Civic Intelligence

Hill Country Memorial Hospital

990 • Fiscal year 2022 • EIN 74-6083124

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 15, 2023

Organization ProfileWWW.CREATEHEALTHY.ORG

View Organization Page

PO Box 1339Fredericksburg, TX 78624

(830) 997-1297

Siviq Scores

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

Liabilities / Assets

27th percentile

0.09x

Higher debt load relative to assets than 27% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Liabilities / Revenue

30th percentile

0.22x

Higher debt load relative to revenue than 30% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Net Margin

38th percentile

1.7%

Higher net margin than 38% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Top Officer Pay

55th percentile

$517,543

Higher top officer pay than 55% of similar nonprofits.

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

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Asset Growth

33rd percentile

-6.0%

Faster asset growth than 33% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Revenue Growth

35th percentile

-1.6%

Faster revenue growth than 35% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets27th percentile

Assets

Flat

$231,936,244

Flat from 2022

Net Assets

Flat

$210,074,464

Flat from 2022

Liabilities

Flat

$21,861,780

Flat from 2022

Revenue And Expenses
Liabilities / Revenue30th percentileNet Margin38th percentile

Revenue

Down

$101,131,605

Down $6,066 (-0.0%) from 2022

Expenses

Flat

$99,453,073

Flat from 2022

Net Income

Down

$1,678,532

Down $6,066 (-0.4%) from 2022

Historical Trend

Balance Sheet Trend

Asset Growth33rd percentile

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

$300M$200M$100M$0Assets 2010: $71,264,830Liabilities 2010: $16,655,767Net Assets 2010: $54,609,0632010Assets 2011: $86,521,352Liabilities 2011: $23,446,930Net Assets 2011: $63,074,4222011Assets 2012: $91,191,479Liabilities 2012: $23,424,048Net Assets 2012: $67,767,4312012Assets 2013: $108,612,289Liabilities 2013: $24,477,345Net Assets 2013: $84,134,9442013Assets 2014: $118,447,445Liabilities 2014: $14,602,678Net Assets 2014: $103,844,7672014Assets 2015: $131,072,130Liabilities 2015: $14,134,396Net Assets 2015: $116,937,7342015Assets 2016: $152,705,061Liabilities 2016: $15,417,447Net Assets 2016: $137,287,6142016Assets 2017: $167,047,866Liabilities 2017: $12,439,018Net Assets 2017: $154,608,8482017Assets 2018: $177,378,487Liabilities 2018: $12,977,478Net Assets 2018: $164,401,0092018Assets 2019: $201,063,998Liabilities 2019: $12,127,528Net Assets 2019: $188,936,4702019Assets 2020: $229,903,609Liabilities 2020: $26,115,122Net Assets 2020: $203,788,4872020Assets 2021: $246,858,307Liabilities 2021: $24,200,924Net Assets 2021: $222,657,3832021Assets 2022: $231,936,244Liabilities 2022: $21,861,780Net Assets 2022: $210,074,4642022Assets 2022: $231,936,244Liabilities 2022: $21,861,780Net Assets 2022: $210,074,4642022Assets 2023: $207,017,901Liabilities 2023: $3,638,894Net Assets 2023: $203,379,0072023Assets 2024: $176,019,083Liabilities 2024: $4,827,188Net Assets 2024: $171,191,8952024

Highlighted filing

2022

Assets$231,936,244
Liabilities$21,861,780
Net Assets$210,074,464
Open 2022 Filing

