2025-08-15T14:42:44+00:00 2024-09-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-10-01 263091251 Dimmit Regional Hospital DIMM 8308762424 PO Box 1016 Carrizo Springs TX 78834 Pat Solis CFO 8308762424 2025-08-15 true Andrew Gray P01517705 9727028262 2025-08-15 2023 2025-03-06 01:10:19Z ANDRES DURAN PO BOX 1016 CARRIZO SPRINGS TX 78834 37121893 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 7 203 10 0 0 4364842 2797711 34322178 33722025 48559 94223 252989 507934 38988568 37121893 0 0 0 0 14910020 16164715 0 0 0 22324774 24755068 37234794 40919783 1753774 -3797890 19357776 22447798 6412350 13300262 12945426 9147536 EXCELLENT CARE TO EACH PATIENT, NO EXCEPTIONS. false false 24301846 0 21701308 PROVIDED MEDICAL CARE TO RESIDENTS IN THE DIMMIT COUNTY AREA, INCLUDING 300 OPERATIONS; 9,461 EMERGENCY ROOM VISITS; 575 OBSERVATIONS VISITS AND 2,123 PATIENT DAYS. 6075463 0 6959322 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. 2760142 0 5569329 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. 33137451 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 257 0 true 203 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 Pat Solis 8308762424 704 HOSPITAL DRIVE CARRIZO SPRINGS TX 78834 Alfredo Castaneda Chairman 0.1 0.0 X X 495 0 0 Cleo Bustamante Jr Vice-Chairman 0.1 0.0 X X 495 0 0 Mary A Valdez Secretary 0.1 0.0 X X 495 0 0 Bruce E Leonard Jr Director 0.1 0.0 X 495 0 0 Elia Ramirez Director 0.1 0.0 X 495 0 0 Jeanie Frazier Director 0.1 0.0 X 495 0 0 Johnny Estrada Director 0.1 0.0 X 495 0 0 Alma Melendez CFO 40.0 0.0 X 111029 0 13498 Andres Duran CEO 40.0 0.0 X 0 0 0 Carmen Esquivel CNO 40.0 0.0 X 131854 0 21011 Melissa Wilson COO 40.0 0.0 X 126029 0 6152 David M Peterson Physician Assistant 40.0 0.0 X 145810 0 24924 Gabriella Martinez Physical Therapist 40.0 0.0 X 142545 0 15094 Michelle Grace Nurse Practitioner 40.0 0.0 X 236773 0 17507 Richard Pham Physician 40.0 0.0 X 522246 0 24332 Veronica Luevano Nurse Practitioner 40.0 0.0 X 137768 0 27778 1557519 0 150296 10 false true false SOUTHWEST MEDICAL ASSOCIATES 638 E MARKET PO BOX 2168 ROCKPORT TX 78381 24HR ER COVER/HOSPIT 2448960 SIGNATURE PERFORMANCE 10250 REGENCY CIRCLE STE 500 OMAHA NE 68114 BILLING & CODING SVC 1310447 TAB ANESTHESIA 9 BUENA VISTA CIRCLE UVALDE TX 78801 ANESTHESIA SERVICES 625000 METHODIST HEALTHCARE SYSTEM 8109 FREDICKSBURG RD SAN ANTONIO TX 78229 HOSPITAL ADMIN/MANAG 343761 Avel Ecare 4500 North Lewis Ave Sioux Falls SD 57104 Telehealth Services 180993 8 2797179 532 2797711 NET PATIENT REVENUE 621110 33560015 33560015 CLINIC RENT 531390 93714 93714 Dietary Meals 722210 63240 63240 Medical Transcripts 561000 5056 5056 0 0 0 0 33722025 93648 93648 0 0 575 0 575 575 575 MISCELLANEOUS REVENUE 900099 507934 507934 0 0 0 0 507934 37121893 34229959 0 94223 X 0 0 413738 413738 12471066 9633107 2837959 687708 534455 153253 1672108 1265903 406205 920095 690071 230024 206897 206897 8915 8915 163675 163675 6882515 5317059 1565456 0 160267 120200 40067 2803783 2016775 787008 300179 225134 75045 664699 418959 245740 99419 74564 24855 4320 4320 205738 48241 157497 1620399 1215299 405100 468884 468884 BAD DEBT EXPENSE 10236331 10236331 MEDICAL SUPPLIES 830576 830576 DUES AND SUBSCRIPTIONS 98471 41893 56578 0 0 0 0 40919783 33137451 7782332 0 4125025 2536414 0 1016581 2794920 3063980 0 0 0 0 162891 176033 798763 281954 12726438 7296951 5871087 5429487 0 0 180155 60035 5424935 9883314 19357776 22447798 1463512 1963109 0 0 1388658 1208186 3560180 10128967 6412350 13300262 X 12945426 9147536 12945426 9147536 19357776 22447798 -3797890 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 7802 7802 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. 29800 29800 4436521 1021309 3415212 8108323 6275642 1832681 151794 151794 5429487 Other Assets 168384 Est Amounts Due From Third parties Lease Assets 3176730 Due from District 107181 Subscription Assets 6431019 9883314 Est Amounts Due To Third Parties 1281826 Estimated Self Insurance 219157 Lease Liabilities 2937793 Subscription Liabilities 5690191 10128967 26679824 -10442069 -10442069 37121893 0 0 37121893 30477714 0 0 30477714 10442069 10442069 40919783 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 - -205738 Bad Debt Expense - -10236331 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Interest Expense - 205738 Bad Debt Expense - 10236331 true true X true X true X true true true false true true 3565063 3565063 0.1162 3186541 5510813 0 0.0 0 0.0 0 0 6751604 5510813 3565063 0.1162 0 0.0 74254 74254 0.0024 0 0.0 0 0.0 0 0.0 0 0 74254 0 74254 0.0024 0 0 6825858 5510813 3639317 0.1186 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 10236331 2995445 3680792 -685347 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 X true 21 true www.dimmitregionalhospital.com false true X 200.0 300.0 X X X X true true X X X true X www.dimmitregionalhospital.com X www.dimmitregionalhospital.com X www.dimmitregionalhospital.com 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 2025 fiscal year. However, the major priorities identified in 2014, 2016, 2019, 2022 and the recent 2025 