SID PETERSON MEMORIAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SID PETERSON MEMORIAL HOSPITAL (EIN 74-2557820)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201701319349304745
Schema version: 2015v3.0
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 I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T16:08:46-05:00	ReturnTs
Tax Period End	2016-06-30	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	2800 Post Oak Blvd Ste 3200	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77056	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	742557820	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SID PETERSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SID PETERSON MEMORIAL HOSPIT	InCareOfNm
Business Name Control	SIDP	BusinessNameControlTxt
Phone	8302587728	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	551 HILL COUNTRY DRIVE	AddressLine1Txt
City	KERRVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78028	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LISA MEDOVICH	PersonNm
Person Title	cfo	PersonTitleTxt
Phone	8302587628	PhoneNum
Signature	2017-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amanda Maya	PreparerPersonNm
PTIN	P01067777	PTIN
Phone	7134994600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	J Patrick Murray	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	551 HILL COUNTRY DR	AddressLine1Txt
City	KERRVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78028	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$146,459,817	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1990	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	THE HOSPITAL'S MISSION IS TO PROVIDE WORLD CLASS CARE TODAY, TOMORROW, ALWAYS IN DELIVERING exceptional, COMPASSIONATE, PATIENT-CENTERED CARE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1214	TotalEmployeeCnt
Total Volunteers	120	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$269,910	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$326,386	PYContributionsGrantsAmt
CY Contributions Grants	$186,043	CYContributionsGrantsAmt
PY Program Service Revenue	$136,281,997	PYProgramServiceRevenueAmt
CY Program Service Revenue	$129,104,832	CYProgramServiceRevenueAmt
PY Investment Income	$3,228,311	PYInvestmentIncomeAmt
CY Investment Income	$2,498,981	CYInvestmentIncomeAmt
PY Other Revenue	$500,756	PYOtherRevenueAmt
CY Other Revenue	-$369,422	CYOtherRevenueAmt
PY Total Revenue	$140,337,450	PYTotalRevenueAmt
CY Total Revenue	$131,420,434	CYTotalRevenueAmt
PY Grants And Similar Paid	$137,099	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$77,028	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$52,228,744	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$54,674,559	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$136,426	CYTotalFundraisingExpenseAmt
PY Other Expenses	$66,331,781	PYOtherExpensesAmt
CY Other Expenses	$73,783,274	CYOtherExpensesAmt
PY Total Expenses	$118,697,624	PYTotalExpensesAmt
CY Total Expenses	$128,534,861	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,639,826	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,885,573	CYRevenuesLessExpensesAmt
Total Assets BOY	$227,816,280	TotalAssetsBOYAmt
Total Assets EOY	$220,551,976	TotalAssetsEOYAmt
Total Liabilities BOY	$82,811,122	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$77,421,019	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$145,005,158	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$143,130,957	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PETERSON REGIONAL MEDICAL CENTER PROVIDES EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$105,625,510	ExpenseAmt
Grant	$77,028	GrantAmt
Revenue	$121,257,922	RevenueAmt
Desc	PETERSON REGIONAL MEDICAL CENTER IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL IN KERRVILLE, TEXAS. KERRVILLE IS LOCATED IN KERR COUNTY, APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO AND 80 MILES SOUTH WEST OF AUSTIN. PETERSON REGIONAL MEDICAL CENTER SERVES THE COMMUNITIES AND RESIDENTS IN THE FOLLOWING COUNTIES: KERR, BANDERA, GILLESPIE, KIMBLE, EDWARDS AND REAL. PETERSON REGIONAL MEDICAL CENTER ANCHORS A 35-ACRE CAMPUS INCLUDING A 124 BED ACUTE CARE HOSPITAL PROVIDING SERVICES INCLUDING: 24/7 EMERGENCY DEPARTMENT, WOMEN'S SERVICES (INCLUDING MATERNAL/NEWBORN), ACUTE INPATIENT REHABILITATION, ORTHOPEDICS, GENERAL SURGERY, DIAGNOSTIC IMAGING, INTENSIVE CARE UNIT, AND LABORATORY. ON THE SAME CAMPUS IS AN AMBULATORY CARE CENTER PROVIDING OUTPATIENT REHAB SERVICES, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTIC IMAGING AND HYPERBARIC WOUND CARE. PETERSON HOSPICE SERVICE AND PETERSON HOME CARE SERVICES ARE ALSO MEMBERS OF THE PETERSON REGIONAL FAMILY OF SERVICES BUT LOCATED OFF-SITE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,559,400	ExpenseAmt
Revenue	$3,006,360	RevenueAmt
Desc	PETERSON HOME CARE - PETERSON HOME CARE PROVIDES A COMPREHENSIVE TEAM OF HEALTHCARE PROFESSIONALS TO THE RESIDENTS OF THE HILL COUNTRY, SPECIFICALLY KERR, GILLESPIE AND BANDERA COUNTIES. PETERSON HOME CARE IS A NOT-FOR PROFIT ORGANIZATION PROVIDING A COMPREHENSIVE RANGE OF PROFESSIONAL SERVICES INCLUDING: NURSING CARE, PHYSICAL AND SPEECH THERAPY, OSTOMY AND WOUND CARE, IV ANTIBIOTICS, CHEMOTHERAPY, AIDE SERVICES AND MEDICATION MANAGEMENT. ALL SERVICES ARE COORDINATED THROUGH AN INTERDISCIPLINARY APPROACH TO PATIENT CARE AND ESTABLISHED UNDER A PLAN OF TREATMENT OF A PHYSICIAN. DIAGNOSTIC AND LABORATORY SERVICES, AS WELL AS MEDICAL AND SURGICAL SUPPLIES ARE ALSO PROVIDED IN CONJUNCTION WITH SKILLED CARE. HOME CARE HAD 1,229 ADMISSIONS DURING THE YEAR AND 27,306 VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,701,370	ExpenseAmt
Revenue	$5,296,329	RevenueAmt
