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      <Description>PETERSON REGIONAL MEDICAL CENTER IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL IN KERRVILLE, TEXAS. KERRVILLE IS LOCATED IN KERR COUNTY, APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO AND 80 MILES SOUTH WEST OF AUSTIN. PETERSON REGIONAL MEDICAL CENTER SERVES THE COMMUNITIES AND RESIDENTS IN THE FOLLOWING COUNTIES: KERR, BANDERA, GILLESPIE, KIMBLE, EDWARDS AND REAL. PETERSON REGIONAL MEDICAL CENTER ANCHORS A 35-ACRE CAMPUS INCLUDING A 124 BED ACUTE CARE HOSPITAL PROVIDING SERVICES INCLUDING: 24/7 EMERGENCY DEPARTMENT, WOMEN'S SERVICES (INCLUDING MATERNAL/NEWBORN), ACUTE INPATIENT REHABILITATION, ORTHOPEDICS, GENERAL SURGERY, DIAGNOSTIC IMAGING, INTENSIVE CARE UNIT, AND LABORATORY. ON THE SAME CAMPUS IS AN AMBULATORY CARE CENTER PROVIDING OUTPATIENT REHAB SERVICES, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTIC IMAGING AND HYPERBARIC WOUND CARE. PETERSON HOSPICE SERVICE AND PETERSON HOME CARE SERVICES ARE ALSO MEMBERS OF THE PETERSON REGIONAL FAMILY OF SERVICES BUT LOCATED OFF-SITE.</Description>
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        <Description>PETERSON HOME CARE - PETERSON HOME CARE PROVIDES A COMPREHENSIVE TEAM OF HEALTHCARE PROFESSIONALS TO THE RESIDENTS OF THE HILL COUNTRY, SPECIFICALLY KERR, GILLESPIE AND BANDERA COUNTIES. PETERSON HOME CARE IS A NOT-FOR PROFIT ORGANIZATION PROVIDING A COMPREHENSIVE RANGE OF PROFESSIONAL SERVICES INCLUDING: NURSING CARE, PHYSICAL &amp; 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>
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        <Description>PETERSON HOSPICE IS A DEPARTMENT OF PRMC AND IS LOCATED OFF CAMPUS. IT OPERATES AS ONE OF THE HOSPITAL'S MANY OUTREACHES FOR THE HILL COUNTRY COMMUNITIES IT SERVES. PETERSON HOSPICE IS THE ONLY NON-PROFIT HOSPICE IN THE HILL COUNTRY WITH A MISSION THAT NO ONE WILL BE DENIED HOSPICE CARE BECAUSE OF AN INABILITY TO PAY. IN ADDITION TO PROVIDING HOSPICE CARE, PETERSON HOSPICE ALSO PROVIDES THE FOLLOWING UNFUNDED COMMUNITY SERVICES: 1. NAVIGATING THE WATERS OF GRIEF ~ A SIX WEEK GRIEF SUPPORT GROUP FOR ADULTS. THIS PROGRAM IS FACILITATED TWICE A YEAR BY A GRIEF EXPERT WHO IS A LICENSED MEDICAL SOCIAL WORKER (MSW). NAVIGATING THE WATERS OF GRIEF WORKS CLOSELY WITH HILL COUNTRY CLERGY AND THE LOCAL COMMUNITIES TO SERVE HOSPICE FAMILIES AS WELL AS OTHERS FACING THE LOSS OF A LOVED ONE OR FRIEND. 2. BRIDGING THE GAP ~ A SIX WEEK GRIEF SUPPORT GROUP FOR CHILDREN AGES KINDER THROUGH 12TH GRADE. THIS PROGRAM GIVES THEM THE TOOLS THEY NEED TO WORK THROUGH THE GRIEVING PROCESS. THE PARENTS ATTEND AS WELL TO OPEN COMMUNICATION AND FEELINGS TO HELP THE CHILD DEAL WITH GRIEF AT THEIR AGE APPROPRIATE LEVEL. BTG WORKS WITH ALL HILL COUNTRY SCHOOLS AND THEIR COUNSELORS. THE LOCAL COMMUNITY SERVES AS FACILITATORS AND VOLUNTEERS FOR THIS EXCELLENT PROGRAM. 3. CAMP RAYS OF HOPE ~ IS A STATEWIDE PROGRAM WHICH IS A WEEKEND RETREAT FOR GRIEVING CHILDREN THAT INCORPORATES THE PARENTS AS WELL. THE CHILDREN LEARN NEW WAYS TO COPE WITH THEIR LOSS, AND TO MEET OTHERS WITH SIMILAR CIRCUMSTANCES TO REMEMBER SPECIAL TIMES, TO MAKE NEW FRIENDS, AND TO HAVE FUN. 4. FLORAL PROGRAM ~ IS A VOLUNTEER DRIVEN PROGRAM THAT DELIVERS FLOWERS TO OUR PATIENTS. THE LOCAL FLORISTS IN THE AREA DONATE THE FLOWERS AND VOLUNTEERS ARRANGE AND DELIVER THEM. VOLUNTEERS ALSO SUPPORT FAMILIES AND PATIENTS WITH THEIR VISITS. 5. PATHWAYS ~ THIS VOLUNTEER OUTREACH OFFERS HOME BASED SOCIAL AND EMOTIONAL SUPPORT TO CLIENTS WITH AN ILLNESS THAT HAS A LIMITED LIFE EXPECTANCY BUT IS NOT YET HOSPICE APPROPRIATE. VOLUNTEERS HELP REDUCE THE ISOLATION AND VULNERABILITY THAT CLIENTS AND FAMILIES EXPERIENCE DURING A DIFFICULT TIME. EDUCATION IS AVAILABLE THROUGH PRMC RESOURCES REGARDING DISEASE PROCESSES, COPING STRATEGIES, ADVANCE DIRECTIVES, AND PRACTICAL AND SPIRITUAL ISSUES. THIS SUPPORT HELPS CLIENTS DEFINE THEIR QUALITY OF LIFE. 6. COMMUNITY SERVE PROGRAM ~ OFFERING OPPORTUNITIES FOR CITIZENS TO FULFILL COURT OBLIGATIONS IN A BENEFICIAL MANNER. 273 ADMISSIONS ACCOUNTED FOR 21,529 PATIENT DAYS.</Description>
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      <TotalOtherCompensation>288795</TotalOtherCompensation>
      <NumberIndividualsGT100K>16</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SOUND PHYSICIANS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1123 PACIFIC AVENUE</AddressLine1>
            <City>TACOMA</City>
            <State>WA</State>
            <ZIPCode>98402</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HOSPITALIST GROUP</DescriptionOfServices>
        <Compensation>1921800</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Anesthesia Associates of Kerrville</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>420 WATER STREET SUITE 105B</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Anesthesia Services</DescriptionOfServices>
        <Compensation>441895</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>THIRD COAST EMERGENCY PHYSICIANS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6300 LA CALMA DRIVE SUITE 200</AddressLine1>
            <City>AUSTIN</City>
