Civic Intelligence

Hill Country Memorial Hospital Foundation

990 • Fiscal year 2023 • EIN 74-2557105

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 15, 2024

Organization ProfileWWW.CREATEHEALTHY.ORG
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

18th percentile

0.02x

Higher debt load relative to assets than 18% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Liabilities / Revenue

47th percentile

0.27x

Higher debt load relative to revenue than 47% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Net Margin

96th percentile

80%

Higher net margin than 96% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Top Officer Pay

92nd percentile

$819,099

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 22.5% of source-year revenue.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Asset Growth

51st percentile

6.8%

Faster asset growth than 51% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2023

Revenue Growth

91st percentile

74%

Faster revenue growth than 91% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets18th percentile

Assets

Up

$40,979,924

Up $2,614,466 (+6.8%) from 2022

Net Assets

Up

$39,995,323

Up $6,503,935 (+19%) from 2022

Liabilities

Down

$984,601

Down $3,889,469 (-80%) from 2022

Revenue And Expenses
Liabilities / Revenue47th percentileNet Margin96th percentile

Revenue

Up

$3,641,306

Up $1,546,166 (+74%) from 2022

Expenses

Down

$727,605

Down $526,851 (-42%) from 2022

Net Income

Up

$2,913,701

Up $2,073,017 (+247%) from 2022

Historical Trend

Balance Sheet Trend

Asset Growth51st percentile

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

2023

Assets$40,979,924
Liabilities$984,601
Net Assets$39,995,323
Open 2023 Filing

Operations Trend

Revenue Growth91st percentile

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

2023

Revenue$3,641,306
Expenses$727,605
Net Income$2,913,701
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 15, 2024
Return Version
2023v5.1
Gross Receipts
$14,211,162
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$36,564,020$40,406,758▲ $3,842,738
Savings and Temporary Cash Investments$1,300,375$313,892▼ $986,483
Land, Buildings, and Equipment, Net$80,000$80,000→ $0
Cash and Non-Interest-Bearing Accounts$35,650$51,782▲ $16,132
Accounts Receivable$230,114$35,244▼ $194,870
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Intangible Assets$0--
Loans From Officers Directors-$0-
Total Assets$38,365,458$40,979,924▲ $2,614,466
Other Assets Total$155,299$92,248▼ $63,051
Liabilities
Other Liabilities$4,837,915$984,601▼ $3,853,314
Accounts Payable and Accrued Expenses$36,155--
Total Liabilities$4,874,070$984,601▼ $3,889,469
Net Assets / Fund Balance
Net Assets With Donor Restrictions$20,664,972$24,568,837▲ $3,903,865
Net Assets Without Donor Restrictions$12,826,416$15,426,486▲ $2,600,070
Total Net Assets Fund Balance$33,491,388$39,995,323▲ $6,503,935
Total Liabilities and Net Assets / Fund Balance$38,365,458$40,979,924▲ $2,614,466

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$80,000$10,983$90,983

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$19,422,665$1,524,910▲ $4,071,399$2,831$25,016,143
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
Compensation and Service Providers
Top Officer Pay92nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Executive DirectorPT$45,054$56,845$101,899

Board Members and Trustees

NameTitle
-Chairman
-Vice-Chair
-Director
-DIRECTOR END: 6/2023
-CEO
-Secretary
-Secretary END: 6/2023
-VP of Finance
Revenue and Support

Revenue Composition

Contributions and Grants
$2,138,836
Program Service Revenue
$0
Investment Income
$1,499,503
Other Revenue
$2,967
All Other Contributions
$2,138,836
Change in Net Assets
$2,913,701

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,458,074
Revenue Not Reported on Financial Statements
$183,232
Revenue Not Reported on Form 990
$3,601,544
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$7,059,618
Total Revenue per Form 990
$3,641,306
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$326,240
Salaries, Compensation, and Employee Benefits$240,261
Grants and Similar Amounts Paid$161,104
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Service Investment Mgmnt Fees-$183,232-$183,232
Grants to Domestic Orgs$161,104--$161,104
Current Officers, Directors, Trustees, and Key Employees$25,475$76,423-$101,898
Other Salaries and Wages$60,805$40,434-$101,239
Fees for Services Other$6,918$35,335$0$42,253
Occupancy$32,013$8,510-$40,523
Office Expenses$30,145$4,914-$35,059
Other Employee Benefits$18,052$635-$18,687
Payroll Taxes$11,434$3,040-$14,474
Pension Plan Contributions$2,185$1,778-$3,963
Conferences and Meetings$2,181$355-$2,536
Other Expenses$1,855$301-$2,156
Advertising$1,573$257-$1,830
Fees for Services Legal-$594-$594
All Other Expenses$207$34$0$241
Total Functional Expenses$371,246$356,359$0$727,605

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$727,605
Total Expenses per Audited Statements$555,683
Expenses per Audited Statements$544,373
Expenses Not Reported on Financial Statements$183,232
Expenses Not Reported on Form 990$11,310
Other Expense Adjustments$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Create Healthy ManagementFredericksburg, TX501(c)(3)Support Ops$161,104
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$584,010
Annuity Payable$400,591
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A Delegation Of Authority

“The executive committee shall be comprised of the president, vice president, secretary, treasurer and four directors elected at large bythe 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, Line 1A Delegate broad authority to A committee

“The Executive committee shall consist of those same individuals who serve on the executive committee of create healthy management. the chair of the board shall serve as the chair of executive committee. the committee shall have power to transact business of the corporation subject to any prior limitations imposed by the board of directors. the primary functions of the executive committee are to (i) assist the board of directors in the development of policies and procedures and (ii) oversee best practices and compliance. the executive committee shall have such additional duties and responsibilities as may be set forth in the bylaws or as the board of directors assigns to the committee from time to time. minutes of the executive committee meetings shall be submitted to the board, and its actions shall be brought to the board at the next regular meeting for ratification.”

Form 990, Part VI, Line 4 Significant changes to organizational documents

“Create Healthy Management board of directors obtained control of the board of directors of create healthy foundation. This is accounted for as an acquisition and resulted in CHF becoming a type I supporting organization that is operated, supervised, or controlled by its supported organization.”

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

“Members of the Board of directors shall each be appointed from the Board of Directors of Create Healthy Management and shall serve a term conterminous with their term on the Create Healthy Management Board of Directors.”

Form 990, Part VI, Line 11B Review of form 990 by governing body

“The create healthy foundation 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, Line 12C Conflict of interest policy

“CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, and HIGHLY COMPENSATED EMPLOYEES ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT.”

Form 990, Part VI, Line 15A Process to establish compensation of top management official

“The board reviews relevant wage survey and data to determine ceo compensation. Data and surveys are supplied by a national compensation firm that specializes in compensation consulting. The compensation evaluation process is as follows: the ceo compensation is set by the board of directors. Salary is accounted for the size and complexity of the organization and the knowledge and experience of the employee. All salaries are reflective of the market. Leadership compensation is reviewed annually.”

Form 990, Part VI, Line 19 Required documents available to the public

“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.”

Filing and Contact Details

Filer

Filer Name
Create Healthy Foundation
EIN
74-2557105
Phone
8309971297
Address
PO BOX 1339, FREDERICKSBURG, TX 78624

Signing Officer

Name
Jayne Pope
Title
CEO
Phone
8309971297
Signed
2024-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
1989
Legal Domicile
TX
Voting Board Members
7
Independent Board Members
7
Employees
4
Volunteers
21

Preparer

Firm
Forvis Mazars LLP
Address
14221 Dallas Parkway Suite 400, Dallas, TX 75254
Preparer
Jeanette Verrelli
Phone
9727028262
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3 Significant changes in program services

“Pursuant to the sale of Hill Country Memorial Hospital to Methodist Hospital on 3/31/23, Create Healthy Foundation ceased fundraising efforts. Current assets are now used to support Create Healthy Management Health initiatives.”

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 - 321;”

Financial Statement Notes

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 V, Line 4 Intended uses of endowment funds

“Create Healthy Foundation holds and maintains Endowment funds for the benefit of certain community needs. Certain endowments are Board directed, while others are donor restricted. Endowment funds are designated for equipment and technology, nurse stipends, scholarships, health related professional certifications, and stroke education and awareness. Additionally there are several unrestricted endowment funds.”

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

“Change in Split Interest - 321”

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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8Barbara Heinen
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10DAN SECHRIST
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11Edward Stroeher
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13JAN DWYER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14Jody Donovan
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15John Washburne
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16Jon CRENWELGE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17Kathy Harper
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18Kristina SEracen
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19Kyle Frey
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20Linda Cheslak
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Secretary END: 6/2023
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Document Assets

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$40,979,924
Liabilities
$984,601
Net assets
$39,995,323
Revenue
$3,641,306
Expenses
$727,605
Net income
$2,913,701
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