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MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SYSTEM OF EAST TEXAS (EIN 75-0755367)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-12
IRS object ID
201711329349304791
Schema version
2015v3.0
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)
Return2017-05-12T14:00:30-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470617373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN750755367EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Memorial Health System of East TexasBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone9366348111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1447AddressLine1Txt
CityLUFKINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonShawn BarnettPersonNm
Person TitleCOO/PresidentPersonTitleTxt
Signature2016-11-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngela NoelPreparerPersonNm
PTINP01051055PTIN
Phone7208741500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHI ST LUKE'S HEALTH MEMORIAL LUFKINBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1GARY N LOOPERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOXAddressLine1Txt
CityLUFKINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$155,793,429GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION OPERATES AN ACUTE HOSPITAL WITH 271 LICENSED BEDS, A CANCER CENTER, AN IMAGING CENTER, A REHABILITATION CENTER AND A DEDICATED HEART STROKE CARE FACILITY.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1110TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,027,079PYContributionsGrantsAmt
CY Contributions Grants$1,594,977CYContributionsGrantsAmt
PY Program Service Revenue$130,823,746PYProgramServiceRevenueAmt
CY Program Service Revenue$148,919,269CYProgramServiceRevenueAmt
PY Investment Income$514,315PYInvestmentIncomeAmt
CY Investment Income$1,176,082CYInvestmentIncomeAmt
PY Other Revenue$24,171PYOtherRevenueAmt
CY Other Revenue$18,595CYOtherRevenueAmt
PY Total Revenue$133,389,311PYTotalRevenueAmt
CY Total Revenue$151,708,923CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$59,925,262PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$60,872,188CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$76,153,561PYOtherExpensesAmt
CY Other Expenses$89,257,649CYOtherExpensesAmt
PY Total Expenses$136,078,823PYTotalExpensesAmt
CY Total Expenses$150,129,837CYTotalExpensesAmt
PY Revenues Less Expenses-$2,689,512PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,579,086CYRevenuesLessExpensesAmt
Total Assets BOY$236,411,010TotalAssetsBOYAmt
Total Assets EOY$239,262,160TotalAssetsEOYAmt
Total Liabilities BOY$143,162,504TotalLiabilitiesBOYAmt
Total Liabilities EOY$149,296,119TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$93,248,506NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$89,966,041NetAssetsOrFundBalancesEOYAmt
MissionThe mission of the Corporation is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges the Corporation to emphasize human dignity and social justice as it creates healthier communities. The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$123,987,041ExpenseAmt
Revenue$148,574,249RevenueAmt
DescHOSPITAL SERVICES TO PATIENTS AND SERVICES TO THE COMMUNITY INCLUDE 33,779 PATIENT DAYS OF CARE, 6,475 INPATIENT ADMISSIONS, 118,646 OUTPATIENT VISITS, 33,095 EMERGENCY ROOM VISITS AND 7,253 HOME HEALTH VISITS.Desc
Total Program Service Expenses$123,987,041TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
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 With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document244IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1110EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Shawn BarnettBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9366397130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 W FRANK AVENUEAddressLine1Txt
CityLUFKINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75904ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN F GLICK
CHAIRMAN1.02.0Yes (X)Yes (X)$0$0$0
CARL RAY POLK
VICE CHAIRMAN1.02.0Yes (X)Yes (X)$0$0$0
GARY N LOOPER
PRESIDENT & CEO40.00.0Yes (X)Yes (X)$522,599$0$19,542
JACK SWEENY
DIRECTOR1.02.0Yes (X)$0$0$0
MIKE ARNOLD M D
DIRECTOR1.02.0Yes (X)$57,481$0$0
RAVINDER BACHIREDDY M D
DIRECTOR1.02.0Yes (X)$126,540$0$0
GEORGE FIDONE M D
DIRECTOR1.02.0Yes (X)$0$0$0
RONA FRIESEN
DIRECTOR1.02.0Yes (X)$0$0$0
M HUNT HUBER M D
DIRECTOR1.02.0Yes (X)$0$0$0
DAVID W GLENN M D
DIRECTOR1.02.0Yes (X)$25,000$0$0
RANDY GEORGE
DIRECTOR1.02.0Yes (X)$0$0$0
BEN OGLETREE
DIRECTOR1.02.0Yes (X)$0$0$0
JUDY COCHRAN
DIRECTOR1.02.0Yes (X)$0$0$0
CORKY EVANS
DIRECTOR1.02.0Yes (X)$0$0$0
Michael Covert
Pres & CEO CHI St. Lukes Health System1.059.0Yes (X)$0$1,623,949$73,828
TREY DENMAN
Director1.02.0Yes (X)$0$0$0
JULIE FENLEY
Director1.02.0Yes (X)$0$0$0
DEMETRESS HARRELL
Director1.02.0Yes (X)$0$0$0
CHERIPARAMBIL MANI MD
Director1.02.0Yes (X)$50,549$0$0
MARLO BRAWNER MD
Director1.02.0Yes (X)$0$0$0
LESLIE LEACH
VP POST ACUTE SERVICES13.028.0Yes (X)$195,093$0$11,413
RICK HEFNER
VP PHYSICIAN ENTERPRISE20.020.0Yes (X)$229,273$0$18,239
KENNETH MILLER
CHIEF FINANCIAL OFFICER24.026.0Yes (X)$265,526$0$24,605
DON MORRIS
VP - HUMAN RESOURCES40.00.0Yes (X)$113,965$0$14,822
D DAVID HEARNE
GENERAL COUNSEL40.02.0Yes (X)$200,260$0$4,393
Shawn Barnett
COO/PRESIDENT40.00.0Yes (X)$388,639$0$22,177
Michael PLANKERS
CNO40.00.0Yes (X)$172,805$0$18,558
Margaret L Mortensen
COO/VP Clinical40.00Yes (X)$302,430$0$17,937
KATHY GRIFFIN
DIRECTOR OF PHARMACY40.00.0$162,761$0$12,552Yes (X)
ANITA GOTTLIEB
DIRECTOR OF QUALITY40.00.0$167,694$0$14,798Yes (X)
THOMAS BROSE
ASST. DIRECTOR OF PHARMACY40.00.0$158,138$0$18,938Yes (X)
STACY GARCIA
SYSTEM SERVICE LINE ADMINISTRATOR40.00.0$163,969$0$9,781Yes (X)
Sanyude Sanyude
Pharmacist40.00$152,583$0$22,379Yes (X)
Marijke McAnally
Coordinated Care Director40.00.0$149,706$0$1,593Yes (X)
Lou Chesser
Pharmacist40.00.0$139,674$0$9,624Yes (X)
Merlina Estrella
Compliance Director40.00.0$138,270$0$8,815Yes (X)
Patricia Jones
Home Health Director40.00.0$130,405$0$17,856Yes (X)
Dakvida Elliott
Pharmacist40.00.0$133,250$0$6,591Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,146,610TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,623,949TotReportableCompRltdOrgAmt
Total Other Compensation$348,441TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K52IndivRcvdGreaterThan100KCnt
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
HB ANESTHESIOLOGY GROUP
7032 COLLECTION CENTER DRCHICAGOIL60693ANESTHESIOLOGY$3,532,163
Cogent Healthcare of TX PA
P O Box 645037CincinnatiOH45264HOSPITALISTS$3,527,344
SODEXO SERVICES
PO BOX 536992ATLANTAGA30353DIETARY ENVIRONMENTAL$1,714,043
Nuance Communications Inc
P O Box 2561Carol StreamIL60132Medical Transcription$737,120
United Linen Services LLC
55 East Fifth St Ste 960St PaulMN55101Laundry$505,545
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
All Other Contributions$1,594,977AllOtherContributionsAmt
Total Contributions$1,594,977TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE621990$147,060,811$147,060,811
ELECTRONIC HEALTH RECORDS621990$1,058,616$1,058,616
CAFETERIA REVENUE621990$236,338$236,338
RENTAL INCOME - AFFILIATE621990$246,036$246,036
OTHER HOSPITAL SERVICES621990$196,786$196,786

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,682TotalRevenueColumnAmt
Related Or Exempt Func Income$12,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$108,682ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$148,919,269TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$182,554TotalRevenueColumnAmt
Exclusion-$182,554ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$110,470RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$92,734RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,736RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,736TotalRevenueColumnAmt
Exclusion$17,736ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,182,732OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,824,096OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,358,636OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,358,636TotalRevenueColumnAmt
Exclusion$1,358,636ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$168,535GrossSalesOfInventoryAmt
Cost Of Goods Sold$167,676CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$859TotalRevenueColumnAmt
Exclusion$859ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$151,708,923TotalRevenueColumnAmt
Related Or Exempt Func Income$148,574,249RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,539,697ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,195,735TotalAmt
Program Services$2,390,590ProgramServicesAmt
Management And General$805,145ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,571,969TotalAmt
Program Services$39,272,389ProgramServicesAmt
Management And General$4,299,580ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$44,167TotalAmt
Program Services$39,438ProgramServicesAmt
Management And General$4,729ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,770,672TotalAmt
Program Services$9,562,748ProgramServicesAmt
Management And General$1,207,924ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,289,645TotalAmt
Program Services$2,937,390ProgramServicesAmt
Management And General$352,255ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$328,278TotalAmt
Management And General$328,278ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,351TotalAmt
Management And General$42,351ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,423,646TotalAmt
Program Services$22,908,434ProgramServicesAmt
Management And General$10,515,212ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$292,046TotalAmt
Program Services$1,381ProgramServicesAmt
Management And General$290,665ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,042,645TotalAmt
Program Services$445,625ProgramServicesAmt
Management And General$597,020ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,715,855TotalAmt
Program Services$2,715,855ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$388,096TotalAmt
Program Services$244,385ProgramServicesAmt
Management And General$143,711ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,477,603TotalAmt
Program Services$8,477,603ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$8,283,254TotalAmt
Management And General$8,283,254ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,360,554TotalAmt
Program Services$9,360,554ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,465,689TotalAmt
Program Services$1,465,689ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT CARE SUPPLIES$21,198,731$21,198,731
REPAIRS & MAINTENANCE$4,343,378$1,628,223$2,715,155
HOME OFFICE COST ALLOCATION-$8,090,124-$8,090,124
RENTS & LEASES-EQUIPMENT$1,121,310$1,107,730$13,580

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,864,337TotalAmt
Program Services$230,276ProgramServicesAmt
Management And General$4,634,061ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$150,129,837TotalAmt
Program Services$123,987,041ProgramServicesAmt
Management And General$26,142,796ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,895,851BOYAmt
EOY$2,574,832EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,164,755BOYAmt
EOY$3,619,369EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,853,698BOYAmt
EOY$12,615,680EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,174,410BOYAmt
EOY$2,301,908EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,580,935BOYAmt
EOY$1,103,860EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$66,508,253LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,721,755LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$56,483,393BOYAmt
EOY$48,786,498EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$18,133,457BOYAmt
EOY$9,273,573EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,000,000BOYAmt
EOY$2,000,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$135,124,511BOYAmt
EOY$156,986,440EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$236,411,010BOYAmt
EOY$239,262,160EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,949,400BOYAmt
EOY$16,604,767EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,532,761EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,353,498BOYAmt
EOY$728,031EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$114,056,124BOYAmt
EOY$107,424,016EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,803,482BOYAmt
EOY$23,006,544EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$143,162,504BOYAmt
EOY$149,296,119EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$71,923,560BOYAmt
EOY$63,702,521EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,324,946BOYAmt
EOY$26,263,520EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$93,248,506BOYAmt
EOY$89,966,041EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$236,411,010BOYAmt
EOY$239,262,160EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,579,086ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$4,861,551OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$1,517GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$1,517TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYThe portion of organization dues that are related to lobbying are as follows: American Hospital Association - $1,517
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYThe portion of organization dues that are related to lobbying are as follows: American Hospital Association - $1,517

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,679,000OtherCostOrOtherBasisAmt
Book Value$2,679,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,756,760OtherCostOrOtherBasisAmt
Depreciation$5,935,610DepreciationAmt
Book Value$20,821,150BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,668,819OtherCostOrOtherBasisAmt
Depreciation$11,478,164DepreciationAmt
Book Value$24,190,655BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,403,674OtherCostOrOtherBasisAmt
Depreciation$307,981DepreciationAmt
Book Value$1,095,693BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$48,786,498TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
METHODIST HEART STROKE GRANT RECEIVABLE
MISCELLANEOUS RECEIVABLES$9,295