            <State>TX</State>
            <ZIPCode>787523825</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ER PHYSICIAN GROUP</DescriptionOfServices>
        <Compensation>325000</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>KERRVILLE SLEEP CENTER</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 291826</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78029</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SLEEP STUDIES</DescriptionOfServices>
        <Compensation>287325</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>WILLIAM MORRIS MD</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>551 HILL COUNTRY DRIVE</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MED STAFF CONSULT</DescriptionOfServices>
        <Compensation>241000</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>12</NumberOfContractorsGT100K>
      <RelatedOrganizations>847966</RelatedOrganizations>
      <AllOtherContributions>510301</AllOtherContributions>
      <TotalContributions>1358267</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>98883168</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>98883168</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SCH STATUS TERMINATION LOSS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-12045139</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-12045139</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>86838029</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1615907</TotalRevenueColumn>
        <ExclusionAmount>1615907</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>9875</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>9875</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>9875</TotalRevenueColumn>
        <ExclusionAmount>9875</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>6656024</Securities>
        <Other>50095</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>6658404</Securities>
        <Other>98979</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-2380</Securities>
        <Other>-48884</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-51264</TotalRevenueColumn>
        <ExclusionAmount>-51264</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>THRIFT SHOP REVENUE</Description>
        <BusinessCode>453310</BusinessCode>
        <TotalRevenueColumn>279570</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>279570</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>643097</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>643097</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>922667</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>90693481</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>87760696</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>1574518</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>2530678</Total>
        <ProgramServices>2530678</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>43732</Total>
        <ProgramServices>43732</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>836382</Total>
        <ProgramServices>742316</ProgramServices>
        <ManagementAndGeneral>93947</ManagementAndGeneral>
        <Fundraising>119</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>26561</Total>
        <ProgramServices>26561</ProgramServices>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>36917807</Total>
        <ProgramServices>32762733</ProgramServices>
        <ManagementAndGeneral>3982299</ManagementAndGeneral>
        <Fundraising>172775</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1286998</Total>
        <ProgramServices>1142251</ProgramServices>
        <ManagementAndGeneral>138857</ManagementAndGeneral>
        <Fundraising>5890</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>7599305</Total>
        <ProgramServices>6744623</ProgramServices>
        <ManagementAndGeneral>819905</ManagementAndGeneral>
        <Fundraising>34777</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2750467</Total>
        <ProgramServices>2491206</ProgramServices>
        <ManagementAndGeneral>247037</ManagementAndGeneral>
        <Fundraising>12224</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>351269</Total>
        <ProgramServices>351269</ProgramServices>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>43374</Total>
        <ManagementAndGeneral>43374</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>155776</Total>
        <ManagementAndGeneral>155776</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>151376</Total>
        <ManagementAndGeneral>151376</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>6482985</Total>
        <ProgramServices>4562359</ProgramServices>
        <ManagementAndGeneral>1907777</ManagementAndGeneral>
        <Fundraising>12849</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>252921</Total>
        <ProgramServices>232295</ProgramServices>
        <ManagementAndGeneral>1671</ManagementAndGeneral>
        <Fundraising>18955</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>1462958</Total>
        <ProgramServices>1243563</ProgramServices>
        <ManagementAndGeneral>212315</ManagementAndGeneral>