Desc	PETERSON HOSPICE IS A DEPARTMENT OF PRMC AND IS LOCATED OFF CAMPUS. IT OPERATES AS ONE OF THE HOSPITAL'S MANY OUTREACHES FOR THE HILL COUNTRY COMMUNITIES IT SERVES. PETERSON HOSPICE IS THE ONLY NON-PROFIT HOSPICE IN THE HILL COUNTRY WITH A MISSION THAT NO ONE WILL BE DENIED HOSPICE CARE BECAUSE OF AN INABILITY TO PAY. IN ADDITION TO PROVIDING HOSPICE CARE, PETERSON HOSPICE ALSO PROVIDES THE FOLLOWING UNFUNDED COMMUNITY SERVICES: 1. NAVIGATING THE WATERS OF GRIEF ~ A SIX WEEK GRIEF SUPPORT GROUP FOR ADULTS. THIS PROGRAM IS FACILITATED TWICE A YEAR BY A GRIEF EXPERT WHO IS A LICENSED MEDICAL SOCIAL WORKER (MSW). NAVIGATING THE WATERS OF GRIEF WORKS CLOSELY WITH HILL COUNTRY CLERGY AND THE LOCAL COMMUNITIES TO SERVE HOSPICE FAMILIES AS WELL AS OTHERS FACING THE LOSS OF A LOVED ONE OR FRIEND. 2. BRIDGING THE GAP ~ A SIX WEEK GRIEF SUPPORT GROUP FOR CHILDREN AGES KINDER THROUGH 12TH GRADE. THIS PROGRAM GIVES THEM THE TOOLS THEY NEED TO WORK THROUGH THE GRIEVING PROCESS. THE PARENTS ATTEND AS WELL TO OPEN COMMUNICATION AND FEELINGS TO HELP THE CHILD DEAL WITH GRIEF AT THEIR AGE APPROPRIATE LEVEL. BTG WORKS WITH ALL HILL COUNTRY SCHOOLS AND THEIR COUNSELORS. THE LOCAL COMMUNITY SERVES AS FACILITATORS AND VOLUNTEERS FOR THIS EXCELLENT PROGRAM. 3. CAMP RAYS OF HOPE ~ IS A STATEWIDE PROGRAM WHICH IS A WEEKEND RETREAT FOR GRIEVING CHILDREN THAT INCORPORATES THE PARENTS AS WELL. THE CHILDREN LEARN NEW WAYS TO COPE WITH THEIR LOSS, AND TO MEET OTHERS WITH SIMILAR CIRCUMSTANCES TO REMEMBER SPECIAL TIMES, TO MAKE NEW FRIENDS, AND TO HAVE FUN. 4. FLORAL PROGRAM ~ IS A VOLUNTEER DRIVEN PROGRAM THAT DELIVERS FLOWERS TO OUR PATIENTS. THE LOCAL FLORISTS IN THE AREA DONATE THE FLOWERS AND VOLUNTEERS ARRANGE AND DELIVER THEM. VOLUNTEERS ALSO SUPPORT FAMILIES AND PATIENTS WITH THEIR VISITS. 5. PATHWAYS ~ THIS VOLUNTEER OUTREACH OFFERS HOME BASED SOCIAL AND EMOTIONAL SUPPORT TO CLIENTS WITH AN ILLNESS THAT HAS A LIMITED LIFE EXPECTANCY BUT IS NOT YET HOSPICE APPROPRIATE. VOLUNTEERS HELP REDUCE THE ISOLATION AND VULNERABILITY THAT CLIENTS AND FAMILIES EXPERIENCE DURING A DIFFICULT TIME. EDUCATION IS AVAILABLE THROUGH PRMC RESOURCES REGARDING DISEASE PROCESSES, COPING STRATEGIES, ADVANCE DIRECTIVES, AND PRACTICAL AND SPIRITUAL ISSUES. THIS SUPPORT HELPS CLIENTS DEFINE THEIR QUALITY OF LIFE. 6. COMMUNITY SERVE PROGRAM ~ OFFERING OPPORTUNITIES FOR CITIZENS TO FULFILL COURT OBLIGATIONS IN A BENEFICIAL MANNER. 350 ADMISSIONS ACCOUNTED FOR 30,579 PATIENT DAYS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$95,134	ExpenseAmt
Desc	ONE LAB OFF-SITE OUTREACH LOCATION	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$95,134	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$111,981,414	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	108	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1214	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	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	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	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	SID PETERSON MEMORIAL HOSPIT	PersonNm
Phone	8308964200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	551 HILL COUNTRY DRIVE	AddressLine1Txt
City	KERRVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78028	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	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DEBORAH G MITCHELL
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
ROBERT SCHMERBECK
VICE CHAIR	5.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
HAROLD WILSON
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
GREG SHRADER
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
JAMES YOUNG
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
MARK H ARMSTRONG
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
MICHAEL M BAUMANN
CHAIRMAN	10.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ROYCE G ITSCHNER
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
SARAH F FONTENOT
VICE CHAIR	7.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
SUE STEELE
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
WILLIAM E MORRIS JR MD
DIRECTOR	5.0	0.0	Yes (X)	$0	$0	$0
WILLIAM M JOHNSTON
VICE CHAIR	5.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
J STEPHEN PAULTER
COO	40.0	0.0		$240,442	$0	$32,833	Yes (X)
JOSEPH PISZCZOR
VP OPERATIONS	40.0	0.0		$139,678	$0	$21,837	Yes (X)
KAELI DRESSLER
CNO	40.0	0.0		$145,578	$0	$14,682	Yes (X)
LISA MEDOVICH
CFO	40.0	0.0		$121,984	$0	$1,846	Yes (X)
RICHARD CRUTHIRDS
CIO	40.0	0.0		$127,539	$0	$12,831	Yes (X)
J PATRICK MURRAY
CEO	40.0	0.0		$337,989	$0	$187,580	Yes (X)
SHANE ANDERS
RN IV	40.0	0.0		$136,524	$0	$11,487		Yes (X)
TIM RYE
ADMINISTRATOR	40.0	0.0		$143,326	$0	$16,954		Yes (X)
PAULETTE NEWLIN
NURSING SUPERVISOR	40.0	0.0		$132,701	$0	$15,846		Yes (X)
SUSAN ROIG
CLINICAL COORDINATOR	40.0	0.0		$116,554	$0	$25,014		Yes (X)
JANA MCDERMOTT
NURSE PRACTITIONER	40.0	0.0		$117,992	$0	$19,226		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,760,307	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$360,136	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	36	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
LUKER PHARMACY MANAGEMENT
PO BOX 1072	BLANCO	TX	78606	RX MANAGEMENT	$2,323,459
SOUND PHYSICIANS
1123 PACIFIC AVE	TACOMA	WA	98402	PHYSICIAN	$2,248,794
FAVORITE HEALTHCARE STAFFING
PO BOX 803356	KANSAS CITY	MO	64190	CONTRACT LABOR	$2,679,093
zuber construction
616 clay street	KERRVILLE	TX	78028	construction	$867,184
SODEXO CTM
PO BOX 41500	NASHVILLE	TN	372415000	DIETARY&HOUSEKEEPING	$845,662

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Related Organizations	$100,000	RelatedOrganizationsAmt
All Other Contributions	$86,043	AllOtherContributionsAmt
Total Contributions	$186,043	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$129,127,451	$129,127,451
MANAGEMENT FEE REVENUE	900099	-$22,619	-$22,619

Field	Value	IRS element (for citing)
Total Program Service Revenue	$129,104,832	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,319,111	TotalRevenueColumnAmt
Exclusion	$2,319,111	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$32,912	RealAmt
Personal	$269,910	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$38,812	RealAmt
Personal	$269,910	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$5,900	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,900	TotalRevenueColumnAmt
