MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HEALTH SYSTEM OF EAST TEXAS (EIN 75-0755367)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201413219349300806
- Schema version
- 2013v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T05:54:05-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Axley & Rode LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1307 S 1st St | AddressLine1 |
| City | Lufkin | City |
| State | TX | State |
| ZIP Code | 759014717 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750755367 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Memorial Health System of East Texas | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 9366348111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 1447 | AddressLine1 |
| City | Lufkin | City |
| State | TX | State |
| ZIP Code | 75902 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY N LOOPER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2014-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J LEON MANNING CPA | PreparerPersonNm |
| PTIN | P00045819 | PTIN |
| Phone | 9366346621 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GARY N LOOPER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 156 MAGNOLIA BEND | AddressLine1 |
| City | LUFKIN | City |
| State | TX | State |
| ZIP Code | 75904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $122,281,271 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION OPERATES AN ACUTE CARE 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 Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1064 | TotalEmployeeCnt |
| Total Volunteers | 68 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,159,487 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,814,009 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $126,520,680 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $118,494,736 | CYProgramServiceRevenueAmt |
| PY Investment Income | $479,290 | PYInvestmentIncomeAmt |
| CY Investment Income | $540,216 | CYInvestmentIncomeAmt |
| PY Other Revenue | $22,915 | PYOtherRevenueAmt |
| CY Other Revenue | -$3,739 | CYOtherRevenueAmt |
| PY Total Revenue | $129,182,372 | PYTotalRevenueAmt |
| CY Total Revenue | $121,845,222 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $57,934,959 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,927,180 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,868,148 | PYOtherExpensesAmt |
| CY Other Expenses | $63,646,432 | CYOtherExpensesAmt |
| PY Total Expenses | $126,803,107 | PYTotalExpensesAmt |
| CY Total Expenses | $120,573,612 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,379,265 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,271,610 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $250,660,919 | TotalAssetsBOYAmt |
| Total Assets EOY | $255,494,623 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $151,133,986 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $142,801,337 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $99,526,933 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $112,693,286 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION IS TO SUPPORT, MANAGE & FURNISH FACILITIES TO PROVIDE QUALITY ACUTE HEALTHCARE SERVICES FOR THE CITIZENS OF ANGELINA, POLK, SAN AUGUSTINE & SURROUNDING COUNTIES REGARDLESS OF RACE, COLOR, GENDER, AGE, NATIONAL ORIGIN, OR, TO THE EXTENT OF ITS AVAILABLE RESOURCES, ABILITY TO PAY, & TO FACILITATE & ENCOURAGE EDUCATION & TRAINING ACTIVITIES TO PROMOTE THE HEALTH & WELFARE OF THOSE CITIZENS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $110,161,222 | ExpenseAmt |
| Revenue | $117,812,751 | RevenueAmt |
| Desc | HOSPITAL SERVICES TO PATIENTS AND SERVICES TO THE COMMUNITY INCLUDE 35,740 PATIENT DAYS DURING THE YEAR. THIS ALSO INCLUDES 7,875 INPATIENT ADMISSIONS, 102,769 OUTPATIENT VISITS, 35,922 EMERGENCY ROOM VISITS AND 9,370 HOME HEALTH VISITS. | Desc |
| Total Program Service Expenses | $110,161,222 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 209 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1064 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY N LOOPER | PersonNm |
| Phone | 9366348111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 W Frank Avenue | AddressLine1 |
| City | LUFKIN | City |
| State | TX | State |
| ZIP Code | 75904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (56 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| HAROLD MAXWELL | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE ARNOLD M D | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN F GLICK | |||||||||
| 2ND VCHAIR/SEC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL FUENTES D O | |||||||||
| PRES MED STAFF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT TELFORD | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AL MEYER | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GIPSON FRIESEN | |||||||||
| 1ST V CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RAVINDER BACHIREDDY M D | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA MCKENZIE EDD | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RAY BALDWIN | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RANDY GEORGE | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE HENDERSON III | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SW HENDERSON III | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JACK SWEENY | |||||||||
