Civic Intelligence

Sid Peterson Memorial Hospital

EIN 74-2557820 • 501(c)3 • Kerrville, TX

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Profile

Peterson regional medical center provides exceptional, compassionate, patient-centered healthcare.

551 Hill Country DriveKerrville, TX 78028

www.petersonhealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

38th percentile

0.19x

Higher debt load relative to assets than 38% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Liabilities / Revenue

33rd percentile

0.28x

Higher debt load relative to revenue than 33% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Net Margin

74th percentile

14%

Higher net margin than 74% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

71st percentile

10%

Faster asset growth than 71% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2025

Revenue Growth

63rd percentile

11%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2025

Balance Sheet
Liabilities / Assets38th percentile

Assets

Up

$353,644,819

Up $30,385,114 (+9.4%) from 2024

Liabilities

Down

$67,294,586

Down $3,662,105 (-5.2%) from 2024

Net Assets

Up

$286,350,233

Up $34,047,219 (+13%) from 2024

Operations
Liabilities / Revenue33rd percentileNet Margin74th percentile

Revenue

Up

$238,296,160

Up $25,024,062 (+12%) from 2024

Expenses

Up

$204,716,921

Up $23,464,375 (+13%) from 2024

Net Income

Up

$33,579,239

Up $1,559,687 (+4.9%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth71st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400M$300M$200M$100M$0Assets 2010: $191,428,058Liabilities 2010: $80,656,836Net Assets 2010: $110,771,2222010Assets 2011: $200,016,200Liabilities 2011: $80,863,328Net Assets 2011: $119,152,8722011Assets 2012: $200,261,636Liabilities 2012: $94,318,007Net Assets 2012: $105,943,6292012Assets 2013: $204,804,982Liabilities 2013: $87,737,912Net Assets 2013: $117,067,0702013Assets 2014: $219,291,446Liabilities 2014: $85,974,466Net Assets 2014: $133,316,9802014Assets 2015: $227,816,280Liabilities 2015: $82,811,122Net Assets 2015: $145,005,1582015Assets 2016: $220,551,976Liabilities 2016: $77,421,019Net Assets 2016: $143,130,9572016Assets 2017: $228,611,677Liabilities 2017: $72,666,218Net Assets 2017: $155,945,4592017Assets 2018: $237,394,171Liabilities 2018: $74,340,537Net Assets 2018: $163,053,6342018Assets 2019: $256,619,169Liabilities 2019: $73,308,552Net Assets 2019: $183,310,6172019Assets 2020: $286,905,364Liabilities 2020: $93,192,866Net Assets 2020: $193,712,4982020Assets 2021: $315,585,988Liabilities 2021: $92,026,059Net Assets 2021: $223,559,9292021Assets 2022: $274,567,180Liabilities 2022: $67,405,753Net Assets 2022: $207,161,4272022Assets 2023: $290,019,605Liabilities 2023: $68,786,255Net Assets 2023: $221,233,3502023Assets 2024: $323,259,705Liabilities 2024: $70,956,691Net Assets 2024: $252,303,0142024Assets 2025: $353,644,819Liabilities 2025: $67,294,586Net Assets 2025: $286,350,2332025

Highlighted filing

2025

Assets$353,644,819
Liabilities$67,294,586
Net Assets$286,350,233
Open 2025 Filing

Operations Trend

Revenue Growth63rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0Expenses 2010: $93,851,9012010Expenses 2011: $98,552,4722011Expenses 2012: $103,217,2302012Expenses 2013: $99,927,2302013Revenue 2014: $114,312,837Expenses 2014: $104,950,381Net Income 2014: $9,362,4562014Revenue 2015: $140,337,450Expenses 2015: $118,697,624Net Income 2015: $21,639,8262015Revenue 2016: $131,420,434Expenses 2016: $128,534,861Net Income 2016: $2,885,5732016Revenue 2017: $154,093,403Expenses 2017: $143,182,753Net Income 2017: $10,910,6502017Revenue 2018: $157,155,841Expenses 2018: $147,607,666Net Income 2018: $9,548,1752018Revenue 2019: $186,440,685Expenses 2019: $161,596,583Net Income 2019: $24,844,1022019Revenue 2020: $180,306,553Expenses 2020: $163,574,363Net Income 2020: $16,732,1902020Revenue 2021: $197,777,145Expenses 2021: $179,955,583Net Income 2021: $17,821,5622021Revenue 2022: $217,464,020Expenses 2022: $194,800,502Net Income 2022: $22,663,5182022Revenue 2023: $192,414,654Expenses 2023: $174,830,522Net Income 2023: $17,584,1322023Revenue 2024: $213,272,098Expenses 2024: $181,252,546Net Income 2024: $32,019,5522024Revenue 2025: $238,296,160Expenses 2025: $204,716,921Net Income 2025: $33,579,2392025

