2024-08-15T13:45:48+00:00 2023-09-30 440160260 Forvis Mazars LLP 14241 Dallas Parkway Suite 1100 Dallas TX 75254 990 2022-10-01 263091251 Dimmit Regional Hospital DIMM 8308762424 PO Box 1016 Carrizo Springs TX 78834 ALMA MELENDEZ CFO 8308762424 2024-08-15 true Jeanette Verrelli P00742631 9727028262 2022 2024-08-08 14:25:15Z ANDRES DURAN PO BOX 1016 CARRIZO SPRINGS TX 78834 38988568 false X WWW.DIMMITREGIONALHOSPITAL.COM X 2008 TX TO OPERATE AND MANAGE DIMMIT REGIONAL HOSPITAL; TO RAISE FUNDS ON BEHALF OF THE HOSPITAL; AND TO PROMOTE THE HEALTH OF RESIDENTS OF DIMMIT COUNTY. 7 7 238 7 0 0 4544097 4364842 30815768 34322178 4413 48559 238315 252989 35602593 38988568 0 0 0 13250156 14910020 0 0 18107310 22324774 31357466 37234794 4245127 1753774 18853918 19357776 7662266 6412350 11191652 12945426 EXCELLENT CARE TO EACH PATIENT, NO EXCEPTIONS. false false 23584932 21898933 PROVIDED MEDICAL CARE TO RESIDENTS IN THE DIMMIT COUNTY AREA, INCLUDING 315 OPERATIONS; 9,664 EMERGENCY ROOM VISITS; 499 OBSERVATIONS VISITS AND 1870 PATIENT DAYS. 5896234 7022698 WE ACHIEVED OUR GOAL TO PROVIDE A COMFORTABLE STAY FOR PATIENTS WHICH INCREASED OUR PATIENT DAYS. WE CONTRACTED WITH CASE MANAGEMENT COMPANY TO HELP INCREASE PATIENT VOLUME AND ALSO TO PROVIDE INFORMATION TO PATIENTS IN OTHER CITIES THE ABILITY TO BRING PATIENTS TO RECUPERATE CLOSER TO HOME. WE ALSO ACQUIRED LAB TESTING EQUIPMENT TO PROVIDE PATIENTS A EASIER AND FASTER RESPONSE FOR RESPIRATORY VIRUSES INCLUDING COVID. TWO DUAL BLANKET WARMERS WERE PURCHASED FOR PATIENTS IN THE O.R. AND RECOVERY ROOM. 15 SLEEPER RECLINERS WERE ALSO PURCHASED FOR LABOR AND DELIVERY AND MED/SURG FOR PATIENTS. 2678717 5620047 THE ACQUISITON OF A PHYSICIAN PRACTICE HAS ALLOWED US TO SET UP A PROVIDER BASED RURAL HEALTH CLINIC TO PROVIDE HEALTHCARE SERVICES TO OUR RURAL COMMUNITY. WE ALSO PURCHASED THE BUILDING THAT WE WERE LEASING FOR ACQUIRED PHYSICIAN PRACTICE AND THE SAVINGS IN THAT HELPED PROVIDE UPGRADES FOR PATIENT CARE. WE HAD PURCHASED A MODULAR BUILDING THAT WAS BEING USED FOR ADMIN PERSONNEL AND NOW BE USED TO HOUSE ALL PHYSICAL THERAPY SERVICES. THIS WILL PROVIDE PATIENTS A CENTRALIZED LOCATION FOR PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY. ULTRA MIST EQUIPMENT AND GENERATOR WERE PURCHASED FOR OUR WOUND CARE DEPARTMENT. 32159883 true true 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 9 0 true 238 true false false false false false false false false false false false false X 7 7 false true false false false false false true true false false false true true true true true true true false X ALMA MELENDEZ 8308762424 704 HOSPITAL DRIVE CARRIZO SPRINGS TX 78834 ALFREDO CASTANEDA CHAIRMAN 0.3 0.0 X X 335 0 0 CLEO BUSTAMANTE JR Vice-Chairman START: 10/22 0.3 0.0 X X 335 0 0 MARY A VALDEZ SECRETARY 0.3 0.0 X X 335 0 0 BRUCE E LEONARD JR DIRECTOR START: 10/22 0.3 0.0 X 335 0 0 ELIA RAMIREZ DIRECTOR 0.3 0.0 X 335 