Ryder Memorial Hospital Inc

“Membership in the board of directors (bod) shall be limited to individuals who are either members of ryder memorial hospital, inc. Or non-members who have the approval of said sponsoring organization. The board of directors shall consist of nineteen (17) directors. Until the first annual meeting of the members and/or until successors are duly elected and qualified the board of directors shall consist of nineteen (17) persons who qualify as previously mention and who shall be elected as such by the incorporators who execute and filed the charter. At the first annual meeting of the members and at each annual meeting thereafter, members shall elect directors to hold office until their term expires or until their successors are elected and qualified. In order to avoid that all members of the board conclude their terms at the same time, they are segregated in 3 groups, whose terms will be of 3 years and their terms will be in different periods. All members have a term of 3 years as directors, except for filing a vacancy, in which such term will cover the remaining time of replaced member.”

“1) increase the number of members of the bod. 2) amend by-laws of the corporation. 3) approve any plan for dissolution, merger or dispotion of the assets of the corporation 4) approve the selection of the independent auditors of the corporation 5) the bod shall elect the executive director and medical director and internal auditors.”

“Written policies and procedures that govern the activities of affiliates had been established to ensure that their operations are consisted with the organization.”

“The review process of the form 990 is under the responsibility of the board of directors finance committee. Such committee at the same time, delegates this task to the finance director, who perform the review of the 990 form and is authorized to provide the release for the final issuance of the form.”

“The proper governance of ryder memorial hospital, inc. Governing board members who give their time for the benefit of the community served by this corporation; and because the varied interest and background of the governing board members, may result in situations involving a dual interest that might appear as conflict of interest; and services should not be rendered impossible solely by reason of duality of interest or possible conflict of interest; and service carries a requirement of loyalty and fidelity to the corporation known as ryder memorial hospital, inc. It is the responsibility of the board members to govern the institution's and the community interest with honesty, excercising their best care, skill and judgment for the benefit of the institution and its members; and the matter of any duality of interest or possible conflict of interest can best be handled through full disclosure of any such interest, together with abstention in any vote where in the interest is involved. The following policy of duality and conflict of interest is hereby adopted: 1. Any duality of interest or possible conflict of interest of the part of any governing board member should be disclosed to the other board members and made a matter of record, either through an annual procedure or when the interest becomes a matter of board action. 2. Any board member having a duality or possible conflict of interest on any matter should not vote or use his personal influence on the matter, and he or she should not be counted in determining the quorum for the meeting, even where permitted by law. The minutes of the meeting shall reflect that a disclosure was made, the abstention from voting and the quorum situation. 3. The above mentioned requirements should not be construed as preventing the board members from stating his position in the matter, nor from answering pertinent questions in such matter. That this policy be revised annually for the information and guidance of the board members, and that any new member be advised of the policy upon entering on the duties of his office.”

“The process to determine the compensation to officers is based on: 1) job descriptions 2) minimum qualifications for the position 3) experience 4) education the organization also realizes benchmarking of the health industry and the market in the general to see and offer competitive salaries. The organization review annually the salaries granted to employees and reaises are approved depending on the financial position of the organization. Raises must be approved by the bod. The organization also complies with mandatory decrees by the government.”

“The process to determine the compensation to officers is based on: 1) job descriptions 2) minimum qualifications for the position 3) experience 4) education the organization also realizes benchmarking of the health industry and the market in the general to see and offer competitive salaries. The organization review annually the salaries granted to employees and reaises are approved depending on the financial position of the organization. Raises must be approved by the bod. The organization also complies with mandatory decrees by the government.”

“The organization makes its governing documents or bylaws available to the members of the board of directors and top management. The policy of conflicts of interest is available to the organization's board of directors, top management and employees in order that all be aware of such in the performance of their functions. In case of the financial statements these are made available to certain parties in addition to the organization's management, such as bondholders, creditors and the federal government.”

“On march 2020 the world health organization declared the coronavirus disease covid-19 a global pandemic. This highly contagious disease has spread worldwide affecting workforces, customers, economies and financial markets globally, potentially leading to an economic downturn. It has also disrupted the normal operations of many businesses. As governments and private sectors response to this evolving threat, the actions and restrictions they have or may impose, could further adversely impact the hospital business operations. The local epidemic and public health crisis have adversely affected the general public perception that healthcare facilities are currently involved in treating patients with such a highly contagious disease diminishing the public trust in such type of entities. This situation has impacted the hospital operations and financial results since patients have canceled or deferred elective procedures or otherwise avoid medical treatment, resulting in reduced patient volumes and operating revenues. Nevertheless, the hospital's management team, with the support of the board of directors of the hospital, has a plan to restore the hospital's profitability and strengthen its financial position. Among the matters included in this management plan, some of them already implemented or in the process of implementation, are the following: in august 2022, a new intensive care unit with 14 beds was opened. This facility had an occupancy of more than 90%. A new campaign of marketing and public relations will start in july 2023 with the expectation of attracting patients and doctors with a public relation person, seeking strengthen the institutional presence in social media. In june 2022, we implement a new system for private accounts named kinum to improve the workflows of billing and collections department to increase collections. Continue to implement the electronic health records to improve the services provided and decrease reimbursement denials from third-party payors. This implementation includes the skill nursing facilities and the operation room. Reinforced the image center services with new interventional radiology services beginning at august 2023. Establish electronic utilization of medical supplies to improve the inventory control in central supply and warehouse. The equipment was acquired and the implementation process should be completed by the end of 2023. Improvements in several hospital departments like the emergency room with an expansion to patient receiving and mental health stabilization area. The alzheimer unit with an expansion of 16 more beds for residents will be expected to be finished for the third quarter 2023. New faculty members will start in 2023, ob-gyn services, interventional cardiology, and gastroenterology in 2024. With the implementation of the cogeneration system in 2024-2025 we will achieve a reduction in the cost of electricity and the resiliency against mayor events.”

“Other fees 3,564,756 1,724,096 0”

“Transfer of net assets to affiliated entity -1,441,424”