Civic Intelligence

Hill Country Memorial Hospital Foundation

990 • Fiscal year 2022 • EIN 74-2557105

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 15, 2023

PO Box 1339Fredericksburg, TX 78624

(830) 997-1297

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

39th percentile

0.13x

Higher debt load relative to assets than 39% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Liabilities / Revenue

87th percentile

2.33x

Higher debt load relative to revenue than 87% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Net Margin

86th percentile

40%

Higher net margin than 86% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Top Officer Pay

51st percentile

$256,661

Higher top officer pay than 51% of similar nonprofits.

Top officer pay equals 12.3% of source-year revenue.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Asset Growth

15th percentile

-12%

Faster asset growth than 15% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Revenue Growth

14th percentile

-27%

Faster revenue growth than 14% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Assets

Down

$38,365,458

Down $5,435,909 (-12%) from 2021

Net Assets

Down

$33,491,388

Down $5,225,167 (-13%) from 2021

Liabilities

Down

$4,874,070

Down $210,742 (-4.1%) from 2021

Revenue

Down

$2,095,140

Down $757,653 (-27%) from 2021

Expenses

Down

$1,254,456

Down $531,289 (-30%) from 2021

Net Income

Down

$840,684

Down $226,364 (-21%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0Assets 2011: $16,823,635Liabilities 2011: $220,568Net Assets 2011: $16,603,0672011Assets 2012: $18,363,874Liabilities 2012: $314,834Net Assets 2012: $18,049,0402012Assets 2013: $21,121,781Liabilities 2013: $90,170Net Assets 2013: $21,031,6112013Assets 2014: $21,893,689Liabilities 2014: $132,953Net Assets 2014: $21,760,7362014Assets 2015: $21,921,108Liabilities 2015: $71,216Net Assets 2015: $21,849,8922015Assets 2016: $24,196,123Liabilities 2016: $231,874Net Assets 2016: $23,964,2492016Assets 2017: $24,397,951Liabilities 2017: $76,088Net Assets 2017: $24,321,8632017Assets 2018: $22,387,711Liabilities 2018: $1,177,597Net Assets 2018: $21,210,1142018Assets 2019: $28,167,518Liabilities 2019: $2,464,602Net Assets 2019: $25,702,9162019Assets 2020: $38,747,756Liabilities 2020: $4,885,693Net Assets 2020: $33,862,0632020Assets 2021: $43,801,367Liabilities 2021: $5,084,812Net Assets 2021: $38,716,5552021Assets 2022: $38,365,458Liabilities 2022: $4,874,070Net Assets 2022: $33,491,3882022Assets 2023: $40,979,924Liabilities 2023: $984,601Net Assets 2023: $39,995,3232023Assets 2024: $41,983,691Liabilities 2024: $1,351,713Net Assets 2024: $40,631,9782024

Highlighted filing

2022

Assets$38,365,458
Liabilities$4,874,070
Net Assets$33,491,388

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2011: $3,225,656Expenses 2011: $2,459,171Net Income 2011: $766,4852011Revenue 2012: $2,422,804Expenses 2012: $2,391,489Net Income 2012: $31,3152012Revenue 2013: $2,868,586Expenses 2013: $2,233,024Net Income 2013: $635,5622013Revenue 2014: $6,793,649Expenses 2014: $3,238,081Net Income 2014: $3,555,5682014Revenue 2015: $4,472,287Expenses 2015: $3,325,794Net Income 2015: $1,146,4932015Revenue 2016: $3,861,151Expenses 2016: $2,888,553Net Income 2016: $972,5982016Revenue 2017: $5,087,348Expenses 2017: $6,201,251Net Income 2017: -$1,113,9032017Revenue 2018: $2,317,673Expenses 2018: $2,500,905Net Income 2018: -$183,2322018Revenue 2019: $2,398,156Expenses 2019: $830,065Net Income 2019: $1,568,0912019Revenue 2020: $7,237,150Expenses 2020: $753,186Net Income 2020: $6,483,9642020Revenue 2021: $2,852,793Expenses 2021: $1,785,745Net Income 2021: $1,067,0482021Revenue 2022: $2,095,140Expenses 2022: $1,254,456Net Income 2022: $840,6842022Revenue 2023: $3,641,306Expenses 2023: $727,605Net Income 2023: $2,913,7012023Revenue 2024: $2,891,863Expenses 2024: $4,428,141Net Income 2024: -$1,536,2782024

Highlighted filing

2022

Revenue$2,095,140
Expenses$1,254,456
Net Income$840,684
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$11,838,836
Mission and Program Overview

Mission

Hcmh foundation is organized and shall be operated exclusively for the benefit of hill country memorial hospital of fredericksburg, texas and its related nonprofit entities.

To support the operation and maintenance of create healthy management and its related health care services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$39,871,847$36,564,020▼ $3,307,827
Savings and Temporary Cash Investments$2,394,782$1,300,375▼ $1,094,407
Accounts Receivable$1,095,115$230,114▼ $865,001
Land, Buildings, and Equipment, Net$80,000$80,000→ $0
Cash and Non-Interest-Bearing Accounts$141,274$35,650▼ $105,624
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$43,801,367$38,365,458▼ $5,435,909
Other Assets Total$218,349$155,299▼ $63,050
Liabilities
Other Liabilities$5,062,739$4,837,915▼ $224,824
Accounts Payable and Accrued Expenses$22,073$36,155▲ $14,082
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$5,084,812$4,874,070▼ $210,742
Net Assets / Fund Balance
Net Assets With Donor Restrictions$23,993,670$20,664,972▼ $3,328,698
Net Assets Without Donor Restrictions$14,722,885$12,826,416▼ $1,896,469
Total Net Assets Fund Balance$38,716,555$33,491,388▼ $5,225,167
Total Liabilities and Net Assets / Fund Balance$43,801,367$38,365,458▼ $5,435,909

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$80,000$47,003$127,003

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2022$24,315,719$14,850▼ $4,318,366$589,538$19,422,665
2021$21,012,569$20,555▲ $3,534,951$252,356$24,315,719
2020$18,879,729$7,535▲ $2,307,819$182,514$21,012,569
2019$15,042,722$113,054▲ $3,679,370$-44,583$18,879,729
2018$17,720,826$24,451▼ $1,760,145$942,311$15,042,722
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Amanda Stevens CfreExecutive DirectorPT$89,176$39,154$128,330
Revenue and Support

Revenue Composition

Contributions and Grants
$934,236
Program Service Revenue
$0
Investment Income
$1,160,904
Other Revenue
$0
All Other Contributions
$934,236
Change in Net Assets
$840,684

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,919,181
Revenue Not Reported on Financial Statements
$175,959
Revenue Not Reported on Form 990
$-6,020,611
Total Revenue per Audited Statements
$-4,101,430
Total Revenue per Form 990
$2,095,140
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$467,779
Grants and Similar Amounts Paid$439,613
Salaries, Compensation, and Employee Benefits$347,064
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$439,613--$439,613
Fees for Service Investment Mgmnt Fees-$175,959-$175,959
Other Salaries and Wages$162,497--$162,497
Current Officers, Directors, Trustees, and Key Employees$32,083$96,248-$128,331
Fees for Services Other$48,919$52,461-$101,380
Office Expenses$57,905$19,268-$77,173
Fees for Services Accounting-$35,400-$35,400
Payroll Taxes$18,365$4,957-$23,322
Other Employee Benefits$22,959--$22,959
Other Expenses$12,437$1,469-$0
Conferences and Meetings$8,737$2,907-$11,644
Pension Plan Contributions$9,955--$9,955
Advertising$7,112$2,366-$9,478
Occupancy$3,636$981-$4,617
All Other Expenses$3,105$1,033-$4,138
Travel$467$126-$593
Total Functional Expenses$861,281$393,175$0$1,254,456

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,254,456
Total Expenses per Audited Statements$1,123,737
Expenses per Audited Statements$1,078,497
Expenses Not Reported on Financial Statements$175,959
Expenses Not Reported on Form 990$45,240
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Create Healthy ManagementFredericksburg, TX501(c)(3)Support Ops$439,613
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$4,405,274
Annuity Payable$432,641
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Process to review the form 990: the create healthy management board members are provided electronic access to the form 990 in advance of a board meeting. Formal review is then held at a meeting prior to filing.