| Chairman | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| H J SHANDS III | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CARL RAY POLK | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SID ROBERTS MD | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $42,400 | $0 | $0 | |||
| TED LANKFORD | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CORKY EVANS | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RONA FRIESEN | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ANDERSON | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID PERKINS | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR THOMAS MCLAURIN | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN MILLER | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM ROPER | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DON BRILEY | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSS ELDER | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RONNIE ROBINSON | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DON DURAN | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR THOMAS DUNCAN | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JACK GORDEN | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN STRAIN | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ARTIE BEDARD | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MACK FRAZIER | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| H J TROUT JR | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN SMITHHART | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EDD TERRILL III | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $21,600 | $0 | $0 | |||
| JERRY SUTTON | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS MOORE | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID GLENN M D | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $22,000 | $0 | $0 | |||
| DAVID TAMMINGA | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE FIDONE M D | |||||||||
| Pres Elect M S | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE SMITH | |||||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PEGGY MORTENSON | |||||||||
| COO/VP CLINICAL | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| KRISTI GAY | |||||||||
| VP/CFO | 40.00 | 0.00 | $150,367 | $0 | $18,801 | Yes (X) | |||
| DAVID HEARNE | |||||||||
| GENERAL COUNSEL | 40.00 | 0.00 | $206,778 | $0 | $7,097 | Yes (X) | |||
| DONALD L MORRIS | |||||||||
| VP HUMAN RESOUR | 40.00 | 0.00 | $199,268 | $0 | $14,329 | Yes (X) | |||
| KENNETH MILLER | |||||||||
| VP/CFO | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| GARY N LOOPER | |||||||||
| President & CEO | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| LESLIE LEACH | |||||||||
| ASST COO | 40.00 | 0.00 | $172,196 | $0 | $12,426 | Yes (X) | |||
| KATHY GRIFFIN | |||||||||
| DIRECTOR OF PHARMACY | 40.00 | 0.00 | $159,539 | $0 | $11,876 | Yes (X) | |||
| THOMAS A BROSE | |||||||||
| ASST DIR - PHARM | 40.00 | 0.00 | $142,675 | $0 | $22,761 | Yes (X) | |||
| STEPHANIE STRICKLAND | |||||||||
| DIRECTOR - SURGERY | 40.00 | 0.00 | $135,507 | $0 | $5,849 | Yes (X) | |||
| STACY GARCIA | |||||||||
| CNO | 40.00 | 0.00 | $134,558 | $0 | $9,243 | Yes (X) | |||
| SANYUDE SANYUDE | |||||||||
| PHARMACIST | 40.00 | 0.00 | $137,009 | $0 | $21,322 | Yes (X) | |||
| DANNY LOYD | |||||||||
| DIR - CATH LAB | 40.00 | 0.00 | $130,701 | $0 | $15,882 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,654,598 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $139,586 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HB ANESTHESIOLOGY GROUP PA | |||||
| 7032 COLLECTION CENTER DR | CHICAGO | IL | 60693 | ANESTHESIOLOGY | $3,618,815 |
| SODEXO SERVICES | |||||
| P O BOX 536992 | ATLANTA | GA | 30353 | DIETARY/ENVIROMENTAL | $4,143,034 |
| MCKESSON TECHNOLOGIES INC | |||||
| P O BOX 98347 | CHICAGO | IL | 60693 | TECHNOLOGY SERVICES | $2,766,395 |
| WILLIAM BASSUKCLINICAL ENG | |||||
| 1606 DOE CREST | SAN ANTONIO | TX | 78248 | EQUIPMENT MAINTENANC | $3,166,092 |
| COMMUNITY HOSPITAL CONSULTING INC | |||||
| 7800 NORTH DALLAS PKWY STE 200 | PLANO | TX | 75024 | MANAGEMENT & OTHER | $2,394,582 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,814,009 | AllOtherContributionsAmt |
| Total Contributions | $2,814,009 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 621990 | $555,037 | $555,037 | |
| ELECTRONIC HEALTH RECORDS | 621990 | $2,440,060 | $2,440,060 | |
| OTHER HOSPITAL SERVICES | 621990 | $332,293 | $332,293 | |
| PATIENT SERVICE REVENUE | 621990 | $114,799,678 | $114,799,678 | |
| RENTAL INCOME - AFFILIATE | 621990 | $228,720 | $228,720 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,948 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,000 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $126,948 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $118,494,736 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $540,216 | TotalRevenueColumnAmt |
