Civic Intelligence

Sid Peterson Memorial Hospital

990 • Fiscal year 2022 • EIN 74-2557820

Jul 01, 2021 to Jun 30, 2022 • Filed on Apr 03, 2023

Organization ProfileWWW.PETERSONHEALTH.COM

View Organization Page

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

43rd percentile

0.25x

Higher debt load relative to assets than 43% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Liabilities / Revenue

32nd percentile

0.31x

Higher debt load relative to revenue than 32% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Net Margin

66th percentile

10%

Higher net margin than 66% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Top Officer Pay

41st percentile

$650,887

Higher top officer pay than 41% of similar nonprofits.

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

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Asset Growth

13th percentile

-13%

Faster asset growth than 13% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Revenue Growth

67th percentile

10.0%

Faster revenue growth than 67% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets43rd percentile

Assets

Down

$274,567,180

Down $41,018,808 (-13%) from 2021

Net Assets

Down

$207,161,427

Down $16,398,502 (-7.3%) from 2021

Liabilities

Down

$67,405,753

Down $24,620,306 (-27%) from 2021

Revenue And Expenses
Liabilities / Revenue32nd percentileNet Margin66th percentile

Revenue

Up

$217,464,020

Up $19,686,875 (+10.0%) from 2021

Expenses

Up

$194,800,502

Up $14,844,919 (+8.2%) from 2021

Net Income

Up

$22,663,518

Up $4,841,956 (+27%) from 2021

Historical Trend

Balance Sheet Trend

Asset Growth13th 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

2022

Assets$274,567,180
Liabilities$67,405,753
Net Assets$207,161,427
Open 2022 Filing

Operations Trend

Revenue Growth67th 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

2022

Revenue$217,464,020
Expenses$194,800,502
Net Income$22,663,518
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
Apr 3, 2023
Return Version
2021v4.2
Gross Receipts
$264,415,892
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$169,239,498$141,477,656▼ $27,761,842
Land, Buildings, and Equipment, Net$85,058,829$84,493,262▼ $565,567
Cash and Non-Interest-Bearing Accounts$29,963,495$21,694,643▼ $8,268,852
Accounts Receivable$22,463,741$18,697,669▼ $3,766,072
Inventories for Sale or Use$4,930,853$4,947,222▲ $16,369
Prepaid Expenses and Deferred Charges$2,352,896$1,812,060▼ $540,836
Total Assets$315,585,988$274,567,180▼ $41,018,808
Other Assets Total$1,576,676$1,444,668▼ $132,008
Liabilities
Tax Exempt Bond Liabilities$47,882,341$45,287,546▼ $2,594,795
Accounts Payable and Accrued Expenses$40,410,374$19,520,818▼ $20,889,556
Other Liabilities$3,733,344$2,597,389▼ $1,135,955
Total Liabilities$92,026,059$67,405,753▼ $24,620,306
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$223,287,058$206,886,918▼ $16,400,140
Net Assets With Donor Restrictions$272,871$274,509▲ $1,638
Total Net Assets Fund Balance$223,559,929$207,161,427▼ $16,398,502
Total Liabilities and Net Assets / Fund Balance$315,585,988$274,567,180▼ $41,018,808

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$57,406,130$54,815,899$112,222,029
Equipment$16,052,096$72,383,573$88,435,669
Land$6,980,040-$6,980,040
Other Land Buildings$3,259,406-$3,259,406
Leasehold Improvements$795,590$943,063$1,738,653

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2021$134,138-▼ $134,138--
2020$132,017-▲ $2,437-$134,138
2019$131,038-▲ $1,294-$132,017
2018$127,969-▲ $3,384-$131,038
2017$127,017-▲ $1,266-$127,969
Compensation and Service Providers
Top Officer Pay41st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cory EdmonsonChief Executive OfficerFT$560,203$90,684$650,887
Lisa MedovichCFOFT$354,069$83,096$437,165
Joe PiszczorVP of OperationsFT$248,275$62,800$311,075
Denton GruzenskyChief Human Resources OfficerFT$243,956$66,454$310,410
Kaeli DresslerCNOFT$215,711$55,111$270,822
Brian RobicheauxChief Information OfficerFT$211,810$44,901$256,711
Tracy DavisVP of Population HealthFT$189,569$26,318$215,887
Karen ClarkDirector of Materials MgmtFT$170,472$31,196$201,668
Susan RoigDirector of Surgical ServicesFT$148,890$42,875$191,765
Deepti NagpalClinical DirectorFT$157,903$590$158,493

Board Members and Trustees

NameTitle
Greg L ShraderChairman
Brian P BowersVice Chair
Sue S SteeleVice Chair
James a Young MdDirector
Mary Liz EastlandDirector
Otto SchwethelmDirector
Robert L Schmerbeck IiiDirector
Sylvia Fritz DobbsDirector
Thomas HoudeshellDirector
William E Morris Jr MdDirector
William M JohnstonDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Cardinal Health-7000 CARDINAL PLACE, Dublin, OH 43017$3,875,890
Zimmer US INC-1800 W CENTER ST, Warsaw, IN 46580-2304$2,698,924
Sound Physicians-1498 PACIFIC AVENUE SUITE 400, Tacoma, WA 98402$2,361,147
Medline Industries INC-12002 GENERAL MILTON DR, Laredo, TX 78045$2,054,729
Hill Country Memorial Hospital-1020 S STATE HWY 16, Fredericksburg, TX 78624$1,881,812
Revenue and Support

