Memorial Medical Center - San Augustine

“St. Luke's health clinical operations is the sole corporate member. Commonspirit health is the sole corporate member of st. Luke's health clinical operations.”

“The board of directors of the member (st. Luke's health clinical operations) also serve as members of the board of directors of mmc-san augustine. The management of st. Luke's health clinical operations provides oversight of financial and clinical operations.”

“The member (st. Luke's health clinical operations) approves the individuals selected to the board of directors of mmc-san augustine and has final approval of all actions of the board of directors.”

“The board of directors, by resolution, appoints a special committee to review the forms 990 and 990t prior to filing. Once the returns are completed, they are provided to this committee for their review and approval for filing. Employees of the corporation responsible for the preparation and review of the returns are available to respond to questions or provide background as needed. Once the directors responsible for reviewing the returns are satisfied they are complete, the returns are approved to be filed. Subsequent to presentation to the board's committee, the tax department files the returns with the irs, making any non-substantive changes necessary to effect efiling. Any such changes are not re-submitted to the committee. After filing, the returns are made available to all directors for their review.”

“The organization has a conflicts of interest ("coi") policy (the "policy") in place to protect the interests of commonspirit health ("commonspirit") in circumstances that may result in a conflict between personal interests of a person and the interests of the organization and those it serves. Commonspirit's coi policy applies to commonspirit, its direct affiliates and subsidiaries and any related entity the governing documents of which require the entity to comply with commonspirit policy (collectively the "system entities"). The following persons are required to disclose actual or potential conflicts of interest at least annually (via a formal system-administered survey) if the person's affiliation with commonspirit continues: - members of corporate and community boards of system entities - members of committees of corporate and community boards of system entities - members of the executive leadership team ("elt") of commonspirit - corporate officers of system entities - employed physicians and advanced practice providers - key employees and highest compensated employees as specified by the internal revenue service for form 990 purposes who are not otherwise included in the categories above - employees of system entities at the vice president level and above - all individuals engaged in research at institutions owned or operated by a system entity - select employees as determined from time to time by leadership disclosure, review, and management of perceived, potential, or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person is required to promptly and fully disclose any situation or circumstance that may create a conflict of interest as soon as she/he becomes aware of it. In addition, at the inception of an individual's relationship with commonspirit (e.g. Hiring, board appointment), and for certain positions, annually thereafter, written conflict of interest disclosure forms must be completed. A failure to disclose may result in disciplinary or corrective actions. Reported potential or actual conflicts of interest are initially reviewed by legal, corporate responsibility or research integrity staff. If necessary, a conflict of interest management plan is developed, which plan shall be subject to acceptance by the appropriate direct manager, supervisor, medical staff office, board or board committee (for board, board committee, elt or corporate officer conflicts), or other appropriate individual or body. Once accepted, the conflict of interest management plan is communicated to the person with the actual or potential conflict and the individual must conduct themselves in conformity with the plan. In the event that a transactional conflict interest arises in connection with a system entity board meeting, the conflicted individual must disclose that conflict prior to or at the beginning of the meeting in which the matter is to be considered. The conflicted individual is excluded from voting on the transaction and is prohibited from using personal influence with respect to the matter, but is not prohibited from providing input if requested to do so.”

“Commonspirit's board of stewardship trustees appoints a human resources and compensation committee, comprised exclusively of independent directors, who are accountable for setting reasonable compensation practices for certain executives within organization. The human resources and compensation committee approves, consistent with the organization's philosophy and principles, the annual performance goals and criteria to be in determining variable compensation. The human resources and compensation committee also engages an independent consultant and financial legal counsel to validate the organization's benchmarking approach and reasonableness of the total compensation and benefits packages for certain executives. Appropriate comparable data is obtained by the commonspirit health compensation department from independent third-party salary surveys, (e.g., total economic benefits paid by similarly situated organizations, both taxable and tax-exempt, for similar job responsibilities) for all other staff and leadership roles.”

“The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in commonspirit health's consolidated audited financial statements that are available at www.commonspirit.org.”

“Payments to vendors for entities that are part of commonspirit health are made by commonspirit health. Therefore, no forms 1099 are issued by memorial medical center - san augustine. Commonspirit health files the forms 1099 and complies with the backup withholding rules for reportable payments to vendors and gaming winnings. The forms 1099 issued on behalf of memorial medical center - san augustine are reported to the irs.”

“Other fees for services: program service expenses 1,156,775. Management and general expenses 478,966. Fundraising expenses 0. Total expenses 1,635,741. Contract services: program service expenses 295,913. Management and general expenses 0. Fundraising expenses 0. Total expenses 295,913. Contract labor: program service expenses 771,890. Management and general expenses 40,626. Fundraising expenses 0. Total expenses 812,516. Purchased services: program service expenses 678,298. Management and general expenses 35,700. Fundraising expenses 0. Total expenses 713,998.”