2014-11-14T12:21:49-06:00 2013-12-31 660703468 FPV & GALINDEZ CPAS PSC PO BOX 364152 SAN JUAN PR 009364152 990 2013-01-01 660258919 RYDER MEMORIAL HOSPITAL INC RYDE 7878520768 PO BOX 859 HUMACAO RQ 007920000 JOSE R FELICIANO EXECUTIVE DIRECTOR 7878520768 2014-11-14 2014-11-14 2013 2015-11-30 17:44:51Z JOSE R FELICIANO PO BOX 859 HUMACAO RQ 00792-0000 60319869 false X N/A X 1914 PR THE HOSPITAL PROVIDES NEEDED HEALTH CARE SERVICES TO THE COMMUNITY. 21 21 996 0 1126091 3410867 61129917 57191841 361770 -282839 0 62617778 60319869 0 0 26879448 25994155 0 0 35072233 33762926 61951681 59757081 666097 562788 53447254 53435136 31024895 30449989 22422359 22985147 THE HOSPITAL PROVIDES NEEDED HEALTH CARE SERVICES TO THE COMMUNITY. false false 54925559 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. 54925559 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 true false false false false true false false true true 0 0 false 996 true false false false false false false X 21 21 false false false false false true true true true false false false true true true false false true true false X JOSE OSCAR ORTIZ 7878520768 PO BOX 859 HUMACAO RQ 00792-0000 EDWARD RIVERA PRESIDENT 4.00 X X 0 0 0 HERIBERTO SILVA TREASURER 4.00 X X 0 0 0 JESS M REINA SECRETARY 4.00 X X 0 0 0 ELSA BERRIOS DIRECTOR 2.00 X 0 0 0 PEDRO CEPEDA DIRECTOR 2.00 X 0 0 0 ELBA SANTANA DIRECTOR 2.00 X 0 0 0 BENIGNO ALICEA DIRECTOR 2.00 X 0 0 0 ESTHER ALEMN DIRECTOR 2.00 X 0 0 0 BRBARA T BAYLOR DIRECTOR 2.00 X 0 0 0 VILMA MACHN DIRECTOR 2.00 X 0 0 0 CARMEN ALICIA NEBOT DIRECTOR 2.00 X 0 0 0 JOS FERNNDEZ DIRECTOR 2.00 X 0 0 0 BOANERGES GARCA DIRECTOR 2.00 X 0 0 0 ROQUE LEBRN VICE PRESIDE 4.00 X X 0 0 0 ELISAMA VELZQUEZ DIRECTOR 2.00 X 0 0 0 MICHAEL DIAZ DIRECTOR 2.00 X 0 0 0 FRANCISCA RODRGUEZ DIRECTOR 2.00 X 0 0 0 MIRIAM ALICEA DIRECTOR 2.00 X 0 0 0 HOLLY MILLER SHANK DIRECTOR 2.00 X 0 0 0 OLGA M CASTRO DIRECTOR 2.00 X 0 0 0 RAUL RAMOS PEREIRA MEDICAL DIRE 40.00 X 150600 0 0 JOSE R FELICIANO EXECUTIVE DI 40.00 X 137400 0 0 VILMARIE FLORES PHYSICIAN 40.00 X 219219 0 0 MILAGROS BAGUE PHYSICIAN 40.00 X 218844 0 0 726063 4 false true false UTEP PSC BANCO POPULAR PO BOX 363708 SAN JUAN RQ 00936 1437500 DR JOSE A NASSAR Y ASOC PO BOX 9132 HUMACAO RQ 00792 MEDICAL 438235 PHILLIPS MEDICAL SYSTEM PR 200 WINSTON CHURCHILL AVE SUITE 302 SAN JUAN RQ 00926-6650 MEDICAL 291121 COULTER ELECTRONICS SALES PR PO BOX 742075 ATLANTA GA 303842075 266740 SANTURCE XRAY MED SUPPORT PO BOX 11749 SAN JUAN PR 009102849 RADIOLOGY 241104 17 3410867 3410867 3410867 HOSPITAL & MEDICAL SERVICES 54608645 54608645 ALL OTHER SERVICE REVENUE 2583196 2583196 57191841 -282839 -282839 60319869 56909002 X 22804400 20141460 2662940 787439 702091 85348 2402316 2197665 204651 6867028 5699791 1167237 1003046 1003046 2301158 2301158 355619 355619 SUPPLIES 16411756 15901900 509856 UTILITIES 3147842 3014592 133250 PROVISION BAD DEBTS 2477503 2477503 REPAIR & MAINTENANCE 1198974 1130734 68240 59757081 54925559 4831522 0 5478317 8438873 15086339 13426908 1588616 1585383 82092 70114 74840623 51539006 24323001 23301617 1532754 1093059 5356135 5519182 53447254 53435136 14905159 16081946 16119736 14368043 31024895 30449989 X 22422359 22985147 22422359 22985147 53447254 53435136 562788 X false true true true true X 234628 234628 44807229 25079140 19728089 29012912 25785881 3227031 785854 673985 111869 23301617 CASH-RESTRICTED 4682256 DUE FROM RELATED ORGANIZATIONS 456186 PREPAID EXPENSES 271928 ESTIMATED THIRD-PARTY PAYOR SETTLEME 108812 