CREATE HEALTHY MANAGEMENT: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-13
- IRS object ID
- 201322259349302097
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T13:46:32-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 POST OAK BLVD STE 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 746083124 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hill Country Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JANICE MENKING | InCareOfName |
| Name Control | HILL | NameControl |
| Phone | 8309974353 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 835 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Fredericksburg | City |
| State | TX | State |
| ZIP Code | 78624 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK JONES | Name |
| Title | CFO | Title |
| Phone | 8309971339 | Phone |
| Date Signed | 2013-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Amanda Maya | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK JONES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 835 | AddressLine1 |
| City | FREDERICKSBURG | City |
| State | TX | State |
| ZIP Code | 78624 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 68046373 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HILLCOUNTRYMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1966 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE RESIDENTS OF HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 675 | TotalNbrEmployees |
| Total Nbr Volunteers | 278 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1685 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3117 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 53184420 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 67748756 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 123892 | InvestmentIncomePriorYear |
| Investment Income Current Year | 47847 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 609742 | OtherRevenuePriorYear |
| Other Revenue Current Year | 508853 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 53919739 | TotalRevenuePriorYear |
| Total Revenue Current Year | 68308573 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 701477 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 511744 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31308242 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31602271 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 31853715 | OtherExpensePriorYear |
| Other Expenses Current Year | 34710817 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63863434 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66824832 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -9943695 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1483741 | RevenuesLessExpensesCY |
| Total Assets BOY | 86521352 | TotalAssetsBOY |
| Total Assets EOY | 91191479 | TotalAssetsEOY |
| Total Liabilities BOY | 23446930 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 23424048 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 63074422 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 67767431 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | REMARKABLE CARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS-ALWAYS! | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 52213215 | Expense |
| Grants | 0 | Grants |
| Revenue | 63963512 | Revenue |
| Description | MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE AND SWING BED - 8,539; INTENSIVE AND CRITICAL CARE UNITS - 1,167; NURSERY - 814. EMERGENCY ROOM CARE WAS PROVIDED FOR 14,487 VISITS; 139,050 LABORATORY TESTS WERE PERFORMED; 42,153 IMAGING PROCEDURES WERE PERFORMED; 27,662 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,119 OPERATIONS WERE PERFORMED, AND 493 BABIES WERE DELIVERED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2240882 | Expense |
| Grants | 0 | Grants |
| Revenue | 2294759 | Revenue |
| Description | HOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 824117 | Expense |
| Grants | 0 | Grants |
| Revenue | 979732 | Revenue |
| Description | WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING PHYSICIAN REHABILITATION FACILITIES AND FITNESS EQUIPMENT; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2012 THERE WERE 38,627 PARTICIPANTS IN WELLNESS CENTER PROGRAMS. | Description |
Activity Other ActivityOther (3 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 348476 | 0 | 392738 | WIC PROGRAM |
| 303191 | 0 | 118015 | CLINIC RENT INCOME |