Operations Trend

Revenue Growth35th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0Expenses 2010: $54,135,0002010Expenses 2011: $63,863,4342011Expenses 2012: $66,824,8322012Revenue 2013: $83,389,640Expenses 2013: $70,351,740Net Income 2013: $13,037,9002013Revenue 2014: $92,449,020Expenses 2014: $73,445,827Net Income 2014: $19,003,1932014Revenue 2015: $91,274,106Expenses 2015: $77,837,279Net Income 2015: $13,436,8272015Revenue 2016: $101,835,701Expenses 2016: $83,748,320Net Income 2016: $18,087,3812016Revenue 2017: $102,720,423Expenses 2017: $86,987,706Net Income 2017: $15,732,7172017Revenue 2018: $103,894,904Expenses 2018: $88,946,623Net Income 2018: $14,948,2812018Revenue 2019: $100,938,605Expenses 2019: $84,732,555Net Income 2019: $16,206,0502019Revenue 2020: $90,968,973Expenses 2020: $85,873,341Net Income 2020: $5,095,6322020Revenue 2021: $102,790,057Expenses 2021: $90,872,385Net Income 2021: $11,917,6722021Revenue 2022: $101,131,605Expenses 2022: $99,453,073Net Income 2022: $1,678,5322022Revenue 2022: $101,137,671Expenses 2022: $99,453,073Net Income 2022: $1,684,5982022Revenue 2023: $68,429,972Expenses 2023: $32,504,204Net Income 2023: $35,925,7682023Revenue 2024: $15,688,791Expenses 2024: $10,456,882Net Income 2024: $5,231,9092024

Highlighted filing

2022

Revenue$101,131,605
Expenses$99,453,073
Net Income$1,678,532
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$103,611,514
Mission and Program Overview

Mission

Hill country memorial hospital's vision is empower others, create healthy. The hospital's values are: compassion, ownership, innovation, excellence

Mission is remarkable always - to provide remarkable health care services to the hill country area through the operation and maintenance of a community hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$50,992,001$54,512,803▲ $3,520,802
Land, Buildings, and Equipment, Net$44,849,794$44,917,706▲ $67,912
Investments Other Securities$38,716,555$33,491,388▼ $5,225,167
Accounts Receivable$9,084,074$8,789,526▼ $294,548
Cash and Non-Interest-Bearing Accounts$30,837,297$7,478,630▼ $23,358,667
Prepaid Expenses and Deferred Charges$6,638,626$6,491,190▼ $147,436
Inventories for Sale or Use$2,509,372$2,810,440▲ $301,068
Pledges and Grants Receivable$550,040$0▼ $550,040
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$246,858,307$231,936,244▼ $14,922,063
Other Assets Total$62,680,548$73,444,561▲ $10,764,013
Liabilities
Accounts Payable and Accrued Expenses$11,500,722$13,980,095▲ $2,479,373
Other Liabilities$12,700,202$7,881,685▼ $4,818,517
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
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$24,200,924$21,861,780▼ $2,339,144
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$183,940,828$176,583,076▼ $7,357,752
Net Assets With Donor Restrictions$38,716,555$33,491,388▼ $5,225,167
Total Net Assets Fund Balance$222,657,383$210,074,464▼ $12,582,919
Total Liabilities and Net Assets / Fund Balance$246,858,307$231,936,244▼ $14,922,063

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$11,066,144$45,986,298$57,052,442
Buildings$17,959,276$35,661,433$53,620,709
Land$8,786,007-$8,786,007
Other Land Buildings$5,931,986-$5,931,986
Leasehold Improvements$1,174,293-$1,174,293
Other Assets Org$6,464,993--
Other Securities$33,491,388--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2022$24,315,719$14,850▼ $4,318,366$589,538$19,422,665
2021$21,012,569$20,555▲ $3,534,951$252,356$24,315,719
2020$18,879,729$7,535▲ $2,307,819$182,514$21,012,569
2019$15,042,722$113,054▲ $3,679,370$-44,583$18,879,729
2018$17,720,826$24,451▼ $1,760,145$942,311$15,042,722
Compensation and Service Providers
Top Officer Pay55th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jayne PopeCEOFT$410,935$106,608$517,543
Clinton KotalChief Integration OfficerPT$316,242$116,382$432,624
Susan NevesCFOFT$313,955$95,715$409,670
Maureen PolivkaCNOFT$233,290$66,737$300,027
James PartinCMOFT$191,987$42,116$234,103
Leann MyersDirector of Ancillary ServicesFT$177,150$47,927$225,077
Kevin Shane DickinsonIt DirectorPT$177,420$41,521$218,941
Katelyn VinklarekDirector Post Acute ServicesPT$150,303$67,524$217,827
Christine DamewoodNursing DirectorFT$146,597$55,796$202,393
Shanna WilliamsNursing DirectorFT$166,215$20,000$186,215
Amanda StevensChief Strategy OfficerPT$89,176$39,155$128,331