| Exclusion | $540,216 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $193,816 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $196,757 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$2,941 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,941 | TotalRevenueColumnAmt |
| Exclusion | -$2,941 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $238,494 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $239,292 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$798 | TotalRevenueColumnAmt |
| Exclusion | -$798 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,845,222 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,812,751 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,218,462 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $915,695 | TotalAmt |
| Program Services | $390,093 | ProgramServicesAmt |
| Management And General | $525,602 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,644,035 | TotalAmt |
| Program Services | $37,597,369 | ProgramServicesAmt |
| Management And General | $4,046,666 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $919,537 | TotalAmt |
| Program Services | $820,910 | ProgramServicesAmt |
| Management And General | $98,627 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,314,978 | TotalAmt |
| Program Services | $9,163,918 | ProgramServicesAmt |
| Management And General | $1,151,060 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,132,935 | TotalAmt |
| Program Services | $2,796,904 | ProgramServicesAmt |
| Management And General | $336,031 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,292,998 | TotalAmt |
| Management And General | $2,292,998 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,968 | TotalAmt |
| Program Services | $236,395 | ProgramServicesAmt |
| Management And General | $317,573 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,776 | TotalAmt |
| Management And General | $123,776 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,953,346 | TotalAmt |
| Program Services | $21,862,195 | ProgramServicesAmt |
| Management And General | $5,091,151 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,392 | TotalAmt |
| Program Services | $27,504 | ProgramServicesAmt |
| Management And General | $255,888 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,297,938 | TotalAmt |
| Program Services | $1,536,973 | ProgramServicesAmt |
| Management And General | $760,965 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,639,254 | TotalAmt |
| Program Services | $2,635,604 | ProgramServicesAmt |
| Management And General | $3,650 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,153 | TotalAmt |
| Program Services | $209,700 | ProgramServicesAmt |
| Management And General | $9,453 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,063 | TotalAmt |
| Program Services | $361,063 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,523,999 | TotalAmt |
| Program Services | $10,523,999 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,309,246 | TotalAmt |
| Program Services | $1,309,246 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE SUPPLIES | $19,202,165 | $19,202,165 | |
| REPAIRS & MAINTENANCE | $2,780,324 | $568,034 | $2,212,290 |
| OTHER OPERATING EXPENSES | $979,280 | $471,194 | $508,086 |
| RENTS & LEASES - EQUIP | $520,898 | $511,426 | $9,472 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$7,394,368 | TotalAmt |
| Program Services | -$63,470 | ProgramServicesAmt |
| Management And General | -$7,330,898 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,573,612 | TotalAmt |
| Program Services | $110,161,222 | ProgramServicesAmt |
| Management And General | $10,412,390 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,985,433 | BOYAmt |
| EOY | $693,590 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,068,263 | BOYAmt |
| EOY | $59,134,283 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,746,621 | BOYAmt |
| EOY | $12,414,753 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,107,083 | BOYAmt |
| EOY | $1,777,321 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $838,914 | BOYAmt |
| EOY | $1,131,788 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $196,359,337 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $126,856,431 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,755,102 | BOYAmt |
| EOY | $69,502,906 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,495,514 | BOYAmt |
| EOY | $15,599,989 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,663,989 | BOYAmt |
| EOY | $95,239,993 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,660,919 | BOYAmt |
| EOY | $255,494,623 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,219,112 | BOYAmt |
| EOY | $23,679,794 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,085,000 | BOYAmt |
| EOY | $107,100,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $107,500 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,829,874 | BOYAmt |
| EOY | $11,914,043 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,133,986 | BOYAmt |
| EOY | $142,801,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,247,728 | BOYAmt |
| EOY | $92,027,410 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,279,205 | BOYAmt |