Exclusion	-$5,900	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,908,831	SecuritiesAmt
Other	$1,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,721,779	SecuritiesAmt
Other	$8,882	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$187,052	SecuritiesAmt
Other	-$7,182	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$179,870	TotalRevenueColumnAmt
Exclusion	$179,870	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LOSS ON BOND REFUNDING	900099	-$819,301	-$819,301
THRIFT SHOP REVENUE	453310	$311,485		$311,485
MISCELLANEOUS	900099	$144,294		$144,294

Field	Value	IRS element (for citing)
Other Revenue Total	-$363,522	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,420,434	TotalRevenueColumnAmt
Related Or Exempt Func Income	$129,560,611	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,673,780	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	$11,500	TotalAmt
Program Services	$11,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$65,528	TotalAmt
Program Services	$65,528	ProgramServicesAmt

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	$1,384,819	TotalAmt
Program Services	$1,212,490	ProgramServicesAmt
Management And General	$171,766	ManagementAndGeneralAmt
Fundraising	$563	FundraisingAmt

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	$42,161,878	TotalAmt
Program Services	$36,916,727	ProgramServicesAmt
Management And General	$5,152,011	ManagementAndGeneralAmt
Fundraising	$93,140	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$193,331	TotalAmt
Program Services	$169,280	ProgramServicesAmt
Management And General	$23,635	ManagementAndGeneralAmt
Fundraising	$416	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,748,712	TotalAmt
Program Services	$6,774,070	ProgramServicesAmt
Management And General	$962,464	ManagementAndGeneralAmt
Fundraising	$12,178	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,185,819	TotalAmt
Program Services	$2,825,740	ProgramServicesAmt
Management And General	$353,267	ManagementAndGeneralAmt
Fundraising	$6,812	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$650,770	TotalAmt
Program Services	$292,250	ProgramServicesAmt
Management And General	$358,520	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$100,080	TotalAmt
Management And General	$100,080	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$223,958	TotalAmt
Management And General	$223,958	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	$17,653,937	TotalAmt
Program Services	$14,316,227	ProgramServicesAmt
Management And General	$3,337,550	ManagementAndGeneralAmt
Fundraising	$160	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$678,681	TotalAmt
Program Services	$659,043	ProgramServicesAmt
Management And General	$5,268	ManagementAndGeneralAmt
Fundraising	$14,370	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,587,327	TotalAmt
Program Services	$1,271,958	ProgramServicesAmt
Management And General	$313,265	ManagementAndGeneralAmt
Fundraising	$2,104	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,019,732	TotalAmt
Program Services	$842,334	ProgramServicesAmt
Management And General	$1,177,398	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,650,104	TotalAmt
Program Services	$1,525,362	ProgramServicesAmt
Management And General	$124,742	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$269,947	TotalAmt
Program Services	$269,437	ProgramServicesAmt
Management And General	$510	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	$239,112	TotalAmt
Program Services	$138,961	ProgramServicesAmt
Management And General	$99,631	ManagementAndGeneralAmt
Fundraising	$520	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,842,341	TotalAmt
Program Services	$2,842,341	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,859,061	TotalAmt
Program Services	$6,428,867	ProgramServicesAmt
Management And General	$2,430,194	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$132,050	TotalAmt
Program Services	$99,038	ProgramServicesAmt
Management And General	$33,012	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBT EXPENSE	$14,575,416	$14,575,416	$0	$0
MEDICAL SUPPLIES	$16,417,633	$16,405,402	$12,231	$0
EQUIPMENT REPAIR/MAINTENANCE	$2,882,084	$2,741,406	$140,678	$0
RECRUITING	$631,219	$278,610	$352,609	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,369,822	TotalAmt
Program Services	$1,319,427	ProgramServicesAmt
Management And General	$1,044,232	ManagementAndGeneralAmt
Fundraising	$6,163	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$128,534,861	TotalAmt
Program Services	$111,981,414	ProgramServicesAmt
Management And General	$16,417,021	ManagementAndGeneralAmt
Fundraising	$136,426	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$136,630	BOYAmt
EOY	$22,545,536	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,699,838	BOYAmt
EOY	$6,094,066	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	$22,926,458	BOYAmt
EOY	$15,089,379	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	$2,473,163	BOYAmt
EOY	$2,801,306	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,198,116	BOYAmt
EOY	$1,564,258	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$164,697,931	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$87,664,468	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$78,926,237	BOYAmt
EOY	$77,033,463	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$113,803,178	BOYAmt
EOY	$93,353,686	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,652,660	BOYAmt
EOY	$2,070,282	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$227,816,280	BOYAmt
EOY	$220,551,976	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,887,874	BOYAmt
EOY	$11,593,088	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	$65,463,403	BOYAmt
EOY	$59,591,943	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	$2,459,845	BOYAmt
EOY	$6,235,988	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,811,122	BOYAmt
EOY	$77,421,019	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$144,745,631	BOYAmt
EOY	$142,725,381	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$259,527	BOYAmt
EOY	$405,576	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$145,005,158	BOYAmt
