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CREATE HEALTHY MANAGEMENT: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-07
IRS object ID
201213129349301766
Schema version
2011v1.3
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)
Timestamp2012-11-07T15:45:44-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Line17901 Woodway Drive Suite 100AddressLine1
CityWacoCity
StateTXState
ZIP Code76712ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN746083124EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hill Country Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JANICE MENKINGInCareOfName
Name ControlHILLNameControl
Phone8309974353Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 835AddressLine1
CityFredericksburgCity
StateTXState
ZIP Code78624ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK JONESName
TitleCFOTitle
Date Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCarol S McIntoshName
Phone2547768244Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 835AddressLine1
CityFREDERICKSBURGCity
StateTXState
ZIP Code78624ZIPCode
FieldValueIRS element (for citing)
Gross Receipts54211211GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HILLCOUNTRYMEMORIAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE RESIDENTS OF HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees797TotalNbrEmployees
Total Nbr Volunteers288TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1907674ContributionsGrantsPriorYear
Contributions Grants Current Year1685ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44901267ProgramServiceRevenuePriorYear
Program Service Revenue CY53184420ProgramServiceRevenueCY
Investment Income Prior Year231432InvestmentIncomePriorYear
Investment Income Current Year123892InvestmentIncomeCurrentYear
Other Revenue Prior Year12577053OtherRevenuePriorYear
Other Revenue Current Year609742OtherRevenueCurrentYear
Total Revenue Prior Year59617426TotalRevenuePriorYear
Total Revenue Current Year53919739TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY701477GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30248922SalariesEtcPriorYear
Salaries Etc Current Year31308242SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23886078OtherExpensePriorYear
Other Expenses Current Year31853715OtherExpensesCurrentYear
Total Expenses Prior Year54135000TotalExpensesPriorYear
Total Expenses Current Year63863434TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5482426RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-9943695RevenuesLessExpensesCY
Total Assets BOY71264830TotalAssetsBOY
Total Assets EOY86521352TotalAssetsEOY
Total Liabilities BOY16655767TotalLiabilitiesBOY
Total Liabilities EOY23446930TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY54609063NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY63074422NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionREMARKABLE CARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS-ALWAYS!MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense49560794Expense
Grants0Grants
Revenue49703999Revenue
DescriptionMEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE AND SWING BED - 9,003; INTENSIVE AND CRITCAL CARE UNITS - 1,266; NURSERY - 832. EMERGENCY ROOM CARE WAS PROVIDED FOR 13,222 VISITS; 151,178 LABORATORY TESTS WERE PERFORMED; 34,605 IMAGING PROCEDURES WERE PERFORMED; 26,054 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,119 OPERATIONS WERE PERFORMED, AND 497 BABIES WERE DELIVERED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2047975Expense
Grants0Grants
Revenue2013660Revenue
DescriptionHOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense840342Expense
Grants0Grants
Revenue968408Revenue
DescriptionWELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING PHYSICIAN REHABILITATION FACILITIES AND FITNESS EQUIPMENT; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2011 THERE WERE 36,840 PARTICIPANTS IN WELLNESS CENTER PROGRAMS.Description

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
3326430369833WIC PROGRAM
1432660128520CLINIC RENT INCOME
00154095OTHER RELATED ACTIVITIES
FieldValueIRS element (for citing)
Total Of Other Program Service Exp475909TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev652448TotalOfOtherProgramServiceRev
Total Program Service Expense52925020TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