| EOY | $20,665,876 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,526,933 | BOYAmt |
| EOY | $112,693,286 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,660,919 | BOYAmt |
| EOY | $255,494,623 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,271,610 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $11,894,743 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,613,815 | OtherCostOrOtherBasisAmt |
| Book Value | $2,613,815 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,257,581 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,644,785 | DepreciationAmt |
| Book Value | $46,612,796 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $100,196,428 | OtherCostOrOtherBasisAmt |
| Depreciation | $80,046,329 | DepreciationAmt |
| Book Value | $20,150,099 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,291,513 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,165,317 | DepreciationAmt |
| Book Value | $126,196 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,502,906 | TotalBookValueLandBuildingsAmt |
| Total Book Value Program Rltd | $15,599,989 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (12 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BOND DISCOUNTS | $880,699 |
| CARE TRANSITIONS RECEIVABLE | $100,680 |
| Due from AFFILIATES | $78,676,029 |
| DUE FROM PINEYWOODS MED DEV CO | $17,859,446 |
| DUE TO MEMORIAL SPECIALTY HOSPITAL | -$26,548,261 |
| GRANT RECEIVABLE | $550,735 |
| HELD IN TRUST ACCOUNTS | $20,585,310 |
| INSURANCE RECOVERIES - LONG TERM | $658,980 |
| INVESTMENT IN PREMIER | $316,470 |
| Miscellaneous Receivables | $1,699 |
| PHYSICIAN CONTRACT RECEIVABLE | $1,513,310 |
| PREPAID BOND ISSUANCE COST | $644,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $95,239,993 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| BOND ISSUE DISCOUNT | -$1,035,504 |
| CHANGE IN FAIR VALUE OF SWAP | $5,767,939 |
| EXECUTIVE RETIREMENT BENEFIT PAYABLE | $125,037 |
| Insurance Reserve Payable | $2,452,196 |
| LEASES PAYABLE | $2,058,171 |
| PENSION PLAN PAYABLE | $1,466,967 |
| THIRD PARTY SETTLEMENTS | $1,052,564 |
| UNAMORTIZED ORIGINAL ISSUR DISCOUNT | $26,673 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,914,043 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,363,644 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,363,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,168,287 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,283,307 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $884,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,531,931 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,283,307 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,248,624 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06840 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $229,246 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $229,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $229,246 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $229,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,761,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,283,307 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,477,870 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,746,947 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $874,695 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $41,016,520 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $47,260,374 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,243,854 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH SYSTEM OF E T | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 W FRANK AVE | AddressLine1 |
| City | LUFKIN | City |
| State | TX | State |
| ZIP Code | 75904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH SYSTEM OF E T | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | MEMORIALHEALTH.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 250.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | false | FAPActionsOnNonpaymentInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Other Actions | Yes (X) | OtherActionsInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 3 - Account Input from Person Who Represent the Community | Interview Methodology- Memorial Health System of East Texas provided CHC Consulting with a list of people with special knowledge of Angelina, Polk and San Augustine Counties including public health representatives, not-for-profit organization professionals, charities and other individuals who focus specifically on underrepresented groups.- From that list, 21 in depth interviews were conducted using a structured interview guide. In order to further quantify the data, a follow up survey was sent to the list of 21 with the option to forward the survey on to others.- Extensive notes were taken during each interview and then quantified based on responses, communities and populations (minority, elderly, un/underinsured, etc.)served, and priorities identified by respondents. Qualitative data from the interviews was also analyzed and reported. Survey Construction, Distribution, and Collection- An electronic survey was constructed using Survey Monkey(TM) software in order to gather opinions and input of those with special knowledge regarding the health needs and priorities of the study area.