MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-10
- IRS object ID
- 201801309349300005
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-10T06:10:55-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE STE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750818167 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mother Frances Hospital Regional Health Care | BusinessNameLine1Txt |
| Business Name Line2 | Center | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CHRISSY RAMSEY | InCareOfNm |
| Business Name Control | MOTH | BusinessNameControlTxt |
| Phone | 9036065639 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 DOCTORS DRIVE | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH PULLIAM | PersonNm |
| Person Title | SYSTEM CFO | PersonTitleTxt |
| Phone | 9036065639 | PhoneNum |
| Signature | 2018-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JANICE K MARTIN | PreparerPersonNm |
| PTIN | P00900299 | PTIN |
| Phone | 3176817940 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Chris Glenney | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 E DAWSON | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,359,420,194 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.tmfhc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 4105 | TotalEmployeeCnt |
| Total Volunteers | 351 | TotalVolunteersCnt |
| Total Gross UBI | $2,588,597 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,538,984 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,324,694 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $638,428,005 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $634,237,294 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,316,219 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,555,502 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,467,847 | PYOtherRevenueAmt |
| CY Other Revenue | $17,913,620 | CYOtherRevenueAmt |
| PY Total Revenue | $652,751,055 | PYTotalRevenueAmt |
| CY Total Revenue | $666,031,110 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $27,555,482 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $24,080,890 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $198,596,294 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $235,968,490 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $367,353,967 | PYOtherExpensesAmt |
| CY Other Expenses | $315,174,913 | CYOtherExpensesAmt |
| PY Total Expenses | $593,505,743 | PYTotalExpensesAmt |
| CY Total Expenses | $575,224,293 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $59,245,312 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $90,806,817 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $860,312,990 | TotalAssetsBOYAmt |
| Total Assets EOY | $548,802,390 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $380,407,924 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $301,529,889 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $479,905,066 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $247,272,501 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $478,372,035 | ExpenseAmt |
| Grant | $24,080,890 | GrantAmt |
| Revenue | $634,237,294 | RevenueAmt |
| Desc | THE HOSPITAL'S OPERATING PLAN INCORPORATES PROVISIONS FOR INDIVIDUALS WHO DO NOT POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR COMMITMENT TO OUR COMMUNIY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATION AND DONATIONS TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS PROGRAMS FOR YOUTH AT RISK, AND AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS. INDIVIDUALS SERVED AMOUNTED TO 26,531 INPATIENTS ADMITTED RESULTING IN 113,014 PATIENT DAYS; 557,759 OUTPATIENTS ADMITTED RESULTING IN 360,721 PATIENT DAYS; AND 72,507 EMERGENCY ROOM VISITS RESULTING IN 9,898 PATIENT DAYS. | Desc |
| Total Program Service Expenses | $478,372,035 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 155 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4105 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISSY RAMSEY | PersonNm |
| Phone | 9036065639 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 DOCTORS DRIVE | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| John McGreevy | ||||||||||
| Director (Term 10/16) | 39.0 | 1.0 | Yes (X) | $1,351,608 | $0 | $8,521 | ||||
| Fagg Sanford MD | ||||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $846,908 | $26,612 | ||||
| Jason Proctor | ||||||||||
| Director (Eff 6/17) | 40.0 | 0.0 | Yes (X) | $294,137 | $0 | $15,092 | ||||
| Jean Coleman | ||||||||||
| Director (Eff 6/17) | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Lindsey Bradley Jr | ||||||||||
| Director Ex-Officio-Ret. 06/17 | 9.0 | 31.0 | Yes (X) | $1,354,813 | $4,667,579 | $18,308 | ||||
| Mary Lauren Faulkner | ||||||||||
| Director (EFF 6/17) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Noah Israel MD | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $5,175 | $0 | ||||
| Pat Thomas MD | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $53,729 | $0 | ||||
| Ray Thompson | ||||||||||
