2020-07-15T17:14:16-05:00 2019-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-07-01 742941598 Val Verde Hospital Corporation % CLAUDIA FALCON VALV 8307783613 801 Bedell Avenue Del Rio TX 78840 LINDA WALKER CEO 8307783610 2020-07-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 76915820201975000128 2020-07-15 P BC2C8F7F1C2AD12471C74E6F8C925013EDB3E05D EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-09-23 17:36:50Z VAL VERDE REGIONAL MEDICAL CENTER LINDA WALKER CEO 801 BEDELL Ave DEL RIO TX 78840 83273369 false X WWW.VVRMC.ORG X 2000 TX WE LIVE TO DELIVER HEALTHCARE OUR COMMUNITY CAN TRUST. 9 9 808 11 0 0 3601085 5571072 82241071 77031886 9938 41382 559002 629029 86411096 83273369 0 0 0 0 35071588 34318490 0 0 0 49601304 40006056 84672892 74324546 1738204 8948823 34948066 44153672 21326606 19641168 13621460 24512504 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 13656485 37385000 RADIOLOGY: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 8,910 CT PROCEDURES, 2,201 MRI PROCEDURES, 201 NUCLEUR MED PROCEDURES, 26,619 RADIOLOGY PROCEDURES, 7,808 ULTRASOUND PROCEDURES, 2,523 MAMMOGRAMS, 1,740 INTERVENTIONAL RADIOLOGY PROCEDURES, 1,862 DIAGNOSTIC IMAGING PROCEDURES. 15559814 20906624 LABRATORY SERVICES: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 276,331 DIAGNOSTIC TESTS. 27907011 18996194 EMERGENCY ROOM: PROVIDED PERSONNEL, SUPPLIES, FACILITIES AND EQUIPMENT FOR 26,247 VISITS. 57123310 true true false true false false false false false false true false false true true false false true 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 true false false true 186 0 808 true false false false false false false false false false false false false X 9 9 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 AVE DEL RIO TX 78840 X VAL CADENA JR DIRECTOR 1.0 0.0 X 0 0 0 SYLVIA OWENS DIRECTOR 1.0 0.0 X 0 0 0 CHARLES QUALIA DIRECTOR - END: 1/2019 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 MICHAELANNA HUNTER SECRETARY 1.0 0.0 X X 0 0 0 ALVARO ARREOLA DIRECTOR 1.0 0.0 X 0 0 0 DR DANIEL JOSEPH CHARTRAND DIRECTOR 1.0 0.0 X 0 0 0 GERALD PRATHER DIRECTOR 1.0 0.0 X 0 0 0 XOCHY HURTADO CEO END: 12/2018 40.0 0.0 X 0 0 0 LAWRENCE HERNANDEZ CNO END: 1/2019 40.0 0.0 X 0 0 0 JOE VASQUEZ CFO START: 9/18 - END: 1/19 40.0 0.0 X 0 0 0 LINDA WALKER CEO START: 12/2018 40.0 0.0 X 16036 0 0 GUY GROS CFO START: 2/2019 40.0 0.0 X 0 0 0 SAN JUANA GARZA CFO END: 8/2018 40.0 0.0 X 0 0 0 TERRY M LINDSEY PHYSICIAN 40.0 0.0 X 546455 0 16393 OLUTAYO A SOGUNRO PHYSICIAN 40.0 0.0 X 441356 0 18784 STACEY MANION PHYSICIAN 40.0 0.0 X 435733 0 9449 IRA L FLOYD PHYSICIAN 40.0 0.0 X 311455 0 28378 JOSEPH PETER PHYSICIAN 40.0 0.0 X 276824 0 13957 2027859 0 86961 34 false true false VICTORIA EMERGENCY PARTNERS LLC 1900 BARTON SPRINGS RD SUITE 5030 AUSTIN TX 78704 PHYSICIAN FEES 1189224 MEDICAL SOLUTIONS INC 1010 N 102nd STREET SUITE 300 OMAHA NE 68114 CONTRACT LABOR 574907 PARALLON WORKFORCE MANAGEMENT SOLUT PO BOX 742697 ATLANTA GA 30374 BILLING 363892 CHANGE HEALTHCARE LLC PO BOX 403421 ATLANTA GA 30384 CLEARING HOUSE 342702 QUINONEZ EULOGIO 1233 LENAWEE AVE DEL RIO TX 78840 CONSTRUCTION 272181 24 5187893 186708 196471 5571072 NET PATIENT REVENUE 621110 76517510 76517510 MEDICAL OFFICE RENT 900099 22887 22887 OTHER OPERATING REVENUE 900099 491489 491489 