OTHER ACCOUNT RECEIVABLES 5519182 LONG TERM DEBT 12930050 CAPITAL LEASE 1301256 DUE TO RELATED PARTIES 136737 14368043 60319869 60319869 60319869 59757081 59757081 59757081 false false 16 757 18925 18925 0.00030 25 144 5760 5760 0.00010 98240 98240 0.00160 41 901 122925 122925 0.00210 41 901 122925 122925 0.00210 false 2477503 3716229 1971857 1744372 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 true false false PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY HOSPITAL'S MANAGEMENT MAKES JUDGMENTS AS TO THE COLLECTABILITY OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL TRENDS AND FUTURE EXPECTATIONS. MANAGEMENT ESTIMATES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, WHICH REPRESENTS THE COLLECTABILITY OF PATIENT SERVICE ACCOUNTS RECEIVABLES. THIS ALLOWANCE ADJUST GROSS PATIENT SERVICE ACCOUNTS RECEIVABLE DOWNWARD TO THEIR ESTIMATED NET REALIZABLE VALUE. TO DETERMINE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS, MANAGEMENT REVIEWS SPECIFIC CUSTOMER RISK BASED ON EVALUATION ON THE COLLECTABILITY OF EACH RECEIVABLE. PART III, LINE 8 - MEDICARE EXPLANATION 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 CALSSIFICATION 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION 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 REIMBURSMENT RULES CHANGES ARE UPDATED IN THE SYSTEM DIRECTLY BY INFOMEDIKA PERSONNEL. FOR THE CLAIMING OF MEDICARE BAD DEBTS FOR REIMBURSMENTS TO HOSPITAL, THE DOCUMENTS USED BY THE OFFICIAL IN CHARGE OF MEDICARE BED 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. ADDITIONAL INFORMATION 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 PROPOSED REGULATIONS FOR SECTION 501 (R)(1) OF THE INTERNAL REVENUE CODE, THE TERM "STATE" AS INCLUDED IN THE DEFINITION FOR "HOSPITAL FACILITY" INCLUDED 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 RAUL RAMOS PEREIRA MEDICAL DIRECTOR 150600 150600 VILMARIE FLORES PHYSICIAN 219219 219219 MILAGROS BAGUE PHYSICIAN 218844 218844 X 1 3410867 false false false SCHEDULE M, PAGE 2, PART II N/A 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 TWENTY (21) 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 TWENTY (21) 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. AS OF DECEMBER 31, 2013 OF THE RETURN, ONE POSITION OF THE BOARD WAS VACANT. 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 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 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. FORM 990, PART IX, LINE 11G OTHER FEES 5,699,791 1,167,237 0 EGIDA RYDER INC PO BOX 859 HUMACAO RQ 00792-0000 660461792 HOUSING PR 501C3 3 NA false RYDER ASSISTED CARE INC PO BOX 859 HUMACAO RQ 00792-0000 660537553 HOUSING PR 501C3 3 NA false RYDER ASSISTED CARE II INC PO BOX 859 HUMACAO RQ 00792-0000 660548321 HOUSING PR 501C3 3 NA false RYDER ASSISTED CARE III INC PO BOX 859 HUMACAO RQ 00792-0000 660550405 HOUSING PR 501C3 3 NA false RYDER VILLAGE INC PO BOX 859 HUMACAO RQ 00792-0000 660537554 HOUSING PR 501C3 3 NA false RYDER VILLAGE II INC PO BOX 859 HUMACAO RQ 00792-0000 660550404 HOUSING PR 501C3 3 NA false FUNDACION DR JOHN A & VIRGINIA PO BOX 859 HUMACAO RQ 00792-0000 660524612 FUNDRAISIN PR 501C3 3 NA false RYDER HEALTH PLAN INC PO BOX 859 HUMACAO RQ 00792-0000 660407821 HEALTHCARE PR 501C3 3 NA false RYDER HOME FOR THE ELDERLY INC PO BOX 859 HUMACAO RQ 00792-0000 660706107 HEALTHCARE PR 501C3 3 NA false false false false false false false false false false false false false false false false false false false false