2017-05-15T18:17:10-05:00 2016-06-30 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2015-07-01 742941598 Val Verde Hospital Corporation % SAN JUANA GARZA VALV 8307783613 801 Bedell Avenue Del Rio TX 78840 SAN JUANA GARZA CFO 8307783610 2017-05-15 true Jeanette Verrelli P00742631 9727028262 2015 2021-01-29 14:40:06Z XOCHY HURTADO 801 BEDELL AVE DEL RIO TX 78840 79325361 false X WWW.VVRMC.ORG X 2000 TX PROVIDE HEALTHCARE SERVICES TO THE RURAL COMMUNITY SURROUNDING DEL RIO, TEXAS. 7 7 827 25 0 771963 214753 66732052 78587776 789 2919 1240375 519913 68745179 79325361 0 0 0 0 26981962 27693014 0 0 0 43145394 45622920 70127356 73315934 -1382177 6009427 48923717 64786045 15345620 24943198 33578097 39842847 X PROVIDE HEALTHCARE SERVICES TO THE RURAL COMMUNITY IN DEL RIO, TEXAS. 1. PROVIDE THE AVAILABILITY OF HIGH QUALITY HEALTHCARE SERVICES TO ALL RESIDENTS AND VISITORS OF THE HOSPITAL DISTRICT AND SURROUNDING AREAS. 2. RESPOND TO COMMUNITY NEEDS BY EMPOWERING EMPLOYEES, PHYSICIANS, BOARD MEMBERS, AND VOLUNTEERS TO USE THEIR WISDOM, SKILLS, AND TALENTS IN PROVIDING QUALITY HEALTHCARE AND EDUCATION TO OUR COMMUNITY AND VISITORS. 3. INTERACT WITH OTHER HEALTHCARE PROVIDERS THROUGH COLLABORATIVE AND COOPERATIVE ARRANGEMENTS TO BROADEN THE SCOPE OF SERVICES. 4. DEMONSTRATE FISCAL RESPONSIBILITY TO THOSE WHOM WE SERVE BY EXERCISING SOUND FINANCIAL PRINCIPLES AND MORAL INTEGRITY. 5. EMPHASIZE EXCELLENCE THROUGH CONTINUOUS QUALITY IMPROVEMENT AS WE SEEK INNOVATIVE STRATEGIES TO MAXIMIZE EFFICIENCY, COST EFFECTIVENESS, AND QUALITY OF SERVICE. false false 13193124 38373196 RADIOLOGY: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 6,702 CT PROCEDURES, 1,996 MRI PROCEDURES, 468 NUCLEAR MED PROCEDURES, 20,625 RADIOLOGY PROCEDURES, 6,292, ULTRASOUND PROCEDURES, 2,585 MAMMOGRAMS, 731 INTERVENTIONAL RADIOLOGY PROCEDURES, 1,186 DIAGNOSTIC IMAGING PROCEDURES 18855660 21668642 LABORATORY SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT 248,389 DIAGNOSTIC TESTS 26327872 18753225 EMERGENCY ROOM: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 22,966 VISITS 58376656 true true false true false false false false false false true false false true true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 207 0 true 827 true false false false false false false false false false false X 7 7 false true false false true true true true true false false false true true true true true true true false X SAN JUANA GARZA 8307783610 801 BEDELL AVE DEL RIO TX 78840 X VAL CADENA DIRECTOR 1.0 0.0 X 0 0 0 SYLVIA OWENS SECRETARY 1.0 0.0 X X 0 0 0 CHARLIE QUALIA DIRECTOR 1.0 0.0 X 0 0 0 TONY SOTELO PRESIDENT 1.0 0.0 X X 0 0 0 RAUL ALATORRE VICE PRESIDENT 1.0 0.0 X X 0 0 0 JANE MORAIN DIRECTOR 1.0 0.0 X 0 0 0 LEE KEENEN TREASURER 1.0 0.0 X X 0 0 0 AURELIO LAING DIRECTOR 1.0 0.0 X 0 0 0 DANIEL CHARTRAND DIRECTOR 1.0 0.0 X 0 0 0 MOHAMAD NAWAR DIRECTOR 1.0 