2021-05-17T12:42:30-05:00 2020-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2019-07-01 742941598 Val Verde Hospital Corporation % CLAUDIA FALCON VALV 8307783613 801 Bedell Avenue Del Rio TX 78840 LINDA WALKER CEO 8307783610 2021-05-17 true Jeanette Verrelli P00742631 9727028262 2019 2022-09-23 18:48:47Z VAL VERDE REGIONAL MEDICAL CENTER Linda Walker CEO 801 BEDELL AVENUE DEL RIO TX 78840 84129348 false X WWW.VVRMC.ORG X 2000 TX WE LIVE TO DELIVER HEALTHCARE OUR COMMUNITY CAN TRUST. 8 7 829 11 0 0 5571072 23891530 77031886 59444195 41382 42325 629029 751298 83273369 84129348 0 0 0 0 34318490 32773154 0 0 0 40006056 35747787 74324546 68520941 8948823 15608407 44153672 55584024 19641168 15463113 24512504 40120911 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 12815442 28763592 RADIOLOGY: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 8,348 CT PROCEDURES, 1,898 MRI PROCEDURES, 216 NUCLEUR MED PROCEDURES, 27,756 RADIOLOGY PROCEDURES, 6,586 ULTRASOUND PROCEDURES, 2,145 MAMMOGRAMS, 1,622 INTERVENTIONAL RADIOLOGY PROCEDURES, 1,424 DIAGNOSTIC IMAGING PROCEDURES. 14601553 16085317 LABORATORY SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 152,097 DIAGNOSTIC TESTS. 26188341 14615454 EMERGENCY ROOM: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 23,644 VISITS. 53605336 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 true false false false true 193 0 829 true false false false false false false false false false false false false X 8 7 false true false false true true true true true false false false true true true true true true true false X CLAUDIA FALCON 8307783610 801 BEDELL AVENUE DEL RIO TX 78840 X MICHELLE DI BLASI PHYSICIAN 40.0 0.0 X 772703 0 17817 TERRY M LINDSEY PHYSICIAN 40.0 0.0 X 561204 0 16836 DR IRA FLOYD CHIEF OF STAFF 40.0 0.0 X 490316 0 23116 MARK G MANNING PHYSICIAN 40.0 0.0 X 394100 0 25117 ROY GUERRERO PHYSICIAN 40.0 0.0 X 359155 0 27708 Tina Di Blasi Physician 40.0 0.0 X 351973 0 7222 LINDA WALKER CEO 40.0 0.0 X 341990 0 6259 CARLOS TORRES CHS START: 5/2019 40.0 0.0 X 156608 0 22377 JESSICA NUUTINEN CNO START: 4/2019 40.0 0.0 X 125669 0 11239 CLAUDIA FALCON CFO START: 4/2020 40.0 0.0 X 91663 0 6178 JASON MENEFEE CFO END: 2/2020 40.0 0.0 X 6153 0 0 VAL CADENA DIRECTOR END: 5/2020 1.0 0.0 X 0 0 0 SYLVIA OWENS DIRECTOR END: 5/2020 1.0 0.0 X 0 0 0 JANE MORAIN DIRECTOR 1.0 0.0 X 0 0 0 RAUL ALATORRE PRESIDENT 1.0 0.0 X X 0 0 0 DR AURELIO LAING III VICE CHAIRMAN 1.0 0.0 X X 0 0 0 DR DANIEL JOSEPH CHARTRAND DIRECTOR 1.0 0.0 X 0 0 0 MICHAELANNA HUNTER SECRETARY 1.0 0.0 X X 0 0 0 GERALD PRATHER DIRECTOR 1.0 0.0 X 0 0 0 ALVARO ARREOLA DIRECTOR 1.0 0.0 X 0 0 0 GUY GROS CFO END:11/2019 40.0 0.0 X 0 0 0 3651534 0 163869 35 false true false VICTORIA EMERGENCY PARTNERS LLC 1900 BARTON SPRINGS RD SUITE 5030 AUSTIN TX 78704 PHYSICIAN FEES 617285 METHODIST HEALTHCARE SYSTEM 1441 N BECKLEY AVE DALLAS TX 75203 PHYSICIAN SERVICES 464244 CHANGE HEALTHCARE LLC PO BOX 403421 ATLANTA GA 30384 CLEARING HOUSE 450479 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 ACCOUNTING SERVICES 427969 ZADOROZNY ANESTHESIA SVCS INC 114 MEDICINE BOW TRL DEL RIO TX 78840 ANESTHESIA SERVICES 346663 32 17831163 5896850 163517 23891530 Net Patient Service Revenue 621110 57634115 57634115 Medical Office Rent 532000 10669 10669 Other Operating Revenue 900099 1341744 1341744 Pharmacy Revenue 446110 457667 457667 59444195 42325 42325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria Revenue 722210 292885 