2014-11-08T13:50:57-06:00 2013-12-31 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2013-01-01 741461220 FRIO HOSPITAL ASSOCIATION FRIO 8303343617 200 S IH 35 PEARSALL TX 780616601 MICHAEL S THOMPSON CEO 8303343617 2014-11-08 1 JONATHAN PHILLIPS P01605460 8067911591 2014-10-24 2013 2015-11-30 17:44:51Z FRIO REGIONAL HOSPITAL MICHAEL S THOMPSON 200 S IH 35 PEARSALL TX 780616601 16225547 0 X WWW.FRIOREGIONALHOSPITAL.COM X 2002 TX TO PROVIDE QUALITY AND AFFORDABLE HEALTHCARE SERVICES TO THE CITIZENS OF PEARSALL AND THE SURROUNDING COMMUNITIES. 7 7 0 0 0 0 13987 10686 14611014 14748700 178985 255859 130694 1210302 14934680 16225547 0 0 0 0 5366255 5731215 0 0 0 8513153 7980070 13879408 13711285 1055272 2514262 5406795 7786416 1342510 1207869 4064285 6578547 FRIO HOSPITAL ASSOCIATION (THE "ASSOCIATION") OPERATES A NOT-FOR-PROFIT ACUTE CARE HOSPITAL, FRIO REGIONAL HOSPITAL (THE "HOSPITAL"). THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES AS WELL AS OTHER AFFILIATED SERVICES TO FRIO COUNTY, TEXAS. 0 0 13179118 14992507 HOSPITAL SERVICES THAT INCLUDE BUT ARE NOT LIMITED TO: 942 TOTAL PATIENT DAYS, 323 SURGERIES, 7,217 EMERGENCY ROOM VISITS, 62,268 LABORATORY PROCEDURES AND 7,296 RADIOLOGY PROCEDURES.THE HOSPITAL ALSO PROVIDED $1,275,470 IN CHARITY CARE. 13179118 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 TX X RHETT FRICKE 8303343617 200 S IH 35 PEARSALL TX 780616601 BOB BALLENTINE PRESIDENT 0.10 X 0 0 0 MARY JO PHILIPS VICE PRESIDENT 0.10 X 0 0 0 ABEL TREVINO SECRETARY 0.10 X 0 0 0 ROBERT GORHUM DDS DIRECTOR 0.10 X 0 0 0 FRANKIE PETTY DIRECTOR 0.10 X 0 0 0 JAMES SCHORP DIRECTOR 0.10 X 0 0 0 JIM GATES DIRECTOR 0.10 X 0 0 0 MICHAEL S THOMPSON CEO 40.00 X 110633 0 6581 RHETT D FRICKE CFO 40.00 X 111384 0 0 MARIA L MARTINEZ DON 40.00 X 98391 0 0 320408 0 6581 2 0 0 0 FRIO HOSPITAL DISTRICT 200 S IH 35 PEARSALL TX 78061 FACILITY RENTAL 685000 POST ACUTE MEDICAL MANAGEMENT LLC 3500 MARKET ST STE 102 CAMP HILL PA 17011 MEDICAL SERVICES 415483 CPSI 6600 WALL STREET MOBILE AL 36695 SOFTWARE SUPPORT 263333 LEASING ASSOCIATES OF BARRINGTON INC 33 WEST HIGGINS ROAD STE 1030 SOUTH BARRINGTON IL 60010 EQUIPMENT RENTAL 123866 4 8436 2250 10686 PATIENT SERVICE 621990 13269988 13269988 INDIGENT CARE SUPPORT 621990 1478712 1478712 14748700 12052 12052 243807 0 243807 243807 243807 EHR INCENTIVE 900099 1023316 1023316 CAFETERIA SALES 900099 30140 30140 INSURANCE PROCEEDS 900099 20700 20700 136146 136146 1210302 16225547 14992507 0 1222354 X 326989 98391 228598 4264398 4196478 67920 135120 128987 6133 674694 669884 4810 330014 314691 15323 31969 31969 57613 57613 2366190 2359645 6545 83542 83542 182343 109279 73064 228520 228520 1260186 1254087 6099 34235 33381 854 97 97 6543 6543 236783 236783 73989 62711 11278 BAD DEBT EXPENSE 2342745 2342745 MEDICAL SUPPLIES 971581 