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 IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
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 MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096252NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees797NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANICE MENKINGNamePerson
Telephone Number8309971339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1822 REUBEN STAddressLine1
CityFREDERICKSBURGCity
StateTXState
ZIP Code78624ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAVE CAMPBELL
DIRECTOR0.25X000
LAURA COOK
DIRECTOR0.25X000
MISTY D'AMICO
DIRECTOR0.25X000
RICHARD ESTENSON
DIRECTOR0.25X000
BRAD HARDIN
DIRECTOR0.25X000
THOMAS HUTTON MD PHD
DIRECTOR0.25X000
JAMES LINDLEY MD
DIRECTOR0.25X000
PHIL MAPLE MD
EX-COM AT LARGE MEMBER0.25X000
DAN MITTEL
DIRECTOR/SECRETARY0.25X000X
DANIEL ROBERTSON MD
DIRECTOR0.25X000
ANDY ROCKWOOD MD
DIRECTOR0.25X000
GORDON SAUER
DIRECTOR/VICE CHAIRMAN0.25X000X
CRISTOL SCHOESSOW
DIRECTOR0.25X000
PAUL URBAN
DIRECTOR0.25X000
MARC WILLIAMSON
DIRECTOR/CHAIRMAN0.25X000X
MICHAEL R WILLIAMS
CEO40.0553050018177X
MARK JONES
CFO40.0224146011832X
DEBRA WALLACE
CSO40.0233763012678X
STEVE SOSLAND
COO40.0221323019639X
LEANN MYERS
PHARMACIST40.0152122012821X
MONTY MOHON
CBO40.0141535016562X
ROBIN DUDERSTADT
CNO40.013908005038X
RANDAL CARLSON
PHARMACIST40.0138826028X
HOLLY JENNINGS
PHARMACIST40.013438305459X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1938228TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation102234TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
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
RWD TECHNOLOGIES LLC
5521 RESEARCH PARK DEBALTIMOREMD21228CONSULTING413261
AMN HEALTHCARE INC
FILE 56157LOS ANGELESCA900746157MEDICAL SERVICES357281
RIO GRANDE VALLEY HOSPITAL
DEPT 3029 PO BOX 123029DALLASTX753123029MEDICAL SERVICES316128
ROGERS-O'BRIEN CONSTRUCTION CO
1901 REGAL ROWDALLASTX752352309CONSTRUCTION299760
SOUTHWEST LINEN SERVICE
PO BOX 1141STEPHENVILLETX76401HOUSEKEEPING278044
FieldValueIRS element (for citing)
Number Of Contractors GT100 K69NumberOfContractorsGT100K
Membership Dues1135MembershipDues
Related Organizations550RelatedOrganizations
Total Contributions1685TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT HOSPITAL REVENUE6211104970399949703999
HOME HEALTH CARE REVENUE62161020136602013660
WELLNESS CENTER SERVICE REVENUE624100968408968408
WIC PROGRAM REVENUE624100369833369833
CLINIC RENT REVENUE621110128520128520
FieldValueIRS element (for citing)
Total Program Service Revenue53184420TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column73008TotalRevenueColumn
Exclusion$73,008ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other50884Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other50884Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column50884TotalRevenueColumn
Exclusion$50,884ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events642GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column642TotalRevenueColumn
Exclusion$642ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory445567GrossSalesOfInventory
Cost Of Goods Sold291472CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column154095TotalRevenueColumn
Related Or Exempt Function Income154095RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
AUXILIARY REVENUE45322018538$18,538
CAFETERIA REVENUE722210217490$217,490
MEDICAL RECORDS REVENUE6219908635$8,635

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column210342TotalRevenueColumn
Exclusion$210,342ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue455005TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column53919739TotalRevenueColumn
Related Or Exempt Function Income53338515RelatedOrExemptFunctionIncome
Exclusion$579,539ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total701041Total
Program Services701041ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total436Total
Program Services436ProgramServices

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)
Total807205Total
Management And General807205ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25052275Total
Program Services19603633ProgramServices
Management And General5448642ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total412804Total
Program Services302008ProgramServices
