MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HEALTH SYSTEM OF EAST TEXAS (EIN 75-0755367)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-08
- IRS object ID
- 201223139349302107
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-11-08T13:43:21-08:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Axley & Rode LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750755367 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Memorial Health System of East Texas | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMO | NameControl |
| Phone | 9366397161 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KRISTI GAY | Name |
| Title | CFO | Title |
| Date Signed | 2012-11-07 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | J LEON MANNING CPA | Name |
| Phone | 9366346621 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY N LOOPER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 120839144 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1219 | TotalNbrEmployees |
| Total Nbr Volunteers | 71 | TotalNbrVolunteers |
| Total Gross UBI | 406 | TotalGrossUBI |
| Contributions Grants Prior Year | 6518401 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2521664 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 184747206 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 114103590 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 917113 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2030790 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 31651 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4212 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 192214371 | TotalRevenuePriorYear |
| Total Revenue Current Year | 118660256 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 67169015 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 56814412 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 127230217 | OtherExpensePriorYear |
| Other Expenses Current Year | 73964166 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 194399232 | TotalExpensesPriorYear |
| Total Expenses Current Year | 130778578 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2184861 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -12118322 | RevenuesLessExpensesCY |
| Total Assets BOY | 262894487 | TotalAssetsBOY |
| Total Assets EOY | 250955939 | TotalAssetsEOY |
| Total Liabilities BOY | 145630628 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 150079986 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 117263859 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 100875953 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 114776005 | Expense |
| Revenue | 113443554 | Revenue |
| Description | HOSPITAL SERVICES TO PATIENTS AND SERVICES TO THE COMMUNITY INCLUDE 37,756 PATIENT DAYS DURING THE YEAR. THIS ALSO INCLUDES 8,474 INPATIENT ADMISSIONS, 96,543 OUTPATIENT VISITS, 37,857 EMERGENCY ROOM VISITS, 10,356 HOME HEALTH VISITS AND 2,013DIALYSIS VISITS FOR THE YEAR. | Description |
| Total Program Service Expense | 114776005 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 190 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1219 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Kristi Gay | NamePerson |
| Telephone Number | 9366397161 | TelephoneNumber |
Address US AddressUS
| 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 | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (54 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| GARY N LOOPER | |||||||
| President & CEO | 40.00 | 0 | 0 | 25000 | |||
| DAVID HEARNE | |||||||
| GENERAL COUNSEL | 40.00 | 155540 | 0 | 5970 | |||
| MIKE SMITH | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| DAVID TAMMINGA | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| THOMAS MOORE | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| JERRY SUTTON | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| EDD TERRELL III | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| KEVIN SMITHHART | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| H J TROUT JR | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| MACK FRAZIER | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| ARTIE BEDARD | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| JOHN STRAIN | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| JACK GORDEN | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| DR THOMAS DUNCAN | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| DON DURAN | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| RONNIE ROBINSON | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| ROSS ELDER | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| BRUCE BRYANT | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| DON BRILEY | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| GREG WALLEY | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| JOHN MILLER | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| DR THOMAS MCLAURIN | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| DAVID PERKINS | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| JOHN ANDERSON | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| RONA FRIESEN | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| HE STRIEDEL | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| TED LANKFORD | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| SID ROBERTS MD | |||||||