| Director (TERM 10/16) | 16.0 | 24.0 | Yes (X) | $1,932,584 | $2,898,876 | $8,520 | ||||
| Sister Irene Asztemborksa | ||||||||||
| Director | 7.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Malgorzata Majszczyk | ||||||||||
| Director | 9.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Steven Keuer MD | ||||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $1,134,411 | $36,852 | ||||
| ANDY KIRKPATRICK | ||||||||||
| DIRECTOR/CHAIR | 1.0 | 39.0 | Yes (X) | $0 | $646,170 | $43,303 | Yes (X) | |||
| BEN FITZGERALD | ||||||||||
| DIRECTOR (TERM 12/16) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS GLENNEY | ||||||||||
| DIRECTOR (EFF 10/16) | 1.0 | 39.0 | Yes (X) | $0 | $910,490 | $19,243 | ||||
| Elizabeth Pulliam | ||||||||||
| System CFO | 15.0 | 25.0 | $181,798 | $302,995 | $11,434 | Yes (X) | ||||
| Lee Portwood | ||||||||||
| VP-TERM 07/16 | 40.0 | 0.0 | $524,904 | $0 | $9,845 | Yes (X) | ||||
| Patrick Simonson | ||||||||||
| VP (TERM 08/16) | 40.0 | 0.0 | $414,495 | $0 | $6,508 | Yes (X) | ||||
| Robert Rose | ||||||||||
| SVP, Patnt Care Svc-TERM 2/17 | 40.0 | 0.0 | $496,472 | $0 | $18,458 | Yes (X) | ||||
| Todd Hancock | ||||||||||
| SVP/COO (TERM 02/17) | 40.0 | 0.0 | $725,325 | $0 | $7,836 | Yes (X) | ||||
| Scott Smith MD | ||||||||||
| Sr. Vice President | 9.0 | 31.0 | $0 | $801,809 | $11,163 | Yes (X) | ||||
| JEFFREY HYDE | ||||||||||
| VP | 40.0 | 0.0 | $211,313 | $0 | $5,901 | Yes (X) | ||||
| ROBERT BIENERT | ||||||||||
| CRNA | 40.0 | 0.0 | $347,748 | $0 | $9,474 | Yes (X) | ||||
| TOWANDA FELTON | ||||||||||
| CRNA | 40.0 | 0.0 | $338,647 | $0 | $10,703 | Yes (X) | ||||
| JOSEPH PISTONE | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $327,898 | $0 | $15,140 | Yes (X) | ||||
| DUSTIN VIDRINE | ||||||||||
| CRNA | 40.0 | 0.0 | $272,033 | $0 | $14,301 | Yes (X) | ||||
| TIMOTHY CLARK | ||||||||||
| CRNA | 40.0 | 0.0 | $285,008 | $0 | $16,270 | Yes (X) | ||||
| SCOTT FOSSEY | ||||||||||
| VP | 0.0 | 40.0 | $0 | $302,028 | $11,398 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,058,783 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,570,170 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $324,882 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 154 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUND INPATIENT PHYSICIANS OF TEXAS | |||||
| 1123 PACIFIC AVENUE | TACOMA | WA | 98402 | PHYSICIAN SERVICES | $9,293,993 |
| W R L GENERAL CONTRACTORS | |||||
| 10858 FM 346 W | FLINT | TX | 75762 | CONSTRUCTION SVCS | $9,259,158 |
| SIEMENS MEDICAL SOLUTIONS USA INC | |||||
| PO BOX 120001 DEPT 0733 | DALLAS | TX | 75312 | EQUIPMT/MAINTENANCE | $8,519,406 |
| SODEXO INC AND AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | HOUSEKEEP/DIET SVCS | $3,912,951 |
| HARMONY HEALTHCARE LLC | |||||
| 2909 WEST BAY TO BAY BLVD STE 500 | TAMPA | FL | 33629 | CONTRACT LABOR | $2,401,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $181,978 | RelatedOrganizationsAmt |
| All Other Contributions | $1,142,716 | AllOtherContributionsAmt |
| Total Contributions | $1,324,694 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $620,707,887 | $620,707,887 | $0 | $0 |
| LAB TESTING | 900099 | $5,154,101 | $5,154,101 | $0 | $0 |
| MEDICAL SERVICES & TESTING | 900099 | $4,476,435 | $4,476,435 | $0 | $0 |
| UNCON SUB REVENUE | 900099 | $3,730,620 | $3,730,620 | $0 | $0 |
| WELLNESS CENTER | 900099 | $168,251 | $168,251 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $634,237,294 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,674,629 | TotalRevenueColumnAmt |
| Exclusion | $4,674,629 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,170,291 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,170,291 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,170,291 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $289,787 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,880,504 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $700,944,652 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $693,063,779 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,880,873 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,880,873 | TotalRevenueColumnAmt |
| Exclusion | $7,880,873 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $668,439 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $325,305 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $343,134 | TotalRevenueColumnAmt |
| Exclusion | $343,134 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| AIR METHODS PROGRAM | 900099 | $6,761,807 | $0 | $0 | $6,761,807 |
| ALL OTHER REVENUE | 900099 | $7,638,388 | $0 | $2,298,810 | $5,339,578 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,400,195 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $666,031,110 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $634,237,294 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,588,597 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,880,525 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,080,890 | TotalAmt |
