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FRIO HOSPITAL ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FRIO HOSPITAL ASSOCIATION (EIN 74-1461220)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202203189349313925
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T14:44:27-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PARKWAY SUITE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN741461220EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Frio Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL RUFFInCareOfNm
Business Name ControlFRIOBusinessNameControlTxt
Phone8303343617PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 S IH 35AddressLine1Txt
CityPearsallCityNm
State AbbreviationTXStateAbbreviationCd
ZIP780616601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL RUFFPersonNm
Person TitleCFOPersonTitleTxt
Phone8303343617PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJohnPersonFirstNm
Person LastHughsonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FRIO REGIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOHN HUGHSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 S IH 35AddressLine1Txt
CityPEARSALLCityNm
State AbbreviationTXStateAbbreviationCd
ZIP780616601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,424,724GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FRIOREGIONALHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY AND AFFORDABLE HEALTHCARE SERVICES TO THE CITIZENS OF PEARSALL AND THE SURROUNDING COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee233TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,610,566PYContributionsGrantsAmt
CY Contributions Grants$3,509,085CYContributionsGrantsAmt
PY Program Service Revenue$23,677,232PYProgramServiceRevenueAmt
CY Program Service Revenue$25,772,319CYProgramServiceRevenueAmt
PY Investment Income$134,430PYInvestmentIncomeAmt
CY Investment Income$54,633CYInvestmentIncomeAmt
PY Other Revenue$91,439PYOtherRevenueAmt
CY Other Revenue$88,687CYOtherRevenueAmt
PY Total Revenue$26,513,667PYTotalRevenueAmt
CY Total Revenue$29,424,724CYTotalRevenueAmt
PY Grants And Similar Paid$5,376PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,893CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,733,542PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,441,265CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,730,198PYOtherExpensesAmt
CY Other Expenses$18,491,024CYOtherExpensesAmt
PY Total Expenses$25,469,116PYTotalExpensesAmt
CY Total Expenses$29,939,182CYTotalExpensesAmt
PY Revenues Less Expenses$1,044,551PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$514,458CYRevenuesLessExpensesAmt
Total Assets BOY$23,635,203TotalAssetsBOYAmt
Total Assets EOY$21,784,802TotalAssetsEOYAmt
Total Liabilities BOY$5,540,757TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,204,814TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,094,446NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,579,988NetAssetsOrFundBalancesEOYAmt
MissionIMPROVING THE QUALITY OF LIFE IN OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE WITH COMPASSION AND RESPECT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,236,834ExpenseAmt
Grant$6,893GrantAmt
Revenue$25,777,913RevenueAmt
DescFRIO 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 608(3,209 PATIENT DAYS); 10,645 EMERGENCY ROOM VISITS; 88 DELIVERIES; 149 SURGERIES; AND 9,320 OUTPATIENT VISITS (INCLUDING RADIOLOGY).Desc
Total Program Service Expenses$26,236,834TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document152IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee233EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL RUFFPersonNm
Phone8303343617PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 S IH 35AddressLine1Txt
CityPEARSALLCityNm
State AbbreviationTXStateAbbreviationCd
ZIP780616601ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
SAMER ARAB
PHYSICIAN40.00.0Yes (X)$635,448$0$36,030
ELVA A CAMERO
PHYSICIAN40.00.0Yes (X)$318,560$0$24,616