        <Fundraising>7080</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>55501</Total>
        <ManagementAndGeneral>55501</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1524182</Total>
        <ProgramServices>1416048</ProgramServices>
        <ManagementAndGeneral>108134</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>149069</Total>
        <ProgramServices>149069</ProgramServices>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>145410</Total>
        <ProgramServices>101922</ProgramServices>
        <ManagementAndGeneral>42747</ManagementAndGeneral>
        <Fundraising>741</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>3762405</Total>
        <ProgramServices>3762405</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>9076693</Total>
        <ProgramServices>6807520</ProgramServices>
        <ManagementAndGeneral>2269173</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>7059749</Total>
        <ProgramServices>7059749</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>13266698</Total>
        <ProgramServices>13262346</ProgramServices>
        <ManagementAndGeneral>4352</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT REPAIR/MAINTENANCE</Description>
        <Total>2756314</Total>
        <ProgramServices>2682881</ProgramServices>
        <ManagementAndGeneral>73433</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EMPLOYEE EXPENSES</Description>
        <Total>2485635</Total>
        <ProgramServices>2485635</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2042985</Total>
        <ProgramServices>1223668</ProgramServices>
        <ManagementAndGeneral>801785</ManagementAndGeneral>
        <Fundraising>17532</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>103217230</Total>
        <ProgramServices>91824829</ProgramServices>
        <ManagementAndGeneral>11109459</ManagementAndGeneral>
        <Fundraising>282942</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>-214987</BOY>
        <EOY>238408</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>23214503</BOY>
        <EOY>22616894</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>9041665</BOY>
        <EOY>11146609</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>2749633</BOY>
        <EOY>2632217</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>466307</BOY>
        <EOY>729528</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>143237190</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>58564911</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>89531466</BOY>
        <EOY>84672279</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>68588925</BOY>
        <EOY>73643373</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>6638688</BOY>
        <EOY>4582328</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>200016200</BOY>
        <EOY>200261636</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>6837518</BOY>
        <EOY>6873805</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>1</BOY>
        <EOY>1</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>70792992</BOY>
        <EOY>69109381</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1580000</BOY>
        <EOY>1660000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>1652817</BOY>
        <EOY>16674820</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>80863328</BOY>
        <EOY>94318007</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>118909799</BOY>
        <EOY>105694655</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>243073</BOY>
        <EOY>248974</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>119152872</BOY>
        <EOY>105943629</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>200016200</BOY>
        <EOY>200261636</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-12523749</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-685494</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>9620</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>9620</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>81306</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>78</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>233</AdministrativeExpenses>
        <EndOfYearBalance>81151</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>80263</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>1266</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>223</AdministrativeExpenses>
        <EndOfYearBalance>81306</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>77800</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>2661</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>198</AdministrativeExpenses>
        <EndOfYearBalance>80263</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>76860</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>1116</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>176</AdministrativeExpenses>
        <EndOfYearBalance>77800</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>3668549</OtherCostOrOtherBasis>
        <BookValue>3668549</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>85344190</OtherCostOrOtherBasis>