Highlighted filing

2025

Revenue$238,296,160
Expenses$204,716,921
Net Income$33,579,239
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$353,644,819
Liabilities
$67,294,586
Net assets
$286,350,233
Revenue
$238,296,160
Expenses
$204,716,921
Net income
$33,579,239
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$354$67.3$286$238$205$33.6
2024Detailed filing. Detailed filing data is available for this year.$323$71.0$252$213$181$32.0
2023Detailed filing. Detailed filing data is available for this year.$290$68.8$221$192$175$17.6
2022Detailed filing. Detailed filing data is available for this year.$275$67.4$207$217$195$22.7
2021Detailed filing. Detailed filing data is available for this year.$316$92.0$224$198$180$17.8
2020Detailed filing. Detailed filing data is available for this year.$287$93.2$194$180$164$16.7
2019Detailed filing. Detailed filing data is available for this year.$257$73.3$183$186$162$24.8
2018Summary only. Only limited summary data is available for this year.$237$74.3$163$157$148$9.55
2017Summary only. Only limited summary data is available for this year.$229$72.7$156$154$143$10.9
2016Detailed filing. Detailed filing data is available for this year.$221$77.4$143$131$129$2.89
2015Detailed filing. Detailed filing data is available for this year.$228$82.8$145$140$119$21.6
2014Detailed filing. Detailed filing data is available for this year.$219$86.0$133$114$105$9.36
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$205$87.7$117$99.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$200$94.3$106$103
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$200$80.9$119$98.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$191$80.7$111$93.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Dec 18, 2025
Return Version
2024v5.2
Gross Receipts
$272,191,679
Mission and Program Overview

Mission

Peterson regional medical center provides exceptional, compassionate, patient-centered healthcare.

The hospital's mission is to provide world class care today, tomorrow, always in delivering exceptional, compassionate, patient-centered care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$155,567,721$178,167,467▲ $22,599,746
Land, Buildings, and Equipment, Net$118,315,438$132,031,429▲ $13,715,991
Accounts Receivable$24,766,631$27,781,911▲ $3,015,280
Cash and Non-Interest-Bearing Accounts$15,799,756$6,294,135▼ $9,505,621
Inventories for Sale or Use$4,641,768$5,238,055▲ $596,287
Prepaid Expenses and Deferred Charges$2,985,161$3,584,339▲ $599,178
Total Assets$323,259,705$353,644,819▲ $30,385,114
Other Assets Total$1,183,230$547,483▼ $635,747
Liabilities
Tax Exempt Bond Liabilities$39,737,328$36,226,558▼ $3,510,770
Accounts Payable and Accrued Expenses$27,865,524$27,330,837▼ $534,687
Other Liabilities$2,987,212$3,274,949▲ $287,737
Deferred Revenue$366,627$462,242▲ $95,615
Total Liabilities$70,956,691$67,294,586▼ $3,662,105
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$252,041,552$286,102,214▲ $34,060,662
Net Assets With Donor Restrictions$261,462$248,019▼ $13,443
Total Net Assets Fund Balance$252,303,014$286,350,233▲ $34,047,219
Total Liabilities and Net Assets / Fund Balance$323,259,705$353,644,819▲ $30,385,114

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$90,508,166$68,836,546$159,344,712
Equipment$31,770,395$55,096,481$86,866,876
Land$6,489,350-$6,489,350
Leasehold Improvements$3,263,518$936,620$4,200,138