Management And General110796ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3186613Total
Program Services2687186ProgramServices
Management And General499427ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1849345Total
Program Services1510526ProgramServices
Management And General338819ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total813075Total
Management And General813075ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total247343Total
Management And General247343ManagementAndGeneral

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4699648Total
Program Services3599655ProgramServices
Management And General1099993ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total263488Total
Program Services4547ProgramServices
Management And General258941ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1750666Total
Program Services1176587ProgramServices
Management And General574079ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2922643Total
Program Services2603756ProgramServices
Management And General318887ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total276253Total
Program Services233352ProgramServices
Management And General42901ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total310579Total
Program Services196671ProgramServices
Management And General113908ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total456348Total
Program Services456348ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4416833Total
Program Services4416833ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total761258Total
Program Services761258ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1150622611506226
BAD DEBT EXPENSE25201242520124
OTHER EXPENSES693360546349147011
DUES & SUBSCRIPTIONS19509181885113206

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total20780Total
Program Services16599ProgramServices
Management And General4181ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total63863434Total
Program Services52925020ProgramServices
Management And General10938414ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5331909BOY
EOY9951225EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8585824BOY
EOY8054136EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14035050BOY
EOY8623181EOY

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)
BOY1303439BOY
EOY1374218EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1781478BOY
EOY18464960EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis72549171LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35223224LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38712086BOY
EOY37325947EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY1515044BOY
EOY2727685EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY71264830BOY
EOY86521352EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7126783BOY
EOY14509606EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9228984BOY
EOY8637324EOY

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)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY300000BOY
EOY300000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16655767BOY
EOY23446930EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY54609063BOY
EOY46471355EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY8468192EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY8134875EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54609063BOY
EOY63074422EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY71264830BOY
EOY86521352EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-9943695ReconcilationRevenueExpenses
Reconcilation Other Changes18409054ReconcilationOtherChanges
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

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$8,629GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB8629TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENSESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1FReturnReference
ExplanationHILL COUNTRY MEMORIAL HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES LOBBYING % LOBBYING $ AHA DUES $13,421 24.42% $3,277 THA DUES $19,673 24.00% $4,722 TORCH DUES $ 6,300 10.00% $ 630 -------------------------------------------------------------- TOTAL $39,394 $8,629Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4883393OtherCostOrOtherBasis
Book Value4883393BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis37130153OtherCostOrOtherBasis