0.0 X 0 0 0 MOHAMED SHAFIU DIRECTOR 1.0 0.0 X 0 0 0 EDDIE READ INTERIM CFO START: MAY 2015 40.0 0.0 X 109920 0 15486 LUIS LOPEZ INTERIM CFO START: MAY 2016 40.0 0.0 X 0 0 0 STEVEN HALE INTERIM CEO TERM: AUGUST 2015 40.0 0.0 X 197141 0 2082 XOCHY HURTADO CEO START: AUGUST 2015 40.0 0.0 X 0 0 0 BRENDA NELSON RN 40.0 0.0 X 122269 0 0 MOIRA GRAHAM ADVANCE PRACTICE NURSE 40.0 0.0 X 107535 0 8761 ROCIO WILLITS REGISTERED CARDIOVASCULAR TECH 40.0 0.0 X 118117 0 0 DARCY BLAIR RN NURSING SUPERVISOR 40.0 0.0 X 110484 0 8761 BRANDAN BOENICKE PHYSICIAN ASSISTANT 40.0 0.0 X 109441 0 23649 LISA MEDOVICH CFO TERM: MAY 2015 0.0 0.0 X 109599 0 9096 984506 0 67835 23 true true false METHODIST HEALTHCARE SYSTEM 8109 FREDERICKSBURG RD SAN ANTONIO TX 78229 MEDICAL SERVICE 939573 HNI MEDICAL SERVICES 75 REMITTANCE DR STE 1653 CHICAGO IL 606751653 MEDICAL SERVICE 486130 PRECYSE SOLUTIONS LLC 1275 DRUMMERS LANE WAYNE PA 19087 CONTRACT SERVICE 473844 REPUBLIC HEALTH RESOURCES LLC PO BOX 202056 DALLAS TX 753202056 CONTRACT SERVICE 398100 PARALLON WORKFORCE MANAGEMENT SOLUT PO BOX 742697 ATLANTA GA 303742697 CONTRACT SERVICE 370264 19 124753 90000 214753 NET PATIENT REVENUE 621110 77978405 77978405 MEDICAL RECORDS REVENUE 900099 15485 15485 OTHER OPERATING REVENUE 900099 118943 118943 EHR INCENTIVE REVENUE 900099 474943 474943 78587776 919 919 0 0 28970 28970 0 28970 28970 2000 2000 2000 2000 0 0 0 CAFETERIA REVENUE 722210 283656 283656 EDUCATION REVENUE 611710 21197 21197 MISCELLANEOUS REVENUE 900099 186090 186090 490943 79325361 78795063 315545 X 0 0 0 0 324629 243472 81157 118695 89021 29674 22999787 17249840 5749947 0 2819891 2114918 704973 1430012 1072509 357503 186000 186000 85441 85441 248486 248486 0 0 0 17048278 12247813 4800465 267953 200965 66988 1105467 829100 276367 115084 86313 28771 0 1604836 1203627 401209 281699 211274 70425 0 106519 79889 26630 6540 4905 1635 0 4163989 3122992 1040997 94087 70565 23522 BAD DEBT EXPENSE 11451647 11451647 MEDICAL SUPPLIES 5820541 5820541 DIETARY 543337 407503 135834 EQUIPMENT COST & MAINTENANCE 1785273 1338955 446318 707743 530807 176936 73315934 58376656 14939278 0 1720523 3149214 437258 1806564 0 0 4983320 15046093 0 0 0 0 15397419 15397419 1405800 1334885 253808 383969 42788951 27834113 16347112 14954838 0 0 0 0 0 0 0 0 8378477 12713063 48923717 64786045 15345620 19719264 0 0 0 0 0 0 0 0 0 0 0 0 0 660491 0 4563443 15345620 24943198 X 33578097 39842847 0 0 0 0 33578097 39842847 48923717 64786045 6009427 255323 X X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1850 1850 false SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO THE TEXAS HOSPITAL ASSOCIATION. 12.31% OF THE DUES PAID ARE DESIGNATED FOR SPECIFIC LOBBYING PURPOSES. 0 0 4971289 1480288 3168001 0 453409 316508 136901 0 34545529 25714317 8831212 0 2818724 0 2818724 14954838 DEPOSITS 34447 Due To/From Affiliates 5009641 DUE FROM 3RD PARTY PAYER 7668975 12713063 0 CLINIC REPAYMENTS 4563443 4563443 X SCHEDULE D, PART X, LINE 2 LIABILITY FOR UNCERTAIN TAX POSITIONS: 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. true true X true X true X true true true false false 918050 918050 0.01480 13891949 4559053 9332896 0.15090 14809999 4559053 10250946 0.16570 14809999 4559053 10250946 0.16570 false 11451647 2862912 11767874 16595080 -4827206 X true true 1 1 VAL VERDE HOSPITAL CORPORATION 801 BEDELL AVENUE DEL RIO TX 78840 WWW.VVRMC.ORG 000462 X X X VAL VERDE HOSPITAL CORPORATION 1 false false true X X X X X X X X X 15 true false false true X WWW.VVRMC.ORG X true 15 true WWW.VVRMC.ORG false false true X 200. 200. X X X true true X X X true X WWW.VVRMC.ORG X WWW.VVRMC.ORG X WWW.VVRMC.ORG X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: IN OCTOBER OF 2015, VAL VERDE REGIONAL MEDICAL CENTER GATHERED INFORMATION FROM A NUMBER OF COMMUNITY MEMBERS FROM DEL RIO AND VAL VERDE COUNTY. THE FOCUS GROUPS INCLUDED INDIVIDUALS FROM THE FOLLOWING CONSTITUENCIES: BUSINESS LEADERS, CHAMBER OF COMMERCE REPRESENTATIVES, MINISTERS, THE COUNTRY SHERIFF, THE CITY MANAGER, ASSISTANCE FIRE CHIEF, EMTS, HOSPITAL DISTRICT BOARD MEMBERS, HOSPITAL STAFF MEMBERS, AUXILIARY MEMBERS, A VAL VERDE PARK SERVICES REPRESENTATIVE, TEACHERS, RETIRED MEMBERS OF THE COMMUNITY, SMALL BUSINESS OWNERS, LAUGHLIN AIR BASE, RADIO AND NEWSPAPER REPRESENTATIVES, AND PUBLIC HEALTH REPRESENTATIVES FROM THE DEL RIO OFFICE OF THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. ADDITIONAL FOCUS GROUPS WERE ALSO HELD WITH THE HOSPITAL'S EXECUTIVE TEAM AND DEPARTMENT MANAGERS. TOPICS DISCUSSED INCLUDED THE MAJOR HEALTH NEEDS OF THE COMMUNITY AND THE INDIVIDUALS PERCEPTIONS OF THE HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 11 IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: THE HOSPITAL IDENTIFIED FOUR ISSUES THAT WERE MOST OFTEN REPEATED BY A SIGNIFICANT NUMBER OF PARTICIPANTS AND HAVE BEEN PRIORITIZED TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY: 1. MEDICAL STAFF NEEDS 2. MAJOR HEALTH ISSUES 3. PATIENT SERVICE GAPS 4. MARKETING OF SERVICES AND EDUCATIONAL OFFERINGS ALL OF THE NEEDS IDENTIFIED WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE ADDRESSED IN THE IMPLEMENTATION STRATEGY. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BASED ON THE BAD DEBTS PER THE ORGANIZATION'S FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY AT 25%. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $4,827,206. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES: IF A PATIENT APPEARS TO BE INDIGENT, ACCOUNTS SHOULD BE REVIEWED, AT ANY TIME DURING THE COLLECTION PROCESS, FOR POSSIBLE CONSIDERATION AS A CHARITY CASE IN ACCORDANCE WITH THE ORGANIZATION'S CHARITY CARE POLICY. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR THE HOSPITAL'S CHARITY CARE PROGRAM, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE COMMUNITY'S NEEDS INFORMATION IS GARNERED FROM PATIENT SATISFACTION SURVEYS, EMPLOYEES, AND PHYSICIANS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: WHEN AN UNINSURED PATIENT FIRST REGISTERS FOR SERVICES, THE REGISTRAR IDENTIFIES THE SERVICES TO BE OFFERED AND REQUESTS PAYMENT FOR THOSE SERVICES PRIOR TO SENDING THE PATIENT TO THE DEPARTMENT. IF THE PATIENT IS UNABLE TO PAY, THE ELIGIBILITY DEPARTMENT IS NOTIFIED AND THE PATIENT IS ESCORTED TO THAT DEPARTMENT WHERE THEY ARE SCREENED FOR A FUNDING SOURCE. IF IT IS IDENTIFIED THAT PATIENT DOES QUALIFY, APPLICATIONS ARE COMPLETED, AND NECESSARY DOCUMENTATION IS REQUESTED PRIOR TO SERVICES BEING RENDERED. THE DOCUMENTS ARE THEN FORWARDED TO THE ON-SITE TEXAS DEPARTMENT OF HEALTH SOCIAL WORKER WHO VERIFIES ALL DOCUMENTS ARE COMPLETE. IF NO FUNDING SOURCE CAN BE IDENTIFIED, THE PATIENT IS SCREENED FOR THE FACILITIES CHARITY CARE PROGRAM. IF THEY QUALIFY, A CHARITY FINANCIAL CLASS IS ASSIGNED AND SERVICES RENDERED. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE HOSPITAL OWNS AND OPERATES A HOSPITAL IN DEL RIO, TEXAS. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF VAL VERDE COUNTY WITH A POPULATION OF APPROXIMATELY 50,000. THE MEDIAN INCOME IN THE COUNTY IS APPROXIMATELY $38,645 FOR A HOUSEHOLD COMPARED TO THE $51,714 TEXAS STATE AVERAGE. THE PER CAPITA INCOME FOR THE COUNTY IS $17,107. THE MEDIAN AGE WAS 32.7 YEARS OF AGE COMPARED TO 34 YEARS FOR TEXAS. ABOUT 24% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 33.1% OF THOSE UNDER AGE 18 AND 25.2% OF THEM AGE 65 OR OVER. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: EVERY MONTH VVRMC HOSTS A COMMUNITY HEALTH EDUCATION SERIES PRESENTATION. THE PRESENTATIONS ARE ADVERTISED ON OUR WEBSITE, IN THE DEL RIO NEW HERALD, AND ON LOCAL RADIO STATIONS. THEY ARE PRESENTED BY DOCTORS AND/OR EXPERTS IN CERTAIN FIELDS OF INTEREST. THE PRESENTATIONS COVER VARIOUS TOPICS TO HELP EDUCATE OUR COMMUNITY ON IMPORTANT HEALTH ISSUES. THE PRESENTATIONS ARE FREE TO THE PUBLIC; ON AVERAGE 40 PEOPLE ATTEND. THIS PROGRAM WAS IMPLEMENTED IN OCTOBER 2009. IT HAS GROWN IN POPULARITY IN TERMS OF INDIVIDUALS WHO EXPRESS AN INTEREST IN PRESENTING AND THE NUMBER OF ATTENDEES. VVRMC IMPLEMENTED AN IN-HOUSE EMERGENCY MEDICAL (EMS) ACADEMY. WITHIN THE EMS DEPARTMENT THERE ARE DISPATCHERS, THREE LEVELS OF EMERGENCY MEDICAL TECHNICIANS - BASIC, INTERMEDIATE AND PARAMEDICS, AND CREW CHIEFS. THE GOAL OF THE EMS ACADEMY IS TO PROVIDE THE TRAINING AND CERTIFICATIONS TO PARAMEDICS. THE EMS ACADEMY IS A MAJOR STEP FORWARD FOR THE COMMUNITY AND OUR HOSPITAL. VVRMC LAUNCHED A SLEEK NEW WEBSITE IN SEPTEMBER 2010. AT VVRMC.ORG, YOU CAN SEARCH FOR HEALTH ADVICE AND GET INFORMATION TO HELP MAKE SMART DECISIONS FOR YOU AND YOUR FAMILY. YOU CAN SEARCH FOR A PHYSICIAN WHO WILL MEET YOUR HEALTH CARE NEEDS - SEARCH