| 0 | 0 | 149618 | OTHER RELATED ACTIVITIES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 651667 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 660371 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 55929881 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 199 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 675 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JANICE MENKING | NamePerson |
| Telephone Number | 8309971339 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 822 REUBEN ST | AddressLine1 |
| City | FREDERICKSBURG | City |
| State | TX | State |
| ZIP Code | 78624 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| DAVID CAMPBELL | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| LAURA COOK | |||||||||
| DIRECTOR/VICE CHAIRMAN | 0.25 | 1.0 | X | 0 | 0 | 0 | X | ||
| RICHARD ESTENSON | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| BRAD HARDIN | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| THOMAS HUTTON | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| JAMES LINDLEY | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| PHIL MAPLE | |||||||||
| EX-COM AT LARGE MEMBER | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| DAN MITTEL | |||||||||
| DIRECTOR/SECRETARY | 0.25 | 1.0 | X | 0 | 0 | 0 | X | ||
| ANDY ROCKWOOD | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| GORDON SAUER | |||||||||
| DIRECTOR/CHAIRMAN | 0.25 | 1.0 | X | 0 | 0 | 0 | X | ||
| CRISTOL SCHOESSOW | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| PAUL URBAN | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| MARC WILLIAMSON | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| DANIEL ROBERTSON | |||||||||
| DIRECTOR | 0.25 | 1.0 | X | 0 | 0 | 0 | |||
| MICHAEL R WILLIAMS | |||||||||
| CEO | 38.25 | 1.75 | 342076 | 0 | 17483 | X | |||
| MARK K JONES | |||||||||
| CFO | 38.25 | 1.75 | 246394 | 0 | 6326 | X | |||
| JAMES R PARTIN | |||||||||
| CMO | 39.5 | 0.5 | 288269 | 0 | 15903 | X | |||
| STEVEN R SOSLAND | |||||||||
| COO | 40.0 | 235641 | 0 | 17483 | X | ||||
| JAYNE E POPE | |||||||||
| CNO | 40.0 | 235363 | 0 | 16262 | X | ||||
| MONTY MOHON | |||||||||
| CBO | 40.0 | 199648 | 0 | 17483 | X | ||||
| DEBRA L DOOLEY | |||||||||
| CSO | 39.5 | 0.5 | 246004 | 0 | 16262 | X | |||
| MICHAEL R BROWN | |||||||||
| LEAN SPECIALIST | 40.0 | 228784 | 0 | 0 | X | ||||
| JEFF T DARNABY | |||||||||
| LEAN SPECIALIST | 40.0 | 185399 | 0 | 0 | X | ||||
| LE ANN MYERS | |||||||||
| SR. DIRECTOR | 40.0 | 148662 | 0 | 6938 | X | ||||
| HOLLY SCHMIDT | |||||||||
| CIO | 40.0 | 130035 | 0 | 16262 | X | ||||
| HOLLY M JENNINGS | |||||||||
| PHARMACIST | 40.0 | 128974 | 0 | 28 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2615249 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 130430 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROGERS O'BRIEN CONSTRUCTION | |||||
| 1901 REGAL ROW | DALLAS | TX | 752352309 | CONSTRUCTION | 343692 |
| BKD LLP | |||||
| 7901 WOODWAY DRIVE | WACO | TX | 76712 | ACCOUNTING SERVICES | 293535 |
| SIEMENS MEDICAL SOLUTIONS USA | |||||
| PO BOX 120001 DEPT 0733 | DALLAS | TX | 753120733 | MAINTENANCE SERVICE | 250682 |
| COMFORCE INC | |||||
| PO BOX 896090 | CHARLOTTE | NC | 282896090 | MEDICAL SERVICE | 217119 |
| SOUTHWEST LINEN SERVICE | |||||
| PO BOX 1141 | STEPHENVILLE | TX | 76401 | HOUSEKEEPING | 250133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 66 | NumberOfContractorsGT100K |
| Membership Dues | 617 | MembershipDues |
| Related Organizations | 2500 | RelatedOrganizations |
| Total Contributions | 3117 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT HOSPITAL REVENUE | 621110 | 63963512 | 63963512 |
| HOME HEALTHCARE REVENUE | 621610 | 2294759 | 2294759 |
| WELLNESS CENTER SERVICE REVENUE | 624100 | 979732 | 979732 |
| WIC PROGRAM REVENUE | 624100 | 392738 | 392738 |
| CLINIC RENT REVENUE | 621110 | 118015 | 118015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 67748756 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 62878 | TotalRevenueColumn |
| Exclusion | $62,878 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7051 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 22082 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -15031 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -15031 | TotalRevenueColumn |
| Exclusion | -$15,031 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 433900 | GrossSalesOfInventory |
| Cost Of Goods Sold | -284282 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 149618 | TotalRevenueColumn |
| Related Or Exempt Function Income | 149618 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA REVENUE | 722320 | 223715 | $223,715 |
| MEDICAL RECORDS | 621990 | 9456 | $9,456 |
| AUXILIARY REVENUE | 453220 | -45636 | -$45,636 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 171700 | TotalRevenueColumn |