HAROLD J CAMPBELL
PHYSICIAN START: 7/2140.00.0Yes (X)$182,196$0$21,460
SONIA RAMIREZ
DIRECTOR/SPEECH PATHOLOGY42.40.0Yes (X)$131,416$0$25,509
Cassandra M Dubose
VP NURSING & CLINICAL SERVICES40.00.0Yes (X)$123,415$0$31,045
CLAYTON NEAL
DIRECTOR0.330.0$0$0$0Yes (X)
FRANKIE PETTY
DIRECTOR END: 5/210.330.0$0$0$0Yes (X)
JIM GATES
SECRETARY0.330.0$0$0$0Yes (X)Yes (X)
JUANITA RENDON
DIRECTOR0.330.0$0$0$0Yes (X)
MELANIE RIGBY
DIRECTOR START: 6/210.330.0$0$0$0Yes (X)
MICHELLE BRYAN
DIRECTOR0.330.0$0$0$0Yes (X)
ROXANNE SHELTON
PRESIDENT0.450.0$0$0$0Yes (X)Yes (X)
TROY SHAW
VICE PRESIDENT0.450.0$0$0$0Yes (X)Yes (X)
JOHN HUGHSON
CEO40.00.0$0$0$0Yes (X)
MICHAEL RUFF
CFO START: 9/2140.00.0$0$0$0Yes (X)
THOMAS GRIMERT
CFO END: 4/2140.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,391,035TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$138,660TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
METHODIST HEALTHCARE SYSTEM
7922 EWING HALSELL STE 165SAN ANTONIOTX78229MANAGEMENT SERVICES$800,976
FAMILY MEDICINE CLINIC
151 MEDICAL DRPEARSALLTX78061MEDICAL SERVICES$737,979
CONCORD MEDICAL GROUP
1602 AVENUE QLUBBOCKTX79401MEDICAL SERVICES$665,614
ACCESS PHYSICIANS PLLC
PO BOX 670347DALLASTX75267MEDICAL SERVICES$432,433
AMERISOURCEBERGEN CORP
PO BOX 905223CHARLOTTENC28290MEDICAL SERVICES$694,594
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Government Grants$3,509,085GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$3,509,085TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621110$23,980,414$23,980,414
Medicaid Revenue900099$862,643$862,643
Other Operating Revenue621110$887,162$887,162
Clinic Rent531120$42,100$42,100
FieldValueIRS element (for citing)
Total Program Service Revenue$25,772,319TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,633TotalRevenueColumnAmt
Exclusion$54,633ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$25,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$25,800RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,800TotalRevenueColumnAmt
Exclusion$25,800ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722210$57,293$57,293
Medical Records561000$5,594$5,594
FieldValueIRS element (for citing)
Other Revenue Total$62,887OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,424,724TotalRevenueColumnAmt
Related Or Exempt Func Income$25,777,913RelatedOrExemptFuncIncomeAmt
Exclusion$137,726ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,893TotalAmt
Program Services$6,893ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,501,257TotalAmt
Program Services$8,188,807ProgramServicesAmt
Management And General$1,312,450ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$236,713TotalAmt
Program Services$204,015ProgramServicesAmt
Management And General$32,698ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$645,803TotalAmt
Program Services$556,595ProgramServicesAmt
Management And General$89,208ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,057,492TotalAmt
Program Services$1,016,915ProgramServicesAmt
Management And General$40,577ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$800,976TotalAmt
Program Services$698,185ProgramServicesAmt
Management And General$102,791ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$101,275TotalAmt
Program Services$730ProgramServicesAmt
Management And General$100,545ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,091TotalAmt
Management And General$43,091ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,577,413TotalAmt
Program Services$3,989,983ProgramServicesAmt
Management And General$587,430ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$151,297TotalAmt
Program Services$54,215ProgramServicesAmt
Management And General$97,082ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$313,324TotalAmt
Program Services$210,574ProgramServicesAmt
Management And General$102,750ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$535,486TotalAmt
Program Services$433,089ProgramServicesAmt
