2020-11-16T09:59:21-06:00 2019-12-31 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2019-01-01 272860109 Hill Country Primary Care Physicians % JANICE MENKING HILL 8309971339 PO Box 835 Fredericksburg TX 78624 JAYNE POPE HOSPITAL CEO 9727028262 2020-11-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720203215000000 2020-11-16 P FB41EA828068FF325885780B549D30EBDB8EE529 EB976710118F518B8933A72D91D1D85239D99EDA 2019 2021-01-29 14:40:06Z JAYNE POPE PO BOX 835 FREDERICKSBURG TX 78624 9319604 false X N/A X 2010 TX TO ENCOURAGE QUALITY HEALTHCARE PROVIDERS TO LOCATE IN THE FREDERICKSBURG AREA TO PROVIDE HEALTHCARE SERVICES TO PATIENTS. 6 0 21 6 0 0 0 0 10796336 10151421 2348 -102941 0 -832345 10798684 9216135 0 0 0 0 14245604 12269918 0 0 0 4658666 4952224 18904270 17222142 -8105586 -8006007 5343767 3247355 30967921 36877518 -25624154 -33630163 HILL COUNTRY MEMORIAL HOSPITAL'S VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE HOSPITAL'S VALUES ARE: Compassion, ownership, innovation, and Excellence. false false 13707393 10151421 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. 13707393 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 2 0 21 true false false false false false false false false false false false false X 6 0 false true false false true true true true true false false true true true true false true false false false X JANICE MENKING 8309971339 822 REUBEN ST FREDERICKSBURG TX 78624 X Christopher Fincke Physician 40.0 0.0 X 720635 0 30166 KALEB SHAW PHYSICIAN, End: 11/2019 40.0 0.0 X 625804 0 42654 Andrew Bowser DIRECTOR/PHYSICIAN 39.0 1.0 X 634175 0 13500 GREGORY ANDREASSIAN PHYSICIAN 40.0 0.0 X 496188 0 40891 MICHAEL CHRISTOPHER SP PHYSICIAN 40.0 0.0 X 480176 0 44843 JAYNE POPE HOSPITAL CEO 0.25 39.75 X 0 493214 24135 Bryce Karulak DIRECTOR/PHYSICIAN/VICE CHAIR 39.0 1.0 X X 409046 0 41071 Ralph Menard DIRECTOR/PHYSICIAN/CHAIR 39.0 1.0 X X 405592 0 39834 JAMES R PARTIN HOSPITAL CMO 0.0 40.0 X 0 350567 42446 DURESHAHWAR FERNANDEZ DIRECTOR/PHYSICIAN 39.0 1.0 X 362578 0 10854 NANCY THOMPSON DIRECTOR/PHYSICIAN 39.0 1.0 X 323018 0 31031 MIKE RENO HOSPITAL COO 0.25 39.75 X 0 311724 33634 CLINTON KOTAL MEDICAL GROUP COO 15.0 25.0 X 0 292126 34225 MICHAEL ABEL PHYSICIAN 40.0 0.0 X 277149 0 250 MAGDALENA KLEIN DIRECTOR/PHYS. ASSISTANT 39.0 1.0 X 0 111944 4087 SUSAN NEVES CFO 0.25 39.75 X 0 0 0 4734361 1559575 433621 17 true true false Eclinical Works LLC 2 Technology Dr WESTBOROUGH MA 01581 software billing 276913 1 0 NET PATIENT REVENUE 621110 9950525 9950525 Clinic Rent Revenue 531120 200896 200896 10151421 528 528 0 0 0 0 0 103469 -103469 -103469 -103469 0 0 0 0 0 0 0 0 0 0 LOSS ON IMPAIRMENT 900099 -832345 -832345 -832345 9216135 10151421 0 -935286 0 0 0 0 2270699 1812222 458477 0 8527920 6805006 1722914 116371 93097 23274 1058754 847003 211751 296174 236939 59235 0 0 0 0 0 0 1199254 957531 241723 77385 311 77074 157391 39456 117935 0 0 1173733 912118 261615 23141 18513 4628 0 29501 23601 5900 0 0 655717 524574 131143 87953 70362 17591 Supplies 788486 630789 157697 DUES AND SUBSCRIPTIONS 63215 50572 12643 Recruitment 27595 22076 5519 BAD DEBT 651458 650272 1186 17395 12951 4444 17222142 13707393 3514749 0 296871 154730 0 0 0 0 1111040 401999 0 0 0 0 0 0 0 0 6000 12000 5146689 2468063 3097511 2678626 0 0 0 0 0 0 832345 0 0 0 5343767 3247355 477251 359924 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30490670 36517594 30967921 36877518 X -25624154 -33630163 0 0 -25624154 -33630163 5343767 3247355 -8006007 -2 X false true X true false X SCHEDULE A, PART I, LINE 3 Reason for public charity status: HILL COUNTRY PRIMARY CARE PHYSICIANS IS classified as a hospital for exempt purposes only. The organization is not a licensed hospital under Texas state law and therefore not required to complete schedule H. 19732 19732 2884127 839791 2044336 2242830 1628272 614558 2678626 0 DUE TO HOSPITAL 36517594 36517594 schedule d, part x, line 2 ASC 740 footnote: management has evaluated their income tax positions under the guidance included in asc 740. based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. false false false false false false false false false Andrew Bowser DIRECTOR/PHYSICIAN 478649 0 155526 0 0 0 11000 0 2500 0 647675 0 0 0 Ralph Menard DIRECTOR/PHYSICIAN/CHAIR 397187 0 8405 0 0 0 11000 0 28834 0 445426 0 0 0 Bryce Karulak DIRECTOR/PHYSICIAN/VICE CHAIR 240617 0 168429 0 0 0 10040 0 31031 0 450117 0 0 0 DURESHAHWAR FERNANDEZ DIRECTOR/PHYSICIAN 362578 0 0 0 0 0 8354 0 2500 0 373432 0 0 0 NANCY THOMPSON DIRECTOR/PHYSICIAN 297098 0 25920 0 0 0 0 0 31031 0 354049 0 0 0 JAYNE POPE HOSPITAL CEO 0 408139 0 33569 0 51506 0 11000 0 13135 0 517349 0 0 MIKE RENO HOSPITAL COO 0 269363 0 0 0 42361 0 10985 0 22649 0 345358 0 0 CLINTON KOTAL MEDICAL GROUP COO 0 267041 0 20000 0 5085 0 1269 0 32956 0 326351 0 0 KALEB SHAW PHYSICIAN, End: 11/2019 357550 0 268254 0 0 0 11000 0 31654 0 668458 0 0 0 GREGORY ANDREASSIAN PHYSICIAN 382107 0 114081 0 0 0 11000 0 29891 0 537079 0 0 0 MICHAEL CHRISTOPHER SPECK PHYSICIAN 411053 0 69123 0 0 0 11000 0 33843 0 525019 0 0 0 JAMES R PARTIN HOSPITAL CMO 0 295715 0 0 0 54852 0 11000 0 31446 0 393013 0 0 Christopher Fincke Physician 675824 0 44811 0 0 0 0 0 30166 0 750801 0 0 0 MICHAEL ABEL PHYSICIAN 277149 0 0 0 0 0 0 0 250 0 277399 0 0 0 SCHEDULE J, PART I, LINE 3 EXECUTIVE COMPENSATION: HILL COUNTRY MEMORIAL HOSPITAL, A RELATED ORGANIZATION, DETERMINES COMPENSATION OF THE CEO THROUGH THE USE OF THE FOLLOWING: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS; THE MEMBER SHALL BE HILL COUNTRY MEMORIAL HOSPITAL (MEMBER). FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE MEMBER, UPON THE APPROVAL OF A MAJORITY OF THE BOARD OF DIRECTORS, SHALL APPOINT THE REQUISITE NUMBER OF DIRECTORS FROM PERSONS WHO MEET ALL QUALIFICATION REQUIREMENTS TO BE A DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL BY THE MEMBERS OR STOCKHOLDERS: ACCORDING TO THE BYLAWS, POWERS RESERVED TO THE MEMBER INCLUDE: APPROVAL AND SALES OF REAL PROPERTY; CREATION OF PARTNERSHIPS OR JOINT VENTURES AND DISSOLUTION OR LIQUIDATION, AMONG OTHER POWERS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE HOSPITAL BOARD HAS GIVEN THE AUDIT/FINANCE COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. THE CFO DISCUSSES EACH SECTION WITH THE COMMITTEE AND DISCUSSES ANY ISSUES THAT NEED TO BE ADDRESSED FOR FUTURE YEARS. ALL BOARD MEMBERS ARE ALSO PROVIDED A LINK TO ACCESS THE 990 FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND ALL DEPARTMENT DIRECTORS ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE SYSTEM BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 3 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 HILL COUNTRY MEMORIAL HEALTH SYSTEM 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858904 support TX 501(C)(3) 12, TYPE I HCMH true HILL COUNTRY MEMORIAL HOSPITAL 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 746083124 HOSPITAL TX 501(C)(3) 3 NA false HILL COUNTRY MEM MEDICAL OFFICE BUILDING 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858909 DR OFFICES TX 501(C)(3) 12 TYPE III HCMH true HILL COUNTRY MEMORIAL FOUNDATION INC 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742557105 FUNDRAISING TX 501(C)(3) 12 TYPE III NA false HILL COUNTRY COMMUNITY SERVICES CORP 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858907 HOME CARE SVC TX 501(C)(3) 12 TYPE III HCMH true HILL COUNTRY PHYSICIAN ASSOCIATES 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 262553196 HEALTHCARE TX 501(C)(3) 12, TYPE I HCMH true HILL COUNTRY WELLNESS CENTER 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858905 HEALTH ED TX 501(C)(3) 12 TYPE III HCMH true GREATER HILL COUNTRY HOSPICE 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742912643 HOSPICE TX 501(C)(3) 3 HCMH true false false false false false false false false false false false false false false true true false false false