Civic Intelligence

Vb Medical Holdings

990 • Fiscal year 2013 • EIN 77-0634227

Sep 01, 2012 to Aug 31, 2013 • Filed on Jul 15, 2014

PO Box 2703Suite78551
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

3rd percentile

0.00x

Higher debt load relative to assets than 3% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

95th percentile

45%

Faster asset growth than 95% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Up

$49,972,948

Up $15,434,669 (+45%) from 2012

Net Assets

Up

$49,963,133

Up $15,424,854 (+45%) from 2012

Liabilities

Up

$9,815

Up $9,815 from 2012

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$9,815

Up $9,815 from 2012

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0-$50MAssets 2010: $128,312,779Liabilities 2010: $130,577,039Net Assets 2010: -$2,264,2602010Assets 2011: $111,475,640Liabilities 2011: $125,658,273Net Assets 2011: -$14,182,6332011Assets 2012: $34,538,279Liabilities 2012: $0Net Assets 2012: $34,538,2792012Assets 2013: $49,972,948Liabilities 2013: $9,815Net Assets 2013: $49,963,1332013Assets 2014: $80,515,483Liabilities 2014: $37,484Net Assets 2014: $80,477,9992014Assets 2015: $22,272,822Liabilities 2015: $1,253,095Net Assets 2015: $21,019,7272015Assets 2016: $22,245,378Liabilities 2016: $741,093Net Assets 2016: $21,504,2852016Assets 2017: $14,945,722Liabilities 2017: $1,580,157Net Assets 2017: $13,365,5652017Assets 2018: $273,155Liabilities 2018: $1,583,496Net Assets 2018: -$1,310,3412018Assets 2019: $549,272Liabilities 2019: $1,856,735Net Assets 2019: -$1,307,4632019Assets 2020: $295,879Liabilities 2020: $1,822,981Net Assets 2020: -$1,527,1022020Assets 2021: $3,937Liabilities 2021: $1,538,828Net Assets 2021: -$1,534,8912021Assets 2022: $3,747Liabilities 2022: $1,549,444Net Assets 2022: -$1,545,6972022Assets 2023: $3,968Liabilities 2023: $1,560,811Net Assets 2023: -$1,556,8432023

Highlighted filing

2013

Assets$49,972,948
Liabilities$9,815
Net Assets$49,963,133

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $150,867,9982010Expenses 2011: $158,101,0052011Revenue 2012: $34,538,279Expenses 2012: $0Net Income 2012: $34,538,2792012Expenses 2013: $9,8152013Revenue 2014: $30,542,535Expenses 2014: $27,669Net Income 2014: $30,514,8662014Revenue 2015: $174,176,781Expenses 2015: $233,392,867Net Income 2015: -$59,216,0862015Revenue 2016: $421,640Expenses 2016: $37,744Net Income 2016: $383,8962016Revenue 2017: $242,456Expenses 2017: $8,342,880Net Income 2017: -$8,100,4242017Revenue 2018: $18,669Expenses 2018: $14,874,288Net Income 2018: -$14,855,6192018Revenue 2019: $10,517Expenses 2019: $13,885Net Income 2019: -$3,3682019Revenue 2020: $9,779Expenses 2020: $230,052Net Income 2020: -$220,2732020Revenue 2021: $11,236Expenses 2021: $12,251Net Income 2021: -$1,0152021Revenue 2022: $0Expenses 2022: $10,806Net Income 2022: -$10,8062022Revenue 2023: $0Expenses 2023: $11,146Net Income 2023: -$11,1462023

Highlighted filing

2013

Revenue-
Expenses$9,815
Net Income-
Jump To
Filing Snapshot
Filing Period
Sep 1, 2012 to Aug 31, 2013
Signed
Jul 15, 2014
Return Version
2012v2.3
Gross Receipts
$15,273,902
Mission and Program Overview

Mission

Faith-based regional health system focused on improving the lives of the people it serves by providing high quality health care and medical education throughout south texas.

