ORDER NO. 30992
INDIGENT HEALTH CARE SERVICE AGREEMENT WITH PETERSON
REGIONAL HEALTH CARE CENTER
Came to be heard this the 8th day of September, 2008, with a motion made by
Commissioner Williams, seconded by Commissioner Letz. The Court unanimously
approved by a vote of 4-0-0 to:
Approve renegotiating the Contract, and have the County Attorney write anew
Agreement, to include that Kerr County hire the employee to be in charge of the program,
to be administered on a County basis, and that the hospital will reimburse Kerr County
for fifty (50%) percent of the cost.
3v99~-
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COMMISSIONERS' COURT AGENDA REQUEST
MADE BY:
MEETING DATE:
Jeannie Hargis
September 8, 2008
OFFICE: Auditor's Office
TIME PREFERRED:
SUBJECT: Consider, Discuss and Take Appropriate Action regarding the Indigent
Health Care Service Agreement with Sid Peterson Hospital and Kerr County.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON)
NAME OF PERSON ADDRESSING THF, COURT:
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Time for submitting this request for Court to assure that the matter is posted in
accordance with Title 5, Chapter 551 and 552, Government Code, is as follows:
Meeting scheduled for Mondays:
THIS REQUEST RECEIVED BY:
THIS RQUEST RECEIVED ON:
5:00 PM previous Tuesday
@ .M.
All Agenda Requests will be screened by the County Judge's Office to determine if adequate
information has been prepared for the Court's formal consideration and action at time of Court
Meetings. Your cooperation will be appreciated and contribute towards your request being
addressed at the earliest opportunity. See Agenda Request Rules Adopted by Commissioners'
Court.
ORDER NO. 27180
APPROVAL OF CONTRACT FOR INDIGENT HEALTH
CARE COORDINATOR
On this the lath day of Aug~.~st 2001, ~_ipon motion made by
Commissioner Lets, seconded 6y Commissianer Griffin, the Co~_ir,t
~.~naniaously approved by a vote of 4-0-0, of contract for^
hospital-based N.er-r^ County indigent Health Care Coordinator as
amended.
COMMISSIONERS' COURT AGENDA REQUEST
PLEASE FURNISH ONE ORIGINAL AND NINE COPIES OF THIS REQUEST AND DOCUMENTS TO BE_
REVIEWED BY THE COURT.
MADE BY: Fred He OFFICE: County Judge
MEETING DATE: A 3 2001 TIME PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC)
Consider and discuss approval of contract for Indigent Health Care Coordinator.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON)
NAME OF PERSON ADDRESSING THE COURT:
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
County Jude
Time for submitting this request for Court to assure that the matter is posted in accordance with Titte 5, Chapter
551 and 552, Government Code, is as follows:
Meeting scheduled for Mondays:
'u REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:
5:00 P.M. previous Tuesday.

All Agenda Reyuests wil! be screened by the County Judge's Office to determine if adequate information has been
prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation will be
appreciated and contribute towards you request being addressed at the earliest opportunity. See Agenda Request Rules
Adopted by Commissioners' Court.

Contract
For
Hospital Based
Kerr County Indigent Health Care Coordinator
Sid Peterson Memorial Hospital
7i0 Water Street
Kemille, TX 78028
Kerr County
700 Main
Kerrville, TX 78028
The purpose of the Indigent Health Care and Treatment Act and House Bi117 of
the 72nd Legislature is to ensure that needy Texas residents, who do not qualify for
other state or federal medical assistance programs, receive medical care. Since Kerr
County, hereinafter referred to as the County, is not served by a Public Hospital or a
Hospital District, the County shall provide health care assistance as prescribed under
Subchapter B, section 61.022. The county is the payer of last resort.
Sid Peterson Memorial Hospital, hereinafter referred to as the Hospital, desires
to participate in a hospital-based cooperative program to establish an office for the Ken
County Indigent Health Care Coordinator, hereinafter referred to as the Coordinator, at
Sid Peterson Memorial Hospital.
Therefore, the County and the Hospital mutually agree to the terms and conditions set
forth below:
The Hospital agrees:
A. That the primary duties of the Coordinator will be to screen or initiate applications
for Kerr County Indigent Health Care Services. An example of a job description of
the Coordinator is attached to this agreement. (Refer to Attachment #1.) The
hospital understands that applications for public assistance must be voluntary. The
Hospital cannot force an individual to apply and the process by which individuals
are screened for services cannot insist that they apply for public assistance.
B. To retain administrative supervision of the Coordinator. The part-time Coordinator
will be an employee of the Hospital, and will comply with all requirements and
responsibilities of a Hospital employee.
C. To provide needed services without discrimination on the basis of race, color,
national origin, age, sex, or handicap.
D. To keep financial and supporting documents, statistical records, and any other
records pertinent to the services provided to recipients. The records and documents
will be kept for a minimum of three years after the termination of the contract

2
period, or for three years after the end of the county fiscal year in which services were
provided if this contract has no specific termination date. If any litigation, claim or
audit involving these records begins before the three-year period expires, the Hospital
will keep the records and documents for not less than three years and until all litigation,
claims or audit findings are resolved. The case is considered resolved when there is a
final order issued in litigation, or a written agreement is entered into between the
County and the Hospital. Contract period means the beginning date through the ending
date specified in the original agreement/contract; extensions are considered to be
separate contract periods.
E. To provide office space for the Coordinator, aiong with a telephone, a desk, a desk
chair, two side chairs, an adding machine if necessary, filing cabinets and clerical
supplies necessary for the Coordinator to discharge his/her responsibilities.
F. That in the absence of the Coordinator, Social Services staff will provide
applications and set up appointments for individuals as needed.
G. That Social Services Director will hire and train a person to fill the position of
County Indigent Health Care (CIHC) Coordinator. It is agreed and understood that
the employee/employer relationship exists between the Hospital and the Coordinator
and all benefits, rights and employee-employer responsibilities will rest with the
Hospital. Such individual would be assigned to the Public Health Region 8 Resource
Coordinator for technical training and CIHC supervision.
~.. H. To bill the County for hours worked on a monthly basis and allow a maximum 30
days for forwarding of payment.
I. To manage/maintain the service in accordance with all laws, ordinances,
regulations, and rules of federal, state and local authority and within the
requirements of the Joint Commission on Accreditation of Health Care
Organizations.
J. To hold and save Kerr County free from any liability ensuing from the hospital's
and coordinator's employee/employer relationship.
The County agrees:
A. To provide the Coordinator with support services of the County auditor in resolving
reimbursement issues with providers.
B. To provide the Coordinator with support services of County Judge and County
Attorney in addressing concerns of applicants who disagree with the guidelines of
the program.
C. To reimburse the Hospital 50% of the actual cost of the Coordinator. This will
include base salary plus FICA at 7.65% and Benefits at 14.35%.
D. To contract with a billing service who will process reimbursement to providers.
The Hospital and the County mutually agree:
A. To preserve the confidentiality of and to not disclose any information that is
sensitive, confidential and proprietary in nature to any third party without the
express written consent of the other party or pursuant to lawful process.
B. That should either party broach this contract, the non-breaching party may, at their
option, terminate this contract immediately without prior notice.
C. That this contract may be cancelled at any time by mutual agreement, or if not by
such agreement, either party may cancel this contract at any time by giving sixty
(60) days written notice in advance to the other party.
D. The terms of the contract shall be one year commencing on the effective date. ~~
y. Provided that funds are currently
available from the county, the contract shall be automatically renewed and extended
for additional one-year periods on any anniversary thereof unless amended or
cancelled by written notice given by either party as stated in (B or C) above.
E. That the terms and provision of the agreement shall be interpreted and governed by
the laws of the State of Texas. In the event that federal or state laws or other
requirements should be amended or judicially interpreted so as to render continued
fulfillment of this contract, on the part of either party, substantially unreasonable or
impossible, or if the parties should be unable to agree upon modifying amendments
which should be needed to enable the substantial continuation of the services
contemplated herein because of such amendments or judicial interpretations, the
parties shall be discharged from any further obligations created under the terms of
this contract, except for the equitable settlement of the respective accrued interests
or obligations incurred up to the date of termination.
F. That jurisdiction for any dispute under this agreement wilt be with the appropriate
courts of Ketr County, Texas.
The effective date of this contract is ^ ~ g ~~ ~~_•
Sid Peterson Memorial Hospital Kerr County
<-~
Patrick Murray, CEO ~ Fred L. Henn ke, County Judg