| Director | 4.00 | 42000 | 0 | 0 | X | ||
| CARL RAY POLK | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| H J SHANDS III | |||||||
| IMM PAST CHAIR | 1.00 | 0 | 0 | 0 | X | ||
| JACK SWEENY | |||||||
| Chairman | 1.00 | 0 | 0 | 0 | X | ||
| SW HENDERSON III | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| GEORGE HENDERSON III | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| RANDY GEORGE | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| RAY BALDWIN | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| PATRICIA MCKENZIE EDD | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| PAUL PEREZ | |||||||
| Director | 1.00 | 0 | 0 | 0 | X | ||
| GIPSON FRIESEN | |||||||
| 1ST V CHAIR | 1.00 | 0 | 0 | 0 | X | ||
| AL MEYER | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| ROBERT TELFORD | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| DANIEL FUENTES D O | |||||||
| PE Medical Sf | 1.00 | 0 | 0 | 0 | X | ||
| JOHN F GLICK | |||||||
| 2ND VCHAIR/SEC | 1.00 | 0 | 0 | 0 | X | ||
| KAVITHA PINNAMANENI MD | |||||||
| Pre Medical Stf | 1.00 | 0 | 0 | 0 | X | ||
| HAROLD MAXWELL | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | X | ||
| TANYA TYLER | |||||||
| VP/HUMAN RESC | 40.00 | 81908 | 0 | 5261 | X | ||
| KRISTI GAY | |||||||
| VP/CFO | 40.00 | 143891 | 0 | 23063 | X | ||
| MARIO B ESTRELLA | |||||||
| VP/PATIENT SVC | 40.00 | 170290 | 0 | 9357 | X | ||
| LESLIE LEACH | |||||||
| V/PRES/COO | 40.00 | 151758 | 0 | 23166 | X | ||
| BRYANT H KRENEK | |||||||
| President & CEO | 40.00 | 406587 | 0 | 194515 | X | ||
| THOMAS A BROSE | |||||||
| ASST DIR - PHARM | 40.00 | 140593 | 0 | 24026 | X | ||
| DANNY LOYD | |||||||
| DIR - CATH LAB | 40.00 | 120075 | 0 | 16330 | X | ||
| LOU A CHESSER | |||||||
| PHARMACIST | 42.00 | 126362 | 0 | 9505 | X | ||
| SANYUDE SANYUDE | |||||||
| PHARMACIST | 41.00 | 129917 | 0 | 15479 | X | ||
| KATHY GRIFFIN | |||||||
| DIR - PHARMACY | 42.00 | 141105 | 0 | 11213 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1810026 | TotalReportableCompFromOrg |
| Total Other Compensation | 362885 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SODEXO SERVICES | |||||
| P O BOX 536992 | ATLANTA | GA | 30353 | DIETARY/ENVIROMENTAL | 5072640 |
| WILLIAM BASSUKCLINICAL ENG | |||||
| 1606 DOE CREST | SAN ANTONIO | TX | 78248 | EQUIPMENT MAINTENANC | 2669251 |
| MCKESSON TECHNOLOGIES INC | |||||
| P O BOX 98347 | CHICAGO | IL | 60693 | TECHNOLOGY SERVICES | 6631542 |
| HB ANESTHESIOLOGY GROUP PA | |||||
| P O BOX 4502 | LONGVIEW | TX | 75606 | ANESTHESIOLOGY | 4411648 |
| ANGELINA PHYSICIAN SERVICES PA | |||||
| P O BOX 82368 | LAFAYETTE | LA | 70598 | HOSPITALISTS | 1267872 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 29 | NumberOfContractorsGT100K |
| Government Grants | 185961 | GovernmentGrants |
| All Other Contributions | 2335703 | AllOtherContributions |
| Noncash Contributions | 10163 | NoncashContributions |
| Total Contributions | 2521664 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| RENTAL INCOME - AFFILIATE | 621990 | 228720 | 228720 | ||
| PATIENT SERVICE REVENUE | 621990 | 112608467 | 112608467 | ||
| PARTNERSHIP INCOME RELATE | 621990 | 206640 | 206234 | 406 | |
| OTHER HOSPITAL SERVICES | 621990 | 247643 | 247643 | ||
| CAFETERIA REVENUE | 621990 | 527397 | $527,397 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 284723 | TotalRevenueColumn |
| Related Or Exempt Function Income | 152490 | RelatedOrExemptFunctionIncome |
| Exclusion | $132,233 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 114103590 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1095471 | TotalRevenueColumn |
| Exclusion | $1,095,471 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 40072 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 27291 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12781 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12781 | TotalRevenueColumn |
| Exclusion | $12,781 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2910185 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1974866 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 935319 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 935319 | TotalRevenueColumn |