0 0 JEANIE FRAZIER DIRECTOR 0.3 0.0 X 335 0 0 JOHNNY ESTRADA DIRECTOR 0.3 0.0 X 335 0 0 Alma Melendez CFO 40.0 0.0 X 106254 0 13275 ANDRES DURAN CEO START: 8/2023 40.0 X 0 0 0 CARMEN ESQUIVEL CNO 40.0 0.0 X 122489 0 12412 John Graves CEO END: 6/2023 40.0 X 0 0 0 MELISSA WILSON COO 40.0 0.0 X 137340 0 6675 ALFONSO LUEVANO M.D. 40.0 0.0 X 138293 0 9482 David M Peterson Physician Assistant 40.0 0.0 X 140604 0 15395 GABRIELLA MARTINEZ PHYSICAL THERAPIST 40.0 0.0 X 131020 0 6637 MICHELLE GRACE NURSE PRACTIONER 40.0 0.0 X 211372 0 16877 RICHARD PHAM M.D 40.0 0.0 X 441597 0 24440 1431314 0 105193 11 false true false SOUTHWEST MEDICAL ASSOCIATES 638 E MARKET PO BOX 2168 ROCKPORT TX 78381 24HR ER COVER/HOSPIT 2002277 SIGNATURE PERFORMANCE 10250 REGENCY CIRCLE STE 500 OMAHA NE 68114 BILLING & CODING SVC 1227595 TAB ANESTHESIA 9 BUENA VISTA CIRCLE UVALDE TX 78801 ANESTHESIA SERVICES 631254 METHODIST HEALTHCARE SYSTEM 8109 FREDICKSBURG RD SAN ANTONIO TX 78229 HOSPITAL ADMIN/MANAG 346199 LEONE REHAB RESOURCES LLC 385 CHARON POINT SPRING BRANCH TX 78070 PHYSICAL THERAPY SVC 244811 8 4364315 527 4364842 NET PATIENT REVENUE 621110 34253473 34253473 CLINIC RENT 531390 68705 68705 0 0 0 0 34322178 48559 48559 0 0 0 0 MISCELLANEOUS REVENUE 900099 148677 148677 DIETARY MEALS 722210 65382 65382 Gain on Lease Termination 525990 33489 33489 5441 5441 0 0 252989 38988568 34541678 0 82048 X 400790 400790 11180451 9728060 1452391 447446 353945 93501 2057530 1549058 508472 823803 695561 128242 251747 251747 22162 22162 178563 178563 6842072 6401145 440927 0 142785 889 141896 747953 191614 556339 230039 172529 57510 625167 443374 181793 176492 123120 53372 182228 24170 158058 1441943 1081457 360486 377846 377846 BAD DEBT EXPENSE 8493343 8493343 MEDICAL SUPPLIES 2464540 2464540 DUES AND SUBSCRIPTIONS 147894 59232 88662 0 0 0 0 37234794 32159883 5074911 0 3695137 4125025 54508 0 2920966 2794920 0 0 0 0 165064 162891 222127 798763 12361200 6490113 5550317 5871087 0 0 300275 180155 5945524 5424935 18853918 19357776 1662317 1463512 0 0 789115 1388658 5210834 3560180 7662266 6412350 X 11191652 12945426 11191652 12945426 18853918 19357776 1753774 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4448 4448 false Schedule C, Part II-B, Line 1i OTHER ACTIVITES HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. 29800 29800 4211164 770261 3440903 7891102 5719852 2171250 229134 229134 5871087 Other Asset 168384 Est Amounts Due From Third parties 1871301 Lease Asset 3382518 Due from District 2732 5424935 Est Amounts Due To Third Parties 264571 Estimated Self Insurance 213138 Lease Liabilities 3082471 3560180 30312997 -8675571 -8675571 38988568 0 0 38988568 28559223 0 0 28559223 8675571 8675571 37234794 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 Interest Expense - -182228 Bad Debt Expense - -8493343 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Interest Expense - 182228 