Board Members and Trustees

NameTitle
Jenny Weiser PhdChairman
Carlin FriarDirector
Dale CrenwelgeDirector
Dan SechristDirector
Dr Kevin GallagherDirector
Dr Michael JohnsonDirector
Drake McleanDirector
Jane MorganDirector
John WillomeDirector
Penny McBrideDirector
Joel JunkerSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Texas Select Staffing LLCAgency NursingPO BOX 577, West Bend, WI 53095$862,461
Endeavor HealthcareRevenue Cycle Svc28 HUNTERS POINT, New Braunfels, TX 28260$795,649
Ettain GroupComputer Agency Svc127 W WORTHINGTON AVE SUITE 100, Charlotte, NC 28203$401,227
Reed Claymon Meeker HargettAttorney Services5608 PARKCREST DRIVE SUITE 200, Austin, TX 78731$383,158
Access Physicians PllcPhysician StaffingPO BOX 670347, Dallas, TX 52670$236,600
Revenue and Support

Revenue Composition

Contributions and Grants
$7,817,603
Program Service Revenue
$95,161,603
Investment Income
$1,617,172
Other Revenue
$-3,464,773
All Other Contributions
$7,127,990
Change in Net Assets
$1,678,532

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Other1$300,000Fair Market Value (FMV)
Total Noncash Contributions1$300,000-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$62,417,181
Salaries, Compensation, and Employee Benefits$36,972,787
Grants and Similar Amounts Paid$63,105
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$23,580,837$3,913,951-$27,494,788
Fees for Services Other$14,918,238$2,678,700-$17,596,938
Occupancy$8,404,274$1,974,536-$10,378,810
Depreciation Depletion$3,872,817$787,231-$4,660,048
Other Employee Benefits$4,139,528$485,478-$4,625,006
Payroll Taxes$1,663,463$382,320-$2,045,783
Current Officers, Directors, Trustees, and Key Employees-$2,022,297-$2,022,297
Office Expenses$941,155$531,364-$1,472,519
Fees for Services Legal-$819,545-$819,545
Pension Plan Contributions$683,338$101,575-$784,913
Advertising$43,545$578,547-$622,092
Insurance$443,765$82,936-$526,701
All Other Expenses$186,073$152,496-$338,569
Information Technology$299,284$3,720-$303,004
Fees for Services Accounting-$243,407-$243,407
Conferences and Meetings$114,431$14,423-$128,854
Other Expenses$52,955$71,356-$124,311
Interest$18,253$70,060-$88,313
Travel$82,429$3,541-$85,970
Grants to Domestic Orgs$63,105--$63,105
Total Functional Expenses$84,436,951$15,016,122$0$99,453,073
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Good Samaritan CenterFredericksburg, TX501c(3)Fund Indigent Care Uninsured$40,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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
Lease Liability$6,521,543
Deferred Comp Plan Liability$1,097,482
Estimated Self Insurance COsts$262,660
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
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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 create healthy management board members are provided electronic access to the form 990 in advance of a board meeting. Formal review is then held at a meeting prior to filing.”

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

“Process for monitoring compliance with conflict of interest policy: conflict of interest forms are completed by board members, officers, key employees, highly compensated employees, and all department directors on an annual basis. All disclosures are reviewed by the board governance committee and reported to the hospital board. Board members must recuse themselves from voting on issues related to their conflict.”

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

“Compensation review and approval process for ceo: he ceo compensation and evaluation committee of the board reviews relevant wage survey and data to determine ceo compensation. Data and surveys are supplied by the human resource director and reported to the board. The review is conducted annually and documented in the minutes.”

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

“Compensation review and approval process for other officers and key employees: the ceo reviews wage data and surveys supplied by the human resource director. The reviews are conducted annually and documented in the hr files.”

Form 990, Part VI, Section C, Line 19

“Availability of documents: the organization's governing documents including bylaws and conflict of interest policy are available on request. Financial statements are not made available to the public, however certain summary financial information may be available in the organization's annual report to the community.”