| Exclusion | $935,319 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 168162 | GrossSalesOfInventory |
| Cost Of Goods Sold | 176731 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -8569 | TotalRevenueColumn |
| Exclusion | -$8,569 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118660256 | TotalRevenueColumn |
| Related Or Exempt Function Income | 113443554 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 406 | UnrelatedBusinessRevenue |
| Exclusion | $2,694,632 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1079436 | Total |
| Management And General | 1079436 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41905627 | Total |
| Program Services | 36785524 | ProgramServices |
| Management And General | 5120103 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 515857 | Total |
| Program Services | 441867 | ProgramServices |
| Management And General | 73990 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10309870 | Total |
| Program Services | 8687066 | ProgramServices |
| Management And General | 1622804 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3003622 | Total |
| Program Services | 2572810 | ProgramServices |
| Management And General | 430812 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 709475 | Total |
| Management And General | 709475 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166871 | Total |
| Management And General | 166871 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134192 | Total |
| Management And General | 134192 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39225 | Total |
| Management And General | 39225 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21362990 | Total |
| Program Services | 15976730 | ProgramServices |
| Management And General | 5386260 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 344426 | Total |
| Program Services | 14854 | ProgramServices |
| Management And General | 329572 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 827724 | Total |
| Program Services | 230333 | ProgramServices |
| Management And General | 597391 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 444818 | Total |
| Management And General | 444818 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2653921 | Total |
| Program Services | 2653921 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349722 | Total |
| Program Services | 166822 | ProgramServices |
| Management And General | 182900 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5060370 | Total |
| Program Services | 5060370 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11674980 | Total |
| Program Services | 11441806 | ProgramServices |
| Management And General | 233174 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 3311363 | 343088 | 2968275 |
| RENTS & LEASES - EQUIP | 3569792 | 2373515 | 1196277 |
| PATIENT CARE SUPPLIES | 21909054 | 21909054 | |
| OTHER OPERATING EXPENSES | 1152139 | 796466 | 355673 |
| Change in Fair Value of Swap | 4932455 | 4932455 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -4679351 | Total |
| Program Services | 389324 | ProgramServices |
| Management And General | -5068675 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130778578 | Total |
| Program Services | 114776005 | ProgramServices |
| Management And General | 16002573 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 609968 | BOY |
| EOY | 1494808 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60776343 | BOY |
| EOY | 58317617 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14260376 | BOY |
| EOY | 13626347 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2431495 | BOY |
| EOY | 2223759 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1089880 | BOY |
| EOY | 1161092 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 214021780 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 136415101 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81918805 | BOY |
| EOY | 77606679 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 545769 | BOY |
| EOY | 389216 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16890475 | BOY |
| EOY | 15766869 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84371376 | BOY |
| EOY | 80369552 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262894487 | BOY |
| EOY | 250955939 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13846830 | BOY |
| EOY | 17367087 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112815000 | BOY |
| EOY | 110985000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18968798 | BOY |
| EOY | 21727899 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145630628 | BOY |
| EOY | 150079986 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97589221 | BOY |
| EOY | 82445660 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19674638 | BOY |
