2014-11-17T05:54:07-08:00 2013-12-31 Axley & Rode LLP 1307 S 1st St Lufkin TX 759014717 990 2013-01-01 760436439 Memorial Medical Center - Livingston MEMO 9366348111 P O Box 1447 Lufkin TX 75902 GARY N LOOPER CEO 2014-11-06 true J LEON MANNING CPA P00045819 9366346621 2013 2015-11-30 17:44:51Z GARY N LOOPER 156 MAGNOLIA BEND LUFKIN TX 75904 43509070 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. 15 14 367 27 0 0 39403701 43386752 -12875 122318 0 39390826 43509070 0 0 18080011 18014742 0 0 24014278 25571607 42094289 43586349 -2703463 -77279 37416296 36162624 41591099 40414608 -4174803 -4251984 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 37935262 43380479 HOSPITAL SERVICES PROVIDED TO PATIENTS IN POLK COUNTY, INCLUDING 3,212 ADMISSIONS, 42,153 OUTPATIENT VISITS, 23,160 EMERGENCY ROOM VISITS AND 9,661 PATIENT DAYS. 37935262 true false 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 true 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 367 true false false false false false false false false 0 false false false false false false false false false false X 15 14 true true false false true true true true true false false false true true true true true true false false X GARY N LOOPER 9366348111 1201 W FRANK LUFKIN TX 75901 X JACQUELINE GORDON CNO 40.00 0.00 0 0 0 MARY K DEGROOT INTERIM CNO 40.00 0.00 0 0 0 RANDY SLACK CEO 40.00 0.00 0 0 0 JANIS HEARN PRES-AUXILIARY 0.00 0.00 X 0 0 0 CORKY EVANS CHAIRMAN 0.00 0.00 X 0 0 0 TINA BATTISE Director 0.00 0.00 X 0 0 0 GARY N LOOPER SYSTEM CEO 5.00 35.00 X 0 0 0 CLARKE EVANS Director 0.00 0.00 X 0 0 0 SOUAD YOUSSEF M D CHIEF OF STAFF 1.00 39.00 X 0 327156 23247 CHARLENE SMITH MD Director 0.00 0.00 X 0 0 0 H E STRIEDEL Director 0.00 0.00 X 0 0 0 MOLLY LOCKE DIRECTOR 0.00 0.00 X 0 0 0 HENRY AGER III Director 0.00 0.00 X 0 0 0 BEN R OGLETREE JR VICE CHAIRMAN 0.00 0.00 X 0 0 0 SHANE SHAW M D V CHIEF OF STF 0.00 0.00 X 0 0 0 ROBERT FAYLE M D V CHIEF OF STF 0.00 0.00 X 20583 0 0 JUDGE JOHN P THOMPSON Director 0.00 0.00 X 0 0 0 REV CURTIS HESTER Director 0.00 0.00 X 0 0 0 JUDY B COCHRAN Secretary 0.00 0.00 X 0 0 0 TAMANIKA FITE PHARMACIST 40.00 0.00 X 136964 0 11889 HEATHER HOWE RN/NRS ADM 50.00 0.00 X 114454 0 2119 GORDON HANKS RN/ICU 60.00 0.00 X 125425 0 4611 STEPHEN L ECKERT PHARMACIST 39.00 0.00 X 129333 0 8702 LACONIA BLALOCK RN/ED 46.00 0.00 X 102280 0 12286 629039 327156 62854 6 false true false H B ANESTHESIOLOGY GROUP PA 7032 COLLECTION CENTER DR CHICAGO IL 60693 ANESTHESIOLOGY 992237 COMMUNITY HOSPITAL CONSULTING INC 7800 NORTH DALLAS PKWY STE 200 PLANO TX 75024 MANAGEMENT & OTHER 490990 SODEXO SERVICES P O BOX 536922 ATLANTA GA 303536922 ENV SERVICES 382462 MORRISON MANAGEMENT SPECIALISTS P O BOX 102289 ATLANTA GA 303862289 DIETARY 635055 WILLIAM BASSUKCLINICAL ENGINEERING 1606 DOE CREST SAN ANTONIO TX 78248 EQUIP MAINTENANCE 617875 11 0 ELECTRONIC HEALTH RECORDS 621990 1978521 1978521 MEDICAL RECORDS INCOME 621900 24227 24227 OTHER HOSPITAL SERVICES 621990 58836 58836 PATIENT SERVICE REVENUE 621990 41318895 41318895 VENDING REVENUE 621990 5871 5871 402 402 43386752 122318 122318 0 0 0 0 0 0 0 0 43509070 43380479 128591 X 0 0 0 0 20583 20583 0 14009860 13751192 258668 275028 270003 5025 2739720 2689198 50522 969551 951836 17715 525766 525766 42527 42527 39244 39244 0 0 0 6927958 6049048 878910 58679 5204 53475 498216 373437 124779 0 0 745047 745047 59463 27742 31721 0 0 3061211 3061211 0 2784620 2784620 611475 479045 132430 PATIENT CARE SUPPLIES 5889423 5889423 HOME OFFICE COST ALLOCATION 3378618 3378618 REPAIRS & MAINTENANCE 622119 600885 21234 RENTS & LEASES - EQUIP 228886 