2011-11-10T09:42:01-08:00 2010-12-31 Axley & Rode LLP 1307 S 1st St Lufkin TX 759014717 990 2010-01-01 750755367 Memorial Health System of East Texas MEMO 9366397161 P O Box 1447 Lufkin TX 75902 KRISTI GAY 2011-11-07 J LEON MANNING CPA 9366346621 2010 2016-02-24 21:20:13Z BRYANT H KRENEK 839 CR 3271W MT ENTERPRISE TX 75681 193462536 false false X N/A X 1944 TX THE ORGANIZATION OPERATES AN ACUTE CARE HOSPITAL WITH 271 LICENSED BEDS, A CANCER CENTER, A KIDNEY DIALYSIS CENTER, AN IMAGING CENTER, A REHABILITATION CENTER AND A DEDICATED HEART STROKE CARE FACILITY. 16 14 1336 71 14570 12135709 6518401 179586334 184747206 983083 917113 8933 31651 192714059 192214371 0 0 68663098 67169015 0 0 101711377 127230217 170374475 194399232 22339584 -2184861 257000529 262894487 150252847 145630628 106747682 117263859 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 181187690 184025744 HOSPITAL SERVICES TO PATIENTS AND SERVICES TO THE COMMUNITY INCLUDE 40,708 PATIENT DAYS DURING THE YEAR. THIS ALSO INCLUDES 8,953 INPATIENT ADMISSIONS, 98,510 OUTPATIENT VISITS, 37,823 EMERGENCY ROOM VISITS, 13,001 HOME HEALTH VISITS AND 7,739DIALYSIS VISITS FOR THE YEAR. 181187690 true true false false false false false false false false true false true true true false false true false false false false false false true false true false false false true true false false false false false false false false true true false false false false false true true true false false true 220 0 true 1336 true true true false false false false false false false false false 0 false false false false false false false false false false false X 16 14 true false false false false true true true true false false false false true true true true true true true false false X BRYANT KRENEK 9366397161 1201 W Frank Avenue LUFKIN TX 75904 THOMAS MOORE 0.00 X 0 0 0 THOMAS A BROSE 40.00 X 140307 0 17811 TED LANKFORD 4.00 X 0 0 0 TANYA TYLER 40.00 X 105020 0 6082 SID ROBERTS MD 0.00 42000 0 0 SANYUDE SANYUDE 40.00 X 128822 0 13608 SW HENDERSON III 1.00 X 0 0 0 ROSS ELDER 0.00 X 0 0 0 RONNIE ROBINSON 0.00 X 0 0 0 RONA FREISEN 1.00 X 0 0 0 ROBERT TELFORD 0.00 X 0 0 0 RAY BALDWIN 1.00 X 0 0 0 RANDY GEORGE 1.00 X 0 0 0 PAUL PEREZ 0.00 X 0 0 0 PATRICIA MCKENZIE EDD 1.00 X 0 0 0 MIKE SMITH 0.00 X 0 0 0 MARY E BEALL 62.00 X 134784 0 3821 MARIO B ESTRELLA 40.00 X 167112 0 8350 MACK FRAZIER 0.00 X 0 0 0 LESLIE LEACH 40.00 X 166888 0 20221 KRISTI GAY 40.00 X 143019 0 19716 KEVIN SMITHHART 0.00 X 0 0 0 KAVITHA PINNAMANENI MD 1.00 X 0 0 0 KATHY GRIFFIN 0.00 X 140580 0 6866 JOHN STRAIN 0.00 X 0 0 0 JOHN MILLER 0.00 X 0 0 0 JOHN F GLICK 1.00 X 0 0 0 JOHN ANDERSON 1.00 X 0 0 0 JIM ROPER 0.00 X 0 0 0 JERRY SUTTON 40.00 X 0 0 0 JACK SWEENY 1.00 X 0 0 0 JACK GORDEN 0.00 X 0 0 0 HAROLD MAXWELL 0.00 X 0 0 0 HE STREIDEL 0.00 X 0 0 0 H J TROUT JR 0.00 X 0 0 0 H J SHANDS III 1.00 X 0 0 0 GREG WALLEY 0.00 X 0 0 0 GIPSON FRIESEN 0.00 X 0 0 0 GEORGE HENDERSON III 1.00 X 0 0 0 EDD TERRELL III 0.00 X 58314 0 1051 DR THOMAS MCLAURIN 0.00 X 0 0 0 DR THOMAS DUNCAN 0.00 X 0 0 0 DON DURAN 0.00 X 0 0 0 DON BRILEY 0.00 X 0 0 0 DAVID TAMMINGA 0.00 X 0 0 0 DAVID PERKINS 0.00 X 0 0 0 DAVID HEARNE 40.00 X 151420 0 10661 DANNY LOYD 40.00 X 124605 0 8677 DANIEL FUENTES D O 1.00 X 0 0 0 CARL RAY POLK 1.00 X 0 0 0 BRYANT H KRENEK 40.00 X 408306 0 190754 BRUCE BRYANT 0.00 X 0 0 0 ARTIE BEDARD 0.00 X 0 0 0 AL MEYER 0.00 X 0 0 0 1911177 307618 11 false true false WEEBMEDX 3550 RIVERWOOD PKWY STE 1850 ATLANTA GA 30339 MEDICAL TRANSCRIPTIO 605047 SODEXO SERVICES P O BOX 536992 ATLANTA GA 30353 DIETARY/ENVIROMENTAL 5048189 WILLIAM BASSUKCLINICAL ENGINEERING 1606 DOE CREST SAN ANT TX 78248 EQUIPMENT MAINTENANC 2505684 MCKESSON TECHNOLOGIES INC P O BOX 98347 CHICAGO IL 60693 TECHNOLOGY SERVICES 6314354 HB ANESTHESIOLOGY GROUP PA P O BOX 4502 LONGVIEW TX 75606 ANESTHESIOLOGY 4510977 27 394806 6123595 6518401 RENTAL INCOME - AFFILIATE 621990 158527 158527 PATIENT