2012-11-13T16:21:21-06:00 2011-12-31 FPV & GALINDEZ CPAS PSC PO BOX 364152 SAN JUAN PR 009364152 990 2011-01-01 660258919 RYDER MEMORIAL HOSPITAL INC RYDE 7878520768 PO BOX 859 HUMACAO RQ JOSE R FELICIANO 7878520768 2012-11-13 2012-11-13 2011 2016-02-24 21:20:13Z JOSE R FELICIANO PO BOX 859 HUMACAO RQ 00792-0000 60563002 false X N/A X 1914 PR THE HOSPITAL PROVIDES NEEDED HEALTH CARE SERVICES TO THE COMMUNITY. 19 19 925 0 3106939 1824811 57178780 58570172 353117 168019 0 60638836 60563002 0 0 25988776 26946335 0 0 36226625 34266673 62215401 61213008 -1576565 -650006 57578645 53329475 35172377 31573213 22406268 21756262 THE HOSPITAL PROVIDES NEEDED HEALTH CARE SERVICES TO THE COMMUNITY. false false 56094711 60563002 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. 56094711 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 false true true 0 0 false 925 true false false false false false false X 19 19 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 4.00 X 0 0 0 HERIBERTO SILVIA 4.00 X 0 0 0 JESS M RIVERA 4.00 X 0 0 0 ELSA BERRIOS 4.00 X 0 0 0 PEDRO CEPEDA 2.00 X 0 0 0 ELBA SANTANA 2.00 X 0 0 0 JOAQUINA DE LEON 2.00 X 0 0 0 ESTHER ALEMN 2.00 X 0 0 0 BRBARA T BAYLOR 2.00 X 0 0 0 VILMA MACHN 2.00 X 0 0 0 CARMEN ALICIA NEBOT 2.00 X 0 0 0 DEANA HALLMAN 2.00 X 0 0 0 BOANERGES GARCA 2.00 X 0 0 0 ROQUE LEBRN 2.00 X 0 0 0 ELISAMA VELZQUEZ 2.00 X 0 0 0 MICHAEL DIAZ 2.00 X 0 0 0 FRANCISCA RODRGUEZ 2.00 X 0 0 0 MIRIAM ALICEA 2.00 X 0 0 0 HOLLY MILLER SHANK 2.00 X 0 0 0 OLGA M CASTRO 2.00 X 0 0 0 RAUL RAMOS PEREIRA 40.00 X 150599 0 0 JOSE R FELICIANO 40.00 X 122600 0 9600 NEMUEL ARTILES 40.00 X 100847 0 8730 MILAGROS BAGUE 40.00 X 194820 0 0 VILMARIE FLORES 40.00 X 181300 0 0 750166 18330 5 false true false UTEG HC-02 BOX 10225 JUNCOS RQ 00777 MEDICAL 1500000 DR JOSE A NASSAR Y ASOC PO BOX 9132 HUMACAO RQ 00792 MEDICAL 654918 VIRTUAL RADIOLOGIC CORP DEPARTMENT 7065 CAROL STREAM IL 601227065 RADIOLOGY 248520 DRA LUZ E VZQUEZ CANCEL PO BOX 1646 CANVANAS RQ 00729-1646 MEDICAL 140960 WIGBERTO ACEVEDO APARTAMENTO 702 COND PARQUE SAN ANTONIO CAGUAS RQ 00727-5919 135975 5 1824811 1824811 1824811 HOSPITAL & MEDICAL SERVICES 55829951 55829951 ALL OTHER SERVICE REVENUE 2740221 2740221 58570172 168019 168019 60563002 58738191 23639720 20843380 2796340 827580 761573 66007 2479035 2263247 215788 8004190 6578538 1425652 1160288 1160288 2801756 2801756 367968 367968 SUPPLIES 16664131 16222157 441974 UTILITIES 3037597 2904457 133140 PROVISION BAD DEBTS 1290438 1290438 REPAIR & MAINTENANCE 940305 900909 39396 61213008 56094711 5118297 0 7857631 5431440 13260496 12613297 1345572 1669570 107958 94647 74770354 48540410 27709087 26229944 571914 1276340 6725987 6014237 57578645 53329475 17402412 15353015 17769965 16220198 35172377 31573213 X 22406268 21756262 22406268 21756262 57578645 53329475 -650006 X false true true true true X false false false false false false false false false false 234628 234628 44248798 24591811 19656987 29304943 23583405 5721538 981985 365194 616791 26229944 CASH-RESTRICTED 4635625 OTHER ACCOUNTS RECEIVABLE 938655 DUE FROM RELATED ORGANIZATIONS 371469 ESTIMATED THIRD-PARTY PAYOR SETTLEME 68488 6014237 LONG TERM DEBT 12826581 CAPITAL LEASE 3244248 DUE TO RELATED PARTIES 149369 16220198 60563002 61213008 -650006 -650006 60563002 60563002 60563002 61213008 61213008 61213008 false false true 1290438 4091579 2936643 1154936 X 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 BAD DEBT EXPENSE EXPLANATION PART III LINE 4 HOSPITALS 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 MEDICARE EXPLANATION 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 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 COLLECTION PRACTICES EXPLANATION 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 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 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 false false false false false false false false false RAUL RAMOS PEREIRA 150599 150599 MILAGROS BAGUE 194820 194820 VILMARIE FLORES 181300 181300 X 1 1824811 false false false SUPPLEMENTAL INFORMATION SCHEDULE M, PAGE 2, PART II N/A ELECTION OF MEMBERS AND THEIR RIGHTS 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 NINETEEN (19) 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 NINETEEN (19) 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. DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. POLICIES AND PROCEDURES GOVERNING CHAPTERS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. 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