Fredericksburg Physicians No 1: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- Fredericksburg Physicians No 1 (EIN 27-2860109)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202023219349306302
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T09:59:21-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD 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 | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272860109 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hill Country Primary Care Physicians | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JANICE MENKING | InCareOfNm |
| Business Name Control | HILL | BusinessNameControlTxt |
| Phone | 8309971339 | 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 | JAYNE POPE | PersonNm |
| Person Title | HOSPITAL CEO | PersonTitleTxt |
| Phone | 9727028262 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 70234720203215000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-16 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FB41EA828068FF325885780B549D30EBDB8EE529 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EB976710118F518B8933A72D91D1D85239D99EDA | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $9,319,604 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO ENCOURAGE QUALITY HEALTHCARE PROVIDERS TO LOCATE IN THE FREDERICKSBURG AREA TO PROVIDE HEALTHCARE SERVICES TO PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 21 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,796,336 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,151,421 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,348 | PYInvestmentIncomeAmt |
| CY Investment Income | -$102,941 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | -$832,345 | CYOtherRevenueAmt |
| PY Total Revenue | $10,798,684 | PYTotalRevenueAmt |
| CY Total Revenue | $9,216,135 | 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 | $14,245,604 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,269,918 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,658,666 | PYOtherExpensesAmt |
| CY Other Expenses | $4,952,224 | CYOtherExpensesAmt |
| PY Total Expenses | $18,904,270 | PYTotalExpensesAmt |
| CY Total Expenses | $17,222,142 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,105,586 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,006,007 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,343,767 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,247,355 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,967,921 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,877,518 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$25,624,154 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$33,630,163 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HILL COUNTRY MEMORIAL HOSPITAL'S VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE HOSPITAL'S VALUES ARE: Compassion, ownership, innovation, and Excellence. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,707,393 | ExpenseAmt |
| Revenue | $10,151,421 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $13,707,393 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | OperateHospitalInd |
| 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 21 | 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANICE MENKING | PersonNm |
| Phone | 8309971339 | 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 (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Christopher Fincke | ||||||||||
| Physician | 40.0 | 0.0 | Yes (X) | $720,635 | $0 | $30,166 | ||||
| KALEB SHAW | ||||||||||
| PHYSICIAN, End: 11/2019 | 40.0 | 0.0 | Yes (X) | $625,804 | $0 | $42,654 | ||||
| Andrew Bowser | ||||||||||
| DIRECTOR/PHYSICIAN | 39.0 | 1.0 | $634,175 | $0 | $13,500 | Yes (X) | ||||
| GREGORY ANDREASSIAN | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $496,188 | $0 | $40,891 | ||||
| MICHAEL CHRISTOPHER SP | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $480,176 | $0 | $44,843 | ||||
| JAYNE POPE | ||||||||||
| HOSPITAL CEO | 0.25 | 39.75 | $0 | $493,214 | $24,135 | Yes (X) | ||||
| Bryce Karulak | ||||||||||
| DIRECTOR/PHYSICIAN/VICE CHAIR | 39.0 | 1.0 | $409,046 | $0 | $41,071 | Yes (X) | Yes (X) | |||
| Ralph Menard | ||||||||||
| DIRECTOR/PHYSICIAN/CHAIR | 39.0 | 1.0 | $405,592 | $0 | $39,834 | Yes (X) | Yes (X) | |||
| JAMES R PARTIN | ||||||||||
| HOSPITAL CMO | 0.0 | 40.0 | $0 | $350,567 | $42,446 | Yes (X) | ||||
| DURESHAHWAR FERNANDEZ | ||||||||||
| DIRECTOR/PHYSICIAN | 39.0 | 1.0 | $362,578 | $0 | $10,854 | Yes (X) | ||||
| NANCY THOMPSON | ||||||||||
| DIRECTOR/PHYSICIAN | 39.0 | 1.0 | $323,018 | $0 | $31,031 | Yes (X) | ||||
| MIKE RENO | ||||||||||
| HOSPITAL COO | 0.25 | 39.75 | $0 | $311,724 | $33,634 | Yes (X) | ||||
| CLINTON KOTAL | ||||||||||
| MEDICAL GROUP COO | 15.0 | 25.0 | $0 | $292,126 | $34,225 | Yes (X) | ||||
| MICHAEL ABEL | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $277,149 | $0 | $250 | ||||