        <Depreciation>21174462</Depreciation>
        <BookValue>64169728</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>180846</OtherCostOrOtherBasis>
        <Depreciation>180096</Depreciation>
        <BookValue>750</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>54043605</OtherCostOrOtherBasis>
        <Depreciation>37210353</Depreciation>
        <BookValue>16833252</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>84672279</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>INVESTMENTS</Description>
        <BookValue>73643373</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>73643373</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>SELF-INSURANCE COSTS</Description>
        <Amount>1780139</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EST AMOUNTS TO THIRD PARTIES</Description>
        <Amount>14894681</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>16674820</TotalOfAmounts>
      <TotalRevenue>90693481</TotalRevenue>
      <TotalExpenses>103217230</TotalExpenses>
      <ExcessOrDeficitForYear>-12523749</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-692112</NetUnrealizedGLOnInvestments>
      <OtherAmount>-1332126</OtherAmount>
      <TotalAdjustments>-2024238</TotalAdjustments>
      <ExcessOrDeficitPerFS>-14547987</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>81497551</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-692112</NetUnrealizedGainsInvestments>
      <OtherRevenues>48884</OtherRevenues>
      <RevenueNotRptdF990>-643228</RevenueNotRptdF990>
      <RevenueSubtotal>82140779</RevenueSubtotal>
      <OtherRevenuesNotIncluded>8552702</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>8552702</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>90693481</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>96045538</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>48884</OtherExpensesIncluded>
      <ExpensesNotRptdF990>48884</ExpensesNotRptdF990>
      <ExpensesSubtotal>95996654</ExpensesSubtotal>
      <OtherExpensesNotIncluded>7220576</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>7220576</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>103217230</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Describe the Inteneded uses of the organization's endowment funds.</ReturnReference>
        <Explanation>Earnings from the endowment fund will be used for the Hospice program. To date earnings have not been expended.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGE IN NET ASSETS- OTHER EXPENSE</Identifier>
        <ReturnReference>SCH D, PART XI, LINE 8</ReturnReference>
        <Explanation>CONTRIBUTIONS IN NET ASSETS $1,332,126</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XII, LINE 2D</ReturnReference>
        <Explanation>LOSS ON DISPOSAL IN EXPENSES PER AUDIT- 48,884</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XII, LINE 4B</ReturnReference>
        <Explanation>BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE- 7,058,604 CLASSIFICATION DIFFERENCES- 161,972 CONTRIBUTIONS IN NET ASSETS- 1,332,126 --------------- 8,552,702</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>LOSS ON DISPOSAL IN EXPENSES PER AUDIT- 48,884</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN</Identifier>
        <ReturnReference>SCH D, PART XIII, LINE 4B</ReturnReference>
        <Explanation>BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE- 7,058,604 CLASSIFICATION DIFFERENCES- 161,972 ----------- 7,220,576</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>174.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>7433236</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7433236</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07730</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>1735493</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6588861</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-4853368</NetCommunityBenefitExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>428640</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>328487</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>100153</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>9597369</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6917348</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2680021</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07830</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>157036</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>157036</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00160</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>409224</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>409224</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00430</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>426391</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>426391</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00440</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>40966</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>40966</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>1033617</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1033617</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01070</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>10630986</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6917348</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3713638</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08900</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>7059749</BadDebtExpenseAmount>
