2012-05-15T16:11:13-04:00 2011-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2010-07-01 742941598 Val Verde Hospital Corporation VALV 8307781749 801 Bedell Avenue Del Rio TX 78840 THOMAS A GRIMERT 2012-05-15 true Amanda Maya 7134994600 2010 2016-02-24 21:20:13Z THOMAS A GRIMERT INTERIM CFO 801 BEDELL ST DEL RIO TX 78840 54648386 false X WWW.VVRMC.ORG X 2000 TX PROVIDE HEALTHCARE SERVICES TO THE RURAL COMMUNITY SURROUNDING DEL RIO, TEXAS. 9 9 486 9 0 357150 112988 50918636 54081422 49350 52221 477201 401755 51802337 54648386 2000 1000 0 0 19859028 21729664 0 0 0 30198885 30186342 50059913 51917006 1742424 2731380 21299743 23022012 5666136 4657025 15633607 18364987 PROVIDE HEALTHCARE SERVICES TO THE RURAL COMMUNITY IN DEL RIO, TEXAS. CONTINUED IN SCHEDULE O. false false 19137765 1000 24965355 SURGICAL SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 3,296 CASES. 7085672 9243311 ADULT AND PEDIATRIC INPATIENT SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 11,969 PATIENT DAYS. 15525504 20253133 LABORATORY SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 152,290 DIAGNOSTIC TESTS. 41748941 true true false false false false false false false true false false false true false false true 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 false false false false true 299 0 true 486 true false false false false false false false false false false X 9 9 false true true false true true true true true false false true true true true true true true true false X THOMAS A GRIMERT 8307783610 801 BEDELL ST DEL RIO TX 78840 W JONATHAN PINA 1.0 X 0 0 0 SYLVIA OWENS 1.0 X 0 0 0 CHARLES QUALIA 1.0 X 0 0 0 JANE MORAIN 1.0 X 0 0 0 FRANK LARSON 1.0 X 0 0 0 TONY SOTELO 1.0 X 0 0 0 BARBARA PLYLER 1.0 X 0 0 0 DIANA ZERTUCHE 1.0 X 0 0 0 E VICTOR VALDEZ 1.0 X 0 0 0 JOSE ROMO 40.0 X 0 207054 7330 POLLY DAVENPORT 40.0 X 0 287367 3215 FORREST WHICHARD 40.0 X 0 226563 919 VICTORIA BARNHOUSE 40.0 X 146093 0 6064 JOHN FURMAN 40.0 X 128867 0 1720 DAVID ALANIZ 40.0 X 247211 0 5265 MELANIE BAST 40.0 X 109401 0 3237 RON WALTON 40.0 X 108303 0 2903 BONNIE HENDERSON 40.0 X 116412 0 5312 MICHAEL LEE ROMERO 40.0 X 109730 0 1472 966017 720984 37437 7 false true false METHODIST HEALTHCARE SYSTEM PO BOX 655999 DALLAS TX 752655999 MANAGEMENT SERVICES 892058 MEXCONEX INTERNATIONAL LLC 350 N SAINT PAUL STREET DALLAS TX 75201 CONTRACT NURSE LABOR 402634 RIO GRANDE REGIONAL HOSPITAL 101 EAST RIDGE ROAD MCALLEN TX 78503 HOSPITALIST FEES 339878 PHILIPS MEDICAL SYSTEMS 3000 MINUTEMAN ROAD ANDOVER MA 018101099 EQUIPMENT SERVICES 330336 ZADOROZNY ANESTHESIA SERVICES 354 SUSIE DRIVE CANYON LAKE TX 781335287 ANESTHESIA SERVICES 263528 20 91534 21454 112988 NET PATIENT REVENUE 621110 54032048 54032048 OTHER OPERATING REVENUE 900099 29863 29863 MEDICAL RECORDS REVENUE 900099 19511 19511 54081422 52221 52221 0 0 21378 0 21378 21378 21378 0 0 0 0 CAFETERIA REVENUE 722210 210196 210196 EDUCATION REVENUE 611710 53846 53846 MISCELLANEOUS REVENUE 900099 116335 116335 380377 54648386 54461799 73599 0 1000 1000 0 0 26154 26154 0 17681036 13254239 4426797 0 2679019 2009264 669755 1343455 1007591 335864 500000 500000 272438 272438 37935 37935 0 0 0 7639455 5729591 1909864 169975 127481 42494 806813 605110 201703 194571 145928 48643 0 1202296 901722 300574 118092 88569 29523 0 0 12307 9230 3077 0 1349719 1012289 337430 361419 271064 90355 BAD DEBT EXPENSE 8839406 8839406 MEDICAL SUPPLIES 5496723 5496723 DIETARY 370839 278129 92710 EQUIPMENT COST & MAINTENANCE 1281444 961083 320361 COLLECTION FEES 583666 583666 949244 711930 237314 51917006 41748941 10168065 0 2851074 166640 702534 8894962 10524494 6430129 17544 794520 1103096 1076363 237226 246745 19578355 14417042 5784992 5161313 78783 251340 21299743 23022012 5380578 4550117 285558 42245 64663 5666136 4657025 X 15633607 18364987 15633607 18364987 21299743 23022012 2731380 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2056149 568095 1488054 464512 203702 260810 17057694 13645245 3412449 5161313 0 EST AMOUNTS TO THIRD-PARTY PAYORS 53541 OTHER PAYABLES 11122 64663 54648386 51917006 2731380 2731380 45796674 45796674 12306 8839406 8851712 54648386 43065294 43065294 12306 8839406 8851712 51917006 FIN 48 DISCLOSURE 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. REVENUE ON RETURN, NOT ON BOOKS PART XII, LINE 4B BAD DEBT NETTED WITH AUDIT REVENUE $ 8,839,406 EXPENSES ON RETURN, NOT ON BOOKS PART XIII, LINE 4B BAD DEBT NETTED WITH AUDIT REVENUE $ 8,839,406 true true true X true X 100 true true true false false 816066 816066 0.01890 6903147 5043212 1859935 0.04320 246248 246248 0.00570 7965461 5043212 2922249 0.06780 7965461 5043212 2922249 0.06780 false 2585497 646374 14099253 14159184 -59931 X true true 1 1 VAL VERDE HOSPITAL CORPORATION

801 BEDELL AVENUE DEL RIO TX 78840

X X X VAL VERDE HOSPITAL CORPORATION 1 PART III, LINE 4: 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 DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST-TO-CHARGE RATIO. THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY AT 25%. PART III, LINE 8: THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $59,931. 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. PART III, LINE 9B: 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. NEEDS ASSESSMENT: THE COMMUNITY'S NEEDS INFORMATION IS GARNERED FROM PATIENT SATISFACTION SURVEYS, EMPLOYEES, AND PHYSICIANS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: WHEN AN UNINSURED PATIENT PRESENTS TO REGISTRATION, THE REGISTRAR IDENTIFIES THE SERVICES TO BE OFFERED AND REQUESTS PAYMENT FOR THOSE SERVICES PRIOR TO SENDING PATIENT TO THE DEPARTMENT. IF THE PATIENT IS UNABLE TO PAY OUR 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. 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. OTHER INFORMATION: 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 INTERESTED 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 $12,000 WAS RAISED FOR THE CURRENT RELAY FOR LIFE CAMPAIGN AND MORE THAN $21,000 WAS RAISED FOR THE 2010 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 MEDIC 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 AFFILIATED HEALTH CARE SYSTEM ROLES: N/A PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE OF $8,839,406 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. X X X X false false false false false false false false false DAVID ALANIZ 212299 0 0 0 34912 0 0 0 5265 0 252476 0 0 0 JOSE ROMO 0 109972 0 85901 0 11181 0 0 0 7330 0 214384 0 0 POLLY DAVENPORT 0 287367 0 0 0 0 0 0 0 3215 0 290582 0 0 FORREST WHICHARD 0 221124 0 0 0 5439 0 0 0 919 0 227482 0 0 VICTORIA BARNHOUSE 119154 0 15468 0 11471 0 0 0 6064 0 152157 0 0 0 VAL VERDE HOSPITAL CORPORATION ("VVMC") MISSION STATEMENT FORM 990, PART III, LINE 1 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. DELEGATION OF CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI, QUESTION 3 METHODIST HEALTH SYSTEMS PROVIDES CERTAIN FINANCIAL, TECHNICAL, AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 VAL VERDE COUNTY HOSPITAL DISTRICT IS THE SOLE MEMBER OF THE ORGANIZATION. ELECTION OF GOVERNING BODY FORM 990, PART VI, QUESTION 7A THE MEMBER, VAL VERDE COUNTY HOSPITAL DISTRICT, SHALL APPOINT CLASS A DIRECTORS FROM IT'S OWN BOARD ANNUALLY. THE MEMBER SHALL APPOINT TWO CLASS B DIRECTORS INITIALLY AND THEN SHALL APPOINT ONE CLASS B DIRECTOR ANNUALLY THEREAFTER. DECISIONS OF THE GOVERNING BODY FORM 990, PART VI, QUESTION 7B FOLLOWING AMENDED BYLAWS ENACTED IN JULY 2010, THE BOARD SHALL REQUIRE APPROVAL OF THE NEW MEMBER VAL VERDE COUNTY HOSPITAL AUTHORITY, 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, PATNERSHIP 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. THE DETAILED REVIEW PROCESS OF THE FORM 990 FORM 990, PART VI, QUESTION 11A THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND CFO PERFORM A DETAILED REVIEW OF THE RETURN PRIOR TO FILING. COMPLIANCE WITH WRITTEN CONFLICT OF INTEREST POLICY FORM 990, PART VI, QUESTION 12C THE ORGANIZATION FOLLOWED A CONFLICT OF INTEREST DISCLOSURE PROCESS 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. 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, QUESTION 15A & B THE ORGANIZATION HAS ESTABLISHED AN INTERNAL PROCESS TO DETERMINE COMPENSATION. HUMAN RESOURCES ANNUALLY USES MARKET SURVEYS FOR BASE PAY, PRIMARILY TSHRAE 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. GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, QUESTION 4 THE ORGANIZATION REVISED AND AMENDED THE BYLAWS IN JULY 2010 FOLLOWING A CHANGE OF THE MEMBER IN FEBRUARY 2010. VAL VERDE COUNTY HOSPITAL DISTRICT 801 BEDELL AVENUE DEL RIO TX 78840 741835564 HEALTHCARE TX GOVRNMENTAL NA false false false false false false false false false false false false false true true true false false