MEMORIAL 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. 2021 WAS A CHALLENGING YEAR FOR CREATING HEALTHY WITH THE CONTINUED DIFFICULTIES OF COVID 19 IN OUR WORLD. BUT HCM WAS UP TO THE CHALLENGE. PUBLIC HEALTH EVENTS WERE STILL HELD AS VIDEO CONFERENCES AND WERE WELL ATTENDED. SOME OF THE EVENTS AND SCREENINGS OFFERED WERE VIDEO CONFERENCES WITH OUR CHIEF MEDICAL OFFICER CONCERNING COVID IN OUR COMMUNITY. HCM WELLNESS CENTER POSTED, FOR THE COMMUNITY, GROUP EXERCISE CLASSES FOR AT HOME WELLNESS EXERCISES. IN ADDITION, HCM PROVIDED TELECONFERENCES WITH AT-RISK +65 AGE GROUPS IN OUR RURAL COMMUNITY. CREATE A HEALTHY COMMUNITY COUNCIL PROVIDED FIVE COMMUNITY FIT TRAILS WITH TEN EXERCISE STATIONS ON A ONE MILE LOOP THROUGH LOCAL NEIGHBORHOODS. THE HEALTHYU PROGRAM, HYPERTENSION MANAGEMENT THROUGH BEHAVIORAL CHANGES, CONTINUED WITH 150 PARTICIPANTS WITH REMOTE WEBINARS, NUTRITIONAL CONSULTATIONS, OFF SITE FITNESS ACTIVITIES. HCM 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, HCM 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. HCM'S LEADERSHIP REMAINS COMMITTED TO THE OVERARCHING RESPONSE OF DELIVERING COORDINATED CARE TO IMPROVE POPULATION. IN FEBRUARY 2020, HCM BEGAN IDENTIFYING AND ORGANIZING COMMUNITY LEADERS TO ENGAGE IN FREQUENT CONVERSATIONS AROUND THE EMERGING SPREAD OF COVID-19. WITH GREATER THAN 30% OF THE LOCAL POPULATION OLDER THAN 65, HCM KNEW IT WOULD NEED COMMUNITY PARTNERSHIPS TO HELP BOLSTER THE MEDICAL COMMUNITY AND PROTECT THE VULNERABLE POPULATION. THE COMMUNITY STAKEHOLDER COMMITTEE WAS COMPRISED OF REPRESENTATIVES FROM LOCAL CITY AND COUNTY GOVERNMENT, CHAMBER OF COMMERCE, VISITOR'S BUREAU, ECONOMIC DEVELOPMENT, FAITH BASED ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICT, MEDIA, EMERGENCY/FIRST-RESPONDERS, AND MEDICAL COMMUNITY REPRESENTATIVES. THE GROUP MET WEEKLY AND IN TIMES OF EMERGING INFORMATION AND INCREASING CASES, MET AS FREQUENTLY AS DAILY. HCM ENGAGED A COMPREHENSIVE APPROACH TO OUTREACH BY INCLUDING RESEARCH-BASED EDUCATION ON THE SPREAD OF COVID, SAFETY MEASURES, AND PREVENTION METHODS. INFORMATION WAS RELEASED ON FREQUENT (DAILY AND WEEKLY) BASES THROUGH MULTIFACETED CHANNELS INCLUDING CONVERSATION ON COVID WITH THE CHIEF MEDICAL OFFICER INCLUDING RADIO INTERVIEWS, NEWSPAPER INTERVIEWS, AND FACEBOOK LIVE. EDUCATIONAL AND AWARENESS INFORMATION WAS SHARED THROUGH A DEDICATED COVID WEBSITE (HCMCOVID19.ORG), PRINT MEDIA, AND DIGITAL OUTLETS. FROM FEBRUARY 6, 2020 TO AUGUST 15, 2021, HCM REACHED 672,504 INDIVIDUALS THROUGH SOCIAL MEDIA. THIS NUMBER ILLUSTRATES HCM'S COMMITMENT TO PROVIDING COVID EDUCATION AND AWARENESS IN EFFORTS TO KEEP OUR RESIDENTS SAFE. UNDERSTANDING THE DYNAMIC CULTURAL AND SOCIOECONOMIC VARIATIONS IN THE TEXAS HILL COUNTRY, FROM EDGE-OF-URBAN TO RURAL COMMUNITIES, HCM COMBATTED THE CHALLENGE OF ACCESS BY COLLABORATING WITH IBM WATSON TO LAUNCH AN ARTIFICIAL INTELLIGENCE (AI) BOT ON THE HCM WEBSITE FOR COVID RELATED QUESTIONS, UPDATES AND INFORMATION. OVER THE PAST 18 MONTHS, HCM INTEGRATED THE BOT TO BE A SOURCE OF REAL-TIME INFORMATION FOR THOSE SERVED. HCM TEAM MEMBERS RAPIDLY DEVELOPED A COVID RESPONSE