      <AmountAttributableTo>2823900</AmountAttributableTo>
      <AmountReimbursedByMedicare>41019697</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>44579020</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-3559323</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Kerrville Cancer Ctr</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Radiation Treatment inpatient</DescriptionEntPrimaryActivity>
        <PhysicansProfitOrOwnership>0.75000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Peterson Regional Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>551 Hill Country Dr</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Peterson Regional Medical Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>174.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>300.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>5</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PETERSON AMBULATORY CARE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>260 CULLY DRIVE</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY SURGICAL CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PETERSON HOME CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1420 WATER STREET</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PETERSON HOSPICE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1121 BROADWAY</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </Address>
          <FacilityType>HOSPICE CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>KERRVILLE OUTREACH LAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>320 WATER STREET</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </Address>
          <FacilityType>LAB DRAW SITE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>KMP OUTREACH LAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1331 BANDERA HIGHWAY</AddressLine1>
            <City>KERRVILLE</City>
            <State>TX</State>
            <ZIPCode>78028</ZIPCode>
          </Address>
          <FacilityType>LAB DRAW SITE</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4:</Identifier>
        <Explanation>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%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 8:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 9B:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 19D:</Identifier>
        <Explanation>THE ORGANIZATION GIVES SELF-PAY PATIENTS A HIGHER DISCOUNT THAN THE CONTRACTED INSURANCE PLANS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 15, 16, &amp; 17</Identifier>
        <Explanation>NEITHER PETERSON REGIONAL MEDICAL CENTER, NOR THIRD PARTIES AUTHORIZED BY PRMC, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PERCENT OF TOTAL EXPENSE</Identifier>
        <ReturnReference>PART I, LINE 7, COLUMN F</ReturnReference>
        <Explanation>BAD 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HEALTHCARE PARTNERSHIP OF GREATER SAN ANTONIO</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>551 Hill Country Drive</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </AddressUS>
        <EINOfRecipient>450599888</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>1835454</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <PurposeOfGrant>SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>EDUCATION ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>31</NumberOfRecipients>
        <AmountOfCashGrant>43732</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Procedures for Monitoring the use of grant funds to U.S.</Identifier>
        <ReturnReference>PART I, QUESTION 2</ReturnReference>
        <Explanation>In order to be eligible to receive funds from Peterson Regional Medical Center's School or Work Study Programs, the following criteria must be met: 1)A copy of the student's degree plan from the educational institution 2)A copy of the bill 3)The requested courses for the semester 4)A current copy of the student's FAFSA confirmation 5)E-mail/MOX from the unit manager acknowledging the student is enrolling 6)Personal data from current to this semester 7)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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Patrick Murray</NamePerson>
        <BaseCompensationFilingOrg>256605</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>130419</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5423</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>392447</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert Walther</NamePerson>
        <BaseCompensationFilingOrg>155987</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>33042</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6987</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>196016</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James Merrick</NamePerson>