77031886 41382 41382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722210 373097 373097 EDUCATION REVENUE 611710 16952 16952 MEDICAL RECORDS 561000 18249 18249 220731 220731 629029 83273369 77287818 414479 X 0 0 0 0 487054 487054 0 27471490 20968908 6502582 712000 534000 178000 3348040 2511030 837010 2299906 1724929 574977 125605 125605 409079 409079 363624 363624 0 0 0 17546233 12905556 4640677 294574 220930 73644 1274766 972948 301818 1070761 803071 267690 0 1996032 1497024 499008 183244 137433 45811 0 183133 137350 45783 42433 31825 10608 0 3018323 2263742 754581 614956 461217 153739 BAD DEBT EXPENSE 2975656 2975656 MEDICAL SUPPLIES 6176473 6176473 DUES & SUBSCRIPTIONS 634192 477225 156967 EQUIPMENT COST & MAINTENANCE 2567307 1926744 640563 529665 397249 132416 74324546 57123310 17201236 0 1567033 3353644 3937466 6016024 0 0 8389646 7672224 0 0 0 0 0 0 1218596 1081139 845738 1388347 55157597 37111421 15371929 18046176 0 0 0 0 0 0 0 0 3617658 6596118 34948066 44153672 8303530 6549200 0 0 0 0 0 0 0 0 0 0 0 0 814610 761015 12208466 12330953 21326606 19641168 X 13621460 24512504 0 0 0 0 13621460 24512504 34948066 44153672 X 8948823 1942221 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. 7132319 2980342 4151977 643727 422951 220776 45308796 33708128 11600668 2072755 2072755 18046176 OTHER RECEIVABLES 353893 DUE FROM 3RD PARTY 6242225 6596118 0 EST AMOUNTS TO THIRD-PARTY 177046 DUE TO AFFILIATES 11929656 CAPITAL LEASES 224251 12330953 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 true X true true true false false 6994292 6994292 0.09800 24759334 37799112 2627896 1343922 1283974 0.01800 34381522 39143034 8278266 0.11600 34381522 39143034 8278266 0.11600 false 2975656 743914 13645354 21289308 -7643954 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 HOSPITAL CORPORATION 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 200. 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. 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 $7,643,954. 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. 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. THE GOAL OF THE EMS ACADEMY IS TO PROVIDE THE TRAINING AND CERTIFICATIONS TO PARAMEDICS. THE EMS ACADEMY IS A MAJOR STEP FORWARD FOR THE COMMUNITY AND OUR HOSPITAL. AT VVRMC.ORG, YOU CAN SEARCH FOR HEALTH ADVICE AND GET INFORMATION TO HELP MAKE SMART DECISIONS FOR YOU AND YOUR FAMILY. YOU CAN SEARCH FOR A PHYSICIAN WHO WILL MEET YOUR HEALTH CARE NEEDS - SEARCH BY NAME OR SPECIALTY, OR BROWSE A COMPLETE LIST OF OUR PHYSICIANS. THE VVRMC WEBSITE GIVES YOU ACCESS TO THE LATEST NEWS AND A WEALTH OF HEALTH INFORMATION AVAILABLE. THE HEALTH INFORMATION LIBRARY IS SEARCHABLE BY KEYWORD AND TOPIC AND INCLUDES TOPICS SUCH AS WOMEN'S HEALTH, SENIOR'S HEALTH, MEN'S HEALTH, AND CHILDREN AND PARENTING. YOU CAN ALSO VIEW A COMPLETE LIST OF OUR SERVICES. IN OCTOBER 2010, VVRMC PUBLISHED ITS FIRST ISSUE OF KEEPING WELL. KEEPING WELL IS MAILED TO THE COMMUNITY OF DEL RIO AND ITS NEIGHBORS INCLUDING BRACKETTVILLE. KEEPING WELL IS A FREE HEALTH AND WELLNESS PUBLICATION. AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, KEEPING WELL PROVIDES EDUCATIONAL ARTICLES TARGETED SPECIFICALLY FOR OUR UNIQUE COMMUNITY INCLUDING INFORMATION ON DIABETES, HEART DISEASE, ALZHEIMER'S, NUTRITION, AND ARTHRITIS, TO NAME A FEW. KEEPING WELL IS PUBLISHED QUARTERLY IN THE MONTHS OF JANUARY, APRIL, JULY AND OCTOBER. IT IS PRINTED IN BOTH ENGLISH AND SPANISH. THE CONTENT IS WRITTEN BY EXPERIENCED MEDICAL WRITERS TO INCLUDE RELEVANT, ENGAGING STORIES WITH RELIABLE AND PRACTICAL CONTENT. VVRMC ENCOURAGES SUPPORT OF VARIOUS NON-PROFITS ESPECIALLY RELAY FOR LIFE AND UNITED WAY. 