| Program Services | $24,080,890 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,487,449 | TotalAmt |
| Program Services | $6,990,434 | ProgramServicesAmt |
| Management And General | $497,015 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,939,448 | TotalAmt |
| Program Services | $181,065,786 | ProgramServicesAmt |
| Management And General | $12,873,662 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,620,573 | TotalAmt |
| Program Services | $21,093,185 | ProgramServicesAmt |
| Management And General | $1,527,388 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,921,020 | TotalAmt |
| Program Services | $11,236,290 | ProgramServicesAmt |
| Management And General | $684,730 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,136 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $19,136 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,110 | TotalAmt |
| Management And General | $393,110 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,451,890 | TotalAmt |
| Program Services | $41,858,689 | ProgramServicesAmt |
| Management And General | $3,593,201 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,622 | TotalAmt |
| Program Services | $36,494 | ProgramServicesAmt |
| Management And General | $128 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,974,296 | TotalAmt |
| Program Services | $11,604,342 | ProgramServicesAmt |
| Management And General | $369,954 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,321,076 | TotalAmt |
| Program Services | $301,363 | ProgramServicesAmt |
| Management And General | $1,019,713 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,647,511 | TotalAmt |
| Program Services | $5,540,989 | ProgramServicesAmt |
| Management And General | $1,106,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,634 | TotalAmt |
| Program Services | $191,262 | ProgramServicesAmt |
| Management And General | $124,372 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,592 | TotalAmt |
| Program Services | $203,849 | ProgramServicesAmt |
| Management And General | $69,743 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,521,584 | TotalAmt |
| Program Services | $3,521,584 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,834,234 | TotalAmt |
| Program Services | $26,557,737 | ProgramServicesAmt |
| Management And General | $3,276,497 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,928,254 | TotalAmt |
| Program Services | $10,814 | ProgramServicesAmt |
| Management And General | $2,917,440 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $123,914,753 | $123,834,112 | $80,641 | $0 |
| PROVISION FOR UNCOLL ACCT | $17,669,015 | $17,669,015 | $0 | $0 |
| MANAGEMENT ALLOCATION | $68,095,645 | $0 | $68,095,645 | $0 |
| SUBSCRIPTIONS | $198,626 | $142,108 | $56,518 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,579,935 | TotalAmt |
| Program Services | $2,433,092 | ProgramServicesAmt |
| Management And General | $146,843 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $575,224,293 | TotalAmt |
| Program Services | $478,372,035 | ProgramServicesAmt |
| Management And General | $96,852,258 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,775,155 | BOYAmt |
| EOY | $63,386 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,561,307 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,022,470 | BOYAmt |
| EOY | $52,888,911 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $9,616,885 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,337,430 | BOYAmt |
| EOY | $5,960,809 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,617,742 | BOYAmt |
| EOY | $1,321,509 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $453,871,329 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,435,653 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,864,166 | BOYAmt |
| EOY | $409,435,676 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,110,179 | BOYAmt |
| EOY | $8,859,300 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,747,805 | BOYAmt |
| EOY | $5,203 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $8,243,244 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,679,974 | BOYAmt |
| EOY | $46,000,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,596,762 | BOYAmt |
| EOY | $6,407,467 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $860,312,990 | BOYAmt |
| EOY | $548,802,390 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,330,887 | BOYAmt |
| EOY | $59,574,037 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,487,012 | BOYAmt |
| EOY | $1,525 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,261,874 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $876,514 | BOYAmt |
| EOY | $1,099,273 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $6,487,443 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,451,637 | BOYAmt |
| EOY | $234,367,611 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,407,924 | BOYAmt |
| EOY | $301,529,889 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,262,111 | BOYAmt |
