2012-11-07T15:45:44-06:00 2011-12-31 BKD LLP 7901 Woodway Drive Suite 100 Waco TX 76712 990 2011-01-01 746083124 Hill Country Memorial Hospital % JANICE MENKING HILL 8309974353 PO Box 835 Fredericksburg TX 78624 MARK JONES 2012-11-15 true Carol S McIntosh 2547768244 2011 2016-02-24 21:20:13Z MARK JONES PO BOX 835 FREDERICKSBURG TX 78624 54211211 false X WWW.HILLCOUNTRYMEMORIAL.COM X 1966 TX TO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE RESIDENTS OF HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL. 15 15 797 288 0 0 1907674 1685 44901267 53184420 231432 123892 12577053 609742 59617426 53919739 0 701477 0 0 30248922 31308242 0 0 0 23886078 31853715 54135000 63863434 5482426 -9943695 71264830 86521352 16655767 23446930 54609063 63074422 X REMARKABLE CARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS-ALWAYS! false false 49560794 0 49703999 MEDICAL 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. 2047975 0 2013660 HOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE. 840342 0 968408 WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING PHYSICIAN REHABILITATION FACILITIES AND FITNESS EQUIPMENT; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2011 THERE WERE 36,840 PARTICIPANTS IN WELLNESS CENTER PROGRAMS. 332643 0 369833 WIC PROGRAM 143266 0 128520 CLINIC RENT INCOME 0 0 154095 OTHER RELATED ACTIVITIES 475909 0 652448 52925020 true false false true false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true false false false false true 252 0 true 797 true false false false false false false false false false false X 15 15 false false false false false false false true true false false true true true true false true true true false X JANICE MENKING 8309971339 822 REUBEN ST FREDERICKSBURG TX 78624 DAVE CAMPBELL 0.25 X 0 0 0 LAURA COOK 0.25 X 0 0 0 MISTY D'AMICO 0.25 X 0 0 0 RICHARD ESTENSON 0.25 X 0 0 0 BRAD HARDIN 0.25 X 0 0 0 THOMAS HUTTON MD PHD 0.25 X 0 0 0 JAMES LINDLEY MD 0.25 X 0 0 0 PHIL MAPLE MD 0.25 X 0 0 0 DAN MITTEL 0.25 X X 0 0 0 DANIEL ROBERTSON MD 0.25 X 0 0 0 ANDY ROCKWOOD MD 0.25 X 0 0 0 GORDON SAUER 0.25 X X 0 0 0 CRISTOL SCHOESSOW 0.25 X 0 0 0 PAUL URBAN 0.25 X 0 0 0 MARC WILLIAMSON 0.25 X X 0 0 0 MICHAEL R WILLIAMS 40.0 X 553050 0 18177 MARK JONES 40.0 X 224146 0 11832 DEBRA WALLACE 40.0 X 233763 0 12678 STEVE SOSLAND 40.0 X 221323 0 19639 LEANN MYERS 40.0 X 152122 0 12821 MONTY MOHON 40.0 X 141535 0 16562 ROBIN DUDERSTADT 40.0 X 139080 0 5038 RANDAL CARLSON 40.0 X 138826 0 28 HOLLY JENNINGS 40.0 X 134383 0 5459 1938228 0 102234 14 false true false RWD TECHNOLOGIES LLC 5521 RESEARCH PARK DE BALTIMORE MD 21228 CONSULTING 413261 AMN HEALTHCARE INC FILE 56157 LOS ANGELES CA 900746157 MEDICAL SERVICES 357281 RIO GRANDE VALLEY HOSPITAL DEPT 3029 PO BOX 123029 DALLAS TX 753123029 MEDICAL SERVICES 316128 ROGERS-O'BRIEN CONSTRUCTION CO 1901 REGAL ROW DALLAS TX 752352309 CONSTRUCTION 299760 SOUTHWEST LINEN SERVICE PO BOX 1141 STEPHENVILLE TX 76401 HOUSEKEEPING 278044 69 1135 550 1685 NET PATIENT HOSPITAL REVENUE 621110 49703999 49703999 HOME HEALTH CARE REVENUE 621610 2013660 2013660 WELLNESS CENTER SERVICE REVENUE 624100 968408 968408 WIC PROGRAM REVENUE 624100 369833 369833 CLINIC RENT REVENUE 621110 128520 128520 53184420 73008 73008 0 0 50884 50884 50884 50884 642 642 