CARE TRANSITIONS RECEIVABLE$164,953
PHYSICIANS INCOME GUARANTEE RECEIVABLES$87,415
DUE FROM AFFILIATES$130,500,608
KURTH TRUST ASSETS HELD IN TRUST$21,224,169
INVESTMENT IN PREMIER
PLEDGES RECEIVABLE$5,000,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$156,986,440TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PENSION PLAN PAYABLE$13,303,466
CHANGE IN FAIR VALUE OF SWAP$8,883,713
THIRD PARTY SETTLEMENTS
ESTIMATED MEDICARE/MEDICAID PAYABLES$819,365
FieldValueIRS element (for citing)
Total Liability$23,006,544TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationCHI, THE SOLE MEMBER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS, IS A TAX EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITION ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CarefalseFPGReferenceFreeCareInd
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,272,302TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,272,302NetCommunityBenefitExpnsAmt
Total Expense0.0756TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,911,706TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,911,706DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$23,184,008TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,911,706DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,272,302NetCommunityBenefitExpnsAmt
Total Expense0.0756TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$163,863TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$163,863NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$163,863TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$163,863NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$23,347,871TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,911,706DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,436,165NetCommunityBenefitExpnsAmt
Total Expense0.0766TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,689,116BadDebtExpenseAmt
Bad Debt Expense Attributable$668,912BadDebtExpenseAttributableAmt
Reimbursed By Medicare$58,316,361ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$73,138,104CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,821,743MedicareSurplusOrShortfallAmt

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 Line1MEMORIAL HEALTH SYSTEM OF EAST TEXASBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 W FRANK AVENUEAddressLine1Txt
CityLUFKINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75904ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.memorialhealth.usWebsiteAddressTxt
State License000129StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH SYSTEM OF EAST TEXASBusinessNameLine1Txt
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
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.memorialhealth.us/community/health-needs-assessmentOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.memorialhealth.us/community/health-needs-assessmentStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free Care0.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
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
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.memorialhealth.us/patients/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.memorialhealth.us/patients/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.memorialhealth.us/patients/financial-assistanceFAPSummaryOnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. The CHI St. Luke's Health Healthy Communities Department, located in Houston, TX, collaborated with Saurage Marketing Research, Inc., selected Memorial staff, and community organizations to conduct the Memorial CHNA. A survey, prepared by Saurage Marketing Research, Inc. in March 2016, was distributed via email and telephone to residents residing within the Memorial service area. Telephone interviews were also performed with Memorial employed physicians and focus groups including Memorial staff and community members were held. Survey, interview and focus group results were analyzed in April in order to report to the hospital leadership and the larger community as part of the CHNA. These results will be prioritized by Memorial executive leadership and the Mission Integration Department will work with hospital and community leaders to create the Community Health Improvement Plan and Implementation Strategy by November. The names, titles, organizations, and roles of those involved in the CHNA, are as follows: Valerie Mattice Ausborn, MPH, Project Coordinator Jay Gilchrist, Vice President Mike Sullivan, PhD, Director Janice Lamy, y Vice President Yana Ogletree, DirectorCHI St. Luke's Memorial Susan Saurage, President, Saurage Marketing Research, Inc. Stacy Garcia, Administration Debora Burgess, MSH Amy Mullins, Homecare Peggy Mortensen, Administration Ginger Strange, Cancer Center Angela Whitley, Women's Special Services Edward Thomas, Spiritual Care Charles Macko, Spiritual Care Bill Malnar, Imaging Services/Cancer Center Michael Plankers, CNO Les Leach, VP Post-Acute Services Teri Davis, CID II Community stakeholders included: Mychael Mimes, Impact Lufkin Jhirkala Clark, Impact Lufkin Megan Cole, Impact Lufkin Darlene Henderson, Lufkin High School Randy Brown, Southside Baptist Church Guessippina Bonner, St. Patrick Church Demetress Harrell, Hospice in the Pines Robert Shankle, City of Lufkin Winifred F. Adams, Angelina College Paul D. Johnson, Hospice in thePines Emily Gay, TLL Temple Foundation Maria Coronado, Impact Lufkin Kelly Follie, Impact Lufkin Joy ScottKillam, Ultrasound/Vascular Greg Sims, Impact Lufkin
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. A comprehensive Community Health Needs Assessment (CHNA) was conducted for CHI St. Luke's Health-Memorial from March-May 2016. CHI St. Luke's Health-Memorial includes four hospital facilities: (1) MEMORIAL MEDICAL CENTER OF EAST TEXAS (LUFKIN), (2) MEMORIAL MEDICAL CENTER - LIVINGSTON, (3) MEMORIAL MEDICAL CENTER - SAN AUGUSTINE, AND (4) MEMORIAL SPECIALTY HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. The Memorial Health System of East Texas (MHSET) prioritized eight needs shown in the 2012 Community Health Needs Assessment. Executive leadership decided to address the top seven as 2013-2016 Community Health Improvement Strategies. They decided not to specifically address the need for "increased access to affordable dental care," as it was not a core business function. Top priorities in descending order were: 1. Prevention, education and early detection for heart and cerebrovascular disease, diabetes and cancer 2. The community needs increased access to affordable primary care 3. The community needs additional healthcare providers; including primary care physicians, specialists, mental health providers, and physicians who accept Medicare and Medicaid HMO products 4. There is a need to address unhealthy lifestyles, such as smoking and obesity 5. There is a lack of a mental health and behavioral health continuum of care 6. There is a need to decrease health disparities by targeting specific populations, including: - The high prevalence of diabetes among Native Americans in Polk County - Low income, un/underinsured and elderly - A safe place for treatment for undocumented persons - A culturally sensitive, language appropriate healthcare environment for minority populations 7. There is a need to increase access to transportation for healthcare services for those without access (such as elderly and low income residents) MMC-Lufkin leadership developed the following objectives and implementation strategies to target activities and services to directly address these seven priorities. The objectives were identified by studying the prioritized health needs within the context of the hospital's strategic plan and the availability of finite resources. Significant progress was made on each priority objective, as identified in this evaluative summary, created in consultation with hospital leadership and members of the community. There is considerable solid groundwork on which to build 2017-2019 strategies. Priority #1: Prevention, education and early detection for heart and cerebrovascular disease, diabetes and cancer Objective #1: MMC-Lufkin will focus financial and staff resources on educating the community about diabetes prevalence, prevention and disease management. Implementation Activities: - MMC-Lufkin has hosted an annual Diabetes Expo since 2013, in November during Diabetes Awareness Month. The Expo offers community members a comprehensive look at preventing and managing diabetes, and includes a vendor fair for products and services, discounted glucose screenings, educational presentations by local physicians and cooking demonstrations on how to prepare healthy meals. - MHSET produces a monthly cooking show, Memorial Cooking Innovations, a 30 minute program featuring a registered dietitian and a certified chef. The show features diabetic friendly foods that are delicious and easy to prepare and is broadcast on the local government access television channels daily, in 62 cities across the United States, and online any time at http://www.memorialhealth.us/cooking. - Each MHSET County participates in the Texas Adult Potentially Preventable Hospitalization Initiative to improve care and reduce costs. Major foci in our service areas are Dehydration, Bacterial Pneumonia & UTI. - Diabetes classes are offered at Memorial Medical Center - Lufkin. Objective #2: MMC-Lufkin will organize and conduct a variety of cancer related events, such as campaigns and luncheons, to increase awareness and promote early cancer detection through appropriate screenings. Implementation Activities: - MMC-Lufkin participates in the Know Your Stats Prostate Awareness Campaign. In September, the hospital hosts several men's breakfasts to educate men on the importance of prostate screenings. Local urologists participate to offer information on prostate cancer, signs and symptoms, risk factors and treatment methods. Prostate Specific Antigens are also offered at a discounted rate. - MMC-Lufkin hosts its annual breast cancer awareness luncheon, Power of Pink. The hospital works with the American Cancer Society to supply vendors and sign women up for mammograms. In 2015, the Power of Pink luncheon marked its 23rd year milestone and reached more than 800 women in the Lufkin community. - MMC-Lufkin actively participates in Mammography Month. The hospital runs an educational media campaign on understanding the signs and symptoms of breast cancer and encourages women to get mammograms. A free gift is offered to those scheduling a mammogram at one of MHSET's facilities. - MHSET' Cancer Center began offering lung cancer screenings at each of its facilities in October, 2015. Objective #3: MMC-Lufkin will engage in collaborative initiatives to educate the community on a variety of health topics. Implementation Activities: - MHSET participates in the monthly Speakers' Bureau at each of its facilities. At this event, MHSET physicians speak to civic clubs on a variety of health topics. - MHSET offers a monthly Women's Power Lunch in Lufkin, with 130 attendees on average. Local physicians speak on pertinent health topics. - For the last three years MHSET has partnered with Methodist Hospital System in Houston to educate thousands of East Texans on the signs and symptoms of stroke. Memorial Medical Center - Lufkin. This program has expanded into the East Texas Heart and Vascular Initiative, where public education forums are held at industries, schools, assisted living centers, retirement centers, and civic clubs. Initiative conducts a variety of community outreach events, including health fairs, screenings, and education events. Objective #4: MMC-Lufkin will serve as a resource to other healthcare providers in the community, and as a clinical resource for allied health academic institutions. Implementation Activities: - MMC-Lufkin is an active partner with other healthcare care providers, such as nursing homes, the Regional Advisory Council, the Emergency Preparedness Team, the Rural East Texas Health Network and EMS. - MMC-Lufkin is a clinical rotation site for area nursing, laboratory, physical therapy, pharmacy, nurse practitioner, medical student and physician assistant programs. - MHSET and its hospitals participate in Education Affiliation Agreements with over 30 universities, colleges and medical institutions that prepare students for careers in nursing, allied therapies and administration. - MHSET has increased postings on its online patient library that serves as a medical resource for surgical procedures, illnesses, etc. Priority #2: The community needs increased access to affordable primary care. Objective #1: MMC-Lufkin will coordinate with various providers to offer affordable and discounted care to community members. Implementation Activities: - MHSET collaborates with Express Lab to offer very affordable lab testing at all of the system's facilities. Discounted screenings include glucose testing and PSAs. - MHSET offers the Lifeline home alert system, at a discounted rate. - MMC-Lufkin offers the Drug Replacement Program, which offers medication to cancer patients who are unable to pay, free of cost. - MMC-Lufkin supports the School Based Health Center, a clinic on the campus of Lufkin ISD for elementary to high school age students. This clinic utilizes a midlevel practitioner and uses Medicaid or CHIP as payer sources, or else services are provided at no cost. - In 2015 the hospital started MD Save, which enables patients to obtain a 60% discount on specific radiology and cardiology diagnostic tests and certain procedures. - The Cancer Indigent Care Fund helps with prescriptions, gas, lodging and other expenses for those undergoing cancer treatment Objective #2: MMC-Lufkin will provide staff members that aim to connect patients with available resources and affordable healthcare options. Implementation Activities: - MMC-Lufkin employs a Medicaid staff member who connects indigent and disabled patients to available payer sources. The hospital contributes half of the staff member's salary, while the state pays the remaining half. - MHSET funds the salary of the Administrator of the Angelina County and Cities Health District.
