2014-05-15T12:59:17-05:00 2013-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2012-07-01 742941598 Val Verde Hospital Corporation % LISA MEDOVICH VALV 8307781749 801 Bedell Avenue Suite Del Rio TX 78840 LISA MEDOVICH 8307781749 2014-05-15 true Amanda Maya 7134994600 2012 2015-11-30 17:44:51Z LISA MEDOVICH CFO 801 BEDELL AVE DEL RIO TX 78840 66392557 false X WWW.VVRMC.ORG X 2000 TX PROVIDE HEALTHCARE SERVICES TO THE RURAL COMMUNITY SURROUNDING DEL RIO, TEXAS. 5 5 539 9 0 215846 2290481 59548423 63490148 112153 0 610538 611928 60486960 66392557 20600 0 0 0 23625781 25566909 0 0 0 31186632 34912942 54833013 60479851 5653947 5912706 28189281 35566553 4170347 5634913 24018934 29931640 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 22310776 29258769 SURGICAL SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 2,937 CASES. 18099608 23736164 LABORATORY SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 183,346 DIAGNOSTIC TESTS. 8260465 10832928 ADULT AND PEDIATRIC INPATIENT SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 10,498 PATIENT DAYS. 48670849 true true false false 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 false false false true 190 0 true 539 true false false false false false false false false false false X 5 5 false true false false true true true true true false false false true true true true true true true false X LISA MEDOVICH 8307783610 801 BEDELL AVE DEL RIO TX 78840 X FRANK H LARSON 1.0 0.0 X X TONY SOTELO 1.0 0.0 X X ROY MUSQUIZ 1.0 0.0 X X SYLVIA OWENS 1.0 0.0 X X CHARLIE QUALIA 1.0 0.0 X JANE MORAIN 1.0 0.0 X MARC STRODE 40.0 0.0 X THOMAS GRIMERT 40.0 0.0 X ANDREW WILLIAMS 40.0 0.0 X FORREST WHICHARD 40.0 0.0 X 0 0 John Furman 40.0 0.0 X 157097 18323 David Alaniz 40.0 0.0 X 240454 25303 Victoria Barnthouse 40.0 0.0 X 180135 19062 Ron Walton 40.0 0.0 X 123532 0 21879 Linda Shinn 40.0 0.0 X 129671 10592 830889 0 95159 17 false true false MCKESSON TEchnologies inc 22423 NETWORK PLACE CHICAGO IL 60673 COMPUTER CONVERSION 1634577 METHODIST HEALTHCARE SYSTEM 8109 FREDERICKSBURG RD SAN ANTONIO TX 78229 MANAGeMENT SERVICES 1363238 PHILIPS MEDICAL SYSTEMS 3000 MINUTEMAN RD ANDOVER MA 01810 EQUIPMENT SERVICES 876406 INTERSTAFF INC PO BOX 4652 DEPT 980 HOUSTON TX 77210 CONTRACT NURSE LABOR 758057 HUNTER PHARMACY SERVICES PO BOX 30573 AUSTIN TX 78755 CONTRACT PHARM labor 527733 62 2078729 183361 28391 2290481 NET PATIENT REVENUE 621110 63337904 63337904 TRAUMA SYSTEM REVENUE 621400 601 601 OTHER OPERATING REVENUE 900099 136039 136039 MEDICAL RECORDS REVENUE 900099 15604 15604 63490148 0 0 0 46757 46757 0 46757 46757 0 0 0 0 CAFETERIA REVENUE 722514 227458 227458 EDUCATION REVENUE 611710 64480 64480 MISCELLANEOUS REVENUE 900099 273233 273233 565171 66392557 63827861 274215 X 0 0 0 0 0 0 20431024 15323268 5107756 0 3380573 2535430 845143 1755312 1316484 438828 500000 500000 212198 212198 0 0 0 0 8980665 5958158 3022507 272125 204094 68031 801940 601455 200485 136911 102683 34228 0 1562484 1171863 390621 155307 116480 38827 0 56380 42285 14095 0 0 1351920 1013940 337980 435255 326441 108814 BAD DEBT EXPENSE 12030094 12030094 MEDICAL SUPPLIES 5612213 5612213 DIETARY 467980 350985 116995 EQUIPMENT COST & MAINTENANCE 1518147 1138610 379537 819323 614168 205155 60479851 48670849 11809002 0 2842 9367 11112358 3245906 0 0 5201842 5772654 0 0 0 0 2435098 5813924 1110612 1440242 297530 495627 30812297 17025590 8025091 13786707 0 0 0 0 0 0 0 0 3908 5002126 28189281 35566553 4170347 5622586 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12327 4170347 5634913 X 24018934 29931640 0 0 0 0 24018934 29931640 28189281 35566553 5912706 X X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2942077 895128 2046949 453409 251410 201999 24500505 15879052 8621453 2916306 2916306 13786707 DUE TO/FROM AFFILIATES 5000000 DEPOSITS 1040 INTEREST IN VVHC 1086 5002126 0 OTHER PAYABLES 12327 12327 true true true X true X 100 true true true false false 1068001 1068001 0.02200 8560104 7174352 1385752 0.02860 228698 573205 -344507 0.00000 9856803 7747557 2109246 0.05060 9856803 7747557 2109246 0.05060 false 12030094 3007524 13558717 15203796 -1645079 X true true 1 1 Val Verde Hospital Corporation

801 Bedell Avenue Del Rio TX 78840

X X X Val Verde Hospital Corporation 1 true X X X X X X X X X 12 true false true X X X X X X true false true true 100 true 100 true X X X X X true true X X X true false X X X X true X false false Bad Debt Expense schedule h, part iii, section a, line 2 The amount reported on Line 2 is based on the bad debts per the organization's financial statements. Bad Debt Attributable to Patients under Financial Assistance Policy Schedule h, part iii, section a, line 3 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. Bad Debt footnote schedule h, part iii, section a, 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 UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. Costing Methodology Schedule H, Part III, Section B, Line 8 THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $1,645,079. 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. Collection Practices Schedule H, part iii, section c, 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. CHNA INPUT FROM REPRESENTATIVES of THE COMMUNITY SCHEDULE H, PART V, SECTION B, LINE 3 IN 2012, THE VAL VERDE COUNTY HOSPITAL DISTRICT BOARD MEMBERS WERE SURVEYED. THE BOARD MEMBERS HAVE SPECIAL KNOWLEDGE OF PUBLIC HEALTH AND SOME HAVE HANDS-ON HEALTHCARE EXPERIENCE. THEY ALSO REPRESENT THE RESIDENTS OF THE COUNTY AND HAVE RELEVANT INFORMATION TO THE COMMUNITY'S HEALTH NEEDS. NINE BOARD MEMBERS IN TOTAL WERE SURVEYED. THESE INDIVIDUALS CONSISTED OF A HOME HEALTH COORDINATOR, RETIRED TEACHER, RETIRED SCHOOL ADMINISTRATOR, HOME NURSING ASSISTANT ADMINISTRATOR, CERTIFIED PUBLIC ACCOUNTANT, AS WELL AS SELF-EMPLOYED INDIVIDUALS AND BANKERS. FOR ADDITIONAL COMMUNITY INPUT, VAL VERDE PARTICIPATED IN THE TEXAS MEDICAID TRANSFORMATION WAIVER AS A MEMBER OF THE REGIONAL HEALTHCARE PARTNERSHIP 6 (RHP 6). THE WAIVER IS USED TO ADDRESS UNMET NEEDS IN TEXAS. EACH RHP CONDUCTS A COMMUNITY NEEDS ASSESSMENT AND ALLOWS COMMUNITIES TO VIEW A DRAFT BEFORE IT IS FINALIZED. IN ADDITION TO GENERAL PUBLIC INPUT, RHP 6 ENGAGED THE FOLLOWING HEALTHCARE PROVIDERS IN THE REGION: UNIVERSITY HEALTH SYSTEM, TEACHING HOSPITALS OF TEXAS, TEXAS ORGANIZATION OF RURAL AND COMMUNITY HOSPITALS, THE TEXAS HOSPITAL ASSOCIATION, THE TEXAS MEDICAL ASSOCIATION, AND THE TEXAS COUNCIL OF COMMUNITY HEALTH CENTERS. CHNA AND IMPLEMENTATION STRATEGY SCHEDULE H, PART V, SECTION B, LINE 5 THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND on THE ORGANIZATION'S WEBSITE. THE WEB ADDRESS IS http://www.vvrmc.org/pdf/community-health-needs13.pdf. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 THE COMMUNITY'S NEEDS INFORMATION IS GARNERED FROM PATIENT SATISFACTION SURVEYS, EMPLOYEES, AND PHYSICIANS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 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. PROMOTION OF COMMUNITY HEALTH SHEDULE H, PART VI, LINE 5 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 $12,000 WAS RAISED FOR THE CURRENT RELAY FOR LIFE CAMPAIGN AND MORE THAN $21,000 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 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 SCHEDULE H, PART VI, LINE 6 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 501A CORPORATION, FORMED PRIMARILY FOR THE PURPOSE OF PROVIDING PHYSICIAN SERVICES TO THE MEDICAL CENTER'S PATIENTS. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 N/A FACILITY REPORTING GROUP SCHEDULE H, PART VI, LINE 8 N/A PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7 COLUMN F BAD DEBT EXPENSE OF $12,030,094 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 John Furman 135410 21687 0 4876 13447 175420 0 David Alaniz 240454 0 0 7388 17915 265757 0 Victoria Barnthouse 151054 29081 0 5615 13447 199197 0 DELEGATION OF CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI, section a, line 3 METHODIST HEALTH SYSTEMS PROVIDES CERTAIN FINANCIAL, TECHNICAL, AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. THE FOLLOWING INDIVIDUALS LISTED ON PART VII ARE COMPenSATED BY METHODIST HEALTH SYSTEMS: MARC STRODE $162,854 THOMAS GRIMERT $109,690 ANDREW WILLIAMS no compensation during calendar year 2012 FORREST WHICHARD $178,640 MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 VAL VERDE COUNTY HOSPITAL DISTRICT IS THE SOLE MEMBER OF THE ORGANIZATION. ELECTION OF GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 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, SECTION A, LINE 7B 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. THE DETAILED REVIEW PROCESS OF THE FORM 990 FORM 990, PART VI, SEcTION B, LINE 11B 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, SECTION B, LINE 12C THROUGH FEBRUARY 2010, THE ORGANIZATION FOLLOWED THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS 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. 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, SECTION B, LINES 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, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G PROFESSIONAL FEES $3,318,347 CONTRACT LABOR $2,545,081 PURCHASED SERVICES $2,065,467 COLLECTION FEES $1,036,454 CONSULTANT FEES $15,316 --------------- TOTAL $8,980,665 AUDITED FINANCIAL STATEMENTS FORM 990, PART IV LINE 12 AND PART XII, LINE 2 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, 2013. HOWEVER, AT THE TIME OF FILING THIS RETURN, THE AUDIT IS NOT YET COMPLETE. THE ORGANIZATION HAS ATTACHED A COPY OF ITS MOST RECENT FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2012 TO THE FORM 990 AND ANSWERED YES TO PART IV, line 20B. VAL VERDE COUNTY HOSPITAL DISTRICT 801 BEDELL AVENUE DEL RIO TX 78840 741835564 HEALTHCARE TX GOVT n/a NA false false false true false false false false false false false false false false false true true true false false