| Exclusion | $171,700 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 359235 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68308573 | TotalRevenueColumn |
| Related Or Exempt Function Income | 67898374 | RelatedOrExemptFunctionIncome |
| Exclusion | $407,082 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511644 | Total |
| Program Services | 511644 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100 | Total |
| Program Services | 100 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1900597 | Total |
| Management And General | 1900597 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24078981 | Total |
| Program Services | 20146684 | ProgramServices |
| Management And General | 3932297 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 681827 | Total |
| Program Services | 498826 | ProgramServices |
| Management And General | 183001 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3097437 | Total |
| Program Services | 2476641 | ProgramServices |
| Management And General | 620796 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1843429 | Total |
| Program Services | 1492908 | ProgramServices |
| Management And General | 350521 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006728 | Total |
| Management And General | 1006728 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276069 | Total |
| Management And General | 276069 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4439950 | Total |
| Program Services | 3195738 | ProgramServices |
| Management And General | 1244212 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 219359 | Total |
| Program Services | 6254 | ProgramServices |
| Management And General | 213105 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1762752 | Total |
| Program Services | 1170562 | ProgramServices |
| Management And General | 592190 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3223874 | Total |
| Program Services | 2970283 | ProgramServices |
| Management And General | 253591 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243196 | Total |
| Program Services | 212662 | ProgramServices |
| Management And General | 30534 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205475 | Total |
| Program Services | 139817 | ProgramServices |
| Management And General | 65658 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413051 | Total |
| Program Services | 413051 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4174009 | Total |
| Program Services | 4174009 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46150 | Total |
| Program Services | 46150 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 12286547 | 12286547 | |
| BAD DEBT EXPENSE | 5581808 | 5581808 | |
| OTHER EXPENSES | 589623 | 470042 | 119581 |
| DUES & SUBSCRIPTIONS | 199322 | 95348 | 103974 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42904 | Total |
| Program Services | 40807 | ProgramServices |
| Management And General | 2097 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66824832 | Total |
| Program Services | 55929881 | ProgramServices |
| Management And General | 10894951 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9951225 | BOY |
| EOY | 5459131 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8054136 | BOY |
| EOY | 11491295 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8623181 | BOY |
| EOY | 7059759 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1374218 | BOY |
| EOY | 1340473 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18464960 | BOY |
| EOY | 25815204 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 74584559 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 39377343 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37325947 | BOY |
| EOY | 35207216 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2727685 | BOY |
| EOY | 4818401 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86521352 | BOY |
| EOY | 91191479 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14509606 | BOY |
| EOY | 6801136 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8637324 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300000 | BOY |
| EOY | 16622912 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23446930 | BOY |
| EOY | 23424048 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46471355 | BOY |
| EOY | 49718391 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8468192 | BOY |
| EOY | 9872719 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8134875 | BOY |
| EOY | 8176321 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63074422 | BOY |
| EOY | 67767431 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86521352 | BOY |