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. Objective #3: Through affiliation with the Angelina County and Cities Health District, CHI St. Luke's Health Memorial-Lufkin will provide guidance and leadership in a collaborative effort to provide primary health care and other public health resources to our community. Implementation Activities: - MMC-Lufkin continues its affiliation with the Health District to provide primary care and services. The affiliation includes ex-officio Health District Board membership, funding the Administrator's salary, providing space and resources to the organization, and collaborating on services, including - Referrals from the Emergency Department, and Inpatient Discharge to the Health District for primary care follow-up, and pharmaceutical assistance for necessary medications for low-income and non-insured individuals and families - Referrals from CHI for other public health programs such as STI, HIV, TB testing and treatment - Collaboration on special patient populations such as Dialysis patients and case management to reduce re-admission rates - The Health District provides bedside Breastfeeding counseling and support to new moms at CHI Lufkin - Collaboration with the BCCS Program, and with the Cancer Center on an Enhanced Colon Cancer Screening Project - CHI Lufkin provides Diagnostic Services at reduced rates (Medicaid rates) - CHI Lufkin provides Surgical procedures through the charity program PRIORITY #3: The community needs additional healthcare providers; including primary care physicians, specialists, mental health providers, & physicians who accept Medicare and Medicaid HMO products Objective #1: MMC-Lufkin will recruit primary care and specialist care physicians, as well as participate in and offer various training programs. Implementation Activities: - MMC-Lufkin actively recruits primary care and specialist physicians, based on a recently conducted Medical Staff Development Plan, via its MMA affiliation. - The Angelina County and Cities Health District is a physician assistant and nurse practitioner training site. MMC-Lufkin partners with many of these students and a number of different physicians to enable them to complete licensure at the Lufkin facility. PRIORITY #4: There is a need to address unhealthy lifestyles, such as smoking and obesity Objective #1: MMC-Lufkin will engage in a variety of initiatives to promote healthy lifestyles, such as good nutrition and smoking cessation. Implementation Activities: - MMC-Lufkin is a leader in promoting healthy lifestyles in the community, playing a significant role in Angelina County receiving Silver recognition in the Texas Healthy Communities Program for spring 2016. - MHSET participates in the city wide, smoke free initiative. Several employees serve on the smoke free initiative's committee. All of MHSET' campuses are smoke free. - MMC-Lufkin advocates for improved health and well-being among staff by offering discounted or free services to employees, including an employee health clinic and discounted gym memberships for employees. - MHSET provides nutritional articles on a monthly basis to various news sources, including the Lufkin Daily News, the Polk County Enterprise and East Texas Magazines. - MMC-Lufkin provides healthy options in the facility's cafeteria, along with nutritional information such as calorie count. - MMC-Lufkin provides financial support and volunteers to organizations that strive to improve unhealthy lifestyles in the community. Some of these organizations include American Cancer Society, The Coalition, the Mosaic Center-Shelter, Hospice in the Pines (MMC-Lufkin provides 5 discounted inpatient hospice rooms, and the Alzheimer's Association. - MMC-Lufkin promotes healthy lifestyles among youth in the community through involvement in school programs. This includes an infection control nurse who educates students about good hygiene, etc. in Lufkin schools. - MMC-Lufkin has donated money to the Heart Alliance to provide defibrillators to local schools. - MMC-Lufkin provides leadership to organizations in the community that address unhealthy lifestyles. For example, the hospital provides representatives to the Angelina Public Health Coalition. - Smoking cessation and lifestyle changes are addressed in public health fairs & senior & women's expos. Objective #2: MMC-Lufkin will offer and provide space for programs that work to address unhealthy lifestyles through education, group meetings, or classes. Implementation Activities: - MMC-Lufkin organizes and provides space for diabetes and cancer support groups. - The hospital offers free childbirth classes. PRIORITY #5: There is a lack of a mental health and behavioral health continuum of care. Objective #1: MMC-Lufkin will provide financial support and volunteers to organizations that either offer services or strive to address mental health and substance abuse concerns in the community. Implementation Activities: - MMC-Lufkin provides financial support and volunteers to organizations that offer prevention and treatment for alcohol and drug abuse, underage drinking, etc. These organizations include the Alcohol and Drug Abuse Council of Deep East Texas and the Alzheimer's Association. MHSET Employees also support these and other community health organizations through United Way. - The hospital works collaboratively with The Burke Center on mental health patients being evaluated in the Emergency Department and the hospital participates in the Rural East Texas Health Network. - The Emergency Department provides education to staff on assessment and care of patients who are sexual assault and abuse victims. The hospital works in partnership with Harold's House on patient care needs and coordinates patient transfers as needed. Objective #2: As a part of the larger health system, MMC-Lufkin will provide staff and leadership to organizations in the community that work to improve the continuum of care between mental health and behavioral health services. Implementation Activities: - MMC-Lufkin has expanded its relationship and increased referrals with the Burke Center and the Alcohol and Drug Abuse Council to improve care and access to care for mental and substance abuse patients. This includes coordination with the Burke Center for use of their 3-bed detoxification unit. - MHSET provides a counselor on contract at the Angelina County Health District to assist patients who cannot pay for services. - In 2015 the Temple Cancer Center began to assess every patient for psychosocial distress indicators. PRIORITY #6: There is a need to decrease health disparities by targeting specific populations. - The high prevalence of diabetes among Native Americans in Polk County - Low income, un/underinsured and elderly - A safe place for treatment for undocumented persons - A culturally sensitive, language appropriate healthcare environment for minority populations Objective #1: As a part of the larger health system, MMC-Lufkin will focus on decreasing health disparities among specific populations by collaborating, organizing, and participating in a variety of initiatives that target specific groups. Implementation Activities: - The hospital continues as a presenting sponsor for the Senior Expo. - MMC-Lufkin engages in outreach in public schools, such as infection and behavior related activities. - In collaboration with the larger system, MMC-Lufkin sponsors community wide health fairs and health screenings, including the Senior Expo, Women's Health Expo, Pinewood Park Health Screens, Physician/New Product presentations, and area school events. - MHSET provides Women's Special Services that offers mammograms, GYN exams and pap smears and GYN educational services to the uninsured population in the community. - MHSET provides bacterial pneumonia and flu vaccinations at all of its facilities. Objective #2: MMC-Lufkin will conduct and participate in events that raise funds for specific populations, such as women and indigent cancer patients. Implementation Activities: - MMC-Lufkin assists with the annual Dr. Bill Shelton Totally Awesome Fishing Adventure. Part of the proceeds raised at this event support indigent cancer patients. - The pharmacy at MMC-Lufkin works with indigent patients to obtain chemotherapy and other high cost medications. For FY 2016 Quarter 1 through 3, we have obtained $174,762 worth of medications for the indigent and underserved. - Part of the proceeds from Power of Pink goes to the Cancer Center for indigent care and transportation.
Schedule H, Part V, Section B, Line 11 Facility , 3Facility , 3 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. Objective #3: MMC-Lufkin will provide culturally sensitive resources to specific populations in the community, such as non-residents or Spanish speaking only persons. Implementation Activities: - The hospital has bilingual staff members in the Education Center and in registration areas to help with communications, and also contracts with a Language Line service to assist hospital and physician staff with interpretation on medical issues. - Diabetes classes for Spanish speaking persons in the community are offered at the Angelina - County Health District. The personnel who run the classes are trained by the hospital. - Angelina County & Cities Health offers obstetrics services for non-residents PRIORITY #7: There is a need to increase access to transportation for healthcare services for those without access (such as elderly and low income residents). Objective #1: MMC-Lufkin will work to provide access to transportation and transportation vouchers to patients at the hospital. Implementation Activities: - MMC-Lufkin offers a shuttle service that transports patients from the Joe W. Elliott House to the hospital. The hospital also pays for the maintenance of that facility. - Part of the proceeds that are raised through Power of Pink and the Fishing Tournament provide gas vouchers for cancer treatment and prescription medication for qualified patients. - In certain circumstances, guest services provides taxi and ambulance transport to qualified patients. - MHSET has been a partner with the Angelina Coalition in creating a resources list of available health and social services that is shared among agencies and with the public.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. HUD low income guidelines used.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. FAP-ELIGIBLE INDIVIDUALS ARE CHARGED THE SAME RATES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AS OTHER HOSPITAL PATIENTS.