292885 Insurance Recovery 900099 438245 438245 Medical Records 561000 20168 20168 751298 84129348 59464363 773455 X 0 0 0 0 1281837 513432 768405 0 25945568 19878160 6067408 740927 564158 176769 2709027 2052271 656756 2095795 1571846 523949 0 209913 209913 425231 425231 0 0 0 13956835 11587245 2369590 154335 115751 38584 1231000 923250 307750 3095837 2321878 773959 0 2209221 1656916 552305 49088 36816 12272 0 39655 29741 9914 14480 10860 3620 0 3714507 2723257 991250 563228 422421 140807 Bad Debt Expense 1000791 1000791 Medical Supplies 5535176 5535176 Equipment Maintenance 2566031 1924523 641508 Employee Relations & Recruitin 518283 388712 129571 464176 348132 116044 68520941 53605336 14915605 0 3353644 5644754 6016024 14928861 0 0 7672224 4892500 0 0 0 0 0 0 1081139 1072604 1388347 1121009 62376155 40587164 18046176 21788991 0 0 0 0 0 0 0 0 6596118 6135305 44153672 55584024 6549200 6210040 0 0 0 1732080 0 0 0 0 0 0 0 0 761015 224395 12330953 7296598 19641168 15463113 X 24512504 40120911 0 0 24512504 40120911 44153672 55584024 15608407 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1124 1124 false SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO THE TEXAS HOSPITAL ASSOCIATION. 8.31% OF THE DUES PAID ARE DESIGNATED FOR SPECIFIC LOBBYING PURPOSES. 7013517 3404218 3609299 798583 460231 338352 53600393 36722715 16877678 963662 963662 21788991 Other Receivables 120708 DUE FROM 3RD PARTY 6014597 6135305 0 Due to Affiliates 1023765 Advance from 3rd Party Payers 6048582 CAPITAL LEASE 224251 7296598 83114077 -1015271 -1015271 84129348 84129348 67505670 67505670 1015271 1015271 68520941 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(1,000,791) INTEREST EXPENSE (14,480) ------------ TOTAL $(1,015,271) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $1,000,791 INTEREST EXPENSE 14,480 ------------ TOTAL $1,015,271 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. true true X true X 300. true X true true true false false 3659776 3659776 0.05420 2067953 12677784 1121753 675461 446292 0.00660 6849482 13353245 4106068 0.06080 6849482 13353245 4106068 0.06080 false 1000791 250198 11099955 14483110 -3383155 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 1 false false true X X X X X X X X X 18 true false false true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 300. 200. 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 JANUARY OF 2018, 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: BUSINESS REPRESENTATIVES, THE HISPANIC CHAMBER OF COMMERCE DIRECTOR, THE SCHOOL SUPERINTENDENT, LAUGHLIN AIR FORCE BASE, MEMBERS OF THE MEXICAN CONSULATE, THE HOSPITAL DISTRICT GOVERNING BOARD, HOSPITAL VOLUNTEERS, RETIRED CITIZENS AND YOUNG ADULTS, HOME HEALTH REPRESENTATIVES, THE SHERIFF, CHIEF OF POLICE, CITY FIRE CHIEF, THE VOLUNTEER FIRE DEPARTMENT CHIEF AND REPRESENTATIVES OF THE LOCAL CHURCHES. 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 2018 CHNA, FOUR NEEDS WERE IDENTIFIED THAT WERE MOST OFTEN REPEATED BY A SIGNIFICANT NUMBER OF PARTICIPANTS. THEY HAVE BEEN PRIORITIZED TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY: 1. PHYSICIAN ACCESS THE HOSPITAL INCREASED THE MEDICAL STAFF BY ADDING PROVIDERS IN PEDIATRICS, OBSTETRICS, AND GENERAL SURGERY BASED ON THE NEEDS IDENTIFIED IN THE 2018 CHNA. THE HOSPITAL PLANS TO FURTHER INCREASE THE ACCESS TO THE SPECIALTIES BY ADDING AND EXPANDING CLINICS INCLUDING CARDIOLOGY, ENT, DERMATOLOGY, ORTHOPEDICS, ONCOLOGY AND OTHERS. THE HOSPITAL IS ALSO CONTINUING THE SEARCH FOR MORE PRIMARY CARE PROVIDERS IN DIFFERENT SPECIALTIES. 