Filing and Contact Details

Filer

EIN
77-0634227
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IRS990/ActivityOrMissionDescription0VALLEY BAPTIST HEALTH SYSTEM IS A FAITH BASED REGIONAL HEALTH SYSTEM FOCUSED ON IMPROVING THE LIVES OF THE PEOPLE IT SERVES BY PROVIDING HIGH QUALITY HEALTH CARE & MEDICAL EDUCATION THROUGHOUT SOUTH TEXAS.
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IRS990/Description0The hospitals in the joint venture offer the latest in high-tech medical equipment, surgical and diagnostic procedures, and personal patient care for families in South Texas, including Cameron, Willacy and eastern Hidalgo County. The number of uninsured in the region is estimated at 35%, and the population under the federal poverty index is estimated at just under 50%. The percentage of persons on Medicaid in the region served is more than twice the rate for all of Texas and the US. The hospitals continue to provide support to local institutions of higher learning nursing programs and radiology technology. The health system continues to financially support the physician residency programs associated with the Regional Academic Health Center. The hospitals also advocate preventive care, promote health and safety at large community events, and provides women's services, diabetes education, and sponsor an asthma summer camp for children.
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IRS990ScheduleH/Form990ScheduleHPartVI/Explanation0VB Medical Holdings had minimal functional expenses. Section 7 is based on the activities of the Joint Venture (VHS-Valley Health System), which is the only asset of VB Medical Holdings. Amounts are reported at 49% which is VB Medical Holdings portion of the joint venture.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1The Hospitals' financial statements do not include a footnote discussing bad debt expense, accounts receivable, or allowance for doubtful accounts. The Hospitals provide an allowance for doubtful accounts based upon review of outstanding receivables, historical collection information and existing economic conditions. Accounts are considered delinqent and written off as bad debts based on individual credit evaluation and specific circumstances of the account. based on 49 % of the activities of the Joint Venture. Amount reported on line 2 is based on bad debts per audited financial statements after applying the cost to charge ratio. Amount reported in line 3 are the Hospitals' estimate of the amount of bad debt attributable to charity care patients estimated at 15%.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2Cost to charge ratio is the method used. The Hospitals use Cost Report methodology, which apportions routine costs based on Medicare or Medicaid days to total days and apportions ancillary costs based on program charges. The Hospitals have a written policy covering procedures for collecting and writing off bad debts. According to the policy, if a patient appears to be indigent, accounts should be reviewed, at any time during the collection process, for possible consideration as a charity case in accordance with the Hospitals' charity care policy. schedule H, PART III, LINE 9: A. This procedure establishes the necessary action steps required to establish a payment plan. In addition, this procedure outlines follow-up action to be taken in the event a patient becomes delinquent or fails to make the minimum payment as required by their payment plan arrangement. Payment plan arrangements will normally be managed by the outsource vendor. However, this does not preclude nor remove responsibility from VBMC staff from approaching a patient to collect outstanding account balances or attempting to provide them with options to resolve their financial obligations. B. Payment Plan Terms: Patients must resolve their outstanding financial obligation to VBMC within one year from their date of service or discharge. Patients entering into a payment plan arrangement should pay as much of their balance as possible on a regular monthly basis. The minimum payment required each month to establish a payment plan is the total outstanding account balance divided by 12 (example: total balance $300/12 = $25 dollars a month). In cases where this formula results in a minimum payment under $25, the patient will still be required to pay a minimum payment of $25 dollars each month. C. If a patient fails to make the minimum payment a letter will be sent to the patient thanking them for their payment. The letter will also state that their payment does not conform to our payment plan policy and that they will need to contact VBMC (outsource vendor) to establish a payment plan or additional collection action will be taken. Failure by the patient to establish a payment plan or make the minimum payment will result in the account being returned by the outsource vendor to VBMC, classifying and writing the account off as bad debt, and turning the account over to a collection agency for further collection efforts. D. In the event that a patient cannot resolve the debt within one year, VBMC staff should assist the patient in finding other options for resolving their financial obligations. These options might include evaluating the patient's financial status and eligibility for Medicaid, county programs, and/or consideration for financial assistance. If the patient fails to qualify for these programs the patient will remain responsible for the debt. Additional options for a patient to resolve their financial obligation could include a bank loan, using their credit card, or borrowing from other lending institutions. At any time, if the patient fails to make arrangements to resolve their financial obligations, fails to keep to the payment plan arrangements, or make the minimum payment the account will be returned by the outsource vendor to VBMC, classified and written off as bad debt, and turned over to a collection agency for further collection efforts. E. Payment Plan Arrangements: When patient approaches VBMC staff in order to establish a payment plan arrangement, the staff member should attempt to collect as much of the patient's outstanding balance as possible. The VBMC staff member should inform the patient that they will be receiving a statement in the mail and to call the number on the statement so they can formally establish a payment plan. Once the patient calls the number and formally establishes a payment plan the outsource vendor will send the patient a letter detailing the payment plan arrangements. In addition, the outsource vendor will document the following
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3The Hospitals' Community Healthcare Needs Assessment Update provides a snapshot of suburban, urban, and rural service areas within Texas using key health indicators, which facilitate comparisons locally, regionally, and over time. The Community Healthcare Needs Assessment Update report is intended to assist internal stakeholders, community health council members, and the community health improvement department in deciding where to allocate resources and address health inequalities, All entity advocates use national, state, and local secondary and primary data sources to provide a current overview of local health needs, factors impacting disease and injury burden, socioeconomic status, access to health care, age distribution, indicators and lifestyle behaviors, This data is used to galvanize joint community health efforts to improve health and reduce health inequalities and to empower the greater community. THE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT: HTTP://WWW.VALLEYBAPTIST.NET/CONNECT-WITH-US/WELLNESS-SERVICES
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4The organization publishes the charity care policy annually in the local newspaper as well as posting the policy in all admission areas. All self-pay patients and those who have high costs after insurance coverage has been applied are routed to a financial counselor. The financial counselor reviews applicable federal/state government programs and the charity care policy in an effort to set up payment plans or other methods to help. Representatives follow up to assist with application for financial assistance.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5The primary service area for VHS-Valley Health System is Cameron and Willacy Counties, and the Mercedes/Weslaco region of Hidalgo County. The secondary service area extends into Hidalgo County. Referrals come from throughout Hidalgo and Starr Counties as well. -- The four-county area, called the Rio Grande Valley of Texas, encompasses approximately 5,000 square miles, which closely approximates the size of the state of Connecticut, which is 5,544 square miles. The Rio Grande Valley population is estimated at 1.35 million in 2012. -- The population of the primary service areas (PSAs) of Valley Baptist Medical Center-Harlingen (VBMC-H) and Valley Baptist Medical Center-Brownsville (VBMC-B) has a combined population of 375,647, and 417,404 for Cameron County. Cameron County, with a poverty rate of 34.7%, is the poorest county in the U.S. The average household income in the PSA is $41,970, and 26% of households earn less than $15K/year in this area that is 88% Hispanic. Almost 29% of the population is 14 years of age or younger, and 45% is 24 years of age or younger. About 28% of adults residing in this area have less than a high school education, and 14% have a Bachelors degree or greater. The number of uninsured in the region is estimated at almost 40%. -- Cameron County has some census tracts designated as an Under-Served Areas (MUA) and as a Health Professional Shortage Areas (HPSA), and has an average of 58 primary care physicians per 100,000 population (2011 data). The four-county area known as the Rio Grande Valley (Cameron, Hidalgo, Willacy and Starr) has 1,378 physicians providing direct patient care (2011 data.) Of that number 728 are designated as Primary Care physicians. There are 6,623 RNs in the four county area and 286 dentists. In 2011, the Rio Grande Valley had 3,675 licensed hospital beds. There are 24 health and substance abuse hospitals in the four county area: Cameron County has eight, Hidalgo County has 15 and Starr County has one. There is no hospital in Willacy County. -- Harlingen, San Benito, LaFeria and South Padre Island ambulance service is provided by the not-for-profit South Texas Emergency Medical Foundation. The organization also provides ambulance coverage to rural Cameron County. It used to also provide a Valley-wide air ambulance service through Valley AirCare, but this was discontinued in 2011, and currently air care is provided by a McAllen-based firm. A variety of private companies also run ambulance services. Services in Brownsville are provided by Brownsville EMS, a section of the City of Brownsville Fire Department. Rio Hondo, Los Fresnos and Willacy County have community based ambulance service.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6Health Education Addressing Shortage of Health Care Professionals The shortage of health care providers in the Rio Grande Valley continues to be problematic. This is due in part to rapid population growth, and additional health care facilities opening in the area. There is significant local effort to increase the supply of health care professionals in our service area. -- The Regional Academic Health Center (RAHC), the medical education component of The University of Texas Health Science Center at San Antonio, is located in Harlingen. Valley Baptist Medical Center-Harlingen serves as a training and residency site for these medical students. Valley Baptist is the principal inpatient-training hospital for the medical school program, and Su Clinica Familiars main branch in Harlingen is the principal outpatient-training clinic. The RAHC provides training for third and fourth year medical students and additional residency programs. Evidence supports that physicians often practice where they train, and some of the RAHC residents have chosen to stay in the Valley, or even return after receiving additional specialty training elsewhere. Valley Baptist funds all the internal medicine residents from the University of Texas San Antonio medical branch that come to train at the Regional Academic Health Center in Harlingen. Valley Baptist has also committed to fund a Psychiatric Residency position, and has fully supported the UTHSCSA effort to bring a four-year medical school to the Rio Grande Valley. -- Currently, the Valley Baptist Family Practice Residency Program trains 15 residents enrolled in the three-year program. Other training sites include Harlingen OB/GYN Associates, Harlingen