Revenue Composition

Contributions and Grants
$9,385,541
Program Service Revenue
$200,713,486
Investment Income
$6,435,592
Other Revenue
$929,401
Change in Net Assets
$22,663,518

Audited Revenue Reconciliation

Revenue per Audited Statements
$215,074,813
Revenue Not Reported on Financial Statements
$2,389,207
Revenue Not Reported on Form 990
$-58,109,075
Other Revenue Adjustments
$1,951,991
Total Revenue per Audited Statements
$156,965,738
Total Revenue per Form 990
$217,464,020
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$103,833,327
Salaries, Compensation, and Employee Benefits$90,859,961
Total Fundraising Expense$393,322
Grants and Similar Amounts Paid$107,214
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$65,030,516$6,775,171$63,060$71,868,747
Fees for Services Other$11,210,588$2,241,841$48,701$13,501,130
Other Employee Benefits$8,860,436$2,945,916-$11,806,352
Depreciation Depletion$6,339,164$2,612,885$26,937$8,978,986
Payroll Taxes$3,955,439$504,630$5,920$4,465,989
Information Technology$2,153,743$1,636,459$15,157$3,805,359
Current Officers, Directors, Trustees, and Key Employees$1,528,455$1,115,008$75,410$2,718,873
Other Expenses$1,796,368$728,309$52,488$2,577,165
Interest$1,317,243$778,562$8,417$2,104,222
Occupancy$1,677,274$274,749-$1,952,023
All Other Expenses$607,486$158,607$4,869$770,962
Advertising$103,158$563,046$70,370$736,574
Insurance$373,219$99,124-$472,343
Fees for Service Investment Mgmnt Fees-$437,216-$437,216
Fees for Services Accounting$33,813$340,845$17,679$392,337
Fees for Services Legal$110,936$195,354$2,484$308,774
Conferences and Meetings$273,192$21,746$1,095$296,033
Grants to Domestic Orgs$72,535--$72,535
Grants to Domestic Individuals$34,679--$34,679
Total Functional Expenses$172,477,183$21,929,997$393,322$194,800,502

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$194,800,502
Total Expenses per Audited Statements$166,317,617
Expenses per Audited Statements$163,955,450
Expenses Not Reported on Financial Statements$30,845,052
Other Expense Adjustments$30,407,836
Expenses Not Reported on Form 990$2,362,167
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
EXECUTIVE WOMEN'S CLUBKerrville, TX501(c)(3)General Support$10,300
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$1,832,000
Professional Liability$609,366
Righ of Use Liability$156,023

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
2023-04-03
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
1,401
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 1,638. Transfer to affiliates -11,362,419.”

FORM 990, PART XII, LINE 2C:

“Process has not changed from previous year.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Bad debt expense offsetting audit revenue -30,407,836.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Rental expense included in revenue -1,149,387. Ucc/dispro expense -1,212,779. Net assets released from restriction 4,314,157.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Ucc/dispro expense 1,212,779. Rental expense included in revenue for 990 1,149,387. Rounding 1.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense offsetting audit revenue 30,407,836.”

Raw XML AppendixShowing 400 of 1,117 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/ActivitiesConductedPrtshpInd00
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/PersonNm7ROBERT L SCHMERBECK III
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IRS990/Form990PartVIISectionAGrp/PersonNm10JAMES A YOUNG MD
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IRS990/Form990PartVIISectionAGrp/PersonNm14BRIAN ROBICHEAUX
IRS990/Form990PartVIISectionAGrp/PersonNm15TRACY DAVIS
IRS990/Form990PartVIISectionAGrp/PersonNm16CORY EDMONSON
IRS990/Form990PartVIISectionAGrp/PersonNm17DENTON GRUZENSKY
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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
IRS990/Form990PartVIISectionAGrp/TitleTxt8VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP OF OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP OF POPULATION HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17CHIEF HUMAN RESOURCES OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR OF MATERIALS MGMT
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR OF SURGICAL SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt20CLINICAL DIRECTOR
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IRS990/FSAuditedInd01
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IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
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IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt01636459
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IRS990/InsuranceGrp/ManagementAndGeneralAmt099124
IRS990/InsuranceGrp/ProgramServicesAmt0373219
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IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
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IRS990/OtherExpensesGrp/Desc3OTHER EXPENSES
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IRS990/OtherExpensesGrp/FundraisingAmt173
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IRS990/OtherExpensesGrp/TotalAmt25059339
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IRS990/OtherRevenueMiscGrp/BusinessCd0900099

Document Assets

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$274,567,180
Liabilities
$67,405,753
Net assets
$207,161,427
Revenue
$217,464,020
Expenses
$194,800,502
Net income
$22,663,518
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