Dimmit Regional Hospital

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2008

Legal Domicile

Phone

8308762424

Tax Period

2023-10-01 to 2024-09-30

Dimmit Regional Hospital, founded in 2008, is a mid-sized nonprofit in the Health Care sector that reported $37.1M in total revenue in fiscal year 2023. Expenses of $40.9M exceeded revenue, resulting in a 10% operating deficit.

Mission

EXCELLENT CARE TO EACH PATIENT, NO EXCEPTIONS.

Program Service Accomplishments

Program 1

Expenses: $24,301,846 Revenue: $21,701,308

PROVIDED MEDICAL CARE TO RESIDENTS IN THE DIMMIT COUNTY AREA, INCLUDING 300 OPERATIONS; 9,461 EMERGENCY ROOM VISITS; 575 OBSERVATIONS VISITS AND 2,123 PATIENT DAYS.

Program 2

Expenses: $6,075,463 Revenue: $6,959,322

WE ACHIEVED OUR GOAL TO PROVIDE A COMFORTABLE STAY FOR PATIENTS WHICH INCREASED OUR PATIENT DAYS. WE CONTRACTED WITH CASE MANAGEMENT COMPANY TO HELP INCREASE PATIENT VOLUME AND ALSO TO PROVIDE...

WE ACHIEVED OUR GOAL TO PROVIDE A COMFORTABLE STAY FOR PATIENTS WHICH INCREASED OUR PATIENT DAYS. WE CONTRACTED WITH CASE MANAGEMENT COMPANY TO HELP INCREASE PATIENT VOLUME AND ALSO TO PROVIDE INFORMATION TO PATIENTS IN OTHER CITIES THE ABILITY TO BRING PATIENTS TO RECUPERATE CLOSER TO HOME. WE ALSO ACQUIRED LAB TESTING EQUIPMENT TO PROVIDE PATIENTS A EASIER AND FASTER RESPONSE FOR RESPIRATORY VIRUSES INCLUDING COVID. TWO DUAL BLANKET WARMERS WERE PURCHASED FOR PATIENTS IN THE O.R. AND RECOVERY ROOM. 15 SLEEPER RECLINERS WERE ALSO PURCHASED FOR LABOR AND DELIVERY AND MED/SURG FOR PATIENTS.

Program 3

Expenses: $2,760,142 Revenue: $5,569,329

THE ACQUISITON OF A PHYSICIAN PRACTICE HAS ALLOWED US TO SET UP A PROVIDER BASED RURAL HEALTH CLINIC TO PROVIDE HEALTHCARE SERVICES TO OUR RURAL COMMUNITY. WE ALSO PURCHASED THE BUILDING THAT WE WERE LEASING FOR ACQUIRED PHYSICIAN PRACTICE AND THE SAVINGS IN THAT HELPED PROVIDE UPGRADES FOR PATIENT CARE. WE HAD PURCHASED A MODULAR BUILDING THAT WAS BEING USED FOR ADMIN PERSONNEL AND NOW BE USED TO HOUSE ALL PHYSICAL THERAPY SERVICES. THIS WILL PROVIDE PATIENTS A CENTRALIZED LOCATION FOR PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY. ULTRA MIST EQUIPMENT AND GENERATOR WERE PURCHASED FOR OUR WOUND CARE DEPARTMENT.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $2,797,711

Program Service Revenue $33,722,025

Investment Income $94,223

Other Revenue $507,934

TOTAL REVENUE $37,121,893

Expense Breakdown

Grants Paid $0

Salaries & Benefits $16,164,715

Fundraising Expenses $0

Program Expenses $33,137,451

Other Expenses $24,755,068

TOTAL EXPENSES $40,919,783

Year-over-Year Comparison

	2023	2022	Change
Revenue	$37,121,893	$38,988,568	0.0%
Expenses	$40,919,783	$37,234,794	+0.1%
Net Income	$-3,797,890	$1,753,774	-3.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

203

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$411,058

Total Directors

$3,465

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Alfredo Castaneda	Chairman	0.1	Officer Director	$495	$0	$495
Cleo Bustamante Jr	Vice-Chairman	0.1	Officer Director	$495	$0	$495
Mary A Valdez	Secretary	0.1	Officer Director	$495	$0	$495
Bruce E Leonard Jr	Director	0.1	Director	$495	$0	$495
Elia Ramirez	Director	0.1	Director	$495	$0	$495
Jeanie Frazier	Director	0.1	Director	$495	$0	$495
Johnny Estrada	Director	0.1	Director	$495	$0	$495
Alma Melendez	CFO	40.0	Officer	$111,029	$13,498	$124,527
Andres Duran	CEO	40.0	Officer	$0	$0	$0
Carmen Esquivel	CNO	40.0	Officer	$131,854	$21,011	$152,865
Melissa Wilson	COO	40.0	Officer	$126,029	$6,152	$132,181
David M Peterson	Physician Assistant	40.0	Highest	$145,810	$24,924	$170,734
Gabriella Martinez	Physical Therapist	40.0	Highest	$142,545	$15,094	$157,639
Michelle Grace	Nurse Practitioner	40.0	Highest	$236,773	$17,507	$254,280
Richard Pham	Physician	40.0	Highest	$522,246	$24,332	$546,578
Veronica Luevano	Nurse Practitioner	40.0	Highest	$137,768	$27,778	$165,546

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$37,121,893	$40,919,783	$22,447,798	$-3,797,890
2023	$38,988,568	$37,234,794	$19,357,776	$1,753,774
2022	$35,602,593	$31,357,465	$18,853,918	$4,245,128
2021	$29,614,418	$29,176,955	$10,917,782	$437,463
2020	$20,964,846	$23,316,928	$14,659,335	$-2,352,082
2019	$23,755,455	$22,762,404	$10,362,816	$993,051
2018	$26,440,112	$21,810,001	$10,007,108	$4,630,111