| MAGDALENA KLEIN | ||||||||||
| DIRECTOR/PHYS. ASSISTANT | 39.0 | 1.0 | $0 | $111,944 | $4,087 | Yes (X) | ||||
| SUSAN NEVES | ||||||||||
| CFO | 0.25 | 39.75 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,734,361 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,559,575 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $433,621 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Eclinical Works LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 Technology Dr | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | software billing | ServicesDesc |
| Compensation | $276,913 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $9,950,525 | $9,950,525 |
| Clinic Rent Revenue | 531120 | $200,896 | $200,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,151,421 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $528 | TotalRevenueColumnAmt |
| Exclusion | $528 | 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 |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $103,469 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$103,469 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$103,469 | TotalRevenueColumnAmt |
| Exclusion | -$103,469 | 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 | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LOSS ON IMPAIRMENT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$832,345 | TotalRevenueColumnAmt |
| Exclusion | -$832,345 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$832,345 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,216,135 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,151,421 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$935,286 | ExclusionAmt |
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 | $2,270,699 | TotalAmt |
| Program Services | $1,812,222 | ProgramServicesAmt |
| Management And General | $458,477 | 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 | $8,527,920 | TotalAmt |
| Program Services | $6,805,006 | ProgramServicesAmt |
| Management And General | $1,722,914 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,371 | TotalAmt |
| Program Services | $93,097 | ProgramServicesAmt |
| Management And General | $23,274 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,058,754 | TotalAmt |
| Program Services | $847,003 | ProgramServicesAmt |
| Management And General | $211,751 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,174 | TotalAmt |
| Program Services | $236,939 | ProgramServicesAmt |
| Management And General | $59,235 | 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 | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $1,199,254 | TotalAmt |
| Program Services | $957,531 | ProgramServicesAmt |
| Management And General | $241,723 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,385 | TotalAmt |
| Program Services | $311 | ProgramServicesAmt |
| Management And General | $77,074 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,391 | TotalAmt |
| Program Services | $39,456 | ProgramServicesAmt |
| Management And General | $117,935 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,173,733 | TotalAmt |
| Program Services | $912,118 | ProgramServicesAmt |
| Management And General | $261,615 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,141 | TotalAmt |
| Program Services | $18,513 | ProgramServicesAmt |
| Management And General | $4,628 | 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 | $29,501 | TotalAmt |
| Program Services | $23,601 | ProgramServicesAmt |
| Management And General | $5,900 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,717 | TotalAmt |
| Program Services | $524,574 | ProgramServicesAmt |
| Management And General | $131,143 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,953 | TotalAmt |
| Program Services | $70,362 | ProgramServicesAmt |
| Management And General | $17,591 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $788,486 | $630,789 | $157,697 |
| DUES AND SUBSCRIPTIONS | $63,215 | $50,572 | $12,643 |
| Recruitment | $27,595 | $22,076 | $5,519 |
| BAD DEBT | $651,458 | $650,272 | $1,186 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,395 | TotalAmt |
| Program Services | $12,951 | ProgramServicesAmt |
| Management And General | $4,444 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,222,142 | TotalAmt |
| Program Services | $13,707,393 | ProgramServicesAmt |
| Management And General | $3,514,749 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,871 | BOYAmt |
| EOY | $154,730 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,111,040 | BOYAmt |
| EOY | $401,999 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000 | BOYAmt |
| EOY | $12,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,146,689 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,468,063 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,097,511 | BOYAmt |