| EOY | $246,788,942 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,955 | BOYAmt |
| EOY | $483,559 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,905,066 | BOYAmt |
| EOY | $247,272,501 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $860,312,990 | BOYAmt |
| EOY | $548,802,390 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $90,806,817 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,550,874 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$318,888,508 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $19,316 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Other Activities | $0 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,316 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE C, PART II-B, LINE 1B HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS. CHRISTUS BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL ELECTED OFFICIALS AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. AT THE FEDERAL LEVEL, CHRISTUS EMPLOYEES PERSONALLY VISITED WITH TEXAS CONGRESSIONAL MEMBERS AND THEIR STAFF TO DISCUSS MEDICAID, MEDICARE, 1115 WAIVER, AND EXCHANGE INSURANCE PRODUCTS. AT THE STATE LEVEL, WE DISCUSSED THE 1115 WAIVER AND THE LOCAL PROVIDER PARTICIPATION FUNDING POTENTIAL. EXECUTIVE HRS: 64 DIRECTOR HRS: 32 ASSOCIATE HRS: 26 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,185,371 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $345,766 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $9,101 | GrantsOrScholarshipsAmt |
| End Year Balance | $3,522,036 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,885,950 | BeginningYearBalanceAmt |
| Contributions | $445,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$118,741 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $26,838 | GrantsOrScholarshipsAmt |
| End Year Balance | $3,185,371 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,762,072 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $124,878 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $2,885,950 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,414,694 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $360,569 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $13,191 | GrantsOrScholarshipsAmt |
| End Year Balance | $2,762,072 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,408,876 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $163,752 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $157,934 | GrantsOrScholarshipsAmt |
| End Year Balance | $2,414,694 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.71220 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.28780 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,014,322 | OtherCostOrOtherBasisAmt |
| Book Value | $17,014,322 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,223,596 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,844,692 | DepreciationAmt |
| Book Value | $191,378,904 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,759,416 | OtherCostOrOtherBasisAmt |
| Depreciation | $301,335 | DepreciationAmt |
| Book Value | $1,458,081 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $225,160,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,289,626 | DepreciationAmt |
| Book Value | $192,870,646 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,713,723 | OtherCostOrOtherBasisAmt |
| Book Value | $6,713,723 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $409,435,676 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $45,795,617 |
| CAPITAL LEASE | $20,714,722 |
| ASSET RETIREMENT OBILIGATIONS | $801,504 |
| BONDS | $56,895 |
| SALES TAX | $15,117 |
| INTERCOMPANY PAYABLE | $166,983,756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $234,367,611 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | Intended use of endowment funds THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. |
| Schedule D, Part X, Line 2 | FIN 48(ASC740) Footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, There are no material unrecorded tax liabilities as of June 30, 2017 and 2016. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| Central America and the Caribbean | 1 | Program services | INSURANCE | $36,685 |
| Central America and the Caribbean | Investments | INVESTMENTS-BOOK VALUE | $135,824 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Total Office | 1 | TotalOfficeCnt |
| Subtotal Spent | $172,509 | SubtotalSpentAmt |
