2011-11-09T07:42:50-08:00 2010-12-31 Axley & Rode LLP 1307 S 1st St Lufkin TX 759014717 990 2010-01-01 760436439 Memorial Medical Center - Livingston MEMO 9366397161 P O Box 1447 Lufkin TX 75902 KRISTI GAY 2011-11-07 J LEON MANNING CPA 9366346621 2010 2016-03-07 17:11:31Z DAVID A LEMONTE 55577666 false false X N/A X 1994 TX THE ORGANIZATION OPERATES A GENERAL ACUTE CARE HOSPITAL WITH 66 LICENSED BEDS AND PROVIDES SERVICES TO PATIENTS IN POLK AND SURROUNDING COUNTIES. 18 17 417 26 0 -56998 83186 59894018 55436645 -24681 -42483 0 59812339 55477348 0 0 19271826 19159171 0 0 39388112 38312311 58659938 57471482 1152401 -1994134 45645475 41651082 45568045 43567786 77430 -1916704 THE MISSION OF MMC-LIVINGSTON IS TO SUPPORT, MANAGE, AND FURNISH FACILITIES TO PROVIDE QUALITY ACUTE HEALTHCARE SERVICES FOR THE CITIZENS OF POLK AND SURROUNDING COUNTIES, REGARDLESS OF RACE, COLOR, GENDER, AGE, NATIONAL ORIGIN, OR, TO THE EXTENT OF ITS AVAILABLE RESOURCES, ABILITY TO PAY, AND TO FACILITATE AND ENCOURAGE EDUCATIONAL AND TRAINING ACTIVITIES TO INFORM AND PROMOTE THE GENERAL HEALTH AND WELFARE OF THOSE CITIZENS. false false 52267967 55425114 HOSPITAL SERVICES PROVIDED TO PATIENTS IN POLK COUNTY, INCLUDING 3,006 ADMISSIONS, 78,564 OUTPATIENT VISITS, 21,174 EMERGENCY ROOM VISITS AND 11,920 PATIENT DAYS. 52267967 true true false false false false false false false false true false false false true false false true false false false false false false false false true false false false true false false false false false false false false false false false false false false false false true false false false false true 0 0 false 417 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 18 17 true true false false true true true true true false false false true true true true true true true false false false X BRYANT KRENEK 9366397161 1201 W FRANK LUFKIN TX 75901 TAMANIKA FITE 40.00 X 124592 0 4579 STEVE COX M D 2.00 X 0 0 0 STEPHEN L ECKERT 37.00 X 103643 0 7952 REV CURTIS HESTER 0.00 X 0 0 0 NORMA G SANFORD 40.00 X 110866 0 13509 MOLLY LOCKE 0.00 X 0 0 0 JUDY B COCHRAN 0.00 X 0 0 0 JUDGE JOHN P THOMPSON 0.00 X 0 0 0 JOHN SLOCOMB 0.00 X 0 0 0 HENRY AGER III 0.00 X 0 0 0 H E STRIEDEL 0.00 X 0 0 0 GRACE LUNA 41.00 X 125444 0 13428 FLOYD DICKENS 0.00 X 0 0 0 ELIAS KANAAN M D 0.00 X 0 0 0 DEAN MCGRATH 0.00 X 0 0 0 DAVID LEMONTE 40.00 X X 153915 0 17296 CORKY EVANS 0.00 X 0 0 0 CLARKE EVANS 0.00 X 0 0 0 CHERYL DOWNING 0.00 X 0 0 0 CHARLENE SMITH MD 0.00 X 0 0 0 CAROL RICHARDS 0.00 X 0 0 0 BRYANT H KRENEK 5.00 X 0 408306 190754 BEN R OGLETREE JR 0.00 X 0 0 0 618460 408306 247518 5 false true false SODEXO SERVICES P O BOX 536922 ATLANTA GA 303536922 ENV SERVICES 583334 WILLIAM BASSUKCLINICAL ENGINEERING 1606 DOE CREST SAN ANTONIO TX 78248 EQUIP MAINTENANCE 400406 MORRISON MANAGEMENT SPECIALISTS P O BOX 102289 ATLANTA GA 303862289 DIETARY 748077 HEART INSTITUTE OF EAST TEXAS 310 GASLIGHT BLVD LUFKIN TX 75904 MEDICAL 250895 H B ANESTHESIOLOGY GROUP PA P O BOX 4502 LONGVIEW TX 75606 MEDICAL 1121391 11 50000 33186 83186 VENDING REVENUE 621990 11398 11398 RENTAL INCOME - AFFILIATE 621990 23110 23110 PATIENT SERVICE REVENUE 621990 55322443 55322443 OTHER HOSPITAL SERVICES 621990 46743 46743 MEDICAL RECORDS INCOME 621900 32818 32818 133 133 55436645 2660 2660 0 0 0 55175 100318 -45143 -45143 -45143 0 0 0 0 55477348 55425114 -30952 0 0 0 0 272231 113610 158621 0 14318782 14047374 271408 319503 310109 9394 3218611 3115242 103369 1030044 999759 30285 0 0 53438 53438 0 0 0 5254903 4476034 778869 60418 8353 52065 242415 103263 139152 0 0 633087 633087 57312 35186 22126 0 0 3170340 3170340 0 3262146 3262146 -445643 -448563 2920 REPAIRS & MAINTENANCE 497796 495897 1899 RENTS & LEASES - EQUIP 496960 490421 6539 PATIENT CARE SUPPLIES 8215091 8215091 HOME OFFICE COST ALLOCATION 3502992 3502992 BAD DEBTS 13187841 13187841 123215 52777 70438 57471482 52267967 5203515 0 71621 31767 259033 185587 0 6027596 4629200 0 0 0 976940 957104 230859 85590 58780925 24999551 36491513 33781374 0 0 0 0 1587913 1980460 45645475 41651082 6094527 4811078 39473518 38756708 45568045 43567786 X -181603 -2102291 259033 185587 77430 -1916704 45645475 41651082 -1994134 X false true false X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 132600 132600 42681118 13877534 28803584 1331836 319909 1011927 14635371 10802108 3833263 33781374 PENSION PLAN PAYABLE 101243 LEASE PAYABLE 702167 INSURANCE RESERVE PAYABLE 2126163 DUE TO AFFILIATE 35827135 38756708 true true true X true X true true true false true true 3954495 3954495 0.08950 6235566 8633041 10190061 8633041 3954495 0.08950 15660 15660 0.00040 15660 15660 0.00040 10205721 8633041 3970155 0.08990 false 2343479 117174 11051562 16313780 -5262218 X true true 1 0 MMC - LIVINGSTON

1717 HWY 59 BYPASS LIVINGSTON TX 77351

X X X MMC - LIVINGSTON 1 false true true 200.0000 true 250.0000 true X X X X true true 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 HOSPITAL USED THE COSTING METHOD0LOGY DERIVED FROM WORKSHEET 2 - "RATIO OF PATIENT CARE COST-T0-CHARGES" TO CALCULATE THE AMOUNT SHOWN ON LINE 2. THE HOSPITAL ACCOUNTS FOR DISCOUNTS AS DEDUCTIONS FROM GROSS PATIENT REVENUE AND WHERE APPLICABLE, PAYMENTS ON PATIENTS' ACCOUNTS AS DEDUCTIONS FROM UNCOLLECTIBLE ACCOUNTS (BAD DEBTS EXPENSE).THE AMOUNT SHOWN ON LINE 3 IS BASED ON THE HOSPITAL'S ESTIMATE THAT 5% OF THE ACCOUNTS RECORDED AS BAD DEBT EXPENSE SHOULD HAVE BEEN CLASSIFIED AS CHARITY (COMMUNITY BENEFIT) HAD THE APPROPRIATE INFORMATION BEEN OBTAINED. THIS ESTIMATE IS PRIMARILY BASED ON THE POPULATION MEDIAN INCOME PER HOUSEHOLD ($34,280), THAT 15.5% OF POLK COUNTY RESIDENTS ARE BELOW THE POVERTY LEVEL AND THAT 59% OF GROSS PATIENT REVENUE WAS FROM OUTPATIENTS. THERE ARE ALSO OTHER REASONS WHY ADEQUATE INFORMATION WAS NOT OBTAINED. THESE REASONS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: LANGUAGE BARRIERS WITH THE SPANISH SPEAKING POPULATION THE PATIENT'S LACK OF UNDERSTANDING ABOUT THE PROCESS AND WHERE TO FIND THE INFORMATION REQUESTED SOME PATIENTS ARE UNABLE OR UNWILLING TO SUPPLY SUPPORTING DOCUMENTATION SUCH AS INCOME TAX RETURN DATA. LACK OF UNDERSTANDING ON THE PATIENT'S PART ABOUT HOW A CHARITY CLASSIFICATION RATHER THAN A BAD DEBT CLASSIFICATION MAY BENEFIT THEM.PART VI, LINE 1 - PART I, LINE 7, COLUMN (F) (BAD DEBT DISCLOSURES)IN ACCORDANCE WITH THE INSTRUCTIONS, UNCOLLECTIBLE ACCOUNTS (BAD DEBTS) TOTALING $13,187,841 AND COMMUNITY BENEFITS EXPENSE TOTALING $15,660 INCLUDED IN PART IX, LINE 25, COLUMN A AND $102,504 IN MISCELLANEOUS INCOME 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 $57,471,482 LESS: UNCOLLECTIBLE ACCOUNTS (BAD DEBTS) (13,187,841) COMMUNITY BENEFITS EXPENSE ( 15,660) REVENUE FROM NON-PATIENT CARE ACTIVITIES ( 102,804) ADJUSTED PATIENT CARE COSTS $44,165,177 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. THE LUFKIN HOSPITAL (MEMORIAL HEALTH SYSTEM OF EAST TEXAS) IS ABLE TO ACCEPT TRANSFERS OF MORE MEDICALLY COMPLEX CASES FROM THE OTHER SYSTEM HOSPITALS. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN DIABETIC EDUCATION, ORTHOPEDIC EDUCATION, AND SLEEP LAB SEMINAR EDUCATION. THE HOSPITAL PARTICIPATES IN HEALTH FAIRS AT THE HOSPITAL, HEALTH FAIRS AT ESCAPEES, HEALTH FAIRS AT THE MULTI-CULTURAL FESTIVAL, SPEAKING AT ROTARY, LIONS CLUB AND OTHER AREA ORGANIZATIONS, PARTICIPATING IN BUSINESS AFTER HOURS, RELAY FOR LIFE, AND THE ALZHEIMER'S MEMORY WALK. THE HOSPITAL ALSO PARTNERS WITH THE FOLLOWING COMMUNITY GROUPS: CANCER SUPPORT GROUP, WEIGHT WATCHERS, TOPS (TAKING OFF POUNDS SENSIBLY) ANGELINA COLLEGE LVN AND RN NURSING PROGRAMS, TYLER COUNTY NURSING PROGRAM, AND WITH AREA HIGH SCHOOLS' HEALTH CAREERS PROGRAMS WHICH ALLOW HIGH SCHOOL STUDENTS TO PARTICIPATE IN CLINICAL STUDIES AT THE HOSPITAL. THE HOSPITAL ALSO SPONSORS DR. RANIA IBRAHIM, OB/GYN, AND DR. ROBERT FAYLE, NEUROLOGY, ON LOCAL RADIO PROGRAMS. Part VI - Community Information POLK COUNTY HAS AN APPROXIMATE POPULATION OF 45,413 AS OF 2010, IS CONSIDERED A RURAL COUNTY AND ALSO A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. THE POPULATION MEDIAN INCOME PER HOUSEHOLD, AS OF 2009, IS $34,280; 15.5% OF PERSONS IN POLK COUNTY ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 12% OF OUR PATIENT BASE IS UNINSURED, APPROXIMATELY 17% OF OUR PATIENT BASE IS MEDICAID RECIPIENTS, AND APPROXIMATELY 52% OF OUR PATIENT BASE IS MEDICARE RECIPIENTS. THE HOSPITAL IS THE ONLY ACUTE CARE FACILITY IN POLK COUNTY, AND IS THEREFORE THE ONLY HOSPITAL WHICH DIRECTLY SERVES OUR COMMUNITY.WITH THE CITY OF LIVINGSTON BEING THE COUNTY SEAT, WE SERVE AS THE MEDICAL HUB OF POLK COUNTY. WE SERVE AS THE PRIMARY HEALTH CARE FACILITY FOR THE ALABAMA-COUSHATTA TRIBE OF TEXAS, WHO RESIDE IN POLK COUNTY. WITH LAKE LIVINGSTON BEING THE SECOND LARGEST LAKE IN TEXAS, THE HOSPITAL SERVES A LARGE POPULATION OF RETIREES, SNOWBIRDS AND VACATIONERS. IN 2009, THE POPULATION OF 65 YEARS AND OLDER WAS 19%. Part VI - Patient Education of Eligibility for Assistance THE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENT HANDBOOKS WHICH CONTAIN INFORMATION FOR UNINSURED PATIENTS AS WELL AS FINANCIAL COUNSELOR INFORMATION. PATIENT BILLS HAVE INFORMATI0N AND WORDING IN THEM WHICH STATES FOR THEM 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 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. Part VI - Needs Assessment THE HOSPITAL HAS A BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO PROVIDE INPUT ABOUT NEEDS IN THE COMMUNITY. IN ADDITION, OUR PHYSICIANS HAVE NUMEROUS COMMITTEES AT THE HOSPITAL, IN PART TO KEEP US INFORMED ABOUT COMMUNITY MEDICAL NEEDS. 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 WILL BE 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. ALTHOUGH THE HOSPITAL IS EXEMPTED FROM THE FILING REQUIREMENT, 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.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. APPROXIMATELY 55% 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 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 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." Part I, Line 6a - Related Organization Community Benefit Report INFORMATION RELATED TO THE ORGANIZATION IS INCLUDED IN THE "REPORT TO THE COMMUNITY" PREPARED ANNUALLY BY MEMORIAL HEALTH SYSTEM OF EAST TEXAS. AS THE HOSPITAL IS IN A COUNTY WITH LESS THAN 50,000 POPULATION AND IS IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA, THE HOSPITAL IS NOT REQUIRED TO PREPARE AND FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF TEXAS. X false false false false false false false false false false DAVID LEMONTE 146886 7029 1708 15588 171211 BRYANT H KRENEK 378106 30200 175997 14757 599060 PATIENT SERVICE REVENUE RECONCILIATION: PATIENT SERVICE REVENUE SHOWN ON FORM 990, PART VIII, LINE 2A WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS $248,514,377 LESS: MEDICARE CONTRACTUAL ADJUSTMENTS (110,160,869) MEDICAID CONTRACTUAL ADJUSTMENTS ( 32,794,026) INDUSTRY/MANAGED CARE ADJUSTMENTS ( 27,296,901) CHARITY DEDUCTIONS ( 22,253,770) OTHER DISCOUNTS ( 686,368) PATIENT SERVICE REVENUE $ 55,322,443 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. THE HOSPITAL REIMBURSES MHSET FOR SUCH PAYMENTS. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available ORGANIZATIONAL DOCUMENTS, APPLICATIONS 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, TEXAS 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 THE SALARIES OF THE ADMINISTRATOR AND CHIEF OPERATING OFFICER OF THE CORPORATION ARE SET BY THE CHIEF EXECUTIVE OFFICER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS 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 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 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts PRIOR TO THE INITIAL MEETING OF A CALENDAR YEAR, 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 INTEREST AND ACTIVITIES FORM AND RETURNS THEM TO THE CHIEF EXECUTIVE OFFICER (CEO) OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS (MHSET). THE CEO AND MHSET'S GENERAL COUNSEL REVIEW EACH STATEMENT ACKNOWLEDGING RECEIPT OF THE POLICY AND DISCLOSURES TO FAMILIARIZE THEMSELVES WITH POTENTIAL CONFLICTS. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process A COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER - LIVINGSTON REVIEWS THE FORM 990 BEFORE FILING. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS (MHSET) APPROVES THE INDIVIDUALS SELECTED TO THE BOARD OF DIRECTORS OF MMC-LIVINGSTON AND THE MANAGEMENT OF MHSET PROVIDES OVERSITE OF FINANCIAL AND CLINICAL OPERATIONS. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder MEMORIAL HEALTH SYSTEM OF EAST TEXAS IS THE SOLE MEMBER. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company MEMORIAL HEALTH SYSTEM OF EAST TEXAS PROVIDES MANAGEMENT AND FINANCIAL ASSISTANCE TO MMC-LIVINGSTON, TO INCLUDE ATTENDANCE AT MONTHLY MEETINGS OF THE BOARD OF DIRECTORS, BILLING AND COLLECTION OF CHARGES FOR PATIENT SERVICES, DATA PROCESSING SERVICES, KEEPING OF FINANCIAL RECORDS, PAYMENT OF SALARIES AND MONTHLY BILLS. 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: JOHN SLOCOMB AND JOHN P. THOMPSON - BUSINESS RELATIONSHIP JOHN SLOCOMB AND JOHN P. THOMPSON - FAMILY RELATIONSHIP JOHN SLOCOMB AND JUDY COCHRAN - BUSINESS RELATIONSHIP JOHN SLOCOMB AND H. E. STRIEDEL - BUSINESS RELATIONSHIP CLARKE EVANS AND CORKY EVANS - FAMILY RELATIONSHIP CORKY EVANS AND JOHN P. THOMPSON - BUSINESS RELATIONSHIP CORKY EVANS AND JUDY COCHRAN - BUSINESS RELATIONSHIP LUFKIN VISION ACQUISITIONS 1201 FRANK AVENUE LUFKIN TX 75904 820563768 PROVIDES OFFICE SPACE FOR HEALTH CARE PROFESSIONALS TX 501(C)(3) 11C MEMORIAL HEALTH SYSTEM OF EAST TEXAS false MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVENUE LUFKIN TX 75904 752721155 PROVIDES PHYSICIANS TO NON PROFIT HOSPITALS TX 501(C)(3) 11c MEMORIAL HEALTH SYSTEM OF EAST TEXAS false MEMORIAL MEDICAL CENTER - SAN AUGUSTINE 511 E HOSPITAL ST SAN AUGUSTINE TX 75972 752663904 LICENSED HOSPITAL TX 501(C)(3) (3) - HOSPITAL MEMORIAL HEALTH SYSTEM OF EAST TEXAS false MEMORIAL HEALTH SYSTEM OF EAST TEXAS 1201 W FRANK AVE LUFKIN TX 75904 750755367 LICENSED HOSPITAL TX 501(c)(3) (3) HOSPITAL N/A false false false false false false false false false true false false true false false true false false false