2026-08-17T10:02:52+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 14221 DALLAS PARKWAY SUITE 400 DALLAS TX 75254 990 2024-10-01 263091251 DIMMIT REGIONAL HOSPITAL DIMM 8308762424 PO BOX 1016 CARRIZO SPRINGS TX 78834 ANDRES DURAN CEO 8308762424 2026-08-17 true ANDREW J GRAY P01517705 9727028262 2026-08-17 2024 2025-03-06 01:10:19Z ANDRES DURAN PO BOX 1016 CARRIZO SPRINGS TX 78834 34626600 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 7 277 15 0 0 2797711 3890542 33722025 30440354 94223 63885 507934 231819 37121893 34626600 0 0 0 0 16164715 16444425 0 0 0 24755068 20195586 40919783 36640011 -3797890 -2013411 22447798 22487936 13300262 15353811 9147536 7134125 EXCELLENT CARE TO EACH PATIENT, NO EXCEPTIONS. false false 20912045 19445722 PROVIDED MEDICAL CARE TO RESIDENTS IN THE DIMMIT COUNTY AREA AND SURROUNDING COMMUNITIES, INCLUDING BUT NOT LIMITED TO 177 SURGERIES; 9,520 EMERGENCY ROOM VISITS; 1015 ADMISSIONS INCLUDING OBSERVATIONS AND 1,889 ACUTE AND SWING BED PATIENT DAYS. 5228012 6235986 THIS YEAR, OUR SPECIALTY CLINIC SIGNIFICANTLY EXPANDED THE SCOPE OF CARE AVAILABLE TO OUR COMMUNITY. WE INTRODUCED ORTHOPEDIC SERVICES, GIVING PATIENTS ACCESS TO EXPERT TREATMENT FOR JOINT, BONE, AND MUSCULOSKELETAL CONDITIONS WITHOUT NEEDING TO TRAVEL OUTSIDE THE AREA, REDUCING DELAYS IN CARE AND EASING THE FINANCIAL AND LOGISTICAL BURDEN ON PATIENTS SEEKING SPECIALIZED TREATMENT ELSEWHERE. WE ALSO ADDED GENERAL SURGERY SERVICES AND PROCEDURES, ALLOWING PATIENTS TO RECEIVE SURGICAL CARE CLOSER TO HOME IN A FAMILIAR SETTING, SUPPORTED BY OUR OWN CLINICAL TEAMS AND CONTINUITY OF CARE BEFORE AND AFTER THEIR PROCEDURES. TO FURTHER SUPPORT THESE EFFORTS, WE IMPLEMENTED A RANGE OF ANCILLARY SERVICES DESIGNED TO IMPROVE EFFICIENCY AND QUALITY OF CARE ACROSS THE BOARD. OUR FAST TRACK SERVICES HELP REDUCE OVERFLOW IN THE EMERGENCY DEPARTMENT BY DIRECTING LOWER-ACUITY CASES TO A QUICKER, MORE APPROPRIATE LEVEL OF CARE, SHORTENING WAIT TIMES FOR ALL PATIENTS AND ALLOWING ED STAFF TO FOCUS ON HIGHER-ACUITY NEEDS. WE INCREASED OUR UTILIZATION OF SWINGBED SERVICES, GIVING PATIENTS RECOVERING FROM ILLNESS OR SURGERY THE OPPORTUNITY TO CONTINUE THEIR RECOVERY LOCALLY, CLOSE TO FAMILY AND SUPPORT SYSTEMS, RATHER THAN BEING TRANSFERRED TO A DISTANT FACILITY. FINALLY, WE ADVANCED OUR CERNER COMMUNITY WORKS INITIATIVES BY LEVERAGING AI-DRIVEN TOOLS FOR PATIENT CHARTING, IMPROVING THE ACCURACY AND SPEED OF DOCUMENTATION, WHICH IN TURN SUPPORTS BETTER CARE COORDINATION, REDUCES ADMINISTRATIVE BURDEN ON PROVIDERS, AND ULTIMATELY ALLOWS CLINICAL STAFF TO SPEND MORE TIME FOCUSED ON PATIENT CARE. 2375137 4990465 WE CONTINUE TO STRIVE TO LIVE OUT OUR MISSION STATEMENT BY PROVIDING EXCELLENT CARE TO EACH PATIENT, NO EXCEPTIONS. THIS IS DONE THROUGH ENSURING OUR STAFF IS EQUIPPED WITH ALL THE NECESSARY TOOLS, EDUCATION, AND RESOURCES TO EXCEL IN THEIR ROLES. THERE WAS A YEAR-OVER-YEAR INCREASE ED VOLUMES, LEADING TO INCREMENTAL EXPENDITURES AND STAFFING FOR THAT DEPARTMENT, ALONG WITH DOWNSTREAM VOLUME INCREASES IN LABORATORY AND RADIOLOGY SERVICES. BY ADDING RESOURCES TO THESE ANCILLARY DEPARTMENTS, IT LED US TO BE MORE EFFICIENT IN ED THROUGHPUT. SOME OF THE MAJOR PURCHASES FOR THE 2025 FISCAL YEAR INCLUDED OUR NEW PATIENT AND STAFF SAFETY INITIATIVES SUCH AS CAMERAS AND CLOUD SERVICES FOR VISUAL BACKUP, ALIGNED WITH WORKPLACE VIOLENCE PROTOCOLS. OTHER INVESTMENTS INCLUDED A NEW OR AIR HANDLER UNIT, ENSURING PATIENT SAFETY (INFECTION PREVENTION) AND COMFORT. WE ALSO SIGNED AN AGREEMENT WITH DMS FOR ONSITE MRI SERVICES THROUGH A MOBILE UNIT, ALIGNING WITH OUR ORTHOPEDIC SERVICES. 