971581 EDUCATION & TRAINING 72542 67200 5342 DUES & SUBSCRIPTIONS 28555 14324 14231 2637 346 2291 13711285 13179118 532167 0 2073952 4367759 1454077 1606998 325718 302252 76241 110176 4422032 3434338 842138 987694 373676 372913 260993 38624 5406795 7786416 909880 1081455 15000 0 274974 0 142656 126414 1342510 1207869 X 4064285 6578547 4064285 6578547 5406795 7786416 2514262 0 X X 1 X 1 X 1 0 X 15282 15282 257690 174442 83248 16783 13893 2890 4132277 3246003 886274 987694 THIRD PARTY PAYOR SETTLEMENTS PAYABLE 97590 CREDIT BALANCES PAYABLE 28824 126414 X 13882802 0 13882802 2342745 2342745 16225547 11368540 0 11368540 2342745 2342745 13711285 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION; THEREFORE, NO EXPENSE HAS BEEN PROVIDED FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THEY ARE REQUIRED TO FILE THE IRS FORM 990. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1 1 1 X 20.000000000000 1 X 185.000000000000 1 1 0 0 586936 491585 95351 0.00840 767744 1551427 -783683 0.00000 1354680 2043012 -688332 0.00840 1354680 2043012 -688332 0.00840 1 1078066 538369 4121696 2355546 1766150 X 1 1 1 1 FRIO HOSPITAL ASSOCIATION 200 S IH 35 PEARSALL TX 78061 X X X HOSPITAL FRIO REGIONAL HOSPITAL 1 0 1 1 20.000000000000 1 185.000000000000 1 X X X X X X X 1 1 X X X X 1 0 X X X 1 X 0 0 FRIO REGIONAL HOSPITAL PART V, SECTION B, LINE 20D: THE AMOUNT OF CHARITY DISCOUNT WILL BE BASED ON THE FAMILY'S INDIVIDUAL SITUATION. THE STANDARD RULE, WHICH THE CASEWORKER WILL FOLLOW, IS TO DISCOUNT THE BILL 50% AND SET UP A PAYMENT PLAN FOR THE BALANCE. EXCEPTIONS WILL BE MADE BY THE ADMINISTRATOR OR HIS DESIGNEE. 2 FRIO HOSPITAL HOME HEALTH 1317 E COLORADO PEARSALL TX 78061 HOME HEALTH FRIO REHABILITATION CENTER 209 HACKBERRY RD PEARSALL TX 78061 REHABILITATION CENTER PART I, LINE 3C: THE FOLLOWING FACTORS ARE TO BE CONSIDERED IN DETERMINING THE ELIGIBILITY OF THE PATIENT FOR CHARITY CARE:GROSS FAMILY INCOMEFAMILY SIZEEMPLOYMENT STATUS AND FUTURE EARNING CAPACITYOTHER FINANCIAL RESOURCESOTHER FINANCIAL OBLIGATIONSTHE AMOUNT AND FREQUENCY OF HOSPITAL AND OTHER MEDICAL BILLS PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,342,745. PART III, LINE 4: ASU 2011-04, AS REQUIRED, IN THE FISCAL YEAR BEGINNING JANUARY 2012. IN JULY 2011, THE FASB ISSUED ASU 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, AS AN AMENDMENT TO ASC TOPIC 954. ASU 2011-07 REQUIRES THE RECLASSIFICATION OF THE PROVISION FOR BAD DEBT ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE. THIS AMENDMENT ALSO REQUIRES ENHANCED DISCLOSURE OF THE POLICIES FOR RECOGNIZING REVENUE AND ACCESSING BAD DEBTS, THE DISCLOSURE OF PATIENT SERVICE REVENUE, AND ADDITIONAL INFORMATION ABOUT CHANGES IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL WILL ADOPT ASU 2011-07, AS REQUIRED, IN THE FISCAL YEAR BEGINNING