204875 24011 98355 31913 66442 43586349 37935262 5651087 0 90492 90130 117151 117249 0 4666153 3962907 0 0 0 1040386 1117502 32353 63752 60071990 30098703 30860946 29973287 0 0 0 0 608815 837797 37416296 36162624 4521877 2919724 37069222 37494884 41591099 40414608 X -4291954 -4369233 117151 117249 -4174803 -4251984 37416296 36162624 X -77279 98 X false true X false false X 132600 132600 42584522 18302306 24282216 1348970 446000 902970 16005898 11350397 4655501 29973287 DUE TO AFFILIATE 33150040 INSURANCE RESERVE PAYABLE 2662897 LEASE PAYABLE 1174161 PENSION PLAN PAYABLE 507786 37494884 true true true X true X true true false false true true 1671707 1671707 0.03840 6533614 5967917 565697 0.01300 8205321 5967917 2237404 0.05140 18142 18142 0.00040 18142 18142 0.00040 8223463 5967917 2255546 0.05180 false 5295445 2647722 11932138 14902987 -2970849 X true true 1 1 MMC - LIVINGSTON 1717 HWY 59 BYPASS LIVINGSTON TX 77351 X X MMC - LIVINGSTON 1 true X X X X X X X X X 12 true true true X MEMORIALHEALTH.ORG X X X X X X X false false 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 V, Line 3 - Account Input from Person Who Represent the Community Interview Methodology- Memorial Health System of East Texas provided CHC Consulting with a list of people with special knowledge of Angelina, Polk and San Augustine Counties including public health representatives, not-for-profit organization professionals, charities and other individuals who focus specifically on underrepresented groups.- From that list, 21 in depth interviews were conducted using a structured interview guide. In order to further quantify the data, a follow up survey was sent to the list of 21 with the option to forward the survey on to others.- Extensive notes were taken during each interview and then quantified based on responses, communities and populations (minority, elderly, un/underinsured, etc.)served, and priorities identified by respondents. Qualitative data from the interviews was also analyzed and reported. Survey Construction, Distribution, and Collection- An electronic survey was constructed using Survey Monkey(TM) software in order to gather opinions and input of those with special knowledge regarding the health needs and priorities of the study area.- The survey was restricted so that respondents could only complete the survey once per computer to protect the integrity of the data.- The survey was initially distributed to the 21 interviewees. Recipients were allowed to forward the survey to other stakeholders in the community. The survey remained open for approximately one month.- Responses were quantified and analyzed for reporting purposes, including any free-form comments. Interviewee list- Tina Battise, Deputy Administrator, Alabama-Coushatta Tribe- Deborah Walters, RN, Director, Case Management and Social Work, MHSET- Marilyn Kegler, Director of Nurses, Lufkin ISD- Marshall McMillan, Member, MMC-San Augustine Board of Directors, Chair, Boys and Girls Club of San Augustine- John L. Brink, RN, Nurse Manager, Cardiac Cath Lab/Cardiac Rehab, MHSET/Member of the Angelina County Heart Alliance- Dr. Sid Roberts, Radiation Oncologist- Jean Hines, SAN Augustine County Hospital District Board member- Carla Hight, Director, United Way - Angelina County- Judge Sammye Johnson, San Augustine County Judge- Brittney Johnson, Project Manager, San Augustine County- Sharon Shaw, Administrator, Angelina County and Cities Health District- Dr. Robert Fayle, Neurologist- Jerry Hathorne, Chairman, Polk County Advisory Committee- Susan Rushing, CEO, Burke Center- Letha Tullos, Regional Vice President for the East Texas Region, American Cancer Society- Carrie Yocum, Administrator, Twin Lakes Rehabilitation and Care Center- Ray Polk, Diabetes Activist and former Board Member, Memorial Medical Center- Lufkin- Phyllis Grandgeorge, Executive Director, Alcohol and Drug Abuse Council- Heather Kartye, Executive Director, Family Crisis Center of East Texas- Minerva Palomino, Social Worker, MHSET- Judge John Thompson, Judge, Polk County Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment The Community Health Needs Assessment was conducted to include all four (4) facilities which comprise Memorial Health System of East Texas: (1) Memorial Medical Center of East Texas (Lufkin), (2) Memorial Medical Center Livingston, (3) Memorial Medical Center San Augustine, and (4) Memorial Specialty Hospital. Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Following the completion of thorough process designed to comply with the requirements of Patient Protection and Affordable Care Act, including research, individual interviews with stakeholders, and receipt of the survey results, a Community Health Needs Assessment Team consisting of hospital representatives and the Executive Director of the local Health District reviewed all results identified and prioritized eight (8) specific health needs. Working with the consultants from Community Hospital Consulting, the team identified actions to address those needs and developed implementation plans FOR Seven (7) of the eight (8) needs identified. The eighth identified need, increasing access to affordable dental care, was not addressed as it was deemed not a core business function of the health system. Part V, Line 17e - Other Collection Actions by Facility or Third Party Engaged THE ONLY CASE IN WHICH THE SYSTEM TAKES ANY ACTION TO COLLECT PRIOR TO DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE IS WHEN A PATIENT IS INJURED IN AN ACCIDENT AND A THIRD-PARTY MAY BE RESPONSIBLE. IN THAT CASE, ACCIDENT LIABILITY CASE LIENS ARE FILED AGAINST FUTURE SETTLEMENTS TO COLLECT UNPAID AMOUNTS. IF THE FUTURE SETTLEMENT DOES NOT COVER THE ENTIRE ACCOUNT BALANCE, THE REMAINING AMOUNT IS WRITTEN OFF. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance PATIENTS WITHOUT INSURANCE ARE BILLED USING THE SAME RATES FOR SERVICE AS ALL OTHER PATIENTS. Part V, Line 22 - Charge Patients Amount Equal Gross Charge for Services ALL PATIENTS ARE EQUALLY CHARGED. PATIENTS WHO FILE AN APPLICATION FOR FINANCIAL ASSISTANCE ARE NOT BILLED UNLESS IT IS LATER DETERMINED THAT THEY DO NOT QUALIFY FOR ASSISTANCE. 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, IT IS NOT REQUIRED TO PREPARE AND FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF TEXAS. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense THE HOSPITAL USED THE COSTING METHODOLOGY 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). Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit THE AMOUNT SHOWN ON LINE 3 IS BASED ON THE HOSPITAL'S ESTIMATE THAT 50% OF THE ACCOUNTS RECORDED AS BAD DEBT EXPENSE WOULD HAVE BEEN CLASSIFIED AS CHARITY (COMMUNITY BENEFIT) HAD THE APPROPRIATE INFORMATION BEEN OBTAINED. IN 2013, UNCOMPENSATED CARE CHARGES FOR CHARITY ACCOUNTS WERE APPROXIMATELY $8 MILLION LESS THAN 2011. WHEREAS UNCOMPENSATED CARE CHARGES FOR UNCOLLECTIBLE ACCOUNTS (BAD DEBTS) WERE APPROXIMATELY $11 MILLION MORE THAN IN 2011. IN 2013, CHARITY ACCOUNTS WERE ONLY 3.8% OF GROSS PATIENT SERVICES REVENUE (GPSR) WHEREAS IN 2011 & 2010, CHARITY ACCOUNTS WERE AT LEAST 7.5% OF GPSR. IN ADDITION, THIS ESTIMATE IS BASED ON POLK COUNTY'S 2012 POPULATION MEDIAN