2024-11-15T10:25:17+00:00 2023-12-31 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-01-01 746083124 Create Healthy Management CREA 8309971297 PO BOX 1339 FREDERICKSBURG TX 78624 JAYNE POPE CEO 8309971297 2024-11-15 true Jeanette Verrelli P00742631 9727028262 2024-11-15 2023 2024-10-15 13:58:12Z JAYNE POPE 204701382 false X www.createhealthy.org X 1994 TX Create Healthy is on a mission for health and wellness in our community; Investing in wellness and empowering communities. CH is investing in and supporting local programs, organizations, and ventures that align with the priorities of our community and promote health and wellness in the Hill Country. X 7 7 651 34 0 0 7817603 161104 95161603 21940433 1617172 41719560 -3464773 4608875 101131605 68429972 63105 2468600 0 36972787 11657567 0 0 62417181 18378037 99453073 32504204 1678532 35925768 231936244 207017901 21861780 3638894 210074464 203379007 X Create Healthy is on a mission for health and wellness in our community; Investing in wellness, empowering communities . We are investing in and supporting local programs, organizations, and ventures that align with the priorities of our community and promote health and wellness in the Hill Country. Our vision for the future: A Hill Country where all contribute and thrive. false true 2468600 2468600 IN PARTNERSHIP WITH THE ENTIRE HILL COUNTRY REGION, CREATE HEALTHY SPENT ITS' FIRST YEAR IDENTIFYING AREAS OF GREATEST OPPORTUNITY TO ENHANCE THE COMMUNITY'S HEALTH AND WELLNESS. CREATE HEALTHY FUNDED COMMUNITY PROJECTS AND INITIATIVES IN THE AMOUNT OF $2,468,600 AND DONATED HOURS OF SERVICE TO THE COMMUNITY. 19885242 24874889 MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE AND OB - 944; INTENSIVE AND CRITICAL CARE UNITS - 219; NURSERY - 153; EMERGENCY ROOM CARE WAS PROVIDED FOR 3,003 VISITS; 58,517 LABORATORY TESTS WERE PERFORMED; 12,627 IMAGING PROCEDURES (ALL MODALITIES) WERE PERFORMED; 3,058 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 189 OPERATIONS AND 2,846 OUTPATIENT PROCEDURES WERE PERFORMED AND 99 BABIES WERE DELIVERED. 536492 355338 Surgery Center Income 532544 722960 HOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE. A TOTAL OF 2,304 HOME CARE VISITS WERE MADE. 426330 303408 WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING FITNESS EQUIPMENT AND CLASSES; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2023 THERE WERE 77,224 VISITS IN WELLNESS CENTER PROGRAMS. 72282 64660 WIC Program 22189 211930 Clinic Rent Income 196 ACO Service Income 1053541 1302958 23943875 true true false true false false false false true true true false false true false false true false false false false false false false false true true true true true false false false false false false false false false false false true true true true true false false true 91 0 true 651 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true false true true true false X CHRIS SEMMLER 8309971297 101 Ida Mae Drive FREDERICKSBURG TX 78624 CHRIS SCHOESSOW DIRECTOR, Vice President 0.5 1.0 X X 0 0 0 JENNY WEISER PHD CHAIRMAN 0.9 1.0 X X 0 0 0 JOEL JUNKER SECRETARY 0.5 1.0 X X 0 0 0 CARLIN FRIAR DIRECTOR 0.5 1.0 X 0 0 0 DALE CRENWELGE DIRECTOR 0.5 1.0 X 0 0 0 DAN SECHRIST DIRECTOR 0.5 1.0 X 0 0 0 DR KEVIN GALLAGHER DIRECTOR 0.5 1.0 X 0 0 0 DR MICHAEL JOHNSON DIRECTOR 0.5 1.0 X 0 0 0 DRAKE MCLEAN DIRECTOR 0.5 1.0 X 0 0 0 JANE MORGAN DIRECTOR 0.5 1.0 X 0 0 0 JOHN WILLOME DIRECTOR 0.5 1.0 X 0 0 0 PENNY MCBRIDE DIRECTOR 0.6 1.0 X 0 0 0 ROYCE HUNTER DIRECTOR 0.5 1.0 X 0 0 0 TODD WILLINGHAM DIRECTOR 0.5 1.0 X 0 0 0 CHRIS SEMMLER VP OF FINANCE 38.0 2.0 X 180351 0 8830 JAYNE POPE CEO 37.0 2.8 X 789610 0 29489 SUSAN NEVES CFO 39.0 1.0 X 415975 0 19892 AMANDA STEVENS Chief Strategy Officer 30.0 10.0 X 181856 91303 33907 CLINTON KOTAL CHIEF INTEGRATION OFFICER 20.8 19.2 X 417519 0 20578 MAUREEN O POLIVKA CNO 40.0 0 X 182203 0 17049 JANICE MENKING Controller 32.0 0 X 148981 0 12698 2316495 91303 142443 7 false true false CAIN BROTHERS & COMPANY INCORPORATED 360 Madison Avenue 5th Floor New York NY 10017 Consulting 1535628 TEXAS SELECT STAFFING LLC PO BOX 577 WEST BEND WI 53095 AGENCY NURSING 570188 REED CLAYMON MEEKER & HARGETT 5608 PARKCREST DRIVE SUITE 200 AUSTIN TX 78731 ATTORNEY SERVICES 391744 FORVIS LLP P O Box 200870 Dallas TX 753200870 Accounting and Auditing Services 302254 ENDEAVOR HEALTHCARE 28 HUNTERS POINT NEW BRAUNFELS TX 28260 REVENUE CYCLE SVC 212910 16 161104 161104 