2016-05-11T21:11:26-05:00 2015-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2014-07-01 742557820 SID PETERSON MEMORIAL HOSPITAL % SID PETERSON MEMORIAL HOSPIT SIDP 8302587728 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 LISA MEDOVICH CFO 8302587728 2016-05-15 true Amanda Maya P01067777 7134994600 2014 2016-08-17 19:52:53Z J PATRICK MURRAY 551 HILL COUNTRY DR KERRVILLE TX 78028 144623272 false X N/A X 1990 TX THE HOSPITAL'S MISSION IS TO PROVIDE WORLD CLASS CARE TODAY, TOMORROW, ALWAYS IN DELIVERING EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED CARE. 12 12 1179 90 0 0 841280 326386 110512116 136281997 2391170 3228311 568271 500756 114312837 140337450 84545 137099 0 0 45727315 52228744 0 0 331129 59138521 66331781 104950381 118697624 9362456 21639826 219291446 227816280 85974466 82811122 133316980 145005158 X PETERSON REGIONAL MEDICAL CENTER PROVIDES EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE. false false 99025756 137099 126949847 PETERSON REGIONAL MEDICAL CENTER IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL IN KERRVILLE, TEXAS. KERRVILLE IS LOCATED IN KERR COUNTY, APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO AND 80 MILES SOUTH WEST OF AUSTIN. PETERSON REGIONAL MEDICAL CENTER SERVES THE COMMUNITIES AND RESIDENTS IN THE FOLLOWING COUNTIES: KERR, BANDERA, GILLESPIE, KIMBLE, EDWARDS AND REAL. PETERSON REGIONAL MEDICAL CENTER ANCHORS A 35-ACRE CAMPUS INCLUDING A 124 BED ACUTE CARE HOSPITAL PROVIDING SERVICES INCLUDING: 24/7 EMERGENCY DEPARTMENT, WOMEN'S SERVICES (INCLUDING MATERNAL/NEWBORN), ACUTE INPATIENT REHABILITATION, ORTHOPEDICS, GENERAL SURGERY, DIAGNOSTIC IMAGING, INTENSIVE CARE UNIT, AND LABORATORY. ON THE SAME CAMPUS IS AN AMBULATORY CARE CENTER PROVIDING OUTPATIENT REHAB SERVICES, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTIC IMAGING AND HYPERBARIC WOUND CARE. PETERSON HOSPICE SERVICE AND PETERSON HOME CARE SERVICES ARE ALSO MEMBERS OF THE PETERSON REGIONAL FAMILY OF SERVICES BUT LOCATED OFF-SITE. 2274180 2797848 PETERSON HOME CARE - PETERSON HOME CARE PROVIDES A COMPREHENSIVE TEAM OF HEALTHCARE PROFESSIONALS TO THE RESIDENTS OF THE HILL COUNTRY, SPECIFICALLY KERR, GILLESPIE AND BANDERA COUNTIES. PETERSON HOME CARE IS A NOT-FOR PROFIT ORGANIZATION PROVIDING A COMPREHENSIVE RANGE OF PROFESSIONAL SERVICES INCLUDING: NURSING CARE, PHYSICAL AND SPEECH THERAPY, OSTOMY AND WOUND CARE, IV ANTIBIOTICS, CHEMOTHERAPY, AIDE SERVICES AND MEDICATION MANAGEMENT. ALL SERVICES ARE COORDINATED THROUGH AN INTERDISCIPLINARY APPROACH TO PATIENT CARE AND ESTABLISHED UNDER A PLAN OF TREATMENT OF A PHYSICIAN. DIAGNOSTIC AND LABORATORY SERVICES, AS WELL AS MEDICAL AND SURGICAL SUPPLIES ARE ALSO PROVIDED IN CONJUNCTION WITH SKILLED CARE. HOME CARE HAD 1,118 ADMISSIONS DURING THE YEAR AND 21,917 VISITS. 2879379 4499245 PETERSON HOSPICE IS A DEPARTMENT OF PRMC AND IS LOCATED OFF CAMPUS. IT OPERATES AS ONE OF THE HOSPITAL'S MANY OUTREACHES FOR THE HILL COUNTRY COMMUNITIES IT SERVES. PETERSON HOSPICE IS THE ONLY NON-PROFIT HOSPICE IN THE HILL COUNTRY WITH A MISSION THAT NO ONE WILL BE DENIED HOSPICE CARE BECAUSE OF AN INABILITY TO PAY. IN ADDITION TO PROVIDING HOSPICE CARE, PETERSON HOSPICE ALSO PROVIDES THE FOLLOWING UNFUNDED COMMUNITY SERVICES: 1. NAVIGATING THE WATERS OF GRIEF ~ A SIX WEEK GRIEF SUPPORT GROUP FOR ADULTS. THIS PROGRAM IS FACILITATED TWICE A YEAR BY A GRIEF EXPERT WHO IS A LICENSED MEDICAL SOCIAL WORKER (MSW). NAVIGATING THE WATERS OF GRIEF WORKS CLOSELY WITH HILL COUNTRY CLERGY AND THE LOCAL COMMUNITIES TO SERVE HOSPICE FAMILIES AS WELL AS OTHERS FACING THE LOSS OF A LOVED ONE OR FRIEND. 