28515194 true false false true false false false false false false true false false true true true 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 false false false true 22 0 true 277 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 false true true true true true true false false false X PAT SOLIS 8308762424 704 HOSPITAL DRIVE CARRIZO SPRINGS TX 78834 ALFREDO CASTANEDA CHAIRMAN 0.1 0.0 X X 585 0 0 CLEO BUSTAMANTE JR VICE-CHAIRMAN 0.1 0.0 X X 585 0 0 MARY A VALDEZ SECRETARY 0.1 0.0 X X 585 0 0 BRUCE E LEONARD JR DIRECTOR 0.1 0.0 X 585 0 0 ELIA RAMIREZ DIRECTOR 0.1 0.0 X 585 0 0 JEANIE FRAZIER DIRECTOR 0.1 0.0 X 585 0 0 JOHNNY ESTRADA DIRECTOR 0.1 0.0 X 585 0 0 ALMA MELENDEZ CFO (END: 01/25) 40.0 0.0 X 118158 0 16501 ANDRES DURAN CEO 40.0 0.0 X 0 0 0 CARMEN ESQUIVEL CNO 40.0 0.0 X 136200 0 24279 PAT SOLIS CFO (START: 04/25) 40.0 0.0 X 0 0 0 DAVID M PETERSON PHYSICIAN ASSISTANT 40.0 0.0 X 211611 0 37272 MADIA RODRIGUEZ-MORALES NURSE PRACTITIONER 40.0 0.0 X 164774 0 19960 MICHELLE GRACE NURSE PRACTITIONER 40.0 0.0 X 245839 0 19400 RICHARD PHAM PHYSICIAN 40.0 0.0 X 207745 0 9330 ROBERT MENA PHYSICIAN 40.0 0.0 X 318391 0 17282 1406813 0 144024 13 false true false TAB ANESTHESIA 9 BUENA VISTA CIRCLE UVALDE TX 78801 ANESTHESIA SERVICES 465325 METHODIST HEALTHCARE SYSTEM 8109 FREDICKSBURG RD SAN ANTONIO TX 78229 HOSPITAL ADMIN/MANAG 359312 FRIO REGIONAL HOSPITAL 200 N I 35 PEARSALL TX 78061 24HR ER COVER/HOSPIT 328222 MCKESSON MEDICAL SURGICAL 4250 PATRIOT DR STE 100 GRAPEVINE TX 76051 MEDICAL EQUIPMENT SUPPLIER 317243 GRASSHOPPER ANESTHESIA SERVICES PLLC 3610 N UNIVERSITY DR NACOGDOHES TX 75965 ANESTHESIA SERVICES 229122 17 3890542 3890542 NET PATIENT REVENUE 621110 30265098 30265098 CLINIC RENT 531390 100087 100087 DIETARY MEALS 722210 68991 68991 MEDICAL TRANSCRIPTS 561000 6178 6178 0 0 0 0 30440354 63885 63885 0 0 0 0 MISCELLANEOUS REVENUE 900099 231819 231819 0 0 0 0 231819 34626600 30672173 0 63885 X 0 0 299233 299233 12705438 9722918 2982520 533174 414674 118500 1982474 1502648 479826 924106 693080 231026 266000 266000 37706 37706 202787 202787 7225544 5618658 1606886 0 135738 101803 33935 884841 523088 361753 285431 214073 71358 990708 580115 410593 127509 95632 31877 3825 3825 382441 47373 335068 2384406 1788304 596102 442881 442881 BAD DEBT EXPENSE 4542357 4542357 MEDICAL SUPPLIES 2060125 2060125 DUES AND SUBSCRIPTIONS 223287 167465 55822 0 0 0 0 36640011 28515194 8124817 0 2536414 4458713 1016581 0 3063980 2170551 0 0 0 0 176033 354972 281954 452370 13518391 8163280 5429487 5355111 0 0 60035 0 9883314 9696219 22447798 22487936 1963109 4513362 0 250981 0 0 1208186 1028602 10128967 9560866 13300262 15353811 X 9147536 7134125 9147536 7134125 22447798 22487936 -2013411 0 X false true true false X false false false false false false false false true 7952 7952 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 4774886 1253641 3521245 8707649 6909639 1798010 6056 6056 5355111 THIE INVESTMENT 162204 EST AMOUNTS DUE FROM THIRD PARTIES 599773 LEASE ASSETS 3061912 DUE FROM DISTRICT 197901 SUBSCRIPTION ASSETS 5674429 9696219 FEDERAL INCOME TAXES EST AMOUNTS DUE TO THIRD PARTIES 1144355 ESTIMATED SELF INSURANCE 360885 LEASE LIABILITIES 2956305 SUBSCRIPTION LIABILITIES 5099321 9560866 X 29701802 -4924798 -4924798 34626600 0 0 