- The survey was restricted so that respondents could only complete the survey once per computer to protect the integrity of the data.- The survey was initially distributed to the 21 interviewees. Recipients were allowed to forward the survey to other stakeholders in the community. The survey remained open for approximately one month.- Responses were quantified and analyzed for reporting purposes, including any free-form comments. Interviewee list- Tina Battise, Deputy Administrator, Alabama-Coushatta Tribe- Deborah Walters, RN, Director, Case Management and Social Work, MHSET- Marilyn Kegler, Director of Nurses, Lufkin ISD- Marshall McMillan, Member, MMC-San Augustine Board of Directors, Chair, Boys and Girls Club of San Augustine- John L. Brink, RN, Nurse Manager, Cardiac Cath Lab/Cardiac Rehab, MHSET/Member of the Angelina County Heart Alliance- Dr. Sid Roberts, Radiation Oncologist- Jean Hines, SAN Augustine County Hospital District Board member- Carla Hight, Director, United Way - Angelina County- Judge Sammye Johnson, San Augustine County Judge- Brittney Johnson, Project Manager, San Augustine County- Sharon Shaw, Administrator, Angelina County and Cities Health District- Dr. Robert Fayle, Neurologist- Jerry Hathorne, Chairman, Polk County Advisory Committee- Susan Rushing, CEO, Burke Center- Letha Tullos, Regional Vice President for the East Texas Region, American Cancer Society- Carrie Yocum, Administrator, Twin Lakes Rehabilitation and Care Center- Ray Polk, Diabetes Activist and former Board Member, Memorial Medical Center- Lufkin- Phyllis Grandgeorge, Executive Director, Alcohol and Drug Abuse Council- Heather Kartye, Executive Director, Family Crisis Center of East Texas- Minerva Palomino, Social Worker, MHSET- Judge John Thompson, Judge, Polk County |
| Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment | The Community Health Needs Assessment was conducted to include all four (4) facilities which comprise Memorial Health System of East Texas: (1) Memorial Medical Center of East Texas (Lufkin), (2) Memorial Medical Center Livingston, (3) Memorial Medical Center San Augustine, and (4) Memorial Specialty Hospital. |
| Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why | Following the completion of thorough process designed to comply with the requirements of Patient Protection and Affordable Care Act, including research, individual interviews with stakeholders, and receipt of the survey results, a Community Health Needs Assessment Team consisting of hospital representatives and the Executive Director of the local Health District reviewed all results identified and prioritized eight (8) specific health needs. Working with the consultants from Community Hospital Consulting, the team identified actions to address those needs and developed implementation plans FOR Seven (7) of the eight (8) needs identified. The eighth identified need, increasing access to affordable dental care, was not addressed as it was deemed not a core business function of the health system. |
| Part V, Line 17e - Other Collection Actions by Facility or Third Party Engaged | THE ONLY CASE IN WHICH THE SYSTEM TAKES ANY ACTION TO COLLECT PRIOR TO DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE IS WHEN A PATIENT IS INJURED IN AN ACCIDENT AND A THIRD-PARTY MAY BE RESPONSIBLE. IN THAT CASE, ACCIDENT LIABILITY CASE LIENS ARE FILED AGAINST FUTURE SETTLEMENTS TO COLLECT UNPAID AMOUNTS. IF THE FUTURE SETTLEMENT DOES NOT COVER THE ENTIRE ACCOUNT BALANCE, THE REMAINING AMOUNT IS WRITTEN OFF. |
| Part V, Line 20d - Other Billing Determination of Individuals Without Insurance | PATIENTS WITHOUT INSURANCE ARE BILLED USING THE SAME RATES FOR SERVICES AS ALL OTHER PATIENTS. |
| Part V, Line 22 - Charge Patients Amount Equal Gross Charge for Services | 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. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | THE AMOUNT SHOWN ON LINE 2 WAS DETERMINED BY USING THE COSTING METHODOLOGY DERIVED FROM WORKSHEET 2 - "RATIO OF PATIENT CARE COST-TO-CHARGES". THE HOSPITAL ACCOUNTS FOR DISCOUNTS AS A DEDUCTION FROM GROSS PATIENT REVENUE AND WHERE APPLICABLE, PAYMENTS ON PATIENTS' ACCOUNTS AS DEDUCTIONS FROM UNCOLLECTIBLE (BAD DEBTS EXPENSE) ACCOUNTS. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | THE AMOUNT SHOWN ON LINE 3 IS BASED ON THE HOSPITAL'S ESTIMATE 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 PRIMARILY BASED ON THE FACT THAT THE MEDIAN INCOME PER HOUSEHOLD OF THE COMMUNITY IS $40,150, THAT 18.9% OF COMMUNITY RESIDENTS HAD INCOME BELOW THE POVERTY LIMIT AND THAT 49.44% 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 PATIENTS ARE UNABLE OR UNWILLING TO SUPPLY SUPPORTING DOCUMENTATION, SUCH AS INCOME TAX RETURN DATA LACK OF UNDERSTANDING ON THE PATIENT'S PART ABOUT HOW A CHARITY CLASSIFICATION RATHER THAN A BAD DEBT CLASSIFICATION MAY BENEFIT THEM |