Form 990, Part VI, Section A, Line 1

“Delegation of authority: the executive committee shall consist of the chairman, vice-chairman, secretary and one at-large trustee. The ceo and chief of the hospital's medical staff shall be ex-officio, non-voting members of the executive committee. The committee shall have the power to transact business of the corporation and the organization subject to any prior limitation imposed by the board. The executive committee shall have such additional duties and responsibilities as may be set forth in the bylaws. Actions of the executive committee shall be brought to the board at the next regular meeting for ratification.”

Form 990, Part VI, Section A, Line 4

“Significant changes to governing documents: the organization changed its name from hill country memorial hospital to create healthy management. The governing documents were updated to reflect the new name and that of its related organizations.”

Filing and Contact Details

Filer

Filer Name
Create Healthy Management
EIN
74-6083124
In Care Of
% CHRIS SEMMLER
Phone
8309971297
Address
PO Box 1339, Fredericksburg, TX 78624

Signing Officer

Name
Jayne Pope
Title
CEO
Phone
9727028262
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jayne Pope
Formed
1966
Legal Domicile
TX
Voting Board Members
11
Independent Board Members
11
Employees
706
Volunteers
30

Preparer

Firm
Forvis Llp
Address
14241 DALLAS PARKWAY STE 1100, DALLAS, TX 75254
Preparer
Jeanette Verrelli
Phone
9727028262
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D

“DESCRIPTION OF OTHER PROGRAM SERVICES: WIC PROGRAM - PROVIDE NUTRITIONAL EDUCATION, BREAST FEEDING SUPPORT, WIC FOODS AND SOCIAL SERVICE REFERRALS FOR WOMEN AND CHILDREN MEETING WIC ELIGIBILITY REQUIREMENTS; AND COMMUNITY HEALTH PROGRAMS SUCH AS IMMUNIZATIONS FOR Children.”

Form 990, Part XI, Line 9

“Other changes in net assets: undistributed portion of change in interest in net assets of create healthy foundation $(5,225,167) closing receivable from disregarded entity (1,850,728) net assets from maple falls asc (1,412,366) -------------- total $(8,488,261)”

Form 990 Part IX Line 11G

“Description:purchased services total fees:17596938”

Financial Statement Notes

Schedule D, Part V, Line 4

“Intended use of endowment funds: create healthy foundation holds and maintains the endowment funds for the benefit of the organization. There are endowments designated for the following: equipment and technology at chm; chm nurse stipends, scholarships, and certifications; and stroke education and awareness. Additionally, there are several endowment funds established at the foundation for chm which are unrestricted for purpose.”

schedule D, part X, line 2

“ASC 740 footnote: Management has evaluated their income tax positions under the guidance included in asc 740. based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”

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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/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR POST ACUTE SERVICES
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

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

Open filing
Assets
$231,936,244
Liabilities
$21,861,780
Net assets
$210,074,464
Revenue
$101,131,605
Expenses
$99,453,073
Net income
$1,678,532
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$176$4.83$171$15.7$10.5$5.23
2023Summary only. Only limited summary data is available for this year.$207$3.64$203$68.4$32.5$35.9
2022Detailed filing. Detailed filing data is available for this year.$232$21.9$210$101$99.5$1.68
2022Summary only. Only limited summary data is available for this year.$232$21.9$210$101$99.5$1.68
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$247$24.2$223$103$90.9$11.9
2020Summary only. Only limited summary data is available for this year.$230$26.1$204$91.0$85.9$5.10
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$201$12.1$189$101$84.7$16.2
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$177$13.0$164$104$88.9$14.9
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$167$12.4$155$103$87.0$15.7
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$153$15.4$137$102$83.7$18.1
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$131$14.1$117$91.3$77.8$13.4
2014Detailed filing. Detailed filing data is available for this year.$118$14.6$104$92.4$73.4$19.0
2013Detailed filing. Detailed filing data is available for this year.$109$24.5$84.1$83.4$70.4$13.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$91.2$23.4$67.8$66.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$86.5$23.4$63.1$63.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$71.3$16.7$54.6$54.1