2. BRIDGING THE GAP ~ A SIX WEEK GRIEF SUPPORT GROUP FOR CHILDREN AGES KINDER THROUGH 12TH GRADE. THIS PROGRAM GIVES THEM THE TOOLS THEY NEED TO WORK THROUGH THE GRIEVING PROCESS. THE PARENTS ATTEND AS WELL TO OPEN COMMUNICATION AND FEELINGS TO HELP THE CHILD DEAL WITH GRIEF AT THEIR AGE APPROPRIATE LEVEL. BTG WORKS WITH ALL HILL COUNTRY SCHOOLS AND THEIR COUNSELORS. THE LOCAL COMMUNITY SERVES AS FACILITATORS AND VOLUNTEERS FOR THIS EXCELLENT PROGRAM. 3. CAMP RAYS OF HOPE ~ IS A STATEWIDE PROGRAM WHICH IS A WEEKEND RETREAT FOR GRIEVING CHILDREN THAT INCORPORATES THE PARENTS AS WELL. THE CHILDREN LEARN NEW WAYS TO COPE WITH THEIR LOSS, AND TO MEET OTHERS WITH SIMILAR CIRCUMSTANCES TO REMEMBER SPECIAL TIMES, TO MAKE NEW FRIENDS, AND TO HAVE FUN. 4. FLORAL PROGRAM ~ IS A VOLUNTEER DRIVEN PROGRAM THAT DELIVERS FLOWERS TO OUR PATIENTS. THE LOCAL FLORISTS IN THE AREA DONATE THE FLOWERS AND VOLUNTEERS ARRANGE AND DELIVER THEM. VOLUNTEERS ALSO SUPPORT FAMILIES AND PATIENTS WITH THEIR VISITS. 5. PATHWAYS ~ THIS VOLUNTEER OUTREACH OFFERS HOME BASED SOCIAL AND EMOTIONAL SUPPORT TO CLIENTS WITH AN ILLNESS THAT HAS A LIMITED LIFE EXPECTANCY BUT IS NOT YET HOSPICE APPROPRIATE. VOLUNTEERS HELP REDUCE THE ISOLATION AND VULNERABILITY THAT CLIENTS AND FAMILIES EXPERIENCE DURING A DIFFICULT TIME. EDUCATION IS AVAILABLE THROUGH PRMC RESOURCES REGARDING DISEASE PROCESSES, COPING STRATEGIES, ADVANCE DIRECTIVES, AND PRACTICAL AND SPIRITUAL ISSUES. THIS SUPPORT HELPS CLIENTS DEFINE THEIR QUALITY OF LIFE. 6. COMMUNITY SERVE PROGRAM ~ OFFERING OPPORTUNITIES FOR CITIZENS TO FULFILL COURT OBLIGATIONS IN A BENEFICIAL MANNER. 311 ADMISSIONS ACCOUNTED FOR 24,477 PATIENT DAYS. 103532 2554619 ONE LAB OFF-SITE OUTREACH LOCATION 103532 2554619 104282847 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true true true true true false false false false false false false false false false false false false false true true true false false true 131 0 true 1179 true true true false false false false false false false false false X 12 12 false false false false false false false true true false false false true true true true true true false false X SID PETERSON MEMORIAL HOSPIT 8308964200 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 X GLORIA OLSEN CHAIRMAN 10.0 0.0 X X 0 0 0 MICHAEL BAUMANN VICE CHAIR 7.0 0.0 X X 0 0 0 SARAH FONTENOT VICE CHAIR 7.0 0.0 X X 0 0 0 ROYCE ITSCHNER DIRECTOR 5.0 0.0 X 0 0 0 WILLIAM JOHNSTON DIRECTOR 5.0 0.0 X 0 0 0 SAM JUNKIN DIRECTOR 5.0 0.0 X 0 0 0 DEBBIE MITCHELL DIRECTOR 5.0 0.0 X 0 0 0 WILLIAM MORRIS JR MD DIRECTOR 5.0 0.0 X 0 0 0 LOUIS ROMERO JR DIRECTOR 5.0 0.0 X 0 0 0 ROBERT SCHMERBECK DIRECTOR 5.0 0.0 X 0 0 0 HAROLD WILSON DIRECTOR 5.0 0.0 X 0 0 0 JAMES P MURRAY CEO 40.0 0.0 X 299506 0 176227 J STEPHEN PAULTER COO 40.0 0.0 X 185798 0 32683 KAELI DRESSLER CNO 40.0 0.0 