2013-08-13T13:46:32-05:00 2012-12-31 BKD LLP 2800 POST OAK BLVD STE 3200 HOUSTON TX 77056 990 2012-01-01 746083124 Hill Country Memorial Hospital % JANICE MENKING HILL 8309974353 PO Box 835 Suite Fredericksburg TX 78624 MARK JONES 8309971339 2013-08-15 true Amanda Maya 7134994600 2012 2016-02-24 21:20:13Z MARK JONES PO BOX 835 FREDERICKSBURG TX 78624 68046373 false X WWW.HILLCOUNTRYMEMORIAL.ORG X 1966 TX TO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE RESIDENTS OF HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL. 14 14 675 278 0 0 1685 3117 53184420 67748756 123892 47847 609742 508853 53919739 68308573 701477 511744 0 0 31308242 31602271 0 0 0 31853715 34710817 63863434 66824832 -9943695 1483741 86521352 91191479 23446930 23424048 63074422 67767431 X REMARKABLE CARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS-ALWAYS! false false 52213215 0 63963512 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. 2240882 0 2294759 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. 824117 0 979732 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. 348476 0 392738 WIC PROGRAM 303191 0 118015 CLINIC RENT INCOME 0 0 149618 OTHER RELATED ACTIVITIES 651667 0 660371 55929881 true false false true false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 199 0 true 675 true false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true false true true true true true X JANICE MENKING 8309971339 822 REUBEN ST FREDERICKSBURG TX 78624 DAVID CAMPBELL 0.25 1.0 X 0 0 0 LAURA COOK 0.25 1.0 X X 0 0 0 RICHARD ESTENSON 0.25 1.0 X 0 0 0 BRAD HARDIN 0.25 1.0 X 0 0 0 THOMAS HUTTON 0.25 1.0 X 0 0 0 JAMES LINDLEY 0.25 1.0 X 0 0 0 PHIL MAPLE 0.25 1.0 X 0 0 0 DAN MITTEL 0.25 1.0 X X 0 0 0 ANDY ROCKWOOD 0.25 1.0 X 0 0 0 GORDON SAUER 0.25 1.0 X X 0 0 0 CRISTOL SCHOESSOW 0.25 1.0 X 0 0 0 PAUL URBAN 0.25 1.0 X 0 0 0 MARC WILLIAMSON 0.25 1.0 X 0 0 0 DANIEL ROBERTSON 0.25 1.0 X 0 0 0 MICHAEL R WILLIAMS 38.25 1.75 X 342076 0 17483 MARK K JONES 38.25 1.75 X 246394 0 6326 JAMES R PARTIN 39.5 0.5 X 288269 0 15903 STEVEN R SOSLAND 40.0 X 235641 0 17483 JAYNE E POPE 40.0 X 235363 0 16262 MONTY MOHON 40.0 X 199648 0 17483 DEBRA L DOOLEY 39.5 0.5 X 246004 0 16262 MICHAEL R BROWN 40.0 X 228784 0 0 JEFF T DARNABY 40.0 X 185399 0 0 LE ANN MYERS 40.0 X 148662 0 6938 HOLLY SCHMIDT 40.0 X 130035 0 16262 HOLLY M JENNINGS 40.0 X 128974 0 28 2615249 0 130430 20 false true false 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 66 617 2500 3117 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 67748756 62878 62878 0 0 0 0 0 7051 22082 -15031 -15031 -15031 0 0 433900 -284282 149618 149618 CAFETERIA REVENUE 722320 223715 223715 MEDICAL RECORDS 621990 9456 9456 AUXILIARY REVENUE 453220 -45636 -45636 171700 171700 359235 68308573 67898374 407082 511644 511644 100 100 0 0 1900597 1900597 0 24078981 20146684 3932297 681827 498826 183001 3097437 2476641 620796 1843429 1492908 350521 0 1006728 1006728 276069 276069 0 0 0 4439950 3195738 1244212 219359 6254 213105 1762752 1170562 592190 0 0 3223874 2970283 253591 243196 212662 30534 0 205475 139817 65658 413051 413051 0 4174009 4174009 46150 46150 MEDICAL SUPPLIES 12286547 12286547 BAD DEBT EXPENSE 5581808 5581808 OTHER EXPENSES 589623 470042 119581 DUES & SUBSCRIPTIONS 199322 95348 103974 42904 40807 2097 66824832 55929881 10894951 0 9951225 5459131 8054136 11491295 0 0 8623181 7059759 0 0 0 0 0 0 1374218 1340473 18464960 25815204 74584559 39377343 37325947 35207216 0 0 0 0 0 0 0 0 2727685 4818401 86521352 91191479 14509606 6801136 0 0 0 0 8637324 0 0 0 0 0 0 0 0 0 300000 16622912 23446930 23424048 X 46471355 49718391 8468192 9872719 8134875 8176321 63074422 67767431 86521352 91191479 X 1483741 3209268 X false true X true false X false false false false false true 5185 false false false 5185 false LOBBYING EXPENSES SCHEDULE C, PART II-B, LINE 1F 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 4896017 4896017 37934452 17176874 