        <BaseCompensationFilingOrg>154996</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>7921</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4579</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>167496</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carlos Perez</NamePerson>
        <BaseCompensationFilingOrg>150683</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7209</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>174392</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Larry Nelson</NamePerson>
        <BaseCompensationFilingOrg>161342</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3258</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3324</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>167924</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEVE PAULTER</NamePerson>
        <BaseCompensationFilingOrg>172543</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>18789</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3771</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>195103</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALVA BAKER</NamePerson>
        <BaseCompensationFilingOrg>147524</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6988</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7889</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>162401</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PERSONS PARTICIPATING IN, OR RECEIVING PAYMENT FROM, A RETIREMENT PLAN</Identifier>
        <ReturnReference>PART I, QUESTION 4B</ReturnReference>
        <Explanation>THE 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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF KERRVILLE TX HEALTH FACILITIES DEV CORP</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>203591155</IssuerEIN>
        <CUSIPNumber>492436AA8</CUSIPNumber>
        <DateIssued>2005-10-26</DateIssued>
        <IssuePrice>81675000</IssuePrice>
        <DescriptionOfPurpose>FINANCE COST OF HEALTH FACILITIES</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>81675000</TotalProceeds>
        <AmountInReserveFund>5694385</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1959776</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>74020839</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Elizabeth Murray</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Wife of CEO</Relationship>
        <AmountOfTransaction>26561</AmountOfTransaction>
        <DescriptionOfTransaction>WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROCESS TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 11B</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 15A</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 19</ReturnReference>
        <Explanation>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 12C</ReturnReference>
        <Explanation>THE ORGANIZATION INTERNALLY REVIEWS TRANSACTIONS FOR POSSIBLE CONFLICT ON A ROUTINE BASIS THROUGHOUT THE YEAR. ALL BOARD MEMBERS ARE COVERED UNDER THIS POLICY. THE BOARD REVIEWS ALL POSSIBLE CONFLICTS. THIS PAST YEAR ONE BOARD MEMBER WAS NOT ALLOWED TO ATTEND MEETINGS BECAUSE HIS CONSTRUCTION FIRM WAS BIDDING ON A HOSPITAL PROJECT. HE WAS ALLOWED TO RESUME ATTENDING BOARD MEETINGS ONCE THE CONTRACTOR WAS DECIDED UPON.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, QUESTION 4D</ReturnReference>
        <Explanation>HAVE TWO LAB OFF-SITE OUTREACH LOCATIONS. THERE WERE 9,831 PATIENT VISITS FOR THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OF FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>UNREALIZED GAIN/LOSS $(692,112) PRIOR PERIOD ADJUSTMENT 6,618 ---------- $(685,494)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 4</ReturnReference>
        <Explanation>DURING 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</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Peterson Regional Medical Center Fdn</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>551 Hill Country Drive</AddressLine1>
          <City>Kerrville</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </AddressUS>
        <EIN>742645149</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTHCARE PARTNERSHIP GRTR SAN ANTONIO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>551 HILL COUNTRY DRIVE</AddressLine1>
          <City>KERRVILLE</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </AddressUS>
        <EIN>450599888</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PETERSON MEDICAL ASSOCIATES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>551 HILL COUNTRY DR</AddressLine1>
          <City>KERRVILLE</City>
          <State>TX</State>
          <ZIPCode>78028</ZIPCode>
        </AddressUS>
        <EIN>272184637</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>509(a) C-CORP</TypeOfEntity>
        <ShareOfTotalIncome>859101</ShareOfTotalIncome>
        <ShareOfEOYAssets>36785</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PETERSON REGIONAL MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>847966</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>