642 0 445567 291472 154095 154095 AUXILIARY REVENUE 453220 18538 18538 CAFETERIA REVENUE 722210 217490 217490 MEDICAL RECORDS REVENUE 621990 8635 8635 210342 210342 455005 53919739 53338515 579539 701041 701041 436 436 0 0 807205 807205 0 25052275 19603633 5448642 412804 302008 110796 3186613 2687186 499427 1849345 1510526 338819 0 813075 813075 247343 247343 0 0 0 4699648 3599655 1099993 263488 4547 258941 1750666 1176587 574079 0 0 2922643 2603756 318887 276253 233352 42901 0 310579 196671 113908 456348 456348 0 4416833 4416833 761258 761258 MEDICAL SUPPLIES 11506226 11506226 BAD DEBT EXPENSE 2520124 2520124 OTHER EXPENSES 693360 546349 147011 DUES & SUBSCRIPTIONS 195091 81885 113206 20780 16599 4181 63863434 52925020 10938414 0 5331909 9951225 8585824 8054136 0 0 14035050 8623181 0 0 0 0 0 0 1303439 1374218 1781478 18464960 72549171 35223224 38712086 37325947 0 0 0 0 0 0 0 0 1515044 2727685 71264830 86521352 7126783 14509606 0 0 0 0 9228984 8637324 0 0 0 0 0 0 0 0 300000 300000 16655767 23446930 X 54609063 46471355 0 8468192 0 8134875 54609063 63074422 71264830 86521352 X -9943695 18409054 X false true true X false X false false false false false true 8629 false false false 8629 false LOBBYING EXPENSES SCHEDULE C, PART II-B, LINE 1F HILL COUNTRY MEMORIAL HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES LOBBYING % LOBBYING $ 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 $8,629 4883393 4883393 37130153 15830159 21299994 1174293 1174293 28754183 19393065 9361118 607149 607149 37325947 0 HCM REFUNDABLE ADVANCE 300000 300000 53919739 63863434 -9943695 -8555 -8555 -9952250 54191765 -8555 291472 282917 53908848 10891 10891 53919739 64144015 291472 291472 63852543 10891 10891 63863434 AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XII, LINE 2D THRIFT SHOP EXPENSES $291,472 ---------------------------------------------- TOTAL $291,472 AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B RENT 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 25 SCHEDULE D, PART XIII, LINE 2D THRIFT SHOP EXPENSES $291,472 ----------------------------------------------- TOTAL $291,472 AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XIII, LINE 4B AUXILARY DONATIONS IN AUDIT REVENUE $ 2,386 RENT REVENUE IN AUDIT EXPENSE $ 8,505 ----------------------------------------------- TOTAL $10,891 true true X true X true X true true false true true 1381768 1381768 0.02250 3417483 2817621 599862 0.00980 402529 350647 51882 0.00080 5201780 3168268 2033512 0.03310 56455 56455 0.00100 448893 448893 0.00730 704517 704517 0.01150 2750 2750 1212615 1212615 0.01980 6414395 3168268 3246127 0.05290 false 1021771 25615229 28705649 -3090420 X true true 1 1 HILL COUNTRY MEMORIAL HOSPITAL

1020 KERRVILLE HWY FREDERICKSBURG TX 78624

X X X HILL COUNTRY MEMORIAL HOSPITAL 1 false true true 200. true 300. true X X X true true X X X X true false X X X X X true X false false SCHEDULE H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSES REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT PERCENTAGE WAS $2,520,124. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE 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. COSTING METHODOLOGY SCHEDULE H, PART III, SECTION B, LINE 8A THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $3,090,420. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS SCHEDULE H, PART III, SECTION C, LINE 9B HILL COUNTRY MEMORIAL HOSPITAL'S COLLECTION POLICY EXCLUDES PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS SCHEDULE H, PART V, LINE 11H THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING AMOUNTS CHARGED TO PATIENTS. OTHER MEANS BY WHICH HOSPITAL PUBLICIZED POLICY SCHEDULE H, PART V, LINE 13G THE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLICIZED THROUGH AREA PHYSICIAN PRACTICES. OTHER ACTIONS TOOK BEFORE ANY COLLECTION ACTIONS SCHEDULE H, PART V, LINE 17E PATIENT ACCOUNT REPRESENTATIVES CONTACT PATIENTS BY PHONE BEFORE INITIATING COLLECTION ACTIONS. OTHER BILLING DETERMINATION OF THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE SCHEDULE H, PART V, LINE 19D THE HOSPITAL CHARGE MASTER BILLS A STANDARD AMOUNT FOR ALL PATIENTS, THEREBY INSURING THAT THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE AND THE INSURED ARE BILLED THE SAME AMOUNT. ADDITIONALLY, PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED DISCOUNTS BASED ON THEIR INCOME LEVELS COMPARED TO FEDERAL POVERTY GUIDELINES (FPG). PATIENTS WITH INCOME AT OR BELOW 200% FPG HAVE 100% OF THE BALANCE ADJUSTED. PATIENTS WITH ABOVE 200% AND UNDER 225% OF FPG HAVE 80% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 225% AND UNDER 250% OF FPG HAVE 60% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 250% AND UNDER 275% OF FPG HAVE 40% OF THE BALANCE ADJUSTED. PATIENTS WITH INCOME OVER 275% AND UNDER 300% OF FPG HAVE 20% OF THE BALANCE ADJUSTED. THOSE WITH INCOME OVER 300% OF FPG DO NOT QUALIFY AS FINANCIALLY INDIGENT. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 HILL COUNTRY MEMORIAL ASSESSES THE NEEDS OF THE COMMUNITY THROUGH PATIENT SURVEYS. PATIENTS RECEIVING CARE IN THE FOLLOWING SERVICE LINES ARE RANDOMLY SURVEYED BY PRESS GANEY, AN INDEPENDENT HOSPITAL AUDITING FIRM WHICH AUDITS 1800 HOSPITALS IN THE UNITED STATES: IN-PATIENT CARE, OUT-PATIENT CARE, ER, AND HOME HEALTH. THE FOLLOWING SERVICE LINES ARE SURVEYED IN AN HCM PAPER-GENERATED SURVEY DISSEMINATED AT THE POINT OF DISMISSAL: HILL COUNTRY MEMORIAL BREAST CENTER, HILL COUNTRY MEMORIAL COMMUNITY CLINIC, AND HILL COUNTRY MEMORIAL SLEEP LAB. THE HILL COUNTRY MEMORIAL COMMUNITY CLINIC SERVES THE INDIGENT POPULATION AND THE SURVEYS ARE A KEY CONTRIBUTOR IN DETERMINING IF INDIGENT COMMUNITY NEEDS ARE BEING MET. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 HILL COUNTRY MEMORIAL PATIENTS SPEAK WITH A HILL COUNTRY MEMORIAL BUSINESS OFFICE REPRESENTATIVE BEFORE CARE TO DETERMINE IF THEY ARE ELIGIBLE FOR ASSITANCE UNDER THE FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THE ORGANIZATION'S CHARITY CARE POLICY. THE PATIENT'S ELIGIBILITY IS ASSESSED AND CAREFULLY MANAGED, SO THAT IF HE/SHE OVERPAYS, HE/SHE IS REIMBURSED THE RECONCILING AMOUNT. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 THE ORGANIZATION SERVES EIGHT COUNTIES IN THE HILL COUNTRY: GILLESPIE, BLANCO, BURNET, KENDALL, KERR, MCCULLOCH, MASON, AND LLANO. THE PRIMARY SERVICE AREA OF GILLESPIE COUNTY (POP. 25,114) 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. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE THROUGH UP TO 40 PUBLIC HEALTH EVENTS AND SCREENINGS A YEAR WHICH ARE ADVERTISED AND WELL ATTENDED. THE HILL COUNTRY MEMORIAL WELLNESS CENTER OFFERS REMOTE IMMUNIZATION "DRIVE-THRUS" TO INCREASE IMMUNIZATION VOLUMES. EMPLOYEES DEVOTE TIME AND MONEY TO THE COMMUNITY NEEDS COUNCIL TO FURNISH SCHOOL SUPPLIES TO ELIGIBLE CHILDREN, TO THE AREA FOOD BANK FOR THE HUNGRY, AND TO THE LOCAL BOYS AND GIRLS CLUB FOR COMMUNITY CHILDREN ACTIVITIES. THE AUXILLARY, HOSPITAL VOLUNTEER ORGANIZATION, RAISES FUNDS TO FURTHER EMPLOYEE HEALTH CARE EDUCATION, WHICH NURTURES THE AVAILABLE WORKFORCE. THE ORGANIZATION HAS THE LARGEST VOLUNTEER BASE IN FREDERICKSBURG. ALSO, FUNDS WERE DONATED TO RELAY FOR LIFE, HEALTH OCCUPATION STUDENT ASSOCIATION (HOSA), AND EISHBAHN. EMPLOYEES ALSO SERVED IN LEADERSHIP ROLES FOR COMMUNITY ORGANIZATIONS. HILL COUNTRY MEMORIAL ALSO COLLABORATES WITH CITY AND COUNTY OFFICIALS TO PREPARE FOR EMERGENCY SCENARIOS. HILL COUNTRY MEMORIAL INVITES CITY AND COUNTY EMERGENCY OFFICIALS TO PARTICIPATE IN MOCK EMERGENCY SITUATIONS TO PREPARE FOR AN ACTUAL, LIKELY EMERGENCY BASED ON THE GEOGRAPHIC PROXIMITY OF THE HOSPITAL, SUCH AS A TORNADO OR MAJOR CHEMICAL SPILL. IN ADDITION, HILL COUNTRY MEMORIAL EMBARKED ON A PROJECT TO BUILD A HEALTH AND WELLNESS COMMUNITY CENTER IN 2009 AND 2010. COLLABORATING WITH THE CITY OF FREDERICKSBURG, PHYSICIANS AND THE FREDERICKSBURG CHAMBER OF COMMERCE, HILL COUNTRY MEMORIAL FUNDED THE CREATION OF AN ARCHITECTURAL PLAN FOR THE CENTER. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 THE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES TEN ORGANIZATIONS. HILL COUNTRY MEMORIAL HOSPITAL PROVIDES HEALTHCARE; HILL COUNTRY MEMORIAL FOUNDATION PROVIDES FUNDRAISING; HILL COUNTRY PHYSICIAN ASSOCIATES PROVIDES HEALTHCARE; HILL COUNTRY PRIMARY CARE PHYSICIANS PROVIDES HEALTHCARE; AND GREATER HILL COUNTRY HOSPICE PROVIDES HOSPICE SERVICE. ALSO, THE HOSPITAL IS A MEMBER OF A SERVICE ORGANIZATION WHICH WAS FORMED TO ACCESS SUPPLEMENTAL MEDICAID FUNDING. IN ADDITION, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE FOLLOWING INACTIVE ENTITIES: HILL COUNTRY MEMORIAL HEALTH SYSTEM, HILL COUNTRY COMMUNITY SERVICES, HILL COUNTRY MEMORIAL OFFICE BUILDING, AND HILL COUNTRY WELLNESS CENTER. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS true HEALTHCARE PARTNERSHIP OF GREATER SAN ANTONIO 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 450599888 501(C)(3) 698604 FMV CHARITABLE SUPPORT 1 USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE ORGANIZATION MADE A GRANT TO A RELATED ORGANIZATION AND IS ABLE TO MONITOR THROUGH THE RELATIONSHIP WITH THAT ORGANIZATION. X X X true false false false false false false false false MICHAEL R WILLIAMS 342949 0 210101 0 0 0 1615 0 16562 0 571227 0 DEBRA WALLACE 207662 0 26101 0 0 0 6809 0 5869 0 246441 0 MARK JONES 198045 0 26101 0 0 0 5963 0 5869 0 235978 0 STEVE SOSLAND 195222 0 26101 0 0 0 3077 0 16562 0 240962 0 LEANN MYERS 152122 0 0 0 0 0 6232 0 6589 0 164943 0 MONTY MOHON 135434 0 6101 0 0 0 0 0 16562 0 158097 0 SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A ROBIN DUDERSTADT RECEIVED $60,008 IN 2011, AND $60,008 THAT WAS ACCRUED IN 2011 AND ACTUALLY PAID IN 2012. BONUS AND INCENTIVE COMPENSATION SCHEDULE J, PART II, LINE 1 THE BONUS LISTED FOR DR. WILLIAMS, WHILE PAID IN 2011, IS AN