CREATE HEALTHY MANAGEMENT: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CREATE HEALTHY MANAGEMENT (EIN 74-6083124)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201113159349302666
Schema version: 2010v3.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T09:01:21-08:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	7901 Woodway Drive Suite 100	AddressLine1
City	Waco	City
State	TX	State
ZIP Code	76712	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	746083124	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Hill Country Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HILL	NameControl
Phone	8309974353	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 835	AddressLine1
City	Fredericksburg	City
State	TX	State
ZIP Code	78624	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Mark Jones	Name
Title	CFO	Title
Date Signed	2011-11-09	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Carol S McIntosh CPA	Name
Phone	2547768244	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	66186362	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.hillcountrymemorial.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1966	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	To provide health care services to the residents of the Hill Country area through the operation and maintenance of a community hospital.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	762	TotalNbrEmployees
Total Nbr Volunteers	120	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	342349	ContributionsGrantsPriorYear
Contributions Grants Current Year	1907674	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	32067301	ProgramServiceRevenuePriorYear
Program Service Revenue CY	44901267	ProgramServiceRevenueCY
Investment Income Prior Year	-1580761	InvestmentIncomePriorYear
Investment Income Current Year	231432	InvestmentIncomeCurrentYear
Other Revenue Prior Year	20531620	OtherRevenuePriorYear
Other Revenue Current Year	12577053	OtherRevenueCurrentYear
Total Revenue Prior Year	51360509	TotalRevenuePriorYear
Total Revenue Current Year	59617426	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	29976142	SalariesEtcPriorYear
Salaries Etc Current Year	30248922	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	20631002	OtherExpensePriorYear
Other Expenses Current Year	23886078	OtherExpensesCurrentYear
Total Expenses Prior Year	50607144	TotalExpensesPriorYear
Total Expenses Current Year	54135000	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	753365	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5482426	RevenuesLessExpensesCY
Total Assets BOY	63070220	TotalAssetsBOY
Total Assets EOY	71264830	TotalAssetsEOY
Total Liabilities BOY	16128717	TotalLiabilitiesBOY
Total Liabilities EOY	16655767	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	46941503	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	54609063	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide health care services to the residents of the Hill Country area through the operation and maintenance of a community hospital.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	41817691	Expense
Revenue	42102355	Revenue
Description	Medical Care Services - Provided health care services to local residents. Days of care included: Routine and Swing Bed - 11,345; Intensive and Critical Care Units - 1,481; Nursery - 898. Emergency room care was provided for 12,873 visits; 154,960 laboratory tests were performed; 42,353 imaging procedures were performed; 39,452 physical/occupational/speech therapy visits were provided; 4,365 operations were performed, and 528 babies were delivered.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6459544	Expense
Description	Charity care / County Indigent Care - Provided health care services at little or no-cost to specific individuals.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1372774	Expense
Revenue	1778997	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	788992	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	1019915	TotalOfOtherProgramServiceRev
Total Program Service Expense	50439001	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	228	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	762	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Janice Menking	NamePerson
Telephone Number	8309971339	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	822 Reuben St	AddressLine1
City	Fredericksburg	City
State	TX	State
ZIP Code	78624	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
Tony Klein
Director	0.00	X	0	0	0
Thomas Hutton MD PhD
Director	0.00	X	0	0	0
Robin Duderstadt
CNO	40.00		116856	0	11422	X
Robert Smelser
CFO Jan-Feb	0.00		136611	0	18210
Randal Carlson
Pharmacist	40.00		123928	0	28		X
Phil Maple MD
Ex Com At Lg Mb	0.00	X	0	0	0
Paul Urban
Director	0.00	X	0	0	0
Norm Nevins
Director	0.00	X	0	0	0
Michael Williams
CEO	40.00		345400	0	16562	X
Mary Post
Pharmacist	0.00		116651	0	22028		X
Mark Jones
CFO Mar-Dec	40.00		152152	0	5869	X
Marc Williamson
Chairman	0.00	X	0	0	0	X
LeAnn Myers
Pharmacist	40.00		142541	0	18980		X
Laura Cook
Director	0.00	X	0	0	0
Holly Jennings
Pharmacist	40.00		124395	0	5058		X
Gordon Sauer
Vice Chairman	0.00	X	0	0	0	X
Donald A Dodd
Exec Dir, Clinical	40.00		128170	0	6328		X
Debra Wallace
COO	39.00		163012	0	12438	X
Dave Campbell
Director	0.00	X	0	0	0
Daniel Robertson MD
Director	0.00	X	0	0	0
Dan Mittel
Secretary	0.00	X	0	0	0	X
Cristol Schoessow
Director	0.00	X	0	0	0
Chris Avery MD
Director	0.00	X	0	0	0
Brad Hardin
Director	0.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1549716	TotalReportableCompFromOrg
Total Other Compensation	116923	TotalOtherCompensation
Number Individuals GT100 K	14	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Southwest Linen Service
PO Box 1141	Stephenville	TX	76401	Housekeeping Svce	233654
Siemens Medical Solutions USA
Box 120001 Dept 0733	Dallas	TX	753120733	Maintenance Contract	269715
RWD Technologies LLC
5521 Research Park	Baltimore	MD	21228	Consulting	1079078
Rogers-OBrien Construction Co
1901 Regal Row	Dallas	TX	752352309	Construction	963665
Jenschke Contracting
903 Durst-Maurer Rd	Fredericksburg	TX	78624	Construction	198116