Depreciation15830159Depreciation
Book Value21299994BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1174293OtherCostOrOtherBasis
Book Value1174293BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis28754183OtherCostOrOtherBasis
Depreciation19393065Depreciation
Book Value9361118BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis607149OtherCostOrOtherBasis
Book Value607149BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37325947TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionHCM REFUNDABLE ADVANCEDescription
Amount$300,000Amount
FieldValueIRS element (for citing)
Total Of Amounts300000TotalOfAmounts
Total Revenue53919739TotalRevenue
Total Expenses63863434TotalExpenses
Excess Or Deficit For Year-9943695ExcessOrDeficitForYear
Net Unrealized GL On Investments-8555NetUnrealizedGLOnInvestments
Total Adjustments-8555TotalAdjustments
Excess Or Deficit Per FS-9952250ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt54191765TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-8555NetUnrealizedGainsInvestments
Other Revenues291472OtherRevenues
Revenue Not Rptd F990282917RevenueNotRptdF990
Revenue Subtotal53908848RevenueSubtotal
Other Revenues Not Included10891OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt10891RevenueNotRptdOnFinStmt
Total Revenue Per Form99053919739TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt64144015TotExpensesEtcAuditedFinclStmt
Other Expenses Included291472OtherExpensesIncluded
Expenses Not Rptd F990291472ExpensesNotRptdF990
Expenses Subtotal63852543ExpensesSubtotal
Other Expenses Not Included10891OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt10891ExpensesNotRptdOnFinStmt
Total Expenses Per Form99063863434TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2DTHRIFT SHOP EXPENSES $291,472 ---------------------------------------------- TOTAL $291,472
AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4BRENT REVENUE IN AUDIT EXPENSES $ 8,505 AUXILARY DONATIONS IN AUDIT REVENUE $ 2,386 ----------------------------------------------- TOTAL $10,891
AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2DTHRIFT SHOP EXPENSES $291,472 ----------------------------------------------- TOTAL $291,472
AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XIII, LINE 4BAUXILARY DONATIONS IN AUDIT REVENUE $ 2,386 RENT REVENUE IN AUDIT EXPENSE $ 8,505 ----------------------------------------------- TOTAL $10,891

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1381768TotalCommunityBenefitExpense
Net Community Benefit Expense1381768NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3417483TotalCommunityBenefitExpense
Direct Offsetting Revenue2817621DirectOffsettingRevenue
Net Community Benefit Expense599862NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense402529TotalCommunityBenefitExpense
Direct Offsetting Revenue350647DirectOffsettingRevenue
Net Community Benefit Expense51882NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5201780TotalCommunityBenefitExpense
Direct Offsetting Revenue3168268DirectOffsettingRevenue
Net Community Benefit Expense2033512NetCommunityBenefitExpense
Percent Of Total Expense0.03310PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense56455TotalCommunityBenefitExpense
Net Community Benefit Expense56455NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense448893TotalCommunityBenefitExpense
Net Community Benefit Expense448893NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense704517TotalCommunityBenefitExpense
Net Community Benefit Expense704517NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2750TotalCommunityBenefitExpense
Net Community Benefit Expense2750NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1212615TotalCommunityBenefitExpense
Net Community Benefit Expense1212615NetCommunityBenefitExpense
Percent Of Total Expense0.01980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6414395TotalCommunityBenefitExpense
Direct Offsetting Revenue3168268DirectOffsettingRevenue
Net Community Benefit Expense3246127NetCommunityBenefitExpense
Percent Of Total Expense0.05290PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,021,771BadDebtExpenseAmount
Amount Reimbursed By Medicare25615229AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare28705649CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3090420MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