Schedule H, Part V, Section B, Line 24 Facility , 1Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. ALL PATIENTS ARE EQUALLY CHARGED. PATIENTS WHO FILE AN APPLICATION FOR FINANCIAL ASSISTANCE ARE NOT BILLED UNLESS IT IS LATER DETERMINED THAT THEY DO NOT QUALIFY FOR ASSISTANCE.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted careWhen Catholic Health Initiatives (the ultimate parent organization to Memorial Health System of East Texas established its financial assistance policy it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among urban and rural communities in 18 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines (FPG), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. Memorial Health System of East Texas bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain financial assistance write-offs, based on a sliding scale, ranging from 25%-100% of charges. An individual's income under the HUD guidelines is a significant factor in determining eligibility for financial assistance. However, in determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE HOSPITAL USED THE COSTING METHODOLOGY DERIVED FROM IRS WORKSHEET 2 - "RATIO OF PATIENT CARE COST-TO-CHARGES" TO CALCULATE THE AMOUNTS SHOWN ON LINES 7(a) & 7 (b). IN ACCORDANCE WITH THE INSTRUCTIONS, COMMUNITY BENEFITS EXPENSED TOTALLING $163,863 INCLUDED IN PART IX, LINE 25, COLUMN (A) AND $765,778 IN MISCELLANEOUS INCOME INCLUDED IN PART VIII, LINE 12, COLUMN (A) WERE SUBTRACTED FROM EXPENSES REPORTED ON PART IX, LINE 25, COLUMN (A) IN ORDER TO DETERMINE ALLOWABLE COSTS TO BE USED IN THE CALCULATION OF THE RATIO OF COST-TO-CHARGES. BAD DEBTS EXPENSE IS NOT INCLUDED IN THE EXPENSES REPORTED ON PART IX, LINE 25 COLUMN (A),
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE HOSPITAL USED THE COSTING METHODOLOGY DERIVED FROM IRS WORKSHEET 2 - "RATIO OF PATIENT CARE COST-TO CHARGES" TO CALCULATE THE AMOUNT SHOWN ON LINE 2. THE HOSPITAL ACCOUNTS FOR DISCOUNTS AS DEDUCTIONS FROM GROSS PATIENT REVENUE AND WHERE APPLICABLE, PAYMENTS ON PATIENTS' ACCOUNTS AS DEDUCTIONS FROM UNCOLLECTIBLE ACCOUNTS (BAD DEBTS EXPENSE).
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE AMOUNT SHOWN ON LINE 3 IS BASED ON THE HOSPITAL'S ESIMATE THAT 10% OF THE ACCOUNTS RECORDED AS BAD DEBT EXPENSE WOULD HAVE BEEN CLASSIFIED AS CHARITY (COMMUNITY BENEFIT) HAD THE APPROPRIATE INFORMATION BEEN OBTAINED. THIS ESTIMATE IS BASED PRIMARILY ON THE POPULATION OF ANGELINA COUNTY'S MEDIAN HOUSEHOLD INCOME ($42,374), THAT 17.9% OF COUNTY RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL, THAT APPROXIMATELY 50% OF GROSS PATIENT REVENUE WAS FROM OUTPATIENTS. REASONS WHY ADEQUATE INFORMATION WAS NOT OBTAINED INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: LANGUAGE BARRIERS WITH THE SPANISH SPEAKING POPULATION A PATIENT'S LACK OF UNDERSTANDING ABOUT THE PROCESS AND WHERE TO FIND THE INFORMATION REQUESTED SOME PATIENT'S ARE UNABLE OR UNWILLING TO SUPPLY SUPPORTING DOCUMENTATION. LACK OF UNDERSTANDING BY THE PATIENT OF HOW A CHARITY CLASSIFICATION RATHER THAN A BAD DEBT CLASSIFICATION MAY BENEFIT THEM.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE HOSPITAL DOES NOT REPORT BAD DEBTS EXPENSES (UNCOLLECTIBLE ACCOUNTS) IN ACCORDANCE WITH HFMA STATEMENT NO. 15. THE HOSPITAL ACCOUNTS FOR ANY LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE HOSPITAL IS A MEMBER OF A SYSTEM WITH CONSOLIDATED FINANCIAL STATEMENTS. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTE TO NET PATIENT ACCOUNTS RECEIVABLE FOR THE YEAR ENDED JUNE 30, 2016, INCLUDES THE FOLLOWING: "THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS." ALSO, SEE PAGE 9 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES FOR THE REMAINDER OF THE FOOTNOTE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE HOSPITAL BELIEVES THAT THE SHORTFALL ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. IN THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT FILLED WITH THE STATE OF TEXAS, THE UNREIMBURSED COST APPLICABLE TO MEDICARE PATIENTS IS A PART OF THE DETERMINATION THAT A HOSPITAL MEETS THE STATE'S REQUIREMENT THAT THE COST OF PROVIDING CHARITY CARE IS EQUAL TO AT LEAST 5% OF NET PATIENT SERVICE REVENUE. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD NON-PROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVICES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. The amount show on line 6 includes the allowable cost of services provided to Medicare patients as shown by the "Cost Report" filed for the year ended June 30, 2016 and the cost of services provided to Medicare-HMO patients determined by applying the cost to charge ratio to Medicare-HMO patient charges.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceAS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENT ASSISTANCE, A DETERMINATION IS MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. NO COLLECTION EFFORTS ARE PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATION IS MADE.
Schedule H, Part V, Section B, Line 16a FAP website- MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Line 16a URL: http://www.memorialhealth.us/patients/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Line 16b URL: http://www.memorialhealth.us/patients/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Line 16c URL: http://www.memorialhealth.us/patients/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentIN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT REQUIRED BY LAW, THE HOSPITAL HAS A BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO PROVIDE INPUT ABOUT NEEDS IN THE COMMUNITY. OUR PHYSICIANS HAVE NUMEROUS COMMITTEES AT THE HOSPITAL. IN PART TO KEEP US INFORMED ABOUT COMMUNITY MEDICAL NEEDS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceTHE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENT HANDBOOKS TO INPATIENT AND DAY SURGERY PATIENTS THAT CONTAIN INFORMATION FOR UNINSURED PATIENTS AS WELL AS FINANCIAL COUNSELOR INFORMATION. PATIENT BILLS HAVE INFORMATION AND WORDING IN THEM WHICH INSTRUCTS THE PATIENT TO CALL THE BUSINESS OFFICE FOR POSSIBLE DISCOUNTS FOR UNINSURED PATIENTS. WE ALSO PROVIDE LITERATURE FOR THE PUBLIC TITLED "NEED HELP WITH HOSPITAL BILLS?" THAT LISTS POSSIBLE PROGRAMS AND FINANCIAL COUNSELOR HOURS OF OPERATION. THE HOSPITAL HAS SIGNS IN THE EMERGENCY DEPARTMENT AND ALL OUTPATIENT REGISTRATION AREAS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND GIVES INSTRUCTIONS FOR CONTACTING FINANCIAL COUNSELORS.
Schedule H, Part VI, Line 4 Community informationANGELINA COUNTY HAS AN APPROXIMATE POPULATION OF 88,256 AS OF 2015 AND IS A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. THE POPULATION MEDIAN INCOME PER HOUSEHOLD, AS OF 2014, IS $42,374; AS OF 2014, 17.9% OF PERSONS IN ANGELINA COUNTY ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 11-12% OF OUR PATIENT BASE IS UNINSURED, APPROXIMATELY 7-8% OF OUR PATIENT BASE IS MEDICAID RECIPIENTS, AND APPROXIMATELY 56% OF OUR PATIENT BASE IS MEDICARE RECIPIENTS. THE HOSPITAL IS ONE OF TWO ACUTE CARE FACILITIES IN ANGELINA COUNTY, AND IS THE ONLY NOT-FOR-PROFIT HOSPITAL WHICH DIRECTLY SERVES OUR COMMUNITY. WITH THE CITY OF LUFKIN BEING THE COUNTY SEAT, WE SERVE AS THE MEDICAL AND RETAIN HUB OF ANGELINA AND SURROUNDING COUNTIES. WITH PROXIMITY TO TWO NATIONAL FORESTS AND LAKE SAM SAYBURN, WHICH IS THE LARGEST LAKE COMPLETELY IN TEXAS, THE HOSPITAL SERVES A LARGE POPULATION OF RETIREES AND RECREATIONAL LAND USERS. ANGELINA COUNTY IS HOME TO ANGELINA COLLEGE, A VETERAN'S ADMINISTRATION HEALTH CLINIC, THREE MUSEUMS, AND A ZOO.
Schedule H, Part VI, Line 5 Promotion of community healthTHE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN DIABETIC CARDIOVASCULAR AND STROKE, ORTHOPEDIC, CANCER THERAPY AND NUTRITION EDUCATION. THE HOSPITAL PARTICIPATES IN HEATLTH FAIRS AT THE HOSPITAL, DIABETES EXPO, SENIOR LIFESTYLE EXPO, WOMEN'S LIFESTYLE EXPO, AND AT MANY LOCAL BUSINESSES. ADDITIONALLY, THE HOSPITAL IS ACTIVE WITH THE ANGELINA COUNTY BUSINESS COALITION THAT PROMOTES A DRUG FREE WORKPLACE AND EDUCATES THE COMMUNITY ON HOW TO LEAD A HEALTHIER LIFE. WE ALSO PROVIDE SPEAKERS TO COMMUNITY GROUPS AS REQUESTED. THE HOSPITAL PARTNERS WITH THE FOLLOWING COMMUNITY GROUPS: CANCER SUPPORT GROUPS, DIABETES SUPPORT GROUP, RELAY FOR LIFE, RED CROSS, ANGELINA COUNTY HEART ASSOCIATION, BLOOD CENTER OF EAST TEXAS, ANGELINA COLLEGE, STEPHEN F AUSTIN STATE UNIVERSITY, AND TYLER COUNTY NURSING PROGRAMS, AND WITH AREA HIGH SCHOOLS' HEATH CAREERS PROGRAMS WHICH ALLOW HIGH SCHOOL STUDENTS TO PARTICIPATE IN CLINICAL STUDIES AT THE HOSPITAL. WE HOST A MONTHLY WOMEN'S POWER LUNCH TO PROVIDE MEDICAL EDUCATION TO THE COMMUNITY AND HOST THE ANNUAL POWER OF PINES, WHICH IS A NOT-FOR-PROFIT ORGANIZATION, HAS AN INPATIENT FACILITY IN OUR HOSPITAL. WE HAVE A CLOSE PARTNERSHIP WITH THE ANGELINA COUNTY AND CITIES HEALTH DISTRICT WHICH MEETS THE MEDICAL NEEDS OF UNDERSERVED PEOEPLE IN OUR COMMUNITY AND PROVIDE FUNDING FOR THE DIRECTOR'S SALARY. THE HOSPITAL IS A MEMBER OF THE ANGELINA COUNTY EMERGENCY PLANNING COMMITTEE IN ORDER TO PLAN FOR MEETING MEDICAL NEEDS IN COMMUNITY EMERGENCIES. WE ALSO FILM HEALTHY COOKING CLASSES WHICH AIR ON A LOCAL TV CHANNEL AND PROVIDE HEART EDUCATION CLASSES. THE HOSPITAL'S WEB SITE OFFERS A MEDICAL LIBRARY TO VISITORS AND A HOST OF VIDEOS THAT DETAIL MEDICAL PROCEDURES. THE HOSPITAL OFFERS EDUCATION TO THE PUBLIC THROUGH SOCIAL NETWORKS SUCH AS YOUTUBE, FACEBOOK AND TWITTER. IN ADDITION TO THE CUSTOMIZED OUTREACH IN EACH INDIVIDUAL COMMUNITY THE CORPORATE STRUCTURE PROVIDES EACH HOSPITAL IN ANGELINA, POLK AND SAN AUGUSTINE COUNTIES WITH IMPROVED MEDICAL TECHNOLOGY THROUGH A COMMON COMPUTER SYSTEM, COMMUNICATION TO ALL COMMUNITIES THROUGH THE CORPORATE MARKETING DEPARTMENT, AND COORDINATION OF MEDICAL TRAINING FOR ALL CLINICAL EMPLOYEES. MEMORIAL HEALTH SYSTEM OF EAST TEXAS IS ABLE TO ACCEPT TRANSFERS OF MORE MEDICALLY COMPLEX CASES FROM OTHER AFFILIATED HOSPITALS.