| EOY | 18430293 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117263859 | BOY |
| EOY | 100875953 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262894487 | BOY |
| EOY | 250955939 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -12118322 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4269584 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2693416 | OtherCostOrOtherBasis |
| Book Value | 2693416 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 97080777 | OtherCostOrOtherBasis |
| Depreciation | 46321056 | Depreciation |
| Book Value | 50759721 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37041 | OtherCostOrOtherBasis |
| Depreciation | 34583 | Depreciation |
| Book Value | 2458 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 111516783 | OtherCostOrOtherBasis |
| Depreciation | 87627267 | Depreciation |
| Book Value | 23889516 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2693763 | OtherCostOrOtherBasis |
| Depreciation | 2432195 | Depreciation |
| Book Value | 261568 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 77606679 | TotalOfBookValueLandBuildings |
| Total Of Book Value Program Related | 15766869 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PREPAID BOND ISSUANCE COST | 743620 |
| PHYSICIAN CONTRACT RECEIVABLE | 789420 |
| OTHER ASSETS | 1460 |
| INSURANCE RECOVERIES - LONG TERM | 590000 |
| HELD IN TRUST ACCOUNTS | 17974332 |
| DUE TO MEMORIAL SPECIALTY HOSPITAL | -19820175 |
| DUE FROM PINEYWOODS MED DEV CO | 17422811 |
| Due from AFFILIATES | 61421404 |
| DEFFERED CHARGE | 238924 |
| BOND DISCOUNTS | 1007756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 80369552 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY SETTLEMENTS | $2,967,297 |
| PENSION PLAN PAYABLE | $6,421,736 |
| L-T LIABILITY INS RESERVE | $2,069,237 |
| LEASES PAYABLE | $188,273 |
| EXECUTIVE RETIREMENT BENEFIT PAYABLE | $700,189 |
| CHANGE IN FAIR VALUE OF SWAP | $10,557,155 |
| BOND ISSUE DISCOUNT | -$1,205,645 |
| 2007 BOND ORIGINAL ISSUE DISCOUNT | $29,657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 21727899 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XI, Line 8 | Identifier |
| Return Reference | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | ReturnReference |
| Explanation | CONTRIBUTIONS RECEIVED - RESTRICTED FUND $315200 INTEREST INCOME - RESTRICTED FUND $1125 NET INCREASE IN BENEFICIAL INTEREST IN TRUST $1153996 ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF P & E $253913 PENSION ADJUSTMENT - YEAR END $ -3279151 NET RESTRICTED FUND ASSETS RELEASED FROM RESTRICTIONS $ -2714666 Rounding $ -1 | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7012773 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7012773 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05360 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12007479 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11648883 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 358596 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19020252 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11648883 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7371369 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05630 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 203809 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 203809 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 203809 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 203809 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19224061 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11648883 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7575178 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05790 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $11,164,781 | BadDebtExpenseAmount |
| Amount Attributable To | 558239 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 41464171 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 50489981 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -9025810 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH SYSTEM OF E T | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
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) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 250.0000 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | false | ActionsOnNonpayment |
| Collection Activities | true | CollectionActivities |