20757578 1174293 1174293 30563823 22200469 8363354 15974 15974 35207216 OTHER INVESTMENTS 11564 DUE FROM PHYSICIAN ASSOC 1375220 DUE FROM PRIMARY CARE PHYS 3431617 4818401 0 HCM REFUNDABLE ADVANCE 300000 HCM DUE TO MEDICARE 8322912 HCM FINANCING 8000000 16622912 68618204 309631 309631 68308573 68308573 67134463 309631 309631 66824832 66824832 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 true true true X true X true true false true true 991141 991141 0.01620 3283003 2913252 369751 0.00600 238873 211435 27438 0.00040 4513017 3124687 1388330 0.02260 32447 32447 0.00050 298153 298153 0.00490 891366 891366 0.01460 1221966 1221966 0.02000 5734983 3124687 2610296 0.04260 false 5581808 24160448 27278578 -3118130 X true true 1 1 HILL COUNTRY MEMORIAL HOSPITAL

1020 KERRVILLE HWY FREDERICKSBURG TX 78624

X X X HILL COUNTRY MEMORIAL HOSPITAL 1 false true true 200. true 300. true X X X true true X X X X true false X X X X X true X false false 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 SCHEDULE H, PART III, SECTION A, LINE 4 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. COSTING METHODOLOGY SCHEDULE H, PART III, SECTION B, LINE 8A 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. PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS SCHEDULE H, PART III, SECTION C, LINE 9B HILL COUNTRY MEMORIAL HOSPITAL'S COLLECTION POLICY EXCLUDES PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS SCHEDULE H, PART V, SECTION B, LINE 12H THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING AMOUNTS CHARGED TO PATIENTS. OTHER MEANS BY WHICH HOSPITAL PUBLICIZED POLICY SCHEDULE H, PART V, SECTION, B, LINE 14G THE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLICIZED THROUGH AREA PHYSICIAN PRACTICES. 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 SCHEDULE H, PART V, SECTION B, LINE 18E PATIENT ACCOUNT REPRESENTATIVES CONTACT PATIENTS BY PHONE BEFORE INITIATING COLLECTION ACTIONS. OTHER BILLING DETERMINATION OF THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 20D 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. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 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. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 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. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 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. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS true HEALTHCARE PARTNERSHIP OF GREATER SAN ANTONIO 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 450599888 501(C)(3) 480280 FMV CHARITABLE SUPPORT 1 USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE ORGANIZATION MADE A GRANT TO A RELATED ORGANIZATION AND IS ABLE TO MONITOR THROUGH THE RELATIONSHIP WITH THAT ORGANIZATION. X X X false false false false false false false false false MICHAEL R WILLIAMS 342076 0 0 0 0 0 0 0 17483 0 359559 0 JAMES R PARTIN 238269 0 50000 0 0 0 0 0 15903 0 304172 0 MARK K JONES 206394 0 40000 0 0 0 0 0 6326 0 252720 0 STEVEN R SOSLAND 195641 0 40000 0 0 0 0 0 17483 0 253124 0 JAYNE E POPE 195363 0 40000 0 0 0 0 0 16262 0 251625 0 MICHAEL R BROWN 227769 0 1015 0 0 0 0 0 0 0 228784 0 MONTY MOHON 167648 0 32000 0 0 0 0 0 17483 0 217131 0 DEBRA L DOOLEY 206004 0 40000 0 0 0 0 0 16262 0 262266 0 JEFF T DARNABY 184384 0 1015 0 0 0 0 0 0 0 185399 0 LE ANN MYERS 147647 0 1015 0 0 0 0 0 6938 0 155600 0 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 HILL COUNTRY MEMORIAL AUXILLARY 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 SUPPORT TX 78306 54669 HCMH 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 HILL COUNTRY MEMORIAL SURGERY CENTER 204 GATEWAY CIR A MARBLE FALLS TX 78654 331039828 SURGERY CENTER TX HCMH RELATED -74829 109909 false 0 true 0.51000 false true true false false false false false false false false false true true true false true false false GREATER HILL COUNTRY HOSPICE Q 3625274 FMV