| Part III, Line 4 - Bad Debt Expense | THE HOSPITAL DOES NOT REPORT BAD DEBTS EXPENSE (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 AUDITED BY BKD, LLP. THE CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTE TO PATIENT ACCOUNTS RECEIVABLE INCLUDES THE FOLLOWING:"ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS." |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | THE HOSPITAL BELIEVES THAT THE SHORTFALL SHOWN ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. IN THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT FILED 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 FOR NON-PROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.THE SHORTFALL AMOUNT WAS DETERMINED BY USING THE COST INFORMATION SHOWN ON THE 2013 "COST REPORT" FILED WITH THE CENTERS OF MEDICARE AND MEDICAID SERVICES (CMS). |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | AS 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. |
| Part VI - Needs Assessment | IN 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. |
| Part VI - Patient Education of Eligibility for Assistance | THE 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.WE ALSO HAVE A THIRD PARTY ELIGIBILITY CONTRACTOR WHOSE ROLE IS TO SCREEN SELF PAY PATIENTS AND QUALIFY THEM FOR GOVERNMENT PROGRAMS AND TO FORWARD POTENTIAL CHARITY PATIENTS TO OUR FINANCIAL COUNSELORS. THE HOSPITAL HAS AN ON-SITE MEDICAID ELIGIBILITY SPECIALIST TO HELP PATIENTS COMPLETE PAPERWORK AND EXPEDITE APPLICATION PROCESSING. |
| Part VI - Community Information | ANGELINA COUNTY HAS AN APPROXIMATE POPULATION OF 87,441 AS OF 2013 AND IS A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. THE POPULATION MEDIAN INCOME PER HOUSEHOLD, AS OF 2012, IS $40,150; AS OF 2012, 18.9% OF PERSONS IN ANGELINA COUNTY ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 11% OF OUR PATIENT BASE IS UNINSURED, APPROXIMATELY 18% OF OUR PATIENT BASE IS MEDICAID RECIPIENTS, AND APPROXIMATELY 50% 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 RETAIL HUB OF ANGELINA AND SURROUNDING COUNTIES. WITH PROXIMITY TO TWO NATIONAL FORESTS AND LAKE SAM RAYBURN, 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 ADMININSTRATION HEALTH CLINIC, THREE MUSEUMS, AND A ZOO. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN DIABETIC, CARDIOVASCULAR AND STROKE, ORTHOPEDIC, CANCER THERAPY AND NUTRITION EDUCATION. THE HOSPITAL PARTICIPATES IN HEALTH 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' HEALTH 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 PINK BANQUET TO EDUCATE WOMEN AND TO CELEBRATE CANCER SURVIVORS. HOSPICE IN THE 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 PEOPLE 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 YOU TUBE, FACEBOOK AND TWITTER. |
| Part VI - Affilated Health Care System Roles and Promotion | 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. |
| Part VI - States Where Community Benefit Report Filed | TX |
| Part VI - Additional Information | PART I, LINE 7 - THE HOSPITAL USED A COST-TO-CHARGE RATIO TO CALCULATE THE AMOUNTS REPORTED IN THIS TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2- "RATIO OF PATIENT CARE COST-TO-CHARGES".PART I, LINE 7, COLUMN (F):IN ACCORDANCE WITH THE INSTRUCTIONS,COMMUNITY BENEFITS EXPENSE TOTALING $229,246 INCLUDED IN PART IX, LINE 25, COLUMN A AND $1,214,206 IN REVENUE FROM NON PATIENT CARE ACTIVITIES INCLUDED IN PART VIII, LINE 12, COLUMN A HAVE BEEN REMOVED FROM THE DENOMINATOR IN THE CALCULATION OF THE PERCENTAGES SHOWN IN COLUMN (F) FOR LINES 7 (A) THRU 7 (K). AS THE RESULT OF THE FOREGOING, THE CALCULATION OF THE DENOMINATOR AMOUNT IS SHOWN BELOW: TOTAL FUNCTIONAL EXPENSES FROM PART IX, LINE 25, COLUMN A $120,573,612 LESS: COMMUNITY BENEFITS EXPENSE ( 229,246) CAFETERIA REVENUE ( 555,037) COPY REVENUE - MEDICAL RECORDS ( 86,156) RENTAL INCOME ( 240,720) OTHER REVENUE ( 332,293) ADJUSTED PATIENT CARE COSTS $119,130,160 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|---|---|
| DAVID HEARNE | ||||||
| GENERAL COUNSEL | $185,531 | $20,535 | $712 | $7,097 | $213,875 | |
| DONALD L MORRIS | ||||||
| VP HUMAN RESOUR | $151,296 | $47,891 | $81 | $12,817 | $213,597 | $1,512 |
| KATHY GRIFFIN | ||||||
| DIRECTOR OF PHARMACY | $132,695 | $10,164 | $16,680 | $7,475 | $171,415 | $4,401 |
| KRISTI GAY | ||||||
| VP/CFO | $126,078 | $24,030 | $259 | $14,649 | $169,168 | $4,152 |
| LESLIE LEACH | ||||||
| ASST COO | $151,026 | $20,250 | $920 | $5,338 | $184,622 | $7,088 |
| SANYUDE SANYUDE | ||||||
| PHARMACIST | $104,041 | $32,968 | $17,342 | $158,331 | $3,980 | |
| THOMAS A BROSE | ||||||
| ASST DIR - PHARM | $127,470 | $15,205 | $16,272 | $165,436 | $6,489 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
| Explanation | IN 2013, THE ORGANIZATION PAID MONTHLY COUNTRY CLUB DUES FOR THE CEO AND THE VP OF HUMAN RESOURCES. THE AMOUNT OF DUES WAS $7,092. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| LUFKIN HEALTH FACILITIES | ||||||||
| A | 521441564 | 549802BN5 | 2007-10-17 | $42,372,303 | HOSPITAL BUILDINGS & EQUIPMENT, BOND RESERVE FUND | false | false | false |
| LUFKIN HEALTH FACILITIES DEVELOPMENT CORPORATION | ||||||||
| B | 521441564 | 549802BY1 | 2009-11-19 | $70,186,034 | REFUND 2005A & 2005B BONDS/HOSP BLDGS/EQUIP | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,930,000 | $42,372,303 | $4,100,766 | $638,477 | $37,633,060 | false | false | Yes (true) | Yes (true) | |