| EOY | $2,678,626 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $832,345 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,343,767 | BOYAmt |
| EOY | $3,247,355 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,251 | BOYAmt |
| EOY | $359,924 | 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 | $30,490,670 | BOYAmt |
| EOY | $36,517,594 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,967,921 | BOYAmt |
| EOY | $36,877,518 | 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 | -$25,624,154 | BOYAmt |
| EOY | -$33,630,163 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$25,624,154 | BOYAmt |
| EOY | -$33,630,163 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,343,767 | BOYAmt |
| EOY | $3,247,355 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,006,007 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2 | PriorPeriodAdjustmentsAmt |
| 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,732 | OtherCostOrOtherBasisAmt |
| Book Value | $19,732 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,884,127 | OtherCostOrOtherBasisAmt |
| Depreciation | $839,791 | DepreciationAmt |
| Book Value | $2,044,336 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,242,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,628,272 | DepreciationAmt |
| Book Value | $614,558 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $2,678,626 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO HOSPITAL | Desc |
| Amt | $36,517,594 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $36,517,594 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | schedule d, part x, line 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andrew Bowser | ||||||||||||||
| DIRECTOR/PHYSICIAN | $478,649 | $0 | $155,526 | $0 | $0 | $0 | $11,000 | $0 | $2,500 | $0 | $647,675 | $0 | $0 | $0 |
| Ralph Menard | ||||||||||||||
| DIRECTOR/PHYSICIAN/CHAIR | $397,187 | $0 | $8,405 | $0 | $0 | $0 | $11,000 | $0 | $28,834 | $0 | $445,426 | $0 | $0 | $0 |
| Bryce Karulak | ||||||||||||||
| DIRECTOR/PHYSICIAN/VICE CHAIR | $240,617 | $0 | $168,429 | $0 | $0 | $0 | $10,040 | $0 | $31,031 | $0 | $450,117 | $0 | $0 | $0 |
| DURESHAHWAR FERNANDEZ | ||||||||||||||
| DIRECTOR/PHYSICIAN | $362,578 | $0 | $0 | $0 | $0 | $0 | $8,354 | $0 | $2,500 | $0 | $373,432 | $0 | $0 | $0 |
| NANCY THOMPSON | ||||||||||||||
| DIRECTOR/PHYSICIAN | $297,098 | $0 | $25,920 | $0 | $0 | $0 | $0 | $0 | $31,031 | $0 | $354,049 | $0 | $0 | $0 |
| JAYNE POPE | ||||||||||||||
| HOSPITAL CEO | $0 | $408,139 | $0 | $33,569 | $0 | $51,506 | $0 | $11,000 | $0 | $13,135 | $0 | $517,349 | $0 | $0 |
| MIKE RENO | ||||||||||||||
| HOSPITAL COO | $0 | $269,363 | $0 | $0 | $0 | $42,361 | $0 | $10,985 | $0 | $22,649 | $0 | $345,358 | $0 | $0 |
| CLINTON KOTAL | ||||||||||||||
| MEDICAL GROUP COO | $0 | $267,041 | $0 | $20,000 | $0 | $5,085 | $0 | $1,269 | $0 | $32,956 | $0 | $326,351 | $0 | $0 |
| KALEB SHAW | ||||||||||||||
| PHYSICIAN, End: 11/2019 | $357,550 | $0 | $268,254 | $0 | $0 | $0 | $11,000 | $0 | $31,654 | $0 | $668,458 | $0 | $0 | $0 |
| GREGORY ANDREASSIAN | ||||||||||||||
| PHYSICIAN | $382,107 | $0 | $114,081 | $0 | $0 | $0 | $11,000 | $0 | $29,891 | $0 | $537,079 | $0 | $0 | $0 |
| MICHAEL CHRISTOPHER SPECK | ||||||||||||||
| PHYSICIAN | $411,053 | $0 | $69,123 | $0 | $0 | $0 | $11,000 | $0 | $33,843 | $0 | $525,019 | $0 | $0 | $0 |
| JAMES R PARTIN | ||||||||||||||
| HOSPITAL CMO | $0 | $295,715 | $0 | $0 | $0 | $54,852 | $0 | $11,000 | $0 | $31,446 | $0 | $393,013 | $0 | $0 |
| Christopher Fincke | ||||||||||||||
| Physician | $675,824 | $0 | $44,811 | $0 | $0 | $0 | $0 | $0 | $30,166 | $0 | $750,801 | $0 | $0 | $0 |
| MICHAEL ABEL | ||||||||||||||
| PHYSICIAN | $277,149 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $250 | $0 | $277,399 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | 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 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | DELEGATION OF MANAGEMENT DUTIES: DURING THE 2019 TAX YEAR, HILL COUNTRY MEMORIAL HOSPITAL, A RELATED ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH C2XSEVEN, LLC TO CONTRACT AN INDIVIDUAL TO ACT AS THE CHIEF FINANCIAL OFFICER OF ALL ITS ORGANIZATIONS. PER IRS GUIDANCE, NO RELATED ORGANIZATION COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THIS INDIVIDUAL: SUSAN NEVESS $ 413,500 |
Schedule R IRS990ScheduleR
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 HEALTH SYSTEM | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858904 | support | TX | 501(C)(3) | 12, TYPE I | HCMH | Yes (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 | Yes (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 | 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 WELLNESS CENTER | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858905 | HEALTH ED | 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) |
| 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |