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SID PETERSON MEMORIAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SID PETERSON MEMORIAL HOSPITAL (EIN 74-2557820)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-06
IRS object ID
201341269349300744
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-06T10:59:30-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742557820EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sid Peterson Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% SID PETERSON MEMORIAL HOSPITInCareOfName
Name ControlSIDPNameControl
Phone8302587632Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1551 Hill Country DriveAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT H WALTHERName
TitleCFOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmanda MayaName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Peterson Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert H WaltherNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1551 Hill Country DrAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode
FieldValueIRS element (for citing)
Gross Receipts97450864GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL'S MISSION IS TO LEAD THE HILL COUNTRY'S MEDICAL COMMUNITY IN DELIVERING EXCEPTIONAL, COMPASSIONATE, AND PATIENT-CENTERED HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1130TotalNbrEmployees
Total Nbr Volunteers237TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year483455ContributionsGrantsPriorYear
Contributions Grants Current Year1358267ContributionsGrantsCurrentYear
Program Service Revenue Prior Year95846725ProgramServiceRevenuePriorYear
Program Service Revenue CY86838029ProgramServiceRevenueCY
Investment Income Prior Year2472907InvestmentIncomePriorYear
Investment Income Current Year1564643InvestmentIncomeCurrentYear
Other Revenue Prior Year545743OtherRevenuePriorYear
Other Revenue Current Year932542OtherRevenueCurrentYear
Total Revenue Prior Year99348830TotalRevenuePriorYear
Total Revenue Current Year90693481TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year551926GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2574410GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47621234SalariesEtcPriorYear
Salaries Etc Current Year49417520SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year282942TotalFundrsngExpCurrentYear
Other Expense Prior Year50379312OtherExpensePriorYear
Other Expenses Current Year51225300OtherExpensesCurrentYear
Total Expenses Prior Year98552472TotalExpensesPriorYear
Total Expenses Current Year103217230TotalExpensesCurrentYear
Revenues Less Expenses Prior Year796358RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-12523749RevenuesLessExpensesCY
Total Assets BOY200016200TotalAssetsBOY
Total Assets EOY200261636TotalAssetsEOY
Total Liabilities BOY80863328TotalLiabilitiesBOY
Total Liabilities EOY94318007TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY119152872NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY105943629NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPETERSON REGIONAL MEDICAL CENTER PROVIDES EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense87636479Expense
Grants2574410Grants
Revenue74381590Revenue
DescriptionPETERSON 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1310625Expense
Revenue1673643Revenue
DescriptionPETERSON 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 & 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 714 ADMISSIONS DURING THE YEAR AND 17,708 VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2611669Expense
Revenue3177796Revenue
DescriptionPETERSON 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. 273 ADMISSIONS ACCOUNTED FOR 21,529 PATIENT DAYS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense266056Expense
Revenue8527667Revenue
DescriptionTwo lab off-site outreach locationsDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp266056TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev8527667TotalOfOtherProgramServiceRev
Total Program Service Expense91824829TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109647NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1130NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSID PETERSON MEMORIAL HOSPITNamePerson
Telephone Number8308964200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRIVEAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Stephen Huser
Secretary1.0XX000
Sam Junkin
Vice-President3.0XX
Cecil Atkission
President4.0XX
Louis Romero
Trustee2.5X
MIKE BAUMANN
TRUSTEE2.5X
REBECCA BARRINGTON MD
TRUSTEE2.0X
WARREN FERGUSON
TRUSTEE4.0X
HAROLD WILSON
TRUSTEE2.0X
GLORIA OLSON PHD
TRUSTEE4.0X
MARK ARMSTRONG
TRUSTEE2.0X
KATIE MOSLEY-CLARK
TRUSTEE2.0X
Patrick Murray
CEO40.0X256605135842
Robert Walther
CFO40.0X15598740029
STEVE PAULTER
COO40.0X17254322560
KAELI DRESSLER
CHIEF OF NURSING OFFICER40.0X1189569993
RICHARD CRUTHIRDS
CHIEF INFORMATION OFFICER40.0X10775610548
James Merrick
Pharmacist Supervisor40.015499612500X
Carlos Perez
Pharmacist40.015068323709X
Larry Nelson
Pharmacist40.01613426582X
CHARLES LARSEN
PHARMACIST40.013211512155X
ALVA BAKER
DIRECTOR OF PHARMACY40.014752414877X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1558507TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation288795TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOUND PHYSICIANS
1123 PACIFIC AVENUETACOMAWA98402HOSPITALIST GROUP1921800
Anesthesia Associates of Kerrville
420 WATER STREET SUITE 105BKERRVILLETX78028Anesthesia Services441895
THIRD COAST EMERGENCY PHYSICIANS
6300 LA CALMA DRIVE SUITE 200AUSTINTX787523825ER PHYSICIAN GROUP325000
KERRVILLE SLEEP CENTER
PO BOX 291826KERRVILLETX78029SLEEP STUDIES287325
WILLIAM MORRIS MD
551 HILL COUNTRY DRIVEKERRVILLETX78028MED STAFF CONSULT241000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations847966RelatedOrganizations
All Other Contributions510301AllOtherContributions
Total Contributions1358267TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE9000999888316898883168
SCH STATUS TERMINATION LOSS900099-12045139-12045139
FieldValueIRS element (for citing)
Total Program Service Revenue86838029TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1615907TotalRevenueColumn
Exclusion$1,615,907ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9875Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9875Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9875TotalRevenueColumn
Exclusion$9,875ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6656024Securities
Other50095Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6658404Securities
Other98979Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2380Securities
Other-48884Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-51264TotalRevenueColumn
Exclusion-$51,264ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
THRIFT SHOP REVENUE453310279570279570
MISCELLANEOUS900099643097643097
FieldValueIRS element (for citing)
Total Other Revenue922667TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column90693481TotalRevenueColumn
Related Or Exempt Function Income87760696RelatedOrExemptFunctionIncome
Exclusion$1,574,518ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2530678Total
Program Services2530678ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total43732Total
Program Services43732ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total836382Total
Program Services742316ProgramServices
Management And General93947ManagementAndGeneral
Fundraising119Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total26561Total
Program Services26561ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36917807Total
Program Services32762733ProgramServices
Management And General3982299ManagementAndGeneral
Fundraising172775Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1286998Total
Program Services1142251ProgramServices
Management And General138857ManagementAndGeneral
Fundraising5890Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7599305Total
Program Services6744623ProgramServices
Management And General819905ManagementAndGeneral
Fundraising34777Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2750467Total
Program Services2491206ProgramServices
Management And General247037ManagementAndGeneral
Fundraising12224Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total351269Total
Program Services351269ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total43374Total
Management And General43374ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total155776Total
Management And General155776ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total151376Total
Management And General151376ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6482985Total
Program Services4562359ProgramServices
Management And General1907777ManagementAndGeneral
Fundraising12849Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total252921Total
Program Services232295ProgramServices
Management And General1671ManagementAndGeneral
Fundraising18955Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1462958Total
Program Services1243563ProgramServices
Management And General212315ManagementAndGeneral
Fundraising7080Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total55501Total
Management And General55501ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1524182Total
Program Services1416048ProgramServices
Management And General108134ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total149069Total
Program Services149069ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total145410Total
Program Services101922ProgramServices
Management And General42747ManagementAndGeneral
Fundraising741Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3762405Total
Program Services3762405ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9076693Total
Program Services6807520ProgramServices
Management And General2269173ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE70597497059749
MEDICAL SUPPLIES13266698132623464352
EQUIPMENT REPAIR/MAINTENANCE2756314268288173433
EMPLOYEE EXPENSES24856352485635

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2042985Total
Program Services1223668ProgramServices
Management And General801785ManagementAndGeneral
Fundraising17532Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total103217230Total
Program Services91824829ProgramServices
Management And General11109459ManagementAndGeneral
Fundraising282942Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-214987BOY
EOY238408EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY23214503BOY
EOY22616894EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9041665BOY
EOY11146609EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2749633BOY
EOY2632217EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY466307BOY
EOY729528EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis143237190LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58564911LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY89531466BOY
EOY84672279EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY68588925BOY
EOY73643373EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6638688BOY
EOY4582328EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY200016200BOY
EOY200261636EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6837518BOY
EOY6873805EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY1BOY
EOY1EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY70792992BOY
EOY69109381EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1580000BOY
EOY1660000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1652817BOY
EOY16674820EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80863328BOY
EOY94318007EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY118909799BOY
EOY105694655EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY243073BOY
