ORDER N0. 17478
RENEWAL OF MANDATED PROVIDER CONTRACT BETWEEN SID PETERSON
MEMORIAL HOSPITAL AND KERB COUNTY, FOR PERIOD BEGINNING ON
OCTOBER 1st, 1987 THROUGH SEPTEMBER 30th, 1988
On this the 24th day of September 1987, upon motion made by
Commissioner Ray, seconded by Commissioner Baldwin, the Court
unanimously approved renewal of a Mandated Provider Contract,
between SID PETERSON MEMORIAL HOSPITAL and KERR COUNTY, for
the period beginning October 1st, 1987 through September 30th,
1988.
SID PETERSON MEMORIAL HOSPITI-~L
s
CARING MAKES THE DIFFERENCE
September 8, 1987
Danny Edwards
County Judge
Kerr County
Kerr County Courthouse
700 Main Street
Kerrville, TX 78028
Dear Judge Edwards:
As per our telephone conversation Friday with Fred Holland,
please be advised that the Mandated Provider Contract be-
tween Sid Peterson Memorial Hospital and Kerr County is here-
by renewed. Renewal of this contract will be for the period
of September 1, 1987 through August 31, 1988.
Should you have further questions regarding this matter,
please contact me.
Sincerely,
~~~~~
F. W. Hall, Jr.
Administrator
FWH/lfm
A
710 Water Street . (512) 896-4200 • Kerrville, Texas 78028
UNTY INDIGENT HEALTH CARE PROGR~
MONTHLY FINANCIAL/ACTIVITY REPORT
Form IH-tOSi326
:ounty Name Report Month
Kerr Aug. 1987

TYPE SERVICE	PAID AMOUNT APPLICA6LE
TO COUNTY 10% LIMIT	CUMULATIVE STATE
FISCAL VEAR TOTAL
0~ Physician, Non-emergency ~	~ 4, 830.40	$ 27 , 824.06
02 Prescription Drugs	917 .05	3 , 640.38
03 Hospital, Inpatient I	23 , 430.55	87 , 972 , 80
04 Hospital, Outpatient I	3; "x105-a SS	1 I ~ 3 I '7. (~6
05 Laboratory/X-Ray	1, 852.34	6 , 87 8.05
06 Skilled Nursing Facility		
07 Family Planning		
08 Emergency Physician	I 256.79	1 , 293.14
09 Emergency Hospital		
10 Emergency Laboratory/X-Ray		~ 65.65
311 t(~~{;,?, ~~TAL TO DATE	S ~ C 3~~ GPI I . Lc ~
MntuTNf Y PRf1(;RAM ACTIVITY TOTALS
Vumher Active Cases D I Number Cases Denied n `Number Approved (~ Number Denied ^ 2
4t End of Month: 51 Oue to Change: P 3 `Applications: V 7 Applications: IJ
Cumulative cases to date from Sept. 1, 1986 are 51 cases involving
Comments:
62 people.
Ineligible expenses submitted to county for payment: Kerr County EMS-
$607.66
Submitted By:
_ ~ _~
Date
Title CIHC Coordinator
COU'..m.' INDIGENT HEALTH CARE PROGRAM ~
MON-; ..~Y FINANCIAL/ACTIVITY REPORT
Farm IH-10513-86
County Name Report Month
KERB February 1987
TYPE SERVICE	PAID AMOUNT APPLICABLE
TO COUNTY 10% LIMIT	CUMULATIVE STATE
FISCAL YEAR TOTAL
01 Physician, Nan-emergency	S 3, 3 4 8. 3 5	~ 10 , 0 4 0. 3 7
02 Prescription Drugs	0	
284.22
03 Hospital, Inpatient	943.58	
21,664.63
Oa Hospital, Outpatient	6 6 3.7 8	2, 0 3 4 .16
05 Laboratory/X-Ray	5 4 3. 4 7	1, 9 2 7. 9 4
06 Skilled Nursing Facility	0	
0
07 Family Planning	0	
0
08 Emergency Physician	16 5.13	5 91.0 3
09 Emergency Hospital	0	
0
10 Emergency Laboratory/X-Ray	0 I	6 5. 6 5
TOTAL TO DATE	S 36, 608. 00*
MONTHLY PROGRAM ACTIVITY TOTALS
Number Active Cases
h
f M
d
D 26	Number Cases Denied
Ch
t
D
D 0 I	Number Approved
D	Number Denied
D
ont
:
o
At En	ue
o
ange:	Applications:
5	Applications:
13
Cumulative cases to date: from Sept. 1, 1986 are 26 cases involving
Comments:
29 people.
*Ineligible expenses submitted to county for payment: KERB COU1`1TY EMS - $162.00
Submitted Sy: ~'~~'-~i~-~' f 't"l`1'(C~'D'/VL~ ~ ~ '~~]
Signatur Date
Title
Kerr County IHCP
~_~_ _.._
- ------