EOY	$143,130,957	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$227,816,280	BOYAmt
EOY	$220,551,976	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,885,573	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,432,583	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,327,191	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	false	FederalGrantAuditRequiredInd

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	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$4,287	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$4,287	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, QUESTION 1F	FormAndLineReferenceDesc
Explanation	GRANTS TO OTHER ORGANIZATION FOR LOBBYING PURPOSES: AMOUNT REPORTED IN PART II-B, QUESTION 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.	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	$120,784	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,348	InvestmentEarningsOrLossesAmt
Administrative Expenses	$324	AdministrativeExpensesAmt
End Year Balance	$125,808	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$122,561	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,516	InvestmentEarningsOrLossesAmt
Administrative Expenses	$261	AdministrativeExpensesAmt
End Year Balance	$120,784	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$106,408	BeginningYearBalanceAmt
Investment Earnings Or Losses	$16,403	InvestmentEarningsOrLossesAmt
Administrative Expenses	$250	AdministrativeExpensesAmt
End Year Balance	$122,561	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,151	BeginningYearBalanceAmt
Investment Earnings Or Losses	$25,516	InvestmentEarningsOrLossesAmt
Administrative Expenses	$259	AdministrativeExpensesAmt
End Year Balance	$106,408	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,306	BeginningYearBalanceAmt
Investment Earnings Or Losses	$78	InvestmentEarningsOrLossesAmt
Administrative Expenses	$233	AdministrativeExpensesAmt
End Year Balance	$81,151	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,668,549	OtherCostOrOtherBasisAmt
Book Value	$3,668,549	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$92,306,520	OtherCostOrOtherBasisAmt
Depreciation	$35,383,096	DepreciationAmt
Book Value	$56,923,424	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$474,508	OtherCostOrOtherBasisAmt
Depreciation	$275,115	DepreciationAmt
Book Value	$199,393	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,658,279	OtherCostOrOtherBasisAmt
Depreciation	$51,898,221	DepreciationAmt
Book Value	$15,760,058	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$590,075	OtherCostOrOtherBasisAmt
Depreciation	$108,036	DepreciationAmt
Book Value	$482,039	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$77,033,463	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SELF-INSURANCE COSTS	$1,338,087
EST AMOUNTS FROM THIRD PARTIES	$4,897,901

Field	Value	IRS element (for citing)
Total Liability	$6,235,988	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$118,228,881	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,432,583	NetUnrealizedGainsInvstAmt
Other Revenue	-$14,575,416	OtherRevenueAmt
Revenue Not Reported	-$16,007,999	RevenueNotReportedAmt
Revenue Subtotal	$134,236,880	RevenueSubtotalAmt
Other Revenues Not Included	-$2,816,446	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$2,816,446	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$131,420,434	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$116,931,940	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,569,201	OtherExpensesIncludedAmt
Expenses Not Reported	$2,569,201	ExpensesNotReportedAmt
Expenses Subtotal	$114,362,739	ExpensesSubtotalAmt
Other Expenses Not Included	$14,172,122	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$14,172,122	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$128,534,861	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	DESCRIBE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: ENDOWMENT FUND IS USED TO PROVIDE ASSISTANCE TO THOSE WITH END OF LIFE ISSUES THROUGH THE HOSPICE PROGRAM.
SCHEDULE D, PART XI, LINE 2D	RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN: BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE (14,575,416)
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN: LOSS ON DISPOSAL IN EXPENSES PER AUDIT (7,182) NET ASSETS RELEASED FROM RESTRICTION 10,000 CLASSIFICATION DIFFERENCES (403,294) CONTRIBUTIONS TO NET ASSETS 146,049 UCC/DISPRO EXPENSE (2,253,297) RENTAL EXPENSE INCLUDED IN REVENUE FOR 990 (308,722) ------------------------------------------------------- TOTAL (2,816,446)
SCHEDULE D, PART XII, LINE 2D	RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN: LOSS ON DISPOSAL IN EXPENSES PER AUDIT 7,182 UCC/DISPRO EXPENSE 2,253,297 RENTAL EXPENSE INCLUDED IN REVENUE FOR 990 308,722 ------------------------------------------------------- TOTAL 2,569,201
SCHedule D, PART XII, LINE 4B	RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN: BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE 14,575,416 CLASSIFICATION DIFFERENCES (403,294) ----------------------------------------------------------- TOTAL 14,172,122

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	$2,828,051	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,828,051	NetCommunityBenefitExpnsAmt
Total Expense	0.02470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,299,012	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,113,145	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,185,867	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$128,291	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$1,476	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,253,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,241,436	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,012,442	NetCommunityBenefitExpnsAmt