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 Line1HILL COUNTRY MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11020 KERRVILLE HWYAddressLine1
CityFREDERICKSBURGCity
StateTXState
ZIP Code78624ZIPCode
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 Line1HILL COUNTRY MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7, COLUMN FTHE AMOUNT OF BAD DEBT EXPENSES REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT PERCENTAGE WAS $2,520,124.
BAD DEBT EXPENSEACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AMOUNT ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.SCHEDULE H, PART III, SECTION A, LINE 4
COSTING METHODOLOGYTHE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $3,090,420. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.SCHEDULE H, PART III, SECTION B, LINE 8A
PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTSHILL COUNTRY MEMORIAL HOSPITAL'S COLLECTION POLICY EXCLUDES PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE.SCHEDULE H, PART III, SECTION C, LINE 9B
OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTSTHE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING AMOUNTS CHARGED TO PATIENTS.SCHEDULE H, PART V, LINE 11H
OTHER MEANS BY WHICH HOSPITAL PUBLICIZED POLICYTHE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLICIZED THROUGH AREA PHYSICIAN PRACTICES.SCHEDULE H, PART V, LINE 13G
OTHER ACTIONS TOOK BEFORE ANY COLLECTION ACTIONSPATIENT ACCOUNT REPRESENTATIVES CONTACT PATIENTS BY PHONE BEFORE INITIATING COLLECTION ACTIONS.SCHEDULE H, PART V, LINE 17E
OTHER BILLING DETERMINATION OF THOSE ELIGIBLE FOR FINANCIAL ASSISTANCETHE HOSPITAL CHARGE MASTER BILLS A STANDARD AMOUNT FOR ALL PATIENTS, THEREBY INSURING THAT THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE AND THE INSURED ARE BILLED THE SAME AMOUNT. ADDITIONALLY, PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED DISCOUNTS BASED ON THEIR INCOME LEVELS COMPARED TO FEDERAL POVERTY GUIDELINES (FPG). PATIENTS WITH INCOME AT OR BELOW 200% FPG HAVE 100% OF THE BALANCE ADJUSTED. PATIENTS WITH ABOVE 200% AND UNDER 225% OF FPG HAVE 80% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 225% AND UNDER 250% OF FPG HAVE 60% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 250% AND UNDER 275% OF FPG HAVE 40% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 275% AND UNDER 300% OF FPG HAVE 20% OF THE BALANCE ADJUSTED. THOSE WITH INCOME OVER 300% OF FPG DO NOT QUALIFY AS FINANCIALLY INDIGENT.SCHEDULE H, PART V, LINE 19D
NEEDS ASSESSMENTHILL COUNTRY MEMORIAL ASSESSES THE NEEDS OF THE COMMUNITY THROUGH PATIENT SURVEYS. PATIENTS RECEIVING CARE IN THE FOLLOWING SERVICE LINES ARE RANDOMLY SURVEYED BY PRESS GANEY, AN INDEPENDENT HOSPITAL AUDITING FIRM WHICH AUDITS 1800 HOSPITALS IN THE UNITED STATES: IN-PATIENT CARE, OUT-PATIENT CARE, ER, AND HOME HEALTH. THE FOLLOWING SERVICE LINES ARE SURVEYED IN AN HCM PAPER-GENERATED SURVEY DISSEMINATED AT THE POINT OF DISMISSAL: HILL COUNTRY MEMORIAL BREAST CENTER, HILL COUNTRY MEMORIAL COMMUNITY CLINIC, AND HILL COUNTRY MEMORIAL SLEEP LAB. THE HILL COUNTRY MEMORIAL COMMUNITY CLINIC SERVES THE INDIGENT POPULATION AND THE SURVEYS ARE A KEY CONTRIBUTOR IN DETERMINING IF INDIGENT COMMUNITY NEEDS ARE BEING MET.SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEHILL COUNTRY MEMORIAL PATIENTS SPEAK WITH A HILL COUNTRY MEMORIAL BUSINESS OFFICE REPRESENTATIVE BEFORE CARE TO DETERMINE IF THEY ARE ELIGIBLE FOR ASSITANCE UNDER THE FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THE ORGANIZATION'S CHARITY CARE POLICY. THE PATIENT'S ELIGIBILITY IS ASSESSED AND CAREFULLY MANAGED, SO THAT IF HE/SHE OVERPAYS, HE/SHE IS REIMBURSED THE RECONCILING AMOUNT.SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATIONTHE ORGANIZATION SERVES EIGHT COUNTIES IN THE HILL COUNTRY: GILLESPIE, BLANCO, BURNET, KENDALL, KERR, MCCULLOCH, MASON, AND LLANO. THE PRIMARY SERVICE AREA OF GILLESPIE COUNTY (POP. 25,114) ACCOUNTS FOR ABOUT 50% OF HILL COUNTRY MEMORIAL PATIENTS. THE TOTAL SERVICE AREA POPULATION IS 194,850, AND THE AVERAGE PATIENT AGE IS 65 YEARS OLD.