| Other Actions | X | OtherActions |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 III - SECTION A - BAD DEBTS 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.THE AMOUNT SHOWN ON LINE 3 IS BASED ON THE HOSPITAL'S ESTIMATE THAT 5% 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 $38,752, THAT 19.0 OF COMMUNITY RESIDENTS HAD INCOME BELOW THE POVERTY LIMIT AND THAT 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 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 THEMPART VI, LINE 1 - PART I, LINE 7, COLUMN (F:IN ACCORDANCE WITH THE INSTRUCTIONS,COMMUNITY BENEFITS EXPENSE TOTALING $203,809 INCLUDED IN PART IX, LINE 25, COLUMN A AND $1,457,451 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 $130,778,578 LESS: COMMUNITY BENEFITS EXPENSE ( 203,809) CAFETERIA REVENUE ( 527,397) COPY REVENUE - MEDICAL RECORDS ( 81,780) RENTAL INCOME ( 393,991) PARTNERSHIP INCOME ( 206,640) OTHER REVENUE ( 247,643) ADJUSTED PATIENT CARE COSTS $129,117,318 | |
| Part VI - States Where Community Benefit Report Filed | TX | |
| 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 - 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 - Community Information | ANGELINA COUNTY HAS AN APPROXIMATE POPULATION OF 86,771 AS OF 2010 AND IS A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. THE POPULATION MEDIAN INCOME PER HOUSEHOLD, AS OF 2009, IS $38,752; AS OF 2010 19.0% 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 - 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 STATE FOR 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 - Needs Assessment | 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. IN LUFKIN, WE HAVE A STONG AFFILIATION WITH THE ANGELINA COUNTY AND CITIES HEALTH DISTRICT WHICH MEETS THE NEEDS OF UNDERSERVED CITIZENS. | |
| Part V, Line 21 - 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. | Number of Hospital Faciltiy - 0 |
| Part V, Line 19d - Other Billing Determination of Individuals Without Insurance | PATIENTS WITHOUT INSURANCE ARE BILLED USING THE SAME RATES FOR SERVICES AS ALL OTHER PATIENTS. | Number of Hospital Faciltiy - 0 |
| Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged | ACCIDENT LIABILITY CASE LIENS FILED AGAINST FUTURE SETTLEMENT. | Number of Hospital Faciltiy - 0 |
| 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 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 2011 "COST REPORT" FILED WITH THE CENTERS OF MEDICARE AND MEDICAID SERVICES (CMS). | |
| Part III, Line 4 - Bad Debt Expense | THE HOSPITAL DOES NOT REPORT BAD DEBT 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 BDK, 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 UNCOLLECTILBE ACCOUNTS." |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| THOMAS A BROSE | |||||
| 132939 | 7200 | 454 | 3094 | 20932 | 164619 |
| MARIO B ESTRELLA | |||||
| 170290 | 3857 | 5500 | 179647 | ||
| LESLIE LEACH | |||||
| 151758 | 4742 | 18424 | 174924 | ||
| KRISTI GAY | |||||
| 143891 | 2276 | 20787 | 166954 | ||
| KATHY GRIFFIN | |||||
| 140625 | 480 | 2479 | 8734 | 152318 | |
| GARY N LOOPER | |||||
| 25000 | 25000 | ||||
| DAVID HEARNE | |||||
| 155540 | 5970 | 161510 | |||
| BRYANT H KRENEK | |||||
| 406587 | 175996 | 18519 | 601102 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
| Explanation | THE ORGANIZATION REIMBURSED COMMUNITY HOSPITAL CONSULTING, INC. $28,809 FOR GARY LOOPER'S HOUSING EXPENSES FOR 2011.THE ORGANIZATION PAID MONTHLY COUNTRY CLUB DUES FOR THE CEO AND COO. IN 2011, THE AMOUNT OF DUES WAS $8,450. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| LUFKIN HEALTH FACILITIES DEVELOPMENT CORPORATION | |||||||
| 521441564 | 549802BY1 | 2009-11-19 | 70186034 | REFUND 2005A & 2005B BONDS/HOSP BLDGS/EQUIP | false | false | false |
| LUFKIN HEALTH FACILITIES | |||||||
| 521441564 | 549802BN5 | 2007-10-17 | 42372303 | HOSPITAL BUILDINGS & EQUIPMENT, BOND RESERVE FUND | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| 1560000 | 70186034 | 5936406 | 1363916 | 5004694 | 57881018 | 2010 | true | false | true | true |
| 1360000 | 42372303 | 4100766 | 638477 | 37633060 | 2009 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| false | false | false | false | true |
| false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | true |
| false | false | false | false | false | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DANIEL FUENTES D O | |||
| DIRECTOR | 366110 | MEDICAL SERVICES | false |
| EDD TERRILL III | |||
| TRUSTEE | 241581 | SECURITY SERVICES | false |
| MERLINA ESTRELLA | |||
| SPOUSE/OFFICER | 110947 | SALARY/BENEFITS | false |
| RAY BALDWIN | |||
| DIRECTOR | 232701 | COMMERCIAL INS BROKER | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | RAY BALDWIN HAS AN OWNERSHIP INTEREST IN SWAIN AND BALDWIN INSURANCE TO WHICH THE ORGANIZATION PAID $232,701 FOR INSURANCE COVERAGE.EDD TERRILL, III HAS AN OWNERSIP INTEREST IN SECURITY SERVICES OF LUFKIN TO WHICH THE ORGANIZATION PAID $241,581 FOR SECURITY SERVICES.DANIEL FUENTES, D. O. HAS A PARTNERSHIP INTEREST IN TEXAS SPECIALIST CENTER, PLLC TO WHICH THE ORGANIZATION PAID $366,110 FOR MEDICAL SERVICES | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PATIENT SERVICE REVENUE RECONCILIATION: | PATIENT SERVICE REVENUE SHOWN ON FORM 990, PART VIII, LINE 2A WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS $708,911,425 LESS: MEDICARE CONTRACTUAL ADJUSTMENTS (312,815,154) MEDICAID CONTRACTUAL ADJUSTMENTS ( 66,796,589) INSURED/MANAGE CARE ADJUSTMENTS (100,158,543) OTHER DISCOUNTS ( 16,710,849)UNCOLLECTIBLE ACCOUNTS ( 61,311,263) CHARITY DEDUCTIONS ( 38,510,560) PATIENT SERVICE REVENUE 112,608,467 | |