Form 990, Part VI, Section B, Line 12C

Process to monitor transactions for conflicts of interest: every year at the january board meeting the board secretary provides each member of the create healthy foundation board of directors with a copy of the organization's conflict of interest policy and disclosure statement. Members are required to review the conflict of interest policy, complete the disclosure statement and return the disclosure statement to the foundation office within one month of the january quarterly board meeting. This process is monitored by the board secretary. These forms are kept on file in the foundation office and reviewed annually by the foundation secretary to identify any possible conflicts of interest. In 2022 there was 100% compliance. Potential conflicts of interest are discussed at the governance committee and recorded in the minutes. If a conflict is found to exist the committee sends a letter to the board member instructing them to abstain from voting when applicable.

Form 990, Part VI, Section B, Line 15A

The process for determining compensation: the process used for determining compensation for the create healthy foundation executive director occurs annually. In conjunction with the create healthy management human resources department and create healthy management annual salary survey, data is provided by a contracted vendor who evaluated compensation and makes recommendations on position salary ranges based on the labor market. Evaluation and compensation decision made by ceo and documented in employees records in hr department. Compensation is ratified by the foundation board during budgeting process. The last compensation comparison occurred in fall of 2022.

Form 990, Part VI, Section C, Line 19

Availability of documents: the organization's governing documents including bylaws and conflict of interest policy are available on request. Financial statements are not made available to the public, however certain summary financial information may be available in the organization's annual report to the community.

Form 990, Part VI, Section A, Line 1A

DELEGATION OF AUTHORITY: The Executive Committee shall be comprised of the President, Vice President, Secretary, Treasurer and four Directors elected at large by the Board. When the Board is not in session, Executive Committee shall have and exercise all of the authority of the Board in the management of the Corporation. Minutes of the Executive Committee meetings shall be submitted to the Board, and its actions shall be subject to ratification by the Board at the next regular Board meeting.

Form 990, Part VI, Section A, Line 4

Significant changes to governing documents: the organization changed its name from hill country memorial hospital foundation to create healthy foundation. The governing documents were updated to reflect the new name and that of its related organizations.

Filing and Contact Details

Filer

Filer Name
Create Healthy Foundation
EIN
74-2557105
In Care Of
% CHRIS SEMMLER
Phone
8309971297
Address
PO Box 1339, Fredericksburg, TX 78624

Signing Officer

Name
Jayne Pope
Title
CEO
Phone
8309971297
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Amanda Stevens
Formed
1989
Legal Domicile
TX
Voting Board Members
21
Independent Board Members
21
Employees
4
Volunteers
21

Preparer

Firm
Forvis Llp
Address
14241 DALLAS PARKWAY SUITE 1100, DALLAS, TX 75254
Preparer
Jeanette Verrelli
Phone
9727028262
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2A

Number of employees on form w-3: the organization's form w-2s are issued by a related organization, create healthy management, and costs are allocated to the foundation. The number of employees reported on part v, line 2a is the number of employees who spent time working for the filing organization.

Form 990, Part XI, Line 9

Other changes in net assets or fund balances: Change in split interest agreements $(24,640)

Financial Statement Notes

Schedule D, Part V, Line 4

Intended use of endowment funds: create healthy foundation holds and maintains the endowment funds for the benefit of create healthy management. There are endowments designated for the following: equipment and technology at chm; chm nurse stipends, scholarships, and certifications; and stroke education and awareness. Additionally, there are several endowment funds established at the foundation for chm which are unrestricted for purpose.

