2024-11-13T16:03:33+00:00 2023-12-31 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-01-01 741461220 Frio Hospital Association FRIO 8303343617 200 S IH 35 Pearsall TX 780616601 JOHN HUGHSON CFO 8303343617 2024-11-13 true Jeanette Verrelli P00742631 9727028262 2024-11-13 2023 2024-10-15 13:58:12Z FRIO REGIONAL HOSPITAL JOHN HUGHSON 200 S IH 35 Pearsall TX 780616601 34865007 false X WWW.FRIOREGIONALHOSPITAL.COM X 2002 TX TO PROVIDE QUALITY AND AFFORDABLE HEALTHCARE SERVICES TO THE CITIZENS OF PEARSALL AND THE SURROUNDING COMMUNITIES. 7 7 253 7 0 0 428845 391260 27654732 34069150 87564 289477 138033 115120 28309174 34865007 7285 7866 0 12168280 12738158 0 0 16392846 18211586 28568411 30957610 -259237 3907397 34431118 38097722 17110367 16869574 17320751 21228148 IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE WITH COMPASSION AND RESPECT. false false 24888944 7866 34071742 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. INPATIENT ADMISSIONS OF 516(3,158 PATIENT DAYS); 13,072 EMERGENCY ROOM VISITS; 92 DELIVERIES; 170 SURGERIES; AND 11,107 OUTPATIENT VISITS (INCLUDING RADIOLOGY). 24888944 true false false true 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 false false false false true 78 0 true 253 true false false false false false false false false false false false false X 7 7 false true false false false false false true false false false true true true true true true false false false X MICHAEL RUFF 8303343617 200 S IH 35 PEARSALL TX 780616601 CLAYTON NEAL SECRETARY 0.3 0.0 X X 0 0 0 ROXANNE SHELTON PRESIDENT 0.5 0.0 X X 0 0 0 TROY SHAW VICE PRESIDENT 0.5 0.0 X X 0 0 0 ADAM BEEVER DIRECTOR 0.3 0.0 X 0 0 0 JUANITA RENDON DIRECTOR 0.3 0.0 X 0 0 0 MELANIE RIGBY DIRECTOR 0.3 0.0 X 0 0 0 MICHELE BRYAN DIRECTOR 0.3 0.0 X 0 0 0 JOHN HUGHSON CEO 40.0 0.0 X 0 0 0 MICHAEL RUFF CFO 40.0 0.0 X 0 0 0 Earl Marshall Physician 40.0 0.0 X 330031 0 31093 ELVA A CAMERO PHYSICIAN 40.0 0.0 X 307571 0 13445 HAROLD J CAMPBELL PHYSICIAN 40.0 0.0 X 207291 0 14640 John Barrera Nurse Practioner 40.0 0.0 X 180820 0 11478 SAMER ARAB PHYSICIAN 40.0 0.0 X 563703 0 38726 1589416 0 109382 21 false true false COMPUTER PROGRAMS & SYSTEMS INC PO BOX 11407 BIRMINGHAM AL 35246 Billing/Coding & Collection of Patient Accounts 1331424 FRIO HOSPITAL DISTRICT 200 S IH 35 PEARSALL TX 78061 Lease - Hospital/Clinics 1169022 METHODIST HEALTHCARE 7922 EWING HALSELL STE 165 SAN ANTONIO TX 78229 MANAGEMENT SERVICES 1051372 NATIONAL STAFFING SOLUTIONS INC PO BOX 9310 WINTER HAVEN FL 33883 Contract Labor - Clinical Services 852448 CONCORD MEDICAL GROUP OF TX 1602 AVENUE Q LUBBOCK TX 794014732 ED Medical Services 766257 44 391260 391260 NET PATIENT REVENUE 621110 30177652 30177652 MEDICAID REVENUE 900099 3319954 3319954 OTHER OPERATING REVENUE 621110 503052 503052 CLINIC RENT 531120 68492 68492 0 0 0 0 34069150 289477 289477 24400 24400 0 24400 24400 0 0 CAFETERIA 722210 88128 88128 MEDICAL RECORDS 561000 2592 2592 0 0 0 0 90720 34865007 34071742 0 402005 X 7866 7866 10958038 9176143 1781895 340339 284996 55343 632614 529744 102870 807167 793174 13993 1051372 920379 130993 31710 31710 154817 154817 6018008 5268211 749797 0 157874 44448 113426 215967 144873 71094 10227 8348 1879 1673182 615961 1057221 71669 29116 42553 594336 483662 110674 204661 44492 160169 BAD DEBT EXP 4472026 4472026 MEDICAL SUPPLIES 1811582 1811582 DUES & FEES 1443372 78138 1365234 FOOD EXPENSE 159758 152965 6793 141025 22820 118205 0 30957610 24888944 6068666 0 23412 13910 12364798 16498398 16094 3729381 3351158 0 0 0 0 0 609705 708550 214549 239015 11802594 6950568 3380376 4852026 0 0 0 0 14092803 12434665 34431118 38097722 2635835 3690778 0 0 0 0 0 0 0 0 14474532 13178796 17110367 16869574 X 17320751 21228148 0 17320751 21228148 34431118 38097722 3907397 0 X false true X true false X false false false false false false false false true 1019 1019 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE HOSPITAL PAYS DUES TO THE TEXAS SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION & EDUCATION AND SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL. A PORTION OF THESE DUES IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 44922 44922 1121646 412685 708961 26059 15636 10423 8545557 6522247 2023310 2064410 0 2064410 4852026 ESTIMATED AMOUNT DUE FROM 3RD PARTY 780181 RIGHT OF USE ASSET 11581582 THIE Asset 72902 12434665 ESTIMATED SELF-INSURANCE COSTS 181787 ESTIMATED AMOUNT DUE TO THIRD-PARTY 1088278 LEASE LIABILITY 11908731 13178796 30392981 -4472026 -4472026 34865007 0 0 34865007 26485584 0 0 26485584 4472026 4472026 30957610 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. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSE - -4472026 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 4472026 true true X true X true X true true false true true 3725956 3725956 0.1407 6724539 9447945 0 0.0 110706 174826 0 0.0 0 0 10561201 9622771 3725956 0.1407 0 0.0 0 0.0 0 0.0 0 0.0 7866 7866 0.0003 0 0 7866 0 7866 0.0003 0 0 10569067 9622771 3733822 0.1410 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 4472026 3992691 3554324 438367 X true true 1 1 FRIO REGIONAL HOSPITAL 200 S IH 35 PEARSALL TX 78061 WWW.FRIOREGIONALHOSPITAL.COM 000441 X X X X FRIO REGIONAL HOSPITAL 1 false false false true true 50000 true X 100.0 300.0 X X X X true true X X X X true X WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X true X false X X X X true X false false 2 FRIO HOSPITAL HOME HEALTH 105 E HACKBERRY PEARSALL TX 78061 HOME HEALTH FRIO REHABILITATION CENTER 205 EAST HACKBERRY RD PEARSALL TX 78061 REHABILITATION CENTER Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $4,472,026 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN (F). Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - GROSS FAMILY INCOME - FAMILY SIZE - EMPLOYMENT STATUS AND FUTURE EARNING CAPACITY - OTHER FINANCIAL RESOURCES - OTHER FINANCIAL OBLIGATIONS - THE AMOUNT AND FREQUENCY OF HOSPITAL AND OTHER MEDICAL BILLS - ASSET LEVEL - MEDICAL INDIGENCY - INSURANCE & UNDERINSURANCE STATUS Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COST COMPUTED ON WORKSHEET 8 WAS FROM THE HOSPITAL'S INCOME STATEMENT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR GENERAL LEDGER PURPOSES, A MONTHLY REPORT CALCULATES ALLOWANCES BASED ON A HISTORICAL PERCENTAGE FOR ALL PATIENTS WITH THIRD-PARTY COVERAGE. FOR ALL PRIVATE PAY PATIENTS, AND AS ALL OTHER ACCOUNTS AGE BEYOND 180 DAYS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION (95% - 100%) FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL PAYS FOR OUTSOURCED EARLY OUT COLLECTIONS UP TO 120 DAYS WHERE THE PATIENT PORTION OF THE CHARGES ARE HANDLED BY A THIRD PARTY VENDOR. THOSE WHO QUALIFY FOR CHARITY OR INDIGENT PROGRAMS APPLY FOR THOSE SERVICES WITH HELP OF TWO DEDICATED STAFF MEMBERS. ONCE A PATIENT HAS QUALIFIED FOR THE CHARITY OR INDIGENT PROGRAMS, ALL COLLECTIONS PROCESSES CEASE. Schedule H, Part V, Section B, Line 16a FAP website - FRIO REGIONAL HOSPITAL: Line 16a URL: WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - FRIO REGIONAL HOSPITAL: Line 16b URL: WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - FRIO REGIONAL HOSPITAL: Line 16c URL: WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment NEEDS OF THE COMMUNITY ARE ASSESSED BY GEOGRAPHIC INFORMATION AVAILABLE TO THE HOSPITAL, AS WELL AS STATISTICAL INFORMATION THAT THE HOSPITAL CAN USE TO FURTHER ITS BENEFIT TO THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THERE ARE SEVERAL WAYS THAT THE HOSPITAL EDUCATES THE PUBLIC ABOUT ITS 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 DIRECT PATIENTS TO THE ASSISTANCE THEY COULD QUALIFY FOR. INFORMATION ABOUT FINANCIAL ASSISTANCE IS ALSO PROVIDED TO PATIENTS DURING THE INTAKE AND DISCHARGE PROCESS. Schedule H, Part VI, Line 4 Community information FRIO HOSPITAL SERVES THE FRIO COUNTY AND SURROUNDING COMMUNITIES INCLUDING LA SALLE COUNTY. THESE CONSIST OF PRIMARILY A HISPANIC POPULATION, 14,066 OR 77.1% OF THE 18,428 PEOPLE LIVING IN FRIO COUNTY AND 5,117 OR 73.7% OF THE 6,956 PEOPLE LIVING IN LA SALLE 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. 