Total Expense	0.03510	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,528	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,528	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,043	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,043	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,071	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$79,071	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,332,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,241,436	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,091,513	NetCommunityBenefitExpnsAmt
Total Expense	0.03580	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$14,575,416	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,830,166	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$49,041,943	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$57,626,956	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,585,013	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
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	SID PETERSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	551 HILL COUNTRY DRIVE	AddressLine1Txt
City	KERRVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78028	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.PETERSONRMC.COM	WebsiteAddressTxt
State License	008642	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	PETERSON REGIONAL MEDICAL CENTER	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
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 Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	CHNA COMMUNITY STAKEHOLDER OUTREACH: PETERSON HEALTH INCLUDED ALL LEVELS AND FACETS AND POPULATIONS OF THE KERRVILLE AREA COMMUNITY, AS WELL AS 7 OTHER REGIONS/COUNTIES TO SUCCESSFULLY AND COMPREHENSIVELY COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT. BROKEN INTO THREE MAIN PHASES, REPRESENTATIVES OF THE COMMUNITY WERE CULLED, CONTACTED, INTERVIEWED, INVITED TO MEETINGS AND A DIRECT PART OF THE CHNA SUMMIT AND REPORT AS FOLLOWS: PHASE I TELEPHONE SURVEYS AND COLLECTION OF MARKET RESEARCH OVER 400 COMMUNITY MEMBERS AT RANDOM WERE CALLED AND SURVEYED REGARDING PERCEPTION AND UTILIZATION OF THE HOSPITAL. PHASE II MARCH 2016 SECONDARY RESEARCH AND EVALUATION TO INCLUDE A FOCUS GROUP OF UP TO 20 COMMUNITY LEADERS FROM 3 COUNTIES, PLUS NEARLY A DOZEN ONE-ON-ONE INTERVIEWS ASKING A RANGE OF QUESTIONS SUCH AS THE EFFECTIVENESS OF MEETING THE NEEDS UNVEILED CYCLE 1 IN 2012, THE CHANGING NEEDS AND TRENDS, AND NEW UNMET HEALTH NEEDS AS DISCUSSING HEALTHCARE CHALLENGES ON THE HORIZON. THE INVITEES INCLUDED LEADERS IN CITY/COUNTY GOVERNMENT, TWO SCHOOL DISTRICT SUPERINTENDENTS, CEOS OF VARIOUS NOT-FOR-PROFIT ORGANIZATIONS, PHYSICIANS, EMPLOYEES, AND ACTIVE COMMUNITY LEADERS. PHASE III MAY 2016 OVER 80 COMMUNITY LEADERS AS WELL AS MEMBERS OF THE COMMUNITY IDENTIFIED AS INDIGENT, ECONOMICALLY DISADVANTAGED AND WORKING FOR OR WITH NON-PROFITS, AS WELL AS LARGE BUSINESSES, CORPORATIONS, RETIREMENT FACILITIES PARTICIPATED IN A FULL DAY SUMMIT TO DEVELOP CONSENSUS AND PRIORITIZE COMMUNITY HEALTH ISSUES AND HOW STAKEHOLDERS CAN WORK TOGETHER TO MEET THE HEALTH NEEDS OF THE ENTIRE COMMUNITY. AS IN CYCLE 1 IN 2012, CYCLE 2 COMPLETED IN 2016 PURPOSELY INCLUDED EVERY FACET OF THE COMMUNITY FOR INPUT, ACTION AND ACCOUNTABILITY FOR THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A & 10A	COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY: THE IMPLEMENTATION STRATEGY IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IS POSTED ONLINE AT THE FOLLOWING WEBSITE ADDRESS: http://www.petersonrmc.com/images/CHNA2016.pdf
SCHEDULE H, PART V, SECTION B, LINE 18, 19, & 20	FINANCIAL ASSISTANCE AND COLLECTIONS: NEITHER PETERSON REGIONAL MEDICAL CENTER, NOR THIRD PARTIES AUTHORIZED BY PRMC, 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 22D	THE ORGANIZATION GIVES SELF-PAY PATIENTS A HIGHER DISCOUNT THAN THE CONTRACTED INSURANCE PLANS.
SCHEDULE H, PART V, SECTION B, LINE 16A	http://www.petersonrmc.com/images/stories/PDF/BUS%20-%20Charity%20Care%20P olicy.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B	http://www.petersonrmc.com/images/stories/PDF/BUS%20-%20Financial%20Aid%20 Application.pdf
SCHEDULE H, PART V, SECTION B, LINE 16I	THE FINANCIAL ASSISTANCE APPLICATION IS ALSO AVAILABLE IN SPANISH AT THE FOLLOWING WEBSITE: http://www.petersonrmc.com/images/stories/PDF/BUS%20-%20Financial%20Aid%20 Application%20Spanish.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	A collaborative venture which brought together all of the care providers, citizens, government, schools, churches, not-for-profit organizations, and business and industry around an effective plan of action took place. PRMC selected key elements of the assessment to address, as set forth in the Implementation Plan, and encouraged other organizations in the community to do the same. Based on the results of this CHNA, PRMC selected three (3) of the identified significant health needs to address. 1. Mental Health/Substance Abuse 2. Chronic Diseases 3. Access to Healthcare PRMC will monitor the progress through the Hospital's Executive Team and will annually report the progress to their Board and the community.
SCHEDULE H, PART V, SECTION B, LINE 16C & 16F	THE ORGANIZATION COMPLETED AND POSTED FINANCIAL ASSISTANCE DOCUMENTS ON THEIR WEBSITE BUT DID NOT REALIZE THEY DID NOT HAVE A CORRECT VERSION OF A PLAIN LANGUAGE SUMMARY PREPARED. THEY ARE WORKING TO PREPARE A CORRECT VERSION OF A PLAIN LANGUAGE SUMMARY AND WILL HAVE THIS POSTED ON THEIR WEBSITE AS SOON AS POSSIBLE.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PETERSON AMBULATORY CARE CENTER
260 CULLY DRIVE	KERRVILLE	TX	78028	AMBULATORY SURGICAL CENTER
PETERSON HOME CARE
1420 WATER STREET	KERRVILLE	TX	78028	HOME HEALTH SERVICES
PETERSON HOSPICE
1121 BROADWAY	KERRVILLE	TX	78028	HOSPICE CARE
KERRVILLE OUTREACH LAB
320 WATER STREET	KERRVILLE	TX	78028	LAB DRAW SITE
KMP OUTREACH LAB
1331 BANDERA HIGHWAY	KERRVILLE	TX	78028	LAB DRAW SITE
PETERSON COMMUNITY CARE CLINIC
823 JUNCTION HWY	KERVILLE	TX	78028	HOSPITAL BASED CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2	AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	AMOUNT REPORTED IN ITEM 3 IS THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 40%.
