2020-11-16T09:12:27-06:00 2019-12-31 660703468 FPV & GALINDEZ LLC PO BOX 364152 SAN JUAN PR 009364152 990 2019-01-01 660258919 RYDER MEMORIAL HOSPITAL INC RYDE 7878520768 PO BOX 859 HUMACAO RQ 00792 JOS R FELICIANO SEPULVEDA EXECUTIVE DIRECTOR 7878520846 2020-11-16 EDGARDO R ROSA-ORTIZ P01766694 7877254545 2020-11-16 67.203.216.170 2020-11-16 11:12:12 P E2F18522B7ACEB102049EFE5A5CF0B9AF522515E E2F18522B7ACEB102049EFE5A5CF0B9AF522515E 2019 2021-01-29 14:40:06Z JOS R FELICIANO SEPULVEDA PO BOX 859 HUMACAO PR 00792 44260686 false X N/A X 1914 PR THE HOSPITAL PROVIDES NEEDED HEALTH CARE SERVICES TO THE COMMUNITY. 16 16 677 25 0 0 26803128 38855938 1590 487431 7798086 4917317 34602804 44260686 0 0 17335641 16091883 0 0 22509398 29257306 39845039 45349189 -5242235 -1088503 39727157 40016530 24660632 26038508 15066525 13978022 THE HOSPITAL PROVIDES NEEDED HEALTH CARE SERVICES TO THE COMMUNITY. false false 30326694 44260686 THE ORGANIZATION IS A NON-PROFIT HOSPITAL ORGANIZED UNDER THE LAWS OF THE GOVERNMENT OF PUERTO RICO WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY SERVICES. THE SERVICES ARE PROVIDED PRIMARILY TO THE POPULATION UNDER THE MEDICARE PROGRAM, PUERTO RICO HEALTH REFORM PROGRAM AND COMMERCIAL INSURANCE CARRIERS. FOR THE YEAR ENDED DECEMBER 31, 2019, HOSPITAL INPATIENT ADMISSIONS WERE 2,642. PATIENT DAYS AMOUNTED TO 18,329. 30326694 true false false false 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 0 0 false 677 true false false false false false false false false X 16 16 false false false false false true true true true false false false true true true false false true true false X WANDA BARRETO 7878520768 PO BOX 859 HUMACAO RQ 00792-0000 JOS R FELICIANO SEPULVEDA EXECUTIVE DI 40.00 X 151600 0 0 DEANE HALLMAN MEDICAL DIRE 40.00 X 150400 0 0 WANDA BARRETO MARTINEZ FINANCE DIRE 40.00 X 106400 0 0 WILFREDO CUEVAS APONTE GENERAL PRAC 40.00 X 94518 0 0 CARMEN COLN MELNDEZ ADMINISTRATO 40.00 X 63860 0 0 MAYRA V ESTRELLA PEREZ-VALDIVIESO LEGAL ADVISO 40.00 X 57876 0 0 LIRIO C TORRES SEPULVEDA LEGAL ADVISO 40.00 40.00 X 31965 0 0 CARMEN S ALBINO DIRECTOR 2.00 X 0 0 0 ESTHER ALEMN DIRECTOR 2.00 X 0 0 0 MIRIAM ALICEA DIRECTOR 2.00 X 0 0 0 ELSA BERRIOS DIRECTOR 4.00 X 0 0 0 ELIZABETH DILLEY DIRECTOR 2.00 X 0 0 0 MICHAEL DAZ VICE PRESIDE 4.00 X X 0 0 0 PEDRO J DAZ DIRECTOR 2.00 X 0 0 0 CARMEN S GARCA DIRECTOR 2.00 X 0 0 0 JOS GONZLEZ DIRECTOR 2.00 X 0 0 0 CARMEN ALICIA NEBOT DIRECTOR 2.00 X 0 0 0 JESS M REINA SECRETARY 4.00 X X 0 0 0 EDWARD RIVERA PRESIDENT 4.00 X X 0 0 0 JUAN M MNDEZ ROSA DIRECTOR 2.00 X 0 0 0 ELBA SANTANA DIRECTOR 2.00 X 0 0 0 BRBARA B TAYLOR DIRECTOR 2.00 X 0 0 0 ELISAMA VELZQUEZ TREASURER 4.00 X X 0 0 0 656619 2 false true false NEW MEDICAL EDUCATION SERVS 257 AVE LAURO PIERO CEIBA PR 00735 MEDICAL 1883050 AC TECHNICAL SERVICES CORP 803 CALLE MOLUCAS URB COUNTRY CLUB SAN JUAN PR 009241701 CONSTRUCTION 865637 ADJUSTERS INTERNATIONAL 10110 MOLECULAR DRIVE SUITE 300 ROCKVILLE MD 20850 INSURANCE ADVIS 629840 ANTILLES CLEANING SERVICE INC PO BOX 194226 SAN JUAN