| EOY | 91191479 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1483741 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3209268 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $5,185 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 5185 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING EXPENSES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1F | ReturnReference |
| Explanation | HILL COUNTRY MEMORIAL HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES LOBBYING % LOBBYING $ THA $20,147 24.00% $4,835 TORCH $ 3,500 10.00% $ 350 --------------------------------------------------- TOTAL $23,647 $5,185 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4896017 | OtherCostOrOtherBasis |
| Book Value | 4896017 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37934452 | OtherCostOrOtherBasis |
| Depreciation | 17176874 | Depreciation |
| Book Value | 20757578 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1174293 | OtherCostOrOtherBasis |
| Book Value | 1174293 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30563823 | OtherCostOrOtherBasis |
| Depreciation | 22200469 | Depreciation |
| Book Value | 8363354 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15974 | OtherCostOrOtherBasis |
| Book Value | 15974 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 35207216 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER INVESTMENTS | 11564 |
| DUE FROM PHYSICIAN ASSOC | 1375220 |
| DUE FROM PRIMARY CARE PHYS | 3431617 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4818401 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| HCM REFUNDABLE ADVANCE | $300,000 |
| HCM DUE TO MEDICARE | $8,322,912 |
| HCM FINANCING | $8,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16622912 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 68618204 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 309631 | OtherRevenues |
| Revenue Not Rptd F990 | 309631 | RevenueNotRptdF990 |
| Revenue Subtotal | 68308573 | RevenueSubtotal |
| Total Revenue Per Form990 | 68308573 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 67134463 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 309631 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 309631 | ExpensesNotRptdF990 |
| Expenses Subtotal | 66824832 | ExpensesSubtotal |
| Total Expenses Per Form990 | 66824832 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO TAX RETURN | SCHEDULE D, PART XII, LINE 2D | THRIFT SHOP EXPENSES $284,282 AUXILIARY EXPENSES 25,349 ---------------------------------------------- TOTAL $309,631 |
| RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO TAX RETURN | SCHEDULE D, PART XIII, LINE 2D | THRIFT SHOP EXPENSES $284,282 AUXILIARY EXPENSES 25,349 ---------------------------------------------- TOTAL $309,631 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 991141 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 991141 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01620 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3283003 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2913252 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 369751 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 238873 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 211435 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27438 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4513017 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3124687 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1388330 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02260 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32447 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 32447 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 298153 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 298153 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 891366 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 891366 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01460 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1221966 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1221966 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5734983 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3124687 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2610296 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,581,808 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 24160448 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 27278578 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3118130 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 KERRVILLE HWY | AddressLine1 |
| City | FREDERICKSBURG | City |
| State | TX | State |