X 127402 0 19175 JOSEPH PISZCZOR VICE PRESIDENT OF OPERATIONS 40.0 0.0 X 125158 0 17612 LISA MEDOVICH CFO 40.0 0.0 X 0 0 0 RICHARD CRUTHIRDS CIO 40.0 0.0 X 117011 0 12165 JULIE JOHNSON CFO 40.0 0.0 X 184194 0 43361 TIMOTHY RYE ADMINSTRATOR 40.0 0.0 X 137726 0 15740 PAULETTE NEWLIN NURSING SUPERVISOR 40.0 0.0 X 121768 0 12857 SHANE ANDERS RN IV 40.0 0.0 X 137531 0 10346 JANA SUE MCDERMOTT RN 40.0 0.0 X 117227 0 18158 ROXANNE STONE RN II 40.0 0.0 X 122957 0 8569 1676278 0 366893 17 false true false LUKER PHARMACY MANAGEMENT PO BOX 1072 BLANCO TX 78606 RX MANAGEMENT 2360175 SOUND PHYSICIANS 1123 PACIFIC AVE TACOMA WA 98402 PHYSICIAN 2126638 FAVORITE HEALTHCARE STAFFING PO BOX 803356 KANSAS CITY MO 64190 CONTRACT LABOR 621755 ANESTHESIA ASSOCIATES 420 WATER STREET KERRVILLE TX 78028 ANESTHESIA SERVICE 452245 SODEXO PO BOX 536922 ALTANTA GA 30353 FOOD SERVICES 462681 27 220400 105986 326386 NET PATIENT SERVICE REVENUE 621110 135817829 135817829 MANAGEMENT REVENUE 900099 464168 464168 136281997 1896810 1896810 0 0 23063 122630 41869 122630 -18806 0 -18806 -18806 5451749 1075 4073240 48083 1378509 -47008 1331501 1331501 0 0 0 THRIFT SHOP REVENUE 453310 360516 360516 MISCELLANEOUS 900099 159046 159046 519562 140337450 136801559 3209505 X 10350 10350 126749 126749 0 0 1340298 1169965 168686 1647 0 39419611 34421421 4765199 232991 160983 140571 19485 927 8177692 7106405 1031891 39396 3130160 2686025 425667 18468 776004 497094 278910 0 82785 82785 205224 205224 0 0 0 0 14155414 11157337 2997837 240 523892 494236 8003 21653 1847402 1478068 363363 5971 39608 0 39608 0 0 1714192 1562343 151849 225590 224009 1581 0 272268 113252 155078 3938 3460260 3460260 0 7627647 5643167 1984480 383929 287947 95982 BAD DEBT EXPENSE 11591011 11591011 MEDICAL SUPPLIES 17840137 17802157 37980 EQUIPMENT REPAIR/MAINTENANCE 3153455 3039259 114196 COLLECTION FEES 533769 533769 1899194 1271221 622075 5898 118697624 104282847 14083648 331129 304320 136630 20647953 6699838 0 0 18253423 22926458 0 0 0 0 0 0 2332505 2473163 944619 1198116 158597650 79671413 81088224 78926237 92827803 113803178 0 0 0 0 0 0 2892599 1652660 219291446 227816280 10478396 14887874 0 0 0 0 65485359 63533403 0 0 0 0 1835000 1930000 0 0 8175711 2459845 85974466 82811122 X 133061828 144745631 255152 259527 0 0 133316980 145005158 219291446 227816280 X 21639826 -1892292 -5852336 -2207020 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 6005 false false false 6005 false PART II-B, QUESTION 1F GRANTS TO OTHER ORGANIZATION FOR LOBBYING PURPOSES: AMOUNT REPORTED IN PART II-B, QUESTION 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. false false 122561 -1516 261 120784 106408 16403 250 122561 81151 25516 259 106408 81306 78 233 81151 77800 1266 233 78833 1.00000 false false 3668549 3668549 91557798 31366270 60191528 405717 241935 163782 62965586 48063208 14902378 78926237 0 SELF-INSURANCE COSTS 1832192 EST AMOUNTS FROM THIRD PARTIES 627653 2459845 129455961 -1892292 -11591011 -13483303 142939264 -2601814 -2601814 140337450 109858631 2762547 2762547 107096084 11601540 11601540 118697624 SCHEDULE D, PART V, LINE 4 DESCRIBE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: ENDOWMENT FUND IS USED TO PROVIDE ASSISTANCE TO