2011-11-11T09:01:21-08:00 2010-12-31 BKD LLP 7901 Woodway Drive Suite 100 Waco TX 76712 990 2010-01-01 746083124 Hill Country Memorial Hospital HILL 8309974353 PO Box 835 Fredericksburg TX 78624 Mark Jones 2011-11-09 Carol S McIntosh CPA 2547768244 2010 2016-02-24 21:20:13Z 66186362 false false X www.hillcountrymemorial.com X 1966 TX To provide health care services to the residents of the Hill Country area through the operation and maintenance of a community hospital. 14 14 762 120 0 342349 1907674 32067301 44901267 -1580761 231432 20531620 12577053 51360509 59617426 0 0 29976142 30248922 0 0 20631002 23886078 50607144 54135000 753365 5482426 63070220 71264830 16128717 16655767 46941503 54609063 X To provide health care services to the residents of the Hill Country area through the operation and maintenance of a community hospital. true false 41817691 42102355 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. 6459544 Charity care / County Indigent Care - Provided health care services at little or no-cost to specific individuals. 1372774 1778997 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. 788992 1019915 50439001 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 228 0 true 762 true false false false false false false false false false false false 0 false false false false false false false false false false false X 14 14 false false true false false false false true true false false false true true true true false true true true false false X Janice Menking 8309971339 822 Reuben St Fredericksburg TX 78624 X Tony Klein 0.00 X 0 0 0 Thomas Hutton MD PhD 0.00 X 0 0 0 Robin Duderstadt 40.00 X 116856 0 11422 Robert Smelser 0.00 136611 0 18210 Randal Carlson 40.00 X 123928 0 28 Phil Maple MD 0.00 X 0 0 0 Paul Urban 0.00 X 0 0 0 Norm Nevins 0.00 X 0 0 0 Michael Williams 40.00 X 345400 0 16562 Mary Post 0.00 X 116651 0 22028 Mark Jones 40.00 X 152152 0 5869 Marc Williamson 0.00 X X 0 0 0 LeAnn Myers 40.00 X 142541 0 18980 Laura Cook 0.00 X 0 0 0 Holly Jennings 40.00 X 124395 0 5058 Gordon Sauer 0.00 X X 0 0 0 Donald A Dodd 40.00 X 128170 0 6328 Debra Wallace 39.00 X 163012 0 12438 Dave Campbell 0.00 X 0 0 0 Daniel Robertson MD 0.00 X 0 0 0 Dan Mittel 0.00 X X 0 0 0 Cristol Schoessow 0.00 X 0 0 0 Chris Avery MD 0.00 X 0 0 0 Brad Hardin 0.00 X 0 0 0 1549716 116923 14 false true false 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 61 847 1633314 273513 1907674 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 44901267 132644 132644 0 0 171525 115091 56434 56434 56434 98788 98788 98788 98788 0 0 18452165 6453845 11998320 11998320 Thrift Store 453310 321957 321957 Engineering Svce Revenue 541900 19500 19500 Cafeteria 722210 164094 164094 16748 16748 522299 59617426 45056489 12653263 0 0 0 0 978532 978532 0 23866191 22599062 1267129 568492 534057 34435 2912734 2699574 213160 1922973 1753713 169260 0 76574 76574 158713 158713 0 0 0 4727742 4301792 425950 0 6914564 6872100 42464 0 0 1131671 1119620 12051 223845 164574 59271 0 257667 236287 21380 485247 485247 0 4349963 4349116 847 0 Thrift Store other oper exp 6425 6425 Thrift Store Mtce and repairs 1810 1810 Other operating expenses 786232 558704 227528 Maintenance and Repairs 2013285 2012815 470 Bad debts 2752340 2752340 0 54135000 50439001 3695999 0 2212282 5375588 9243220 8542145 0 10295023 14035050 0 0 0 1546151 1303439 1759217 1781478 78135797 39423711 37302671 38712086 0 0 0 0 711656 1515044 63070220 71264830 6022931 7126783 9805786 9228984 300000 300000 16128717 16655767 X 46941503 54609063 46941503 54609063 63070220 71264830 X 5482426 2185134 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 7910 7910 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 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 4867819 4867819 38225214 17200925 21024289 1221201 1221201 33177572 22222786 10954786 643991 643991 38712086 HCM Refundable Advance 300000 300000 59617426 54135000 5482426 -39672 2224806 2185134 7667560 66109007 -39672 -39672 66148679 -6531253 -6531253 59617426 60666253 6531253 6531253 54135000 54135000 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 true true true X true X true true false false true true 3034694 1969371 1065323 0.01970 4570320 3577306 993014 0.01830 7605014 5546677 2058337 0.03800 42779 42779 0.00080 38408 38408 0.00070 7000 7000 0.00010 88187 88187 0.00160 7693201 5546677 2146524 0.03960 18267 18267 0.00030 18267 18267 0.00030 false 2752340 24559427 34834220 -10274793 X true false 1 0 Hill Country Memorial Hospital

1020 Kerrville Hwy Fredericksburg TX 78624

X X X Hill Country Memorial Hospital 1 false true true 200.0000 true 300.0000 true X X X true true X X X X true X X true X X X X X X true X false false 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. Number of Hospital Faciltiy - 0 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. 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. X X X false false false false false false false false false false Robert Smelser Michael Williams 345400 16562 361962 Mark Jones 152152 5869 158021 LeAnn Myers 142541 12391 6589 161521 Debra Wallace 163012 6569 5869 175450 Fredericksburg Health Facilities Development Corporation 742944882 None00000 2005-07-22 7000000 Hospital Expansion false false 7000000 140000 6860000 2006 false false false true false false false false false true false false false false false false false 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. 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 Hill Country Memorial Health System false Hill Country Wellness Center 1020 Kerrville Hwy Fredericksburg TX 78624 742858905 Health Education and Wellness TX 501(c)(3) 11c Hill Country Memorial Health System false Hill Country Mem Medical Office Building 1020 Kerrville Hwy Fredericksburg TX 78624 742858909 Facilities for Physicians/Medical Specialists TX 501(c)(3) 11c Hill Country Memorial Health System false Hill Country Mem Community Svces Corp 1020 Kerrville Hwy Fredericksburg TX 78624 742858907 Home Care Services TX 501(c)(3) 11c Hill Country Memorial Health System false Hill Country Memorial Foundation Inc 1020 Kerrville Hwy Fredericksburg TX 78624 742557105 Fundraising TX 501(c)(3) 11c N/A false Hill Country Memorial Health System 1020 Kerrville Hwy Fredericksburg TX 78624 742858904 Parent Company TX 501(c)(3) 11a N/A false false false true false false false false false true false false true false true false true false true