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	61	NumberOfContractorsGT100K
Membership Dues	847	MembershipDues
Related Organizations	1633314	RelatedOrganizations
All Other Contributions	273513	AllOtherContributions
Total Contributions	1907674	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WIC Program Revenue	624100	295672	295672
Wellness Ctr Svce Reve	624100	724243	724243
Hospital Revenue	621110	42102355	42102355
Home Health Care Revenue	621610	1778997	1778997

Field	Value	IRS element (for citing)
Total Program Service Revenue	44901267	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	132644	TotalRevenueColumn
Exclusion	$132,644	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	171525	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	115091	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	56434	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	56434	TotalRevenueColumn
Related Or Exempt Function Income	56434	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	98788	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	98788	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	98788	TotalRevenueColumn
Related Or Exempt Function Income	98788	RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	18452165	GrossSalesOfInventory
Cost Of Goods Sold	6453845	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	11998320	TotalRevenueColumn
Exclusion	$11,998,320	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Thrift Store	453310	321957	$321,957
Engineering Svce Revenue	541900	19500	$19,500
Cafeteria	722210	164094	$164,094

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16748	TotalRevenueColumn
Exclusion	$16,748	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	522299	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	59617426	TotalRevenueColumn
Related Or Exempt Function Income	45056489	RelatedOrExemptFunctionIncome
Exclusion	$12,653,263	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	978532	Total
Management And General	978532	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	23866191	Total
Program Services	22599062	ProgramServices
Management And General	1267129	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	568492	Total
Program Services	534057	ProgramServices
Management And General	34435	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2912734	Total
Program Services	2699574	ProgramServices
Management And General	213160	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1922973	Total
Program Services	1753713	ProgramServices
Management And General	169260	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	76574	Total
Management And General	76574	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	158713	Total
Management And General	158713	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4727742	Total
Program Services	4301792	ProgramServices
Management And General	425950	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6914564	Total
Program Services	6872100	ProgramServices
Management And General	42464	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1131671	Total
Program Services	1119620	ProgramServices
Management And General	12051	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	223845	Total
Program Services	164574	ProgramServices
Management And General	59271	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	257667	Total
Program Services	236287	ProgramServices
Management And General	21380	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	485247	Total
Program Services	485247	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4349963	Total
Program Services	4349116	ProgramServices
Management And General	847	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Thrift Store other oper exp	6425	6425
Thrift Store Mtce and repairs	1810	1810
Other operating expenses	786232	227528	558704
Maintenance and Repairs	2013285	470	2012815
Bad debts	2752340		2752340