Schedule H, Part VI, Line 6 Affiliated health care systemIN ADDITION TO THE CUSTOMIZED OUTREACH IN EACH INDIVIDUAL COMMUNITY, THE CORPORATE STRUCTURE PROVIDES EACH HOSPITAL IN ANGELINA, POLK AND SAN AUGUSTINE COUNTIES WITH IMPROVED MEDICAL TECHNOLOGY THROUGH A COMMON COMPUTER SYSTEM, COMMUNICATION TO ALL COMMUNITIES THROUGH THE CORPORATE MARKETING DEPARTMENT, AND COORDINATION OF MEDICAL TRAINING FOR ALL CLINICAL EMPLOYEES. MEMORIAL SPECIALTY HOSPITAL IS ABLE TO PROVIDE CARE FOR CRITICALLY ILL, MEDICALLY COMPLEX PATIENTS WHOSE NEEDS CANNOT BE MET IN OTHER POST-ACUTE CARE ENVIRONMENTS.
Schedule H, Part VI, Line 7 State filing of community benefit reportTX

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY N LOOPER
PRESIDENT & CEO$403,455$0$116,858$0$2,286$0$4,500$0$15,042$0$542,141$0$0$0
Michael Covert
Pres & CEO CHI St. Lukes Health System$0$1,137,434$0$207,077$0$279,438$0$0$0$73,828$0$1,697,777$0$0
LESLIE LEACH
VP POST ACUTE SERVICES$160,122$0$34,417$0$554$0$5,967$0$5,446$0$206,506$0$0$0
RICK HEFNER
VP PHYSICIAN ENTERPRISE$186,309$0$41,847$0$1,117$0$2,908$0$15,331$0$247,512$0$0$0
KENNETH MILLER
CHIEF FINANCIAL OFFICER$216,492$0$48,620$0$414$0$2,715$0$21,890$0$290,131$0$0$0
D DAVID HEARNE
GENERAL COUNSEL$134,123$0$43,054$0$23,083$0$0$0$4,393$0$204,653$0$0$0
Shawn Barnett
COO/PRESIDENT$301,225$0$87,000$0$414$0$3,093$0$19,084$0$410,816$0$0$0
Michael PLANKERS
CNO$140,975$0$31,570$0$260$0$726$0$17,832$0$191,363$0$0$0
Margaret L Mortensen
COO/VP Clinical$228,972$0$72,270$0$1,188$0$2,395$0$15,542$0$320,367$0$0$0
KATHY GRIFFIN
DIRECTOR OF PHARMACY$137,448$0$22,659$0$2,654$0$4,292$0$8,260$0$175,313$0$0$0
ANITA GOTTLIEB
DIRECTOR OF QUALITY$135,937$0$26,896$0$4,861$0$2,131$0$12,667$0$182,492$0$0$0
THOMAS BROSE
ASST. DIRECTOR OF PHARMACY$154,933$0$0$0$3,205$0$4,683$0$14,255$0$177,076$0$0$0
STACY GARCIA
SYSTEM SERVICE LINE ADMINISTRATOR$140,431$0$23,444$0$94$0$4,253$0$5,528$0$173,750$0$0$0
Sanyude Sanyude
Pharmacist$131,030$0$0$0$21,553$0$4,502$0$17,877$0$174,962$0$0$0
Marijke McAnally
Coordinated Care Director$123,451$0$21,011$0$5,244$0$634$0$959$0$151,299$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 1a Health or social club dues or initiation feesFormAndLineReferenceDesc
ExplanationDURING THE YEAR, THE ORGANIZATION PAID COUNTRY CLUB DUES TOTALING $11,235 FOR THE MARKET CEO, MARKET COO AND VP OF HUMAN RESOURCES. THE PERSONAL PORTION OF THESE PAYMENTS WAS TREATED AS TAXABLE COMPENSATION TO EACH INDIVIDUAL.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ravinder Bachireddy M DBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDirectorRelationshipDescriptionTxt
Transaction$605,167TransactionAmt
TransactionMedical ServicesTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV Ravinder Bachireddy, M. D.FormAndLineReferenceDesc
ExplanationRavinder Bachireddy, M. D.has an ownership interest in HIET Partners to which the organization paid $330,065 for medical services. He also has an ownership interest in the Heart Institute of East Texas to which the organization paid $275,102 for medical servicesExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsCORKY EVANS AND JUDY COCHRAN - Business relationship, HUNT HUBER, M. D. AND DAVID GLENN, M. D. - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersCATHOLIC HEALTH INITIATIVES (CHI), A COLORADO NONPROFIT ORGANIZATION IS THE SOLE CORPORATE MEMBER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS (DIRECT AFFILIATE)
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE SOLE CORPORATE MEMBER (CHI) HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE SOLE CORPORATE MEMBER (CHI) MUST APPROVE THE FOLLOWING: SUBSTANTIAL CHANGE IN MISSION OR PHILOSOPHICAL DIRECTION, AMENDMENT TO CORPORATE DOCUMENTS, MEMBERS OF GOVERING BOARD, REMOVAL WITH OR WITHOUT CAUSE, OF MEMBERS OF GOVERING BOARD, INCURRENCE OF DEBT, JOINT VENTURES , PARTNERSHIPS, CREATION OF A NEW CORPORATION OR LIMITED LIABILITY COMPANY, MERGERS, AND THE SALE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE DIRECT AFFILIATE. IN ADDITION, CHI SHALL HAVE THE POWER TO TRANSFER ASSETS TO THE CORPORATE MEMBER .
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE BOARD OF DIRECTORS, BY RESOLUTION, APPOINTS A SPECIAL COMMITTEE TO REVIEW THE FORMS 990 AND 990T PRIOR TO FILING. ONCE THE RETURNS ARE COMPLETED, THEY ARE PROVIDED TO THIS COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR FILING. EMPLOYEES OF THE CORPORATION RESPONSIBLE FOR THE PREPARATION AND REVIEW OF THE RETURNS ARE AVAILABLE TO RESPOND TO QUESTIONS OR PROVIDE BACKGROUND AS NEEDED. ONCE THE DIRECTORS RESPONSIBLE FOR REVIEWING THE RETURNS ARE SATISFIED THAT THEY ARE COMPLETE, THE RETURNS ARE APPROVED TO BE FILED. SUBSEQUENT TO PRESENTATION TO THE BOARD'S COMMITTEE, THE TAX DEPARTMENT FILES THE RETURNS WITH THE IRS, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE COMMITTEE. AFTER FILING, THE RETURNS ARE MADE AVAILABLE TO ALL DIRECTORS FOR THEIR REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policyANNUALLY, EACH MEMBER OF THE BOARD AND OFFICER OF THE CORPORATION IS PROVIDED A COPY OF THE CONFLICTS OF INTEREST POLICY, A STATEMENT ACKNOWLEDGING ITS RECEIPT, AND DISCLOSURE OF OUTSIDE INTERESTS AND ACTIVITIES FORM. THE POLICY IS DISCUSSED WITH THE BOARD AND EACH OFFICER. EACH BOARD MEMBER AND OFFICER COMPLETES THE DISCLOSURE OF OUTSIDE INTERESTS AND ACTIVITIES FORM AND RETURNS THEM TO THE CHIEF EXECUTIVE OFFICER (CEO). THE CEO AND THE SYSTEM'S GENERAL COUNSEL REVIEW EACH STATEMENT ACKNOWLEDGING RECEIPT OF THE POLICY AND THE DISCLOSURES TO FAMILIARIZE THEMSELVES WITH POTENTIAL CONFLICTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR ESTABLISHING COMPENSATION FOR THE PRESIDENT AND CEO AS WELL AS OTHER EXECUTIVES AND KEY MANAGEMENT EMPLOYEES OF THE CORPORATION. AS A PART OF THE MANAGEMENT SERVICES PROVIDED CORPORATION PURSUANT TO THE MANAGEMENT AGREEMENT THAT ENDED ON JUNE 1, 2014, COMMUNITY HOSPITAL CONSULTING, INC. (CHC) ASSISTED THE EXECUTIVE COMMITEE IN ITS REVIEW AND EVALUATION OF COMPENSATION FOR ITS EXECUTIVES, AND ITS KEY MANAGEMENT EMPLOYEES. TO SET COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHC ESTABLISHED AN APPROPRIATE SALARY USING ITS INTERNAL COMPENSATION POLICY AND THEN ENGAGED AN INDEPENDENT NATIONALLY KNOWN COMPENSATION CONSULTANT TO PERFORM A COMPETITIVE MARKET ANALYSIS CONSIDERING THE JOB DESCRIPTION, SCOPE OF RESPONSIBILITY AND CURRENT COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE CONSULTANT RECOMMENDED APPROPRIATE COMPARISON DATA, AND USING DATA FROM FOUR MAJOR COMPENSATION SURVEYS, PROVIDED THE DATA AND MADE RECOMMENDATIONS BASED ON THE ARTICULATED COMPENSATION POLICY. THOSE RECOMMENDATIONS AND THE MARKET DATA ON WHICH THEY WERE BASED WAS THEN FORWARDED TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH ESTABLISHES AN APPROPRIATE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. OTHER KEY EMPLOYEES' COMPENSATION IS SET IN MUCH THE SAME MANNER USING INFORMATION RELATED TO THEIR POSITIONS AND DATA DEVELOPED WITH THE ASSISTANCE OF CHC FROM MAJOR COMPENSATION SURVEYS, PASSED ON TO THE CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE COMMITTEE OF THE BOARD, WHICH ESTABLISHES COMPENSATION LEVELS AS APPROPRIATE. THIS YEAR, CATHOLIC HEALTH INITIATIVES (CHI) ASSUMED ALL THE PREVIOUS MHSET PAY SCALES AND PAY METHODOLOGY THAT WERE PREVIOUSLY DEVELOPED BY CHC IN 2013.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee Disclosure for 15A
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S FINANCIAL STATEMENTS , CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST, AT SUCH TIMES THAT ARE SCHEDULED WITH THE CHIEF FINANCIAL OFFICER. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG.