INCOME PER HOUSEHOLD OF 37,194, THAT 19.9% OF POLK COUNTY RESIDENTS ARE BELOW THE POVERTY LEVEL AND THAT 61% OF GROSS PATIENT SERVICES 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. LACK OF UNDERSTANDING ON THE PATIENT'S PART ABOUT HOW A CHARITY CLASSIFICATION RATHER THAN A BAD DEBT CLASSIFICATION MAY BENEFIT THEM. Part III, Line 4 - Bad Debt Expense THE HOSPITAL DOES NOT REPORT BAD DEBTS EXPENSE (UNCOLLECTIBLE ACCOUNTS) IN ACCORDANCE WITH HFMA STATEMENT NO. 15. THE HOSPITAL ACCOUNTS FOR ANY LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE HOSPITAL IS A MEMBER OF A SYSTEM WITH CONSOLIDATED FINANCIAL STATEMENTS AUDITED BY BKD, LLP. THE CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTE TO PATIENT ACCOUNTS RECEIVABLE INCLUDES THE FOLLOWING:"ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS." Part III, Line 8 - Explanation Of Shortfall As Community Benefit THE HOSPITAL BELIEVES THAT THE SHORTFALL SHOWN ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. ALTHOUGH THE HOSPITAL IS NOT REQUIRED TO FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF TEXAS, THE STATE INCLUDES THE UNREIMBURSED COST APPLICABLE TO MEDICARE PATIENTS AS A PART OF THE DETERMINATION THAT A HOSPITAL MEETS THE STATE'S REQUIREMENT THAT THE COST OF PROVIDING CHARITY CARE IS EQUAL TO AT LEAST 5% OF NET PATIENT SERVICE REVENUE.IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NON-PROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.THE SHORTFALL AMOUNT WAS DETERMINED BY USING THE COST INFORMATION SHOWN ON THE 2013 "COST REPORT" FILED WITH THE CENTERS OF MEDICARE AND MEDICAID SERVICES (CMS). Part III, Line 9b - Provisions On Collection Practices For Qualified Patients AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENT ASSISTANCE, A DETERMINATION IS MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. NO COLLECTION EFFORTS WILL BE PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATION IS MADE. Part VI - Needs Assessment IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT REQUIRED BY LAW, THE HOSPITAL HAS A BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO PROVIDE INPUT ABOUT NEEDS IN THE COMMUNITY. OUR PHYSICIANS HAVE NUMEROUS COMMITTEES AT THE HOSPITAL, IN PART TO KEEP US INFORMED ABOUT COMMUNITY MEDICAL NEEDS. Part VI - Patient Education of Eligibility for Assistance THE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENT HANDBOOKS 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 - Community Information POLK COUNTY HAS AN APPROXIMATE POPULATION OF 45,790 AS OF 2013, IS CONSIDERED A RURAL COUNTY AND ALSO A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. THE MEDIAN INCOME PER HOUSEHOLD, AS OF 2012, IS $37,194; 19.9% OF PERSONS IN POLK COUNTY ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 12% OF OUR PATIENT BASE IS UNINSURED, APPROXIMATELY 15% OF OUR PATIENT BASE IS MEDICAID RECIPIENTS, AND APPROXIMATELY 51% 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 2012, THE POPULATION OF 65 YEARS AND OLDER WAS 19.5%. 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 BASIC LIFE SUPPORT. 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, MONTHLY WOMEN'S POWER LUNCHEONS AND THE ALZHEIMER'S MEMORY WALK. THE HOSPITAL ALSO SUPPORTS THE FOLLOWING COMMUNITY GROUPS: CANCER SUPPORT GROUP, WEIGHT WATCHERS, TOPS (TAKING OFF POUNDS SENSIBLY) ANGELINA COLLEGE LVN AND RN NURSING PROGRAMS AND OTHER CLINICAL STUDIES, TYLER COUNTY NURSING PROGRAM, AND AREA HIGH SCHOOLS' HEALTH CAREERS PROGRAMS WHICH ALLOW HIGH SCHOOL STUDENTS TO PARTICIPATE IN CLINICAL STUDIES AT THE HOSPITAL. 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 - Additional Information PART VI, LINE 1 - PART I, LINE 7, COLUMN (F):IN ACCORDANCE WITH THE INSTRUCTIONS, COMMUNITY BENEFITS EXPENSE TOTALING $18,142 INCLUDED IN PART IX, LINE 25, COLUMN A AND $83,465 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 $43,586,349 LESS: COMMUNITY BENEFITS EXPENSE ( 18,142) REVENUE FROM NON-PATIENT CARE ACTIVITIES ( 83,465) ADJUSTED PATIENT CARE COSTS $43,484,742 X X false false false false false true false false false false SOUAD YOUSSEF M D CHIEF OF STAFF 238172 15500 73484 6563 16684 350403 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et BOARD MEMBER RELATIONSHIPS: CLARKE EVANS AND CORKY EVANS - FAMILY RELATIONSHIP CORKY EVANS AND JOHN P. THOMPSON - BUSINESS RELATIONSHIP CORKY EVANS AND JUDY COCHRAN - BUSINESS RELATIONSHIP CORKY EVANS AND H. E. STRIEDEL - BUSINESS RELATIONSHIP 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.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 6: Explanation of Classes of Members or Shareholder MEMORIAL HEALTH SYSTEM OF EAST TEXAS IS THE SOLE MEMBER. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body THE MEMBER (MEMORIAL HEALTH SYSTEM OF EAST TEXAS) 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 7b: Describe Decisions of Governing Body Approval by Members or Shareholders THE MEMBER (MEMORIAL HEALTH SYSTEM OF EAST TEXAS) HAS FINAL APPROVAL OF ALL ACTIONS OF THE BOARD OF DIRECTORS OF MMC-LIVINGSTON, EXCEPT THOSE RELATED TO CREDENTIALING AND PATIENT CARE QUALITY ASSURANCE. Form 990, Part VI, Line 11b: 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 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 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 15a: Compensation Review & Approval Process - CEO, Top Management THE SALARIES OF THE ADMINISTRATOR AND COO/CNO OF THE CORPORATION ARE SET BY THE CHIEF EXECUTIVE OFFICER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS WHO IS AN EMPLOYEE OF COMMUNITY HOSPITAL CONSULTING, INC. (CHC). AN APPROPRIATE SALARY IS ESTABLISHED FROM CHC'S INTERNAL COMPENSATION POLICY WHICH INCLUDES THE ASSISTANCE OF A COMPENSATION CONSULTANT, COMPETIVE MARKET ANALYSIS, JOB DESCRIPTION AND SCOPE OF RESPONSIBILITY. DURING 2013, THESE POSITIONS WERE FILLED BY EMPLOYEES OF CHC. 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. Other Changes In Net Assets Or Fund Balances - Other Increases RESTRICTED FUND CONTRIBUTIONS = $0 Other Changes In Net Assets Or Fund Balances - Other Increases RESTRICTED FUND INTEREST INCOME = $98 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. PATIENT SERVICE REVENUE RECONCILIATION: PATIENT SERVICE REVENUE SHOWN ON FORM 990, PART VIII, LINE 2A WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS $265,498,154 LESS: MEDICARE CONTRACTUAL ADJUSTMENTS ( 88,264,795) MEDICAID CONTRACTUAL ADJUSTMENTS ( 9,563,174) INDUSTRY/MANAGED CARE ADJUSTMENTS ( 82,632,115) CHARITY DEDUCTIONS ( 10,205,783) UNCOLLECTIBLE ACCOUNTS ( 32,328,724) OTHER DISCOUNTS ( 1,184,668) PATIENT SERVICE REVENUE $ 41,318,895 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 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 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 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 MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN TX 75904 461967952 MEDICAL SERVICES TX MEMORIAL HEALTH SYST C false MEMORIAL CV SERVICE LINE MANAGEMENT 1201 W FRANK AVE LUFKIN TX 75904 463622849 MEDICAL SERVICES TX MEMORIAL HEALTH SYST C false false false false false false false false false false false true false true false false true false false false