| ZIP Code | 78624 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H, PART I, LINE 7, COLUMN F | THE AMOUNT OF BAD DEBT EXPENSES REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT PERCENTAGE WAS $5,581,808. | |
| BAD DEBT EXPENSE | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE 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 UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). 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 HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE 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 OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 95% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012 AND DECEMBER 31, 2011. THE HOSPITAL'S WRITE-OFFS DECREASED APPROXIMATELY $485,000 FROM APPROXIMATELY $3,810,000 FOR THE YEAR ENDED DECEMBER 31, 2011, TO APPROXIMATELY $3,325,000 FOR THE YEAR ENDED DECEMBER 31, 2012. HOWEVER, THE HOSPITAL'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS INCREASED BY APPROXIMATELY $3,062,000 IN 2012 AS COMPARED TO 2011, AS A RESULT OF A CURRENT YEAR PRICE INCREASE, A CONTINUED INCREASE IN THE BALANCE OF SELF-PAY ACCOUNTS RESULTING FROM A RISING UNINSURED POPULATION AND INCREASES IN THE PATIENT RESPONSIBILITY PORTION OF COMMERCIALLY INSURED PATIENTS DUE TO INSURANCE PLAN DESIGN CHANGES OF MANY EMPLOYERS. THE AMOUNT ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. THE AMOUNT OF BAD DEBT EXPENSE IS $5,581,808. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. | SCHEDULE H, PART III, SECTION A, LINE 4 |
| COSTING METHODOLOGY | THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $3,118,130. 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 B, LINE 8A |
| PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS | HILL COUNTRY MEMORIAL HOSPITAL'S COLLECTION POLICY EXCLUDES PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. | SCHEDULE H, PART III, SECTION C, LINE 9B |
| OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS | THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING AMOUNTS CHARGED TO PATIENTS. | SCHEDULE H, PART V, SECTION B, LINE 12H |
| OTHER MEANS BY WHICH HOSPITAL PUBLICIZED POLICY | THE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLICIZED THROUGH AREA PHYSICIAN PRACTICES. | SCHEDULE H, PART V, SECTION, B, LINE 14G |
| SCHEDULE H, PART V, SECTION B, LINE 16 & 17 | NEITHER HILL COUNTRY MEMORIAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY HILL COUNTRY MEMORIAL HOSPITAL, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. | |
| OTHER ACTIONS TOOK BEFORE ANY COLLECTION ACTIONS | PATIENT ACCOUNT REPRESENTATIVES CONTACT PATIENTS BY PHONE BEFORE INITIATING COLLECTION ACTIONS. | SCHEDULE H, PART V, SECTION B, LINE 18E |
| OTHER BILLING DETERMINATION OF THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE | THE HOSPITAL CHARGE MASTER BILLS A STANDARD AMOUNT FOR ALL PATIENTS, THEREBY INSURING THAT THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE AND THE INSURED ARE BILLED THE SAME AMOUNT. ADDITIONALLY, PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED DISCOUNTS BASED ON THEIR INCOME LEVELS COMPARED TO FEDERAL POVERTY GUIDELINES (FPG). PATIENTS WITH INCOME AT OR BELOW 200% FPG HAVE 100% OF THE BALANCE ADJUSTED. PATIENTS WITH ABOVE 200% AND UNDER 225% OF FPG HAVE 80% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 225% AND UNDER 250% OF FPG HAVE 60% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 250% AND UNDER 275% OF FPG HAVE 40% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 275% AND UNDER 300% OF FPG HAVE 20% OF THE BALANCE ADJUSTED. THOSE WITH INCOME OVER 300% OF FPG DO NOT QUALIFY AS FINANCIALLY INDIGENT. | SCHEDULE H, PART V, SECTION B, LINE 20D |
| NEEDS ASSESSMENT | HILL COUNTRY MEMORIAL ASSESSES THE NEEDS OF THE COMMUNITY THROUGH PATIENT SURVEYS. PATIENTS RECEIVING CARE IN THE FOLLOWING SERVICE LINES ARE RANDOMLY SURVEYED BY PRESS GANEY, AN INDEPENDENT HOSPITAL AUDITING FIRM WHICH AUDITS 1800 HOSPITALS IN THE UNITED STATES: IN-PATIENT CARE, OUT-PATIENT CARE, ER, AND HOME HEALTH. THE FOLLOWING SERVICE LINES ARE SURVEYED IN AN HCM PAPER-GENERATED SURVEY DISSEMINATED AT THE POINT OF DISMISSAL: HILL COUNTRY MEMORIAL BREAST CENTER, HILL COUNTRY MEMORIAL COMMUNITY CLINIC, AND HILL COUNTRY MEMORIAL SLEEP LAB. THE HILL COUNTRY MEMORIAL COMMUNITY CLINIC SERVES THE INDIGENT POPULATION AND THE SURVEYS ARE A KEY CONTRIBUTOR IN DETERMINING IF INDIGENT COMMUNITY NEEDS ARE BEING MET. | SCHEDULE H, PART VI, LINE 2 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | HILL COUNTRY MEMORIAL PATIENTS SPEAK WITH A HILL COUNTRY MEMORIAL BUSINESS OFFICE REPRESENTATIVE BEFORE CARE TO DETERMINE IF THEY ARE ELIGIBLE FOR ASSITANCE UNDER THE FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THE ORGANIZATION'S CHARITY CARE POLICY. THE PATIENT'S ELIGIBILITY IS ASSESSED AND CAREFULLY MANAGED, SO THAT IF HE/SHE OVERPAYS, HE/SHE IS REIMBURSED THE RECONCILING AMOUNT. | SCHEDULE H, PART VI, LINE 3 |