THOSE WITH END OF LIFE ISSUES THROUGH THE HOSPICE PROGRAM. SCH D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN: BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE (11,591,011) SCH D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN: LOSS ON DISPOSAL IN EXPENSES PER AUDIT (47,008) NET ASSETS RELEASED FROM RESTRICTION 150,204 CLASSIFICATION DIFFERENCES 10,528 UCC/DISPRO EXPENSE (2,551,039) RENTAL EXPENSE INCLUDED IN REVENUE FOR 990 (164,499) ------------------------------------------------------ TOTAL (2,601,814) SCH D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN: LOSS ON DISPOSAL IN EXPENSES PER AUDIT 47,008 UCC/DIRSPRO EXPENSE 2,551,040 RENTAL EXPENSE INCLUDED IN REVENUE FOR 990 164,499 ------------------------------------------------------ TOTAL 2,762,547 SCH D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN: BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE 11,591,011 CLASSIFICATION DIFFERENCES 10,528 ------------------------------------------------------ TOTAL 11,601,539 true true true X true X true true false true true 2815912 2815912 0.02630 7035628 11809785 -4774157 105620 120041 -14421 9957160 11929826 -1972666 0.02630 196682 196682 0.00180 163668 163668 0.00150 10350 10350 0.00010 370700 370700 0.00340 10327860 11929826 -1601966 0.02970 false 11591011 4636404 44935566 54311085 -9375519 X true true 1 1 SID PETERSON MEMORIAL HOSPITAL 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 HTTP://WWW.PETERSONRMC.COM 008642 X X X PETERSON REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X 12 true false false true X SEE PART V, SECTION C X true 12 true SEE PART V, SECTION C false false true X 200. 400. X true true X X true X X X X X true true X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA COMMUNITY STAKEHOLDER OUTREACH: THE HOSPITAL CONDUCTED LOCAL INTERVIEWS TO SEEK INPUT FROM LOCAL LEADERS AND RESIDENTS ABOUT VARIOUS ASPECTS OF THEIR LOCAL HEALTHCARE DELIVERY SYSTEM AND WHAT CHANGES THEY WOULD LIKE TO SEE OR IDENTIFY AS AN UNMET HEALTH NEED. INTERVIEW RESULTS WERE COMPILED AND INCLUDED WITH DATA COLLECTION, DEMOGRAPHIC COMPARISIONS, AND HEALTH STATISTICS FOR SUBSEQUENT COMMUNITY SUMMIT EVENT TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. SCHEDULE H, PART V, SECTION B, LINE 7A & 10A COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY: THE IMPLEMENTATION STRATEGY IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IS POSTED ONLINE AT THE FOLLOWING WEBSITE ADDRESS: HTTPS://WWW.PETERSONRMC.COM/INDEX.PHP/COMPONENT/CONTENT/ARTICLE/2-UNCATEGO RISED/151-CHNA SCHEDULE H, PART V, SECTION B, LINE 18, 19, & 20 FINANCIAL ASSISTANCE AND COLLECTIONS: NEITHER PETERSON REGIONAL MEDICAL CENTER, NOR THIRD PARTIES AUTHORIZED BY PRMC, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART V, SECTION B, LINE 22D THE ORGANIZATION GIVES SELF-PAY PATIENTS A HIGHER DISCOUNT THAN THE CONTRACTED INSURANCE PLANS. 6 PETERSON AMBULATORY CARE CENTER 260 CULLY DRIVE KERRVILLE TX 78028 AMBULATORY SURGICAL CENTER PETERSON HOME CARE 1420 WATER STREET KERRVILLE TX 78028 HOME HEALTH SERVICES PETERSON HOSPICE 1121 BROADWAY KERRVILLE TX 78028 HOSPICE CARE KERRVILLE OUTREACH LAB 320 WATER STREET KERRVILLE TX 78028 LAB DRAW SITE KMP OUTREACH LAB 1331 BANDERA HIGHWAY KERRVILLE TX 78028 LAB DRAW SITE PETERSON COMMUNITY CARE CLINIC 823 JUNCTION HWY KERVILLE TX 78028 HOSPITAL BASED CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 AMOUNT REPORTED IN ITEM 3 IS THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 40%. SCHEDULE H, PART III, SECTION B, LINE 8: THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) 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 $9,375,519 LESSENING THE BURDEN OF GOVERNMENT. IN ADDITION, THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION C, LINE 9B: IF THE PATIENT QUALIFIES FOR CHARITY CARE PER WRITTEN HOSPITAL CRITERIA, THE QUALIFYING BALANCE IS WRITTEN OFF TO CHARITY CARE AND NO FURTHER COLLECTION EFFORTS ARE MADE. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $11,591,011 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 VI, LINE 2: NEEDS ASSESSMENT: PETERSON REGIONAL MEDICAL CENTER (PRMC) ASSESSES COMMUNITY NEEDS THROUGH A COMBINATION OF OUTSIDE SOURCES, LIKE FOCUS GROUPS TO DETERMINE COMMUNITY PERCEPTIONS ABOUT OUR SERVICES (EMERGENCY DEPARTMENT AND WOMEN'S HEALTH SERVICES MOST RECENTLY), THOMSON REUTERS, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND ORGANIZATIONS INCLUDING CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT COMMISSION AND TEXAS HOSPITAL ASSOCIATION. ALONG WITH INFORMATION AND DATA GATHERED FROM THESE EXTERNAL SOURCES PRMC USES PRESSGANEY SURVEYS FOR PATIENTS, EMPLOYEES AND PHYSICIANS. PRESENTLY PRMC OFFERS MOST OF THE SAME HIGH-TECH MEDICAL TREATMENTS AND PROCEDURES FOUND IN NEARBY URBAN AREAS. ADDITIONALLY, THE 35-ACRE PRMC CAMPUS INCLUDES AN AMBULATORY CARE CENTER COMPLETE WITH OUTPATIENT SURGERY, IMAGING, LABORATORY, INFUSION SERVICES AND REHABILITATION SERVICES INCLUDING A LARGE INDOOR HEATED THERAPY POOL AS WELL AS A REGIONAL WOUND HEALING CENTER. SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS WHO HAVE OR WILL HAVE A PATIENT RESPONSIBILITY ARE APPROACHED BY PATIENT REGISTRATION STAFF TO MAKE FINANCIAL ARRANGEMENTS PRIOR TO OR AT THE TIME OF SERVICE. ANY PATIENT WHO CANNOT MAKE APPROPRIATE FINANCIAL ARRANGEMENTS IS REFERRED TO MEDICAL THIRD PARTY RESOURCES (MTPR) (A GROUP CONTRACTED BY HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR FINANCIAL ASSISTANCE) FOR POSSIBLE FINANCIAL ASSISTANCE FOR WHICH THEY MAY QUALIFY. IF PATIENT DOES NOT QUALIFY FOR ASSISTANCE THROUGH MTPR, REGISTRATION STAFF OFFER AN INTERNAL FINANCIAL AID APPLICATION (CHARITY CARE) AND EXPLAIN THE PROCESS. TPR CONTACTS ALL REFERRED UNINSURED PATIENTS, NOT SEEN AT THE TIME OF HOSPITAL PRE-REGISTRATION OR AT REGISTRATION, BY SENDING A LETTER, CONTACT BY PHONE, AND OR PERSONAL VISIT, INFORMING THEM OF FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS THAT MAY ASSIST WITH UNPAID MEDICAL BILLS. THE PATIENT IS INSTRUCTED TO CALL OR COME BY THE OFFICE TO BE SCREENED FOR POSSIBLE ASSISTANCE. IF PATIENT IS POTENTIALLY ELIGIBLE, MTPR WILL ASSIST WITH THE APPLICATION PROCESS AND GATHERING OF NECESSARY VERIFICATION. IF NO ASSISTANCE IS AVAILABLE THROUGH THESE PROGRAMS, MTPR WILL OFFER A FINANCIAL AID APPLICATION (CHARITY CARE) FOR POSSIBLE ASSISTANCE WITH THE HOSPITAL BILL. AT THE TIME OF BILLING FOR PATIENTS WITH SELF PAY BALANCES, BUSINESS OFFICE INCLUDE LETTERS WHICH STATE TO CALL IF FINANCIAL ASSISTANCE IS NEEDED. WHEN PAYMENTS ARE NOT RECEIVED IN A TIMELY MANNER, A COURTESY CALL TO THE PATIENT IS ATTEMPTED TO MAKE PAYMENT ARRANGEMENTS. IF THE PATIENT STATES THAT THEY DO NOT HAVE MEANS TO PAY THE BILL, AN OFFER IS AGAIN MADE TO CONTACT MTPR FOR FINANCIAL ASSISTANCE OR WE OFFER TO MAIL OUR FINANCIAL AID APPLICATION. A POSTING IS DISPLAYED IN REGISTRATION AREAS THAT WE OFFER CHARITY CARE AND TO CONTACT THE BUSINESS OFFICE (PHONE NUMBER IS PROVIDED) FOR DETAILS. SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION: PRMC SERVES A REGION OF APPROXIMATELY 6 COUNTIES, MORE THAN 40,000 PEOPLE LIVE WITHIN PRMC'S PRIMARY SERVICE AREA AND APPROXIMATELY 80,000 PEOPLE RESIDE IN PRMC'S OVERALL SERVICE AREA REPRESENTED BY KERR, KENDALL, KIMBLE, BANDERA, EDWARDS, GILLESPIE AND REAL COUNTIES. PRMC OPERATES WITHIN A COMPETITIVE HEALTHCARE MARKETPLACE. LOCATED APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO, RESIDENTS OF THE TEXAS HILL COUNTRY HAVE RELATIVELY EASY ACCESS TO THE SOUTH TEXAS MEDICAL CENTER, A MEDICAL DISTRICT CONSISTING OF 45 MEDICALLY RELATED INSTITUTIONS- VARIOUS SEPARATE MEDICAL, DENTAL AND NURSING SCHOOLS, TWELVE HOSPITALS AND FIVE SPECIALTY INSTITUTIONS. SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: PRMC ACTIVELY PROMOTES HEALTHCARE AND WELLNESS EDUCATION WITHIN THE COMMUNITIES WE SERVE THROUGH LOW OR NO COST SCREENINGS, MONTHLY EDUCATIONAL SEMINARS ADDRESSING IMPORTANT AND TIMELY MEDICAL ISSUES, EVENTS AND PUBLICATIONS. PRMC EMPLOYS A HEALTH AND WELLNESS COORDINATOR TO HELP ORGANIZE, SCHEDULE, AND EXECUTE THE COMMUNITY SEMINARS AND SCREENINGS. WORKING WITH LOCAL BUSINESSES, CHURCHES, COMMUNITY GROUPS, AND SENIORS, PRMC BRINGS INFORMATION AND EDUCATION OUT INTO THE COMMUNITIES WE SERVE THROUGH PROGRAMS LIKE THE FOLLOWING: ANNUAL: COMMUNITY FLU CLINIC CELEBRATE YOUR PREGNANCY ADOPT-A-HIGHWAY COMMUNITY MEMORIAL SERVICE BARK FOR LIFE WALK FOR LIFE MONTHLY EDUCATIONAL PRESENTATIONS, MEMBERSHIPS & SUPPORT GROUPS: 3RD SATURDAY AFFORDABLE LAB TESTING DIABETES SUPPORT GROUP COMMUNITY JOINT REPLACEMENT CLASS THE BABY PLACE: FOR MOMS-TO-BE AND THEIR PARTNERS DEMENTIA SUPPORT GROUP: CARING FOR A LOVED ONE SUPPORT & LEARNING CANCER SUPPORT GROUP OSTOMY SUPPORT GROUP STROKE SUPPORT GROUP MENTAL HEALTH SUPPORT GROUP PETERSON HOME CARE PLAZA ON THE RIVER BLOOD PRESSURE CHECKS LIFE AFTER LOSS BRIDGING THE GAP CHILDREN & PARENT GRIEF SUPPORT BLOOD DRIVES BOY SCOUT LEADERSHIP YMCA BOARD OF DIRECTORS PARTICIPATION SCHREINER UNIVERSITY NURSING PROGRAM MENTORSHIP ADVANCED DIRECTIVES/DNR COMMUNITY WORK SHOPS TIVY HIGH SCHOOL BIOARD OF DIRECTORS PARTICIPATION SOUTH TEXAS BLOOD & TISSUE DRIVE COMMUNITY ART LENDING PROGRAM ROTARY CLUB OF KERRVILLE REMARKABLE WOMEN COMMUNITY HEALTH FAIR COMMANCHE TRACE MEDICAL LECTURE SERIES CAR SEAT SAFETY CLINIC THE MEN'S EVENT COMMUNITY HEALTH WORK SHOP MOTHER-DAUGHTER COMMUNITY BUTTERFLY TEA AMERICAN CANCER SOCIETY "RELAY FOR LIFE" EVENT COMMUNITY SKIN CANCER SCREENING TIVY / INGRAM HIGH SCHOOL SHADOW DAY: CAREERS IN HEALTHCARE PRMC LADIES AUXILLARY PATIENT & FAMILY ADVISORY COUNCIL FIRST AID & CPR BREASTFEEDING CLASS CHILDBIRTH CLASS NEWBORN