SERVICE REVENUE 621990 183146479 183146479 PARTNERSHIP INCOME RELATE 621990 348403 333833 14570 OTHER HOSPITAL SERVICES 621990 267319 267319 CAFETERIA REVENUE 621990 565998 565998 260480 119586 140894 184747206 1312843 1312843 0 0 4800 4800 4800 4800 654953 1050683 -395730 -395730 -395730 57781 30931 26850 26850 0 166552 166551 1 1 0 192214371 184025744 14570 1655656 0 0 0 0 1221706 58301 1163405 0 45363424 40519322 4844102 1290762 1124976 165786 15897416 13677554 2219862 3395707 2959560 436147 0 58911 58911 175899 175899 0 0 45175 45175 18345037 15526294 2818743 495380 21448 473932 689881 200950 488931 2014117 2014117 0 2853360 2853360 312974 173324 139650 0 0 4788475 4788475 0 10766027 10766027 -705486 -1005405 299919 REPAIRS & MAINTENANCE 2880288 1571817 1308471 RENTS & LEASES - EQUIP 4089158 2757735 1331423 PATIENT CARE SUPPLIES 21905427 21905427 Change in Fair Value of Swap 1722087 1722087 BAD DEBT PROVISION 60565472 60565472 -3771965 1000966 -4772931 194399232 181187690 13211542 0 562499 609968 54457994 60776343 569020 0 18400825 14260376 0 0 0 2752618 2431495 945880 1089880 209186442 127267637 84802491 81918805 335822 545769 0 23028759 16890475 0 71144621 84371376 257000529 262894487 14638967 13846830 113070000 112815000 22543880 18968798 150252847 145630628 X 98954782 97589221 7792900 19674638 106747682 117263859 257000529 262894487 X -2184861 12701038 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3053645 3053645 97897912 44970056 52927856 37041 32301 4740 105373826 79862213 25511613 2824018 2403067 420951 81918805 16890475 PREPAID BOND ISSUANCE COST 792062 PHYSICIAN CONTRACT RECEIVABLE 748706 OTHER ASSETS 307844 NON CURRENT PREPAIDS HELD IN TRUST ACCOUNTS 19038340 DUE TO MEMORIAL SPECIALTY HOSPITAL -16180623 DUE FROM PINEYWOODS MED DEV CO 17686107 Due from AFFILIATES 60186538 DEFFERED CHARGE 716730 BOND DISCOUNTS 1075672 84371376 THIRD PARTY SETTLEMENTS 1968449 PENSION PLAN PAYABLE 8674002 L-T LIABILITY INS RESERVE 2417837 LEASES PAYABLE 121932 EXECUTIVE RETIREMENT BENEFIT PAYABLE 504669 Due to Affiliates 919867 CHANGE IN FAIR VALUE OF SWAP 5624700 BOND ISSUE DISCOUNT -1293823 2007 BOND ORIGINAL ISSUE DISCOUNT 31165 18968798 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances PENSION ADJUSTMENT - YEAR END $ -842524 false Bass Tournament 57781 57781 17720 558 716 11937 57781 57781 17720 558 716 11937 30931 26850 true true X true X true X true true true false true true 7568229 7568229 0.05730 11419659 11381335 38324 0.00030 18987888 11381335 7606553 0.05760 155450 155450 0.00120 155450 155450 0.00120 19143338 11381335 7762003 0.05880 false 10816993 540850 43838138 53283909 -9445771 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 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 20.1% OF COMMUNITY RESIDENTS HAD INCOME BELOW THE POVERTY LIMIT AND THAT 47.8% 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) (BAD DEBT DISCLOSURES)IN ACCORDANCE WITH THE INSTRUCTIONS, UNCOLLECTIBLE ACCOUNTS (BAD DEBTS) TOTALING $60,565,472 AND COMMUNITY BENEFITS EXPENSE TOTALING $155,450 INCLUDED IN PART IX, LINE 25, COLUMN A AND $1,566,130 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 $194,399,232 LESS: UNCOLLECTIBLE ACCOUNTS (BAD DEBTS) ( 60,565,472) COMMUNITY BENEFITS EXPENSE ( 155,450) CAFETERIA REVENUE ( 565,998) COPY REVENUE - MEDICAL RECORDS ( 101,496) RENTAL INCOME ( 282,913) PARTNERSHIP INCOME ( 348,403) OTHER REVENUE ( 267,320) ADJUSTED PATIENT CARE COSTS $132,112,180 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 TO LUFKIN ISD STUDENTS. 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; 20.1% OF PERSONS IN ANGELINA COUNTY ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 10% 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 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 ANNUAL COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF TEXAS, THE UNREIMBURSED COSTS APPLICABLE TO MEDICARE PATIENTS IS A PART OF THE DETERMINATION THAT THE HOSPITAL MEETS THE STATE'S REQUIREMENT THAT THE COST OF PROVIDING CHARITY CARE IS EQUAL TO AT LEAST 5% OF NET PATIENT SERVICE REVENUE.THE SHORTFALL AMOUNT WAS DETERMINED BY USING THE COST INFORMATION SHOWN ON THE 2010 STATEMENT OF REIMBURSABLE COST FILED WITH THE CENTERS FOR 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 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 ON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELIQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT." X true true X X false true false false false false false false false false THOMAS A BROSE 112664 5400 22243 17811 158118 MARIO B ESTRELLA 135271 31841 3784 4566 175462 LESLIE LEACH 146324 20564 5141 15080 187109 KRISTI GAY 128018 15001 2253 17463 162735 DAVID HEARNE 151420 10661 162081 BRYANT H KRENEK 378106 30200 175997 14757 599060 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. THE ORGANIZATION PAID MONTHLY COUNTRY CLUB DUES FOR THE CEO AND COO. IN 2010, THE AMOUNT OF DUES WAS $7,800. LUFKIN HEALTH FACILITIES DEVELOPMENT CORPORATION 521441564 549802BY1 2009-11-19 70186034 REFUND 2005A & 2005B BONDS/HOSP BLDGS/EQUIP false false false LUFKIN HEALTH FACILITIES DEVELOPMENT CORP 521441564 549802BN5 2007-10-17 42372303 HOSPITAL BUILDINGS & EQUIPMENT, BOND RESERVE FUND false false false 70186034 5936406 1363916 3924573 57881018 1080121 2010 true false true true 1090000 42372303 4100766 638477 37633060 2009 false false true true false false false false false true false false false false false true false false false false false true false false false false false true A PORTION ($57,881,018) OF THE BONDS ISSUED ON 11/19/2009 WERE USED TO RETIRE SERIES 2005 AND 2005A VARIABLE RATE DEMAND REVENUE BONDS. THE ORGANIZATION HAD ENTERED INTO TWO INTEREST RATE SWAPS IN CONJUNCTION WITH THE ISSUANCE OF THE SERIES 2005 AND 2005A REVENUE BONDS. THESE SWAPS WERE ORIGINALLY DESIGNATED AS CASH FLOW HEDGES. THE SWAPS FAILED TO QUALIFY AS CASH FLOW HEDGES UPON REPAYMENT OF THE 2005 AND 2005A REVENUE BONDS DURING 2009. CONSEQUENTLY, ALL PRIOR CHANGES IN THE SWAPS' FAIR VALUE THAT HAD BEEN DEEMED EFFECTIVE, TOTALING $8,499,134, WERE RECLASSIFIED INTO DEFICIENCY OF REVENUES OVER EXPENSES FOR 2009. THE SWAPS REMAIN IN EFFECT SUBSEQUENT TO THE RETIREMENT OF 2005 AND 2005A BONDS. AT DECEMBER 31, 2010 THE FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS TOTALING $5,624,700 IS INCLUDED IN LIABILITIES ON THE ORGANIZATION'S BALANCE SHEET. EDD TERRILL III TRUSTEE 249419 SECURITY SERVICES false MERLINA ESTRELLA SPOUSE/OFFICER 109071 SALARY/BENEFITS false RAY BALDWIN DIRECTOR 216227 COMMERCIAL INS BROKER false PATIENT SERVICE REVENUE RECONCILIATION: PATIENT SERVICE REVENUE SHOWN ON FORM 990, PART VIII, LINE 2A WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS $739,737,908 LESS: MEDICARE CONTRACTUAL ADJUSTMENTS (331,460,210) MEDICAID CONTRACTUAL ADJUSTMENTS ( 63,739,500) INSURED/MANAGE CARE ADJUSTMENTS (101,995,592) OTHER DISCOUNTS ( 17,020,827) CHARITY DEDUCTIONS ( 42,375,300) PATIENT SERVICE REVENUE 183,146,479 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 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 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 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 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 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 true true true false false false false true false false MEMORIAL MULTISPECIALTY ASSOCIATES p 395898 MEMORIAL MULTISPECIALTY ASSOCIATES i 3000 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE p 316216 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE k 68738 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE j 50484 MEMORIAL MEDICAL CENTER - LIVINGSTON p 3435239 MEMORIAL MEDICAL CENTER - LIVINGSTON k 260184 MEMORIAL MEDICAL CENTER - LIVINGSTON j 23110 MEMORIAL MEDICAL CENTER - LIVINGSTON i 3791