Bad Debt Expense - 8493343 true true X true X true X true true true false true true 2114376 2114376 0.0736 6715066 6024359 690707 0.0240 0 0.0 0 0 8829442 6024359 2805083 0.0976 0 0.0 74254 74254 0.0026 0 0.0 0 0.0 0 0.0 0 0 74254 0 74254 0.0026 0 0 8903696 6024359 2879337 0.1002 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 false 8493343 3268115 4091556 -823441 X true true 1 1 DIMMIT REGIONAL HOSPITAL 704 HOSPITAL DRIVE CARRIZO SPRINGS TX 78834 WWW.DIMMITREGIONALHOSPITAL.COM 100175 X X X X DIMMIT REGIONAL HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X WWW.DIMMITREGIONALHOSPITAL.COM/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NE EDS_ASSESSMENT&SUB=COMMUNITY X true 21 true WWW.DIMMITREGIONALHOSPITAL.COM/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NE EDS_ASSESSMENT&SUB=COMMUNITY false true X 200.0 300.0 X X X X true true X X X true X HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/DOCS/FINANCIAL_ASSISTANCE_POLICY.8.2023.PDF X HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/DOCS/FINANCIAL_ASSISTANCE_program_application%20(1).pdf X HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/DOCS/FINANCIAL_ASSISTANCE_PLAIN_LAN GUAGE_SUMMARY.PDF X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - DIMMIT REGIONAL HOSPITAL. THE ORGANIZATION CONDUCTED INTERVIEWS IN ELEVEN FORMAL FOCUS GROUPS WITH COMMUNITY HEALTH PROFESSIONALS, COUNTY/CITY GOVERNMENTAL OFFICIALS, EDUCATORS, AND GENERAL BUSINESS LEADERS, PUBLIC CITIZENS, AND COMMUNITY NON-PROFITS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - DIMMIT REGIONAL HOSPITAL. THE CURRENT IMPLEMENTATION STRATEGY COVERS THE 2022 FISCAL YEAR. HOWEVER, THE MAJOR PRIORITIES IDENTIFIED IN THE 2014, 2016, 2019 AND THE RECENT 2022 ASSESSMENTS ARE NOT SIGNIFICANTLY DIFFERENT. THIS DOES NOT MEAN THAT THERE HAS NOT BEEN PROGRESS MADE BUT SIMPLY SHOWS THE SAME ISSUES ARE STILL CONSIDERED TO BE IMPORTANT BY THE COMMUNITY, AND THE HOSPITAL'S FOCUS SHOULD CONTINUE TO BE ON THOSE ISSUES. THE NEXT IMPLEMENTATION PLAN WILL ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE MOST RECENT CHNA: 1. AFFORDABLE HEALTHCARE: MANY PARTICIPANTS IN THE FOCUS GROUPS STATED THAT DUE TO THE LACK OF INSURANCE OR NOT HAVING ADEQUATE INSURANCE, SOME RESIDENTS DELAYED IN SEEKING MEDICAL CARE FOR CHRONIC DISEASES AND OTHER HEALTH ISSUES BECAUSE THEY CANNOT AFFORD THE CARE. HOSPITAL LEADERSHIP IS INVESTIGATING EVERY POSSIBLE AVENUE TO CONTINUE TO OFFER CASH DISCOUNTS, SLIDING SCALES AND EVEN OFFER BOUTIQUE PAYMENT PLANS TO OFFER CITIZENS EVERY POSSIBLE ALTERNATIVE FOR PAYMENT OF HOSPITAL SERVICE. 2. CHRONIC DISEASES AND HEALTHY LIVING: THERE IS A CONCERN IN THE COMMUNITY FOR ADDRESSING CHRONIC DISEASES IN CARRIZO SPRINGS, INCLUDING DIABETES, HEART DISEASE, CANCER, HYPERTENSION AND MENTAL HEALTH. DRH WILL LOOK INTO PARTNERING WITH OTHER AGENCIES TO CONTINUE TO OFFER SEVERAL HEALTH FAIRS AND HEALTH SCREENINGS THROUGHOUT THE YEAR AS WELL AS EDUCATION PRESENTATIONS IN A REGIONAL AGENCY WIDE EDUCATIONAL FORUM. 