2015-05-12T12:00:40-05:00 2014-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2013-07-01 742557820 Sid Peterson Memorial Hospital % SID PETERSON MEMORIAL HOSPIT SIDP 8302587632 551 Hill Country Drive Suite Kerrville TX 78028 PATRICK MURRAY CEO 8302587728 2015-05-15 true Amanda Maya P01067777 8302587728 2013 2016-03-07 17:11:31Z J Patrick Murray 551 Hill Country Dr Kerrville TX 78028 119989213 false X N/A X 1990 TX THE HOSPITAL'S MISSION IS TO LEAD THE HILL COUNTRY'S MEDICAL COMMUNITY IN DELIVERING EXCEPTIONAL, COMPASSIONATE, AND PATIENT-CENTERED HEALTH CARE. 11 11 1098 85 0 0 988725 841280 103998527 110512116 9087251 2391170 564373 568271 114638876 114312837 2760259 84545 0 0 44804517 45727315 0 0 250444 52362454 59138521 99927230 104950381 14711646 9362456 204804982 219291446 87737912 85974466 117067070 133316980 X PETERSON REGIONAL MEDICAL CENTER PROVIDES EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE. false false 88938437 84545 104471597 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. 1399261 1604534 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 & 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 871 ADMISSIONS DURING THE YEAR AND 16,406 VISITS. 2884992 3421527 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. 303 ADMISSIONS ACCOUNTED FOR 22,542 PATIENT DAYS. 117586 1572329 HAS ONE LAB OFF-SITE OUTREACH LOCATION. 117586 1572329 93340276 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 68 0 true 1098 true true true false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X SID PETERSON MEMORIAL HOSPIT 8308964200 551 HILL COUNTRY DRIVE Kerrville TX 78028 Stephen Huser Director 5.0 X Sam Junkin Director 5.0 X Louis Romero Director 5.0 X Mike Bauman Vice Chair 7.0 X Harold Wilson Director 5.0 X Gloria Olsen PHD Chairman 10.0 X Mark Armstrong Director 5.0 X Debbie Mitchell Director 5.0 X Sarah Fontenot Vice Chair 7.0 X Royce Itschner Director 5.0 X William Morris Jr MD Director 5.0 X Patrick Murray CEO 40.0 X 290645 0 127062 Robert Walther CFO 40.0 0.0 X 187053 0 4946 Stephen Paulter COO 40.0 X 179159 0 18305 Kaeli Dressler CNO 40.0 X 120598 5306 Richard Cruthirds Cheif Information Officer 40.0 X 111614 4020 Julie Johnson CFO 40.0 X 98357 1267 Joe Piszxor VP of Operations 40.0 X 11000 Shane Anders RN IV 40.0 X 128990 7812 Milton Dare Director of Development 40.0 X 117310 3260 Paulette Newlin Nursing Supervisor 40.0 X 115352 5137 Jana McDermott Nurse Practitioner 40.0 X 114995 3976 Robert Bauer Nurse Practitioner 40.0 X 113069 4401 1588142 0 185492 17 false true false Sound Physicians 1123 PACIFIC AVENUE TACOMA WA 98402 PHYSICIAN SERVICES 1767227 Anesthesia Associates 420 WATER STREET SUITE 105B KERRVILLE TX 78028 Anesthesia Services 485184 Luker Pharmacy Management PO Box 1072 BLANCO TX 78606 Pharmacy Management 2274484 Sodexo PO Box 536922 ATLANTA GA 30353 Food Services 525588 Favorite Healthcare Staffing PO Box 803356 KANSAS CITY MO 64190 Contract Labor 470960 16 803528 37752 841280 NET PATIENT SERVICE REVENUE 621110 110160793 110160793 MANAGEMENT REVENUE 900099 351323 351323 110512116 1569196 1569196 0 0 10400 70220 70220 10400 0 10400 10400 6422150 5980 5567587 38569 854563 -32589 821974 821974 0 0 0 THRIFT SHOP REVENUE 453310 355052 355052 MISCELLANEOUS 900099 202819 202819 557871 114312837 111069987 2401570 X 9187 9187 75358 75358 0 0 1159331 1018955 139625 751 0 36001701 31647085 4189023 165593 449522 395149 52361 2012 5396948 4718265 649230 29453 2719813 2451190 256887 11736 641822 373022 268800 0 124551 124551 0 0 0 11592656 9266721 2321695 4240 396644 369870 4911 21863 1399118 1171009 224372 3737 37239 37239 0 1621376 1455610 165766 196055 196055 0 146279 111196 34540 543 3674715 3674715 0 7059559 