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$220,000---$220,000
2023$220,000---$220,000
2022-$220,000--$220,000
2021$134,138-▼ $134,138--
2020$132,017-▲ $2,437-$134,138
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cory EdmonsonCEOFT$725,619$103,598$829,217
Christopher GlantonCMOFT$462,165$74,362$536,527
Lisa MedovichCFOFT$394,936$100,006$494,942
Joe PiszczorVP of OperationsFT$269,644$70,332$339,976
Kaeli DresslerCNOFT$246,047$71,992$318,039
Brian RobicheauxCIOFT$255,406$52,114$307,520
Tracy DavisVP of Population HealthFT$251,880$33,622$285,502
Timothy RyeChief Strategy DevelopmentFT$217,465$55,982$273,447
Anne RaymondDirector of PharmacyFT$213,759$44,343$258,102
Karen ClarkDirector of Materials MgmtFT$189,994$54,441$244,435

Board Members and Trustees

NameTitle
Mary Liz EastlandChair Elect
Thomas HoudeshellChairman
Sylvia Fritz DobbsVice Chair
Brian P BowersDirector
Gaye AveryDirector
James a Young MdDirector
Jeremy WaltherDirector
Keith WilliamsDirector
Kendall DavisonDirector
Kristen McalexanderDirector
Mark ArmstrongDirector
Michael Ross MdDirector
Rose BradshawDirector
Toni ManchesterDirector
Denton GruzenskyChief Human Resources Offi

Highest Paid Contractors

ContractorServicesLocationCompensation
Intuitive Surgical INC-3410 CENTRAL EXPY, Santa Clara, CA 95051$6,721,606
Medline Industries INC-12002 GENERAL MILTON DR, Laredo, TX 78045$5,759,749
Skiles Group LLC-1810 N GREENVILLE AVENUE, Richardson, TX 75081$3,049,089
Aya Healthcare INC-5930 CORNERSTONE CT W STE 300, San Diego, CA 92121$2,730,011
Health Carousel LLC-4000 SMITH RD SUITE 410, Cincinnati, OH 45209$2,695,013
Revenue and Support

Revenue Composition

Contributions and Grants
$2,256,874
Program Service Revenue
$226,964,261
Investment Income
$6,864,888
Other Revenue
$2,210,137
Change in Net Assets
$33,579,239

Audited Revenue Reconciliation

Revenue per Audited Statements
$236,827,352
Revenue Not Reported on Financial Statements
$1,468,808
Revenue Not Reported on Form 990
$7,331,540
Other Revenue Adjustments
$688,125
Total Revenue per Audited Statements
$244,158,892
Total Revenue per Form 990
$238,296,160
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$113,855,336
Other Expenses$90,757,279
Total Fundraising Expense$528,825
Grants and Similar Amounts Paid$104,306
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$79,694,020$9,644,799$106,466$89,445,285
Other Employee Benefits$10,391,071$5,056,749$58,891$15,506,711
Fees for Services Other$11,970,652$3,195,078$54,504$15,220,234
Depreciation Depletion$6,398,908$2,639,365$27,534$9,065,807
Payroll Taxes$4,949,634$671,897$9,667$5,631,198
Information Technology$2,836,022$1,781,421$11,860$4,629,303
Other Expenses$2,763,658$969,483$25,202$3,758,343
Current Officers, Directors, Trustees, and Key Employees$1,936,249$1,235,726$100,167$3,272,142
Occupancy$1,960,700$321,375$16$2,282,091
Interest$1,075,351$636,384$7,079$1,718,814
Advertising$126,486$852,434$106,554$1,085,474
All Other Expenses$768,369$256,239$3,344$1,027,952
Fees for Service Investment Mgmnt Fees-$780,683-$780,683
Insurance$401,690$99,656-$501,346
Fees for Services Legal$150,896$129,718$7,964$288,578
Fees for Services Accounting$10,904$150,633$7,709$169,246
Grants to Domestic Orgs$64,006--$64,006
Conferences and Meetings$31,727$13,753$517$45,997
Grants to Domestic Individuals$40,300--$40,300
Total Functional Expenses$174,315,213$29,872,883$528,825$204,716,921

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$204,716,921
Total Expenses per Audited Statements$198,625,080
Expenses per Audited Statements$197,250,380
Expenses Not Reported on Financial Statements$7,466,541
Other Expense Adjustments$6,685,858
Expenses Not Reported on Form 990$1,374,700
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Kerr ConnectKerrville, TX501(c)(3)General Support$10,000
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Self- Insurance Fund$2,717,100
Professional Liability$519,366
Right of Use Liability$38,483

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Kerrville TX Health Facilities Dev Corp2015-11-24$59,726,042TO REFINANCE 2005 BONDS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$59,726,042--$1,053,005

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
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, Section B, Line 11B

“Process to review the form 990: the external accounting firm prepares the form 990 and the form is reviewed by the organization's internal accountants prior to filing.”

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

“Process for monitoring compliance with conflict of interest policy: the organization internally reviews transactions for possible conflict on a routine basis throughout the year. All board members are covered under this policy. The board reviews all possible conflicts.”

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

“Review of ceo or top management. Official compensation: the board of directors used an outside agency to conduct a market survey. The results of the survey were used to determine the ceo's salary for the year.”

Form 990, Part VI, Section C, Line 19

“Governing documents available to the public: the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Sid Peterson Memorial Hospital
EIN
74-2557820
Phone
8302587795
Address
551 HILL COUNTRY DRIVE, KERRVILLE, TX 78028

Signing Officer

Name
Lisa Medovich
Title
CFO
Phone
8302587728
Signed
2025-12-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Corey Edmondson
Formed
1990
Legal Domicile
TX
Voting Board Members
12
Independent Board Members
12
Employees
1,622
Volunteers
0

Preparer

Firm
Massey Itschner & Co Pc
Address
820 MAIN STREET SUITE 101, KERRVILLE, TX 78028
Preparer
Casey T Mikeska
Phone
8302575330
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Classification difference -13,446. Transfer to affiliates -13,535,968. Rounding -5.”

FORM 990, PART XII, LINE 2C:

“Process has not changed from previous year.”

Financial Statement Notes

PART V, LINE 4:

“The endowment fund will be used primarily to fund equipment improvements/upgrades and scholarships. A small portion may also be used for recruitment of physicians, nurses and other advanced practice providers.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Bad debt expense offsetting audit revenue -6,685,858. Rounding -1.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Net assets released from restriction 2,062,824. Rental expense included in revenue -1,374,699.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Rental expense included in revenue for 990 1,374,699. Rounding 1.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense offsetting audit revenue 6,685,858.”

Raw XML AppendixShowing 400 of 1,136 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/Desc0PETERSON REGIONAL MEDICAL CENTER IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL IN KERRVILLE, TEXAS. KERRVILLE IS LOCATED IN KERR COUNTY, APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO AND 80 MILES SOUTH WEST OF AUSTIN. PETERSON REGIONAL MEDICAL CENTER SERVES THE COMMUNITIES AND RESIDENTS IN THE FOLLOWING COUNTIES: KERR, BANDERA, GILLESPIE, KIMBLE, EDWARDS AND REAL. PETERSON REGIONAL MEDICAL CENTER ANCHORS A 35-ACRE CAMPUS INCLUDING A 124-BED ACUTE CARE HOSPITAL PROVIDING SERVICES INCLUDING: 24/7EMERGENCY DEPARTMENT, WOMEN'S SERVICES (INCLUDING MATERNAL/NEWBORN), ACUTE INPATIENT REHABILITATION, ORTHOPEDICS, GENERAL SURGERY, DIAGNOSTIC IMAGING, INTENSIVE CARE UNIT, AND LABORATORY. ON THE SAME CAMPUS IS AN AMBULATORY CARE CENTER PROVIDING OUTPATIENT REHAB SERVICES, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTIC IMAGING AND HYPERBARIC WOUND CARE. PETERSON HOSPICE SERVICE AND PETERSON HOME CARE SERVICES ARE ALSO MEMBERS OF THE PETERSON REGIONAL FAMILY OF SERVICES BUT LOCATED OFF-SITE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt4CHAIR ELECT
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt20VP OF POPULATION HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR OF PHARMACY
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IRS990/Form990PartVIISectionAGrp/TitleTxt23DIRECTOR OF MATERIALS MGMT
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