Memorial Medical Center - San Augustine

“Memorial health system of east texas provides management and financial assistance to mmc-san augustine, to include attendance at bi-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.”

“Memorial health system of east texas is the sole member.”

“The member (memorial health system of east texas) approves the individuals selected to the board of directors of mmc-san augustine and the management of mhset provides oversite of financial and clinical operations.”

“The member (memorial health system of east texas) has the authority to remove members of the board of directors of mmc-san augustine”

“The board of directors of memorial medical center - san augustine reviews the form 990 before filing.”

“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) 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 the potential conflicts.”

“The salary of the administrator of the corporation is 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.”

“Organizational documents, applications for exemption and financial statements of the corporation and conflicts of interest policy 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.”

“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.”

“Patient service revenue shown on form 990, part viii, line 2a was determined as follows: gross charges to patients $20,320,786 less: medicare contractual adjustments ( 5,417,233) medicaid contractual adjustments ( 764,495) industry/managed care adjustments ( 4,168,815) charity deductions ( 422,605) uncollectible accounts ( 3,839,598) other discounts ( 184,650) patient service revenue $ 5,523,390”