| COMMUNITY INFORMATION | THE ORGANIZATION SERVES EIGHT COUNTIES IN THE HILL COUNTRY: GILLESPIE, BLANCO, BURNET, KENDALL, KERR, MCCULLOCH, MASON, AND LLANO. THE PRIMARY SERVICE AREA OF GILLESPIE COUNTY (POP. 25,153) ACCOUNTS FOR ABOUT 50% OF HILL COUNTRY MEMORIAL PATIENTS. THE TOTAL SERVICE AREA POPULATION IS 196,399, AND THE AVERAGE PATIENT AGE IS 65 YEARS OLD. | SCHEDULE H, PART VI, LINE 4 |
| PROMOTION OF COMMUNITY HEALTH | THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE THROUGH UP TO 40 PUBLIC HEALTH EVENTS AND SCREENINGS A YEAR WHICH ARE ADVERTISED AND WELL ATTENDED. THE HILL COUNTRY MEMORIAL WELLNESS CENTER OFFERS REMOTE IMMUNIZATION "DRIVE-THRUS" TO INCREASE IMMUNIZATION VOLUMES. EMPLOYEES DEVOTE TIME AND MONEY TO THE COMMUNITY NEEDS COUNCIL TO FURNISH SCHOOL SUPPLIES TO ELIGIBLE CHILDREN, TO THE AREA FOOD BANK FOR THE HUNGRY, AND TO THE LOCAL BOYS AND GIRLS CLUB FOR COMMUNITY CHILDREN ACTIVITIES. THE AUXILLARY, HOSPITAL VOLUNTEER ORGANIZATION, RAISES FUNDS TO FURTHER EMPLOYEE HEALTH CARE EDUCATION, WHICH NURTURES THE AVAILABLE WORKFORCE. THE ORGANIZATION HAS THE LARGEST VOLUNTEER BASE IN FREDERICKSBURG. ALSO, FUNDS WERE DONATED TO RELAY FOR LIFE, HEALTH OCCUPATION STUDENT ASSOCIATION (HOSA), AND EISHBAHN. EMPLOYEES ALSO SERVED IN LEADERSHIP ROLES FOR COMMUNITY ORGANIZATIONS. HILL COUNTRY MEMORIAL ALSO COLLABORATES WITH CITY AND COUNTY OFFICIALS TO PREPARE FOR EMERGENCY SCENARIOS. HILL COUNTRY MEMORIAL INVITES CITY AND COUNTY EMERGENCY OFFICIALS TO PARTICIPATE IN MOCK EMERGENCY SITUATIONS TO PREPARE FOR AN ACTUAL, LIKELY EMERGENCY BASED ON THE GEOGRAPHIC PROXIMITY OF THE HOSPITAL, SUCH AS A TORNADO OR MAJOR CHEMICAL SPILL. IN ADDITION, HILL COUNTRY MEMORIAL EMBARKED ON A PROJECT TO BUILD A HEALTH AND WELLNESS COMMUNITY CENTER IN 2009 AND 2010. COLLABORATING WITH THE CITY OF FREDERICKSBURG, PHYSICIANS AND THE FREDERICKSBURG CHAMBER OF COMMERCE, HILL COUNTRY MEMORIAL FUNDED THE CREATION OF AN ARCHITECTURAL PLAN FOR THE CENTER. | SCHEDULE H, PART VI, LINE 5 |
| AFFILIATED HEALTH CARE SYSTEM | THE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES TEN ORGANIZATIONS. HILL COUNTRY MEMORIAL HOSPITAL PROVIDES HEALTHCARE; HILL COUNTRY MEMORIAL FOUNDATION PROVIDES FUNDRAISING; HILL COUNTRY PHYSICIAN ASSOCIATES PROVIDES HEALTHCARE; HILL COUNTRY PRIMARY CARE PHYSICIANS PROVIDES HEALTHCARE; AND GREATER HILL COUNTRY HOSPICE PROVIDES HOSPICE SERVICE. ALSO, THE HOSPITAL IS A MEMBER OF A SERVICE ORGANIZATION WHICH WAS FORMED TO ACCESS SUPPLEMENTAL MEDICAID FUNDING. IN ADDITION, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE FOLLOWING INACTIVE ENTITIES: HILL COUNTRY MEMORIAL HEALTH SYSTEM, HILL COUNTRY COMMUNITY SERVICES, HILL COUNTRY MEMORIAL OFFICE BUILDING, AND HILL COUNTRY WELLNESS CENTER. | SCHEDULE H, PART VI, LINE 6 |
| STATE FILING OF COMMUNITY BENEFIT REPORT | TEXAS | SCHEDULE H, PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE PARTNERSHIP OF GREATER SAN ANTONIO | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 551 HILL COUNTRY DRIVE | AddressLine1 |
| City | KERRVILLE | City |
| State | TX | State |
| ZIP Code | 78028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 450599888 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 480280 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
| Purpose Of Grant | CHARITABLE SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | USE OF GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE ORGANIZATION MADE A GRANT TO A RELATED ORGANIZATION AND IS ABLE TO MONITOR THROUGH THE RELATIONSHIP WITH THAT ORGANIZATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL R WILLIAMS | ||||||||||||
| CEO | 342076 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17483 | 0 | 359559 | 0 |
| JAMES R PARTIN | ||||||||||||
| CMO | 238269 | 0 | 50000 | 0 | 0 | 0 | 0 | 0 | 15903 | 0 | 304172 | 0 |
| MARK K JONES | ||||||||||||
| CFO | 206394 | 0 | 40000 | 0 | 0 | 0 | 0 | 0 | 6326 | 0 | 252720 | 0 |
| STEVEN R SOSLAND | ||||||||||||
| COO | 195641 | 0 | 40000 | 0 | 0 | 0 | 0 | 0 | 17483 | 0 | 253124 | 0 |
| JAYNE E POPE | ||||||||||||
| CNO | 195363 | 0 | 40000 | 0 | 0 | 0 | 0 | 0 | 16262 | 0 | 251625 | 0 |
| MICHAEL R BROWN | ||||||||||||
| LEAN SPECIALIST | 227769 | 0 | 1015 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 228784 | 0 |
| MONTY MOHON | ||||||||||||
| CBO | 167648 | 0 | 32000 | 0 | 0 | 0 | 0 | 0 | 17483 | 0 | 217131 | 0 |
| DEBRA L DOOLEY | ||||||||||||