34626600 31715213 0 0 31715213 4924798 4924798 36640011 SCHEDULE D, PART X, LINE 2 FIN 48 (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 - -382441 BAD DEBT EXPENSE - -4542357 SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS INTEREST EXPENSE - 382441 BAD DEBT EXPENSE - 4542357 true true X true X true X true true true false true true 2018427 2018427 0.06288 3586642 6271512 0 0.0 0 0.0 0 0 5605069 6271512 2018427 0.06288 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 5605069 6271512 2018427 0.06288 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 4542357 3155412 3725826 -570414 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 24 true false false true X https://www.dimmitregionalhospital.com/getpage.php?name=Community_Health_Needs_Assessment X true 24 true https://www.dimmitregionalhospital.com/getpage.php?name=Strategic_Plan false true X 200.0 300.0 X X X X true true X X X true X https://www.dimmitregionalhospital.com/?sub=Home X https://www.dimmitregionalhospital.com/?sub=Home X https://www.dimmitregionalhospital.com/?sub=Home X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E 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 $4,542,357. 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 I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 4542357 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 DIMMIT REGIONAL HOSPITAL 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/?SUB=HOME; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - DIMMIT REGIONAL HOSPITAL: LINE 16B URL: HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/?SUB=HOME; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - DIMMIT REGIONAL HOSPITAL: LINE 16C URL: HTTPS://WWW.DIMMITREGIONALHOSPITAL.COM/?SUB=HOME; 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 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 135850 0 350 0 0 0 13751 0 10528 0 160479 0 0 0 RICHARD PHAM PHYSICIAN 136095 0 0 0 71650 0 5821 0 3509 0 217075 0 0 0 MICHELLE GRACE NURSE PRACTITIONER 245589 0 250 0 0 0 9934 0 9466 0 265239 0 0 0 DAVID M PETERSON PHYSICIAN ASSISTANT 211361 0 250 0 0 0 8688 0 28584 0 248883 0 0 0 MADIA RODRIGUEZ-MORALES NURSE PRACTITIONER 164524 0 250 0 0 0 8327 0 11633 0 184734 0 0 0 ROBERT MENA PHYSICIAN 247041 0 10250 0 61100 0 9539 0 7743 0 335673 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 HOSPITAL SUBJECT TO THE DIRECTION OF THE BOARD OF DIRECTORS. THE RENEWED AGREEMENT BECAME EFFECTIVE JULY 1, 2024 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 2024 CALENDAR YEAR FOR THE FOLLOWING INDIVIDUAL: ANDRES DURAN: $266,000 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 UTILIZING COMPARABILITY DATA. THE MOST RECENT COMPENSATION REVIEW WAS IN APRIL 2025. 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: 6449816, PROGRAM SERVICE EXPENSE: 5036862, MANAGEMENT AND GENERAL EXPENSES: 1412954, FUNDRAISING EXPENSES: ; OUTSIDE SERVICES - TOTAL EXPENSE: 395578, PROGRAM SERVICE EXPENSE: 296684, MANAGEMENT AND GENERAL EXPENSES: 98894, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 330048, PROGRAM SERVICE EXPENSE: 247536, MANAGEMENT AND GENERAL EXPENSES: 82512, FUNDRAISING EXPENSES: ; COLLECTION SERVICES - TOTAL EXPENSE: 17490, PROGRAM SERVICE EXPENSE: 13117, MANAGEMENT AND GENERAL EXPENSES: 4373, FUNDRAISING EXPENSES: ; PHYSICIAN RECRUITMENT - TOTAL EXPENSE: 32612, PROGRAM SERVICE EXPENSE: 24459, MANAGEMENT AND GENERAL EXPENSES: 8153, FUNDRAISING EXPENSES: ;