Civic Intelligence

Sid Peterson Memorial Hospital

990 • Fiscal year 2019 • EIN 74-2557820

Jul 01, 2018 to Jun 30, 2019 • Filed on Jul 14, 2020

Organization ProfileWWW.PETERSONHEALTH.COM

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

47th percentile

0.29x

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

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Liabilities / Revenue

37th percentile

0.39x

Higher debt load relative to revenue than 37% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Net Margin

76th percentile

13%

Higher net margin than 76% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Top Officer Pay

55th percentile

$966,065

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Asset Growth

66th percentile

8.1%

Faster asset growth than 66% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Revenue Growth

86th percentile

19%

Faster revenue growth than 86% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets47th percentile

Assets

Up

$256,619,169

Up $19,224,998 (+8.1%) from 2018

Net Assets

Up

$183,310,617

Up $20,256,983 (+12%) from 2018

Liabilities

Down

$73,308,552

Down $1,031,985 (-1.4%) from 2018

Revenue And Expenses
Liabilities / Revenue37th percentileNet Margin76th percentile

Revenue

Up

$186,440,685

Up $29,284,844 (+19%) from 2018

Expenses

Up

$161,596,583

Up $13,988,917 (+9.5%) from 2018

Net Income

Up

$24,844,102

Up $15,295,927 (+160%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth66th 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

2019

Assets$256,619,169
Liabilities$73,308,552
Net Assets$183,310,617
Open 2019 Filing

Operations Trend

Revenue Growth86th 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

2019

Revenue$186,440,685
Expenses$161,596,583
Net Income$24,844,102
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jul 14, 2020
Return Version
2018v3.2
Gross Receipts
$200,831,084
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$104,822,268$111,666,125▲ $6,843,857
Land, Buildings, and Equipment, Net$84,219,318$94,884,171▲ $10,664,853
Accounts Receivable$20,167,662$26,781,014▲ $6,613,352
Savings and Temporary Cash Investments$14,599,867$9,576,808▼ $5,023,059
Cash and Non-Interest-Bearing Accounts$6,496,816$6,325,271▼ $171,545
Inventories for Sale or Use$3,051,359$3,252,237▲ $200,878
Prepaid Expenses and Deferred Charges$2,612,746$2,762,964▲ $150,218
Total Assets$237,394,171$256,619,169▲ $19,224,998
Other Assets Total$1,424,135$1,370,579▼ $53,556
Liabilities
Tax Exempt Bond Liabilities$55,152,354$52,811,930▼ $2,340,424
Accounts Payable and Accrued Expenses$15,019,640$18,468,519▲ $3,448,879
Other Liabilities$4,168,543$2,028,103▼ $2,140,440
Total Liabilities$74,340,537$73,308,552▼ $1,031,985
Net Assets / Fund Balance
Unrestricted Net Assets$162,638,373$183,006,149▲ $20,367,776
Temporarily Rstr Net Assets$415,261$304,468▼ $110,793
Total Net Assets Fund Balance$163,053,634$183,310,617▲ $20,256,983
Total Liabilities and Net Assets / Fund Balance$237,394,171$256,619,169▲ $19,224,998

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$64,177,069$44,749,259$108,926,328
Equipment$25,700,549$53,387,569$79,088,118
Land$4,011,406-$4,011,406
Leasehold Improvements$382,926$394,822$777,748
Other Land Buildings$612,221-$612,221

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$127,969-▲ $3,384-$131,038
2017$127,017-▲ $1,266-$127,969
2016$125,808-▲ $1,532-$127,017
2015$120,784-▲ $5,348-$125,808
2014$122,561-▼ $1,516-$120,784
Compensation and Service Providers
Top Officer Pay55th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
James P MurryCEOFT$682,696$283,369$966,065
Lisa MedovichCFOFT$253,320$42,076$295,396
Stephen PautlerCOOFT$255,614$32,504$288,118
Kaeli DresslerCNOFT$169,307$29,207$198,514
Joe PiszczorVP of OperationsFT$151,344$39,537$190,881
Shane AndersClinic SupervisorFT$140,573$24,563$165,136
Orlando VolpeHuman Resource DirectorFT$125,355$28,771$154,126
Karen ClarkDirector of Materials MgmtFT$141,601$9,873$151,474
Paulette NewlinNursing SupervisorFT$144,610$6,614$151,224
Susan RoigClinical CoordinatorFT$133,044$12,749$145,793

Board Members and Trustees

NameTitle
Mark H ArmstrongChairman
Sarah F FontenotVice Chair
William M JohnstonVice Chair
B Kay PenceDirector
Brian P BowersDirector
E Walter Koenig IiiDirector
Greg L ShraderDirector
James a Young MdDirector
Robert L Schmerbeck IiiDirector
Sue S SteeleDirector
William E Morris Jr MdDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Park Place International LLC Dba Cloudwa-8401 CHAGRIN ROAD SUITE 6B, Chagrin Falls, OH 44023$1,077,652
Third Coast Emergency Physicians Sid Pet-6300 LA CALMA DRIVE, Austin, TX 78752$517,225
Anesthesia Associates Of Kerrville Pllc-420 WATER ST STE 105B, Kerrville, TX 78028$459,132
Wrg LLC-2639 E ROSEMEADE PARKWAY, Carrollton, TX 75007$328,122
Kerrville Sleep Center LP-PO BOX 291826, Kerrville, TX 78029$317,775
Revenue and Support

Revenue Composition

Contributions and Grants
$8,531,164
Program Service Revenue
$173,120,116
Investment Income
$4,092,562
Other Revenue
$696,843
All Other Contributions
$8,531,164
Change in Net Assets
$24,844,102

Audited Revenue Reconciliation

Revenue per Audited Statements
$188,555,781
Revenue Not Reported on Financial Statements
$-2,115,096
Revenue Not Reported on Form 990
$-24,819,890
Other Revenue Adjustments
$-2,115,096
Total Revenue per Audited Statements
$163,735,891
Total Revenue per Form 990
$186,440,685
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$88,026,897
Salaries, Compensation, and Employee Benefits$73,529,461
Total Fundraising Expense$332,497
Grants and Similar Amounts Paid$40,225
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$47,486,815$6,729,465$126,779$54,343,059
Other Employee Benefits$9,697,527$3,214,023$962$12,912,512
Fees for Services Other$9,681,116$2,373,188$36,964$12,091,268
Depreciation Depletion$8,451,520--$8,451,520
Payroll Taxes$3,111,059$447,175$8,928$3,567,162
Information Technology$1,553,993$1,392,205$9,865$2,956,063
Current Officers, Directors, Trustees, and Key Employees$2,300,719$406,009-$2,706,728
Interest$2,368,430--$2,368,430
Occupancy$1,118,270$175,102$272$1,293,644
Advertising$146,461$774,901$97,245$1,018,607
Other Expenses$640,845$307,610$31,024$979,479
Fees for Services Management$869,720$75,382$15,076$960,178
All Other Expenses$425,646$237,959$2,845$666,450
Travel$439,201$130,862$1,974$572,037
Insurance$261,537$86,585-$348,122
Fees for Services Legal-$338,236-$338,236
Office Expenses$169,818$70,016$40$239,874
Fees for Services Accounting-$153,672-$153,672
Grants to Domestic Individuals$36,425--$36,425
Conferences and Meetings$20,587$9,403$136$30,126
Grants to Domestic Orgs$3,800--$3,800
Total Functional Expenses$143,966,871$17,297,215$332,497$161,596,583

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$161,596,583
Total Expenses per Audited Statements$143,391,303
Expenses per Audited Statements$132,745,043
Expenses Not Reported on Financial Statements$28,851,540
Other Expense Adjustments$28,851,540
Expenses Not Reported on Form 990$10,646,260
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 Costs$2,028,103

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
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

“The organization 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

“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

“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

“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
8302587728
Address
551 HILL COUNTRY DRIVE, KERRVILLE, TX 78028

Signing Officer

Name
Lisa Medovich
Title
CFO
Phone
8302587728
Signed
2020-07-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Corey Edmondson
Formed
1990
Legal Domicile
TX
Voting Board Members
11
Independent Board Members
11
Employees
1,270
Volunteers
0

Preparer

Firm
Massey Itschner & Co Pc
Address
707 HILL COUNTRY DR SUITE 118, KERRVILLE, TX 78028
Preparer
Randy D Evans
Phone
8302575330
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Classification difference -1,332. Transfer to affiliates -8,617,433.”

FORM 990, PART XII, LINE 2C:

“Process has not changed from previous year.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Debt expense offsetting audit revenue -28,851,536.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Rental expense included in revenue -652,449. Ucc/dispro expense -9,993,811. Net assets released from restriction 8,531,164.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Ucc/dispro expense 9,993,811. Rental expense included in revenue for 990 652,449.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense offsetting audit revenue 28,851,536. Rounding 4.”

Raw XML AppendixShowing 400 of 1,091 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.

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IRS990/ActivityOrMissionDesc0THE HOSPITAL'S MISSION IS TO PROVIDE WORLD CLASS CARE TODAY, TOMORROW, ALWAYS IN DELIVERING EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED CARE.
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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/PersonNm2SARAH F FONTENOT
IRS990/Form990PartVIISectionAGrp/PersonNm3WILLIAM M JOHNSTON
IRS990/Form990PartVIISectionAGrp/PersonNm4E WALTER KOENIG III
IRS990/Form990PartVIISectionAGrp/PersonNm5WILLIAM E MORRIS JR MD
IRS990/Form990PartVIISectionAGrp/PersonNm6B KAY PENCE
IRS990/Form990PartVIISectionAGrp/PersonNm7ROBERT L SCHMERBECK III
IRS990/Form990PartVIISectionAGrp/PersonNm8GREG L SHRADER
IRS990/Form990PartVIISectionAGrp/PersonNm9SUE S STEELE
IRS990/Form990PartVIISectionAGrp/PersonNm10JAMES A YOUNG MD
IRS990/Form990PartVIISectionAGrp/PersonNm11KAELI DRESSLER
IRS990/Form990PartVIISectionAGrp/PersonNm12LISA MEDOVICH
IRS990/Form990PartVIISectionAGrp/PersonNm13JAMES P MURRY
IRS990/Form990PartVIISectionAGrp/PersonNm14STEPHEN PAUTLER
IRS990/Form990PartVIISectionAGrp/PersonNm15JOE PISZCZOR
IRS990/Form990PartVIISectionAGrp/PersonNm16PAULETTE NEWLIN
IRS990/Form990PartVIISectionAGrp/PersonNm17SHANE ANDERS
IRS990/Form990PartVIISectionAGrp/PersonNm18KAREN CLARK
IRS990/Form990PartVIISectionAGrp/PersonNm19ORLANDO VOLPE
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IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11CNO
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IRS990/Form990PartVIISectionAGrp/TitleTxt13CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt14COO
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP OF OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt16NURSING SUPERVISOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17CLINIC SUPERVISOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR OF MATERIALS MGMT
IRS990/Form990PartVIISectionAGrp/TitleTxt19HUMAN RESOURCE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20CLINICAL COORDINATOR
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2307610
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IRS990/OtherExpensesGrp/ProgramServicesAmt23820676
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IRS990/OtherExpensesGrp/TotalAmt24152414
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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$256,619,169
Liabilities
$73,308,552
Net assets
$183,310,617
Revenue
$186,440,685
Expenses
$161,596,583
Net income
$24,844,102
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