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. VVRMC ALSO PROVIDES THE MEDICAL SERVICES FOR COMMUNITY RUN FUNDRAISERS, SUCH AS THE ANDALE DEL RIO AND CHILLY 5K, FREE OF CHARGE. THE FOLLOWING PROGRAMS HAVE BEEN INSTITUTED: COMMUNITY EDUCATION SERIES FOCUS GROUPS - SMALL GROUPS MEET TO DISCUSS 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 $2,975,656 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 X X X X false false false false false false false false false TERRY M LINDSEY PHYSICIAN 506305 0 40150 0 0 0 16393 0 0 0 562848 0 0 0 OLUTAYO A SOGUNRO PHYSICIAN 403856 0 37500 0 0 0 10830 0 7954 0 460140 0 0 0 STACEY MANION PHYSICIAN 268136 0 167597 0 0 0 9449 0 0 0 445182 0 0 0 IRA L FLOYD PHYSICIAN 311455 0 0 0 0 0 13003 0 15375 0 339833 0 0 0 JOSEPH PETER PHYSICIAN 260943 0 15881 0 0 0 7111 0 6846 0 290781 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF CONTROL OVER MANAGEMENT DUTIES: METHODIST HEALTH SYSTEMS PROVIDES CERTAIN FINANCIAL, TECHNICAL, AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. THE CONTRACT BEGAN IN JUNE 2015. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THE 2018 CALENDAR YEAR FOR THESE INDIVIDUALS: CEO - XOCHY HURTADO $ 335,314 CNO - LAWRENCE HERNANDEZ $ 160,568 CFO - SAN JUANA GARZA $ 90,469 CFO - JOE VASQUEZ $ 45,235 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 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 2018, 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. HUMAN RESOURCES ANNUALLY USES MARKET SURVEYS FOR BASE PAY, PRIMARILY THE TSHHRAE SURVEY TOOL WHICH INCLUDES HOSPITALS IN TEXAS. PAY RANGES ARE ESTABLISHED BY HUMAN RESOURCES AND APPROVED BY SENIOR LEADERS FOR EACH PAY GRADE BASED ON THE MARKET SURVEYS. HUMAN RESOURCES WILL MAKE RECOMMENDATIONS TO THE SENIOR LEADERSHIP TEAM ANNUALLY TO DETERMINE COMPENSATION PHILOSOPHY, LEVEL OF ENTERPRISE PAY, EXPENSE TO BUDGET, EE ADJUSTMENTS FOR MERIT/MARKET RECOGNITION AND NEW HIRES INCENTIVES. THE REVIEWS ARE DOCUMENTED IN THE HUMAN RESOURCES FILES. THE CEO'S COMPENSATION WAS REVIEWED AND APPROVED BY THE MANAGEMENT COMPANY. THE MOST RECENT REVIEW WAS CONDUCTED IN 2018. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE: CAPITAL TRANSFER FROM CLINIC 1,942,221 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:5744191 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3619359 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7784175 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:338825 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANT FEES TOTAL FEES:59683 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 VVRMC C-CORPORATION -773183 0 1.00000 true false true true false false false false false false false false false false false true true true false false VAL VERDE HEALTH CLINIC C 1942221 FMV SCHEDULE R, PART IV, COLUMN D DIRECT CONTROLLING ENTITY: VAL VERDE HOSPITAL CORPORATION (VVHC) IS THE DIRECT CONTROLLING ORGANIZATION OF VAL VERDE HEALTH CLINIC.