3. MENTAL HEALTH NEEDS: ALL FOCUS GROUP PARTICIPANTS MENTIONED THE ISSUES OF MENTAL HEALTH CONCERNS WITHIN THE COMMUNITY. WHILE THIS A MAJOR HEALTH ISSUE FACING ALL COMMUNITIES AND TOP NUMBER ONE HEALTH ISSUE AMONG TEXANS, IT IS BEYOND THE HOSPITAL'S CURRENT RESOURCES OR CAPABILITIES. THE HOSPITAL MAY LOOK TO PARTNER WITH OTHER ORGANIZATIONS TO HELP ADDRESS THIS NEED IN THE FUTURE. 4. ALCOHOL AND SUBSTANCE ABUSE: PARTICIPANTS OF DIMMIT COUNTY FELT THAT THERE IS AN ALCOHOL AND SUBSTANCE ABUSE PROBLEM SIMILAR TO OTHER COMMUNITIES. FOCUS GROUPS MENTIONED THE NEED FOR EDUCATION ABOUT ALCOHOL AND DRUG ABUSE FOR ADULTS AND TEENS. THERE WAS A CONSENSUS THAT THE SCHOOL AND HOSPITAL SHOULD WORK CLOSELY ON CREATING A DRUG ABUSE SCHOOL PROGRAM THAT WOULD EDUCATE BOTH THE STUDENTS AND PARENTS OR SENIORS IN THE COMMUNITY ABOUT ALCOHOL AND DRUG ABUSE. 3 WOMENS IMAGING CLINIC 302 S 5TH ST CARRIZO SPRINGS TX 78839 IMAGING CLINIC DRH RURAL HEALTH CLINIC - CRYSTAL CITY 1313 N VETERANS BLVD SUITE A CRYSTAL CITY TX 78839 PHYSICIAN CLINIC DRH RURAL HEALTH CLINIC - CARRIZO SPRING 504 HOSPITAL DRIVE STE B CARRIZO SPRINGS TX 78834 PHYSICIAN CLINIC Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM N/A Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - MEDICAL INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS - RESIDENCY Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $8,493,343. Schedule H, Part I, Line 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION COST ON IRS WORKSHEETS 1 AND 3. COSTS COMPUTED ON WORKSHEET 5 WERE COMPUTED USING STATE SUPPLEMENTAL COST REPORTS. Schedule H, Part V, Section B, Line 18 BILLING AND COLLECTIONS NEITHER DIMMIT REGIONAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY DIMMIT REGIONAL HOSPITAL, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount WHEN A PATIENT COMES IN THEIR ACCOUNT IS SET UP WITH A COLLECTION CODE. THERE ARE 4 BILLING CYCLES WHERE FOUR STATEMENTS ARE SENT TO THE PATIENT AND THEN A COLLECTION LETTER IS SENT BASED ON THE COLLECTION CODE. ACCOUNTS ARE THEN REVIEWED AFTER THE SYSTEM FLAGS THEM BASED ON THE COLLECTION CODE BEFORE THE ACCOUNTS ARE WRITTEN OFF TO BAD DEBT. THE AMOUNT ON LINE 2 IS BASED ON THIS INTERNAL METHODOLOGY. 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL HAS AMENDED THEIR COLLECTIONS POLICY TO INCLUDE THE PRACTICES TO BE FOLLOWED FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ONLY COLLECTIONS NEEDED ARE THE CO INSURANCE AND DEDUCTIBLE AMOUNT. ALL OTHER COLLECTIONS WILL CEASE. THIS POLICY IS ON THE WEBSITE ALONG WITH THE OTHER FINANCIAL ASSISTANCE DOCUMENTS. Schedule H, Part V, Section B, Line 16a FAP website - DIMMIT REGIONAL HOSPITAL: Line 16a URL: HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/DOCS/FINANCIAL_ASSISTANCE_POLICY.8.2023.PDF; Schedule