ACCUMULATION OF THREE YEARS OF INCENTIVE PAYMENTS. FREDERICKSBURG HEALTH FACILTY 742944882 NONE00000 2005-07-22 7000000 HOSPITAL EXPANSION false false false 0 0 7000000 0 0 0 140000 0 0 6860000 0 0 2006 false false true true false false false false 0 true false false false 0 false false false 0 false false ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 HILL COUNTRY MEMORIAL'S HOSPITAL'S VISION IS TO BE THE BEST COMMUNITY HOSPITAL ANYWHERE. THE HOSPITAL'S VALUES ARE: OTHERS FIRST, COMPASSION, INNOVATION, ACCOUNTABILITY, AND STEWARDSHIP. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D WIC PROGRAM - PROVIDE NUTRITIONAL EDUCATION, BREAST FEEDING SUPPORT, WIC FOODS AND SOCIAL SERVICE REFERRALS FOR WOMEN AND CHILDREN MEETING WIC ELIGIBILITY REQUIREMENTS; AND COMMUNITY HEALTH PROGRAMS SUCH AS IMMUNIZATIONS FOR CHILDREN. CLINIC RENTAL INCOME - PROVIDE OFFICE SPACE FOR PHYSICIANS. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B THE HOSPITAL BOARD HAS GIVEN THE AUDIT COMMITTEE THE RESPONSIBILITY TO REVIEW THE FORM 990. THE CFO DISCUSSES EACH SECTION WITH THE COMMITTEE AND DISCUSSES ANY ISSUES TO BE ADDRESSED FOR FUTURE YEARS. ALL BOARD MEMBERS ARE ALSO PROVIDED A LINK TO ACCESS THE 990 FOR REVIEW BEFORE FILING. CONFLICT OF INTEREST FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE HOSPITAL BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT. COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES FORM 990, PART VI, SECTION B, LINE 15A & 15B THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS RELEVANT WAGE SURVEY AND DATA TO DETERMINE CEO COMPENSATION. FOR OTHER OFFICERS, THE CEO REVIEWS WAGE DATA AND SURVEYS SUPPLIED BY THE HUMAN RESOURCE DIRECTOR. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 THE 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 HILL COUNTRY MEMORIAL AUXILLARY 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 SUPPORT TX 2542 110539 HCMH HILL COUNTRY MEMORIAL HEALTH SYSTEM 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858904 SUPPORT TX 501(C)(3) 11A, I HCMH true HILL COUNTRY MEMORIAL FOUNDATION 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742557105 FUNDRAISING TX 501(C)(3) 11C, III-FI NA false HILL COUNTRY MEMORIAL COMMUNITY SVCES 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858907 HOME CARE SVC TX 501(C)(3) 11C, III-FI HCMH true HILL COUNTRY MEM MEDICAL OFFICE BLDG 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858909 OFFICE BLDG. TX 501(C)(3) 11C, III-FI HCMH true HILL COUNTRY WELLNESS CENTER 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 742858905 HEALTH ED. TX 501(C)(3) 11C, III-FI HCMH true HILL COUNTRY PHYSICIAN ASSOCIATES 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 262553196 HEALTHCARE TX 501(c)(3) 11a, I HCMH true HILL COUNTRY PRIMARY CARE PHYSICIANS 1020 KERRVILLE HWY FREDERICKSBURG TX 78624 272860109 HEALTHCARE TX APPLIED HCMH true GREATER HILL COUNTRY HOSPICE PO BOX 835 FREDERICKSBURG TX 78624 742912643 HOSPICE TX 501(C)(3) 3 HCMH true HEALTHCARE PARTNERSHIP OF GREATER SAN AN 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 450599888 HEALTHCARE TX 501(C)(3) 7 NA false false true true false false false false false true false false true true true false true false false GREATER HILL COUNTRY HOSPICE P 3312250 FMV