Management And General$102,397ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,351,341TotalAmt
Program Services$561,059ProgramServicesAmt
Management And General$790,282ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,251TotalAmt
Program Services$55,481ProgramServicesAmt
Management And General$12,770ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$388TotalAmt
Management And General$388ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$440,117TotalAmt
Program Services$355,957ProgramServicesAmt
Management And General$84,160ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$134,555TotalAmt
Program Services$29,308ProgramServicesAmt
Management And General$105,247ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Exp$7,544,878$7,544,878
Medical Supplies$2,081,389$2,081,389
FOOD EXPENSE$119,399$111,874$7,525
Repairs & Maintenance$109,978$109,978

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$117,866TotalAmt
Program Services$26,909ProgramServicesAmt
Management And General$90,957ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,939,182TotalAmt
Program Services$26,236,834ProgramServicesAmt
Management And General$3,702,348ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,995BOYAmt
EOY$9,995EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,418,146BOYAmt
EOY$13,363,067EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$138,762EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,258,308BOYAmt
EOY$2,826,844EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$401,896BOYAmt
EOY$692,954EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$400,319BOYAmt
EOY$325,354EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,863,847LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,858,301LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,516,887BOYAmt
EOY$3,005,546EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$629,652BOYAmt
EOY$1,422,280EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,635,203BOYAmt
EOY$21,784,802EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,755,448BOYAmt
EOY$1,924,596EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,785,309BOYAmt
EOY$2,280,218EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,540,757BOYAmt
EOY$4,204,814EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,094,446BOYAmt
EOY$17,579,988EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,094,446BOYAmt
EOY$17,579,988EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,635,203BOYAmt
EOY$21,784,802EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$514,458ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,300OtherActivitiesAmt
Total Lobbying Expenditures$1,300TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationOTHER LOBBYING ACTIVITIES: 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,922OtherCostOrOtherBasisAmt
Book Value$44,922BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,121,646OtherCostOrOtherBasisAmt
Depreciation$308,818DepreciationAmt
Book Value$812,828BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,059OtherCostOrOtherBasisAmt
Depreciation$10,424DepreciationAmt
Book Value$15,635BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,066,475OtherCostOrOtherBasisAmt
Depreciation$5,539,059DepreciationAmt
Book Value$1,527,416BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$604,745OtherCostOrOtherBasisAmt
Book Value$604,745BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,005,546TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Est Amount Due from 3rd Party$1,370,899
Other Receivables$51,381
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,422,280TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Est Self-Insurance Costs$140,560
Estimated amount due to third-party payers$2,039,658
PRF Received in Advance$100,000
FieldValueIRS element (for citing)
Total Liability$2,280,218TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$21,741,084TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$7,544,878OtherRevenueAmt
Revenue Not Reported-$7,544,878RevenueNotReportedAmt
Revenue Subtotal$29,285,962RevenueSubtotalAmt
Other Revenues Not Included$138,762OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$138,762RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$29,424,724TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,394,304TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$22,394,304ExpensesSubtotalAmt
Other Expenses Not Included$7,544,878OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,544,878ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$29,939,182TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2ASC 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 2DRECONCILIATION OF REVENUES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(7,544,878)
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $7,544,878
SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS FOR ACQUISITION OF PROPERTY AND EQUIPMENT $138,762

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,548,042TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,548,042NetCommunityBenefitExpnsAmt
Total Expense0.15840TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,782,030TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,733,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,880NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$219,089TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$268,015DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,549,161TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,001,165DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,596,922NetCommunityBenefitExpnsAmt
Total Expense0.16060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,893TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,893NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,893TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,893NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,556,054TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,001,165DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,603,815NetCommunityBenefitExpnsAmt
Total Expense0.16090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$7,544,878BadDebtExpenseAmt
Reimbursed By Medicare$3,993,343ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,979,517CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,013,826MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRIO REGIONAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 S IH 35AddressLine1Txt
CityPEARSALLCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78061ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.FRIOREGIONALHOSPITAL.COMWebsiteAddressTxt
State License000441StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FRIO REGIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5PERSONS WHO REPRESENT THE COMMUNITY: THE HOSPITAL DETERMINED THE NEEDS OF THE COMMUNITY THROUGH INPUT FROM THE NINE KEY STAKEHOLDER MEETINGS AND A COMMUNITY HEALTH SURVEY INCLUDING REPRESENTATIVES FROM FRIO REGIONAL HOSPITAL, SOCIAL SERVICE AGENCIES AND NON-PROFIT ORGANIZATIONS, PUBLIC HEALTH AGENCIES, OTHER MEDICAL PROVIDERS AND LOCAL ELECTED OFFICIALS. THESE ORGANIZATIONS INCLUDED: -FRIO HOSPITAL ASSOCIATION -FRIO HOSPITAL DISTRICT -WIC -FIRST UNITED METHODIST CHURCH -FRIO COUNTY COMMISSIONER'S COURT -FRIO COUNTY EXTENSION AGENT
SCHEDULE H, PART V, SECTION B, LINE 11NEEDS ADDRESSED AND NOT ADDRESSED: HEALTH NEEDS WERE IDENTIFIED BASED ON INFORMATION GATHERED AND ANALYZED THROUGH THE 2020 CHNA CONDUCTED BY THE HOSPITAL. THE HOSPITAL WAS ABLE TO USE THE INFORMATION COMPILED BY KEY STAKEHOLDER MEETINGS AND A COMMUNITY HEALTH SURVEY TO DEVELOP AND ADOPT THE IMPLEMENTATION STRATEGY. THE ASSESSMENT IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: 1. LACK OF HEALTH KNOWLEDGE/EDUCATION: 2. ADULT OBESITY: 3. LACK OF MENTAL HEALTH PROVIDERS/MENTAL HEALTH CONDITIONS: 4. LACK OF ACCESS TO PRIMARY CARE PHYSICIANS: 5. POVERTY/CHILDREN IN POVERTY: PROVIDE INFORMATION, EDUCATE THE PUBLIC THROUGH HEALTH LITERATURE, PUBLIC FORUMS, HEALTH FAIRS, AND CONTINUED TREATMENT OF AFFECTED PATIENTS THROUGH DIRECT TREATMENT IN COLLABORATION WITH OTHER HEALTH RESOURCES, CIVIC, POLITICAL, NONPROFIT, RELIGIOUS AND BUSINESS ORGANIZATIONS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS. HEALTH CARE RESOURCES THE AVAILABILITY OF HEALTH CARE RESOURCES IS A CRITICAL COMPONENT TO THE HEALTH OF A COUNTY'S RESIDENTS AND A MEASURE OF THE SOUNDNESS OF THE AREA'S HEALTH CARE DELIVERY SYSTEM. AN ADEQUATE NUMBER OF HEALTH CARE FACILITIES AND HEALTH CARE PROVIDERS ARE VITAL FOR SUSTAINING A COMMUNITY'S HEALTH STATUS. FEWER HEALTH CARE FACILITIES AND HEALTH CARE PROVIDERS CAN IMPACT THE TIMELY DELIVERY OF SERVICES. A LIMITED SUPPLY OF HEALTH RESOURCES, ESPECIALLY PROVIDERS, RESULTS IN THE LIMITED CAPACITY OF THE HEALTH CARE DELIVERY SYSTEM TO ABSORB CHARITY AND INDIGENT CARE AS THERE ARE FEWER PROVIDERS UPON WHICH TO DISTRIBUTE THE BURDEN OF INDIGENT CARE. FRIO REGIONAL HOSPITAL THE HOSPITAL HAS 22 ACUTE BEDS. RESIDENTS OF THE COMMUNITY CAN ALSO TAKE ADVANTAGE OF SERVICES PROVIDED BY HOSPITALS IN NEIGHBORING COUNTIES, AS WELL AS SERVICES OFFERED BY OTHER FACILITIES AND PROVIDERS. THERE ARE NO HOSPITALS WITHIN A 30-MILE RADIUS AVAILABLE TO THE RESIDENTS OF CHNA COMMUNITY. RESIDENTS ALSO TRAVEL TO HEALTHCARE FACILITIES IN SAN ANTONIO TO HAVE THEIR HEALTH NEEDS MET. SWING BED PROGRAM AT FRIO REGIONAL HOSPITAL THE GOAL OF THE SWING BED PROGRAM IS TO ASSIST PATIENTS WHO HAVE UNDERGONE SURGERY, AN ILLNESS, OR INJURY, WITH CONTINUED SKILLED CARE SO THEY ARE DISCHARGED WITH A HIGHER LEVEL OF FUNCTIONING AND WELLNESS. PATIENTS MAY STAY IN A SWING BED PROGRAM SO LONG AS THEY ARE MAKING PROGRESS - FOR AS LITTLE AS THREE DAYS, OR AS MANY AS 21 DAYS. FRIO REGIONAL PRIMARY CARE AND URGENT CARE CLINIC SERVICES OFFERED: QUICK, WALK-IN ACCESS, PRIMARY CARE SERVICES, ADULT AND PEDIATRIC SERVICES, EXTENDED HOURS, X-RAYS, LAB SERVICES, PHYSICALS, DISEASE MANAGEMENT, IMMUNIZATIONS, MINOR EMERGENCY TREATMENT, WOMEN'S HEALTH/GYNECOLOGICAL CARE, AND FAMILY PLANNING. FRIO HOSPITAL HOME HEALTH AWARDED A 4.5-STAR RATING FROM MEDICARE HOME HEALTH COMPARE. SOMETIMES YOU NEED A LITTLE HELP AT HOME. MAYBE YOU RECENTLY LEFT THE HOSPITAL WITH A WOUND THAT NEEDS MORE CARE THAN YOUR FAMILY CAN PROVIDE. OR YOU'RE COMING HOME AFTER HAVING HAD HIP OR KNEE REPLACEMENT SURGERY AND COULD BENEFIT FROM PHYSICAL THERAPY. THAT'S WHERE FRIO REGIONAL HOSPITAL'S HOME HEALTH CARE SERVICES COME IN. OUR SKILLED NURSES AND OTHER SPECIALIST CAN PROVIDE A WIDE RANGE OF CARE IN THE COMFORT OF YOUR OWN HOME. WE SERVE THE POPULATION OF FRIO COUNTY AND THE SURROUNDING AREAS, INCLUDING LA SALLE AND MEDINA COUNTIES. FRIO REGIONAL HOSPITAL REHABILITATION SERVICES AT THE FRIO REHABILITATION CENTER, WE UNDERSTAND HOW IMPORTANT IT IS TO GET BACK ON YOUR FEET AS QUICKLY AS POSSIBLE AFTER AN ILLNESS, INJURY, OR SURGERY. OUR NEW-HOSPITAL REHABILITATION GYM MAKES IT EASIER AND EVEN MORE CONVENIENT TO GET BACK TO LIVING A FULL LIFE. IF YOU'RE LIVING WITH A HEALTH PROBLEM THAT MAKES DIFFICULT TO FUNCTION INDEPENDENTLY, WE CAN HELP WITH THAT, TOO. OUR TEAM OF HIGHLY SKILLED REHAB SPECIALIST ARE TRAINED TO HELP YOU RECOVER BY PROVIDING THE HIGHEST QUALITY CARE. WE OFFER: COMPREHENSIVE CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PEDIATRIC THERAPY. HEALTH DEPARTMENT THE HOSPITAL'S CHNA COMMUNITY IS SERVED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES - REGION 8. THE HEALTH SERVICES DEPARTMENT IS RESPONSIBLE FOR WIDE ARRAY OF PUBLIC HEALTH ISSUES. SOME OF THE SERVICES PROVIDED TO THE COUNTIES IT SERVES INCLUDE: EPIDEMIOLOGY, FAMILY AND COMMUNITY HEALTH, HIV/STD PREVENTION, IMMUNIZATIONS, ORAL HEALTH PROGRAMS, TOBACCO PREVENTION AND CONTROL, AND TUBERCULOSIS TREATMENT.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16CFINANCIAL ASSISTANCE DOCUMENTS: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEB ADDRESS: WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINES 7 & 10CHNA & IMPLEMENTATION STRATEGY: THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEB ADDRESS: www.frioregionalhospital.com/about-us/community-health-needs-assessment/