BY NAME OR SPECIALTY, OR BROWSE A COMPLETE LIST OF OUR PHYSICIANS. THE VVRMC WEBSITE GIVES YOU ACCESS TO THE LATEST NEWS AND A WEALTH OF HEALTH INFORMATION AVAILABLE. THE HEALTH INFORMATION LIBRARY IS SEARCHABLE BY KEYWORD AND TOPIC AND INCLUDES TOPICS SUCH AS WOMEN'S HEALTH, SENIOR'S HEALTH, MEN'S HEALTH, AND CHILDREN AND PARENTING. YOU CAN ALSO VIEW A COMPLETE LIST OF OUR SERVICES. IN OCTOBER 2010, VVRMC PUBLISHED ITS FIRST ISSUE OF "KEEPING WELL". KEEPING WELL IS MAILED TO THE COMMUNITY OF DEL RIO AND ITS NEIGHBORS INCLUDING BRACKETTVILLE. "KEEPING WELL" IS A FREE HEALTH AND WELLNESS PUBLICATION. AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, "KEEPING WELL" PROVIDES EDUCATIONAL ARTICLES TARGETED SPECIFICALLY FOR OUR UNIQUE COMMUNITY INCLUDING INFORMATION ON DIABETES, HEART DISEASE, ALZHEIMER'S, NUTRITION, AND ARTHRITIS, TO NAME A FEW. "KEEPING WELL" IS PUBLISHED QUARTERLY IN THE MONTHS OF JANUARY, APRIL, JULY, AND OCTOBER. IT IS PRINTED IN BOTH ENGLISH AND SPANISH. THE CONTENT IS WRITTEN BY EXPERIENCED MEDICAL WRITERS TO INCLUDE RELEVANT, ENGAGING STORIES WITH RELIABLE AND PRACTICAL CONTENT. VVRMC ENCOURAGES SUPPORT OF VARIOUS NON-PROFITS ESPECIALLY RELAY FOR LIFE AND UNITED WAY. MORE THAN $13,000 WAS RAISED FOR THE CURRENT RELAY FOR LIFE CAMPAIGN AND MORE THAN $30,000 WAS RAISED FOR THE UNITED WAY CAMPAIGN. VVRMC PARTICIPATES IN NUMEROUS HEALTH FAIRS INCLUDING THE OLDER AMERICAN HEALTH FAIR, THE ANNUAL BACK TO SCHOOL HEALTH FAIR, ANDALE DEL RIO, AND THE AMISTAD BINATIONAL HEALTH COUNCIL WELLNESS EXPO, TO NAME A FEW. VVRMC ALSO PROVIDES THE MEDICAL SERVICES FOR COMMUNITY RUN FUNDRAISERS, SUCH AS THE ANDALE DEL RIO AND CHILLY 5K, FREE OF CHARGE. THE FOLLOWING PROGRAMS HAVE BEEN INSTITUTED: COMMUNITY EDUCATION SERIES FOCUS GROUPS - SMALL GROUPS MEET TO DISCUSS HOSPITAL CHARGES OUTPATIENT DIABETIC EDUCATION BREAST FEEDING CLASSES AFTER HOURS/WEEKEND CLINICS TO MEET COMMUNITY'S NEED GRIEF SUPPORT GROUP SAFE KIDS - CAR SEAT PROGRAM, HELMET/BICYCLE SAFETY, WATER/SWIMMING SAFETY EDUCATION FIRE SAFETY POISON PREVENTION HYPOTHERMIA PREVENTION HOSPICE PROGRAM (SERVES TWO COUNTIES) CHILD BIRTH CLASSES SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: VAL VERDE HOSPITAL CORPORATION D/B/A VAL VERDE REGIONAL MEDICAL CENTER (THE MEDICAL CENTER) IS A 93 BED ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, AND MENTAL HEALTH SERVICES TO PATIENTS IN DEL RIO, TEXAS, AND AREAS SURROUNDING VAL VERDE COUNTY. VAL VERDE COUNTY HOSPITAL DISTRICT (VVCHD) IS THE SOLE MEMBER OF THE MEDICAL CENTER. DURING 2011, THE MEDICAL CENTER FORMED VAL VERDE HEALTH CLINIC D/B/A AMISTAD MEDICAL PROFESSIONALS (THE CLINIC), A CORPORATION, FORMED PRIMARILY FOR THE PURPOSE OF PROVIDING PHYSICIAN SERVICES TO THE MEDICAL CENTER'S PATIENTS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $11,451,647 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF PERCENT OF TOTAL EXPENSE IN THIS COLUMN. SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS X X X X true false false false false false false false false STEVEN HALE INTERIM CEO TERM: AUGUST 2015 157141 0 0 0 40000 0 0 0 0 0 197141 0 0 0 LISA MEDOVICH CFO TERM: MAY 2015 109599 0 0 0 0 0 9096 0 0 0 118695 0 0 0 SCHEDULE J, PART I, LINE 4A Severance Payments: Individual Included in W-2 -------------------------------------- Steven Hale $ 40,000 FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF CONTROL OVER MANAGEMENT DUTIES: METHODIST HEALTH SYSTEMS PROVIDES CERTAIN FINANCIAL, TECHNICAL, AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. THE CONTRACT BEGAN IN JUNE 2015. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THE 2015 CALENDAR YEAR FOR THIS INDIVIDUAL: XOCHY HURTADO $ 119,789 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: VAL VERDE COUNTY HOSPITAL DISTRICT IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF GOVERNING BODY: THE MEMBER, VAL VERDE COUNTY HOSPITAL DISTRICT, SHALL APPOINT CLASS A DIRECTORS FROM ITS OWN BOARD ANNUALLY. THE MEMBER SHALL APPOINT TWO CLASS B DIRECTORS INITIALLY AND THEN SHALL APPOINT ONE CLASS B DIRECTOR ANNUALLY THEREAFTER. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY: FOLLOWING AMENDED BYLAWS ENACTED IN JULY 2010, THE BOARD SHALL REQUIRE APPROVAL BY THE NEW MEMBER VAL VERDE COUNTY HOSPITAL DISTRICT, FOR THE FOLLOWING DECISIONS: A. THE ESTABLISHMENT OF OR ANY CHANGES IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION AS SET BY A MEMBER. B. ANY AMENDMENTS OR REVISIONS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. C. ANY AMENDMENTS OR REVISIONS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION. D. THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE. E. ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY, TO WHICH THE CORPORATION IS A PARTY. F. THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. G. ALL MATERIAL EXPENDITURE DEVIATIONS, WHICH IS DEFINED AS $100,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS, FROM THE ANNUAL OPERATING BUDGET. H. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET. I. THE PURCHASE OR ACQUISITION OF ANY REAL PROPERTY BY THE CORPORATION. J. ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION FOR AN AMOUNT THAT EXCEEDS $100,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS. K. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION. L. THE SELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS OR THE REMOVAL OF SAID BOARD MEMBERS, WHETHER WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND CFO PERFORM A REVIEW OF THE RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THROUGH FEBRUARY 2010, THE ORGANIZATION FOLLOWED THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS FORMER PARENT, VHA SOUTHWEST COMMUNITY HEALTH CORPORATION (CHC), WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS (COVERED PERSONS) TO DISCLOSE POTENTIAL CONFLICTS. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICE, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON(S) OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. THE ORGANIZATION HAS CONTINUED TO FOLLOW A SIMILAR PROCESS AFTER FEBRUARY 2010 UNDER THE CURRENT PARENT, VAL VERDE COUNTY HOSPITAL DISTRICT. THE FACILITY OR DIVISION ECO OR THE SVP AND CHIEF ETHICS AND COMPLIANCE OFFICER WILL REVIEW DISCLOSURES WITH SUPERVISORS AND DETERMINE WHICH REQUIRE FURTHER ACTION. SUPERVISORS WILL DISCUSS NECESSARY ACTION WITH THE AFFECTED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION: THE ORGANIZATION HAS ESTABLISHED AN INTERNAL PROCESS TO DETERMINE COMPENSATION. HUMAN RESOURCES ANNUALLY USES MARKET SURVEYS FOR BASE PAY, PRIMARILY TSHHRAE SURVEY TOOL WHICH INCLUDES 125 HOSPITALS IN TEXAS WITH 42 IN VVRMC'S REGION. PAY RANGES ARE ESTABLISHED BY HUMAN RESOURCES AND APPROVED BY SENIOR DIRECTORS FOR EACH PAY GRADE BASED ON THE MARKET SURVEYS. HUMAN RESOURCES WILL MAKE RECOMMENDATIONS TO THE SENIOR LEADERSHIP TEAM ANNUALLY TO DETERMINE COMPENSATION PHILOSOPHY, LEVEL OF ENTERPRISE PAY, EXPENSE TO BUDGET, EE ADJUSTMENTS FOR MERIT/MARKET RECOGNITION AND NEW HIRES INCENTIVES. AFTER HUMAN RESOURCE'S ANALYSIS OF THE CEO'S COMPENSATION, THE FINDINGS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. DOCUMENTATION OF THE PRESENTATION AND APPROVAL ARE DOCUMENTED IN THE BOARD MINUTES. THE MOST RECENT REVIEW WAS CONDUCTED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IV, LINE 12 & PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART XII AND PART IV, LINE 12B. THE ORGANIZATION IS IN THE PROCESS OF AN AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2016. HOWEVER, AT THE TIME OF FILING THIS RETURN, THE AUDIT IS NOT YET COMPLETE. THE ORGANIZATION HAS ATTACHED A COPY OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2013 AND JUNE 30, 2014 TO THE 990 AND ANSWERED YES TO PART IV, LINE 20B. FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:746309 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8173887 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3539829 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:4572433 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANT FEES TOTAL FEES:15820 VAL VERDE COUNTY HOSPITAL DISTRICT 801 BEDELL AVENUE DEL RIO TX 78840 741835564 HEALTHCARE TX GOVT N/A NA false VAL VERDE HEALTH CLINIC 801 N Bedell Avenue DEL RIO TX 78840 272571145 HEALTHCARE TX VVHC C-CORPORATION -2068730 10537905 1.00000 true false true false false false false false false false false false false false false true true true false false VAL VERDE HEALTH CLINIC B 3534322 FMV SCHEDULE R, PART IV, COLUMN D DIRECT CONTROLLING ENTITY: VAL VERDE HOSPITAL CORPORATION (VVHC) IS THE DIRECT CONTROLLING ORGANIZATION OF VAL VERDE HEALTH CLINIC.