Pediatrics Associates, Valley Diagnostic Clinic, and various medical offices and clinics. Students perform clinical rotations in Pediatrics, Internal Medicine, OB/GYN and Family Practice at these various sites. -- Valley Baptist Medical Center-Harlingen continues to operate a School of Vocational Nursing, celebrating its 54th year anniversary in 2012, when they graduated 29 nurses. Valley Baptist has also offered funding for a group of Valley Baptist LVN students to study full time to become RN's while the Health System continues to pay their salaries. This "LVN to RN" program is now in its sixth year. -- Valley Baptist continues to provide support through classroom and office space as well as financial contributions for the University of Texas, Brownsville/Texas Southmost College. The Health System assisted The University of Texas, Brownsville Nursing Department in establishing classes for a Bachelors of Science in Nursing Degree program, and continues to fund the School of Allied Health, which includes Nursing, Radiology, Respiratory Therapy and Laboratory programs. Valley Baptist Medical Center - Harlingen also provides additional clinical training for physician assistant students from the University of Texas Pan American/University of Texas Houston joint program. -- The Emergency Department at Valley Baptist Harlingen provides clinical training for emergency medical technicians (EMT) and paramedics. Both Valley Baptist hospitals serve as a training ground for local nursing students, respiratory care students, and from other ancillary areas, as well as for high school students in health professions classes. -- VBMC - Harlingen trains chaplains in the Clinical Pastoral Education Center. This program is offered on a part-time as well as a full-time basis. Clinical Pastoral Education provides a training environment for those aspiring to be institutional chaplains and others who are preparing for professional and vocational ministry. High Rates of Heart Disease and Stroke These are the first and third leading causes of death in the Rio Grande Valley, and our hospitals and staffs have made great strides in both of these areas. Both Valley Baptist Medical Center-Brownsville and Valley Baptist Medical Center-Harlingen have received triple recognition form the A
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7VB Medical Holdings includes one asset, VHS Valley Health System, LLC which is the 49% equity investment in the joint venture that commenced September 1, 2011 with Vanguard Health Systems. The joint venture operates the two Valley Baptist acute care hospitals, Valley Baptist Medical Center - Harlingen and Valley Baptist Medical Center - Brownsville.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8TX
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9All patients are charged using the same fee schedules regardless of payor classification. SECTION B, LINES 21 AND 22 ALL PATIENTS ARE CHARGED USING THE SAME FEE SCHEDULES REGARDLESS OF PAYOR CLASSIFICATION. THE AMOUNT CHARGED IS AFTER THE SELF-PAY DISCOUNT IS APPLIED TO THE FEE SCHEDULES.
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier0PART I, LINE 7, COLUMN F
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier1PART III, LINE 4
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier2schedule H, PART III, LINE 8
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier3NEEDS ASSESSMENT
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier4PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier5COMMUNITY INFORMATION
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier6PROMOTION OF COMMUNITY HEALTH
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier7AFFILIATED HEALTH CARE SYSTEM ROLES
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier8ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier9INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference0SECTION B, LINE 20
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/AddressLine101040 W JEFFERSON ST
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/AddressLine112101 PEASE ST
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IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/City1HARLINGEN
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IRS990ScheduleH/Form990ScheduleHPartVSectionA/WebsiteAddress0WWW.VALLEYBAPTIST.NET
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IRS990ScheduleH/Form990ScheduleHPartVSectionB/CHNAConducted0true
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IRS990ScheduleH/Form990ScheduleHPartVSectionB/CHNAWidelyAvailable0true
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IRS990ScheduleH/Form990ScheduleHPartVSectionB/CollectionActivities0false
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IRS990ScheduleH/Form990ScheduleHPartVSectionB/CommunityDefinition0X
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IRS990ScheduleH/Form990ScheduleHPartVSectionB/ConsultingProcess0X
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IRS990ScheduleH/Form990ScheduleHPartVSectionB/FPGDiscountPercent0300.
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IRS990ScheduleH/Form990ScheduleHPartVSectionB/FPGFreePercent1200.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$0.00$1.56$1.56$0.00$0.01$0.01
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$1.55$1.55$0.00$0.01$0.01
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$1.54$1.53$0.01$0.01$0.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.30$1.82$1.53$0.01$0.23$0.22
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.55$1.86$1.31$0.01$0.01$0.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.27$1.58$1.31$0.02$14.9$14.9
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.9$1.58$13.4$0.24$8.34$8.10
2016Summary only. Only limited summary data is available for this year.$22.2$0.74$21.5$0.42$0.04$0.38
2015Detailed filing. Detailed filing data is available for this year.$22.3$1.25$21.0$174$233$59.2
2014Summary only. Only limited summary data is available for this year.$80.5$0.04$80.5$30.5$0.03$30.5
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.0$0.01$50.0$0.01
2012Summary only. Only limited summary data is available for this year.$34.5$0.00$34.5$34.5$0.00$34.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$111$126$14.2$158
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$128$131$2.26$151