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 will address the following needs identified in the most recent Community Health Needs Analysis (CHNA): 1. Diabetes and Heart Disease were the two biggest chronic health needs cited by focus groups. These expressions are supported by public health data. a. The need for community education on chronic disease management was frequently expressed. Public classes teaching nutrition, lifestyle and behavioral adjustments were recommended. DRH dietician offered support in providing nutrition education within the community b. Community health fairs providing outreach, education, awareness of services, and networking 2. Opportunities to coordinate education and health services with school campuses were discussed. a. Potential to favorably impact other teen and social health issues b. Potential to reduce absenteeism for students and teachers c. Compare Hospital CHNA with ISD SHAC for common goals 3. Texas A&M AgriLife expressed common interests and offered collaborative support in providing community education on nutrition and other family life services to improve health Ongoing Efforts: DRH efforts to integrate chronic disease education and behavioral management into primary care are being made within available resources and staffing 4. Shortage of local regional mental health counseling services. Lack of interventional services available for substance abuse, rehabilitation, and recovery. Limited use of telehealth services. Many of the contributing issues leading to mental health and substance abuse are closely tied to social and environmental issues cited above. Focused efforts and resources are needed to address these needs while simultaneously integrated with wider efforts to curb social and environmental factors contributing to this problem. Local resources have been identified include: a. South Texas Rural Health Clinic i. 1 Licensed Professional Counselor ii. 1 Chemical Dependency Counselor (CDC) Mental health was cited by each focus group as a prevalent health issue confronting both Dimmit and Zavala Counties. It's also widely considered the number one health issue throughout the State of Texas. Mental health often is a root cause that can be a domino effect that can lead to other primary illnesses, diseases, and disorders. 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 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 $10,236,331. 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: www.dimmitregionalhospital.com; Schedule H, Part V, Section B, Line 16b FAP Application website - DIMMIT REGIONAL HOSPITAL: Line 16b URL: www.dimmitregionalhospital.com; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - DIMMIT REGIONAL HOSPITAL: Line 16c URL: www.dimmitregionalhospital.com; 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's estimated population is 8,613 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 $33,409. Schedule H, Part VI, Line 5 Promotion of community health A specialty clinic houses and services Dental, Orthopedic, General Surgery, and Cardiology. Dimmit Regional Hospital continues to recruit Primary Care, ENT, and a full-time General Surgeon. This will help alleviate financial strain for patients needing these services and they must travel outside the area for them. Education is also provided to help promote healthy lifestyle changes that can improve overall quality of life for the community. These include health fairs, seminars, and community outreach. Schedule H, Part VI, Line 7 State filing of community benefit report TX X X X false false false false false false false false false Carmen Esquivel CNO 131504 0 350 0 0 0 13130 0 7881 0 152865 0 0 0 Richard Pham Physician 440146 0 550 0 81550 0 16451 0 7881 0 546578 0 0 0 Michelle Grace Nurse Practitioner 236523 0 250 0 0 0 9626 0 7881 0 254280 0 0 0 David M Peterson Physician Assistant 145560 0 250 0 0 0 7765 0 17159 0 170734 0 0 0 Veronica Luevano Nurse Practitioner 137518 0 250 0 0 0 7127 0 20651 0 165546 0 0 0 Gabriella Martinez Physical Therapist 142195 0 350 0 0 0 7213 0 7881 0 157639 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 2023 CALENDAR YEAR FOR THE FOLLOWING INDIVIDUAL: Andres Duran $65,624 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 in April 2024. 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 April 2024. 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 IX, Line 11g Other Fees Contract Services - Total Expense: 2390912, Program Service Expense: 1793184, Management and General Expenses: 597728, Fundraising Expenses: ; Outside Services - Total Expense: 422195, Program Service Expense: 316646, Management and General Expenses: 105549, Fundraising Expenses: ; Contract Labor - Total Expense: 4011098, Program Service Expense: 3163496, Management and General Expenses: 847602, Fundraising Expenses: ; Collection Services - Total Expense: 15663, Program Service Expense: 11747, Management and General Expenses: 3916, Fundraising Expenses: ; Physician Recruitment - Total Expense: 42647, Program Service Expense: 31986, Management and General Expenses: 10661, Fundraising Expenses: ;