2011-05-06T16:07:07-05:00 2010-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-07-01 743019849 ST MARK'S MEDICAL CENTER STMA 9799682780 ONE ST MARKS PLACE LA GRANGE TX 78945 NATHAN STAGGS 2011-05-16 Amanda Maya 7134994600 2009 2016-02-24 21:20:13Z NATHAN STAGGS ONE ST MARKS PLACE LA GRANGE TX 78945 27917411 false X WWW.STMARKSMEDICALCENTER.ORG X 2001 TX PROVIDE QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF FAYETTE AND LEE COUNTIES AND THE SURROUNDING COMMUNITIES. 6 6 292 9 0 0 124228 270453 25891439 27454201 153407 33899 199782 158858 26368856 27917411 0 0 0 0 9002748 9511714 0 0 0 17934197 18146031 26936945 27657745 -568089 259666 30143950 29930062 29728167 29254612 415783 675450 PROVIDE QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF FAYETTE AND LEE COUNTIES AND THE SURROUNDING COMMUNITIES. false false 21983806 27613059 PROVIDED HEALTHCARE SERVICES TO THE CITIZENS OF FAYETTE COUNTY AND THE SURROUNDING COMMUNITIES. 21983806 true true false false false false false false false true true false false false false false false false false false true false false true true true false false false false false false false false false false false false false false true false false false true 30 0 true 292 true false false false false false false false false false 6 6 false false false false false false false true true false false true true true true true true true true false X DENNIS BOYD 9792422111 ONE ST MARKS PLACE LA GRANGE TX 789452040 J WELDON KOENIG 1.0 X X 0 0 0 GENE OEDING 1.0 X X 0 0 0 LINDA ADKINS 1.0 X X 0 0 0 ROBYN ROBERTS 1.0 X X 0 0 0 JOE BAILEY 1.0 X 0 0 0 ALBERT CHORENS MD 1.0 X 0 0 0 BONNIE HOLT 1.0 X 0 0 0 NATHAN STAGGS 40.0 X 160630 0 6320 CAROL DROZD 40.0 X 156814 0 8970 TAMMY HARTFIELD 40.0 X 118114 0 7721 JUDY WOODWARD 40.0 X 109790 0 22630 MICHELLE DIEHM 40.0 X 142924 0 10946 DENNIS BOYD 40.0 X 0 0 0 688272 0 56587 5 false true false REHAB SERVICES OF HOUSTON TWO ST MARKS PLACE 120 LA GRANGE TX 78945 REHAB SERVICES 516729 LORRY BECK 4515 FM154 MULDOON TX 78945 ULTRASOUND SERVICES 273066 HUNTER PHARMACY 3420 EXECUTIVE CTR DRIVE 100 AUSTIN TX 78731 PHARMACY MANAGEMENT 176374 PREMIER SLEEP 111 NORTHPARK DRIVE VICTORIA TX 77901 SLEEP STUDIES 141000 PRINCE FOODS 11001 WILCREST DRIVE 200 HOUSTON TX 77009 FOOD MANAGEMENT 342067 6 270453 270453 NET PATIENT SERVICE REVENUE 621110 13387009 13387009 MEDICARE/MEDICAID PAYMENTS 900099 14067192 14067192 27454201 33899 33899 0 0 0 0 0 0 OTHER REVENUE 900099 10448 10448 VENDING/CAFETERIA 722210 148410 148410 158858 27917411 27613059 33899 0 0 0 0 303554 303554 0 7261702 6458302 803400 0 1375752 1213938 161814 570706 490503 80203 0 129223 129223 88586 88586 0 0 0 4885160 3194044 1691116 24292 24292 260851 165922 94929 0 0 852139 763683 88456 38497 24475 14022 0 0 1092697 1092697 0 1863449 1642773 220676 324274 324274 MEDICAL SUPPLIES 2998998 2996902 2096 BAD DEBT EXPENSE 2688514 2688514 0 LABORATORY REAGENTS 631112 631112 0 LEASES AND RENTALS 1207097 1193557 13540 REPAIRS/MAINTENANCE 266645 204223 62422 794497 315858 478639 27657745 21983806 5673939 0 777505 793030 1006592 15325 37255 44996 2452877 2884009 712150 624888 662378 362227 281541 28089833 9716846 19994165 18372987 3767804 4339492 1120637 1824154 30143950 29930062 4286434 3805166 232725 80213 23805597 23214428 475315 475000 928096 1679805 29728167 29254612 X 415783 675450 415783 675450 30143950 29930062 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 364350 364350 21709729 5943013 15766716 4671167 2613437 2057730 1344587 1160396 184191 18372987 04' BONDS DEBT SERVICE 593316 F 04' BONDS SURPLUS ACCOUNT 23508 F 04' BONDS RESERVE ACCT 1703000 F 04' BONDS EQUITY ACCT 1262 F MORTGAGE RESERVE FUND 1696871 F COLLATERAL FUND 321535 F 4339492 NET BOND ISSUE COSTS 1069113 MEDICARE RECEIVABLE 735417 INTEREST RECEIVABLE 19624 1824154 0 ADVANCES FROM FM FOUNDATION 1315026 PAYABLE - SIEMENS MRI 52779 OTHER LIABILITIES 312000 1679805 27917411 27657745 259666 259666 27917411 27917411 27917411 27657745 27657745 27657745 FOOTNOTE FROM FINANICAL STATEMENTS THAT REPORTS FIN 48 SCHEDULE D, PART X MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true true X true X 150. true true false true false 357820 357820 0.01440 683750 68350 0.02750 53581 53581 0.00220 1095151 479751 0.04410 5560 5560 0.00020 3697 3697 0.00010 3025 3025 0.00010 12282 12282 0.00040 1107433 492033 0.04450 false 1175386 8947881 8478873 469008 X true true ST MARK'S MEDICAL CENTER

ONE ST MARKS PLACE LA GRANGE TX 78945

X X X THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS, BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. ASSESSMENT PERFORMED ANNUALLY. INTERVIEWS WITH HOSPITAL ADMINISTRATION, COMMUNITY REPRESENTATIVES AND LEADERS. STATISTICS ARE GATHERED AND REPORTED ON MORTALITY, PREVALENT DISEASES AND OTHER AREA HEALTH INFORMATION. MEASURABLE OBJECTIVES AND TACTICS ARE ALSO CREATED AND TRACKED. FINANCIAL ASSISTANCE POLICIES AND NOTICES ARE POSTED IN EACH LOBBY OF THE HOSPITAL AND IN THE BEDSIDE MANUAL OF EACH INPATIENT ROOM. ALL PATIENTS THAT HAVE NO INSURANCE OR LIMITED COVERAGE ARE ASSISTED BY OUR FINANCIAL COUNSELOR AND INFORMED OF OUR FINANCIAL ASSISTANCE PROGRAM. OUR OUTSOURCED COLLECTION GROUPS ARE MADE AWARE OF OUR ASSISTANCE PROGRAM. ONCE A YEAR WE RUN AN ADVERTISEMENT IN THE NEWSPAPER ALSO. AS A NON PROFIT HOSPITAL, PART OF THE MISSION IS TO ENGAGE IN COMMUNITY BENEFIT ACTIVITIES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. THE PRIMARY SERVICE AREA ZIP CODES FOR SMMC FALL WITHIN 4 COUNTIES: LEE, FAYETTE, BASTROP AND COLORADO. THE TEXAS DEPARTMENT OF STATE HEALTH GROUPS THESE COUNTIES INTO 11 DIFFERENT HEALTH SERVICE REGIONS. MAJOR TOWNS INCLUDE, LA GRANGE, GIDDINGS, SCHULENBURG, WEIMAR, SMITHVILLE, AND BASTROP. ST. MARK'S ALSO ACTS AS PRIMARY TREATMENT CENTER FOR THE BASTROP STATE PRISON. CEO OF ST. MARK'S MEDICAL CENTER IS A BOARD MEMBER OF THE CHAMBER OF COMMERCE ON ECONOMIC DEVELOPMENT. SOCIAL SERVICES DIRECTOR IS A BOARD MEMBER ON LOCAL FQHC PROVIDING HEALTH ADVOCACY TO IMPROVE COMMUNITY HEALTH. ST. MARK'S HAS AN OPEN MEDICAL STAFF. WE ARE CONSTANTLY RECRUITING FOR FAMILY PRACTICE AND SPECIALITY PHYSICIANS TO SERVE OUR COMMUNITIES. A CLINIC IN SCHULENBURG WAS OPENED THIS YEAR TO HOUSE A FAMILY PRACTITIONER AND PEDIATRICIAN TO RETAIN THEM IN A MEDICALLY UNDERSERVED AREA. NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. TX X X false false false false false false false false false NATHAN STAGGS 130796 0 0 0 29834 0 2533 0 3787 0 166950 0 CAROL DROZD 100914 0 50074 0 5826 0 4826 0 4144 0 165784 0 MICHELLE DIEHM 141528 0 0 0 1396 0 7415 0 3531 0 153870 0 FAYETTE COUNTY HEALTH FACILITIES DEVELOPMENT CORP 742914989 312525AY4 2004-03-25 26044533 NEW FACILITY CONSTRUCTION false false 26044533 1703000 1479118 185000 22681477 2005 false false true true false false false false true true false false false false false true REGULARLY AND CONSISTENTLY MONITOR WRITTEN CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE CHAIRPERSON OF THE ORGANIZATION'S GOVERNING BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE. PROCESS FOR DETERMING COMPENSATION FORM 990, PART VI, SECTION B, QUESTIONS 15A & 15B THE ORGANIZATION CONDUCTS PERIODIC WAGE SURVEYS TO EVALUATE WAGE RATES, PRACTICES AND AVAILABILITY OF REQUIRED SKILLS IN THE LABOR MARKET TO ENSURE THAT THE WAGE STRUCTURE PROVIDES A LEVEL OF WAGES WHICH IS COMPETITIVE IN THE MARKET. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO PUBLIC FORM 990, PART VI, SECTION C, QUESTION 19 ST. MARK'S MEDICAL CENTER MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE. PROCESS USED TO REVIEW FORM 990 FORM 990, PART VI, SECTION A, LINE 11 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. ISSUANCE COSTS FROM PROCEEDS SCHEDULE K, PART II, LINE 5 PROCEEDS USED FOR BOND ISSUANCE COSTS $ 520,308 PROCEEDS USED FOR CREDIT ENHANCEMENT $ 958,810 ----------- $ 1,479,118 ST MARK'S MEDICAL CENTER FOUNDATION ONE ST MARKS PLACE LA GRANGE TX 78945 742795943 SUPPORT TX 501(C)(3) 11D NA false false true false true false false false false false false true false false false false false false