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHTHE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE THROUGH UP TO 40 PUBLIC HEALTH EVENTS AND SCREENINGS A YEAR WHICH ARE ADVERTISED AND WELL ATTENDED. THE HILL COUNTRY MEMORIAL WELLNESS CENTER OFFERS REMOTE IMMUNIZATION "DRIVE-THRUS" TO INCREASE IMMUNIZATION VOLUMES. EMPLOYEES DEVOTE TIME AND MONEY TO THE COMMUNITY NEEDS COUNCIL TO FURNISH SCHOOL SUPPLIES TO ELIGIBLE CHILDREN, TO THE AREA FOOD BANK FOR THE HUNGRY, AND TO THE LOCAL BOYS AND GIRLS CLUB FOR COMMUNITY CHILDREN ACTIVITIES. THE AUXILLARY, HOSPITAL VOLUNTEER ORGANIZATION, RAISES FUNDS TO FURTHER EMPLOYEE HEALTH CARE EDUCATION, WHICH NURTURES THE AVAILABLE WORKFORCE. THE ORGANIZATION HAS THE LARGEST VOLUNTEER BASE IN FREDERICKSBURG. ALSO, FUNDS WERE DONATED TO RELAY FOR LIFE, HEALTH OCCUPATION STUDENT ASSOCIATION (HOSA), AND EISHBAHN. EMPLOYEES ALSO SERVED IN LEADERSHIP ROLES FOR COMMUNITY ORGANIZATIONS. HILL COUNTRY MEMORIAL ALSO COLLABORATES WITH CITY AND COUNTY OFFICIALS TO PREPARE FOR EMERGENCY SCENARIOS. HILL COUNTRY MEMORIAL INVITES CITY AND COUNTY EMERGENCY OFFICIALS TO PARTICIPATE IN MOCK EMERGENCY SITUATIONS TO PREPARE FOR AN ACTUAL, LIKELY EMERGENCY BASED ON THE GEOGRAPHIC PROXIMITY OF THE HOSPITAL, SUCH AS A TORNADO OR MAJOR CHEMICAL SPILL. IN ADDITION, HILL COUNTRY MEMORIAL EMBARKED ON A PROJECT TO BUILD A HEALTH AND WELLNESS COMMUNITY CENTER IN 2009 AND 2010. COLLABORATING WITH THE CITY OF FREDERICKSBURG, PHYSICIANS AND THE FREDERICKSBURG CHAMBER OF COMMERCE, HILL COUNTRY MEMORIAL FUNDED THE CREATION OF AN ARCHITECTURAL PLAN FOR THE CENTER.SCHEDULE H, PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEMTHE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES TEN ORGANIZATIONS. HILL COUNTRY MEMORIAL HOSPITAL PROVIDES HEALTHCARE; HILL COUNTRY MEMORIAL FOUNDATION PROVIDES FUNDRAISING; HILL COUNTRY PHYSICIAN ASSOCIATES PROVIDES HEALTHCARE; HILL COUNTRY PRIMARY CARE PHYSICIANS PROVIDES HEALTHCARE; AND GREATER HILL COUNTRY HOSPICE PROVIDES HOSPICE SERVICE. ALSO, THE HOSPITAL IS A MEMBER OF A SERVICE ORGANIZATION WHICH WAS FORMED TO ACCESS SUPPLEMENTAL MEDICAID FUNDING. IN ADDITION, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE FOLLOWING INACTIVE ENTITIES: HILL COUNTRY MEMORIAL HEALTH SYSTEM, HILL COUNTRY COMMUNITY SERVICES, HILL COUNTRY MEMORIAL OFFICE BUILDING, AND HILL COUNTRY WELLNESS CENTER.SCHEDULE H, PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORTTEXASSCHEDULE H, PART VI, LINE 7

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 Grant698604AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantCHARITABLE SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierUSE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE ORGANIZATION MADE A GRANT TO A RELATED ORGANIZATION AND IS ABLE TO MONITOR THROUGH THE RELATIONSHIP WITH THAT ORGANIZATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
MICHAEL R WILLIAMS
3429490210101000161501656205712270
DEBRA WALLACE
20766202610100068090586902464410
MARK JONES
19804502610100059630586902359780
STEVE SOSLAND
195222026101000307701656202409620
LEANN MYERS
1521220000062320658901649430
MONTY MOHON
13543406101000001656201580970

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE PAYMENTSSCHEDULE J, PART I, LINE 4AROBIN DUDERSTADT RECEIVED $60,008 IN 2011, AND $60,008 THAT WAS ACCRUED IN 2011 AND ACTUALLY PAID IN 2012.
BONUS AND INCENTIVE COMPENSATIONSCHEDULE J, PART II, LINE 1THE BONUS LISTED FOR DR. WILLIAMS, WHILE PAID IN 2011, IS AN ACCUMULATION OF THREE YEARS OF INCENTIVE PAYMENTS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1FREDERICKSBURG HEALTH FACILTYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN742944882IssuerEIN
CUSIP NumberNONE00000CUSIPNumber
Date Issued2005-07-22DateIssued
Issue Price7000000IssuePrice
Description Of PurposeHOSPITAL EXPANSIONDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds7000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds140000IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures6860000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2006YearOfSubstCompletion
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
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
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)
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
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 O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1HILL COUNTRY MEMORIAL'S HOSPITAL'S VISION IS TO BE THE BEST COMMUNITY HOSPITAL ANYWHERE. THE HOSPITAL'S VALUES ARE: OTHERS FIRST, COMPASSION, INNOVATION, ACCOUNTABILITY, AND STEWARDSHIP.