Form 990, Part VIII, Line 2a PATIENT SERVICE REVENUEPATIENT SERVICE REVENUE WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS - $ 800,004,092 LESS: MEDICARE CONTRACTUAL ALLOWANCES - (281,398,730) MEDICAID CONTRACTUAL ALLOWANCES - 8,858,531 MANAGED CARE DISCOUNTS - (261,703,853) CHARITY DEDUCTIONS - (60,441,295) UNCOLLECTIBLE ACCOUNTS - (35,866,572) OTHER DEDUCTIONS - (22,391,362) NET PATIENT SERVICE REVENUE - $ 147,060,811
Form 990, Part VIII, Line 2f Other Program Service RevenueCoping Rev - Medical records - Total Revenue: 86618, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 86618; RENTAL INC INT DEP - Total Revenue: 12000, Related or Exempt Function Revenue: 12000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; VENDING INCOME - Total Revenue: 22064, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 22064;
Form 990, Part IX, Line 11g Other FeesOUTSIDE SERVICES - OTHER - Total Expense: 6291722, Program Service Expense: 5472885, Management and General Expenses: 818837, Fundraising Expenses: ; PRO FEES - ANESTHESIA - Total Expense: 1773093, Program Service Expense: 1773093, Management and General Expenses: , Fundraising Expenses: ; CRNA PRO FEES - Total Expense: 404544, Program Service Expense: 404544, Management and General Expenses: , Fundraising Expenses: ; PHYSICIANS' ON-CALL FEES - Total Expense: 2063671, Program Service Expense: 2063671, Management and General Expenses: , Fundraising Expenses: ; HOSPITALISTS' FEES - Total Expense: 4265165, Program Service Expense: 4265165, Management and General Expenses: , Fundraising Expenses: ; NUTRITION SERVICES - Total Expense: 2284266, Program Service Expense: 2284266, Management and General Expenses: , Fundraising Expenses: ; BIOMED SERVICES - Total Expense: 3053804, Program Service Expense: 3053804, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - BUSINESS OFFICE - Total Expense: 743672, Program Service Expense: , Management and General Expenses: 743672, Fundraising Expenses: ; SURGERY - Total Expense: 502788, Program Service Expense: 502788, Management and General Expenses: , Fundraising Expenses: ; DIALYSIS - Total Expense: 455570, Program Service Expense: 455570, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - ADMINISTRATION - Total Expense: 1671092, Program Service Expense: , Management and General Expenses: 1671092, Fundraising Expenses: ; OUTSIDE SERVICES - LAUNDRY - Total Expense: 495279, Program Service Expense: 495279, Management and General Expenses: , Fundraising Expenses: ; ENVIORNMENTAL SERVICES - Total Expense: 1919531, Program Service Expense: 1919531, Management and General Expenses: , Fundraising Expenses: ; MEDICAL TRANSCRIPTION SERVICES - Total Expense: 217838, Program Service Expense: 217838, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - MIS - Total Expense: 505240, Program Service Expense: , Management and General Expenses: 505240, Fundraising Expenses: ; Revenue Cycle Management - Total Expense: 6776371, Program Service Expense: , Management and General Expenses: 6776371, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in defined pension plan - 2003 - -8267365; NET CHANGE IN BENEFICIAL INTEREST TRUST - 85233; NET ASSETS RELEASED FROM RESTRICTIONS - -44026; CONTRIBUTIONS RECEIVED - 4897280; INVESTMENT RETURN - 88; Change in Deferred Gain - -1532761;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (187 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HEALTHCARENE501(c)(33ACHYes (true)
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISINGNE501(c)(37ACHYes (true)
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RDOMAHANE68124470484764HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH STMISSOURI VALLEYIA51555420776568HEALTHCAREIA501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STSCHUYLERNE68661470399853HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841420782518HEALTHCAREIA501(c)(33CHI NEBRASKAYes (true)
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(c)(39CHIYes (true)
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(c)(39SFHYes (true)
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(c)(39SLCHSYes (true)
BELLEVILLE ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802274005511HEALTHCARETX501(c)(33SHSCYes (true)
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVEDES MOINESIA50314420725196LTERM CAREIA501(c)(39CHI-IA CORPYes (true)
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316READINGPA19603232187242HEALTHCAREPA501(c)(3Type ICHIYes (true)
BRAZOSPORT HEALTH FOUNDATION INC
129 CIRCLE WAY STE 102LAKE JACKSONTX77566760080110FUNDRAISINGTX501(c)(3Type IBRHSYes (true)
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVELAKE JACKSONTX77566800240261HEALTHCARETX501(c)(33BRHSYes (true)
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HEALTHCARETX501(c)(33SJSCYes (true)
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931HEALTHCARETX501(c)(39SJSCYes (true)
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HEALTHCAREND501(c)(33CHIYes (true)
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(c)(3Type INAYes (true)
CATHOLIC HEALTH INITIATIVES - COLORADO
188 INVERNESS DRIVE WEST STE 500ENGLEWOODCO80112840405257HEALTHCARECO501(c)(33CHIYes (true)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HEALTHCAREIA501(c)(33CHIYes (true)
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DR STE 301COLORADO SPRINGSCO80919840902211FUNDRAISINGCO501(c)(37CHICYes (true)
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRCOLORADO SPRINGSCO80919270930004FUNDRAISINGCO501(c)(3Type ICHIYes (true)
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796HEALTHCARECO501(c)(3Type ICHINSYes (true)
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191PHYSICIANSOR501(c)(39MMCYes (true)
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724SURGERY CENTERKS501(c)(33CHIYes (true)
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847HEALTHCAREMN501(c)(39CHIYes (true)
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(c)(3Type ICHIYes (true)
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651HEALTHCAREKY501(c)(3Type ICHIYes (true)
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(c)(39CHI NSYes (true)
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(c)(3Type ICHIYes (true)
CHI NEBRASKA
6940 O ST STE 200LINCOLNNE68510363233121HEALTHCARENE501(c)(3Type ICHIYes (true)
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(c)(3Type ICHIYes (true)
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(c)(3Type ICHIYes (true)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
6624 FANNIN STHOUSTONTX77030741161938HEALTHCARETX501(c)(33SLHSYes (true)
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HEALTHCAREAR501(c)(33CHISVHSYes (true)
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(c)(3Type IISVIMCYes (true)
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
1 MERCY LANE STE 201HOT SPRINGSAR71913261125131HEALTHCAREAR501(c)(33CHISVHSYes (true)
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206237419853HOLDING COOH501(c)(2GSHYes (true)
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISINGIA501(c)(3Type IAH-CMHMVYes (true)
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRLEXINGTONKY40509611400619LT ACHKY501(c)(33SJHSYes (true)
COVENANT HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112232028429HOME HEALTHPA501(c)(3Type IICHI NHCYes (true)
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVEENUMCLAWWA98022910715805HEALTHCAREWA501(c)(33FHSYes (true)
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HEALTHCAREKY501(c)(33KOHYes (true)
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISINGKY501(c)(3Type IFHYes (true)
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(c)(39FLCYes (true)
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISINGWA501(c)(39FHSYes (true)
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HEALTHCAREWA501(c)(33CHIYes (true)
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAYTACOMAWA98402431882377PHYSICIANSMO501(c)(39CHIYes (true)
FRANCISCAN LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE ATOLEDOOH43623341892096HEALTHCAREOH501(c)(3Type ISFHYes (true)
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739HEALTHCAREWA501(c)(39FHSYes (true)
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(c)(39CHIYes (true)
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HEALTHCAREND501(c)(33SAMCYes (true)
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(c)(3Type ICHIYes (true)
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311778403EDUCATIONOH501(c)(32GSHYes (true)
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311206047FUNDRAISINGOH501(c)(3Type IGSHYes (true)
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISINGNE501(c)(37GSHYes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST STE 500DAYTONOH45402237296923FUNDRAISINGOH501(c)(37SHPYes (true)
HARRISON MEDICAL CENTER
2520 CHERRY AVEBREMERTONWA98310910565546HEALTHCAREWA501(c)(33FHSYes (true)
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVEBREMERTONWA98310911197626FUNDRAISINGWA501(c)(37HMCYes (true)
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISINGMN501(c)(3Type ISFMCYes (true)
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166910712166HEALTHCAREWA501(c)(33FHSYes (true)
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808SHELTERIA501(c)(37CHI-IA CORPYes (true)
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029768HEALTHCAREKY501(c)(33KOHYes (true)
KENTUCKYONE HEALTH MEDICAL GROUP INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611352729HEALTHCAREKY501(c)(39JHSMHYes (true)
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(c)(39CHIYes (true)
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HEALTHCAREMN501(c)(33CHIYes (true)
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISINGND501(c)(37LHCYes (true)
LINUS OAKES INC
2700 STEWART PKWYROSEBURGOR97471930821381SENIOR LIVINGOR501(c)(39MMCYes (true)
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HEALTHCAREND501(c)(33CHIYes (true)
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(c)(3Type III-FIMHSETYes (true)
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HEALTHCARETX501(c)(33SJSCYes (true)
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635LIVING ASSISTKY501(c)(31FLCYes (true)
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISINGTN501(c)(37MHCSYes (true)
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HEALTHCARETN501(c)(33CHIYes (true)
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411030417049HEALTHCARETN501(c)(39MHCSYes (true)
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HEALTHCARETX501(c)(33CHIYes (true)
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HEALTHCARETX501(c)(33MHSETYes (true)
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HEALTHCARETX501(c)(33MHSETYes (true)
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX95904752721155PHYSICIANSTX501(c)(3Type III-FIMHSETYes (true)
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX95902752492741HEALTHCARETX501(c)(33MHSETYes (true)
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(c)(3Type IMF-DM IAYes (true)
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(c)(39CHI-IA CORPYes (true)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(c)(32CHI-IA CORPYes (true)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUNDRAISINGIA501(c)(37CHI-IA CORPYes (true)
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISINGOR501(c)(37MMCYes (true)
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISINGIA501(c)(3Type IAHMH-CorningYes (true)
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISINGND501(c)(3Type IMHVCYes (true)
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISINGIA501(c)(3Type IAHBMHSYes (true)
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HEALTHCAREND501(c)(33CHIYes (true)
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISINGND501(c)(37MHDLYes (true)
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HEALTHCAREND501(c)(33CHIYes (true)
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HEALTHCAREND501(c)(33CHIYes (true)
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HEALTHCAREIA501(c)(33CHI-IA CORPYes (true)
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
1111 6TH AVEDES MOINESIA50314421470935PHYSICIANSIA501(c)(39CHI-IA CORPYes (true)
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HEALTHCAREOR501(c)(33CHIYes (true)
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISINGND501(c)(3Type IMMCYes (true)
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
North Central Health Care Alliance dba PrimeCare Health Group
401 N 9th StBISMARCKND585014507450439894HEALTHCAREND501(c)(39NHCAYes (true)
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HEALTHCAREND501(c)(33CHIYes (true)
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISINGND501(c)(3Type IOCHYes (true)
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(c)(3Type III-FIMHSETYes (true)
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625HEALTHCAREOH501(c)(39FLCYes (true)
PROVIDENCE CARE CENTERS
2025 HAYES AVENUESANDUSKYOH44870341826099HOLDING COOH501(c)(3Type IIFLCYes (true)
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(c)(39FLCYes (true)
PUEBLO STEPUP
1925 E ORMAN AVE STE G52PUEBLOCO81004841234295COMMUNITYCO501(c)(37CHICYes (true)
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
12844 MILITARY RD STUKWILAWA98168911170040HEALTHCAREWA501(c)(33FHSYes (true)
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DR STE 450COLORADO SPRINGSCO80906841183335LTERM CARECO501(c)(37CHICYes (true)
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RDDENVILLENJ07834222876836HEALTHCARENJ501(c)(3Type IISCHSYes (true)
SAINT CLARE'S FOUNDATION INC
25 POCONO RDDENVILLENJ07834222502997FUNDRAISINGNJ501(c)(37SCHSYes (true)
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RDDENVILLENJ07834223639733MANAGEMENTNJ501(c)(3Type IICHIYes (true)
SAINT CLARE'S HOSPITAL INC
25 POCONO RDDENVILLENJ07834223319886HEALTHCARENJ501(c)(33SCHSYes (true)
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISINGNE501(c)(37SERMCYes (true)
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120HEALTHCARENE501(c)(33SERMCYes (true)
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISINGNE501(c)(37SFMCYes (true)
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STBEREAKY40403260152877FUNDRAISINGKY501(c)(37SJHSYes (true)
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611334601HEALTHCAREKY501(c)(33KOHYes (true)
SAINT JOSEPH HOSPITAL FOUNDATION INC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611159649FUNDRAISINGKY501(c)(3Type ISJHSYes (true)
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISINGKY501(c)(37SJHSYes (true)
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISINGKY501(c)(37SJHSYes (true)
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STDICKINSONND58601363418207FUNDRAISINGND501(c)(3Type ISJHHCYes (true)
SAMARITAN BEHAVIORAL HEALTH INC
601 S EDWIN C MOSES BLVDDAYTONOH45417020633634HEALTHCAREOH501(c)(37SHPYes (true)
SAMARITAN HEALTH PARTNERS
110 N MAIN ST STE 500DAYTONOH45402311107411HEALTHCAREOH501(c)(3Type ICHIYes (true)
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISINGNE501(c)(3Type IAHMHSYes (true)
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809HEALTHCAREMO501(c)(33CHIYes (true)
SL AUGUSTA CORP
PO BOX 20269HOUSTONTX77225760226623TITLE HOLDINGTX501(c)(2SLPCYes (true)
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HEALTHCAREND501(c)(33CHIYes (true)
ST ANTHONY HOSPITAL
1601 SE COURT AVEPENDLETONOR97801930391614HEALTHCAREOR501(c)(33CHIYes (true)
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVEPENDLETONOR97801930992727FUNDRAISINGOR501(c)(3Type ISAHYes (true)
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HEALTHCAREAR501(c)(33SVIMCYes (true)
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HEALTHCAREKS501(c)(33CHIYes (true)
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISINGKS501(c)(3Type ISCHYes (true)
ST CLARE COMMONS
5942 RENAISSANCE PLACE STE ATOLEDOOH43623270163752LIVING COMMOH501(c)(39FLCYes (true)
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692HEALTHCAREOR501(c)(4CHIYes (true)
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(c)(39CHIYes (true)
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RDDENVILLENJ07834222536017ELDERLY CARENJ501(c)(39SCHSYes (true)
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HEALTHCAREMN501(c)(33CHIYes (true)
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WESTENGLEWOODCO80112930412495HEALTHCAREOR501(c)(33CHIYes (true)
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISINGTX501(c)(3Type ISJSCYes (true)
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594HEALTHCARETX501(c)(39SJSCYes (true)
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030520591461HEALTHCAREMD501(c)(33CHIYes (true)
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030521311775PHYSICIANSMD501(c)(3Type ISJMCYes (true)
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(c)(3Type ISFHYes (true)
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HEALTHCAREMN501(c)(33CHIYes (true)
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STDICKINSONND58601450226429HEALTHCAREND501(c)(33CHIYes (true)
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(c)(39FLCYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030260274448MANAGEMENTTX501(c)(3Type ISLHSYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HEALTHCARETX501(c)(33SLCDCYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HEALTHCARETX501(c)(33SLHSYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HEALTHCARETX501(c)(33SLCDCYes (true)
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HEALTHCARETX501(c)(33SLHSYes (true)
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISINGTX501(c)(37SLHSYes (true)
ST LUKE'S HEALTH SYSTEM CORPORATION
6624 FANNIN ST STE 1100HOUSTONTX77030760536232MANAGEMENTTX501(c)(3Type ICHIYes (true)
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HEALTHCARETX501(c)(33SLHSYes (true)
ST LUKE'S MEDICAL GROUP
6624 FANNIN STHOUSTONTX77030760458535PHYSICIANSTX501(c)(33SLHSYes (true)
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN ST STE 1100HOUSTONTX77030760531713PROPERTY MGMTTX501(c)(3Type ICHI-SLHYes (true)
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN ST STE 1100HOUSTONTX77030760531716PROPERTY MGMTTX501(c)(3Type ISLHSYes (true)
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(c)(3Type ISLCDC-SLYes (true)
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENEBRASKA CITYNE68410470443636HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENEBRASKA CITYNE68410470707604FUNDRAISINGNE501(c)(37SMCHYes (true)
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISINGAR501(c)(3Type ISVIMCYes (true)
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HEALTHCAREAR501(c)(33CHIYes (true)
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(c)(39SVIMCYes (true)
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200MAUMEEOH43537341412964HEALTHCAREOH501(c)(3Type ICHIYes (true)
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200MAUMEEOH43537455357161FUNDRAISINGOH501(c)(3Type IFLCYes (true)
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSIST LIVINGOH501(c)(39FLCYes (true)
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVELAKE JACKSONTX77566741385192HEALTHCARETX501(c)(33SLHSYes (true)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206310537486HEALTHCAREOH501(c)(33CHIYes (true)
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(c)(3Type ICHI NEBRASKAYes (true)
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST STE 500ENGLEWOODCO80112840927232HEALTHCARECO501(c)(33CHICYes (true)
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUESTEUBENVILLEOH43952311329423FUNDRAISINGOH501(c)(3Type ITHSYes (true)
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUESTEUBENVILLEOH43952341818681HEALTHCAREOH501(c)(3Type ISFHYes (true)
TRINITY HEALTH SYSTEM GROUP
380 SUMMIT AVENUESTEUBENVILLEOH43952300752920HEALTHCAREOH501(c)(33THSYes (true)
TRINITY HOSPITAL HOLDING COMPANY
380 SUMMIT AVENUESTEUBENVILLEOH43952341842025HEALTHCAREOH501(c)(33THSYes (true)
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HEALTHCAREOH501(c)(33CHIYes (true)
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSIST LIVINGOH501(c)(3THSYes (true)
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HEALTHCAREMN501(c)(33CHIYes (true)
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(c)(39CHIYes (true)
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RDSPARTANJ07871221768334HOME HEALTHNJ501(c)(39SCHSYes (true)

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Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Alegent Health Northwest Imaging Center LLC
3606 N 156th StOMAHANE68116061786985OP DiagnosticsNEACHRelated-$7,263$485,853false$0Yes (true)0.51
Audubon Land Company LLC
5390 N Academy Blvd STE 300COLORADO SPRINGSCO80918841513085Real EstateCOCHICRelated$250,214$23,193,712false$0false0.5
AVON EMERGENCY AND URGENT CARE CENTER LLC
188 INVERNESS DRIVE WEST 500ENGLEWOODCO80112811727282HEALTHCARE SRVCCOCHICRelated$0$0false$0Yes (true)0.77
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 Fannin St Ste 1100HOUSTONTX77030472079184HEALTHCARE SRVCTXSLHSRelated$0$0false$0Yes (true)0.65
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200OMAHANE68124208671994AMBUL SURG CTRNEACHRelated$709,407$1,953,385false$0false0.58
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAILCLEVELANDTN37312621875199PHYS OFFICETNMHCSRelated$127,778$958,445false$0Yes (true)0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC IMAGINGKYSJHSRelated$312,944$3,261,145false$0false0.65
CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112462945938PRACTICE MGMT SRVCDECHIRelated-$572,758$28,961,482false$0Yes (true)0.8
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146 4502 N SECOND AVEKEARNEYNE68848470692112HEALTHCARE SRVCNEnaRelated-$33,398$156,208false$0Yes (true)1.0
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUEGRAND ISLANDNE68803810653461Physical TherapyNESFMCRelated$2,441,607$3,412,341false$0false0.51
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901BIRMINGHAMAL35209474823023OP SURGERY CENTERALCHICRelated$525,814$1,305,299false$0Yes (true)0.65
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCOCHIUnrelated$332,023,271$6,703,637,716false$515,470Yes (true)1.0
CHI ST LUKE'S HEALTH EMERGENCY CENTER LLC
6624 Fannin St Ste 1100HOUSTONTX77030810743412URGENT CARETXSLHSRelated$0$0false$0Yes (true)0.65
CHICAMSURG Surgery Centers LLC
188 INVERNESS DRIVE WEST 500ENGLEWOODCO80112465683027SURGERY CENTERCOCHICRelated$0$0false$0false0.51
CHICLARKIN VENTURES LLC
188 INVERNESS DRIVE WEST 500ENGLEWOODCO80112474210888URGENT CARECOCHICRelated$0$0false$0Yes (true)0.87
Colorado Springs CK Leasing LLC