PLAN THAT INCLUDED DRIVE-THROUGH COVID TESTING, CONVERSION OF PATIENT ROOMS INTO NEGATIVE PRESSURE SUITES, AND ACCESS OF HEALTHCARE THROUGH TECHNOLOGY. HCM'S DRIVE-THROUGH COVID TESTING BECAME ONE OF THE FIRST OFFERED IN THE STATE OF TEXAS. HCM WAS THE FIRST RURAL HOSPITAL IN TEXAS TO CONSTRUCT A SELF-CONTAINING, VENTILATED COVID UNIT EQUIPPED WITH A TRU-D ULTRAVIOLET LIGHT MACHINE. HCM CLINICAL TEAM MEMBERS USE IT AFTER TERMINAL CLEANING IN ALL ISOLATION ROOMS, NO MATTER THE HOSPITALIZATION OR PROCEDURE CIRCUMSTANCE. IMPLEMENTATION OF THE LIGHT TECHNOLOGY PROVIDES INCREASED SAFETY BY ELIMINATING PATHOGENIC GROWTH IN NICHE POINT AREAS. HCM ADOPTED METHODS OF EXTENDING AND BROADENING CARE ACCESS BY INCORPORATING ACCESS PHYSICIANS AS CONSULT CARE FOR ICU, TELEHEALTH AND UTILIZATION OF HCM HOME CARE FOR REMOTE PATIENT MONITORING. THESE EXTENSIONS ENSURED APPROPRIATE CARE AND ACCESS WHEN MEDICAL OFFICE VISITS WERE INADVISABLE. THE HCM HOME CARE TEAM SERVED AS AN EXTENSION OF THE PROVIDER'S OFFICE BY VISITING HOMES OF THE MOST VULNERABLE TO CONDUCT TELEHEATH APPOINTMENTS. SINCE MARCH 2020, HCM PROVIDERS HAVE CONDUCTED OVER 1750 TELEHEALTH APPOINTMENTS TO ENSURE CONTINUED CARE FOR THE COMMUNITY. THE ORGANIZATION HAS THE LARGEST VOLUNTEER BASE IN FREDERICKSBURG. EMPLOYEES SERVED IN LEADERSHIP ROLES FOR MANY COMMUNITY ORGANIZATIONS. IN THE COURSE OF FIVE MONTHS WITH 1358 VOLUNTEERS AND 42 HCM TEAM MEMBERS, THE HILL COUNTRY COVID CLINIC ADMINISTERED 29,789 VACCINES TO INDIVIDUALS THROUGHOUT THE GREATER TEXAS HILL COUNTRY EXPANDING TO URBAN AREAS OF AUSTIN, SAN ANTONIO, DALLAS, AND HOUSTON TEXAS. HCM ALSO COLLABORATES WITH CITY AND COUNTY OFFICIALS TO PREPARE FOR EMERGENCY SCENARIOS. HCM INVITES CITY AND COUNTY EMERGENCY OFFICIALS TO PARTICIPATE IN MOCK EMERGENCY SITUATIONS TO PREPARE FOR AN ACTUAL, LIKELY EMERGENCY BASED ON THE GEOGRAPHIC PROXIMITY OF THE HOSPITAL, SUCH AS A TORNADO OR MAJOR CHEMICAL SPILL. HCM'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 A COMMUNITY BOARD. HCM ALSO PROVIDES MILLIONS OF DOLLARS OF CHARITY CARE EACH YEAR. AS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION, OUR EARNINGS ARE INVESTED BACK INTO THE ORGANIZATION FOR IMPROVEMENTS IN THE FACILITIES, TECHNOLOGY AND THOSE WHO DELIVER CARE. IN 2020, HCM INVESTED IN NEW EQUIPMENT FOR COVID RESPONSE, NEW TELEMETRY SYSTEM, AND UPGRADING IT SYSTEMS. 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 SYSTEM: THE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES SIX ORGANIZATIONS. HILL COUNTRY MEMORIAL HOSPITAL PROVIDES HEALTHCARE; HILL COUNTRY MEMORIAL FOUNDATION PROVIDES FUNDRAISING; HILL COUNTRY PHYSICIAN ASSOCIATES PROVIDES HEALTHCARE; HILL COUNTRY PRIMARY CARE PHYSICIANS PROVIDES HEALTHCARE; AND GREATER HILL COUNTRY HOSPICE PROVIDES HOSPICE SERVICE. HC HEALTH, LLC, AN ACO, WAS CREATED IN 2019 AND IS FULLY OWNED BY THE HOSPITAL. HILL COUNTRY MEMORIAL HEALTH SYSTEM, HILL COUNTRY MEMORIAL COMMUNITY SERVICES, HILL COUNTRY MEMORIAL OFFICE BUILDING AND HILL COUNTRY WELLNESS CENTER WERE CLOSED DOWN IN 2021.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS
SCHEDULE H, PART I, LINE 7 COLUMN F	FINANCIAL ASSISTANCE & CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE AMOUNT OF BAD DEBT EXPENSES REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT PERCENTAGE WAS $4,816,445.
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: THE 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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jayne Pope
CEO	$409,951	$0	$143,500	$0	$0	$0	$11,600	$0	$13,231	$0	$578,282	$0	$0	$0
Susan Neves
CFO	$303,867	$0	$97,500	$0	$0	$0	$0	$0	$23,633	$0	$425,000	$0	$0	$0
Clinton Kotal
Chief Integration Officer	$314,665	$0	$99,574	$0	$0	$0	$11,600	$0	$33,482	$0	$459,321	$0	$0	$0
Maureen Polivka
CNO	$219,232	$0	$54,685	$0	$0	$0	$8,769	$0	$0	$0	$282,686	$0	$0	$0
Nikki Rivers
Chief Clinical Officer	$225,996	$0	$57,999	$0	$0	$0	$0	$0	$0	$0	$283,995	$0	$0	$0
James Partin
CMO	$191,961	$0	$46,714	$0	$0	$0	$0	$0	$0	$0	$238,675	$0	$0	$0
Le Ann Myers
DIRECTOR OF ANCILLARY SERVICES	$174,803	$0	$40,989	$0	$0	$0	$7,126	$0	$12,951	$0	$235,869	$0	$0	$0
Rita Urbanek
DIRECTOR OF POPULATION HEALTH	$143,010	$0	$36,411	$0	$0	$0	$6,045	$0	$31,067	$0	$216,533	$0	$0	$0
Katelyn Vinklarek
DIRECTOR POST ACUTE SERVICES	$140,141	$0	$36,411	$0	$0	$0	$6,059	$0	$34,294	$0	$216,905	$0	$0	$0
Kevin Shane Dickinson
IT DIRECTOR	$173,038	$0	$1,306	$0	$0	$0	$7,203	$0	$21,246	$0	$202,793	$0	$0	$0
Timothy Boyd Roberts
Facility Director	$151,220	$0	$1,306	$0	$0	$0	$6,398	$0	$22,939	$0	$181,863	$0	$0	$0
Amanda Stevens
CSO/Fdn Executive Director	$88,969	$88,969	$27,750	$27,750	$0	$0	$3,689	$3,689	$15,728	$15,728	$136,136	$136,136	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: THE HOSPITAL BOARD HAS GIVEN THE AUDIT COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. 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, HIGHLY COMPENSATED EMPLOYEES, AND ALL DEPARTMENT DIRECTORS ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE HOSPITAL BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION REVIEW AND APPROVAL PROCESS FOR CEO: THE CEO COMPENSATION AND EVALUATION COMMITTEE OF THE BOARD REVIEWS RELEVANT WAGE SURVEY AND DATA TO DETERMINE CEO COMPENSATION. DATA AND SURVEYS ARE SUPPLIED BY THE HUMAN RESOURCE DIRECTOR AND REPORTED TO THE HOSPITAL BOARD. THE REVIEW IS CONDUCTED ANNUALLY AND DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, SECTION B, LINE 15B	COMPENSATION REVIEW AND APPROVAL PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES: THE CEO REVIEWS WAGE DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR. THE REVIEWS ARE CONDUCTED ANNUALLY AND DOCUMENTED IN THE HR FILES.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION A, LINE 1	DELEGATION OF AUTHORITY: THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, VICE-CHAIRMAN, SECRETARY AND ONE AT-LARGE TRUSTEE. THE CEO AND CHIEF OF THE HOSPITAL'S MEDICAL STAFF SHALL BE EX-OFFICIO, NON-VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE COMMITTEE SHALL HAVE THE POWER TO TRANSACT BUSINESS OF THE CORPORATION AND THE HOSPITAL 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. ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE BROUGHT TO THE BOARD AT THE NEXT REGULAR MEETING FOR RATIFICATION.