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	54135000	Total
Program Services	50439001	ProgramServices
Management And General	3695999	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2212282	BOY
EOY	5375588	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	9243220	BOY
EOY	8542145	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	10295023	BOY
EOY	14035050	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1546151	BOY
EOY	1303439	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1759217	BOY
EOY	1781478	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	78135797	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	39423711	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	37302671	BOY
EOY	38712086	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	711656	BOY
EOY	1515044	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	63070220	BOY
EOY	71264830	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	6022931	BOY
EOY	7126783	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	9805786	BOY
EOY	9228984	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	300000	BOY
EOY	300000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	16128717	BOY
EOY	16655767	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	46941503	BOY
EOY	54609063	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	46941503	BOY
EOY	54609063	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	63070220	BOY
EOY	71264830	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5482426	ReconcilationRevenueExpenses
Reconcilation Other Changes	2185134	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$7,910	OtherActivitiesAmount
Total Lobbying Expenditures IIB	7910	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	See next pageHospital paid dues to organizations, a portion of which is designated for lobbying expenses. Dues %Lobbying $LobbyingTHA dues $19,436 24.00% $4,665AHA dues 13,288 24.42% 3,245 Total $32,724 $7,910	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4867819	OtherCostOrOtherBasis
Book Value	4867819	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38225214	OtherCostOrOtherBasis
Depreciation	17200925	Depreciation
Book Value	21024289	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1221201	OtherCostOrOtherBasis
Book Value	1221201	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	33177572	OtherCostOrOtherBasis
Depreciation	22222786	Depreciation
Book Value	10954786	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	643991	OtherCostOrOtherBasis
Book Value	643991	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	38712086	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	HCM Refundable Advance	Description
Amount	$300,000	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	300000	TotalOfAmounts
Total Revenue	59617426	TotalRevenue
Total Expenses	54135000	TotalExpenses
Excess Or Deficit For Year	5482426	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-39672	NetUnrealizedGLOnInvestments
Other	$2,224,806	OtherAmount
Total Adjustments	2185134	TotalAdjustments
Excess Or Deficit Per FS	7667560	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	66109007	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-39672	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-39672	RevenueNotRptdF990
Revenue Subtotal	66148679	RevenueSubtotal
Other Revenues Not Included	-6531253	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-6531253	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	59617426	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	60666253	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	6531253	OtherExpensesIncluded
Expenses Not Rptd F990	6531253	ExpensesNotRptdF990
Expenses Subtotal	54135000	ExpensesSubtotal
Total Expenses Per Form990	54135000	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X	Part X : FIN48 Footnote	Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Part XIII, Line 2d	Part XIII, Line 2d: Other expenses and losses per audited F/S	Rental Expenses $115091 Inventory $6453845 Auxiliary Inventory inc within Audit Rev $-37683
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	Transfer of Wellness Center Net Assets to Hospital $1554758 Transfer of Comm Svce Ctr Net Assets to Hospital $670048

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3034694	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1969371	DirectOffsettingRevenue
Net Community Benefit Expense	1065323	NetCommunityBenefitExpense
Percent Of Total Expense	0.01970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4570320	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3577306	DirectOffsettingRevenue
Net Community Benefit Expense	993014	NetCommunityBenefitExpense
Percent Of Total Expense	0.01830	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7605014	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5546677	DirectOffsettingRevenue
Net Community Benefit Expense	2058337	NetCommunityBenefitExpense
Percent Of Total Expense	0.03800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42779	TotalCommunityBenefitExpense
Net Community Benefit Expense	42779	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38408	TotalCommunityBenefitExpense
Net Community Benefit Expense	38408	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7000	TotalCommunityBenefitExpense
Net Community Benefit Expense	7000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	88187	TotalCommunityBenefitExpense
Net Community Benefit Expense	88187	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7693201	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5546677	DirectOffsettingRevenue
Net Community Benefit Expense	2146524	NetCommunityBenefitExpense
Percent Of Total Expense	0.03960	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	18267	TotalCommunityBuildingExpense
Net Community Building Expense	18267	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	18267	TotalCommunityBuildingExpense
Net Community Building Expense	18267	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$2,752,340	BadDebtExpenseAmount
Amount Reimbursed By Medicare	24559427	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	34834220	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10274793	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	0	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Hill Country Memorial Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1020 Kerrville Hwy	AddressLine1
City	Fredericksburg	City
State	TX	State
ZIP Code	78624	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Hill Country Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part V - Explanation of Number of Facility Type	The licensed hospital facility listed in Part V is the sole health care facility of the organization.
Part VI - States Where Community Benefit Report Filed	TX
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	The organization furthers its exempt purpose through up to 40 public health events and screenings a year which are advertised and well attended. The HCM 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 Auxiliary, 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. HCM also collaborates with city and county officials to prepare for emergency scenarios. HCM invites city and county emergency officials to participate in mock emergency situations to prepare for an actual, likely emergency based on the geographical proximity of the hospital, such as a tornado or major chemical spill.
Part VI - Community Building Activities	HCM 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, HCM funded the creation of an architectural plan for the center.
Part VI - Community Information	The organization serves eight counties in the Hill Country: Gillespie, Blanco, Burnet, Kendall, Kerr, McCollough, Mason and Llano. The primary service area of Gillespie County (pop. 24,837) accounts for about 50% of HCM patients. The total service area population is 192,715, and the average patient age is 65 years old.
Part VI - Patient Education of Eligibility for Assistance	HCM patients speak with an HCM Business Office representative before care to determine if they are eligible for assistance 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.
Part VI - Needs Assessment	HCM 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:HCM Breast Center, HCM Community Clinic, and HCM Sleep Lab.The HCM Community Clinic serves the indigent population and the surveys are a key contributor in determining if indigent community needs are being met.
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	All patients are billed the same original amount.	Number of Hospital Faciltiy - 0
Part V, Line 17e - Other Actions Took Before Any Collection Actions	Patient account representatives contact patients by phone before initiating collection actions.	Number of Hospital Faciltiy - 0
Part V, Line 13g - Other Means Hospital Facility Publicized the Policy	The financial assistance policy is also publicized through area physician practices.	Number of Hospital Faciltiy - 0
Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients	The number of members of a household are also considered in calculating amounts charged to patients.	Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	The collection policy currently does not contain explicit provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The source of the amount reported on line 6 is the 2010 Texas State Supplement to the AHA annual survey. This amount is based upon the cost to charge ratio.
Part III, Line 4 - Bad Debt Expense	Excerpt from Audit Footnote # 3: Including bad debts and uncollected accounts, the total amount of uncompensated care was $71,065,570 and $67,406,454 in 2010 and 2009, respectively.
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	The Federal Poverty Guidelines are used on a sliding scale from 200% to 300% to determine eligiblity for providing discounted care to low income individuals. For example, for individuals with income over 200% of FPG but at or under 225%, 80% of the balance for health care services is adjusted.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg
Robert Smelser