H, Part V, Section B, Line 16b FAP Application website - DIMMIT REGIONAL HOSPITAL: Line 16b URL: HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/DOCS/FINANCIAL_ASSISTANCE_program_application%20(1).pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - DIMMIT REGIONAL HOSPITAL: Line 16c URL: HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/DOCS/FINANCIAL_ASSISTANCE_PLAIN_LAN GUAGE_SUMMARY.PDF; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL HAS A COMMITTEE STAFFED BY EMPLOYEES RESPONSIBLE FOR REACHING OUT AND MEETING WITH COMMUNITY MEMBERS ON REGULAR BASIS. THESE MEETINGS ARE USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS GIVEN TO ALL PATIENTS. CHARITY CARE APPLICATIONS ARE GIVEN TO E.R. PATIENTS THAT ARE SELF PAY. A LETTER IS MAILED WITH A CHARITY CARE APPLICATION TO THESE PATIENTS. FOLLOW-UP CALLS ARE THEN MADE TO THE PATIENTS RECEIVING APPLICATIONS TO EXPLAIN AND ASK IF THEY NEED HELP IN COMPLETING THEM. AT REGISTRATION OR ADMISSION, CHARITY CARE APPLICATIONS ARE GIVEN TO INPATIENTS AND OUTPATIENTS THAT ARE SELF PAY. WE ALSO HAVE AN HFAP COORDINATOR, MONDAY THRU FRIDAY, 8AM TO 5PM, THAT WILL TALK TO THESE PATIENTS AND EXPLAIN WHAT ASSISTANCE WE HAVE AVAILABLE. IF AN APPLICATION IS REQUESTED AT A LATER DATE, IT IS SENT TO THE PATIENT. Schedule H, Part VI, Line 4 Community information DIMMIT COUNTY ESTIMATED POPULATION IS 8,615 WITH A TOTAL SERVICE AREA OF 12,542 PEOPLE. THE GENDER COMPOSITION IS 49.30% MALE AND 50.70% FEMALE. THE POVERTY RATE IS 25.70% AND THE MEDIAN INCOME PER HOUSEHOLD IS $25,000. Schedule H, Part VI, Line 5 Promotion of community health A SPECIALTY CLINIC WAS STARTED AND CURRENTLY SERVICES PODIATRY, DENTAL SERVICES AND CARDIOLOGY. DIMMIT REGIONAL HOSPITAL HAS RECRUITED AN ORTHOPEDIC SURGEON AND RECRUITING AN ENT AND ONCOLOGY. THIS WILL HELP ALLEVIATE FINANCIAL STRAIN FOR PATIENTS WHO NEED SPECIALTY CARE AND HAVE TO TRAVEL TO OBTAIN IT. EDUCATION PROGRAMS ARE ALSO PROVIDED TO PROMOTE HEALTHCARE HABITS. ADDITIONALLY, HEALTH FAIRS ARE ALSO HELD. DRH ALSO HAS A TELEMEDICINE PROJECT WITH METHODIST HOSPITAL IN SAN ANTONIO TO PROVIDE STROKE ALERT SERVICES IN THE EMERGENCY ROOM. A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO FIND OUT WHAT ARE THE COMMUNITY'S HEALTH PRIORITY CONCERNS. THE HOSPITAL HAS BEEN DESIGNATED AS A RURAL HEALTH CLINIC. DRH HAS ALSO EMPLOYED A GENERAL SURGEON, WHO IS SHARED WITH FRIO REGIONAL HOSPITAL. X X X false false false false false false false false false RICHARD PHAM M.D 315971 0 125626 0 0 0 16559 0 7881 0 466037 0 0 0 MICHELLE GRACE NURSE PRACTIONER 211022 0 350 0 0 0 8996 0 7881 0 228249 0 0 0 David M Peterson Physician Assistant 140254 0 350 0 0 0 7514 0 7881 0 155999 0 0 0 Form 990, Part VI, Line 3 Delegation of management duties THE HOSPITAL ENTERED INTO A MANAGEMENT AGREEMENT WITH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP (METHODIST) TO DEVELOP AND MAINTAIN