| 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. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | IN MARCH OR APRIL OF EACH YEAR, IN CONNECTION WITH THE ANNUAL AUDIT OF THE FINANCIAL STATEMENTS OF THE CORPORATION, THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS BEGINS A REVIEW OF THE COMPENSATION, INCLUDING APPLICABLE BONUS OR OTHER INCENTIVE, IF ANY, FOR THE CHIEF EXECUTIVE OFFICER. THE VICE PRESIDENT OF HUMAN RESOURCES PROVIDES THE COMMITTEE WITH INFORMATION FROM NATIONAL SURVEYS RELATED TO SALARIES OF CHIEF EXECUTIVE OFFICERS FOR NONPROFIT AND PROFIT CORPORATIONS. THE COMMITTEE COMPARES THE CONPENSATION PACKAGES OF OTHER INSTITUTIONS OF COMPARABLE SIZE FOR EXECUTIVES WITH COMPARABLE RESPONSIBILITIES, AND ASSESSES THE RELATIVE PERFORMANCE OF THE SYSTEM AND THE CHIEF EXECUTIVE OFFICER THROUGH THE PRIOR YEAR BASED ON PRE-ESTABLISHED GOALS. ONCE THE SALARY IN DETERMINED, THE FINANCE COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL. APPROVED CHANGES ARE EFFECTIVE FOLLOWING COMPLETION AND ACCEPTANCE OF THE AUDITED FINANCIAL STATEMENTS. THE SALARIES FOR ALL OTHER SYSTEM OFFICERS ARE SET BY THE CHIEF EXECUTIVE OFFICER FOR THE SYSTEM UTILIZING NATIONALLY PUBLISHED COMPARABLES FOR EXECUTIVES WITH SIMILAR RESPONSIBILITIES IN INSTITUTIONS OF SIMILAR SIZE, AND EVALUATION OF PERFORMANCE RELATIVE TO ESTABLISHED GOALS AND OBJECTIVES. INFORMATION FOR COMPARISON PURPOSES IS PROVIDED, AS NEEDED, BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE CHIEF EXECUTIVE OFFICER ALSO RECOMMENDS THE BONUS AND INCENTIVE PACKAGE, IF ANY, FOR THE SYSTEM OFFICERS AND KEY EMPLOYEES. THOSE RECOMMENDATIONS ARE REVIEWED AND APPROVED OR MODIFIED BY RECOMMENDATION OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE BOARD IN A REGULARLY SCHEDULED BOARD MEETING. | Form 990, Part VI, Line 15b |
| 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 12c |
| Form 990, Part VI, Line 11: 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 11 |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | THE POWERS OF THE BOARD OF TRUSTEES ALSO INCLUDE: AMEND THE ARTICLES OF INCORPORATION, APPROVE ANY PLAN OF MERGER OR CONSOLIDATION, AUTHORIZE THE SALE, LEASE, OR EXCHANGE OF ALL, OF SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE SYSTEM,IN EVENT OF THE LIQUIDATION, DISSOLUTION, OR WINDING UP OF THE AFFAIRS OF THE SYSTEM IT SHALL BE THE DUTIES OF THE TRUSTEES TO DISPOSE OF THE ASSETS OF THE SYSTEM IN THE INTEREST OF SOME CHARITABLE, BENEVOLENT AND EDUCATIONAL OBJECT AND PURPOSE AS IS PROVIDED IN THE ARTICLES OF INCORPORATION. | Form 990, Part VI, Line 7b |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | THE BOARD OF TRUSTEES MAY EXERCISE ALL POWERS OF THE SYSTEM AND DO ALL SUCH LAWFUL ACTS AND THINGS AS ARE NOT BY STATUTE OR THE ARTICLES OF INCORPORATION OF BY THE BYLAWS DELEGATED TO, DIRECTED, OR REQUIRED TO BE EXERCISED OR DONE BY THE BOARD OF DIRECTORS. THESE POWERS INCLUDE THE FOLLOWING: ELECT NEW TRUSTEES ELECT AND FILL ANY VACANCIES OF THE BOARD OF TRUSTEES ELECT MEMBERS OF THE SYSTEM ELECT NEW AND ADDITIONAL DIRECTORS | Form 990, Part VI, Line 7a |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | DURING 2011, SYSTEM AMENDED ITS BYLAWS TO CREATE A SEPARATE CLASS OF DIRECTORS FOR PHYSICIANS, INCLUDING TWO (2) MEDICAL STAFF POSITIONS ALREADY DEFINED AS EX OFFICIO VOTING MEMBERS AND FOUR (4) ADDITIONAL PHYSICIANS TO SERVE AT LARGE. | Form 990, Part VI, Line 4 |
| Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company | IN AUGUST 2011, THE SYSTEM ENGAGED COMMUNITY HOSPITAL CONSULTING, INC. 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. | Form 990, Part VI, Line 3 |
| 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 2 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 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 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 |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MEMORIAL MULTISPECIALTY ASSOCIATES | |
| p | 947647 |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | |
| p | 451063 |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | |
| k | 51382 |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | |
| j | 45583 |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | |
| p | 3609825 |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | |
| k | 240331 |