NET PATIENT HOSPITAL REVENUE 621110 20282137 20282137 HOME HEALTH CARE REVENUE 621610 722960 722960 WELLNESS CENTER SERVICE REVENUE 624100 303408 303408 WIC PROGRAM REVENUE 624100 64660 64660 CLINIC RENT REVENUE 531120 211930 211930 355338 355338 0 0 21940433 5096072 5096072 0 0 98056743 74748028 97962308 38218975 94435 36529053 36623488 36623488 440882 90127 350755 350755 Miscellaneous Revenue 900099 3801285 3785162 16123 BAD DEBT RECOVERY 900099 454590 454590 AUXILIARY REVENUE 900099 1950 1950 295 295 0 0 4258120 68429972 26533185 0 41735683 X 2418408 2418408 50192 50192 2286661 2286661 6867624 6073032 794592 83952 83952 1713952 1526848 187104 705378 446400 258978 2330083 2330083 54715 54715 4389161 3381247 1007914 0 259776 42982 216794 1292323 948803 343520 183968 67043 116925 1695007 1182300 512707 37965 20499 17466 18928 18928 17515 17515 1478872 1278718 200154 106784 48253 58531 MEDICAL SUPPLIES 5174703 5174703 Other Expenses 1232339 1151231 81108 RECRUITMENT & RECOGNITION 44900 13270 31630 DUES & SUBSCRIPTIONS 41223 9208 32015 19775 7858 11917 0 32504204 23943875 8560329 0 7478630 9091501 54512803 137401735 8789526 2915570 0 0 0 0 2810440 0 6491190 118192 13257163 1454271 44917706 11802892 33491388 40934766 0 73444561 4753245 231936244 207017901 13980095 1904712 0 0 7881685 1734182 21861780 3638894 X 176583076 203379007 33491388 0 210074464 203379007 231936244 207017901 X 35925768 3263986 -45885211 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4153 4153 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY CREATE HEALTHY MANAGEMENT PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. THA Dues: $47,521 Lobbying %: 8.74% Lobbying $: $4,153 19422665 1524910 4071399 2831 25016143 24315719 14850 -4318366 589538 19422665 21012569 20555 3534951 252356 24315719 18879729 7535 2307819 182514 21012569 15042722 113054 3679370 -44583 18879729 0.21 0.42 0.37 false true true 4775906 4775906 7523271 1216615 6306656 874578 237656 636922 83408 83408 11802892 Interest in Net Assets of Foundation 40934766 F 40934766 Deferred Compensation Plan Liability 1213118 Estimated Self Insurance Costs Est Amount Due to Third Parties 92700 Lease Liability 428364 1734182 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. Schedule D, Part V, Line 4 Intended uses of endowment funds Create Healthy Foundation holds and maintains Endowment funds for the benefit of certain community needs. Certain endowments are Board directed, while others are donor restricted. Endowment funds are designated for equipment and technology, nurse stipends, scholarships, health related professional certifications, and stroke education and awareness. Additionally there are several unrestricted endowment funds. true true X true X 300 true X 500 true true true false true true 1995236 0 1995236 0.0614 861953 891253 0 0.0 34984 16588 18396 0.0006 0 0 2892173 907841 2013632 0.0619 0 0.0 0 0 0 0.0 0 0.0 0 0 0 0.0 2468600 0 2468600 0.0759 0 0 2468600 0 2468600 0.0759 0 0 5360773 907841 4482232 0.1379 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 0 6108241 8139308 -2031067 X true true 1 1 Hill Country Memorial Hospital PO BOX 1339 FREDERICKSBURG TX 78624 WWW.CREATEHEALTHY.ORG 00219 X X X Hill Country Memorial Hospital 1 false false true X X X X X X X X X 22 true false false true X true 22 false true false true X 300.0 500.0 X X X X X true true X X X true X SEE SECTION C, LINE 16J X SEE SECTION C, LINE 16J X SEE SECTION C, LINE 16J X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Hill Country Memorial Hospital. IN APRIL 2022, the hospital BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR GILLESPIE, BLANCO AND KENDALL COUNTIES AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS: -INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED IN JUNE - JULY 2022. -23 COMMUNITY MEMBERS PARTICIPATED IN INDIVIDUAL INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES FROM JULY 25-29, 2022. -423 SURVEYS WERE COMPLETED: 178 LANDLINE PHONE, 97 CELL PHONE, 148 WEB-BASED (23 VIA SURVEYMONKEY) FROM JULY 1-AUGUST 19, 2022. -VIDEOS WERE PRODUCED TO EDUCATE THE BOARD AND COMMUNITY ABOUT THE SECONDARY COMMUNITY HEALTH DATA AS WELL AS THE RESULTS OF THE COMMUNITY INTERVIEWS AND SURVEYS. -INPUT OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WAS RECEIVED THOUGH INTERVIEWS AND THE COMMUNITY SURVEY. AGENCIES REPRESENTING THESE POPULATION GROUPS WERE INTENTIONALLY INVITED TO THE INTERVIEWS. THE COMMUNITY SURVEY WAS REPRESENTATIVE OF THE WHOLE COMMUNITY - BY AGE, INCOME, AND EDUCATION. -THE TEXAS DEPARTMENT OF HEALTH PARTICIPATED IN THE INTERVIEWS. BELOW IS A LIST OF ALL THE ORGANIZATIONS THAT GAVE INPUT INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN: -BETHANY PRESCHOOL, SCHOOL DISTRICT, RED CROSS, GOLDEN HUB, ST. BARNABAS EPISCOPAL CHURCH, BETHANY LUTHERAN CHURCH, GILLESPIE COUNTY VETERANS SERVICE OFFICER, ECONOMIC DEVELOPMENT COMMISSON, EMERGENCY MEDICAL SERVICES, TEXAS A&M EXTENSION, GOOD SAMARITAN CLINIC, POLICE CHIEF, VICTORY FELLOWSHIP, ST. THOMAS ORTHODOX CHURCH, MAYOR, HOLY GHOST LUTHERAN CHURCH, CHAMBER OF COMMERCE, GILLESPIE COUNTY HEALTH DIVISION, EMERGENCY SERVICES DISTRICT BOARD, FREDERICKSBURG CITY COUNCIL; ST. BARNABAS EPISCOPAL CHURCH, NEEDS COUNCIL, FREDERICKSBURG INDEPENDENT SCHOOL DISTRICT, AND EMERGENCY SERVICES. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Hill Country Memorial Hospital. AT THE BEGINNING OF THE 2023 TAX YEAR, CREATE HEALTHY MANAGEMENT COMPLETED ITS SALE OF THE HOSPITAL. AS THE ORGANIZATION IS NOT CURRENTLY A HOSPITAL, THESE DOCUMENTS ARE NO LONGER POSTED TO THE WEBSITE. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HILL COUNTRY MEMORIAL HOSPITAL. BASED ON THE RESULTS OF THE CHNA, THE HOSPITAL HAS SELECTED FOUR OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. ACCESS TO AFFORDABLE CARE AND INSURANCE A) FOCUS, DEVELOP, AND IMPLEMENT HEALTHCARE RESOURCES AND HEALTHCARE LITERACY FOR THE UNDERSERVED 1. HAVE AN ACTION FAIR WITH INSURANCE PROVIDERS TO PROVIDE INFORMATION, IMPROVE LITERACY, AND INCREASE PREVENTION- TRANSLATE INTO MULTIPLE LANGUAGES, INCLUDE CHIP PROGRAM, MEDICARE ADVANTAGE, ETC 2. SELECT A COMMUNITY EXPERT/EDUCATOR TO PROVIDE COMMUNITY EDUCATION ON HEALTHCARE ACCESS, COVERAGE, RESOURCES, ETC 3. UTILIZE MEDICARE ADVANTAGE COMMUNITY LIAISONS TO HELP EDUCATE PEOPLE ON MEDICARE OPTIONS 4. WRITE REGULAR ARTICLES FOR THE NEWSPAPER TO IMPROVE HEALTH AND HEALTH INSURANCE LITERACY B) INCREASE ACCESS TO HEALTHCARE OUTSIDE THE HOSPITAL 1. DEVELOP A COALITION FOR TRANSPORTATION WITH A FOCUS ON GERIATRIC CARE AND FAMILY SUPPORT 2. CREATE A LIST OF VOLUNTEERS TO BRIDGE THE GAP OF CARE AND SUPPORT TO IMPROVE SENIOR SOCIALIZATION 2. BEHAVIORAL/MENTAL HEALTH A) INCREASE THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS 1. FORM RELATIONSHIPS WITH ESTABLISHED FACILITIES IN AUSTIN, KERRVILLE, AND SAN ANTONIO TO PROVIDE POSSIBLE SERVICES (TEXAS ADVISORY COUNCIL IN SAN ANTONIO) 2. EXPLORE TELE-HEALTH OPTIONS AND EDUCATION, INCLUDING SCHOOL COUNSELORS, JAILS, AND OTHER MEMBERS OF THE COMMUNITY 3. INTEGRATE BEHAVIORAL HEALTH INTO PRIMARY CARE OFFICES TO INCREASE ACCESS AND DECREASE STIGMA 4. PROVIDE MENTAL HEALTH FIRST AID IN THE COMMUNITY - POLICE, SCHOOLS, PUBLIC B) IMPROVE SUICIDE PREVENTION EDUCATION 1. REVIEW THE CURRENT SUICIDE PREVENTION EDUCATION PROCESS AND EXPLORE NEW OPPORTUNITIES FOR COMMUNICATION 2. FIND RESOURCES AND MAKE CONNECTIONS 3. SHARE THE INFORMATION AND MAKE ONE CENTRAL FACILITY/ORGANIZATION FOR REFERRALS AND NAVIGATION FOR PROVIDERS AND THE PUBLIC. CREATE A SHARED INFORMATION CENTER: "ONE CALL, THAT'S ALL". 3. HEALTHY EATING - ACTIVE LIVING A) INCREASE NUTRITION EDUCATION FOR THE YOUTH AND FAMILIES- EDUCATE 1,500 YOUTH AND FAMILIES ON NUTRITION, SHOPPING, SIMPLE MEALS, ETC. 1. INVITE MAJOR EMPLOYERS TO CREATE A HEALTH COUNCIL 2. CATALOG EXISTING RESOURCES AND WORK WITH MDS TO CREATE ACCESS TO FAMILIES WITH EDUCATION SESSIONS ON HEALTHY EATING B) INCREASE KNOWLEDGE OF THE ACCESS AND RESOURCES AVAILABLE. CREATE AN EXERCISE FAIR WITH NEW EXERCISE OPPORTUNITIES ACROSS THE COMMUNITY. MAKE A CULTURAL CHANGE FOR PHYSICAL ACTIVITY. 1. CREATE AN ONLINE RESOURCE OF ALL EXERCISE GROUPS/OPPORTUNITIES 2. ENCOURAGE EMPLOYERS TO INCENTIVIZE EXERCISE IN FAMILIES 3. ENCOURAGE MDS TO WRITE PRESCRIPTIONS FOR EXERCISE 4. INTEGRATE WITH INSURANCE PLANS FOR DISCOUNTS 4. ENVIRONMENTAL FACTORS A) INCREASE EDUCATION ON VAPING AMONG YOUTH WITHIN 3 YEARS 1. INCREASING YOUTH TO YOUTH EDUCATION TO REDUCE/PREVENT SUBSTANCE ABUSE/MISUSE BY UTILIZING HEALTHY TEXAN YOUTH AMBASSADORS. INCREASE NUMBER OF BILINGUAL AMBASSADORS 2. ENCOURAGE YOUTH TO EDUCATE COMMUNITY, PARENTS, GRANDPARENTS. B) REDUCE INJURY AND POOR HEALTH OUTCOMES RELATED TO SUBSTANCE ABUSE AMONG ADULTS WITHIN 3 YEARS 1. CATALOG AVAILABLE RESOURCES, EXPLORE GRANTS, EXPAND AVAILABLE RESOURCES, SERVICES, AND DONATIONS 2. COLLABORATE WITH BEHAVIORAL HEALTH PROVIDERS, LAW ENFORCEMENT, FAITH-BASED COMMUNITIES AND MEDICAL PROVIDERS. LINKAGE TO TREATMENT FOR THE ADDICTED C) HOUSING GOAL - INCREASE PERCENTAGE OF HOUSING STOCK THAT IS AFFORDABLE AT 30% OF THE MEDIAN HOUSEHOLD INCOME 1. CREATE/FOCUS ON MULTI-FAMILY INCOME-BASED HOUSING 2. RECRUIT OUTSIDE INVESTMENTS SUCH AS PHILANTHROPY, CITY DEVELOPMENT, CONSTRUCTION GROUPS TO INCREASE SUPPLY OF APPROPRIATE LOT TYPES 3. INCREASE BROADBAND SUPPLY AND RECRUIT ALTERNATIVE INDUSTRIES TO INCREASE JOB DIVERSITY D) WATER QUALITY GOAL - EVALUATE WATER QUALITY NEEDS ACROSS THE COUNTIES 1. IDENTIFY AREAS THAT NEED SUPPORT E) CHILDCARE GOAL - OPEN MORE THAN 300 SPACES IN PRE-SCHOOLS/DAY CARES 1. OBTAIN FUNDING FROM STATE AND FOUNDATIONS FOR CHILDCARE EFFORTS 2. PARTNER WITH CHURCHES, BUSINESSES, AND ORGANIZATIONS FOR EXPANDED AND NEWLY INFORMED PROGRAMS. CREATE INCENTIVES FOR EMPLOYEES F) HEALTH LITERACY FOR SENIORS GOAL - ESTABLISH A COMMUNITY LIAISON PROGRAM TO PREVENT ISOLATION AND PERFORM WELLNESS CHECKS 1. ASK THE LOCAL MAYOR'S OFFICE TO ESTABLISH A GRID SYSTEM TO CREATE REPS IN EACH GRID FOR COMMUNICATION 2. HIRE A COMMUNITY LIAISON TO COORDINATE PROGRAMS AND BE THE EYES AND EARS ACROSS THE COMMUNITY HILL COUNTRY MEMORIAL HOSPITAL DOES NOT INTEND TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS DUE TO LACK OF EXPERTISE AND RESOURCES: 1. ACCESS TO CARE AND INSURANCE IS A HEALTH NEED THAT HCM CANNOT DIRECTLY IMPACT AT THIS TIME. HILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO PROVIDE MORE ACCESS TO AFFORDABLE HEALTHCARE BY RECRUITING PRIMARY CARE DOCTORS TO EXPAND ACCESS AND CONTINUING TO OFFER ITS FINANCIAL ASSISTANCE PROGRAM. 2. SUBSTANCE USE: DUE TO RESOURCE LIMITATIONS, HILL COUNTRY MEMORIAL HOSPITAL IS NOT DIRECTLY ADDRESSING SUBSTANCE ABUSE/ADDITION HEALTH NEEDS AT THIS TIME. HILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO PARTNER WITH LOCAL REHABILITATION CENTERS AND SOCIAL SERVICES BETTER POSITIONED TO DIRECTLY ADDRESS THIS HEALTH NEED. 3. AFFORDABLE HOUSING: WHILE THIS IS IMPORTANT TO OUR COMMUNITY IT IS A DIFFICULT ITEM FOR HCM TO DIRECTLY ADDRESS. JILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO PARTNER WITH LOCAL GOVERNMENT AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE AFFORDABLE HOUSING AVAILABLE IN THE COMMUNITY. 4. CHILD CARE: WHILE WE AGREE THAT THIS IS A NEED IN OUR COMMUNITY, WE SEE OTHERS IN OUR COMMUNITY BETTER-POSITIONED TO FILL THE GAP AT THIS TIME. HILL COUNTRY MEMORIAL HOSPITAL WILL CONTINUE TO OFFER CHILDREN'S PROGRAMMING DURING CERTAIN SCHOOL HOLIDAYS AT OUR WELLNESS CENTER AND CONTINUE TO COLLABORATE WITH SOCIAL SERVICES FOCUSING ON CHILDREN. 5. SENIOR CARE: DUE TO RESOURCE LIMITATIONS, WE ARE NOT ADDRESSING GERIATRIC HEALTHCARE SERVICES AT THIS TIME. The Hospital WILL CONTINUE TO PARTNER WITH LOCAL SENIOR SERVICES AND COMMUNITY LEADERS SEEKING SOLUTIONS TO MAKE GERIATRIC HEALTHCARE SERVICES AVAILABLE IN THE COMMUNITY. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - HILL COUNTRY MEMORIAL HOSPITAL. THE NUMBER OF MEMBERS OF A HOUSEHOLD ARE ALSO CONSIDERED IN CALCULATING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - HILL COUNTRY MEMORIAL HOSPITAL. AT THE BEGINNING OF THE 2023 TAX YEAR, CREATE HEALTHY MANAGEMENT COMPLETED ITS SALE OF THE HOSPITAL. AS THE ORGANIZATION IS NOT CURRENTLY A HOSPITAL, THESE DOCUMENTS ARE NO LONGER POSTED TO THE WEBSITE. 1 HCM HOME CARE 808 REUBEN STREET FREDERICKSBURG TX 78624 HOME HEALTH Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS -NUMBER OF HOUSEHOLD MEMBERS Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COST COMPUTED ON IRS WORKSHEET 4 FROM THE GOOD SAMARITAN CENTER IS BASED ON CHARGES WRITTEN OFF. ALL OTHER ACTIVITY IS ACTUAL CASH COSTS. WORKSHEET 6 PULLED THE DATA FROM THE COST ACCOUNTING SYSTEM CONSISTING OF ACTUAL CHARGES AND RECEIPTS, ACTUAL COSTS AND OVERHEAD COSTS. WORKSHEET 8 IS CALCULATED USING THE INCOME STATEMENT AND INTERNAL COSTS SYSTEM. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR GENERAL LEDGER PURPOSES, the hospital ESTIMATES THE BAD DEBTS EXPENSE BASED ON HISTORY. A MONTHLY REPORT DETERMINES THE PERCENTAGE OF COLLECTIONS ON EVERY PAYOR FOR THE LAST SIX MONTHS. THIS HISTORY OF THE PERCENTAGE OF UNCOLLECTIBLE CHARGES IS USED TO ESTIMATE THE BAD DEBT EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $2,031,067. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The hospital's COLLECTION POLICY EXCLUDES PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. OTHER FACTORS ARE USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS. Schedule H, Part V, Section B, Line 16a FAP website - Hill Country Memorial Hospital: Line 16a URL: SEE SECTION C, LINE 16J; Schedule H, Part V, Section B, Line 16b FAP Application website - Hill Country Memorial Hospital: Line 16b URL: SEE SECTION C, LINE 16J; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Hill Country Memorial Hospital: Line 16c URL: SEE SECTION C, LINE 16J; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A TRIENNIAL COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT, CONDUCTED BY A THIRD PARTY IN COLLABORATION WITH INTERNAL STAKEHOLDERS. ADDITIONALLY, THE HOSPITAL ACCESSES AND REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENTS PUBLICALLY POSTED BY HEALTH ENTITIES IN OUR MORE DISTANT SERVICE AREAS. THESE ITEMS ARE INCORPORATED INTO OUR STRATEGIC PLAN. FINALLY, THE HOSPITAL CONDUCTS ANNUAL SWOT ASSESSMENTS WITH MORE THAN 100 KEY STAKEHOLDERS TO DETERMINE HEALTHCARE NEEDS BEFORE SETTING ITS ANNUAL STRATEGY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL'S PATIENTS SPEAK WITH A HOSPITAL BUSINESS OFFICE REPRESENTATIVE BEFORE CARE TO DETERMINE IF THEY ARE ELIGIBLE FOR ASSISTANCE UNDER THE FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THE ORGANIZATION'S CHARITY CARE POLICY. THE PATIENT'S ELIGIBILITY IS ASSESSED AND CAREFULLY MANAGED, SO THAT IF HE/SHE OVERPAYS, HE/SHE IS REIMBURSED THE RECONCILING AMOUNT. UPON DISCHARGE, PATIENTS ARE GIVEN THE INFORMATION, AND IT IS THEIR DECISION WHETHER OR NOT TO CONTACT THE HOSPITAL. Schedule H, Part VI, Line 4 Community information THE POPULATION OF THE THREE COUNTIES IS PROJECTED TO INCREASE FROM 2021 TO 2026 (2.57% PER YEAR). TEXAS IS PROJECTED TO INCREASE 1.5% PER YEAR. THE U.S. IS PROJECTED TO INCREASE 0.70% PER YEAR. THE THREE COUNTIES HAD A HIGHER MEDIAN AGE (48.7 MEDIAN AGE) THAN TX (35.3) AND THE U.S. (38.8). IN THE THREE COUNTIES THE PERCENTAGE OF THE POPULATION 65 AND OVER WAS 26%, HIGHER THAN THE U.S. POPULATION 65 AND OVER AT 17.2%. THE THREE COUNTIES' MEDIAN HOUSEHOLD INCOME AT $74,906 WAS HIGHER THAN TX ($63,524) AND THE U.S. ($64,730). THE RATES OF POVERTY IN GILLESPIE, BLANCO AND KENDALL RESPECTIVELY WERE 9.2%, 9.8% AND 6.7% WHICH WERE ALL LOWER THAN TX (13.4%) AND THE U.S. (11.9%). THE HOUSEHOLD INCOME DISTRIBUTION OF THE THREE COUNTIES WAS 37% HIGHER INCOME (OVER $100,000), 51% MIDDLE INCOME, AND 12% LOWER INCOME (UNDER $25,000). THE LARGEST INCOME GROUP IS THE 19% MAKING $50,000 TO $74,999. THE HEALTH CARE INDEX MEASURES HOW MUCH THE POPULATIONS SPENT OUT-OF-POCKET ON HEALTH CARE SERVICES INCLUDING INSURANCE PREMIUMS. THE U.S. INDEX WAS 100. THE THREE COUNTIES' INDEX WAS 122, INDICATING 22% MORE SPENT OUT OF POCKET THAN THE AVERAGE U.S. HOUSEHOLD ON MEDICAL CARE (DOCTOR'S OFFICE VISITS, PRESCRIPTIONS, HOSPITAL VISITS) AND INSURANCE PREMIUMS. THE RACIAL AND ETHNIC MAKE-UP OF GILLESPIE, BLANCO AND KENDALL COUNTIES WAS 89% WHITE, 1% BLACK, 1% AMERICAN INDIAN, 1% ASIAN, 25% HISPANIC ORIGIN, 2% MORE THAN ONE RACE, AND 7% OTHER. (THESE PERCENTAGES TOTAL TO OVER 100% BECAUSE HISPANIC IS AN ETHNICITY, NOT A RACE.) Schedule H, Part VI, Line 5 Promotion of community health THE HOSPITAL'S VISION IS TO EMPOWER OTHERS, CREATE HEALTHY. ENCOURAGING WELLNESS IS AN INVESTMENT IN OUR COMMUNITIES' HEALTH. WE EMPOWER OTHERS BY HOLDING EDUCATIONAL/COMMUNITY EVENTS. 2022 WAS A CHALLENGING YEAR FOR CREATING HEALTHY WITH THE END OF OUTBREAK OF COVID 19 IN OUR WORLD. THE HEALTHYU PROGRAM, HYPERTENSION MANAGEMENT THROUGH BEHAVIORAL CHANGES, CONTINUED WITH 150 PARTICIPANTS WITH REMOTE WEBINARS, NUTRITIONAL CONSULTATIONS, OFF SITE FITNESS ACTIVITIES. THE WELLNESS CENTER COMPLIED WITH PANDEMIC SAFETY PROTOCOLS TO PROVIDE A RESOURCE FOR WELLNESS ACTIVITIES; OUTDOOR GROUP EXERCISE CLASSES, SMALLER AQUA CLASSES, FITNESS EQUIPMENT SANITATION PROTOCOLS, AND TWO HOUR RESERVATION BLOCKS TO REDUCE THE USER INTERACTION. EMBRACING ITS VALUE OF OWNERSHIP, CHM PROACTIVELY INITIATED THE HILL COUNTRY COMMUNITY RESPONSE TO COVID-19 BY ORGANIZING REGULAR STAKEHOLDER MEETINGS WITH KEY COMMUNITY LEADERS; DISSEMINATING TRANSPARENT, RESEARCH BASED EDUCATION; IMPLEMENTING INNOVATIVE AND EXPANDED APPROACHES TO ACCESS CARE; AND SHARING BEST PRACTICES AT THE LOCAL, STATE, AND NATIONAL LEVEL. THESE MEETINGS CONTINUED INTO 2022. THE HOSPITAL COLLABORATES WITH CITY AND COUNTY OFFICIALS TO PREPARE FOR EMERGENCY SCENARIOS. CHM INVITES CITY AND COUNTY EMERGENCY OFFICIALS TO PARTICIPATE IN MOCK EMERGENCY SITUATIONS TO PREPARE FOR ACTUAL, LIKELY EMERGENCY BASED ON THE GEOGRAPHIC PROXIMITY OF THE HOSPIAL, SUCH AS A TORNADO OR MAJOR CHEMICAL SPILL. STARTING IN EARLY 2022 CHM HAS BEEN COLLABORATING WITH THOSE AGENCIES TO PREPARE FOR THE POTENTIAL HEALTH NEEDS OF THE INFLUX OF TENS OF THOUSANDS OF VISITORS FOR THE PARTIAL ECLIPSE IN FALL OF 2023 AND THE TOTAL ECLIPSE IN APRIL OF 2024 AS FREDERICKSBURG IS IN THE DIRECT PATH OF THE VIEWING AREA. THE HOSPITAL'S PURPOSE IS TO SERVE AND PARTNER WITH OTHERS TO CREATE HEALTHY COMMUNITIES FOR GENERATIONS TO COME. THE ORGANIZATION DOES THIS BY HAVING AN OPEN MEDICAL STAFF AND COMMUNITY BOARD. CHM ALSO PROVIDES MILLIONS OF DOLLARS OF CHARITY CARE EACH YEAR. AS A NOT-FOR PROFIT HEATLH CARE ORGANIZATION, OUR EARNINGS ARE INVESTED BACK INTO THE ORGANIZATION FOR IMPROVEMENTS TO THE FACILITIES, TECHNOLOGY AND THOSE WHO DELIVER CARE. IN 2022, CHM INVESTED IN CATH LAB AND SURGERY EQUIPMENT, NEW IT EQUIPMENT AND OPENED THE DEBBYE DOOLEY SIMULATION LAB TO TRAIN MEDICAL TEAMS THROUGHOUT THE HILL COUNTRY. FOR ADDITIONAL INFORMATION ABOUT ACTIVITIES THE HOSPITAL CONDUCTED TO PROMOTE COMMUNITY HEALTH, SEE THE SCHEDULE H, PART V, SECTION B, LINE 11 DISCLOSURE. Schedule H, Part VI, Line 6 Affiliated health care system THE HOSPITAL IS PART OF A SYSTEM WHICH INCLUDES SIX ORGANIZATIONS. CREATE HEALTHY MANAGEMENT PROVIDES HEALTHCARE; CREATE HEALTHY FOUNDATION PROVIDES FUNDRAISING; FREDERICKSBURG PHYSICIANS NO 1 PROVIDES HEALTHCARE; FREDERICKSBURG PHYSICIANS NO 2 PROVIDES HEALTHCARE; AND FREDERICKSBURG HOSPICE NO 1 PROVIDES HOSPICE SERVICE. FREDERICKSBURG ACO, LLC & MARBLE FALLS ASC, LLC ARE FULLY OWNED BY THE HOSPITAL. Schedule H, Part VI, Line 7 State filing of community benefit report TX true FREDERICKSBURG FRIENDS OF THE FIELDS C/O SECURITY STATE BANK P O BOX 471 FREDERICKSBURG TX 78624 872770300 501(C)(3) 900000 Construction of Community Soccer Fields LITTLE HEARTS CHILD DEVELOPMENT CENTER P O BOX 2107 FREDERICKSBURG TX 78624 920825896 501(C)(3) 500000 Construction of Child Care Facility BETHANY PRESCHOOL 110 W AUSTIN STREET FREDERICKSBURG TX 78624 741246245 501(C)(3) 500000 Construction of Child Care Facility GILLESPIE COUNTY FAIR AND FESTIVALS ASSOCIATION SCHOLARSHIP FEST P O BOX 526 FREDERICKSBURG TX 78624 741036549 501(C)(3) 50000 Scholarships HILL COUNTRY UNIVERSITY CENTER FOUNDATION 2818 E HIGHWAY 290 FREDERICKSBURG TX 78624 743069497 501(C)(3) 75000 Scholarships THE HILL COUNTRY COMMUNITY NEEDS COUNCIL P O BOX 73 FREDERICKSBURG TX 78624 742276776 501(C)(3) 45000 $25K General Support focusing on children's counseling, $20K Weekend backpacks for children's meals GOOD SAMARITAN CENTER 140 INDUSTRIAL LOOP SUITE 100 FREDERICKSBURG TX 78624 912129853 501(C)(3) 25000 Medical care for indigent patients GRACE CENTER OF FREDERICKSBURG P O BOX 3433 FREDERICKSBURG TX 78624 352639189 501(C)(3) 35000 General Support COMMUNITY RESOURCE CENTER OF TEXAS 1016 BROADWAY MARBLE FALLS TX 78624 470946288 501(C)(3) 25000 General Support CENTRAL TEXAS FOOD BANK 6500 METROPOLIS DRIVE AUSTIN TX 78624 742217350 501(C)(3) 25000 Support - Local delivery of mobile food pantry for Thanksgiving food BOYS AND GIRLS CLUB OF TEXAS HILL COUNTRY P O BOX 2307 FREDERICKSBURG TX 78624 742758055 501(C)(3) 65000 General Support GOLDEN HUB COMMUNITY CENTER 1009 N LINCOLN STREET FREDERICKSBURG TX 78624 843438428 501(C)(3) 25000 Support - Meals for Seniors FREDERICKSBURG ISD EDUCATION FOUNDATION P O BOX 3446 FREDERICKSBURG TX 78624 825436079 501(C)(3) 25000 General Support TEXAS WINE AUCTION P O BOX 2651 FREDERICKSBURG TX 78624 873707415 501(C)(3) 75000 Support - Healthcare for Workers FISD BILLIE BOOSTERS INC P O BOX 2135 FREDERICKSBURG TX 78624 742617557 501(C)(3) 15000 General Support - Healthy Living FREDERICKSBURG INDEPENDENT SCHOOL DISTRICT 234 FRIENDSHIP LAND FREDERICKSBURG TX 78624 746000876 501(C)(3) 15000 School supplies for local students 16 0 Health improvement program 1100 43352 Cost of staff, labs and value of memberships Free membership in hypertension management program Gym Club Membership 153 6840 Value of memberships at retail Free membership provided to law enforcement and EMS personnel Schedule I, Part III, Column (b) Estimated Number Of Recipients Health improvement program : Actual number of registered participants Schedule I, Part III, Column (b) Estimated Number Of Recipients Gym Club Membership : Actual number of registered participants Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Create Healthy partners with organizations which receive grant funding to review reports outlining how they used the grant funds received. These reports include key data points and are provided to Create Healthy at least annually and at the conclusion of their grant period. These reports are reviewed by the Create Healthy Councils and leadership and in aggregate by the Create Healthy Board. X X X true false false false false false false false false JAYNE POPE CEO 379610 0 0 0 410000 0 18151 0 11337 0 819098 0 0 0 SUSAN NEVES CFO 90975 0 0 0 325000 0 12200 0 7692 0 435867 0 0 0 CHRIS SEMMLER VP OF FINANCE 160557 0 19793 0 0 0 8830 0 0 0 189180 0 0 0 CLINTON KOTAL CHIEF INTEGRATION OFFICER 92519 0 0 0 325000 0 12200 0 8378 0 438097 0 0 0 AMANDA STEVENS Chief Strategy Officer 135607 45054 0 0 46249 46249 8309 4505 15002 6091 205167 101899 0 0 MAUREEN O POLIVKA CNO 66077 0 0 0 116126 0 9358 0 7691 0 199253 0 0 0 JANICE MENKING Controller 108191 0 21861 0 18929 0 5495 0 7203 0 161679 0 0 0 Schedule J, Part I, Line 4a Change-of-Control Payment The Board of Directors consulted with legal counsel and approved retention/change of control payments in advance of the transaction in an effort to retain key senior staff in place for the duration of the transaction. Retention agreements are key elements in such transactions. The loss of key staff during the eighteen months of negotiation, diligence and closing, had the potential to result in an economic loss through either diminished operations or a reduction in the purchase price or both in excess of 10 million dollars. The amount of the retention agreements was confirmed through an independent third party national compensation consultant. The cost of the retention agreements was reasonable and appropriate in light of the material potential enterprise risk. The following individuals received payment: Jayne Pope $410,000 Susan Neves $325,000 Clinton Kotal $325,000 Maureen Polivka $116,126 Amanda Stevens $92,498 Hospital Real, Fixed and Moveable Assets 2023-03-31 Methodist Hospital false true false true true true true true false LAND, BUILDINGS, FURNITURE, FIXTURES 2023-03-31 51385843 APPRAISAL, FAIR MARKET VALUE 742730328 METHODIST HEALTHCARE SYSTEM P O BOX 570 NASHVILLE TN 37202 Limited Liability Partnership ACCOUNTS RECEIVABLE 2023-03-31 6828065 ACTUAL COLLECTIONS 742730328 METHODIST HEALTHCARE SYSTEM P O BOX 570 NASHVILLE TN 37202 Limited Liability Partnership INVENTORY, PREPAID ASSETS 2023-03-31 3631799 ACTUAL VALUE 742730328 METHODIST HEALTHCARE SYSTEM P O BOX 570 NASHVILLE TN 37202 Limited Liability Partnership true true false true Schedule N, Part II, Line 2a Interested person is a director or trustee of transferee org. Jenny Weiser, Board Chair Joel Junker, Secretary Carlin Friar, Trustee Dan Sechrist, Trustee Schedule N, Part II, Line 2b Interested person is an employee of ind. contractor of transferee org. Jayne Pope, President & CEO Amanda Stevens, Vice President of Strategic Philanthropy Schedule N, Part II, Line 2d Interested person received compensation from significant disposition The Board of Directors consulted with legal counsel and approved retention/change of control payments in advance of the transaction in an effort to retain key senior staff in place for the duration of the transaction. Retention agreements are key elements in such transactions. The loss of key staff during the eighteen months of negotiation, diligence and closing, had the potential to result in an economic loss through either diminished operations or a reduction in the purchase price or both in excess of 10 million dollars. The amount of the retention agreements was confirmed through an independent third party national compensation consultant. The cost of the retention agreements was reasonable and appropriate in light of the material potential enterprise risk. The following individuals received payment: Jayne Pope, CEO Susan Neves, CFO Clinton Kotal, CIO Maureen Polivka, CNO Amanda Stevens, Chief Strategy Officer Form 990, Part III, Line 3 Significant changes in program services Hospital operations and assets sold to Methodist/HCA on 3/31/23. Remaining assets to be used for the new mission of Create Healthy. Form 990, Part III, Line 4d Description of other program services (Expenses $ 532,544 including grants of $)(Revenue $ 722,960) HOME CARE SERVICES - PROVIDE NURSES AND THERAPISTS TO ASSIST PATIENTS IN THEIR HOMES WITH EDUCATION, ASSESSMENT AND OBSERVATION OF WOUNDS, RESPIRATORY STATUS, CARDIAC STATUS AND OTHER BODY SYSTEMS. NURSES ALSO ADMINISTER IVS, WOUND CARE, COLOSTOMY CARE, AND CATHETER CARE. A TOTAL OF 2,304 HOME CARE VISITS WERE MADE. Form 990, Part III, Line 4d Description of other program services (Expenses $ 426,330 including grants of $)(Revenue $ 303,408) WELLNESS CENTER - PROMOTES HEALTH AND WELLNESS BY PROVIDING FITNESS EQUIPMENT AND CLASSES; CONDUCTING HEALTH SEMINARS AND CPR/FIRST AID CLASSES; PROVIDING NUTRITION INFORMATION THROUGH EDUCATION CLASSES AND DIETARY CONSULTATIONS; CONDUCTING HEALTH AND FITNESS SCREENINGS, FREE BLOOD PRESSURE CHECKS AND COUNSELING SEMINARS; AND OFFERING BREAST FEEDING SUPPLIES AND BREAST PUMP RENTALS, CHILDCARE AND YOUTH DAY CAMPS AS WELL AS MASSAGE THERAPY. DURING 2023 THERE WERE 77,224 VISITS IN WELLNESS CENTER PROGRAMS. Form 990, Part III, Line 4d Description of other program services (Expenses $ 72,282 including grants of $)(Revenue $ 64,660) WIC Program Form 990, Part III, Line 4d Description of other program services (Expenses $ 22,189 including grants of $)(Revenue $ 211,930) Clinic Rent Income Form 990, Part III, Line 4d Description of other program services (Expenses $ 196 including grants of $) ACO Service Income Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY. THE CEO SHALL BE EX-OFFICIO, NON-VOTING MEMBER 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. MINUTES OF THE EC MEETINGS SHALL BE SUBMITTED TO THE BOARD AND ITS ACTIONS SHALL BE BROUGHT TO THE BOARD AT THE NEXT REGULAR MEETING FOR RATIFICATION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, and HIGHLY COMPENSATED EMPLOYEES ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Board reviews relevant wage survey and data to determine CEO compensation. Data and surveys are supplied by a national compensation firm that specializes in compensation consulting. The compensation evaluation process is as follows: The CEO compensation is set by the Board of directors. Salary is accounted for the size and complexity of the organization and the knowledge and experience of the employee. All salaries are reflective of the market. Leadership compensation is reviewed annually. Form 990, Part VI, Line 15b Process to establish compensation of other employees All leadership positions were evaluated utilizing data from a national compensation consulting firm to ensure all salaries are reflective of the market and the complexity of the organization as well as the knowledge and experience of the employee. Form 990, Part VI, Line 19 Required documents available to the public 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 VIII, Line 2f Other Program Service Revenue Surgery Center Revenue - Total Revenue: 355338, Related or Exempt Function Revenue: 355338, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL RECORDS - Total Revenue: 295, Related or Exempt Function Revenue: 295, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 4389161, Program Service Expense: 3381247, Management and General Expenses: 1007914, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Loss from discontinued operations - 4011312; Other Reconciling Differences - 51659; Closing of Receivables - -64818707; Change in net assets of Foundation - 7443378; Change in net assets of MFASC - 1412366; Change in net assets of ACO - -24856; Change in operating lease - 6039637; FREDERICKSBURG ACO LLC PO BOX 1339 FREDERICKSBURG TX 78624 833115572 ACO TX 0 0 CHM MARBLE FALLS ASC LLC PO BOX 1339 FREDERICKSBURG TX 78624 331039828 SURGERY CTR TX 355338 0 CHM CREATE HEALTHY FOUNDATION PO BOX 1339 FREDERICKSBURG TX 78624 742557105 FUNDRAISING TX 501(c)(3) Type I CHM true FREDERICKSBURG HOSPICE NO 1 PO BOX 1339 FREDERICKSBURG TX 78624 174291264 HOSPICE TX 501(c)(3) 3 CHM true FREDERICKSBURG PHYSICIANS NO 2 PO BOX 1339 FREDERICKSBURG TX 78624 226255319 HEALTHCARE TX 501(c)(3) Type I CHM true FREDERICKSBURG PHYSICIANS NO 1 PO BOX 1339 FREDERICKSBURG TX 78624 127286010 HEALTHCARE TX 501(c)(3) 3 CHM true false false true true false false false false false true false false true true true false true true true FREDERICKSBURG HOSPICE NO 1 Q 1812664 ACTUAL CASH FREDERICKSBURG HOSPICE NO 1 S 6554200 ACTUAL CASH FREDERICKSBURG PHYSICIANS NO 1 R 2773355 FMV Create Healthy Foundation Q 157080 Cash paid Create Healthy Foundation C 161104 CASH PAID