8.9% OF THE POPULATION AGE 25 HAD AN BACHELOR'S DEGREE OR HIGHER. HOWEVER, 25% OF THE POPULATION IN FRIO COUNTY AND 22.9% OF THE POPULATION IN LA SALLE COUNTY WERE BELOW THE POVERTY LINE. FRIO HOSPITAL HAS ALSO STARTED TO SERVE DILLEY AND COTULLA. THESE CITIES HAVE A TOTAL POPULATION OF 3,274 AND 3,577 RESPECTIVELY. THERE IS A LARGE DISPARITY BETWEEN THESE CITIES WITH DILLEY HAVING PER CAPITA INCOME OF $22,294 AND COTULLA HAVING $10,856 WHICH ARE BOTH WELL BELOW TEXAS AND THE UNITED STATES. Schedule H, Part VI, Line 5 Promotion of community health FRIO REGIONAL HOSPITAL PROVIDES INFORMATION AND EDUCATES THE PUBLIC THROUGH HEALTH LITERATURE, PUBLIC FORUMS, AND COLLABORATION WITH OTHER HEALTH RESOURCES. THE HOSPITAL REACHES OUT TO CIVIC, POLITICAL, NONPROFIT, RELIGIOUS AND BUSINESS ORGANIZATIONS BY DISTRIBUTING HOSPITAL/HEALTH RELATED MATERIAL, EDUCATIONAL INFORMATION AND FREE SCREENINGS AT VARIOUS LOCAL EVENTS AND LOCATIONS. THE HOSPITAL ALSO ASSISTS AND COLLABORATES WITH COMMUNITY ORGANIZATIONS WITH HEALTH FAIRS, COMMUNITY EVENTS, PARTNERSHIPS AND PROVIDES BOOTH SPONSORSHIPS TO RAISE HEALTH AWARENESS. Schedule H, Part VI, Line 7 State filing of community benefit report TX false false false false false false false false false SAMER ARAB PHYSICIAN 498531 0 60291 0 4881 0 24107 0 14619 0 602429 0 0 0 HAROLD J CAMPBELL PHYSICIAN 207291 0 0 0 0 0 10590 0 4050 0 221931 0 0 0 ELVA A CAMERO PHYSICIAN 292419 0 0 0 15152 0 12490 0 955 0 321016 0 0 0 John Barrera Nurse Practioner 180820 0 0 0 0 0 9179 0 2299 0 192298 0 0 0 Earl Marshall Physician 320435 0 0 0 9596 0 16474 0 14619 0 361124 0 0 0 Form 990, Part VI, Line 3 Delegation of management duties IN 2015, FRIO REGIONAL HOSPITAL ENTERED INTO A MANAGEMENT AGREEMENT WITH METHODIST HEALTHCARE SYSTEM (METHODIST). THIS AGREEMENT REQUIRES METHODIST PROVIDE PERSONNEL TO PERFORM DUTIES AS THE HOSPITAL'S EXECUTIVE EMPLOYEES. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THESE INDIVIDUALS: JOHN HUGHSON $681,755 MICHAEL RUFF $243,975 Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THE ORGANIZATION DOES NOT HAVE SEPARATE COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION'S TAX RETURN IS REVIEWED AND APPROVED BY MANAGEMENT. AFTER MANAGEMENT'S REVIEW, THE BOARD OF DIRECTORS WILL REVIEW THE RETURN AT THEIR NEXT MEETING. Form 990, Part VI, Line 12c Conflict of interest policy THE HOSPITAL RECENTLY ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY. BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE ANNUAL QUESTIONNAIRES TO REPORT POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED INDIVIDUAL IS REQUIRED TO ABSTAIN FROM DISCUSSION AND VOTING ON THAT MATTER. Form 990, Part VI, Line 19 Required documents available to the public EXCEPT AS INCLUDED IN THE FORM 1023 AND FORM 990S, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 4994573, Program Service Expense: 4356524, Management and General Expenses: 638049, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 59428, Program Service Expense: 13678, Management and General Expenses: 45750, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 266162, Program Service Expense: 200164, Management and General Expenses: 65998, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 697845, Program Service Expense: 697845, Management and General Expenses: , Fundraising Expenses: ; FORM 990, PART VI, SECTION B, LINE 15A & 15B DETERMINING COMPENSATION OF OFFICERS: OUR CFO & CEO ARE HOSPITAL CORPORATION OF AMERICA (HCA) EMPLOYEES AS PART OF THE METHODIST MANAGEMENT AGREEMENT. HCA SEPERATES ITS HOSPITALS INTO SEVERAL CATEGORIES BASED ON ANNUAL NET REVENUE AVERAGED OVER THE LAST 3 YEARS. OUR HOSPITAL IS A LEVEL A AND BOTH CEO AND CFO ARE PAID WITHIN THE RANGES OF COMPARABLE FACILITIES