PR 009362617 CLEANING SERV 559641 STAR MEC CONTRACTORS INC PO BOX 1765 HUMACAO PR 00791 CONSTRUCTION 384009 23 HOSPITAL & MEDICAL SERVICES 37396680 37396680 ALL OTHER SERVICE REVENUE 1459258 1459258 38855938 487431 487431 GAIN ON INSURANCE RECOVERY 4917317 4917317 4917317 44260686 44260686 X 656619 656619 14056957 11387106 2669851 1378307 326840 1051467 7448197 4462229 2985968 830435 830435 1473307 1473307 SUPPLIES AND OTHER 19505367 14150519 5354848 45349189 30326694 15022495 0 9760147 2616216 5423398 7956615 1024007 1122929 592720 402276 33095986 11561521 15696390 21534465 1162599 1372529 6067896 5011500 39727157 40016530 13854174 14564492 10806458 11474016 24660632 26038508 X 15066525 13978022 15066525 13978022 39727157 40016530 -1088503 X false true X true true true X 234629 234629 19746531 6208623 13537908 10539220 4433121 6106099 2575606 919777 1655829 21534465 CASH-RESTRICTED 3806120 ESTIMATED THIRD-PARTY PAYOR SETTLEME 1013509 DUE FROM RELATED ORGANIZATIONS 191871 5011500 LONG TERM DEBT 8402806 CAPITAL LEASE 2318345 BANK LINE OF CREDIT 752865 11474016 44260686 44260686 44260686 45349189 45349189 45349189 false false 24951 11046828 8837463 2209365 0.04870 24951 11046828 8837463 2209365 0.04870 38 2456 99173 99173 0.00220 40008 40008 0.00090 38 2456 139181 139181 0.00310 38 27407 11186009 8837463 2348546 0.05180 false 4595174 1282711 3312463 true false 1 1 RYDER MEMORIAL HOSPITAL INC PO BOX 859 HUMACAO PR 007910000 X X GENERAL HOSPITAL RYDER MEMORIAL HOSPITAL INC 1 false false false false false false false false false X false true false false SCHEDULE H, PART III, LINE 2 ON JANUARY 1, 2019 THE HOSPITAL ADOPTED THE FASB (ASC 606), REVENUE FROM CONTRACTS WITH CUSTOMERS, APPLYING THE MODIFIED RETROSPECTIVE METHOD TO ALL CONTRACTS EXISTING ON JANUARY 1, 2019. PRIOR TO THE ADOPTION OF ASC 606, A SIGNIFICANT PORTION OF THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS RELATED TO AMOUNTS NOT EXPECTED TO BE COLLECTED BASED ON HISTORICAL EXPERIENCE, DUE FROM SELF-PAY PATIENTS, AS WELL AS CO-PAYS AND DEDUCTIBLES OWED TO THE HOSPITALBY PATIENTS WITH INSURANCE. UNDER ASC 606, THE ESTIMATED ALLOWANCE FOR THESE PATIENT ACCOUNTS IS GENERALLY CONSIDERED A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE RATHER THAN AS A PROVISION FOR BAD DEBTS. THEREFORE, NO BAD DEBT EXPENSE WAS RECOGNIZED DURING YEAR 2019. SCHEDULE H, PART III, LINE 8 INPATIENT CARE, OUTPATIENT CARE, HOME HEALTH CARE AND SKILLED NURSING SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. THE HOSPITAL IS REIMBURSED FOR BAD DEBTS AND DISPROPORTIONATE SHARE PATIENTS AT TENTATIVE RATES DETERMINED BY THE MEDICARE PROGRAM WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE HOSPITAL AND AUDITS THERE OF BY THE MEDICARE FISCAL INTERMEDIARY. MEDICARE COSTS IN EXCESS OF REVENUE RECEIVED FROM MEDICARE ARE NOT TREATED AS COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B THE HOSPITAL DOES PROVIDE CHARITY CARE UPON REQUEST AND APPROVAL BY THE DEPARTMENT OF SOCIAL WORK. ALSO PROVIDES SERVICES FOR MEDICARE PATIENTS. THE