Michael Williams
345400	16562	361962
Mark Jones
152152	5869	158021
LeAnn Myers
142541	6589	161521	12391
Debra Wallace
163012	5869	175450	6569

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Fredericksburg Health Facilities Development Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	742944882	IssuerEIN
CUSIP Number	None00000	CUSIPNumber
Date Issued	2005-07-22	DateIssued
Issue Price	7000000	IssuePrice
Description Of Purpose	Hospital Expansion	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	7000000	TotalProceeds
Issuance Costs From Proceeds	140000	IssuanceCostsFromProceeds
Capital Expenditures	6860000	CapitalExpenditures
Year Of Subst Completion	2006	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	false	BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Regulatory Safe Harbor Satisfied	false	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Organization governing documents, conflict of interest policies and financial statements are made available to the public upon request.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	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.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	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.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	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.
Form 990, Part VI, Line 4	Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	The Bylaws were amended and restated as of June 8, 2010 as a result of a reorganization of the entities within the Hill Country Memorial Health System. Previously, the Health System served as the sole member of the Hospital and certain powers, including approval and removal of trustees and officers as well as approval of budgets, were reserved for the member. The Hospital now has no members and is governed by its Board of Trustees. The Board of Trustees now hold the powers that were previously reserved for the member.
Form 990, Part III, Line 4d	Form 990, Part III, Line 4d : Other Program Services Description	OTHER PROGRAM SERVICES 4: 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. OTHER PROGRAM SERVICES 5: WIC Program - Provide nutrition education, breast feeding support, WIC foods and social service referrals for women and children meeting WIC eligibility requirements; and community health programs such as immunizations for children.
Form 990, Part III, Line 2	Form 990, Part III, Line 2: New Services	Effective April 1, 2010, the operations and net assets of related organizations Hill Country Wellness Center and Hill Country Community Services Corporation were transferred to Hill Country Memorial Hospital through a reorganization of the Hill Country Memorial Health System. The Hospital now conducts the programs formerly operated by these entities including home care services, the WIC program and health and wellness programs.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Public Charity StatusPublicCharityStatus
Hill Country Primary Care Physicians
1020 Kerrville Hwy	Fredericksburg	TX	78624	272860109	Physician Offices	TX	App Pending	N/A	false
Hill Country Physician Associates
1020 Kerrville Hwy	Fredericksburg	TX	78624	262553196	Physician Offices	TX	Applied		false	Hill Country Memorial Health System
Hill Country Wellness Center
1020 Kerrville Hwy	Fredericksburg	TX	78624	742858905	Health Education and Wellness	TX	501(c)(3)		false	Hill Country Memorial Health System	11c
Hill Country Mem Medical Office Building
1020 Kerrville Hwy	Fredericksburg	TX	78624	742858909	Facilities for Physicians/Medical Specialists	TX	501(c)(3)		false	Hill Country Memorial Health System	11c
Hill Country Mem Community Svces Corp
1020 Kerrville Hwy	Fredericksburg	TX	78624	742858907	Home Care Services	TX	501(c)(3)		false	Hill Country Memorial Health System	11c
Hill Country Memorial Foundation Inc
1020 Kerrville Hwy	Fredericksburg	TX	78624	742557105	Fundraising	TX	501(c)(3)	N/A	false		11c
Hill Country Memorial Health System
1020 Kerrville Hwy	Fredericksburg	TX	78624	742858904	Parent Company	TX	501(c)(3)	N/A	false		11a

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg