2022-03-16T05:34:19-05:00 2021-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2020-07-01 742941598 Val Verde Hospital Corporation % CLAUDIA FALCON VALV 8307783613 801 Bedell Avenue Del Rio TX 78840 Linda Walker CEO 8307783610 2022-05-16 true Linda Walker 999009999 Jeanette Verrelli P00742631 9727028262 2 2020 2022-09-23 18:48:47Z Val Verde Regional Medical Center LINDA WALKER CEO 801 Bedell Avenue DEL RIO TX 78840 67833062 false X WWW.VVRMC.ORG X 2000 TX WE LIVE TO DELIVER HEALTHCARE OUR COMMUNITY CAN TRUST. 11 10 754 11 0 0 23891530 2893882 59444195 63932953 42325 -467842 751298 995541 84129348 67354534 0 0 0 0 32773154 30364136 0 0 0 35747787 41110397 68520941 71474533 15608407 -4119999 55584024 55210995 15463113 19210083 40120911 36000912 X MISSION: WE LIVE TO DELIVER HEALTHCARE OUR COMMUNITY CAN TRUST. VISION: TO BE THE PREMIER PROVIDER FOR ALL HEALTHCARE NEEDS. LEGACY: WE STRENGTHEN OUR FOUNDATION THROUGH EMPOWERMENT. CORE VALUES: TRUST: WE CREATE TRUST THROUGH OUR INTEGRITY AND OUR INTENTION. EMPOWERMENT: WE GIVE EACH OTHER INFORMATION, DIRECTION AND AUTHORITY TO MAKE DECISIONS. QUALITY: WE DELIVER EXCELLENCE. CONSISTENCY: WE DELIVER A PREMIER EXPERIENCE TO EVERY PERSON, EVERY TIME. ACCOUNTABILITY: WE RISE ABOVE OUR CIRCUMSTANCES TO ACHIEVE THE BEST POSSIBLE RESULT. UNITY: WE PROMOTE AN ENVIRONMENT CHARACTERIZED BY OPEN COMMUNICATION, DIVERSITY AND MUTUAL RESPECT-ALWAYS. false false 13559962 0 31269490 RADIOLOGY: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 8,035 CT PROCEDURES, 1,948 MRI PROCEDURES, 354 NUCLEUR MED PROCEDURES, 20,874 RADIOLOGY PROCEDURES, 6,004 ULTRASOUND PROCEDURES, 1,698 MAMMOGRAMS, 999 INTERVENTIONAL RADIOLOGY PROCEDURES, 1,519 DIAGNOSTIC IMAGING PROCEDURES. 15449838 0 17486678 LABORATORY SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 258,606 DIAGNOSTIC TESTS 27709766 0 15888760 EMERGENCY ROOM: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 18,914 VISITS. 56719566 true true false true false false false false false false true false false true true false true 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 184 0 true 754 true false false false false false false false false false false false false X 11 10 false false false false true true true true true false false true true true true true true true true false X CLAUDIA FALCON 8307783610 801 BEDELL AVE DEL RIO TX 78840 X Michele Di Blasi PHYSICIAN 40.0 0.0 X 808892 0 29067 DR Terry M Lindsey CHIEF OF STAFF START: 01/2021 40.0 0.0 X 540755 0 8403 Kenneth P Moore PHYSICIAN 40.0 0.0 X 496925 0 35202 DR Ira L Floyd CHIEF OF STAFF END: 12/2020 40.0 0.0 X 507534 0 17211 MARK MANNING PHYSICIAN 40.0 0.0 X 401570 0 25667 JOSE OVIEDO jr PHYSICIAN 40.0 0.0 X 369486 0 25126 Tina Pilumeli Di Blasi PHYSICIAN 40.0 0.0 X 380596 0 11603 Linda S Walker CEO 40.0 0.0 X 324400 0 14862 Claudia C Falcon CFO 40.0 0.0 X 168301 0 12000 Carlos Torres CHRO 40.0 0.0 X 156430 0 22239 Jessica Nuutinen CNO 40.0 0.0 X 147792 0 21942 DR AURELIO LAING III Chairman 1.0 0.0 X X 0 0 0 MICHAELANNA HUNTER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 ALVARO ARREOLA SECRETARY 1.0 0.0 X X 0 0 0 Jane Morain Director 1.0 0.0 X 0 0 0 Robin A Palmer Director 1.0 0.0 X 0 0 0 Gerald Prather Director 1.0 0.0 X 0 0 0 Dr Daniel Joseph Chartrand Director 1.0 0.0 X 0 0 0 Twila Barnett CPA director Start: 08/2020 1.0 0.0 X 0 0 0 Julio C Otazo MD director start: 08/2020 1.0 0.0 X 0 0 0 MICHELLE BROWN DIRECTOR 1.0 0.0 X 0 0 0 4302681 0 223322 33 false true false VICTORIA emergency partners llc 1900 bARTON sPRINGS RD SUITE 5030 AUSTIN TX 78704 PHYSICIAN FEES 1301758 FISHER SCIENTIFIC COMPANY LLC 4951 Langdon Rd DALLAS TX 75241 SCIENTIFIC TECH SVS 768707 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 ACCOUNTING SERVICES 377242 DLC WELLNESS 18318 SNORKEL CV SAN ANTONIO TX 78255 PHYSICIAN SERVICES 348378 ZADOROZNY ANESTHESIA SVCS INC 114 MEDICINE BOW TRL DEL RIO TX 78840 ANESTHESIA SERVICES 337947 29 2405240 287676 200966 2893882 Net Patient Service Revenue 622110 61763075 61763075 Medical Office Rent 532000 10775 10775 Other Operating Revenue 900099 954630 954630 Pharmacy Revenue 446110 1204473 1204473 63932953 10686 10686 0 0 0 0 0 478528 -478528 -478528 -478528 0 0 0 0 0 0 0 0 0 Cafeteria Revenue 722210 283566 283566 Recovery of Bad Debt 900099 701341 701341 Medical Records 561000 10634 10634 995541 67354534 64644928 -184276 X 0 0 0 0 1941869 1073903 867966 0 23060731 17631168 5429563 394119 301894 92225 3069397 2342622 726775 1898020 1423515 474505 0 112371 112371 306254 306254 0 0 0 15492626 12708983 2783643 67840 50880 16960 1758004 1318503 439501 3239367 2429525 809842 0 2059663 1544747 514916 30736 23052 7684 0 49485 37114 12371 1011 758 253 0 4512363 3384272 1128091 745591 559193 186398 Bad Debt Expense 2415877 2415877 Medical Supplies 6936607 6936607 Equipment Maintenance 2295102 1721327 573776 Employee Relations & Recruitin 394829 296122 98707 692671 519504 173166 71474533 56719566 14754967 0 5644754 3448275 14928861 13819053 0 0 4984855 5776252 0 0 0 0 0 0 1072604 1279893 1028654 1232583 64827789 44503336 21788991 20324453 0 0 0 0 0 0 0 0 6135305 9330486 55584024 55210995 6210040 7070880 0 0 1732080 0 0 0 0 0 0 0 0 0 224395 179374 7296598 11959829 15463113 19210083 X 40120911 36000912 0 0 40120911 36000912 55584024 55210995 -4119999 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 770 770 false SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO THE TEXAS ORGANIZATION OF RURAL & COMMUNITY HOSPITALS (TORCH). 20.00% OF THE DUES PAID ARE DESIGNATED FOR SPECIFIC LOBBYING PURPOSES. 6843420 3719209 3124211 798583 513127 285456 56176533 40271000 15905533 1009253 1009253 20324453 Other Receivables 120707 Due From 3rd Party Payer 9209779 9330486 0 Due to Affiliates 1884423 Advance from 3rd Party Payers 4519271 MEDICARE ADVANCED PAYMENTS 5386399 Other Liability 169736 11959829 62855953 -2415877 -2415877 65271830 2082704 2082704 67354534 69057645 69057645 2416888 2416888 71474533 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: 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. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(2,415,877) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Capital Gifts $2,405,240 Loss on Disposals of Capital Assets (478,528) Noncapital Gifts & Grants 155,992 ------------- $2,082,704 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $ 2,415,877 INTEREST EXPENSE 1,011 ------------ TOTAL $ 2,416,888 true true X true X 300. true X true true true false false 10534061 10534061 0.15250 8105651 10192947 1972507 857219 1115288 0.01610 20612219 11050166 11649349 0.16860 20612219 11050166 11649349 0.16860 false 2415877 603969 11040019 12008028 -968009 X true true 1 1 VAL VERDE REGIONAL MEDICAL CENTER 801 BEDELL AVENUE DEL RIO TX 78440 WWW.VVRMC.ORG 000462 X X X VAL VERDE REGIONAL MEDICAL CENTER false false true X X X X X X X X X 20 true false false true X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 300. 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: IN NOVEMBER OF 2020, VAL VERDE REGIONAL MEDICAL CENTER GATHERED INFORMATION FROM A NUMBER OF COMMUNITY MEMBERS FROM DEL RIO AND VAL VERDE COUNTY. THE FOCUS GROUPS INCLUDED INDIVIDUALS FROM THE FOLLOWING CONSTITUENCIES: COUNTY AND CITY GOVERNMENT LEADERS, PUBLIC SAFETY OFFICERS AND PERSONNEL, SCHOOL EDUCATORS, CONGREGATIONAL FAITH LEADERS, COMMUNITY NON-PROFIT ORGANIZATIONS, SOCIAL SERVICE AGENCIES, DIVERSE PRIVATE CITIZENS, BUSINESS LEADERS, HOSPITAL DEPARTMENT LEADERS, HOSPITAL BOARD OF DIRECTORS, PHYSICIANS AND OTHER ADVANCED PRACTICE PROFESSIONALS, FEDERALLY QUALIFIED HEALTH CENTER ADMINISTRATIVE AND CLINICAL LEADERS, MEXICAN CONSULATE REPRESENTATIVES, AND LAUGHLIN AIR FORCE BASE HEALTH AND WELLNESS OFFICERS. THERE WERE A TOTAL 79 PEOPLE THAT WERE INTERVIEWED. ADDITIONAL FOCUS GROUPS WERE ALSO HELD WITH THE HOSPITAL'S EXECUTIVE TEAM AND DEPARTMENT MANAGERS. TOPICS DISCUSSED INCLUDED THE MAJOR HEALTH NEEDS OF THE COMMUNITY AND THE INDIVIDUALS PERCEPTIONS OF THE HOSPITAL. SCHEDULE H, PART V, SECTION B, LINES 7A & 10A CHNA AND IMPLEMENTATION STRATEGY: THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: https://www.vvrmc.org/about-us/community-health-needs-assessment/ SCHEDULE H, PART V, SECTION B, LINE 11 IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: IN CONDUCTING THE 2020 CHNA, THREE NEEDS WERE IDENTIFIED THAT WERE MOST OFTEN REPEATED BY A SIGNIFICANT NUMBER OF PARTICIPANTS. THESE NEEDS ARE CONDENSED VERSIONS OF THE SAME NEEDS IDENTIFIED IN THE PRIOR CHNA. THEY HAVE BEEN PRIORITIZED TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY: 1. PHYSICIAN ACCESS THE HOSPITAL PLANS TO EXPLORE AND DEVELOP A PLAN TO A CREATE HOME HEALTH PROGRAM UTILIZING PARAVISITS OR ANOTHER TYPE OF CARE. THERE ARE PLANS TO ESTABLISH A POPULATION HEALTH MODEL THROUGH THE RHC. THE HOSPITAL ALSO PLANS TO APPLY FOR GRANT OPPORTUNITIES AND OTHER COMMUNITY PROGRAMS. 2. SERVICE ENHANCEMENTS THE HOSPITAL PLANS TO EXPAND ITS RHC FOOTPRINT TO INCREASE WOMEN AND CHILDREN SERVICES BY INCREASING THE PRESENCE OF FAMILY MEDICINE. THERE WILL ALSO BE AN INCREASE IN PODIATRY SERVICES. INVESTMENT IN NEW PHONES SYSTEMS WILL IMPROVE THE ACCESS TO CARE AT THE HOSPITAL AND SURROUNDING CLINICS. OTHER COMMUNITY OUTREACH PROGRAMS WILL BE ANALYZED AND CREATED BASED ON THE FINDINGS OF THE NEEDS ASSESSMENT. 3. COMMUNITY OUTREACH & COMMUNICATION THE HOSPITAL WANTS TO BE THE PROVIDER OF CHOICE FOR THE RESIDENTS OF DEL RIO. THE HOSPITAL PLANS TO DEVELOP A BRAND CAMPAIGN THROUGH SOCIAL MEDIA, THE WEBSITE, AND OTHER PUBLIC EVENTS. ALL OF THE NEEDS IDENTIFIED WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE BEEN ADDRESSED IN THE IMPLEMENTATION STRATEGY. FOR MORE INFORMATION ON THE PROGRESS THE HOSPITAL MADE DURING FISCAL YEAR 2021, SEE SCHEDULE H, PART VI. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: https://www.vvrmc.org/patients-visitors/patient-financial-services/ SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT REPORTED IS BASED ON THE BAD DEBT PER THE ORGANIZATION'S FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE POLICY: 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. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: 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. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $968,009. 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. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES: 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. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR THE HOSPITAL'S CHARITY CARE PROGRAM, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE COMMUNITY'S NEEDS INFORMATION IS GARNERED FROM PATIENT SATISFACTION SURVEYS, EMPLOYEES, AND PHYSICIANS IN ADDITION TO THE CHNA CONDUCTED IN 2021. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: 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. SCHEDULE H, PART VI, LINE 4 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. THE MEDIAN INCOME IN THE COUNTY IS APPROXIMATELY $42,500 FOR A HOUSEHOLD COMPARED TO THE $55,800 TEXAS STATE AVERAGE. THE PER CAPITA INCOME FOR THE COUNTY IS $17,107. THE MEDIAN AGE WAS 32.5 YEARS OF AGE COMPARED TO 34.5 YEARS FOR TEXAS. ABOUT 22.2% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 32% OF THOSE UNDER AGE 18 AND 26% OF THEM AGE 65 OR OVER. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: 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. IT HAS GROWN IN POPULARITY IN TERMS OF INDIVIDUALS WHO EXPRESS AN INTEREST IN PRESENTING AND THE NUMBER OF ATTENDEES. During the final six months of the FY2020 we suspended all in person outreach activities and transitioned to more online communication via the website and social media. Teen Outreach targets teens in junior high and high school, programs began in person and then moved to a virtual platform due to COVID. These programs include: "Making Proud Choices" is a junior high curriculum taught through a series of modules focusing basic sex education, including teen pregnancy, STDs, domestic violence, etc. "Teen Fit" was a summer program for teens with a focus on healthy eating and exercise. "Chit Chat Chicas" is a series of classes, in person or online, for teen girls that addresses the life choices they make during their high school years. Maternal Child outreach through the RMOMS Program and grant is a comprehensive outreach program for expecting mom's and their newborns. A Perinatal Case Manager works with moms throughout their pregnancy and postpartum care. The Program Provides educational resources such as perinatal classes, behavioral health support, etc. It also Helps moms navigate the Medicaid process, access programs such as WIC and coordinates care for high-risk pregnancy in San Antonio. Cancer Navigation Services and Outreach assist citizens in Val Verde County when diagnosed with cancer. The program Provides financial assistance for gas, lodging and food for patients going through chemo/radiation treatment. It also Provides patients with wigs, bras, prostheses and other supplies, and it Helps coordinate care, cancer treatments and assistance with accessing other resources in the community, other cities and within the state. Diabetes Education Provides community education through a series of in person or online classes. The Community Scholarship program provided students in Val Verde County scholarship totaling $20,000. 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. IT IS RUN THROUGH VICTORIA COLLEGE. THE GOAL OF THE EMS ACADEMY IS TO PROVIDE THE TRAINING AND CERTIFICATIONS TO MEMBERS OF THE COMMUNITY. VVRMC ENCOURAGES SUPPORT OF VARIOUS NON-PROFITS ESPECIALLY RELAY FOR LIFE AND UNITED WAY. EMPLOYEES PARTICIPATE IN FUNDRAISING EVENTS AND MAKE CHARITABLE CONTRIBUTIONS TO THESE ORGANIZATIONS EACH YEAR. VVRMC PARTICIPATES IN NUMEROUS HEALTH FAIRS INCLUDING THE ANNUAL BACK TO SCHOOL HEALTH FAIR, ANDALE DEL RIO, AND THE AMISTAD BINATIONAL HEALTH COUNCIL WELLNESS EXPO, TO NAME A FEW. DUE TO THE RESTRICTIONS DURING THE PANDEMIC, VVRMC DID NOT PARTICIPATE IN ANY HEALTH FAIRS. VVRMC ALSO PROVIDES THE MEDICAL SERVICES FOR COMMUNITY RUN FUNDRAISERS, SUCH AS THE ANDALE DEL RIO AND CHILLY 5K, FREE OF CHARGE. Cancer navigation services also coordinates fundraising activities, memorials, education programs and other events thrown to raise awareness on cancer prevention. THE FOLLOWING PROGRAMS ARE ON GOING ALTHOUGH MANY OF THESE OUTREACH PROGRAMS AND FOCUS GROUPS MOVED TO AN ONLINE ZOOM PLATFORM: 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 SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: 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 CORPORATION, FORMED PRIMARILY FOR THE PURPOSE OF PROVIDING PHYSICIAN SERVICES TO THE MEDICAL CENTER'S PATIENTS. IN 2015, A HOSPITAL BASED RURAL HEALTH CLINIC WAS ESTABLISHED TO CONTINUE TO PROVIDE PHYSICIAN SERVICES TO VAL VERDE COUNTY. IN 2019, THE CLINIC WAS CLOSED DOWN AND THE OPERATIONS WERE MOVED TO THE HOSPITAL. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $2,415,877 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 SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY FOR COMMUNITY BENEFIT COSTS: THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A X X X false false false false false false false false false Michele Di Blasi PHYSICIAN 733773 0 75119 0 0 0 13051 0 16016 0 837959 0 0 0 DR Terry M Lindsey CHIEF OF STAFF START: 01/2021 502855 0 37900 0 0 8403 0 0 0 549158 0 0 0 DR Ira L Floyd CHIEF OF STAFF END: 12/2020 472134 0 35400 0 0 0 7703 0 9508 0 524745 0 0 0 Kenneth P Moore PHYSICIAN 457285 39640 9321 0 25881 0 532127 0 0 0 Tina Pilumeli Di Blasi PHYSICIAN 345196 0 35400 0 0 2423 0 9180 0 392199 0 0 0 Linda S Walker CEO 324400 0 0 0 5650 0 9212 0 339262 0 0 0 Claudia C Falcon CFO 168301 0 0 0 2820 0 9180 0 180301 0 0 0 Carlos Torres CHRO 156430 0 0 0 2801 0 19438 0 178669 0 0 0 Jessica Nuutinen CNO 147792 0 0 0 2504 0 19438 0 169734 0 0 0 MARK MANNING PHYSICIAN 370812 0 30758 0 0 0 6229 0 19438 0 427237 0 0 0 JOSE OVIEDO jr PHYSICIAN 263778 0 105708 0 0 0 10417 0 14709 0 394612 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: VAL VERDE COUNTY HOSPITAL DISTRICT IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF GOVERNING BODY: THE MEMBER, VAL VERDE COUNTY HOSPITAL DISTRICT, SHALL APPOINT CLASS A DIRECTORS FROM ITS OWN BOARD ANNUALLY. THE MEMBER SHALL APPOINT TWO CLASS B DIRECTORS INITIALLY AND THEN SHALL APPOINT ONE CLASS B DIRECTOR ANNUALLY THEREAFTER. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY: FOLLOWING AMENDED BYLAWS ENACTED IN JULY 2010, THE BOARD SHALL REQUIRE APPROVAL OF 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. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED THE ORGANIZATION'S INTERNAL ACCOUNTANTS, CEO and CFO PERFORM A DETAILED REVIEW OF THE RETURN AND A COPY IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: IN 2019, THE ORGANIZATION CONTINUED TO REQUIRE 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 FACILITY OR DIVISION CEO 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. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION: THE ORGANIZATION HAS ESTABLISHED AN INTERNAL PROCESS TO DETERMINE COMPENSATION. Annually, Val Verde Regional Medical Center participates and purchases various Texas wage surveys. The surveys are used to review current compensation and determine future compensation (grades and pay ranges) for jobs through the hospital and clinics. Market and equity reviews are conducted and presented to the CEO and senior leader team for consideration. The CEO's compensation is reviewed and determined by Val Verde Board of Directors. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9891252 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3012495 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2217927 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:365384 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3019 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANT FEES TOTAL FEES:2549 VAL VERDE COUNTY HOSPITAL DISTRICT 801 BEDELL AVENUE DEL RIO TX 78840 741835564 HEALTHCARE TX GOVT N/A NA false false false true false true false false false false false false false false false false true false false false