RELATED COLLECTIONS FROM SUCH SERVICES ARE RECEIVED BY THE HOSPITAL THROUGH ELECTRONIC TRANSFERS. MEDICARE REIMBURSEMENT RULES CHANGES ARE UPDATED IN THE SYSTEM DIRECTLY BY INFOMEDIKA PERSONNEL. FOR THE CLAIMING OF MEDICARE BAD DEBTS FOR REIMBURSEMENTS TO HOSPITAL, THE DOCUMENTS USED BY THE OFFICIAL IN CHARGE OF MEDICARE BAD DEBT LIST PREPARATION ARE SUBMITTED BY THE BILLING DEPARTMENT AFTER MEDICARE PAYMENTS HAVE BEEN APPLIED IN THE SYSTEM. INDIGENCE PERCENTAGE INFORMATION IS OBTAINED THROUGH MEDIFAX SYSMET. SCHEDULE H, PART VI PART I, LINE 1A - 100% OF OUR INDIGENT POPULATION WITHIN OUR SERVICE AREA HAS COVERAGE WITH THE UNIVERSAL HEALTH PLAN PROVIDED BY THE GOVERNMENT. IN SPITE OF THIS AND IN VIEW OF THE REQUIREMENT, WE WILL WORK TO PREPARE A CHARITY AND ECONOMIC ASSISTANCE POLICY FOR MEDICALLY INDIGENT PATIENTS WHO COME TO THE HOSPITAL AND HAVE NOT REQUESTED THIS UNIVERSAL HEALTH INSURANCE AND THUS, MAY NOT BE PROTECTED BY THIS SAME. PART V, LINE I BASED ON THE PROVISIONS OF NOTICE 2011-52 AND THE REGULATIONS FOR SECTION 501 (R)(1) OF THE INTERNAL REVENUE CODE, THE TERM "STATE" AS INCLUDED IN THE DEFINITION FOR "HOSPITAL FACILITY" INCLUDES ONLY THE 50 STATES AND THE DISTRICT OF COLUMBIA AND NOT ANY US TERRITORY OR FOREIGN COUNTRY. THEREFORE, THOSE HOSPITAL FACILITIES LOCATED OUTSIDE OF THE 50 STATES OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESSMENT. false false false false false false false false false JOS R FELICIANO SEPULVEDA EXECUTIVE DIRECTOR 151600 151600 DEANE HALLMAN MEDICAL DIRECTOR 150400 150400 FORM 990 HURRICANE MARA THE HOSPITAL FINALIZED AND SUBMITTED INSURANCE CLAIMS FOR PROPERTY LOSSES, EXTRA EXPENSES AND BUSINESS INTERRUPTION RECOVERIES. AS OF DECEMBER 31, 2019 AND 2018, THE REMAINING BALANCES DUE FROM INSURERS WERE COLLECTED AND A GAIN OF INSURANCE RECOVERY OF 4,917,317 AND 7,798,086, RESPECTIVELY, WERE RECOGNIZED IN THE ACCOMPANYING STATEMENT OF OPERATIONS AND CHANGE IN NET ASSETS. MAJOR SUBSEQUENT EVENT AFTER DECEMBER 31, 2019 ON MARCH 2020 THE WORLD HEALTH ORGANIZATION DECLARED THE CORONAVIRUS DISEASE COVID-19 A GLOBAL PANDEMIC. THIS HIGHLY CONTAGIOUS DISEASE HAS SPREAD WORLDWIDE AFFECTING WORKFORCES, CUSTOMERS, ECONOMIES AND FINANCIAL MARKETS GLOBALLY, POTENTIALLY LEADING TO AN ECONOMIC DOWNTURN. IT HAS ALSO DISRUPTED THE NORMAL OPERATIONS OF MANY BUSINESSES. AS GOVERNMENTS AND PRIVATE SECTORS RESPONSE TO THIS EVOLVING THREAT, THE ACTIONS AND RESTRICTIONS THEY HAVE OR MAY IMPOSE, COULD FURTHER ADVERSELY IMPACT THE HOSPITAL BUSINESS OPERATIONS. THE LOCAL EPIDEMIC AND PUBLIC HEALTH CRISIS HAVE ADVERSELY AFFECTED THE GENERAL PUBLIC PERCEPTION THAT HEALTHCARE FACILITIES ARE CURRENTLY INVOLVED IN TREATING PATIENTS WITH SUCH A HIGHLY CONTAGIOUS DISEASE DIMINISHING THE PUBLIC TRUST IN SUCH TYPE OF ENTITIES. THIS SITUATION HAS IMPACTED THE HOSPITAL OPERATIONS AND FINANCIAL RESULTS SINCE PATIENTS HAVE CANCELED OR DEFERRED ELECTIVE PROCEDURES OR OTHERWISE AVOID MEDICAL TREATMENT, RESULTING IN REDUCED PATIENT VOLUMES AND OPERATING REVENUES. THE HOSPITAL MANAGEMENT