SCHEDULE H, PART III, SECTION B, LINE 8:	THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) 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 $8,585,013 LESSENING THE BURDEN OF GOVERNMENT. IN ADDITION, 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:	IF THE PATIENT QUALIFIES FOR CHARITY CARE PER WRITTEN HOSPITAL CRITERIA, THE QUALIFYING BALANCE IS WRITTEN OFF TO CHARITY CARE AND NO FURTHER COLLECTION EFFORTS ARE MADE.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $14,575,416 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN.
SCHEDULE H, PART VI, LINE 2:	NEEDS ASSESSMENT: PETERSON REGIONAL MEDICAL CENTER (PRMC) ASSESSES COMMUNITY NEEDS THROUGH A COMBINATION OF OUTSIDE SOURCES, LIKE FOCUS GROUPS TO DETERMINE COMMUNITY PERCEPTIONS ABOUT OUR SERVICES (EMERGENCY DEPARTMENT AND WOMEN'S HEALTH SERVICES MOST RECENTLY), THOMSON REUTERS, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND ORGANIZATIONS INCLUDING CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT COMMISSION AND TEXAS HOSPITAL ASSOCIATION. ALONG WITH INFORMATION AND DATA GATHERED FROM THESE EXTERNAL SOURCES PRMC USES PRESSGANEY SURVEYS FOR PATIENTS, EMPLOYEES AND PHYSICIANS. PRESENTLY PRMC OFFERS MOST OF THE SAME HIGH-TECH MEDICAL TREATMENTS AND PROCEDURES FOUND IN NEARBY URBAN AREAS. ADDITIONALLY, THE 35-ACRE PRMC CAMPUS INCLUDES AN AMBULATORY CARE CENTER COMPLETE WITH OUTPATIENT SURGERY, IMAGING, LABORATORY, INFUSION SERVICES AND REHABILITATION SERVICES INCLUDING A LARGE INDOOR HEATED THERAPY POOL AS WELL AS A REGIONAL WOUND HEALING CENTER.
SCHEDULE H, PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS WHO HAVE OR WILL HAVE A PATIENT RESPONSIBILITY ARE APPROACHED BY PATIENT REGISTRATION STAFF TO MAKE FINANCIAL ARRANGEMENTS PRIOR TO OR AT THE TIME OF SERVICE. ANY PATIENT WHO CANNOT MAKE APPROPRIATE FINANCIAL ARRANGEMENTS IS REFERRED TO MEDICAL THIRD PARTY RESOURCES (MTPR) (A GROUP CONTRACTED BY HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR FINANCIAL ASSISTANCE) FOR POSSIBLE FINANCIAL ASSISTANCE FOR WHICH THEY MAY QUALIFY. IF PATIENT DOES NOT QUALIFY FOR ASSISTANCE THROUGH MTPR, REGISTRATION STAFF OFFER AN INTERNAL FINANCIAL AID APPLICATION (CHARITY CARE) AND EXPLAIN THE PROCESS. TPR CONTACTS ALL REFERRED UNINSURED PATIENTS, NOT SEEN AT THE TIME OF HOSPITAL PRE-REGISTRATION OR AT REGISTRATION, BY SENDING A LETTER, CONTACT BY PHONE, AND OR PERSONAL VISIT, INFORMING THEM OF FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS THAT MAY ASSIST WITH UNPAID MEDICAL BILLS. THE PATIENT IS INSTRUCTED TO CALL OR COME BY THE OFFICE TO BE SCREENED FOR POSSIBLE ASSISTANCE. IF PATIENT IS POTENTIALLY ELIGIBLE, MTPR WILL ASSIST WITH THE APPLICATION PROCESS AND GATHERING OF NECESSARY VERIFICATION. IF NO ASSISTANCE IS AVAILABLE THROUGH THESE PROGRAMS, MTPR WILL OFFER A FINANCIAL AID APPLICATION (CHARITY CARE) FOR POSSIBLE ASSISTANCE WITH THE HOSPITAL BILL. AT THE TIME OF BILLING FOR PATIENTS WITH SELF PAY BALANCES, BUSINESS OFFICE INCLUDE LETTERS WHICH STATE TO CALL IF FINANCIAL ASSISTANCE IS NEEDED. WHEN PAYMENTS ARE NOT RECEIVED IN A TIMELY MANNER, A COURTESY CALL TO THE PATIENT IS ATTEMPTED TO MAKE PAYMENT ARRANGEMENTS. IF THE PATIENT STATES THAT THEY DO NOT HAVE MEANS TO PAY THE BILL, AN OFFER IS AGAIN MADE TO CONTACT MTPR FOR FINANCIAL ASSISTANCE OR WE OFFER TO MAIL OUR FINANCIAL AID APPLICATION. A POSTING IS DISPLAYED IN REGISTRATION AREAS THAT WE OFFER CHARITY CARE AND TO CONTACT THE BUSINESS OFFICE (PHONE NUMBER IS PROVIDED) FOR DETAILS.
SCHEDULE H, PART VI, LINE 4:	COMMUNITY INFORMATION: PRMC SERVES A REGION OF APPROXIMATELY 6 COUNTIES, MORE THAN 40,000 PEOPLE LIVE WITHIN PRMC'S PRIMARY SERVICE AREA AND APPROXIMATELY 80,000 PEOPLE RESIDE IN PRMC'S OVERALL SERVICE AREA REPRESENTED BY KERR, KENDALL, KIMBLE, BANDERA, EDWARDS, GILLESPIE AND REAL COUNTIES. PRMC OPERATES WITHIN A COMPETITIVE HEALTHCARE MARKETPLACE. LOCATED APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO, RESIDENTS OF THE TEXAS HILL COUNTRY HAVE RELATIVELY EASY ACCESS TO THE SOUTH TEXAS MEDICAL CENTER, A MEDICAL DISTRICT CONSISTING OF 45 MEDICALLY RELATED INSTITUTIONS- VARIOUS SEPARATE MEDICAL, DENTAL AND NURSING SCHOOLS, TWELVE HOSPITALS AND FIVE SPECIALTY INSTITUTIONS.