CREDIBLE MANAGEMENT AND ADMINISTRATIVE LEADERSHIP PERSONNEL ON-SITE FOR THE HOPSITAL SUBJECT TO THE DIRECTION OF THE BOARD OF DIRECTORS. THE RENEWED AGREEMENT BECAME EFFECTIVE JULY 1, 2022 FOR A TERM OF TWO YEARS. THE HOSPITAL PAYS AN ANNUAL FEE OF $79,000, AND REIMBURSES METHODIST FOR THE SALARY AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER, AS WELL AS OTHER REASONABLE EXPENSES DURING THE TERM OF THE AGREEMENT. PER IRS GUIDANCE, THE COMPENSATION PAID BY THE MANAGEMENT COMPANY IS NOT SHOWN ON FORM 990, PART VII, FOR THE 2022 CALENDAR YEAR FOR THE FOLLOWING INDIVIDUALS: JOHN A. GRAVES $244,065 Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF THE FINANCIAL STATEMENTS. AN OFFICER REVIEWS THE RETURN PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy EACH DIRECTOR, PRINCIPAL OFFICER, BOARD COMMITTEE MEMBER AND HIGHEST COMPENSATED EMPLOYEE ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT THEY AGREE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. WHEN A POSSIBLE CONFLICT OF INTEREST ARISES, THE DIRECTOR OR OFFICER MUST DISCLOSE THE INTEREST AND RELATED FACTS. THE PERSON MUST LEAVE THE MEETING AND THE REST OF THE BOARD MUST DECIDE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DECIDED THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON IS NOT ALLOWED TO PARTICIPATE IN DISCUSSION OR VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVED. Form 990, Part VI, Line 15a Process to establish compensation of top management official DIMMIT REGIONAL HOSPITAL IS UNDER A ADMINISTRATIVE SERVICES AGREEMENT FOR HOSPITAL ADMINISTRATIVE SERVICES. THE MANAGER IS METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD, LLP (METHODIST). THE CEO IS AN EMPLOYEE OF METHODIST. THE CEO IS EVALUATED ANNUALLY BY BOTH METHODIST AND THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION IS RECOMMENDED BY METHODIST AND APPROVED BY THE BOARD. THE MOST RECENT COMPENSATION REVIEW WAS October 25, 2023. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE CEO COMPLETES AN EVALUATION FORM FOR ALL OTHER OFFICERS AND MEETS WITH EACH INDIVIDUAL TO DISCUSS. THE SCORE OR POINTS ON THE EVALUATION DETERMINES THE PERCENTAGE OF ANY COMPENSATION ADJUSTMENTS. THE MOST RECENT REVIEW WAS CONDUCTED SEPTEMBER 2023 BY INTERIM CEO CARMEN ESQUIVEL. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL TRANSCRIPTS - Total Revenue: 5441, Related or Exempt Function Revenue: 5441, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees MEDICAL OUTSIDE SERVICES - Total Expense: 4893540, Program Service Expense: 4893540, Management and General Expenses: , Fundraising Expenses: ; MISC. CONTRACT SERVICES - Total Expense: 1616786, Program Service Expense: 1507605, Management and General Expenses: 109181, Fundraising Expenses: ; ADMIN CONTRACT SERVICES - Total Expense: 331746, Program Service Expense: , Management and General Expenses: 331746, Fundraising Expenses: ;