CANNOT PREDICT THE COSTS ASSOCIATED WITH THE POTENTIAL TREATMENT OF AN INFECTIOUS DISEASE OUTBREAK OR PREPARATION FOR SUCH TREATMENT. A PANDEMIC OUTSIDE OF THE UNITED STATES COULD ALSO ADVERSELY IMPACT THE HOSPITAL BUSINESS, SINCE IT CAN DISRUPT THE PRODUCTION OR SUPPLY OF PHARMACEUTICALS AND MEDICAL SUPPLIES. SHOULD ANY OF THESE POTENTIAL IMPACTS CONTINUE FOR AN EXTENDED PERIOD OF TIME, THE IMPACT ON THE HOSPITAL COULD HAVE A MATERIAL ADVERSE EFFECT ON ITS OPERATIONS. FORM 990, PAGE 6, PART VI, LINE 7A MEMBERSHIP IN THE BOARD OF DIRECTORS (BOD) SHALL BE LIMITED TO INDIVIDUALS WHO ARE EITHER MEMBERS OF RYDER MEMORIAL HOSPITAL, INC. OR NON-MEMBERS WHO HAVE THE APPROVAL OF SAID SPONSORING ORGANIZATION. THE BOARD OF DIRECTORS SHALL CONSIST OF SEVENTEEN (16) DIRECTORS. UNTIL THE FIRST ANNUAL MEETING OF THE MEMBERS AND/OR UNTIL SUCCESSORS ARE DULY ELECTED AND QUALIFIED THE BOARD OF DIRECTORS SHALL CONSIST OF SEVENTEEN (16) PERSONS WHO QUALIFY AS PREVIOUSLY MENTION AND WHO SHALL BE ELECTED AS SUCH BY THE INCORPORATORS WHO EXECUTE AND FILED THE CHARTER. AT THE FIRST ANNUAL MEETING OF THE MEMBERS AND AT EACH ANNUAL MEETING THEREAFTER, MEMBERS SHALL ELECT DIRECTORS TO HOLD OFFICE UNTIL THEIR TERM EXPIRES OR UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED. IN ORDER TO AVOID THAT ALL MEMBERS OF THE BOARD CONCLUDE THEIR TERMS AT THE SAME TIME, THEY ARE SEGREGATED IN 3 GROUPS, WHOSE TERMS WILL BE OF 3 YEARS AND THEIR TERMS WILL BE IN DIFFERENT PERIODS. ALL MEMBERS HAVE A TERM OF 3 YEARS AS DIRECTORS, EXCEPT FOR FILING A VACANCY, IN WHICH SUCH TERM WILL COVER THE REMAINING TIME OF REPLACED MEMBER. FORM 990, PAGE 6, PART VI, LINE 7B 1) INCREASE THE NUMBER OF MEMBERS OF THE BOD. 2) AMEND BY-LAWS OF THE CORPORATION. 3) APPROVE ANY PLAN FOR DISSOLUTION, MERGER OR DISPOTION OF THE ASSETS OF THE CORPORATION 4) APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION 5) THE BOD SHALL ELECT THE EXECUTIVE DIRECTOR AND MEDICAL DIRECTOR AND INTERNAL AUDITORS. FORM 990, PAGE 6, PART VI, LINE 10B WRITTEN POLICIES AND PROCEDURES THAT GOVERN THE ACTIVITIES OF AFFILIATES HAD BEEN ESTABLISHED TO ENSURE THAT THEIR OPERATIONS ARE CONSISTED WITH THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B THE REVIEW PROCESS OF THE FORM 990 IS UNDER THE RESPONSIBILITY OF THE BOARD OF DIRECTORS FINANCE COMMITTEE. SUCH COMMITTEE AT THE SAME TIME, DELEGATES THIS TASK TO THE FINANCE DIRECTOR, WHO PERFORM THE REVIEW OF THE 990 FORM AND IS AUTHORIZED TO PROVIDE THE RELEASE FOR THE FINAL ISSUANCE OF THE FORM. FORM 990, PAGE 6, PART VI, LINE 12C THE PROPER GOVERNANCE OF RYDER MEMORIAL HOSPITAL, INC. GOVERNING BOARD MEMBERS WHO GIVE THEIR TIME FOR THE BENEFIT OF THE COMMUNITY SERVED BY THIS CORPORATION; AND BECAUSE THE VARIED INTEREST AND BACKGROUND OF THE GOVERNING BOARD MEMBERS, MAY RESULT IN SITUATIONS INVOLVING A DUAL INTEREST THAT MIGHT APPEAR AS CONFLICT OF INTEREST; AND SERVICES SHOULD NOT BE RENDERED IMPOSSIBLE SOLELY BY REASON OF DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST; AND SERVICE CARRIES A