2. SERVICE NEEDS THE HOSPITAL IDENTIFIED THE NEED FOR MORE MENTAL HEALTH SERVICES IN THE CHNA. A TELEMEDICINE CENTER HAS CONTINUED TO GROW AND DEVELOP AS WELL AS THE WALK-IN CLINIC MOVING TO A LARGER SPACE. THE HOSPITAL IDENTIFIED THAT IT NEEDS TO CONTINUE ADDRESSING THIS NEED FOR THE COMMUNITY AS WELL AS ADDRESSING CHRONIC ILLNESSES SUCH AS DIABETES, OBESITY, HEART DISEASE AND CANCER. 3. COMMUNITY OUTREACH THE HOSPITAL HAS ALREADY STARTED TO EXPAND ITS EFFORTS TO PROVIDE ADDITIONAL MARKETING MATERIALS TO THE COMMUNITY. THE HOSPITAL IDENTIFIED THE NEED TO ADDRESS SPECIFIC NUTRITION AND OBESITY ISSUES AND TO PROVIDE LITERATURE AND CLASSES FOR HEALTHY LIVING TO SCHOOLS, CHURCHES, COMMUNITY CENTERS AND OTHERS IN THE COMMUNITY. THERE ARE PLANS TO PARTNER WITH OTHER HEALTH ORGANIZATIONS TO PROVIDE MORE HEALTH FAIRS. 4. COMMUNICATION NEEDS THE HOSPITAL WILL CONTINUE TO PROMOTE PROVIDERS AND SERVICES AVAILABLE AT THE HOSPITAL BY UTILIZING VARIOUS MEDIA. THE HEALTH FAIRS TO BE OFFERED WILL PROVIDE ADDITIONAL SPEAKERS AND OTHER COMMUNICATION OUTLETS FOR THE HOSPITAL. 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 2020, 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 $3,383,155. 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 2018. 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 VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $1,000,791 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. X X X false false false false false false false false false MICHELLE DI BLASI PHYSICIAN 670108 0 102595 0 0 7871 0 9946 0 790520 0 0 0 TERRY M LINDSEY PHYSICIAN 531455 0 29749 0 0 0 16836 0 0 0 578040 0 0 0 MARK G MANNING PHYSICIAN 361896 0 32204 0 0 0 7707 0 17410 0 419217 0 0 0 ROY GUERRERO PHYSICIAN 281591 0 77564 0 0 0 10959 0 16749 0 386863 0 0 0 LINDA WALKER CEO 297043 0 44947 0 0 0 6259 0 0 0 348249 0 0 0 CARLOS TORRES CHS START: 5/2019 142485 0 14123 0 0 0 4967 0 17410 178985 0 0 0 DR IRA FLOYD CHIEF OF STAFF 461178 0 29138 0 0 0 14842 0 8274 0 513432 0 0 0 Tina Di Blasi Physician 299473 0 52500 0 0 0 2342 0 4880 0 359195 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 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 CEOs 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 VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES: IN 2019, THE HOSPITAL ENTERED INTO A NEW MANAGEMENT AGREEMENT WITH HCA MANAGEMENT SERVICES TO PROVIDE FINANCIAL MANAGEMENT SERVICES TO THE HOSPITAL. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THE 2019 CALENDAR YEAR FOR THE FOLLOWING INDIVIDUAL GUY GROS $132,364 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:292864 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:2291916 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2273936 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANT FEES TOTAL FEES:52155 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9045964 VAL VERDE COUNTY HOSPITAL DISTRICT 801 BEDELL AVENUE DEL RIO TX 78840 741835564 HEALTHCARE TX GOVT N/A NA false VAL VERDE HEALTH CLINIC 801 BEDELL AVENUE DEL RIO TX 78840 272571145 HEALTHCARE TX VVHC C-CORPORATION 0 0 1.00000 true false false true false true false false false false false false false false false false false false false false SCHEDULE R, PART IV, COLUMN D DIRECT CONTROLLING ENTITY: VAL VERDE HOSPITAL CORPORATION (VVHC) IS THE DIRECT CONTROLLING ORGANIZATION OF VAL VERDE HEALTH CLINIC.