| B | $4,875,000 | $70,186,034 | $5,936,406 | $1,363,916 | $5,004,694 | Yes (true) | false | Yes (true) | Yes (true) | $57,881,018 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | false | false | false | false |
| B | false | Yes (true) | Yes (true) | false | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd |
|---|---|---|---|---|---|---|---|---|---|
| MBIA Inc | |||||||||
| A | false | Yes (true) | false | Yes (true) | 29.3000 | Yes (true) | false | false | |
| (no name) | |||||||||
| B | false | false | false | false | false | Yes (true) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | A PORTION ($57,881,018) OF THE BONDS ISSUED ON 11/19/2009 WERE USED TO RETIRE SERIES 2005 AND 2005A VARIABLE RATE DEMAND REVENUE BONDS. THE ORGANIZATION HAD ENTERED INTO TWO INTEREST RATE SWAPS IN CONJUNCTION WITH THE ISSUANCE OF THE SERIES 2005 AND 2005A REVENUE BONDS. THESE SWAPS WERE ORIGINALLY DESIGNATED AS CASH FLOW HEDGES. THE SWAPS FAILED TO QUALIFY AS CASH FLOW HEDGES UPON REPAYMENT OF THE 2005 AND 2005A REVENUE BONDS DURING 2009. CONSEQUENTLY, ALL PRIOR CHANGES IN THE SWAPS' FAIR VALUE THAT HAD BEEN DEEMED EFFECTIVE, TOTALING $8,499,134, WERE RECLASSIFIED INTO DEFICIENCY OF REVENUES OVER EXPENSES FOR 2009. THE SWAPS REMAIN IN EFFECT SUBSEQUENT TO THE RETIREMENT OF 2005 AND 2005A BONDS. AT DECEMBER 31, 2013 THE FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS TOTALING $5,767,939 IS INCLUDED IN LIABILITIES ON THE ORGANIZATION'S BALANCE SHEET.PART III - PRIVATE BUSINESS USE, LINE 9 - BOND ISSUES A & B:THE ORGANIZATION IS IN THE PROCESS OF ESTABLISHING WRITTEN PROCEDURES TO ENSURE THAT NONQUALIFIED BONDS OF THE ISSUE, IF THERE ARE ANY, ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2. PART IV - ARBITRAGE - LINE 2C - BOND ISSUE A:THE DATE THE REBATE COMPUTATION WAS PERFORMED - NOVEMBER 26, 2012PART IV - ARBITRAGE - LINE 7 - BOND ISSUES A & B: THE ORGANIZATION IS IN THE PROCESS OF ESTABLISHING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148.PART V - PROCEDURES TO UNDERTAKE CORRECTIVE ACTION - BOND ISSUES A & B:THE ORGANIZATION IS IN THE PROCESS OF ESTABLISHING WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RAY BALDWIN | |||
| DIRECTOR | $363,499 | COMMERCIAL INS BROKER | false |
| EDD TERRILL III | |||
| TRUSTEE | $332,699 | SECURITY SERVICES | false |
| DANIEL FUENTES D O | |||
| DIRECTOR | $365,000 | MEDICAL SERVICES | false |
| SID ROBERTS M D | |||
| DIRECTOR | $300,388 | MEDICAL SERVICES | false |
| RAVINDER BACHIREDDY M D | |||
| DIRECTOR | $279,759 | MEDICAL SERVICES | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | RAY BALDWIN HAS AN OWNERSHIP INTEREST IN SWAIN AND BALDWIN INSURANCE TO WHICH THE ORGANIZATION PAID $363,499 FOR INSURANCE COVERAGE.EDD TERRILL, III HAS AN OWNERSIP INTEREST IN SECURITY SERVICES OF LUFKIN TO WHICH THE ORGANIZATION PAID $332,699 FOR SECURITY SERVICES.DANIEL FUENTES, D. O. HAS A PARTNERSHIP INTEREST IN TEXAS SPECIALIST CENTER, PLLC TO WHICH THE ORGANIZATION PAID $365,000 FOR MEDICAL SERVICESSID ROBERTS, M. D. HAS AN OWNERSHIP INTEREST IN ANGELINA RADIATION ONCOLOGY ASSOCIATES TO WHICH THE ORGANIZATION PAID $300,388 FOR MEDICAL SERVICESRAVINDER BACHIREDDY, M. D. HAS AN OWNERSHIP INTEREST IN THE HEART INSTITUTE OF EAST TEXAS TO WHICH THE ORGANIZATION PAID $279,759 FOR MEDICAL SERVICES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | BOARD MEMBER RELATIONSHIPS: GEORGE H. HENDERSON, III AND H.J. SHANDS, III - BUSINESS RELATIONSHIP CARL RAY POLK AND GEORGE H. HENDERSON, III - BUSINESS RELATIONSHIP GIBSON FRIESEN AND RONA FRIESEN - FAMILY RELATIONSHIP |
| Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company | IN AUGUST 2011, THE SYSTEM ENGAGED COMMUNITY HOSPITAL CONSULTING, INC. (CHC) FOR CERTAIN MANAGEMENT SERVICES INCLUDING RESPONSIBILITY FOR OVERSIGHT AND MANAGEMENT OF DAY-TO-DAY OPERATIONS OF THE SYSTEM AND ITS HOSPITALS, AND TO MEMORIAL SPECIALTY HOSPITAL TO WHICH IT PROVIDES ADMINISTRATIVE OVERSIGHT AND SERVICES BY CONTRACT. THE CONTRACT AUTHORIZES PLACEMENT OF COMMUNITY HOSPITAL CONSULTING EMPLOYEES OR CONTRACTORS AS SUCH OF THE SENIOR AND OTHER MANAGEMENT PERSONNEL AS COMMUNITY HOSPITAL CONSULTING, INC. DEEMS APPROPRIATE SUBJECT TO THE OVERSIGHT OF THE SYSTEM BOARD OF DIRECTORS. IN 2013, THE FOLLOWING SENIOR PERSONNEL WERE EMPLOYEES OF CHC: CHIEF EXECUTIVE OFFICER CHIEF OPERATING OFFICER/VP CLINICAL OPERATIONS CHIEF FINANCIAL OFFICER |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Nominations for election to the Board of Trustees may be made by any Member, the Board of Directors, or by any Trustee. Nominations for election to the Board of Trustees may be made by the Board of Directors or by any Trustee. In each case, nominations other than those made on behalf of the Board of Directors must be in writing and mailed or delivered to the Chair of the Board of Directors not less than10 days, nor more than 30 days, prior to any meeting called for election of Directors or Trustees. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The Board of Trustees has authority to amend the Articles of Incorporation, to elect new and additional Directors, and to approve the ultimate disposition of assets of the corporation on dissolution in accordance with the provisions of the Articles of Incorporation. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE BOARD OF DIRECTORS, BY RESOLUTION, DETERMINES WHETHER THE FORM 990 WILL BE REVIEWED BY ALL DIRECTORS, AN EXISTING COMMITTEE, OR A SPECIAL COMMITTEE APPOINTED FOR SUCH PURPOSE PRIOR TO FILING. ONCE THE RETURN IS COMPLETED, IT IS PROVIDED TO THE DIRECTORS OF THE COMMITTEE RESPONSIBLE FOR REVIEWING, EITHER INDIVIDUALLY OR IN A JOINT SESSION. EMPLOYEES OF THE CORPORATION RESPONSIBLE FOR FILING ARE AVAILABLE TO RESPOND TO QUESTIONS OR PROVIDE BACKGROUND AS NEEDED. ONCE THE DIRECTORS RESPONSIBLE FOR REVIEWING THE FORM 990 ARE SATISFIED IT IS COMPLETE, THE RETURN IS FILED. SUBSEQUENTLY, THE RETURN IS MADE AVAILABLE TO ALL DIRECTORS FOR THEIR REVIEW. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | ANNUALLY, 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 15b: Compensation Review and Approval Process for Officers and Key Employees | The Executive Committee of the Board of Directors is responsible for establishing compensation for Executives and key management employees of corporation. As a part of the management services provided corporation pursuant to the Management Agreement referenced in response to Part VI, Line 3, Community Hospital Consulting, Inc. (CHC) assists the Executive Committee in its review and evaluation of compensation for its Executives, and its key management employees, some of which are employees of CHC seated with corporation. To set compensation for the Chief Executive Officer, CHC establishes an appropriate salary using its internal compensation policy and then engages 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 recommends appropriate comparison data, and using data from four major compensation surveys, provides the data and makes recommendations based on the articulated compensation policy. Those recommendations and the market data on which they are based are 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. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | ORGANIZATIONAL DOCUMENTS, APPLICATIONS FOR EXEMPTION AND FINANCIAL STATEMENTS OF THE CORPORATION ARE AVAILABLE FOR INSPECTION AND COPYING IN THE OFFICE OF THE CHIEF FINANCIAL OFFICER LOCATED AT 1201 W. FRANK AVENUE, LUFKIN, TX 75904 ON ORAL OR WRITTEN REQUEST DURING REGULAR BUSINESS HOURS, OR SUCH OTHER TIMES AS ARE SCHEDULED DIRECTLY WITH THE CHIEF FINANCIAL OFFICER. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF P & E = $8055 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | CHANGE IN DEFINED PENSION PLAN GAINS & LOSSES = $10500016 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | CONTRIBUTIONS RECEIVED - RESTRICTED FUND = $59265 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | INTEREST INCOME - RESTRICTED FUND = $46 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | NET INCREASE IN BENEFICIAL INTEREST IN TRUST = $2970917 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | NET RESTRICTED FUND ASSETS RELEASED FROM RESTRICTIONS = -$1643556 |
| PATIENT SERVICE REVENUE RECONCILIATION: | PATIENT SERVICE REVENUE SHOWN ON FORM 990, PART VIII, LINE 2A WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS $755,812,092 LESS: MEDICARE CONTRACTUAL ADJUSTMENTS (268,537,679) MEDICAID CONTRACTUAL ADJUSTMENTS ( 20,956,484) INSURED/MANAGE CARE ADJUSTMENTS (229,973,636) OTHER DISCOUNTS ( 19,320,049)UNCOLLECTIBLE ACCOUNTS ( 55,500,934) CHARITY DEDUCTIONS ( 46,723,632) PATIENT SERVICE REVENUE 114,799,678 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||||||||||
| 1717 HWY 59 BYPASS | LIVINGSTON | TX | 77351 | 760436439 | LICENSED HOSPITAL | TX | 501(C)(3) | (3) HOSPITAL | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | false |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||||||||||
| 511 HOSPITAL ST | SAN AUGUSTINE | TX | 75972 | 752663904 | LICENSED HOSPITAL | TX | 501(C)(3) | (3) HOSPITAL | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | false |
| LUFKIN VISION ACQUISITIONS | ||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 820563768 | PROVIDES OFFICE SPACE FOR HEALTH CARE PROFESSIONALS | TX | 501(C)(3) | 11C | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | false |
| MEMORIAL MULTISPECIALTY ASSOCIATES | ||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 752721155 | PHYSICIAN OFFICES | TX | 501(C)(3) | 11 - TYPE III | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MHI CLINICAL SERVICES | ||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 461967952 | MEDICAL SERVICES | TX | MHSET | C | -$759,323 | $473,364 | 1.00000 | false |
| MEMORIAL CV SERVICE LINE MANAGEMENT | ||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 463622849 | MEDICAL SERVICES | TX | MHSET | C | 1.00000 | false | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||
| j | $6,498 | COST |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||
| l | $250,082 | COST |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||
| q | $4,327,711 | COST |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||
| k | $8,964 | AMOUNT RECEIVED |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||
| l | $38,289 | COST |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||
| q | $84,592 | COST |
| MEMORIAL MULTISPECIALTY ASSOCIATES | ||
| q | $1,248,996 | COST |