REQUIREMENT OF LOYALTY AND FIDELITY TO THE CORPORATION KNOWN AS RYDER MEMORIAL HOSPITAL, INC. IT IS THE RESPONSIBILITY OF THE BOARD MEMBERS TO GOVERN THE INSTITUTION'S AND THE COMMUNITY INTEREST WITH HONESTY, EXCERCISING THEIR BEST CARE, SKILL AND JUDGMENT FOR THE BENEFIT OF THE INSTITUTION AND ITS MEMBERS; AND THE MATTER OF ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST CAN BEST BE HANDLED THROUGH FULL DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSTENTION IN ANY VOTE WHERE IN THE INTEREST IS INVOLVED. THE FOLLOWING POLICY OF DUALITY AND CONFLICT OF INTEREST IS HEREBY ADOPTED: 1. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST OF THE PART OF ANY GOVERNING BOARD MEMBER SHOULD BE DISCLOSED TO THE OTHER BOARD MEMBERS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. 2. ANY BOARD MEMBER HAVING A DUALITY OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING AND THE QUORUM SITUATION. 3. THE ABOVE MENTIONED REQUIREMENTS SHOULD NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBERS FROM STATING HIS POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS IN SUCH MATTER. THAT THIS POLICY BE REVISED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD MEMBERS, AND THAT ANY NEW MEMBER BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS OFFICE. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO DETERMINE THE COMPENSATION TO OFFICERS IS BASED ON: 1) JOB DESCRIPTIONS 2) MINIMUM QUALIFICATIONS FOR THE POSITION 3) EXPERIENCE 4) EDUCATION THE ORGANIZATION ALSO FEALIZES BENCHMARKING OF THE HEALTH INDUSTRY AND THE MARKET IN THE GENERAL TO SEE AND OFFER COMPETITIVE SALARIES. THE ORGANIZATION REVIEW ANNUALLY THE SALARIES GRANTED TO EMPLOYEES AND REAISES ARE APPROVED DEPENDING ON THE FINANCIAL POSITION OF THE ORGANIZATION. RAISES MUST BE APPROVED BY THE BOD. THE ORGANIZATION ALSO COMPLIES WITH MANDATORY DECREES BY THE GOVERNMENT. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS TO DETERMINE THE COMPENSATION TO OFFICERS IS BASED ON: 1) JOB DESCRIPTIONS 2) MINIMUM QUALIFICATIONS FOR THE POSITION 3) EXPERIENCE 4) EDUCATION THE ORGANIZATION ALSO REALIZES BENCHMARKING OF THE HEALTH INDUSTRY AND THE MARKET IN THE GENERAL TO SEE AND OFFER COMPETITIVE SALARIES. THE ORGANIZATION REVIEW ANNUALLY THE SALARIES GRANTED TO EMPLOYEES AND REAISES ARE APPROVED DEPENDING ON THE FINANCIAL POSITION OF THE ORGANIZATION. RAISES MUST BE APPROVED BY THE BOD. THE ORGANIZATION ALSO COMPLIES WITH MANDATORY DECREES BY THE GOVERNMENT. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS OR BYLAWS AVAILABLE TO THE MEMBERS OF THE BOARD OF DIRECTORS AND TOP MANAGEMENT. THE POLICY OF CONFLICTS OF INTEREST IS AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, TOP MANAGEMENT AND EMPLOYEES IN ORDER THAT ALL BE AWARE OF SUCH IN THE PERFORMANCE OF THEIR FUNCTIONS. IN CASE OF THE FINANCIAL STATEMENTS THESE ARE MADE AVAILABLE TO CERTAIN PARTIES IN ADDITION TO THE ORGANIZATION'S MANAGEMENT, SUCH AS BONDHOLDERS, CREDITORS AND THE FEDERAL GOVERNMENT. 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