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DWIC PROGRAM - PROVIDE NUTRITIONAL EDUCATION, BREAST FEEDING SUPPORT, WIC FOODS AND SOCIAL SERVICE REFERRALS FOR WOMEN AND CHILDREN MEETING WIC ELIGIBILITY REQUIREMENTS; AND COMMUNITY HEALTH PROGRAMS SUCH AS IMMUNIZATIONS FOR CHILDREN. CLINIC RENTAL INCOME - PROVIDE OFFICE SPACE FOR PHYSICIANS.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE HOSPITAL BOARD HAS GIVEN THE AUDIT COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. THE CFO DISCUSSES EACH SECTION WITH THE COMMITTEE AND DISCUSSES ANY ISSUES TO BE ADDRESSED FOR FUTURE YEARS. ALL BOARD MEMBERS ARE ALSO PROVIDED A LINK TO ACCESS THE 990 FOR REVIEW BEFORE FILING.
CONFLICT OF INTERESTFORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE HOSPITAL BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT.
COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEESFORM 990, PART VI, SECTION B, LINE 15A & 15BTHE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS RELEVANT WAGE SURVEY AND DATA TO DETERMINE CEO COMPENSATION. FOR OTHER OFFICERS, THE CEO REVIEWS WAGE DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5THE HILL COUNTRY MEMORIAL HOSPITAL'S 2010 AUDITED FINANCIAL STATEMENTS WERE RESTATED TO REFLECT THE HOSPITAL'S INTEREST IN THE NET ASSETS OF HCMH FOUNDATION AND GREATER HILL COUNTRY HOSPICE. THE RESTATEMENT RESULTED IN THE FOLLOWING ADJUSTMENTS TO THE ASSETS: UNRESTRICTED NET ASSETS PRIOR YEAR ADJUSTMENT $16,803,652 TEMPORARILY RESTRICTED ASSETS PRIOR YEAR ADJUSTMENT $ 1,278,390 PERMANENTLY RESTRICTED ASSETS PRIOR YEAR ADJUSTMENT $ 335,567 ------------------------------------------------------------------- TOTAL $18,417,609

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HILL COUNTRY MEMORIAL AUXILLARYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11020 KERRVILLE HWYAddressLine1
CityFREDERICKSBURGCity
StateTXState
ZIP Code78624ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateTXLegalDomicileState
Total Income2542TotalIncome
EOY Assets110539EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HCMHBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HILL COUNTRY MEMORIAL HEALTH SYSTEM
1020 KERRVILLE HWYFREDERICKSBURGTX78624742858904SUPPORTTX501(C)(3)11A, IHCMHtrue
HILL COUNTRY MEMORIAL FOUNDATION
1020 KERRVILLE HWYFREDERICKSBURGTX78624742557105FUNDRAISINGTX501(C)(3)11C, III-FINAfalse
HILL COUNTRY MEMORIAL COMMUNITY SVCES
1020 KERRVILLE HWYFREDERICKSBURGTX78624742858907HOME CARE SVCTX501(C)(3)11C, III-FIHCMHtrue
HILL COUNTRY MEM MEDICAL OFFICE BLDG
1020 KERRVILLE HWYFREDERICKSBURGTX78624742858909OFFICE BLDG.TX501(C)(3)11C, III-FIHCMHtrue
HILL COUNTRY WELLNESS CENTER
1020 KERRVILLE HWYFREDERICKSBURGTX78624742858905HEALTH ED.TX501(C)(3)11C, III-FIHCMHtrue
HILL COUNTRY PHYSICIAN ASSOCIATES
1020 KERRVILLE HWYFREDERICKSBURGTX78624262553196HEALTHCARETX501(c)(3)11a, IHCMHtrue
HILL COUNTRY PRIMARY CARE PHYSICIANS
1020 KERRVILLE HWYFREDERICKSBURGTX78624272860109HEALTHCARETXAPPLIEDHCMHtrue
GREATER HILL COUNTRY HOSPICE
PO BOX 835FREDERICKSBURGTX78624742912643HOSPICETX501(C)(3)3HCMHtrue
HEALTHCARE PARTNERSHIP OF GREATER SAN AN
551 HILL COUNTRY DRIVEKERRVILLETX78028450599888HEALTHCARETX501(C)(3)7NAfalse
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 OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1GREATER HILL COUNTRY HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved3312250AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination