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← CREATE HEALTHY MANAGEMENT

Form 990 for tax year 2022

Filed by CREATE HEALTHY MANAGEMENT.

Totals

Total revenue
$101,131,605
Total expenses
$99,453,073
Contributions and grants received
$7,817,603
Grants paid
$63,105
Program service revenue
$95,161,603
Investment income
$1,617,172
Other revenue
-$3,464,773
Total assets, end of year
$231,936,244
Total liabilities, end of year
$21,861,780
Net assets or fund balances, end of year
$210,074,464
Program services expenses (Part IX)
$84,436,951
Management and general expenses
$15,016,122
Fundraising expenses
$0
Program service expenses (Part III)
$84,436,951

Program services were 84.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $439,613

  • 1e · Government grants (contributions)

    $250,000

  • 1f · All other contributions, gifts and grants

    $7,127,990

  • 1g · Noncash contributions included above

    $300,000

  • 2a · Program service revenue: Net Patient Hospital Revenue

    total $87,518,949 · related or exempt $87,518,949

  • 2b · Program service revenue: Home Health Care Revenue

    total $2,911,559 · related or exempt $2,911,559

  • 2c · Program service revenue: Wellness Center Service Revenue

    total $757,442 · related or exempt $757,442

  • 2d · Program service revenue: WIC Program Revenue

    total $402,316 · related or exempt $402,316

  • 2e · Program service revenue: Clinic Rent Revenue

    total $541,710 · related or exempt $541,710

  • 2f · All other program service revenue

    total $3,029,627 · related or exempt $3,029,627

  • 3 · Investment income

    total $1,142,186 · excluded $1,142,186

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    securities $2,713,371 · other assets $2,471

  • 7b · Less cost or other basis and sales expenses

    securities $2,240,856

  • 7c · Gain or loss

    securities $472,515 · other assets $2,471

  • 7d · Net gain or loss

    total $474,986 · excluded $474,986

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $404,317

  • 10b · Cost of goods sold

    $239,053

  • 10c · Net income from sales of inventory

    total $159,198 · related or exempt $159,198

  • 11a · Other revenue: AUXILIARY REVENUE

    total $37,525 · related or exempt $37,525

  • 11b · Other revenue: MEDICAL RECORDS

    total $940 · related or exempt $940

  • 11c · Other revenue: GOODWILL IMPAIRMENT

    total -$3,666,640 · excluded -$3,666,640

  • 11d · All other revenue

    total $4,204 · excluded $4,204

  • 11e · Other revenue, total

    -$3,623,971

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $63,105 · program services $63,105

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $2,022,297 · management and general $2,022,297

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $27,494,788 · program services $23,580,837 · management and general $3,913,951

  • 8 · Pension plan contributions

    total $784,913 · program services $683,338 · management and general $101,575

  • 9 · Other employee benefits

    total $4,625,006 · program services $4,139,528 · management and general $485,478

  • 10 · Payroll taxes

    total $2,045,783 · program services $1,663,463 · management and general $382,320

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $819,545 · management and general $819,545

  • 11c · Fees: accounting

    total $243,407 · management and general $243,407

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $17,596,938 · program services $14,918,238 · management and general $2,678,700

  • 12 · Advertising and promotion

    total $622,092 · program services $43,545 · management and general $578,547

  • 13 · Office expenses

    total $1,472,519 · program services $941,155 · management and general $531,364

  • 14 · Information technology

    total $303,004 · program services $299,284 · management and general $3,720

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $10,378,810 · program services $8,404,274 · management and general $1,974,536

  • 17 · Travel

    total $85,970 · program services $82,429 · management and general $3,541

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $128,854 · program services $114,431 · management and general $14,423

  • 20 · Interest

    total $88,313 · program services $18,253 · management and general $70,060

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $4,660,048 · program services $3,872,817 · management and general $787,231

  • 23 · Insurance

    total $526,701 · program services $443,765 · management and general $82,936

  • 24a · Other expenses: Medical Supplies

    total $19,699,012 · program services $19,699,012

  • 24b · Other expenses: Bad Debt Expense

    total $5,194,001 · program services $5,194,001

  • 24c · Other expenses: RECRUITMENT & RECOGNITION

    total $135,087 · program services $36,448 · management and general $98,639

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $124,311 · program services $52,955 · management and general $71,356

  • 24e · All other expenses

    total $338,569 · program services $186,073 · management and general $152,496

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $30,837,297 · end of year $7,478,630

  • 2 · Savings and temporary cash investments

    beginning of year $50,992,001 · end of year $54,512,803

  • 3 · Pledges and grants receivable

    beginning of year $550,040 · end of year $0

  • 4 · Accounts receivable

    beginning of year $9,084,074 · end of year $8,789,526

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $2,509,372 · end of year $2,810,440

  • 9 · Prepaid expenses and deferred charges

    beginning of year $6,638,626 · end of year $6,491,190

  • 10a · Land, buildings and equipment: cost or other basis

    $126,565,437

  • 10b · Land, buildings and equipment: accumulated depreciation

    $81,647,731

  • 10c · Land, buildings and equipment, net

    beginning of year $44,849,794 · end of year $44,917,706

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $38,716,555 · end of year $33,491,388

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $62,680,548 · end of year $73,444,561

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,500,722 · end of year $13,980,095

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $12,700,202 · end of year $7,881,685

  • 27 · Net assets without donor restrictions

    beginning of year $183,940,828 · end of year $176,583,076

  • 28 · Net assets with donor restrictions

    beginning of year $38,716,555 · end of year $33,491,388

Mission and programs · 2022

Mission

CREATE HEALTHY MANAGEMENT'S VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE ORGANIZATION'S VALUES ARE: COMPASSION, OWNERSHIP, INNOVATION, EXCELLENCE

Activities or mission (Part I)

MISSION IS REMARKABLE ALWAYS - TO PROVIDE REMARKABLE HEALTH CARE SERVICES TO THE HILL COUNTRY AREA THROUGH THE OPERATION AND MAINTENANCE OF A COMMUNITY HOSPITAL.

  • MEDICAL CARE SERVICES - PROVIDED HEALTH CARE SERVICES TO LOCAL RESIDENTS. DAYS OF CARE INCLUDED: ROUTINE AND OB - 3,780; INTENSIVE AND CRITICAL CARE UNITS - 978; NURSERY - 640; EMERGENCY ROOM CARE WAS PROVIDED FOR 12,710 VISITS; 239,994 LABORATORY TESTS WERE PERFORMED; 37,880 IMAGING PROCEDURES (ALL MODALITIES) WERE PERFORMED; 11,043 PHYSICAL/OCCUPATIONAL/SPEECH THERAPY VISITS WERE PROVIDED; 4,353 OPERATIONS AND 4,182 OUTPATIENT PROCEDURES WERE PERFORMED AND 394 BABIES WERE DELIVERED.

    Expenses $75,405,014 · Grants $63,105 · Revenue $87,716,312

  • 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 11,469 HOME CARE VISITS WERE MADE.

    Expenses $3,126,721 · Revenue $2,911,559

  • 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 2022 THERE WERE 77,224 VISITS IN WELLNESS CENTER PROGRAMS.

    Expenses $1,510,228 · Revenue $757,442

  • WIC PROGRAM

    Expenses $368,397 · Revenue $402,316

  • CLINIC RENT INCOME

    Expenses $67,827 · Revenue $541,740

  • SURGERY CENTER INCOME

    Expenses $2,215,732 · Revenue $1,304,352

  • ACO SERVICE REVENUE

    Expenses $1,743,032 · Revenue $1,725,275

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jayne Pope

    CEO

    Total calculated
    $517,543
    From this org
    $492,937
    From related orgs
    $0
    Other
    $24,606
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $410,935
    Bonus
    $82,002
    Other
    $0
    Deferred
    $11,600
    Nontaxable benefits
    $13,006
    Filer's total
    $517,543
  • Clinton Kotal

    CHIEF INTEGRATION OFFICER

    Total calculated
    $432,624
    From this org
    $383,678
    From related orgs
    $0
    Other
    $48,946
    Hours/week
    15.75 + 24.25 related

    Schedule J breakdown matched by us

    Base
    $316,242
    Bonus
    $67,436
    Other
    $0
    Deferred
    $11,600
    Nontaxable benefits
    $37,346
    Filer's total
    $432,624
  • Susan Neves

    CFO

    Total calculated
    $409,670
    From this org
    $378,955
    From related orgs
    $0
    Other
    $30,715
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $313,955
    Bonus
    $65,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $30,715
    Filer's total
    $409,670
  • Maureen Polivka

    CNO

    Total calculated
    $300,027
    From this org
    $279,741
    From related orgs
    $0
    Other
    $20,286
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,290
    Bonus
    $46,451
    Other
    $0
    Deferred
    $8,769
    Nontaxable benefits
    $11,517
    Filer's total
    $300,027
  • Amanda Stevens

    CHIEF STRATEGY OFFICER

    Total calculated
    $256,661
    From this org
    $107,676
    From related orgs
    $107,676
    Other
    $41,309
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $89,176 + $89,176 related
    Bonus
    $18,500 + $18,500 related
    Other
    $0
    Deferred
    $3,690 + $3,689 related
    Nontaxable benefits
    $16,965 + $16,965 related
    Filer's total
    $128,331 + $128,330 related
  • James Partin

    CMO

    Total calculated
    $234,103
    From this org
    $234,103
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,987
    Bonus
    $42,116
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $234,103
  • Leann Myers

    DIRECTOR OF ANCILLARY SERVICES

    Total calculated
    $225,077
    From this org
    $204,250
    From related orgs
    $0
    Other
    $20,827
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,150
    Bonus
    $27,100
    Other
    $0
    Deferred
    $7,126
    Nontaxable benefits
    $13,701
    Filer's total
    $225,077
  • Kevin Shane Dickinson

    IT DIRECTOR

    Total calculated
    $218,941
    From this org
    $181,027
    From related orgs
    $0
    Other
    $37,914
    Hours/week
    25 + 15 related

    Schedule J breakdown matched by us

    Base
    $177,420
    Bonus
    $3,607
    Other
    $0
    Deferred
    $7,203
    Nontaxable benefits
    $30,711
    Filer's total
    $218,941
  • Katelyn Vinklarek

    DIRECTOR POST ACUTE SERVICES

    Total calculated
    $217,827
    From this org
    $175,503
    From related orgs
    $0
    Other
    $42,324
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $150,303
    Bonus
    $25,200
    Other
    $0
    Deferred
    $6,059
    Nontaxable benefits
    $36,265
    Filer's total
    $217,827
  • Christine Damewood

    NURSING DIRECTOR

    Total calculated
    $202,393
    From this org
    $166,597
    From related orgs
    $0
    Other
    $35,796
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,597
    Bonus
    $20,000
    Other
    $0
    Deferred
    $5,085
    Nontaxable benefits
    $30,711
    Filer's total
    $202,393
  • Shanna Williams

    NURSING DIRECTOR

    Total calculated
    $186,215
    From this org
    $186,215
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,215
    Bonus
    $20,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $186,215
  • Jenny Weiser PhD

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.85 + 1 related
  • Penny McBride

    Director

    Total calculated
    $0
    Hours/week
    0.56 + 1 related
  • Joel Junker

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Dan Sechrist

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Carlin Friar

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Dale Crenwelge

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Dr Kevin Gallagher

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Dr Michael Johnson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Drake McLean

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Jane Morgan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • John Willome

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • FREDERICKSBURG ACO LLC

    ACO · TX · income $1,725,275 · assets $4,593

    Directly controlled by CHM

  • MARBLE FALLS ASC LLC

    SURGERY CTR · TX · income $1,407,820 · assets $532,255

    Directly controlled by CHM

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202302919349301650

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