SCHEDULE H, PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: PRMC ACTIVELY PROMOTES HEALTHCARE AND WELLNESS EDUCATION WITHIN THE COMMUNITIES WE SERVE THROUGH LOW OR NO COST SCREENINGS, MONTHLY EDUCATIONAL SEMINARS ADDRESSING IMPORTANT AND TIMELY MEDICAL ISSUES, EVENTS AND PUBLICATIONS. PRMC EMPLOYS A HEALTH AND WELLNESS COORDINATOR TO HELP ORGANIZE, SCHEDULE, AND EXECUTE THE COMMUNITY SEMINARS AND SCREENINGS. WORKING WITH LOCAL BUSINESSES, CHURCHES, COMMUNITY GROUPS, AND SENIORS, PRMC BRINGS INFORMATION AND EDUCATION OUT INTO THE COMMUNITIES WE SERVE THROUGH PROGRAMS LIKE THE FOLLOWING: ANNUAL: COMMUNITY FLU CLINIC CELEBRATE YOUR PREGNANCY ADOPT-A-HIGHWAY COMMUNITY MEMORIAL SERVICE BARK FOR LIFE WALK FOR LIFE MONTHLY EDUCATIONAL PRESENTATIONS, MEMBERSHIPS & SUPPORT GROUPS: 3RD SATURDAY AFFORDABLE LAB TESTING DIABETES SUPPORT GROUP COMMUNITY JOINT REPLACEMENT CLASS THE BABY PLACE: FOR MOMS-TO-BE AND THEIR PARTNERS DEMENTIA SUPPORT GROUP: CARING FOR A LOVED ONE SUPPORT & LEARNING CANCER SUPPORT GROUP OSTOMY SUPPORT GROUP STROKE SUPPORT GROUP MENTAL HEALTH SUPPORT GROUP PETERSON HOME CARE PLAZA ON THE RIVER BLOOD PRESSURE CHECKS LIFE AFTER LOSS BRIDGING THE GAP CHILDREN & PARENT GRIEF SUPPORT BLOOD DRIVES BOY SCOUT LEADERSHIP YMCA BOARD OF DIRECTORS PARTICIPATION SCHREINER UNIVERSITY NURSING PROGRAM MENTORSHIP ADVANCED DIRECTIVES/DNR COMMUNITY WORK SHOPS TIVY HIGH SCHOOL BIOARD OF DIRECTORS PARTICIPATION SOUTH TEXAS BLOOD & TISSUE DRIVE COMMUNITY ART LENDING PROGRAM ROTARY CLUB OF KERRVILLE REMARKABLE WOMEN COMMUNITY HEALTH FAIR COMMANCHE TRACE MEDICAL LECTURE SERIES CAR SEAT SAFETY CLINIC THE MEN'S EVENT COMMUNITY HEALTH WORK SHOP MOTHER-DAUGHTER COMMUNITY BUTTERFLY TEA AMERICAN CANCER SOCIETY "RELAY FOR LIFE" EVENT COMMUNITY SKIN CANCER SCREENING TIVY / INGRAM HIGH SCHOOL SHADOW DAY: CAREERS IN HEALTHCARE PRMC LADIES AUXILLARY PATIENT & FAMILY ADVISORY COUNCIL FIRST AID & CPR BREASTFEEDING CLASS CHILDBIRTH CLASS NEWBORN CARE & INFANT NUTRITION INFANT SAFETY & CPR JUNIOR AUXILLARY ELEMENTARY SCHOOL PRESENTATIONS THERAPY & REHAB WEEK CARING FOR YOUR KIDNEYS HALO OF LOVE FAMILIES IN LITERACY COMFORT & CONVERSATION
SCHEDULE H, PART VI, LINE 7	TEXAS
SCHEDULE H, PART VI, LINE 6	PRMC IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
SCHEDULE H, PART III, SECTION A, LINE 4	Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Medical Center records a significant provision for uncollectible accounts on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center's allowance for doubtful accounts for self-pay patients decreased from 88 percent of self-pay accounts receivable at June 30, 2015, to 85 percent of self-pay accounts receivable at June 30, 2016. The Medical Center's write-offs increased approximately $9,224,000 from approximately $9,660,000 for the year ended June 30, 2015, to approximately $18,884,000 for the year ended June 30, 2016. The increase in the allowance for doubtful accounts is the result of increased resources towards the collection of accounts receivable and stricter policies regarding charity care.
