2014-10-06T11:17:51-05:00 2013-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2012-07-01 742557820 Sid Peterson Memorial Hospital % SID PETERSON MEMORIAL HOSPIT SIDP 8302587632 551 Hill Country Drive Suite Kerrville TX 78028 JULIE A JOHNSON 8302587632 2014-10-15 true Amanda Maya 7134994600 2012 2015-11-30 17:44:51Z X PETERSON REGIONAL MEDICAL CENTER JULIE A JOHNSON 551 Hill Country Dr Kerrville TX 78028 128289881 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. 10 9 1091 83 87617 15858 1358267 988725 86838029 103998527 1564643 9087251 932542 564373 90693481 114638876 2574410 2760259 0 0 49417520 44804517 0 0 272681 51225300 52362454 103217230 99927230 -12523749 14711646 200261636 204804982 94318007 87737912 105943629 117067070 X PETERSON REGIONAL MEDICAL CENTER PROVIDES EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE. false false 83280974 2760259 98237804 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. 1610678 1523192 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 718 ADMISSIONS DURING THE YEAR AND 13,834 VISITS. 3302414 3416253 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. 335 ADMISSIONS ACCOUNTED FOR 23,716 PATIENT DAYS. 617842 1293201 Two lab off-site outreach locations 617842 1293201 88811908 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 true false false false false false false true true true false false true 65 0 true 1091 true true true false false false false false false false false false X 10 9 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 5.0 0.0 X 0 0 0 Sam Junkin 10.0 0.0 X X Louis Romero 5.0 0.0 X X MIKE BAUMANN 5.0 0.0 X HAROLD WILSON 5.0 0.0 X GLORIA OLSON PHD 7.0 0.0 X X MARK ARMSTRONG 3.0 0.0 X SARAH FONTENOT 3.0 0.0 X ROYCE ITSCHNER 3.0 0.0 X EILEEN TOLOZA 5.0 0.0 X Patrick Murray 40.0 0.0 X 261480 132272 Robert Walther 40.0 0.0 X 162531 33131 STEVE PAULTER 40.0 0.0 X 186424 17671 KAELI DRESSLER 40.0 0.0 X 125492 7908 RICHARD CRUTHIRDS 40.0 0.0 X 114419 7444 JULIE JOHNSON 40.0 0.0 X Larry Nelson 40.0 0.0 X 131621 4073 ALVA BAKER 40.0 0.0 X 138373 4789 MILTON DARE 40.0 0.0 X 116379 4052 SHANE ANDERS 42.0 0.0 X 108620 7312 PAULETTE NEWLIN 39.0 0.0 X 107642 7288 1452981 0 225940 16 false true false SOUNDS PHYSICIANS 1123 PACIFIC AVE TACOMA WA 98402 PHYSICIAN COVER 1559345 SODEXO PO BOX 536922 ATLANTA GA 303536922 FOOD SERVICES 613759 ANESTHESIA ASSOC 420 WATER STREET KERRVILLE TX 78028 ANESTHESIA SERVICES 486044 LAB CORP PO BOX 12140 BURLINGTON NC 272162140 LABORATORY SERVICES 379182 MEDITECH PO BOX 74569 CHICAGO IL 60696 COMPUTER SOFTWARE 351202 13 689443 299282 988725 NET PATIENT SERVICE REVENUE 621110 103998527 103998527 103998527 1827648 1827648 0 0 9050 1247 4217 1247 4833 0 4833 4833 20863794 41250 13635539 10002 7228255 31248 7259603 7259603 0 0 0 MANAGEMENT FEE REVENUE 900099 87617 87617 THRIFT SHOP REVENUE 453310 342575 342575 MISCELLANEOUS 900099 129348 129348 559540 114638876 104470450 87617 9092084 2714631 2714631 45628 45628 0 0 893770 786772 106800 198 0 35457644 31212798 4079196 165650 143564 126377 16532 655 5642442 4966952 649748 25742 2667097 2399725 255481 11891 359144 359144 23661 23661 164609 164609 0 0 0 8604217 6585698 1996223 22296 337923 312371 4087 21465 1362758 1150173 202553 10032 49916 49916 0 1528534 1403463 125071 169948 169948 0 143973 93365 50602 6 3637020 3637020 0 8148192 6110005 2038187 71852 53889 17963 BAD DEBT EXPENSE 5091548 5091548 MEDICAL SUPPLIES 15554082 15539961 14121 EQUIPMENT REPAIR/MAINTENANCE 2723442 2645543 77899 EMPLOYEE EXPENSES 2185426 2185426 2206209 1221471 969992 14746 99927230 88811908 10842641 272681 238408 165289 32754120 26998672 0 0 11146609 14813507 0 0 0 0 0 0 2632217 2339958 729528 694084 149108299 66314692 84672279 82793607 63506147 73554867 0 0 0 0 0 0 4582328 3444998 200261636 204804982 6873805 8740392 1 -701 0 0 69109381 67341290 0 0 0 0 1660000 1745000 0 0 16674820 9911931 94318007 87737912 X 105694655 116817581 248974 249489 0 0 105943629 117067070 200261636 204804982 X 14711646 -3588725 520 X false true X true false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7311 false false false 7311 false GRANTS TO OTHER ORGANIZATION FOR LOBBYING PURPOSES PART II-B, QUESTION 1F AMOUNT REPORTED IN PART II-B, QUESTION 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. false false 81151 25516 259 106408 81306 78 233 81151 80263 1266 223 81306 77800 2661 198 80263 76860 1116 176 77800 1.00000 false false 3668549 3668549 88704477 24517736 64186741 405717 196961 208756 56329556 41599995 14729561 82793607 0 SELF-INSURANCE COSTS 1261445 EST AMOUNTS FROM THIRD PARTIES 8650486 9911931 105933649 -3588725 -5087466 -8676191 114609840 29036 29036 114638876 94810728 -19023 -19023 94829751 5097479 5097479 99927230 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. RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN SCH D, PART XI, LINE 2D BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE (5,087,466) RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURN SCH D, PART XI, LINE 4B LOSS ON DISPOSAL IN EXPENSES PER AUDIT 24,487 RENTAL EXPENSES NETTED WITH REVENUE IN RETURN 5,464 CLASSIFICATION DIFFERENCES 10,013 ------ 29,036 RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN SCH D, PART XII, LINE 2D LOSS ON DISPOSAL IN EXPENSES PER AUDIT (24,487) RENTAL EXPENSES NETTED WITH REVENUE IN RETURN 5,464 -------- (19,023) RECONCILIATION OF EXPENSES PER AUDITED F/S WITH EXPENSES PER RETURN SCH D, PART XII, LINE 4B BAD DEBT EXPENSE OFFSETTING AUDIT REVENUE 5,087,466 CLASSIFICATION DIFFERENCES 10,013 --------- 5,097,479 true true true X 174. true X true true true false true true 5272410 5272410 0.05560 3621516 7401694 -3780178 180535 188435 -7900 9074461 7590129 1484332 0.05560 85593 85593 0.00090 80346 80346 0.00080 165939 165939 0.00170 9240400 7590129 1650271 0.05730 3669 3669 3669 3669 false 5091548 2036619 41934673 41988802 -54129 X true true 1 1 PETERSON REGIONAL MEDICAL CENTER

551 HILL COUNTRY DR KERRVILLE TX 78028

X X X PETERSON REGIONAL MEDICAL CENTER 1 true X X X X X X X X 12 true false true X 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 KERRVILLE 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 uncollectible accounts. The Medical Center's allowance for uncollectible accounts for self-pay patients decreased from 91 percent of self-pay accounts receivable at June 30, 2012, to 86 percent to self-pay accounts receivable at June 30, 2013. The Medical Center's write-offs increased approximately $215,000 from approximately $5,840,000 for the year ended June 30, 2012, to approximately $6,055,000 for the year ended June 30, 2013. The decrease in the allowance for uncollectible accounts is the result of favorable shifts in the aging of accounts receivables and trends experienced in the collection of amounts from self-pay patients. The increase in the write-offs is primarily attributable to a policy change in the business office, which accelerated the timing of charging off an account against the provision for uncollectible accounts. Collection of amounts from self-pay patients. The increase in the write-offs is primarily attributable to a policy change in the business office, which accelerated the timing of charging off an account against the provision for uncollectible accounts. 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 $54,129 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 V, LINE 20D: THE ORGANIZATION GIVES SELF-PAY PATIENTS A HIGHER DISCOUNT THAN THE CONTRACTED INSURANCE PLANS. 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 PART V, LINE 16, 17, & 18 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. PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN F BAD DEBT EXPENSE OF $5,091,548 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. PART V, LINE 3 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. STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY PART V, LINE 6A 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 true HEALTHCARE PARTNERSHIP OF GREATER SAN ANTONIO 551 Hill Country Drive Kerrville TX 78028 450599888 501(C)(3) 2541000 SUPPORT 1 EDUCATION ASSISTANCE 26 45628 Procedures for Monitoring the use of grant funds to U.S. 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 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 261480 125210 7062 393752 Robert Walther 162531 26117 7014 195662 STEVE PAULTER 186424 11649 6022 204095 PERSONS PARTICIPATING IN, OR RECEIVING PAYMENT FROM, A RETIREMENT PLAN PART I, QUESTION 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP PLAN. AMOUNTS DEFERRED IN THE CURRENT YEAR WERE AS FOLLOWS: PAT MURRAY $120,000 BOB WALTHER 25,000 STEVE PAUTLER 10,000 Hospital started contributing to SERP program for the 3 individuals this year. 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 0 81675000 5694385 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 MOST RECENT ARBITRAGE CALCULATION PART IV, LINE 2C THE DATE OF THE ORGANIZATION'S MOST RECENT ARBITRAGE CALCULATION WAS FOR THE YEAR ENDED 6/30/2010. WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148 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. HUSER CONSTRUCTION OWNER IS DIRECTOR 3119043 MEDICAL BUILDING CONSTRUCTION false PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, QUESTION 11B 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. REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION FORM 990, PART VI, QUESTION 15A 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. GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, QUESTION 12C 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 FORM 990, PART III, QUESTION 4D HAVE TWO LAB OFF-SITE OUTREACH LOCATIONS. THERE WERE 13,406 PATIENT VISITS FOR THE YEAR. OTHER CHANGES IN NET ASSETS OF FUND BALANCES FORM 990, PART XI, LINE 9 CONTIBUTIONS RECORDED TO NET ASSETS 520 AMENDED RETURN THE ORGANIZATION IS AMENDING THE RETURN TO CORRECTLY REPORT THE NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BOARD AT YEAR END, TO REMOVE THE JOINT VENTURE FROM SCHEDULE H PART IV, AND TO REPORT ADDITIONAL TRANSACTIONS WITH CONTROLLED ENTITIES IN SCHEDULE R PART V. 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 NA false PETERSON MEDICAL ASSOCIATES 551 HILL COUNTRY DR KERRVILLE TX 78028 272184637 HEALTHCARE TX NA 509(a) C-CORP 1156231 24686 1.00000 true false true true true false false false false false true false true false true true false false true false PETERSON REGIONAL MEDICAL CENTER FOUNDATION C 689443 FMV PETERSON MEDICAL ASSOCIATES L 87617 FMV PETERSON MEDICAL ASSOCIATES D 1515446 FMV