| CSO | 206004 | 0 | 40000 | 0 | 0 | 0 | 0 | 0 | 16262 | 0 | 262266 | 0 |
| JEFF T DARNABY | ||||||||||||
| LEAN SPECIALIST | 184384 | 0 | 1015 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 185399 | 0 |
| LE ANN MYERS | ||||||||||||
| SR. DIRECTOR | 147647 | 0 | 1015 | 0 | 0 | 0 | 0 | 0 | 6938 | 0 | 155600 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | HILL COUNTRY MEMORIAL'S HOSPITAL'S VISION IS TO BE THE BEST COMMUNITY HOSPITAL ANYWHERE. THE HOSPITAL'S VALUES ARE: OTHERS FIRST, COMPASSION, INNOVATION, ACCOUNTABILITY, AND STEWARDSHIP. |
| OTHER PROGRAM SERVICES | FORM 990, PART III, LINE 4D | WIC PROGRAM - PROVIDE NUTRITIONAL EDUCATION, BREAST FEEDING SUPPORT, WIC FOODS AND SOCIAL SERVICE REFERRALS FOR WOMEN AND CHILDREN MEETING WIC ELIGIBILITY REQUIREMENTS; AND COMMUNITY HEALTH PROGRAMS SUCH AS IMMUNIZATIONS FOR CHILDREN. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B | THE HOSPITAL BOARD HAS GIVEN THE AUDIT COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. THE CFO DISCUSSES EACH SECTION WITH THE COMMITTEE AND DISCUSSES ANY ISSUES TO BE ADDRESSED FOR FUTURE YEARS. ALL BOARD MEMBERS ARE ALSO PROVIDED A LINK TO ACCESS THE 990 FOR REVIEW BEFORE FILING. |
| CONFLICT OF INTEREST | FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE HOSPITAL BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT. |
| COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES | FORM 990, PART VI, SECTION B, LINE 15A & 15B | THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS RELEVANT WAGE SURVEY AND DATA TO DETERMINE CEO COMPENSATION. FOR OTHER OFFICERS, THE CEO REVIEWS WAGE DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR. |
| AVAILABILITY OF DOCUMENTS | FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | CHANGES IN TEMPORARILY RESTRICTED NET ASSETS: $3,167,892 CHANGES IN PERMANENTLY RESTRICTED NET ASSETS: $41,446 OTHER CHANGES: $-70 ---------------------------------------------------------- $3,209,268 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL AUXILLARY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 KERRVILLE HWY | AddressLine1 |
| City | FREDERICKSBURG | City |
| State | TX | State |
| ZIP Code | 78624 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SUPPORT | PrimaryActivities |
| Legal Domicile State | TX | LegalDomicileState |
| Total Income | 78306 | TotalIncome |
| EOY Assets | 54669 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCMH | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HILL COUNTRY MEMORIAL HEALTH SYSTEM | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858904 | SUPPORT | TX | 501(C)(3) | 11A, I | HCMH | true |
| HILL COUNTRY MEMORIAL FOUNDATION | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742557105 | FUNDRAISING | TX | 501(C)(3) | 11C, III-FI | NA | false |
| HILL COUNTRY MEMORIAL COMMUNITY SVCES | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858907 | HOME CARE SVC | TX | 501(C)(3) | 11C, III-FI | HCMH | true |
| HILL COUNTRY MEM MEDICAL OFFICE BLDG | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858909 | OFFICE BLDG. | TX | 501(C)(3) | 11C, III-FI | HCMH | true |
| HILL COUNTRY WELLNESS CENTER | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 742858905 | HEALTH ED. | TX | 501(C)(3) | 11C, III-FI | HCMH | true |
| HILL COUNTRY PHYSICIAN ASSOCIATES | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 262553196 | HEALTHCARE | TX | 501(C)(3) | 11a, I | HCMH | true |
| HILL COUNTRY PRIMARY CARE PHYSICIANS | ||||||||||
| 1020 KERRVILLE HWY | FREDERICKSBURG | TX | 78624 | 272860109 | HEALTHCARE | TX | APPLIED | HCMH | true | |
| GREATER HILL COUNTRY HOSPICE | ||||||||||
| PO BOX 835 | FREDERICKSBURG | TX | 78624 | 742912643 | HOSPICE | TX | 501(C)(3) | 3 | HCMH | true |
| HEALTHCARE PARTNERSHIP OF GREATER SAN AN | ||||||||||
| 551 HILL COUNTRY DRIVE | KERRVILLE | TX | 78028 | 450599888 | HEALTHCARE | TX | 501(C)(3) | 7 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL COUNTRY MEMORIAL SURGERY CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 GATEWAY CIR A | AddressLine1 |
| City | MARBLE FALLS | City |
| State | TX | State |
| ZIP Code | 78654 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331039828 | EIN |
| Primary Activity | SURGERY CENTER | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCMH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | -74829 | ShareOfTotalIncome |
| Share Of EOY Assets | 109909 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.51000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER HILL COUNTRY HOSPICE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 3625274 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |