STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MEMORIAL SPECIALTY HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL SPECIALTY HOSPITAL (EIN 75-2492741)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201123139349300227
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-09T07:44:13-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Axley & Rode LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11307 S 1st StAddressLine1
CityLufkinCity
StateTXState
ZIP Code759014717ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752492741EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Memorial Specialty HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEMONameControl
Phone9366397975Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O Box 1447AddressLine1
CityLufkinCity
StateTXState
ZIP Code75902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKRISTI GAYName
TitleCFOTitle
Date Signed2011-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJ LEON MANNING CPAName
Phone9366346621Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRENDA BROADWAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11201 W FRANKAddressLine1
CityLUFKINCity
StateTXState
ZIP Code75901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10865617GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION OPERATES A SPECIALTY HOSPITAL THAT PROVIDES EXTENDED ACUTE HEALTH CARE SERVICES TO PATIENTS FROM ANGELINA AND SURROUNDING COUNTIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees131TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11917394ProgramServiceRevenuePriorYear
Program Service Revenue CY10865509ProgramServiceRevenueCY
Investment Income Prior Year105InvestmentIncomePriorYear
Investment Income Current Year108InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11917499TotalRevenuePriorYear
Total Revenue Current Year10865617TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3734759SalariesEtcPriorYear
Salaries Etc Current Year5044249SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3994371OtherExpensePriorYear
Other Expenses Current Year3952370OtherExpensesCurrentYear
Total Expenses Prior Year7729130TotalExpensesPriorYear
Total Expenses Current Year8996619TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4188369RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1868998RevenuesLessExpensesCY
Total Assets BOY16895814TotalAssetsBOY
Total Assets EOY18657011TotalAssetsEOY
Total Liabilities BOY1157317TotalLiabilitiesBOY
Total Liabilities EOY1049516TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15738497NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17607495NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Memorial Specialty Hospital is to support, manage, and furnish facilities to provide quality acute long term healthcare services for the citizens of Angelina, Polk, San Augustine and the surrounding counties of deep East Texas.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7806876Expense
Revenue10865509Revenue
DescriptionHOSPITAL SERVICES TO PATIENTS, INCLUDING 7423 PATIENT DAYS AND 261 ADMISSIONS TO THE HOSPITAL.Description
Total Program Service Expense7806876TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees131NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRENDA BROADWAYNamePerson
Telephone Number9366397161TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 W FRANKAddressLine1
CityLUFKINCity
StateTXState
ZIP Code75901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficer
VAN WATSON
Secretary0.00X000
TERRY MORGAN
Chairman0.00X000
ROBERT HALLETT M D
VICE-CHIEF MD S0.00X000
PHIL MEDFORD
Director0.00X000
KAREN PITTMON
R. N.50.0011181504094X
DAVID TODD M D
CHIEF OF MED ST0.00X000
DAVID PERKINS
Director0.00X000
BRYANT H KRENEK
EX-OFFICIO0.00X000
BRENDA BROADWAY
ADMINISTRATOR40.00X145957018211X
BOB BROWN
Vice-Chairman0.00X000
ARTIE BEDARD
Director0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org257772TotalReportableCompFromOrg
Total Other Compensation22305TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO SERVICES
P O BOX 536922ATLANTAGA303536922DIETARY/ENVIROMENTAL197061
REMEDY WORKS LLC
P O BOX 150237LUFKINTX75915MEDICAL171048
AMN HEALTHCARE INC
FILE 56157LOS ANGELESCA900746157AGENCY NURSES410149
ADVANCED TEMPORARIES INC
P O BOX 8022TYLERTX75711AGENCY NURSES114106
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6219901086453110864531
MISCELLANEOUS REVENUE621990978978
FieldValueIRS element (for citing)
Total Program Service Revenue10865509TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column108TotalRevenueColumn
Exclusion$108ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10865617TotalRevenueColumn
Related Or Exempt Function Income10865509RelatedOrExemptFunctionIncome
Exclusion$108ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total107827Total
Management And General107827ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4194066Total
Program Services3869417ProgramServices
Management And General324649ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total68130Total
Program Services61291ProgramServices
Management And General6839ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total407769Total
Program Services367148ProgramServices
Management And General40621ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total266457Total
Program Services239708ProgramServices
Management And General26749ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1585Total
Management And General1585ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10779Total
Management And General10779ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total460420Total
Program Services446623ProgramServices
Management And General13797ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4401Total
Management And General4401ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4566Total
Management And General4566ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total99843Total
Program Services99843ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8340Total
Program Services1574ProgramServices
Management And General6766ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total271842Total
Program Services271842ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-203313Total
Program Services-203313ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UNCOLLECTIBLE ACCOUNTS2519225192
RENTS & LEASES - EQUIP2919702846937277
PATIENT CARE SUPPLIES11372811137281
OTHER OPERATING EXPENSES1230869119671134158
HOME OFFICE COST ALLOCATION599412599412

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9183Total
Program Services8866ProgramServices
Management And General317ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8996619Total
Program Services7806876ProgramServices
Management And General1189743ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25867BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3440132BOY
EOY1725909EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY62284BOY
EOY85134EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18723BOY
EOY7627EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2324327LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1661299LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY640447BOY
EOY663028EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12708361BOY
EOY16175313EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16895814BOY
EOY18657011EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY579263BOY
EOY544216EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY578054BOY
EOY505300EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1157317BOY
EOY1049516EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15738497BOY
EOY17607495EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15738497BOY
EOY17607495EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16895814BOY
EOY18657011EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1868998ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis108106OtherCostOrOtherBasis
Depreciation100169Depreciation
Book Value7937BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2216221OtherCostOrOtherBasis
Depreciation1561130Depreciation
Book Value655091BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings663028TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM MEMORIAL HEALTH SYSTEMDescription
Book Value16175313BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets16175313TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$184,000
PENSION PLAN PAYABLE$91,256
INSURANCE RESERVE PAYABLE$230,044
FieldValueIRS element (for citing)
Total Of Amounts505300TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense298998TotalCommunityBenefitExpense
Net Community Benefit Expense298998NetCommunityBenefitExpense
Percent Of Total Expense0.03330PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense298998TotalCommunityBenefitExpense
Net Community Benefit Expense298998NetCommunityBenefitExpense
Percent Of Total Expense0.03330PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense298998TotalCommunityBenefitExpense
Net Community Benefit Expense298998NetCommunityBenefitExpense
Percent Of Total Expense0.03330PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,721BadDebtExpenseAmount
Amount Reimbursed By Medicare7302524AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8323218CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1020694MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL SPECIALTY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11201 W FRANK AVE SUITE D-5AddressLine1
CityLUFKINCity
StateTXState
ZIP Code75904ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherLONG-TERM ACUTE CARE HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL SPECIALTY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent250.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiestrueCollectionActivities
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Additional InformationPART 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 FOR WORKSHEET 2 - "RATIO OF PATIENT CARE COST-TO-CHARGES". THE HOSPITAL ACCOUNTS FOR DISCOUNTS AS DEDUCTIONS FROM GROSS PATIENT REVENUE AND WHERE APPLICABLE, PAYMENT ON PATIENTS ACCOUNTS AS DEDUCTIONS FROM UNCOLLECTIBLE (BAD DEBTS EXPENSE) ACCOUNTS.PART VI, LINE 1 - PART I, LINE 7, COLUMN (F) (BAD DEBT DISCLOSURES)IN ACCORDANCE WITH THE INSTRUCTIONS, UNCOLLECTIBLE ACCOUNTS (BAD DEBTS) TOTALING $25,192 INCLUDED IN PART IX, LINE 25, COLUMN A AND $978 IN REVENUE FROM NON PATIENT SERVICES 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 $8,996,619 LESS: UNCOLLECTIBLE ACCOUNTS (BAD DEBTS) ( 25,192) REVENUE FROM NON-PATIENT CARE ACTIVITIES ( 978) ADJUSTED PATIENT CARE COSTS $8,970,449
Part VI - States Where Community Benefit Report FiledTX
Part VI - Affilated Health Care System Roles and PromotionIN ADDITION TO THE CUSTOMIZED OUTREACH IN EACH INDIVIDUAL COMMUNITY, THE CORPORATE STRUCTURE PROVIDES EACH HOSPITAL IN ANGELINA, POLK AND SAN AUGUSTINE COUNTIES WITH IMPROVED MEDICAL TECHNOLOGY THROUGH A COMMON COMPUTER SYSTEM, COMMUNICATION TO ALL COMMUNITIES THROUGH THE CORPORATE MARKETING DEPARTMENT, AND COORDINATION OF MEDICAL TRAINING FOR ALL CLINICAL EMPLOYEES. MEMORIAL SPECIALTY HOSPITAL IS ABLE TO PROVIDE CARE FOR CRITICALLY ILL, MEDICALLY COMPLEX PATIENTS WHOSE NEEDS CANNOT BE MET IN OTHER POST-ACUTE CARE ENVIROMENTS.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeTHE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN HEALTHCARE EDUCATION OUTREACHES SUCH AS DIABETES EXPO, SENIOR LIFESTYLE EXPO, AND WOMEN'S LIFESTYLE EXPO. IN ADDITION, THE HOSPITAL PARTNERS WITH ANGELINA COLLEGE, STEPHEN F. AUSTIN STATE UNIVERSITY AND TYLER COUNTY NURSING PROGRAMS TO PROVIDE EDUCATION AND CLINICAL ROTATIONS, AND WITH AREA HIGH SCHOOLS HEALTH CAREERS PROGRAMS WHICH ALLOW HIGH SCHOOL STUDENTS TO PARTICIPATE IN CLINICAL STUDIES AT THE HOSPITAL.
Part VI - Community InformationANGELINA 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; 17% OF PERSONS IN ANGELINA COUNTY ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 7.34% OF OUR PATIENT BASE IS UNINSURED, APPROXIMATELY 0.46% OF OUR PATIENT BASE IS MEDICAID RECIPIENTS, AND APPROXIMATELY 82.34% OF OUR PATIENT BASE IS MEDICARE RECIPIENTS. THE HOSPITAL IS THE ONLY LONG-TERM ACUTE CARE FACILITY IN ANGELINA COUNTY, SERVING 13 CONTIGUOUS COUNTIES.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 ADMINISTRATION HEALTH CLINIC, THREE MUSEUMS AND A ZOO.
Part VI - Patient Education of Eligibility for AssistanceTHE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENT HANDBOOKS TO INPATIENTS THAT CONTAIN INFORMATION FOR UNINSURED PATIENTS AS WELL AS FINANCIAL COUNSELOR INFORMATION. PATIENT BILLS HAVE INFORMATION AND WORDING IN THEM WHICH STATES FOR THEM TO CALL THE BUSINESS OFFICE FOR POSSIBLE DISOUNTS FOR UNINSURED PATIENTS. WE ALSO PROVIDE LITERATURE FOR THE PUBLIC TITLED "NEED HELP WITH HOSPITAL BILLS?" THAT LIST POSSIBLE PROGRAMS AND FINANCIAL COUNSELOR HOURS OF OPERATION.FOR PATIENTS ARRIVING THROUGH MEMORIAL HEALTH SYSTEM OF EAST TEXAS, THERE ARE SIGNS IN THE EMERGENCY DEPARTMENT AND 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 IT 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. ADDITIONALLY, INFORMATION REGARDING FINANCIAL ASSISTANCE IS LOCATED IN THE COMMON AREAS OF THE HOSPITAL. SPECIFIC FINANCIAL ASSISTANCE GUIDANCE IS PROVIDED INDIVIDUALLY TO OUR PATIENTS AND FAMILY MEMBERS THROUGH OUR BUSINESS OFFICE ASSISTANT.
Part VI - Needs AssessmentTHE 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 STRONG 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 ServicesALL 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 InsurancePATIENTS 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 EngagedACCIDENT LIABILITY CASE LIENS FILED AGAINST FUTURE SETTLEMENT.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsAS 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 WILL BE PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATION IS MADE.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitTHE HOSPITAL BELIEVES THAT THE SHORTFALL OF $1,020,694 SHOWN ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. IN THE STATE OF TEXAS'S ANNUAL COMMUNITY BENEFIT REPORT, THE UNREIMBURSED COSTS 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. ALSO, IRS 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. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. APPROXIMATELY 80% OF OUR PATIENT BASE ARE MEDICARE RECIPIENTS AND THERE ARE A NUMBER OF LOW-INCOME CONSUMERS RECEIVING MEDICARE BENEFITS.
Part III, Line 4 - Bad Debt ExpenseTHE 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 GROUP (SYSTEM) WITH CONSOLIDATED FINANCIAL STATEMENTS AUDITED BY BKD, LLP. THE CONSOLIDATED FINANCIAL STATEMENT FOOTNOTE TO PATIENT ACCOUNTS RECEIVABLE INCLUDES THE FOLLOWING: "THE SYSTEM REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL (UNCOLLECTIBLE) ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT."

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonBRENDA BROADWAYNamePerson
Base Compensation Filing Org96583BaseCompensationFilingOrg
Bonus Filing Org42800BonusFilingOrg
Other Compensation Filing Org6574OtherCompensationFilingOrg
Deferred Comp Filing Org2893DeferredCompFilingOrg
Nontaxable Benefits Filing Org15318NontaxableBenefitsFilingOrg
Total Compensation Filing Org164168TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PATIENT SERVICE REVENUE RECONCILIATION:PATIENT SERVICE REVENUE SHOWN ON FORM 990, PART VIII, LINE 2A WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS $60,743,614 LESS: MEDICARE CONTRACTUAL ADJUSTMENTS (44,400,963) INDUSTRY/MANAGED CARE ADJUSTMENTS (3,422,474) OTHER DISCOUNTS (31,286) CHARITY DEDUCTIONS (2,024,360) PATIENT SERVICE REVENUE $10,864,531
PART IV, LINE 20B:THE HOSPITAL'S TAX YEAR DID NOT BEGIN AFTER MARCH 23, 2010, THEREFORE, IN ACCORDANCE WITH THE INSTRUCTIONS FOR FORM 990, A COPY OF THE MOST RECENT "AUDITED FINANCIAL STATEMENTS" IS NOT REQUIRED TO BE ATTACHED.
FORM 990 - PART V - QUESTION 1A:MEMORIAL HEALTH SYSTEM OF EAST TEXAS (MHSET) PAYS THE HOSPITAL'S BILLS FOR SERVICES THAT WOULD REQUIRE THE PREPARATION OF FORMS 1099 AND THE RELATED FORM 1096, AND REPORTS SUCH PAYMENTS UNDER ITS FEDERAL IDENTIFICATION NUMBER (75-0755367). THE HOSPITAL REIMBURSES MHSET FOR SUCH PAYMENTS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableORGANIZATIONAL DOCUMENTS, APPLICATION FOR EXEMPTION, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE CORPORATION ARE AVAILABLE FOR INSPECTION AND COPYING IN THE OFFICE OF THE CHIEF FINANCIAL OFFICER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS 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 EmployeesTHE SALARY OF THE ADMINISTRATOR IS SET BY BRYANT H. KRENEK, AN EX-OFFICIO BOARD MEMBER, BASED ON THE RECOMMENDATION OF THE CHIEF OPERATING OFFICER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS THAT IS DETERMINED BY UTILIZING NATIONALLY PUBLISHED COMPARABLES FOR INDIVIDUALS WITH SIMILAR RESPONSIBILITIES IN INSTITUTIONS OF A SIMILAR SIZE, AND EVALUATION OF PERFORMANCE RELATIVE TO ESTABLISHED GOALS AND OBJECTIVES. INFORMATION USED FOR COMPARISON PURPOSES IS PROVIDED, AS NEEDED, BY THE VICE PRESIDENT OF HUMAN RESOURCES OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsPRIOR TO THE INITIAL MEETING OF THE CALENDAR YEAR, EACH MEMBER OF THE BOARD AND OFFICER OF THE CORPORATION IS PROVIDED A COPY OF THE CONFLICTS OF INTERESTS POLICY, A STATEMENT ACKNOWLEDGING ITS RECEIPT, AND DISCLOSURE OF OUTSIDE INTEREST AND ACTIVITIES. THE POLICY IS DISCUSSED WITH THE BOARD AND OFFICER. EACH BOARD MEMBER AND OFFICER COMPLETES THE FORMS PROVIDED AND RETURNS THEM TO THE CHIEF EXECUTIVE OFFICER. THE C. E. O. AND THE GENERAL COUNSEL REVIEW EACH STATEMENT ACKNOWLEDGING RECEIPT OF THE POLICY AND THE DISCLOSURES TO FAMILIARIZE THEMSELVES WITH THE POTENTIAL CONFLICTS.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessEACH YEAR, THE BOARD OF DIRECTORS DETERMINES WHETHER THE FORM 990 WILL BE REVIEWED BY ALL DIRECTORS, AN EXISTING COMMITTEE, OR A SPECIAL COMMITTEE APPOINTED FOR THE PURPOSE OF REVIEWING THE FORM 990 PRIOR TO FILING. THE COMPLETED FORM 990 IS PROVIDED TO THE DIRECTORS OR THE COMMITTEE RESPONSIBLE FOR THE REVIEW, EITHER INDIVIDUALLY OR IN A JOINT SESSION. INDIVIDUALS RESPONSIBLE FOR THE FILING ARE AVAILABLE TO RESPOND TO QUESTIONS OR PROVIDE BACKGROUND AS NEEDED. ONCE THE DIRECTORS RESPONSIBLE FOR REVIEWING THE FORM 990 ARE SATISFIED THAT THE FORM 990 IS COMPLETE, THE RETURN IS FILED. SUBSEQUENTLY, THE RETURN IS MADE AVAILABLE TO ALL DIRECTORS NOT A PART OF THE PREVIOUS REVIEW.Form 990, Part VI, Line 11
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyMEMORIAL HEALTH SYSTEM OF EAST TEXAS PROVIDES MANAGEMENT AND FINANCIAL SERVICES TO THE CORPORATION, INCLUDING BILLING AND COLLECTION OF CHARGES FOR PATIENT SERVICES, DATA PROCESSING, KEEPING OF FINANCIAL RECORDS, PAYMENT OF SALARIES AND MONTHLY BILLS.Form 990, Part VI, Line 3