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
FRIO HOSPITAL HOME HEALTH
1317 E COLORADOPEARSALLTX78061HOME HEALTH
FRIO REHABILITATION CENTER
205 EAST HACKBERRY RDPEARSALLTX78061REHABILITATION CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2BAD DEBT EXPENSE: 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, SECTION A, LINE 3BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: 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, SECTION A, LINE 4BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
SCHEDULE H, PART III, SECTION B, LINE 8COSTING METHODOLOGY: 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, SECTION C, LINE 9BCOLLECTION PRACTICES: 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 VI, LINE 2NEEDS 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 3PATIENT 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 4COMMUNITY INFORMATION: FRIO HOSPITAL SERVES THE FRIO COUNTY AND SURROUNDING COMMUNITIES INCLUDING LA SALLE COUNTY. THESE CONSIST OF PRIMARILY A HISPANIC POPULATION, 15,279 OR 78.8% OF THE 19,394 PEOPLE LIVING IN FRIO COUNTY AND 6,104 OR 82.4% OF THE 7,409 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, 20.2% OF THE POPULATION IN FRIO COUNTY AND 12.2% 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 4,401 AND 4,168 RESPECTIVELY. THERE IS A LARGE DISPARITY BETWEEN THESE CITIES WITH DILLEY HAVING PER CAPITA INCOME OF $12,268 AND COTULLA HAVING $26,890 WHICH ARE BOTH WELL BELOW TEXAS AND THE UNITED STATES.
SCHEDULE H, PART VI, LINE 5PROMOTION 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. SEE THE SCHEDULE H, PART V, SECTION B, LINE 11 DISCLOSURE FOR ADDITIONAL INFORMATION IN REGARDS TO THE HOSPITAL'S PROMOTION OF COMMUNITY HEALTH DURING 2021.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: N/A
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: THE HOSPITAL HAS NOT FILED A COMMUNITY BENEFIT REPORT FOR THE 2021 TAX YEAR.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY: 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 I, LINE 3CFACTORS 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, COLUMN FPERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $7,544,878 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Cassandra M Dubose
VP NURSING & CLINICAL SERVICES$109,661$12,491$1,263$5,514$25,531$154,460
ELVA A CAMERO
PHYSICIAN$275,280$39,911$3,369$14,500$10,116$343,176
HAROLD J CAMPBELL
PHYSICIAN START: 7/21$161,738$20,203$255$9,472$11,988$203,656
SAMER ARAB
PHYSICIAN$416,047$219,071$330$15,346$20,684$671,478
SONIA RAMIREZ
DIRECTOR/SPEECH PATHOLOGY$124,187$6,481$748$4,163$21,346$156,925

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 7FormAndLineReferenceDesc
ExplanationNONFIXED PAYMENTS: DR. ARAB HAS INCENTIVE COMPENSATION BASED ON MEETING MONTHLY PATIENT VISITATION GOALS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3DELEGATION 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 $257,863 THOMAS A. GRIMERT $82,568 MICHAEL RUFF $49,924
FORM 990, PART VI, SECTION A, LINE 8BDOCUMENTATION BY EACH COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY: THE ORGANIZATION DOES NOT HAVE SEPARATE COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: 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 MEETING BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR COMPLIANCE WITH 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, SECTION C, LINE 19DOCUMENTS AVAILABLE TO 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 VI, SECTION B, LINE 15A & 15BDETERMINING 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
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:3430280
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:54451
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:662175
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:430507