8770 W Bryn Mawr Ste 1370CHICAGOIL60631262982714REAL ESTATECOCHICRelated$599,151$425,148false$0Yes (true)0.4
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045270453767PROPERTY HOLDINGWISL HOSP-VINTAGERelated$1,365,254$375,590,761false$0false0.51
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNEnaRelated$256,166$3,371,484false$0false1.0
Heartland Oncology LLC
2337 E Crawford StSALINAKS67401464265403ONCOLOGYKSSCHRelated-$457,809$1,985,911false$0false0.51
HIGHLINE IMAGING LLC
PO BOX 184BRUSH PRAIRIEWA98606200460005DIAGNOSTIC IMAGINGWAHMCRelated$65,074$1,408,012false$0false0.8
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNEACHRelated$4,111,597$2,474,455false$0false0.54
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNEACHRelated$670,348$721,021false$0false0.51
LINCOLN CK LEASING LLC
6003 Old Cheney RdLincolnNE68516262496856Real EstateNESERMCRelated$488,450$230,998false$0false0.54
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STOMAHANE68122270263191SPINE HOSPITALNEACHRelated$10,386,143$19,795,974false$0false0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARSVIMCRelated$163,900$1,280,229false$0false0.57
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80255371577105ORTHO HOSPITALCOTHCRelated$9,902,290$2,561,198false$0false0.6
PENINSULA RADIATION ONCOLOGY LLC
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Penrad Imaging
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PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXSL CDC-PMCRelated$5,287,747$67,411,280false$0Yes (true)0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST STE 102LINCOLNNE68508204962103TECH SRVCNEAH-IMCRelated$1,126,606$2,905,862false$0Yes (true)0.66
Pueblo Ambulatory Surgery Center LLC
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Saint JOSEPH - PAML LLC
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SAINT JOSEPH - SCA HOLDINGS LLC
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SAINT JOSEPH-ANC HOME CARE SERVICES
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SCA Premier Surgery Center of Louisville LLC
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ST FRANCIS LAND COMPANY
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ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STTACOMAWA98405911352698MED OFFICEWAFHSRelated$265,442$1,984,098false$0false0.61
ST LUKE'S DIAGNOSTIC CATH LAB LLP
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Alegent HealthCreighton St Joseph Managed Care Services Inc
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All Saints Insurance Company SPC Ltd
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ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc
2801 FRACNISCAN DRIVEBRYANTX77802742466914HealthcareTXSJSCC Corporation$204,115$535,1651Yes (true)
Alternative Insurance Management Service Inc
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AMERIMED INC
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BrazoSport Health Alliance
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Caduceus Medical Associates INC
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Captive Management Initiatives Ltd
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Carmona-DeSoto Building Horizontal Property Regime Inc
300 Werner StHot SpringsAR71913710771076HealthcareARCHI-SVHSC Corporation$0$01Yes (true)
Catholic Health Initiatives Center for Translational Research
198 INVERNESS DRIVE WESTEnglewoodCO80112272269511ResearchCOCIRIC Corporation$510,763$3,054,9891Yes (true)
CHI St Luke's Health Baylor College of Medicine Medical Center Condominium
6624 Fannin STE 1100HoustonTX77030465079545Condo AssocTXCHI-SLHBCMC Corporation$0$01Yes (true)Assoc
ClearRiver Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464495960InsuranceTNPHPSIC Corporation-$186,666$6,973,9841Yes (true)
Comcare Services Inc
5570 DTC ParkwayEnglewoodCO80111840904813InactiveCOCHICC Corporation$0$01Yes (true)
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHCHIC Corporation$247,400$51,845,0301Yes (true)
Des Moines Medical Center Inc
1111 6TH AVEDes MoinesIA50314420837382Real EstateIACHI-IA CorpC Corporation$71,628$1,151,0780.93Yes (true)
Diversified Health Resources Inc
100 MEDICAL DRIVELAKE JACKSONTX77566760222679Health CareTXBRHSC Corporation$0$01Yes (true)
East Texas Clinical Services Inc
2801 Via Fortuna 500AustinTX78746454736213HealthcareTXMHSETC Corporation$0$16,7821Yes (true)
First Initiatives Insurance LTD
980203038InsuranceCHIC Corporation$0$01Yes (true)PO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
Franciscan Services Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112232487967HealthcareCOCHIC Corporation$318,497$11,891,6451Yes (true)
Good Samaritan Outreach Services
PO Box 1990KearneyNE68848470659440Medical ClinicNECHI NebraskaC Corporation$0$01Yes (true)
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201FEDERAL WAYWA98001473451750InsuranceWAQCHPSC Corporation$2,182$3,002,1821Yes (true)
Health Systems Enterprises Inc
1700 EDISON DRMILFORDOH45150470664558MGMTNEGSHC Corporation$84,269$1,115,2101Yes (true)
Healthcare MGMT Services Organization INC
1149 MARKET STTacomaWA98402911865474Health Org.WAFHSC Corporation$0$01Yes (true)
HeartlandPlains Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464368223InsuranceNEPHPSIC Corporation$1,755,860$3,679,1331Yes (true)
Highline Medical Group
15811 AMBUAN Blvd SW STE ABurienWA98166911407026Medical ServicesWAHMCC Corporation$0$01Yes (true)
Medquest
1301 15TH AVENUE WESTWillistonND58801450392137Sale of DMENDMMC WillistonC Corporation$677,839$1,583,3251Yes (true)
Memorial CV Service Line Management Company LLC
1201 W Frank AveLufkinTX75904463622849Heath CareTXMHSETC Corporation$0$01Yes (true)
Mercy Park Apartments LTD
1111 6th AVEDes MoinesIA50314421202422HousingIACHI-IA CorpC Corporation$1,888,173$2,376,8121Yes (true)
Mercy Services Corp
2700 STEWART PARKWAYRoseburgOR97471930824308Retail SalesORMMCC Corporation$2,502,051$1,446,1081Yes (true)
MHI Clinical Services
1201 W Frank AveLufkinTX75904461967952HealthcareTXMHSETC Corporation$10,063,699$1,339,6191Yes (true)
Mountain Management Services Inc
6028 Shallowford RdChattanoogaTN37421621570739MGMT SVC ORGTNMHCSC Corporation$31,344,101$6,237,9321Yes (true)
Nazareth Assurance Company
030304831InsuranceCHIC Corporation$0$01Yes (true)PO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRMILFORDOH45150311100798HOME HEALTHOHANCC Corporation$9,010,987$6,688,7831Yes (true)
PhysicianHealth System Network
1149 MARKET STTacomaWA98402911746721Health Org.WAFHSC Corporation$0$01Yes (true)
QCA Health Plan Inc
12615 Chenal Parkway STE 300Little RockAR72211710794605InsuranceARQCHIC Corporation$104,106,960$86,204,0291Yes (true)
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473433912InsuranceWAQCPSC Corporation$2,767$3,502,7671Yes (true)
QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc)
198 INVERNESS DRIVE WESTEnglewoodCO80112461224037Admin ServicesCOQCHIC Corporation$17,917,443$64,152,8981Yes (true)
QualChoice Health Inc (fka CollabHealth Managed Solutions Inc)
198 INVERNESS DRIVE WESTEnglewoodCO80112461222808Holding CoCOCHIC Corporation$2,010,400-$2,237,6561Yes (true)
QualChoice Holdings Inc
12615 Chenal Parkway STE 300Little RockAR72211274075520Holding CoARPHPSC Corporation$0$10,1901Yes (true)
QualChoice Life and Health Insurance Company Inc
12615 Chenal Parkway STE 300Little RockAR72211710386640InsuranceARQCHC Corporation$19,949,469$19,444,6331Yes (true)
QualChoice of Nebraska
2401 S 73rd StOmahaNE68124810738827InsuranceNEQCHC Corporation$0$01Yes (true)
RiverLink Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464380824InsuranceOHPHPSC Corporation$2,069,874$3,679,8791Yes (true)
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464828332InsuranceKYPHPSC Corporation$1,590,037$5,958,7861Yes (true)
Ross Park Pharmacy Inc
380 SUMMIT AVESTEUBENVILLEOH43952341832654PharmacyOHTHSC Corporation$1,104,611$2,024,4311Yes (true)
Saint Clare's Primary Care Inc
66 FORD RDDenvilleNJ07834222441202Billing ServicesNJSCCCC Corporation$499,042$1,183,2471Yes (true)
SAMARITAN FAMILY CARE INC
40 W FOURTH ST STE 1700DaytonOH45402311299450HealthcareOHSHPC Corporation$0$01Yes (true)
SJH Services Corporation
198 INVERNESS DRIVE WESTEnglewoodCO80112232307408HealthcareCOFSIC Corporation$2,007,370$2,441,2861Yes (true)
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160LexingtonKY40503270164198MgmtKYSJHSC Corporation$41$01Yes (true)
SLMT Parking Inc
6624 Fannin STE 800HoustonTX77030760637140ParkingTXSLHSC Corporation$3,345,698$205,2001Yes (true)
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201Federal WayWA98001421720801InsuranceWAPHPSC Corporation$138,106,211$32,840,9091Yes (true)
St Alexius Health Services Inc
900 East Broadway AvenueBismarckND58501450402812HealthcareNDSAMCC Corporation$0$01Yes (true)
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORSAHC Corporation$1,541,465$2,192,2871Yes (true)
St Joseph Development Company Inc
1717 SOUTH J STTacomaWA98405911480569RentalWAFSIC Corporation$3,758,845$12,828,4931Yes (true)
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG RD BLDG B70LexingtonKY40504611079899MgmtKYSJHSC Corporation$200,108$1,137,6600.85Yes (true)
St Luke's 6620 Main Condominium Association
6624 Fannin STE 1100HoustonTX77030300355517Condo AssocTXSLPCC Corporation$0$01Yes (true)
St Luke's Anesthesiology Associates
6624 Fannin STE 1100HoustonTX77030461517163Medical ClinicTXCHI-SLHC Corporation$0$01Yes (true)
St Luke's Episcopal Hospital Physician Hospital Organization Inc
6720 Bertner MC4-262HoustonTX77030760377932PHOTXCHI-SLHC Corporation$0$00.6Yes (true)
St Luke's Health System Holdings Inc
6624 Fannin STE 800HoustonTX77030760637138Holding CoTXSLHSC Corporation$2,163,924$4,389,0841Yes (true)
St Luke's Medical Arts Center I Condominium Association
6624 Fannin STE 1100HoustonTX77030300355518Condo AssocTXSLPCC Corporation$0$01Yes (true)
St Luke's Medical Tower Condominium Association
6624 Fannin STE 1100HoustonTX77030760298751Condo AssocTXSLMTCC Corporation$0$01Yes (true)
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLELittle RockAR72205710710785HealthcareARSVIMCC Corporation$4,033,444$16,764,1501Yes (true)
StableView Health Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464373713InsuranceKYPHPSC Corporation$301,615$5,787,2961Yes (true)
Sugar Land Doctor Group
1317 Lake Point ParkwaySugar LandTX77478454270163Medical ClinicTXSLCDC-SLC Corporation$0$01Yes (true)
The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B
6624 Fannin STE 1100HoustonTX77030900064009Condo AssocTXCHI-SLHC Corporation$0$01Yes (true)uilding Comdominium Association
Towson Management Inc
7601 OSLER DRTowsonMD21204521710750Mgmt ServicesMDFSIC Corporation$0$01Yes (true)
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026Mgmt ServicesOHTHSC Corporation-$76,969$259,9911Yes (true)
Vintage Doctor Group
6624 Fannin STE 1100HoustonTX77030Medical ClinicTXCHI-SLHC Corporation$0$01Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIAL MEDICAL CENTER - LIVINGSTON
L$159,382Cost
MEMORIAL MEDICAL CENTER - LIVINGSTON
Q$3,746,556Cost
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
Q$496,833Cost
Memorial Specialty Hospital
J$246,036Cost
Memorial Specialty Hospital
Q$3,642,165Cost
Memorial Multispecialty Associates
Q$1,068,496Cost
Pineywoods Medical Development Corp
Q$125,988Cost
Pineywoods Medical Development Corp
K$182,351Amt Charged