Hill Country Memorial Hospital Foundation

“The Board, through its related organization, Create Healthy Management, 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 Independent 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 data utilized. Leadership compensation is reviewed annually by the audit and finance committee and the board of directors. The most recent review was approved in December 2024 and was documented through board meeting minutes. The process for other leadership positions is for the independent board to approve the annual budget, inclusive of salaries determined based on comparative salary data. This process is documented in the board meeting minutes. Since this process is conducted by a related organization and in accordance with the Form 990 instructions, Lines 15a and 15b are answered "No".”

“On November 20, 2024, the organization amended and restated its bylaws. Changes included: revising officer structure (President & CEO as exofficio, nonvoting); expanding actions requiring a twothirds board vote (including subsidiaries/JVs, debt, and boarddesignated funds); revising officer term limits and director attendance; and updating the bylaw amendment procedure.”

“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.”

“No such committee exists with the authority to act on behalf of the 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.”

“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.”

“The organization values transparency and accountability. Upon request, copies of key governing documents are available to the public. Additionally, anyone can request our IRS Form 990, exemption application, and IRS determination letter, helping community members understand our mission and finances. While full financial reports are not publicly distributed, highlights and summary financial information can always be found in our annual report to the community, so supporters and stakeholders can see our impact.”

“Change in Split Interest - -16321; Total - -16321;”