5277114 1782445 95691 71768 23923 BAD DEBT EXPENSE 10460359 10460359 MEDICAL SUPPLIES 16500334 16490072 10262 EQUIPMENT REPAIR/MAINTENANCE 2844772 2782278 62494 EQUIPMENT/SUPPLY RENTAL 518147 518147 1829204 807151 1011537 10516 104950381 93340276 11359661 250444 165289 304320 26998672 20647953 0 0 14813507 18253423 0 0 0 0 0 0 2339958 2332505 694084 944619 154160760 73072536 82793607 81088224 73554867 92827803 0 0 0 0 0 0 3444998 2892599 204804982 219291446 8740392 10478396 -701 0 0 0 67341290 65485359 0 0 0 0 1745000 1835000 0 0 9911931 8175711 87737912 85974466 X 116817581 133061828 249489 255152 0 0 117067070 133316980 204804982 219291446 X 9362456 6882311 5143 X false true X true false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 4044 false false false 4044 false 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 106408 16403 250 122561 81151 25516 259 106408 81306 78 233 81151 80263 1266 223 81306 77800 2661 198 80263 1.00000 false false 3668549 3668549 91081182 27940189 63140993 405717 219448 186269 59005312 44912899 14092413 81088224 0 SELF-INSURANCE COSTS 958222 EST AMOUNTS FROM THIRD PARTIES 7217489 8175711 113075526 6882311 -10460360 -3578049 116653575 -2340738 -2340738 114312837 97634286 3153745 3153745 94480541 10469840 10469840 104950381 PART V, LINE 4 DESCRIBE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: EARNINGS FROM THE ENDOWMENT FUND WILL BE USED FOR THE HOSPICE PROGRAM. TO DATE EARNINGS HAVE NOT BEEN EXPENDED. SCH D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN: BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE (10,460,360) SCH D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN: LOSS ON DISPOSAL IN EXPENSES PER AUDIT (32,589) NET ASSETS RELEASED FROM RESTRICTION 803,527 CLASSIFICATION DIFFERENCES 9,480 UCC/DISPRO EXPENSE (3,050,936) RENTAL EXPENSE INCLUDED IN REVENUE FOR 990 (70,220) ------------------------------------------------------ TOTAL (2,340,738) SCH D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN: LOSS ON DISPOSAL IN EXPENSES PER AUDIT 48,884 UCC/DIRSPRO EXPENSE 3,050,936 RENTAL EXPENSE INCLUDED IN REVENUE FOR 990 70,220 ------------------------------------------------------ TOTAL 3,153,745 SCH D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN: BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE 10,460,360 CLASSIFICATION DIFFERENCES 9,480 ------------------------------------------------------ TOTAL 10,469,840 true true true X 174. true X true true true false true true 5212125 5212125 0.05510 6098511 10352891 -4254380 116137 194445 -78308 11426773 10547336 879437 0.05510 235439 235439 0.00250 171567 171567 0.00180 407006 407006 0.00430 11833779 10547336 1286443 0.05940 false 10460359 4184144 40518834 41109110 -590276 X true true 1 1 SID PETERSON MEMORIAL HOSPITAL 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 HTTP://WWW.PETERSONRMC.COM 008642 X X X PART V LINE 16 17 & 18 1 true X X X X X X X X 12 true false true X SEE SECTION C X X X X X X X X true false true true 174. true 300. true X true true X X X true false X X X X true X false false 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 PART III, 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 THE DISCOUNTED 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 INCREASED FROM 86 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2013, TO 93 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014. THE MEDICAL CENTER'S WRITE-OFFS INCREASED APPROXIMATELY $503,000 FROM APPROXIMATELY $6,055,000 FOR THE YEAR ENDED JUNE 30, 2013, TO APPROXIMATELY $6,558,000 FOR THE YEAR ENDED JUNE 30, 2014. THE INCREASE IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE RESULT OF UNFAVORABLE SHIFTS IN THE AGING OF ACCOUNTS RECEIVABLES AND TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS. PART III, LINE 2: AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. PART III, 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% PART III, 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 $590,276 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. PART III, 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. PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $10,460,359 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. 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. 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. 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. 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 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS true EDUCATION ASSISTANCE 25 75358 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 Patrick Murray CEO 290645 0 0 0 0 0 120000 0 7062 0 417707 0 0 0 Robert Walther CFO 108174 0 0 0 78879 0 0 0 4946 0 191999 0 78879 0 Stephen Paulter COO 179159 0 0 0 0 0 10000 0 8305 0 197464 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 FOR THE CURRENT YEAR WERE AS FOLLOWS: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION ---------------------- ---------------- --------------------- PAT MURRAY NONE $ 120,000 BOB WALTHER $ 78,879 NONE STEVE PAULTER NONE $ 10,000 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 5694385 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 FOR THE YEAR ENDED 6/30/2010. PART IV, LINE 7 THE ORGANIZATION IS IN THE PROCESS OF DRAFTING PROCEDURES TO MONITOR COMPLIANCE WITH THE ARBITRAGE, YIELD RESTRICTION, AND REBATE REQUIREMENTS OF SECTION 148. FORM 990, PART VI, QUESTION 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, CEO, CFO, AND CONTROLLER, AND COPIES OF THE RETURN ARE PROVIDED TO EACH BOARD MEMBER FOR INPUT PRIOR TO FILING. FORM 990, PART VI, QUESTION 15A REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS COMPOSED OF THREE DIRECTORS APPOINTED BY THE CHAIRMAN OF THE BOARD AND APPROVED BY THE BOARD. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE HISTORY OF COMPENSATION FOR THE CEO, COMPARES COMPENSATION FOR PETERSON REGIONAL MEDICAL CENTER WITH THAT OF OTHER NOT FOR PROFIT HOSPITALS OF SIMILAR SIZE AND SERVICE, ANALYZES LOCAL AND NATIONAL DATA REGARDING SUCH COMPENSATION, AND RECOMMENDS ACTION TO THE BOARD OF DIRECTORS. AFTER EXTENSIVE EVALUATION OF THE WORK OF THE CEO, AND REVIEW OF THE DATA GATHERED BY THE COMMITTEE, THE BOARD DETERMINES COMPENSATION FOR THE YEAR. FORM 990, PART VI, QUESTION 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. DESCRIPTION OF OTHER PROGRAM SERVICES HAS ONE LAB OFF-SITE OUTREACH LOCATION. THERE WERE 9,574 PATIENT VISITS FOR THE YEAR. FORM 990, PART IX QUESTION 11G EXPENSES FOR SERVICES: CONTRACTED SERVICES $ 4,695,599 PROFESSIONAL FEES - PHYSICIANS 2,473,100 OUTSOURCED LABOR 2,136,790 PETERSON HOSPICE NURSING HOME SERVICES 289,379 CONSULTANT FEES 383,558 PATHOLOGY SERVICES 341,721 OTHER PROFESSIONAL FEES 301,057 PT/OT CONTRACTED SERVICES 152,330 CONTRACT LABOR 475,827 HEMODIALYSIS SERVICES 153,086 ADMINISTRATIVE PHO EXPENSES 75,336 OTHER SERVICES 114,873 ---------------- $ 11,592,656 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OF FUND BALANCES: CONTRIBUTIONS RECORDED TO NET ASSETS 5,143 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 -1697720 166658 1.00000 true false false true false false false false false false true false true false true true false false true false PETERSON REGIONAL MEDICAL CENTER FOUNDATION C 803528 FMV PETERSON MEDICAL ASSOCIATES L 351323 FMV PETERSON MEDICAL ASSOCIATES D 2208042 FMV PETERSON REGIONAL MEDICAL CENTER FOUNDATION D 528972 FMV