CARE & INFANT NUTRITION INFANT SAFETY & CPR JUNIOR AUXILLARY ELEMENTARY SCHOOL PRESENTATIONS THERAPY & REHAB WEEK CARING FOR YOUR KIDNEYS HALO OF LOVE FAMILIES IN LITERACY COMFORT & CONVERSATION SCHEDULE H, PART VI, LINE 7 TEXAS SCHEDULE H, PART VI, LINE 6 PRMC IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. SCHEDULE H, PART III, SECTION A, LINE 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Medical Center records a significant provision for uncollectible accounts on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or thediscounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center's allowance for doubtful accounts for self-pay patients decreased from 93 percent of self-pay accounts receivable at June 30, 2014, to 88 percent of self-pay accounts receivable at June 30, 2015. The Medical Center's write-offs increased approximately $6,511,000 from approximately $3,149,000 for the year ended June 30, 2014, to approximately $9,660,000 for the year ended June 30, 2015. The increase in the allowance for doubtful accounts is the result of unfavorable shifts in the payer mix of accounts receivables and trends experienced in the collection of amounts from self-pay patients. true EDUCATION ASSISTANCE 30 126749 PART I, QUESTION 2 IN ORDER TO BE ELIGIBLE TO RECEIVE FUNDS FROM PETERSON REGIONAL MEDICAL CENTER'S SCHOOL OR WORK STUDY PROGRAMS, THE FOLLOWING CRITERIA MUST BE MET: 1)A COPY OF THE STUDENT'S DEGREE PLAN FROM THE EDUCATIONAL INSTITUTION 2)A COPY OF THE BILL 3)THE REQUESTED COURSES FOR THE SEMESTER 4)A CURRENT COPY OF THE STUDENT'S FAFSA CONFIRMATION 5)E-MAIL/MOX FROM THE UNIT MANAGER ACKNOWLEDGING THE STUDENT IS ENROLLING 6)PERSONAL DATA FROM CURRENT TO THIS SEMESTER 7)COPY OF PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS TO U.S.: GRADES FROM ANY PREVIOUS PAID CLASSES 8)IF WORK STUDY, A COPY OF THE SIGNED PROMISSORY AGREEMENT 9)IF WORK STUDY, THE APPLICATION. EVERY STUDENT IS REQUIRED TO COMPLETE AND PRESENT THIS INFORMATION FOR EVERY SEMESTER THEY REQUEST SCHOLARSHIP FUNDS. THE REQUEST FOR FUNDS IS CONSIDERED ONLY AFTER ALL PAPERWORK IS TURNED IN AND PASSING GRADES FROM THE PREVIOUS SEMESTER FUNDS ARE PRESENTED. X X X X false true false false false false false false false JAMES P MURRAY CEO 298826 0 680 0 0 0 156085 0 20142 0 475733 0 0 0 J STEPHEN PAULTER COO 185598 0 200 0 0 0 17903 0 14780 0 218481 0 0 0 TIMOTHY RYE ADMINSTRATOR 127526 0 10200 0 0 0 2369 0 13371 0 153466 0 0 0 JULIE JOHNSON CFO 184194 0 0 0 0 0 17149 0 26212 0 227555 0 0 0 PART I, QUESTION 4B PERSONS PARTICIPATING IN, OR RECEIVING PAYMENT FROM, A RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP PLAN. AMOUNTS PERSONS PARTICIPATING IN, OR RECEIVING PAYMENT FROM, A RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP PLAN. AMOUNTS FOR THE CURRENT YEAR WERE AS FOLLOWS: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION ---------------------- ---------------- --------------------- STEVE PAULTER NONE $ 15,000 PAT MURRARY NONE $ 150,000 JULIE JOHNSON NONE $ 15,000 KAELI DRESSLER NONE $ 5,000 JOE PISZCZOR NONE $ 5,000 INDIVIDUALS ARE NOT ELIGIBLE TO RECEIVE ANY FUNDS UNTIL AFTER 5 YEARS OF SERVICE OR RETIRE AFTER 3 YEARS OF PROGRAM IMPLEMENTATION. A CITY OF KERRVILLE TX HEALTH FACILITIES DEV CORP 203591155 492436AA8 2005-10-26 81675000 FINANCE COST OF HEALTH FACILITIES false false false A 0 0 81675000 0 0 0 1959776 0 0 74020839 0 0 2008 false false true true A false false false false false 0 false false false true A false false false true false false 0 false 0 false false A false PART IV, LINE 2C THE DATE OF THE ORGANIZATION'S MOST RECENT ARBITRAGE CALCULATION WAS IN OCTOBER 2015 WITHIN THE YEAR ENDING 6/30/2016. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15A REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: THE BOARD OF DIRECTORS USED AN OUTSIDE AGENCY TO CONDUCT A MARKET SURVEY. THE RESULTS OF THE SURVEY WERE USED TO DETERMINE THE CEO'S SALARY FOR THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, QUESTION 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION INTERNALLY REVIEWS TRANSACTIONS FOR POSSIBLE CONFLICT ON A ROUTINE BASIS THROUGHOUT THE YEAR. ALL BOARD MEMBERS ARE COVERED UNDER THIS POLICY. THE BOARD REVIEWS ALL POSSIBLE CONFLICTS. THIS PAST YEAR ONE BOARD MEMBER WAS NOT ALLOWED TO ATTEND MEETINGS BECAUSE HIS CONSTRUCTION FIRM WAS BIDDING ON A HOSPITAL PROJECT. HE WAS ALLOWED TO RESUME ATTENDING BOARD MEETINGS ONCE THE CONTRACTOR WAS DECIDED UPON. FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES: THE ORGANIZATION HAS ONE LAB OFF-SITE OUTREACH LOCATION. THERE WERE 25,074 LAB TESTS PERFORMED FOR THE YEAR. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OF FUND BALANCES: CONTRIBUTIONS RECORDED TO NET ASSETS 4,375 TRANSFERS TO AFFILIATES (2,211,395) ---------------- (2,207,020) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:5316042 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES - PHYSICIANS TOTAL FEES:3156677 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED LABOR TOTAL FEES:2286601 FORM 990 PART IX LINE 11G DESCRIPTION:HOSPICE NURSING HOME SERVICES TOTAL FEES:418695 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANT FEES TOTAL FEES:457370 FORM 990 PART IX LINE 11G DESCRIPTION:PATHOLOGY SERVICES TOTAL FEES:404011 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:369569 FORM 990 PART IX LINE 11G DESCRIPTION:PT /OT CONTRACTED SERVICES TOTAL FEES:168155 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:1228333 FORM 990 PART IX LINE 11G DESCRIPTION:HEMODIALYSIS SERVICES TOTAL FEES:194258 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATION PHO EXPENSES TOTAL FEES:78079 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER EXPENSES TOTAL FEES:77624 Peterson Regional Medical Center Fdn 551 Hill Country Drive Kerrville TX 78028 742645149 SUPPORT TX 501(c)(3) 11a PRMC true HEALTHCARE PARTNERSHIP GRTR SAN ANTONIO 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 450599888 SUPPORT TX 501(C)(3) 7 PRMC true PETERSON MEDICAL ASSOCIATES 551 HILL COUNTRY DR KERRVILLE TX 78028 272184637 HEALTHCARE TX PRMC 509(A) C CORP -1508683 536818 1.00000 true false false true false false false false false false true false true false true true false false true true PETERSON REGIONAL MEDICAL CENTER FOUNDATION C 220400 FMV PETERSON MEDICAL ASSOCIATES L 464168 FMV PETERSON MEDICAL ASSOCIATES S 5555419 FMV PETERSON REGIONAL MEDICAL CENTER FOUNDATION S 528972 FMV