| Total Spent | $172,509 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,450,294 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,450,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,992,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,967,468 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,214,966 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $764,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $450,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,657,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,731,716 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,901,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $426,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,630 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $399,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $270,984 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $270,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,352,282 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,352,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $207,570 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $207,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,680,623 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,680,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,937,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,630 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,910,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,595,121 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,758,346 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $50,811,883 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $17,669,015 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $184,285,493 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $191,067,110 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,781,617 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| MOTHER FRANCES REG HEALTHCARE CENTER | ||||||||||
| 1 | 800 EAST DAWSON | TYLER | TX | 75701 | WWW.TMFHC.ORG | 000286 | Yes (X) | Yes (X) | Yes (X) | A |
| TYLER REHAB ASSOCIATES LP | ||||||||||
| 2 | 3131 TROUP HIGHWAY | TYLER | TX | 75701 | WWW.TMFREHABHOSPITAL.COM | 000692 | Yes (X) | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | Representatives from the community Both mother frances hospital regional health care center (mfh-tyler) and tyler rehab associates, lp cover the same community and are within the same health care system; therefore, they used the same community representatives. They conducted 48 interviews with the two groups outlined in irs final regulations issued December 29, 2014. During these interviews, the hospital discussed the health needs of the community, access issues, barriers, and issues related to specific populations. The interviewees included, but were not limited to, individuals from the following organizations: tyler family circle of care clinic, st.paul children's foundation, whispering pines nursing home, literacy council of tyler, northeast child advocacy center, bethesda health clinic, your philanthropy, east texas human needs network (ethnn), people attempting to help (path), Samaritan counseling center, east texas council of governments area agency on aging, and various others. Additionally, a survey was sent to a select group of 940 individuals or organizations who are members of the ethnn. Out of the selected group, 120 responses were collected and analyzed. Survey questions related to a variety of health problems as well as barriers for low income residents. A paper survey was also conducted at three tyler family circle of care clinic locations. The survey was provided to patients at check-out and surveyed items such as location of care, problems seeing a doctor, and likeliness of returning to clinics. |
| SCHEDULE H, PART V, SECTION B, LINES 7A & 10A | THE URL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS: HTTP://TMFHC.ORG/COMPREHENSIVE-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS |
| SCHEDULE H, PART V, SECTION B, LINE 11 | NEEDS IDENTIFIED IN CHNA ADDRESSED AND NOT ADDRESSED MOTHER FRANCES HOSPITAL - TYLER IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS IMPLEMENTATION PLAN: 1) ACCESS TO PRIMARY CARE SERVICES 2) NEED FOR INCREASED EMPHASIS ON A COLLABORATIVE CONTINUUM OF CARE 3) PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 4) ACCESS TO SPECIALTY CARE SERVICES 5) ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE 6) ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS PROPOSED PROGRAMS TO ADDRESS THE PRIORITIZED NEEDS: 1) SUPPORT DEVELOPMENT AND IMPLEMENTATION IN REGION 1 OF THE MEDICAID WAIVER PROGRAM IN ORDER TO ACCOMPLISH THE FOLLOWING: - EXPAND PRIMARY CARE ACCESS - EXPAND SPECIALTY CARE ACCESS - DEVELOP TELEMEDICINE PROGRAM FOR NICU - ESTABLISH AND RE-CERTIFY 19 MEDICAL HOMES - DEVELOP A PALLIATIVE CARE PROJECT THAT INCLUDES OUTPATIENT SERVICES - DEVELOP A PATIENT NAVIGATION PROJECT FOR BREAST CANCER PATIENTS - DEVELOP A CARE TRANSITION PROGRAM 2) PROVIDE SUPPORT FOR THE LITERACY COUNCIL, ALZHEIMER'S, DIABETES, AMERICAN HEART ASSOCIATION, CANCER FOUNDATION FOR LIFE, AMERICAN CANCER SOCIETY, HOSPICE OF EAST TEXAS, AND HEALTH FITNESS PROGRAMS 3) PROVIDE SUPPORT AND EXPAND THE FOLLOWING PROGRAMS: - TYLER FAMILY CIRCLE OF CARE/WOMEN'S SERVICES - TYLER FAMILY CIRCLE OF CARE/PRIMARY CARE SERVICES - TRINITY CLINIC, PEDIATRIC SPECIAL NEEDS PROGRAM - TELECARE PLUS - YOUR HEALTH INFORMATION RESOURCE - BETHESDA CLINIC SUPPORT - ST. PAUL'S CLINIC - RURAL HOSPITAL SUPPORT PROGRAM THROUGH DONATIONS - HEALTH SCREENING & PREVENTATIVE PROGRAM - NEONATAL SERVICES - TRAUMA & EMERGENCY