Schedule D, Part X, Line 2

Asc 740 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.

Schedule D, Part XI, Line 2D

Reconciliation of revenue per audited financials with return: Change in split interest $(24,640) ------------------------- total $(24,640)

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IRS990/Form990PartVIISectionAGrp/PersonNm2Mrs Linda Cheslak
IRS990/Form990PartVIISectionAGrp/PersonNm3Mr Jon Crenwelge
IRS990/Form990PartVIISectionAGrp/PersonNm4Mr Jody Donovan
IRS990/Form990PartVIISectionAGrp/PersonNm5Ms Margaret Dooley
IRS990/Form990PartVIISectionAGrp/PersonNm6Ms Jan Dwyer
IRS990/Form990PartVIISectionAGrp/PersonNm7Mr Allen Ersch
IRS990/Form990PartVIISectionAGrp/PersonNm8Mrs Autumn Faucheux
IRS990/Form990PartVIISectionAGrp/PersonNm9Mr Kyle Frey
IRS990/Form990PartVIISectionAGrp/PersonNm10Mrs Kathy Harper
IRS990/Form990PartVIISectionAGrp/PersonNm11Mrs Elizabeth Harris
IRS990/Form990PartVIISectionAGrp/PersonNm12Mrs Barbara Heinen
IRS990/Form990PartVIISectionAGrp/PersonNm13Mrs Afton Hominick
IRS990/Form990PartVIISectionAGrp/PersonNm14Mr Royce Hunter
IRS990/Form990PartVIISectionAGrp/PersonNm15Ms Penny McBride
IRS990/Form990PartVIISectionAGrp/PersonNm16Ms Allison McDade
IRS990/Form990PartVIISectionAGrp/PersonNm17Mr Chris Schoessow
IRS990/Form990PartVIISectionAGrp/PersonNm18Ms Kristina Seracen
IRS990/Form990PartVIISectionAGrp/PersonNm19Mr Edward Stroeher
IRS990/Form990PartVIISectionAGrp/PersonNm20Mr John Washburne
IRS990/Form990PartVIISectionAGrp/PersonNm21Mr Todd Willingham
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IRS990/Form990PartVIISectionAGrp/TitleTxt0EXECUTIVE DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21VICE PRESIDENT
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IRS990/MissionDesc0CREATE HEALTHY FOUNDATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF CREATE HEALTHY MANAGEMENT AND ITS RELATED NONPROFIT ENTITIES.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.0$1.35$40.6$2.89$4.43$1.54
2023Detailed filing. Detailed filing data is available for this year.$41.0$0.98$40.0$3.64$0.73$2.91
2022Detailed filing. Detailed filing data is available for this year.$38.4$4.87$33.5$2.10$1.25$0.84
2021Detailed filing. Detailed filing data is available for this year.$43.8$5.08$38.7$2.85$1.79$1.07
2020Detailed filing. Detailed filing data is available for this year.$38.7$4.89$33.9$7.24$0.75$6.48
2019Detailed filing. Detailed filing data is available for this year.$28.2$2.46$25.7$2.40$0.83$1.57
2018Detailed filing. Detailed filing data is available for this year.$22.4$1.18$21.2$2.32$2.50$0.18
2017Detailed filing. Detailed filing data is available for this year.$24.4$0.08$24.3$5.09$6.20$1.11
2016Detailed filing. Detailed filing data is available for this year.$24.2$0.23$24.0$3.86$2.89$0.97
2015Detailed filing. Detailed filing data is available for this year.$21.9$0.07$21.8$4.47$3.33$1.15
2014Summary only. Only limited summary data is available for this year.$21.9$0.13$21.8$6.79$3.24$3.56
2013Summary only. Only limited summary data is available for this year.$21.1$0.09$21.0$2.87$2.23$0.64
2012Summary only. Only limited summary data is available for this year.$18.4$0.31$18.0$2.42$2.39$0.03
2011Summary only. Only limited summary data is available for this year.$16.8$0.22$16.6$3.23$2.46$0.77