EOY248974EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119152872BOY
EOY105943629EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY200016200BOY
EOY200261636EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-12523749ReconcilationRevenueExpenses
Reconcilation Other Changes-685494ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$9,620GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB9620TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance81306BeginningOfYearBalance
Investment Earnings Or Losses78InvestmentEarningsOrLosses
Administrative Expenses233AdministrativeExpenses
End Of Year Balance81151EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance80263BeginningOfYearBalance
Investment Earnings Or Losses1266InvestmentEarningsOrLosses
Administrative Expenses223AdministrativeExpenses
End Of Year Balance81306EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance77800BeginningOfYearBalance
Investment Earnings Or Losses2661InvestmentEarningsOrLosses
Administrative Expenses198AdministrativeExpenses
End Of Year Balance80263EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance76860BeginningOfYearBalance
Investment Earnings Or Losses1116InvestmentEarningsOrLosses
Administrative Expenses176AdministrativeExpenses
End Of Year Balance77800EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3668549OtherCostOrOtherBasis
Book Value3668549BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis85344190OtherCostOrOtherBasis
Depreciation21174462Depreciation
Book Value64169728BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis180846OtherCostOrOtherBasis
Depreciation180096Depreciation
Book Value750BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis54043605OtherCostOrOtherBasis
Depreciation37210353Depreciation
Book Value16833252BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings84672279TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value73643373BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities73643373TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SELF-INSURANCE COSTS$1,780,139
EST AMOUNTS TO THIRD PARTIES$14,894,681
FieldValueIRS element (for citing)
Total Of Amounts16674820TotalOfAmounts
Total Revenue90693481TotalRevenue
Total Expenses103217230TotalExpenses
Excess Or Deficit For Year-12523749ExcessOrDeficitForYear
Net Unrealized GL On Investments-692112NetUnrealizedGLOnInvestments
Other-$1,332,126OtherAmount
Total Adjustments-2024238TotalAdjustments
Excess Or Deficit Per FS-14547987ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt81497551TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-692112NetUnrealizedGainsInvestments
Other Revenues48884OtherRevenues
Revenue Not Rptd F990-643228RevenueNotRptdF990
Revenue Subtotal82140779RevenueSubtotal
Other Revenues Not Included8552702OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt8552702RevenueNotRptdOnFinStmt
Total Revenue Per Form99090693481TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt96045538TotExpensesEtcAuditedFinclStmt
Other Expenses Included48884OtherExpensesIncluded
Expenses Not Rptd F99048884ExpensesNotRptdF990
Expenses Subtotal95996654ExpensesSubtotal
Other Expenses Not Included7220576OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7220576ExpensesNotRptdOnFinStmt
Total Expenses Per Form990103217230TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4Describe the Inteneded uses of the organization's endowment funds.Earnings from the endowment fund will be used for the Hospice program. To date earnings have not been expended.
RECONCILIATION OF CHANGE IN NET ASSETS- OTHER EXPENSESCH D, PART XI, LINE 8CONTRIBUTIONS IN NET ASSETS $1,332,126
RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURNSCH D, PART XII, LINE 2DLOSS ON DISPOSAL IN EXPENSES PER AUDIT- 48,884
RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURNSCH D, PART XII, LINE 4BBAD DEBT EXPENSE OFFSETTING AUDIT REVENUE- 7,058,604 CLASSIFICATION DIFFERENCES- 161,972 CONTRIBUTIONS IN NET ASSETS- 1,332,126 --------------- 8,552,702
RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURNSCH D, PART XIII, LINE 2DLOSS ON DISPOSAL IN EXPENSES PER AUDIT- 48,884
RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURNSCH D, PART XIII, LINE 4BBAD DEBT EXPENSE OFFSETTING AUDIT REVENUE- 7,058,604 CLASSIFICATION DIFFERENCES- 161,972 ----------- 7,220,576

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage174.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7433236TotalCommunityBenefitExpense
Net Community Benefit Expense7433236NetCommunityBenefitExpense
Percent Of Total Expense0.07730PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1735493TotalCommunityBenefitExpense
Direct Offsetting Revenue6588861DirectOffsettingRevenue
Net Community Benefit Expense-4853368NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense428640TotalCommunityBenefitExpense
Direct Offsetting Revenue328487DirectOffsettingRevenue
Net Community Benefit Expense100153NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense9597369TotalCommunityBenefitExpense
Direct Offsetting Revenue6917348DirectOffsettingRevenue
Net Community Benefit Expense2680021NetCommunityBenefitExpense
Percent Of Total Expense0.07830PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense157036TotalCommunityBenefitExpense
Net Community Benefit Expense157036NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense409224TotalCommunityBenefitExpense
Net Community Benefit Expense409224NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense426391TotalCommunityBenefitExpense
Net Community Benefit Expense426391NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense40966TotalCommunityBenefitExpense
Net Community Benefit Expense40966NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1033617TotalCommunityBenefitExpense
Net Community Benefit Expense1033617NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10630986TotalCommunityBenefitExpense