schedule h, part i, line 3c	IN ADDITION TO FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USED INSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATION ASSISTANCE	GrantTypeTxt
Recipient	44	RecipientCnt
Cash Grant	$65,528	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, QUESTION 2	FormAndLineReferenceDesc
Explanation	IN ORDER TO BE ELIGIBLE TO RECEIVE FUNDS FROM PETERSON REGIONAL MEDICAL CENTER'S SCHOOL OR WORK STUDY PROGRAMS, THE FOLLOWING CRITERIA MUST BE MET: 1)A COPY OF THE STUDENT'S DEGREE PLAN FROM THE EDUCATIONAL INSTITUTION 2)A COPY OF THE BILL 3)THE REQUESTED COURSES FOR THE SEMESTER 4)A CURRENT COPY OF THE STUDENT'S FAFSA CONFIRMATION 5)E-MAIL/MOX FROM THE UNIT MANAGER ACKNOWLEDGING THE STUDENT IS ENROLLING 6)PERSONAL DATA FROM CURRENT TO THIS SEMESTER 7)GRADES FROM ANY PREVIOUS PAID CLASSES 8)IF WORK STUDY, A COPY OF THE SIGNED PROMISSORY AGREEMENT 9)IF WORK STUDY, THE APPLICATION. EVERY STUDENT IS REQUIRED TO COMPLETE AND PRESENT THIS INFORMATION FOR EVERY SEMESTER THEY REQUEST SCHOLARSHIP FUNDS. THE REQUEST FOR FUNDS IS CONSIDERED ONLY AFTER ALL PAPERWORK IS TURNED IN AND PASSING GRADES FROM THE PREVIOUS SEMESTER FUNDS ARE PRESENTED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (5 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
J STEPHEN PAULTER
COO	$215,442	$0	$25,000	$0	$0	$0	$25,328	$0	$7,505	$0	$273,275	$0	$0	$0
JOSEPH PISZCZOR
VP OPERATIONS	$139,678	$0	$0	$0	$0	$0	$9,778	$0	$12,059	$0	$161,515	$0	$0	$0
KAELI DRESSLER
CNO	$144,581	$0	$997	$0	$0	$0	$10,190	$0	$4,492	$0	$160,260	$0	$0	$0
J PATRICK MURRAY
CEO	$337,047	$0	$942	$0	$0	$0	$180,268	$0	$7,312	$0	$525,569	$0	$0	$0
TIM RYE
ADMINISTRATOR	$131,326	$0	$12,000	$0	$0	$0	$11,466	$0	$5,488	$0	$160,280	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, QUESTION 4B	FormAndLineReferenceDesc
Explanation	PERSONS PARTICIPATING IN, OR RECEIVING PAYMENT FROM, A RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP PLAN. AMOUNTS FOR THE CURRENT YEAR WERE AS FOLLOWS: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION ---------------------- ---------------- --------------------- STEVE PAULTER NONE $ 14,508 PAT MURRARY NONE $ 159,989 KAELI DRESSLER NONE NONE JOE PISZCZOR NONE NONE INDIVIDUALS ARE NOT ELIGIBLE TO RECEIVE ANY FUNDS UNTIL AFTER 5 YEARS OF SERVICE OR RETIRE AFTER 3 YEARS OF PROGRAM IMPLEMENTATION.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF KERRVILLE TX HEALTH FACILITIES DEV CORP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	203591155	BondIssuerEIN
CUSIP	492436AZ3	CUSIPNum
Bond Issued	2015-11-24	BondIssuedDt
Issue Price	$59,726,042	IssuePriceAmt
Purpose	TO REFINANCE 2005 BONDS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$59,726,042	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,053,005	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2015	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15A	REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: THE BOARD OF DIRECTORS USED AN OUTSIDE AGENCY TO CONDUCT A MARKET SURVEY. THE RESULTS OF THE SURVEY WERE USED TO DETERMINE THE CEO'S SALARY FOR THE YEAR.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, QUESTION 12C	PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION INTERNALLY REVIEWS TRANSACTIONS FOR POSSIBLE CONFLICT ON A ROUTINE BASIS THROUGHOUT THE YEAR. ALL BOARD MEMBERS ARE COVERED UNDER THIS POLICY. THE BOARD REVIEWS ALL POSSIBLE CONFLICTS. THIS PAST YEAR ONE BOARD MEMBER WAS NOT ALLOWED TO ATTEND MEETINGS BECAUSE HIS CONSTRUCTION FIRM WAS BIDDING ON A HOSPITAL PROJECT. HE WAS ALLOWED TO RESUME ATTENDING BOARD MEETINGS ONCE THE CONTRACTOR WAS DECIDED UPON.
FORM 990, PART III, LINE 4D	DESCRIPTION OF OTHER PROGRAM SERVICES: THE ORGANIZATION HAS ONE LAB OFF-SITE OUTREACH LOCATION. THERE WERE 23,843 LAB TESTS PERFORMED FOR THE YEAR.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OF FUND BALANCES: TRANSFER TO AFFILIATES: < 3,327,191 >
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:4730933
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES - PHYSICIANS TOTAL FEES:3580233
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSOURCED LABOR TOTAL FEES:2296124
FORM 990 PART IX LINE 11G	DESCRIPTION:PETERSON HOSPICE NURSING HOME TOTAL FEES:519491
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTANT FEES TOTAL FEES:324222
FORM 990 PART IX LINE 11G	DESCRIPTION:PATHOLOGY SERVICES TOTAL FEES:433661
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROF FEES TOTAL FEES:414744
FORM 990 PART IX LINE 11G	DESCRIPTION:PT O/T CONTRACTED SERVICES TOTAL FEES:161330
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:4673869
FORM 990 PART IX LINE 11G	DESCRIPTION:HEMODIALYSIS SERVICES TOTAL FEES:292474
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMINISTRATIVE PHO EXPENSES TOTAL FEES:59606
FORM 990 PART IX LINE 11G	DESCRIPTION:ALL OTHERS TOTAL FEES:167250

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
Peterson Regional Medical Center Fdn
551 Hill Country Drive	Kerrville	TX	78028	742645149	SUPPORT	TX	501(c)(3)	11a	PRMC	Yes (true)
HEALTHCARE PARTNERSHIP GRTR SAN ANTONIO
551 HILL COUNTRY DRIVE	KERRVILLE	TX	78028	450599888	SUPPORT	TX	501(C)(3)	7	PRMC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PETERSON MEDICAL ASSOCIATES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	551 HILL COUNTRY DR	AddressLine1Txt
City	KERRVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78028	ZIPCd

Field	Value	IRS element (for citing)
EIN	272184637	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	509(A) C CORP	EntityTypeTxt
Share Of Total Income	-$2,159,659	ShareOfTotalIncomeAmt
Share Of EOY Assets	$898,723	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	peterson regional medical CENTER foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$100,000	InvolvedAmt
Method Of Amount Determination	fmv	MethodOfAmountDeterminationTxt