Civic Intelligence

Sid Peterson Memorial Hospital

990 • Fiscal year 2016 • EIN 74-2557820

Jul 01, 2015 to Jun 30, 2016 • Filed on May 15, 2017

Organization ProfileN/A

View Organization Page

551 Hill Country DriveKerrville, TX 78028

(830) 258-7728

Siviq Scores

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

Liabilities / Assets

54th percentile

0.35x

Higher debt load relative to assets than 54% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Liabilities / Revenue

55th percentile

0.59x

Higher debt load relative to revenue than 55% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Net Margin

47th percentile

2.2%

Higher net margin than 47% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Top Officer Pay

55th percentile

$525,569

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Asset Growth

22nd percentile

-3.2%

Faster asset growth than 22% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Revenue Growth

24th percentile

-6.4%

Faster revenue growth than 24% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets54th percentile

Assets

Down

$220,551,976

Down $7,264,304 (-3.2%) from 2015

Net Assets

Down

$143,130,957

Down $1,874,201 (-1.3%) from 2015

Liabilities

Down

$77,421,019

Down $5,390,103 (-6.5%) from 2015

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin47th percentile

Revenue

Down

$131,420,434

Down $8,917,016 (-6.4%) from 2015

Expenses

Up

$128,534,861

Up $9,837,237 (+8.3%) from 2015

Net Income

Down

$2,885,573

Down $18,754,253 (-87%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth22nd percentile

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

$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

2016

Assets$220,551,976
Liabilities$77,421,019
Net Assets$143,130,957
Open 2016 Filing

Operations Trend

Revenue Growth24th percentile

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$131,420,434
Expenses$128,534,861
Net Income$2,885,573
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 15, 2017
Return Version
2015v3.0
Gross Receipts
$146,459,817
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$113,803,178$93,353,686▼ $20,449,492
Land, Buildings, and Equipment, Net$78,926,237$77,033,463▼ $1,892,774
Cash and Non-Interest-Bearing Accounts$136,630$22,545,536▲ $22,408,906
Accounts Receivable$22,926,458$15,089,379▼ $7,837,079
Savings and Temporary Cash Investments$6,699,838$6,094,066▼ $605,772
Inventories for Sale or Use$2,473,163$2,801,306▲ $328,143
Prepaid Expenses and Deferred Charges$1,198,116$1,564,258▲ $366,142
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
Loans From Officers Directors$0$0→ $0
Total Assets$227,816,280$220,551,976▼ $7,264,304
Other Assets Total$1,652,660$2,070,282▲ $417,622
Liabilities
Tax Exempt Bond Liabilities$65,463,403$59,591,943▼ $5,871,460
Accounts Payable and Accrued Expenses$14,887,874$11,593,088▼ $3,294,786
Other Liabilities$2,459,845$6,235,988▲ $3,776,143
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
Total Liabilities$82,811,122$77,421,019▼ $5,390,103
Net Assets / Fund Balance
Unrestricted Net Assets$144,745,631$142,725,381▼ $2,020,250
Temporarily Rstr Net Assets$259,527$405,576▲ $146,049
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$145,005,158$143,130,957▼ $1,874,201
Total Liabilities and Net Assets / Fund Balance$227,816,280$220,551,976▼ $7,264,304

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$56,923,424$35,383,096$92,306,520
Equipment$15,760,058$51,898,221$67,658,279
Land$3,668,549-$3,668,549
Other Land Buildings$482,039$108,036$590,075
Leasehold Improvements$199,393$275,115$474,508

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$120,784-▲ $5,348-$125,808
2014$122,561-▼ $1,516-$120,784
2013$106,408-▲ $16,403-$122,561
2012$81,151-▲ $25,516-$106,408
2011$81,306-▲ $78-$81,151
Compensation and Service Providers
Top Officer Pay55th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
J Patrick MurrayCEOFT$337,047$188,522$525,569
J Stephen PaulterCOOFT$215,442$57,833$273,275
Joseph PiszczorVP OperationsFT$139,678$21,837$161,515
Tim RyeAdministratorFT$131,326$28,954$160,280
Kaeli DresslerCNOFT$144,581$15,679$160,260
Paulette NewlinNursing SupervisorFT$132,701$15,846$148,547
Shane AndersRn IvFT$136,524$11,487$148,011
Susan RoigClinical CoordinatorFT$116,554$25,014$141,568
Richard CruthirdsCIOFT$127,539$12,831$140,370
Jana McdermottNurse PractitionerFT$117,992$19,226$137,218
Lisa MedovichCFOFT$121,984$1,846$123,830

Board Members and Trustees

NameTitle
Michael M BaumannChairman
Robert SchmerbeckVice Chair
Sarah F FontenotVice Chair
William M JohnstonVice Chair
Deborah G MitchellDirector
Greg ShraderDirector
Harold WilsonDirector
James YoungDirector
Mark H ArmstrongDirector
Royce G ItschnerDirector
Sue SteeleDirector
William E Morris Jr MdDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Favorite Healthcare StaffingContract LaborPO BOX 803356, Kansas City, MO 64190$2,679,093
Luker Pharmacy ManagementRx ManagementPO BOX 1072, Blanco, TX 78606$2,323,459
Sound PhysiciansPhysician1123 PACIFIC AVE, Tacoma, WA 98402$2,248,794
zuber constructionconstruction616 clay street, Kerrville, TX 78028$867,184
Sodexo CtmDietary&housekeepingPO BOX 41500, Nashville, TN 37241-5000$845,662
Revenue and Support

Revenue Composition

Contributions and Grants
$186,043
Program Service Revenue
$129,104,832
Investment Income
$2,498,981
Other Revenue
$-369,422
All Other Contributions
$86,043
Change in Net Assets
$2,885,573

Audited Revenue Reconciliation

Revenue per Audited Statements
$134,236,880
Revenue Not Reported on Financial Statements
$-2,816,446
Revenue Not Reported on Form 990
$-16,007,999
Other Revenue Adjustments
$-2,816,446
Total Revenue per Audited Statements
$118,228,881
Total Revenue per Form 990
$131,420,434
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$73,783,274
Salaries, Compensation, and Employee Benefits$54,674,559
Total Fundraising Expense$136,426
Grants and Similar Amounts Paid$77,028
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$36,916,727$5,152,011$93,140$42,161,878
Fees for Services Other$14,316,227$3,337,550$160$17,653,937
Depreciation Depletion$6,428,867$2,430,194-$8,859,061
Other Employee Benefits$6,774,070$962,464$12,178$7,748,712
Payroll Taxes$2,825,740$353,267$6,812$3,185,819
Interest$2,842,341--$2,842,341
All Other Expenses$1,319,427$1,044,232$6,163$2,369,822
Information Technology$842,334$1,177,398-$2,019,732
Occupancy$1,525,362$124,742-$1,650,104
Office Expenses$1,271,958$313,265$2,104$1,587,327
Current Officers, Directors, Trustees, and Key Employees$1,212,490$171,766$563$1,384,819
Advertising$659,043$5,268$14,370$678,681
Fees for Services Management$292,250$358,520-$650,770
Other Expenses$278,610$352,609$0$631,219
Travel$269,437$510-$269,947
Conferences and Meetings$138,961$99,631$520$239,112
Fees for Services Accounting-$223,958-$223,958
Pension Plan Contributions$169,280$23,635$416$193,331
Insurance$99,038$33,012-$132,050
Fees for Services Legal-$100,080-$100,080
Grants to Domestic Individuals$65,528--$65,528
Grants to Domestic Orgs$11,500--$11,500
Total Functional Expenses$111,981,414$16,417,021$136,426$128,534,861

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$128,534,861
Total Expenses per Audited Statements$116,931,940
Expenses per Audited Statements$114,362,739
Expenses Not Reported on Financial Statements$14,172,122
Other Expense Adjustments$14,172,122
Expenses Not Reported on Form 990$2,569,201
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
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
Est Amounts From Third Parties$4,897,901
Self-insurance Costs$1,338,087

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$0$0$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
Backup withholding compliance
Yes
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 organization engages an outside accounting firm to prepare form 990. Once prepared, the form is reviewed by the organization's internal accountants prior to filing.”

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

“Review of ceo or top mgmt 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.”

Form 990, Part VI, Question 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. This past year one board member was not allowed to attend meetings because his construction firm was bidding on a hospital project. He was allowed to resume attending board meetings once the contractor was decided upon.”

Filing and Contact Details

Filer

Filer Name
Sid Peterson Memorial Hospital
EIN
74-2557820
In Care Of
% SID PETERSON MEMORIAL HOSPIT
Phone
8302587728
Address
551 HILL COUNTRY DRIVE, KERRVILLE, TX 78028

Signing Officer

Name
Lisa Medovich
Title
CFO
Phone
8302587628
Signed
2017-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
J Patrick Murray
Formed
1990
Legal Domicile
TX
Voting Board Members
12
Independent Board Members
12
Employees
1,214
Volunteers
120

Preparer

Firm
Bkd Llp
Address
2800 Post Oak Blvd Ste 3200, HOUSTON, TX 77056
Preparer
Amanda Maya
Phone
7134994600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D

“Description of other program services: the organization has one lab off-site outreach location. There were 23,843 lab tests performed for the year.”

Form 990, Part XI, Line 9

“Other changes in net assets of fund balances: transfer to affiliates: < 3,327,191 >”

Form 990 Part IX Line 11G

“Description:contracted services total fees:4730933”

Form 990 Part IX Line 11G

“Description:professional fees - physicians total fees:3580233”

Form 990 Part IX Line 11G

“Description:outsourced labor total fees:2296124”

Form 990 Part IX Line 11G

“Description:peterson hospice nursing home total fees:519491”

Form 990 Part IX Line 11G

“Description:consultant fees total fees:324222”

Form 990 Part IX Line 11G

“Description:pathology services total fees:433661”

Form 990 Part IX Line 11G

“Description:other prof fees total fees:414744”

Form 990 Part IX Line 11G

“Description:pt o/t contracted services total fees:161330”

Form 990 Part IX Line 11G

“Description:contract labor total fees:4673869”

Form 990 Part IX Line 11G

“Description:hemodialysis services total fees:292474”

Form 990 Part IX Line 11G

“Description:administrative pho expenses total fees:59606”

Form 990 Part IX Line 11G

“Description:all others total fees:167250”

Financial Statement Notes

Schedule D, Part V, Line 4

“Describe the intended uses of the organization's endowment funds: endowment fund is used to provide assistance to those with end of life issues through the hospice program.”

Schedule D, Part XI, Line 2D

“Reconciliation of revenue per audited f/s with revenue per return: bad debt expense offsetting audit revenue (14,575,416)”

Schedule D, Part XI, Line 4B

“Reconciliation of revenue per audited f/s with revenue per return: loss on disposal in expenses per audit (7,182) net assets released from restriction 10,000 classification differences (403,294) contributions to net assets 146,049 ucc/dispro expense (2,253,297) rental expense included in revenue for 990 (308,722) ------------------------------------------------------- total (2,816,446)”

Schedule D, Part XII, Line 2D

“Reconciliation of expenses per audited f/s with expenses per return: loss on disposal in expenses per audit 7,182 ucc/dispro expense 2,253,297 rental expense included in revenue for 990 308,722 ------------------------------------------------------- total 2,569,201”

SCHedule D, PART XII, LINE 4B

“Reconciliation of expenses per audited f/s with expenses per return: bad debt expense offsetting audit revenue 14,575,416 classification differences (403,294) ----------------------------------------------------------- total 14,172,122”

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

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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: 24/7 EMERGENCY 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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Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$220,551,976
Liabilities
$77,421,019
Net assets
$143,130,957
Revenue
$131,420,434
Expenses
$128,534,861
Net income
$2,885,573
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