2012-11-08T13:43:21-08:00 2011-12-31 Axley & Rode LLP 1307 S 1st St Lufkin TX 759014717 990 2011-01-01 750755367 Memorial Health System of East Texas MEMO 9366397161 P O Box 1447 Lufkin TX 75902 KRISTI GAY 2012-11-07 true J LEON MANNING CPA 9366346621 2011 2016-02-24 21:20:13Z GARY N LOOPER 156 MAGNOLIA BEND LUFKIN TX 75904 120839144 false false X N/A X 1944 TX 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. 15 13 1219 71 406 6518401 2521664 184747206 114103590 917113 2030790 31651 4212 192214371 118660256 0 0 67169015 56814412 0 0 127230217 73964166 194399232 130778578 -2184861 -12118322 262894487 250955939 145630628 150079986 117263859 100875953 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. false false 114776005 113443554 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. 114776005 true true false false false false false false false false true false true true true false false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false false true false false false false true 190 0 true 1219 true false false false false false false false false false false false 0 false false false false false false false false false false false X 15 13 true true true false false true true true true false false false false true true true true true true true false false X Kristi Gay 9366397161 1201 W Frank Avenue LUFKIN TX 75904 X GARY N LOOPER 40.00 0 0 25000 DAVID HEARNE 40.00 155540 0 5970 MIKE SMITH 0.00 X 0 0 0 DAVID TAMMINGA 0.00 X 0 0 0 THOMAS MOORE 0.00 X 0 0 0 JERRY SUTTON 0.00 X 0 0 0 EDD TERRELL III 0.00 X 0 0 0 KEVIN SMITHHART 0.00 X 0 0 0 H J TROUT JR 0.00 X 0 0 0 MACK FRAZIER 0.00 X 0 0 0 ARTIE BEDARD 0.00 X 0 0 0 JOHN STRAIN 0.00 X 0 0 0 JACK GORDEN 0.00 X 0 0 0 DR THOMAS DUNCAN 0.00 X 0 0 0 DON DURAN 0.00 X 0 0 0 RONNIE ROBINSON 0.00 X 0 0 0 ROSS ELDER 0.00 X 0 0 0 BRUCE BRYANT 0.00 X 0 0 0 DON BRILEY 0.00 X 0 0 0 GREG WALLEY 0.00 X 0 0 0 JOHN MILLER 0.00 X 0 0 0 DR THOMAS MCLAURIN 0.00 X 0 0 0 DAVID PERKINS 0.00 X 0 0 0 JOHN ANDERSON 0.00 X 0 0 0 RONA FRIESEN 1.00 X 0 0 0 HE STRIEDEL 1.00 X 0 0 0 TED LANKFORD 0.00 X 0 0 0 SID ROBERTS MD 4.00 X 42000 0 0 CARL RAY POLK 1.00 X 0 0 0 H J SHANDS III 1.00 X 0 0 0 JACK SWEENY 1.00 X 0 0 0 SW HENDERSON III 1.00 X 0 0 0 GEORGE HENDERSON III 1.00 X 0 0 0 RANDY GEORGE 1.00 X 0 0 0 RAY BALDWIN 1.00 X 0 0 0 PATRICIA MCKENZIE EDD 1.00 X 0 0 0 PAUL PEREZ 1.00 X 0 0 0 GIPSON FRIESEN 1.00 X 0 0 0 AL MEYER 0.00 X 0 0 0 ROBERT TELFORD 0.00 X 0 0 0 DANIEL FUENTES D O 1.00 X 0 0 0 JOHN F GLICK 1.00 X 0 0 0 KAVITHA PINNAMANENI MD 1.00 X 0 0 0 HAROLD MAXWELL 0.00 X 0 0 0 TANYA TYLER 40.00 X 81908 0 5261 KRISTI GAY 40.00 X 143891 0 23063 MARIO B ESTRELLA 40.00 X 170290 0 9357 LESLIE LEACH 40.00 X 151758 0 23166 BRYANT H KRENEK 40.00 X 406587 0 194515 THOMAS A BROSE 40.00 X 140593 0 24026 DANNY LOYD 40.00 X 120075 0 16330 LOU A CHESSER 42.00 X 126362 0 9505 SANYUDE SANYUDE 41.00 X 129917 0 15479 KATHY GRIFFIN 42.00 X 141105 0 11213 1810026 362885 24 false true true 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 29 185961 2335703 10163 2521664 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 527397 284723 152490 132233 114103590 1095471 1095471 0 0 40072 27291 12781 12781 12781 2910185 1974866 935319 935319 935319 0 0 168162 176731 -8569 -8569 0 118660256 113443554 406 2694632 0 0 0 0 1079436 1079436 0 41905627 36785524 5120103 515857 441867 73990 10309870 8687066 1622804 3003622 2572810 430812 709475 709475 166871 166871 134192 134192 0 0 39225 39225 21362990 15976730 5386260 344426 14854 329572 827724 230333 597391 444818 444818 0 2653921 2653921 349722 166822 182900 0 0 5060370 5060370 0 11674980 11441806 233174 0 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 -4679351 389324 -5068675 130778578 114776005 16002573 0 609968 1494808 60776343 58317617 0 14260376 13626347 0 0 0 2431495 2223759 1089880 1161092 214021780 136415101 81918805 77606679 545769 389216 0 16890475 15766869 0 84371376 80369552 262894487 250955939 13846830 17367087 112815000 110985000 18968798 21727899 145630628 150079986 X 97589221 82445660 19674638 18430293 117263859 100875953 262894487 250955939 X -12118322 -4269584 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2693416 2693416 97080777 46321056 50759721 37041 34583 2458 111516783 87627267 23889516 2693763 2432195 261568 77606679 15766869 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 80369552 THIRD PARTY SETTLEMENTS 2967297 PENSION PLAN PAYABLE 6421736 L-T LIABILITY INS RESERVE 2069237 LEASES PAYABLE 188273 EXECUTIVE RETIREMENT BENEFIT PAYABLE 700189 CHANGE IN FAIR VALUE OF SWAP 10557155 BOND ISSUE DISCOUNT -1205645 2007 BOND ORIGINAL ISSUE DISCOUNT 29657 21727899 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances 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 true true X true X true X true true true false true true 7012773 7012773 0.05360 12007479 11648883 358596 0.00270 19020252 11648883 7371369 0.05630 203809 203809 0.00160 203809 203809 0.00160 19224061 11648883 7575178 0.05790 false 11164781 558239 41464171 50489981 -9025810 X true true 1 0 MEMORIAL HEALTH SYSTEM OF E T

1201 W FRANK AVE LUFKIN TX 75904

X X X MEMORIAL HEALTH SYSTEM OF E T 1 false true true 200.0000 true 250.0000 true X X X X true true X X X X false true X X X X X true X false true 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. Number of Hospital Faciltiy - 0 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. 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." X X true true X X false true false false false false false false false false 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 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. 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. 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 1560000 70186034 5936406 1363916 5004694 57881018 2010 true false true true 1360000 42372303 4100766 638477 37633060 2009 false false true true false false false false true false false false false true false false false false false true false false false false false true X 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 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 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 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 15b 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 12c 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 11 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 7b 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 7a 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 4 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 3 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 2 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 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 false false false false false false false false false true true false false false false true false false 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