FORM 990, PART III, LINE 4D	DESCRIPTION OF OTHER PROGRAM SERVICES: WIC PROGRAM - PROVIDE NUTRITIONAL EDUCATION, BREAST FEEDING SUPPORT, WIC FOODS AND SOCIAL SERVICe REFERRALS FOR WOMEN AND CHILDREN MEETING WIC ELIGIBILITY REQUIREMENTS; AND COMMUNITY HEALTH PROGRAMS SUCH AS IMMUNIZATIONS FOR Children.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: UNDISTRIBUTED PORTION OF CHANGE IN INTEREST IN NET ASSETS OF HCMH FOUNDATION $ 4,854,492 PURCHASE OF NONCONTROLLING INTEREST (286,210) OTHER CHANGES TO NET ASSETS (15,875) ---------------- TOTAL $ 4,552,407
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 NOT SHOWN ON FORM 990, PART VII, FOR THIS INDIVIDUAL: SUSAN NEVES $26,400
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:13638034

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HC HEALTH LLC
1020 S HIGHWAY 16	FREDERICKSBURG	TX	78624	833115572	ACO	TX	$1,334,106	$42,856	HCMH
HILL COUNTRY MEMORIAL SURGERY CENTER
PO BOX 835	FREDERICKSBURG	TX	78624	331039828	SURGERY CTR	TX	-$71,731	$371,382	HCMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HILL COUNTRY MEMORIAL HEALTHCARE SYSTEM
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	742858904	SUPPORT	TX	501(C)(3)	12, TYPE I	HCMH	Yes (true)
HILL COUNTRY MEMORIAL COMMUNITY SERVICES
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	742858907	HOME CARE SRV	TX	501(C)(3)	12 TYPE III	HCMH	Yes (true)
HILL COUNTRY WELLNESS CENTER
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	742858905	HEALTH ED	TX	501(C)(3)	12 TYPE III	HCMH	Yes (true)
HILL COUNTRY MEMORIAL HOSP FOUNDATION
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	742557105	FUNDRAISING	TX	501(C)(3)	12 TYPE III	NA	false
HILL COUNTRY MEM MEDICAL OFFICE BLDG
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	742858909	OFFICE BLDG	TX	501(C)(3)	12 TYPE III	HCMH	Yes (true)
GREATER HILL COUNTRY HOSPICE
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	742912643	HOSPICE	TX	501(C)(3)	3	HCMH	Yes (true)
HILL COUNTRY PHYSICIAN ASSOCIATES
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	262553196	HEALTHCARE	TX	501(C)(3)	12, TYPE I	HCMH	Yes (true)
HILL COUNTRY PRIMARY CARE PHYSICIANS
1020 KERRVILLE HWY	FREDERICKSBURG	TX	78624	272860109	HEALTHCARE	TX	501(C)(3)	3	HCMH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HILL COUNTRY MEMORIAL SURGERY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 835	AddressLine1Txt
City	FREDERICKSBURG	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	79624	ZIPCd

Field	Value	IRS element (for citing)
EIN	331039828	EIN
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HCMH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$71,731	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Hill Country Primary Care Physicians
R	$6,136,348	FMV
HILL COUNTRY MEMORIAL SURGERY CENTER
R	$691,926	FMV
HILL COUNTRY MEMORIAL SURGERY CENTER
D	$1,850,725	FMV
GREATER HILL COUNTRY HOSPICE
Q	$5,712,738	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP: The Hospital purchased the remaining 49 percent of interest in 2021 and Hill Country Memorial Surgery Center is now wholly owned by the Hospital. For this reason, it is listed in both Part I and Part III.	ExplanationTxt