ROOM SERVICES - ROSS BREAST CENTER MOBILE UNIT - MEDICAB, EMS - LITERACY COUNCIL - ALZHEIMER'S ASSOCIATION 4) SUPPORT OF A NEW BEHAVIORAL HEALTH COMMUNITY PROJECT 5) PARTICIPATION IN THE EPISCOPAL FOUNDATION COMMUNITY HEALTH COLLABORATION FORUMS 6) NORTHEAST TEXAS PUBLIC HEALTH DISTRICT FIT CITY CHALLENGE SPONSORSHIP 7) PROVIDE SUPPORT FOR THE SUSAN G KOMEN RACE FOR THE CURE 8) TYLER JUNIOR COLLEGE FOUNDATION TO SUPPORT NURSING AND HEALTH SCIENCES CENTER 9) TEXAS HEALTH AND HUMAN SERVICES REGIONAL ADVISORY COUNCIL MOTHER FRANCES HOSPITAL - TYLER DECIDED NOT TO ADDRESS "ACCESS TO DENTAL SERVICES" LARGELY DUE TO THE FACT THAT IT IS NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THIS NEED. HOSPITAL LEADERSHIP FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE 9 PRIORITIZED NEEDS ABOVE. TYLER REHAB IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS IMPLEMENTATION PLAN: - NEED FOR INCREASED EMPHASIS ON A COLLABORATIVE CONTINUUM OF CARE - PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES - ACCESS TO SPECIALTY CARE SERVICES - ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS THE REHAB HOSPITAL DECIDED NOT TO ADDRESS "ACCESS TO DENTAL SERVICES", "ACCESS TO PRIMARY CARE SERVICES", AND "ACCESS TO MENTAL AND BEHAVIORAL HEALTHCARE". THIS IS LARGELY DUE TO THE FACT THAT THESE ARE NOT CORE BUSINESS FUNCTIONS OF THE HOSPITAL AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THESE NEEDS. HOSPITAL LEADERSHIP FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE FOUR PRIORITIZED NEEDS ABOVE. |
| SCHEDULE H, PART V, SECTION B, LINE 13B | Income level used for FAP Eligibility Uninsured patients who apply for the Financial Assistance Program may also qualify for assistance under the policy, regardless of income level, if they have medical or hospital bills that exceed 10% of their gross family income. |
| SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C | FAP Documents available to the public The hospital's FAP, FAP application form, and plain language summary are available at the following website: http://www.tmfhc.org/patients-visitors/financial-assistance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MFH Outpatient Surgery CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 South Fleishel | AddressLine1Txt |
| City | Tyler | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Ambulatory Surgical Center | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | FACTORS OTHER THAN THE FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING FACTORS IN ITS DETERMINATION: 1) ASSET LEVEL 2) MEDICAL INDIGENCY 3) INSURANCE STATUS 4) UNDERSINSURANCE STATUS 5) GREATER THAN 400% UNDER THE CATASTROPHIC CAP PROVISION 6) RESIDENCY SCHEDULE H, PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. SCHEDULE H, PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $575,224,293. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $17,669,015. THIS LEAVES A TOTAL EXPENSE OF $557,555,278 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART I, LINE 7, COLUMN (F) DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 15.89%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE MADE OVER $22,680,623 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2017. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. SCHEDULE H, PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: SUBSIDIZED HEALTH SERVICES COST IS AT FMV LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT AS A COMMUNITY BENEFIT THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. |
| SCHEDULE H, PART III, LINE 4 | Footnote to the Financial statements describing BAD DEBT EXPENSE The preparation of the accompanying consolidated financial statements in conformity with accounting principles generally accepted in the United States (U.S. GAAP) requires management of the System to make assumptions, estimates, and judgments that affect the amounts reported in the financial statements, including the notes thereto, and related disclosures of commitments andcontingencies, if any. The System considers critical accounting policies to be those that require more significant judgments and estimates in the preparation of its financial statements, including the following: recognition of net patient service revenues, which include contractual allowances and the provision for bad debt; estimates for reimbursement under the upper payment limit, disproportionate share and Medicaid 1115 waiver programs; reserves for losses and expenses related to health care professional and general liabilities; accruals for claims incurred but not yet reported related to the Systems health plan; determination of fair values of certain financial instruments; determination of fair value of certain goodwill and long-lived assets, including assets acquired; and risks and assumptions for measurement of pension and retiree medical liabilities. Management relies on historical experience and on other assumptions believed to be reasonable under the circumstances in making its judgments and estimates. Actual results could differ materially from these estimates. |