Direct Offsetting Revenue6917348DirectOffsettingRevenue
Net Community Benefit Expense3713638NetCommunityBenefitExpense
Percent Of Total Expense0.08900PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$7,059,749BadDebtExpenseAmount
Amount Attributable To2823900AmountAttributableTo
Amount Reimbursed By Medicare41019697AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare44579020CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3559323MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1Kerrville Cancer CtrBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityRadiation Treatment inpatientDescriptionEntPrimaryActivity
Physicans Profit Or Ownership0.75000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Peterson Regional Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1551 Hill Country DrAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Peterson Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent174.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Explains Application MethodtrueExplainsApplicationMethod
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PETERSON AMBULATORY CARE CENTER
260 CULLY DRIVEKERRVILLETX78028AMBULATORY SURGICAL CENTER
PETERSON HOME CARE
1420 WATER STREETKERRVILLETX78028HOME HEALTH SERVICES
PETERSON HOSPICE
1121 BROADWAYKERRVILLETX78028HOSPICE CARE
KERRVILLE OUTREACH LAB
320 WATER STREETKERRVILLETX78028LAB DRAW SITE
KMP OUTREACH LAB
1331 BANDERA HIGHWAYKERRVILLETX78028LAB DRAW SITE

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART III, 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 uncollectible accounts. The Medical Center's allowance for uncollectible accounts for self-pay patients increased from 89 percent of self-pay accounts receivable at June 30, 2011, to 91 percent of self-pay accounts receivable at June 30, 2012. The Medical Center's write-offs decreased approximately $1,108,000 from approximately $6,948,000 for the year ended June 30, 2011, to approximately $5,840,000 for the year ended June 30, 2012. The increase in the allowance for uncollectible accounts is the result of increased aging of receivables. The decrease in the write-offs is primarily a timing difference due to resource constraints within the business office.
PART III, LINE 4:AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. AMOUNT REPORTED IN ITEM 3 IS THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 40%.
PART III, 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 $3,559,323 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.
PART III, 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.
PART V, LINE 19D:THE ORGANIZATION GIVES SELF-PAY PATIENTS A HIGHER DISCOUNT THAN THE CONTRACTED INSURANCE PLANS.
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.
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.
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.
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 ANNUAL FLU CLINIC, LOW COST LAB TESTING OPTIONS.
PART V, LINE 15, 16, & 17NEITHER 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.
PERCENT OF TOTAL EXPENSEBAD DEBT EXPENSE OF $7,059,749 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.PART I, LINE 7, COLUMN F

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEALTHCARE PARTNERSHIP OF GREATER SAN ANTONIOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1551 Hill Country DriveAddressLine1
CityKerrvilleCity
StateTXState
ZIP Code78028ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient450599888EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1835454AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantSUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATION ASSISTANCETypeOfGrant
Number Of Recipients31NumberOfRecipients
Amount Of Cash Grant43732AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for Monitoring the use of grant funds to U.S.Identifier
Return ReferencePART I, QUESTION 2ReturnReference
ExplanationIn 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)Copy of 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Patrick Murray
2566051304195423392447
Robert Walther
155987330426987196016
James Merrick
15499679214579167496
Carlos Perez
150683165007209174392
Larry Nelson
16134232583324167924
STEVE PAULTER
172543187893771195103
ALVA BAKER
14752469887889162401

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPERSONS PARTICIPATING IN, OR RECEIVING PAYMENT FROM, A RETIREMENT PLANIdentifier
Return ReferencePART I, QUESTION 4BReturnReference
ExplanationTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP PLAN. AMOUNTS DEFERRED IN THE CURRENT YEAR WERE AS FOLLOWS: PAT MURRAY $120,000 BOB WALTHER 25,000 STEVE PAUTLER 10,000 Hospital started contributing to SERP program for the 3 individuals this year. Individuals are not eligible to receive any funds until after 5 years of service or retire after 3 years of program implementation.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF KERRVILLE TX HEALTH FACILITIES DEV CORPBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN203591155IssuerEIN
CUSIP Number492436AA8CUSIPNumber
Date Issued2005-10-26DateIssued
Issue Price81675000IssuePrice
Description Of PurposeFINANCE COST OF HEALTH FACILITIESDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds81675000TotalProceeds
Amount In Reserve Fund5694385AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1959776IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures74020839CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonElizabeth MurrayNamePerson
FieldValueIRS element (for citing)
RelationshipWife of CEORelationship
Amount Of Transaction26561AmountOfTransaction
Description Of TransactionWAGESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, QUESTION 11BTHE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS, CEO, CFO, AND CONTROLLER, AND COPIES OF THE RETURN ARE PROVIDED TO EACH BOARD MEMBER FOR INPUT PRIOR TO FILING.
REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATIONFORM 990, PART VI, QUESTION 15ATHE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS COMPOSED OF THREE DIRECTORS APPOINTED BY THE CHAIRMAN OF THE BOARD AND APPROVED BY THE BOARD. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE HISTORY OF COMPENSATION FOR THE CEO, COMPARES COMPENSATION FOR PETERSON REGIONAL MEDICAL CENTER WITH THAT OF OTHER NOT FOR PROFIT HOSPITALS OF SIMILAR SIZE AND SERVICE, ANALYZES LOCAL AND NATIONAL DATA REGARDING SUCH COMPENSATION, AND RECOMMENDS ACTION TO THE BOARD OF DIRECTORS. AFTER EXTENSIVE EVALUATION OF THE WORK OF THE CEO, AND REVIEW OF THE DATA GATHERED BY THE COMMITTEE, THE BOARD DETERMINES COMPENSATION FOR THE YEAR.
GOVERNING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, QUESTION 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, QUESTION 12CTHE 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.
DESCRIPTION OF OTHER PROGRAM SERVICESFORM 990, PART III, QUESTION 4DHAVE TWO LAB OFF-SITE OUTREACH LOCATIONS. THERE WERE 9,831 PATIENT VISITS FOR THE YEAR.
OTHER CHANGES IN NET ASSETS OF FUND BALANCESFORM 990, PART XI, LINE 5UNREALIZED GAIN/LOSS $(692,112) PRIOR PERIOD ADJUSTMENT 6,618 ---------- $(685,494)
SIGNIFICANT CHANGES TO GOVERNING DOCUMENTSFORM 990, PART VI, LINE 4DURING THE YEAR, THE ORGANIZATION REVISED IT'S BYLAWS FOR THE FOLLOWING CHANGES: 1. NUMBER OF DIRECTORS CHANGED FROM "DETERMINED FROM TIME TO TIME" TO "3 TO 15" 2. AGE LIMIT IMPLEMENTED 3. NO BOARD MEMBER CAN HAVE OWNERSHIP INTEREST IN COMPETING FACILITY 4. ADDED HOSPITAL MISSION AND VISION STATEMENTS 5. CHANGED HOW SPECIAL MEETINGS CAN BE CALLED 6. PRESIDENT AND VICE PRESIDENT TITLES CHANGED TO CHAIR AND VICE-CHAIR 7. NOW LIST CORPORATION OFFICERS AS WELL AS BOARD OFFICERS 8. DUTIES OF ALL OFFICERS EXPANDED 9. ELABORATION OF DUTIES OF COMMITTEES AND ADDED AUDIT AND FINANCE COMMITTEE AND QUALITY COMMITTEE 10. EXPANDED MEDICAL STAFF SECTION TO COVER ORGANIZATION, APPOINTMENTS, COMPETENCE, PATIENT CARE AND EVALUATION, MEMBERSHIP AND INSURANCE, COMPLIANCE, MEDICAL STAFF BYLAWS AMENDMENTS, CONTINUOUS QUALITY IMPROVEMENT PROGRAM 11. EXPANDED THE CONFLICT OF INTEREST SECTION 12. UPDATED INDEMNIFICATION OF DIRECTORS AND OFFICERS SECTION

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Peterson Regional Medical Center Fdn
551 Hill Country DriveKerrvilleTX78028742645149SUPPORTTX501(C)(3)11aPRMCtrue
HEALTHCARE PARTNERSHIP GRTR SAN ANTONIO
551 HILL COUNTRY DRIVEKERRVILLETX78028450599888SUPPORTTX501(C)(3)7NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PETERSON MEDICAL ASSOCIATESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1551 HILL COUNTRY DRAddressLine1
CityKERRVILLECity
StateTXState
ZIP Code78028ZIPCode
FieldValueIRS element (for citing)
EIN272184637EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of Entity509(a) C-CORPTypeOfEntity
Share Of Total Income859101ShareOfTotalIncome
Share Of EOY Assets36785ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PETERSON REGIONAL MEDICAL CENTER FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved847966AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination