Civic Intelligence

Sid Peterson Memorial Hospital

990 • Fiscal year 2020 • EIN 74-2557820

Jul 01, 2019 to Jun 30, 2020 • Filed on Jun 03, 2021

551 Hill Country DriveKerrville, TX 78028

(830) 258-7795

Siviq Scores

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

Liabilities / Assets

49th percentile

0.32x

Higher debt load relative to assets than 49% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Liabilities / Revenue

44th percentile

0.52x

Higher debt load relative to revenue than 44% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Net Margin

67th percentile

9.3%

Higher net margin than 67% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Top Officer Pay

33rd percentile

$561,637

Higher top officer pay than 33% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Asset Growth

67th percentile

12%

Faster asset growth than 67% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Revenue Growth

30th percentile

-3.3%

Faster revenue growth than 30% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Assets

Up

$286,905,364

Up $30,286,195 (+12%) from 2019

Net Assets

Up

$193,712,498

Up $10,401,881 (+5.7%) from 2019

Liabilities

Up

$93,192,866

Up $19,884,314 (+27%) from 2019

Revenue

Down

$180,306,553

Down $6,134,132 (-3.3%) from 2019

Expenses

Up

$163,574,363

Up $1,977,780 (+1.2%) from 2019

Net Income

Down

$16,732,190

Down $8,111,912 (-33%) from 2019

Historical Trend

Balance Sheet Trend

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

2020

Assets$286,905,364
Liabilities$93,192,866
Net Assets$193,712,498

Operations Trend

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

2020

Revenue$180,306,553
Expenses$163,574,363
Net Income$16,732,190
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Jun 3, 2021
Return Version
2019v5.2
Gross Receipts
$199,831,257
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$111,666,125$116,558,144▲ $4,892,019
Land, Buildings, and Equipment, Net$94,884,171$90,855,501▼ $4,028,670
Cash and Non-Interest-Bearing Accounts$6,325,271$50,925,742▲ $44,600,471
Accounts Receivable$26,781,014$20,083,016▼ $6,697,998
Savings and Temporary Cash Investments$9,576,808--
Inventories for Sale or Use$3,252,237$4,445,967▲ $1,193,730
Prepaid Expenses and Deferred Charges$2,762,964$2,719,825▼ $43,139
Total Assets$256,619,169$286,905,364▲ $30,286,195
Other Assets Total$1,370,579$1,317,169▼ $53,410
Liabilities
Tax Exempt Bond Liabilities$52,811,930$50,382,135▼ $2,429,795
Accounts Payable and Accrued Expenses$18,468,519$40,811,365▲ $22,342,846
Other Liabilities$2,028,103$1,999,366▼ $28,737
Total Liabilities$73,308,552$93,192,866▲ $19,884,314
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$183,006,149$193,430,343▲ $10,424,194
Net Assets With Donor Restrictions$304,468$282,155▼ $22,313
Total Net Assets Fund Balance$183,310,617$193,712,498▲ $10,401,881
Total Liabilities and Net Assets / Fund Balance$256,619,169$286,905,364▲ $30,286,195

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$62,475,202$48,976,911$111,452,113
Equipment$23,808,860$59,293,846$83,102,706
Land$4,135,055-$4,135,055
Leasehold Improvements$235,705$542,043$777,748
Other Land Buildings$200,679-$200,679

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$131,038-▲ $1,294-$132,017
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cory EdmonsonChief Executive OfficerFT$384,905$176,732$561,637
Lisa MedovichCFOFT$266,203$157,440$423,643
Stephen PautlerCOOFT$267,893$102,854$370,747
Mack BlantonChief Medical OfficerFT$307,826$45,759$353,585
Joe PiszczorVP of OperationsFT$183,551$85,989$269,540
Kaeli DresslerCNOFT$173,692$74,340$248,032
Brian RobicheauxChief Information OfficerFT$164,207$64,486$228,693
Karen ClarkDirector of Materials MgmtFT$161,270$55,457$216,727
Susan RoigClinical CoordinatorFT$144,392$40,881$185,273
Tracy DavisVP of Population HealthFT$142,272$28,226$170,498

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Third Coast Emergency Physicians Sid Pet-6300 LA CALMA DRIVE SUITE 200, Austin, TX 78752-3825$479,933
Anesthesia Associates Of Kerrville Pllc-420 WATER ST STE 105B, Kerrville, TX 78028$459,657
Aergo Solutions LLC-33 WOOD AVENUE SOUTH SUITE 840, Iselin, NJ 08830$401,938
Morris Jr Md William E-711 MOCKINGBIRD, Kerrville, TX 78028$279,925
Park Place International LLC Dba Cloudwa-8401 CHAGRIN ROAD SUITE 6B, Chagrin Falls, OH 44023$267,470
Revenue and Support

Revenue Composition

Contributions and Grants
$746,931
Program Service Revenue
$165,779,553
Investment Income
$3,830,965
Other Revenue
$9,949,104
Change in Net Assets
$16,732,190

Audited Revenue Reconciliation

Revenue per Audited Statements
$184,453,740
Revenue Not Reported on Financial Statements
$-4,147,187
Revenue Not Reported on Form 990
$-18,507,898
Other Revenue Adjustments
$-4,592,256
Total Revenue per Audited Statements
$165,945,842
Total Revenue per Form 990
$180,306,553
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$88,769,375
Salaries, Compensation, and Employee Benefits$74,699,559
Total Fundraising Expense$591,417
Grants and Similar Amounts Paid$105,429
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$50,142,283$6,806,194$89,760$57,038,237
Fees for Services Other$10,030,528$2,200,615$177,646$12,408,789
Other Employee Benefits$8,165,236$2,676,935-$10,842,171
Depreciation Depletion$9,225,604--$9,225,604
Payroll Taxes$3,325,859$464,688$3,229$3,793,776
Information Technology$1,793,325$1,589,213$16,711$3,399,249
Current Officers, Directors, Trustees, and Key Employees$2,571,569$302,537$151,269$3,025,375
Interest$2,282,472--$2,282,472
Occupancy$1,620,498$246,987$105$1,867,590
Advertising$127,982$901,439$96,511$1,125,932
Fees for Services Management$838,417$51,496$25,748$915,661
Other Expenses$537,996$210,654$24,332$772,982
All Other Expenses$436,352$133,017$1,285$570,654
Office Expenses$481,262$85,993$206$567,461
Travel$415,510$43,806$3,630$462,946
Fees for Service Investment Mgmnt Fees-$445,069-$445,069
Insurance$327,000$95,453-$422,453
Fees for Services Accounting-$303,691-$303,691
Fees for Services Legal-$204,816-$204,816
Grants to Domestic Individuals$65,554--$65,554
Grants to Domestic Orgs$39,875--$39,875
Conferences and Meetings$30,256$7,048$53$37,357
Total Functional Expenses$145,734,615$17,248,331$591,417$163,574,363

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$163,574,363
Total Expenses per Audited Statements$146,080,736
Expenses per Audited Statements$140,741,549
Expenses Not Reported on Financial Statements$22,832,814
Other Expense Adjustments$22,387,745
Expenses Not Reported on Form 990$5,339,187
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
The Community Foundation of the Texas Hill CountryKerrville, TX501(c)(3)General Support$25,000
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$1,390,000
Professional Liability$609,366

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
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
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 audit 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
2021-06-03
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
1,282
Volunteers
0

Preparer

Firm
Massey Itschner & Co Pc
Address
707 HILL COUNTRY DR SUITE 118, KERRVILLE, TX 78028
Preparer
Casey T Mikeska
Phone
8302575330
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Classification difference transfer to affiliates -10,210,156.

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 -22,387,745.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Rental expense included in revenue -1,030,014. Ucc/dispro expense -4,309,173. Net assets released from restriction 746,931.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Ucc/dispro expense 4,309,173. Rental expense included in revenue for 990 1,030,014.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense offsetting audit revenue 22,387,745.

Raw XML AppendixShowing 400 of 1,129 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/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt13COO
IRS990/Form990PartVIISectionAGrp/TitleTxt14VP OF OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt15CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP OF POPULATION HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt18CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR OF MATERIALS MGMT
IRS990/Form990PartVIISectionAGrp/TitleTxt20CLINICAL COORDINATOR
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IRS990/OtherLiabilitiesGrp/BOYAmt02028103

Document Assets

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Filings

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