JANUARY 2012.A COST TO CHARGE RATIO OF 46.02% WAS USED TO DETERMINE THE AMOUNTS REPORTED ABOVE FOR BAD DEBT EXPENSE. THE RATIO WAS DETERMINED BY DIVIDING TOTAL OPERATING EXPENSE (EXCLUDING BAD DEBT EXPENSE) FROM THE FINANCIAL STATEMENTS BY GROSS PATIENT CHARGES. THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED ON THE ORGANIZATION'S ANNUAL MEDICARE & MEDICAID COST REPORT WORKSHEET S-10. PART III, LINE 8: LINE 6 IS ARRIVED BY USING THE COST TO CHARGE RATIOS BASED ON THE MEDICARE COST REPORT.LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT THE HOSPITAL TREATS PATIENTS REGARDLESS OF THE REIMBURSEMENT BY MEDICARE. PART VI, LINE 2: NEEDS OF THE COMMUNITY ARE ASSESSED BY GEOGRAPHIC INFORMATION AVAILABLE TO THE HOSPITAL, STATISTICAL INFORMATION THAT THE HOSPITAL CAN USE TO FURTHER IT'S BENEFIT TO THE COMMUNITY. PART VI, LINE 3: THERE ARE SEVERAL WAYS THAT THE HOSPITAL EDUCATES THE PUBLIC ABOUT IT'S CHARITY CARE PROGRAMS. THE WEBSITE GIVES THE INFORMATION WHERE THE HOSPITAL'S CASEWORKER CAN BE FOUND IN ADDITION TO A STATE EMPLOYEE OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ON CAMPUS. THERE ARE ALSO SIGNS IN BOTH ENGLISH AND SPANISH THAT DIRECTS PATIENTS TO THE ASSISTANCE THEY COULD QUALIFY FOR. PART VI, LINE 4: FRIO HOSPITAL SERVES THE FRIO COUNTY AND SURROUNDING COMMUNITIES. THESE CONSIST OF PRIMARILY 70% OF THE WORKFORCE WITH A VOCATIONAL OR TRADE BACKGROUND. PRIMARILY A HISPANIC POPULATION,11,987 OR 74% OF THE 16,252 PEOPLE LIVING IN FRIO COUNTY ARE HISPANIC ACCORDING TO THE LATEST CENSUS. FRIO HOSPITAL IS LOCATED IN PEARSALL WHICH IS APPROXIMATELY 55 MILES FROM SAN ANTONIO AND APPROXIMATELY 97 MILES FROM THE MEXICAN BORDER. MEDIAN INCOME FOR FAMILIES WAS $23,470. HOWEVER, 30.4% OF THE POPULATION OF FAMILIES WERE BELOW THE POVERTY LINE. OF THOSE, 43.2% WERE UNDER THE AGE OF 18 AND 40.0% OF THOSE WERE 65 AND OLDER. X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION INCLUDE SEVERAL BUSINESS AND COMMUNITY LEADERS OF FRIO COUNTY, TEXAS FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE ORGANIZATION VOTE TO ELECT MEMBERS OF THE GOVERNING BODY THAT CONSISTS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE SEPARATE COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S TAX RETURN IS REVIEWED BY THE BOARD OF DIRECTORS AND APPROVED BY MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS OTHER THAN THE 990 IS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G HOSPITAL & PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,359,645. MANAGEMENT AND GENERAL EXPENSES 6,545. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,366,190. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES OVERSIGHT OF THE AUDIT AND RESPONSIBILITY FOR THE SELCTION OF AN INDEPENDENT, THIRD-PARTY ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.