| SCHEDULE H, PART III, LINE 8 | COSTING METHODOLOGY The medical Center uses Medicare cost report methodology, which apportions routine costs (room and board) based on Medicare or Medicaid days to total days and apportions ancillary costs based on program charges to total charges. THE SHORTFALL ON PART III LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $6,781,617 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. |
| SCHEDULE H, PART III, LINE 9B | Collection Policy The organization has a written policy covering procedures for collecting and writing off bad debts. According to the policy, if a patient appears to be indigent, accounts should be reviewed, at any time during the collection process, for possible consideration as a charity case in accordance with the organizations charity care policy. Unpaid discounted balances of patients who qualify for the financial assistance program are considered uncollectible bad debts. CHRISTUS does not conduct, or permit collection agencies to conduct on its behalf, extraordinary collection actions (ECAS), as defined under Internal Revenue Code Section 501(R), against individuals before reasonable efforts have been made to determine whether the patient is eligible for the financial assistance program. Reasonable efforts include the hospital making the determination that the patient is ineligible for the financial assistance program because the patient is covered by Medicare or Commercial insurance. The System Director of Patient Financial Services maintains oversight and responsibility for determining if CHRISTUS has made reasonable efforts and whether an ECA is appropriate. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT The hospital's community health profiles provide a snapshot of suburban, urban, and rural service areas within texas using key health indicators, which facilitate comparisons locally, regionally, and over time. Community health profiles are intended to assist internal stakeholders, community health council members, and the community health improvement department in deciding where to allocate resources and address health inequalities. All entity advocates use national, state, and local secondary and primary data sources to provide a current overview of local health needs, factors impacting disease and injury burden, socioeconomic status, access to health care, age distribution, indicators and lifestyle behaviors. This data is used to galvanize joint community health efforts to improve health and reduce health inequalities and to empower the greater community. SCHEDULE H, PART VI, LINE 3 Patient education of eligibility for assistance The hospital's financial assistance policy and contact information is posted in various areas of the hospital including admissions and registration, emergency, and outpatient departments. Additionally, financial assistance information is provided, verbally and in written brochures, to all self-pay patients by financial counselors. Financial assistance information is also included in every patient bill. The hospital's financial assistance policy is communicated to the patient by financial counselors who also screen self-pay patients for potential eligibility for other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the financial counselor will assist the patient in completing any forms necessary to apply for the assistance. At the same time, the patients are provided with a charity care application and informational Flyer. The patient is informed that mother frances hospital-tyler is a non-profit charitable organization offering financial assistance to patients who are deemed medically or financially indigent. The financial counselors will then assist the patient in completing the charity care application and obtaining any available verifications. Once the patient is discharged, the financial counselors will continue to contact the patient to ensure all needed forms and verifications needed to file an application for governmental assistance and charity care have been provided. SCHEDULE H, PART VI, LINE 4 Community information The hospital owns and operates a 476 licensed bed general acute care hospital and related healthcare facilities in tyler, texas. The hospital's primary service area consists of Smith County with a population of approximately 200,000. The secondary service area of the hospital consists of anderson, cherokee, gregg, henderson, rains, rusk, upshur, wood, and van zandt counties with a total population of approximately 500,000. SCHEDULE H, PART VI, LINE 5 Promotion of community health 1. Tyler Family Circle of Care Womens Services/Childrens Services/Family and Special Needs Clinics Description: These clinics provide medical care services to all ages of patients. The clinics see Medicaid, Medicare, CHIP/CHIP Perinate, self-pay, uninsured/underserved, and serving those without the ability to pay regardless of their county of residence. A community benefit is paid to cover the costs of 60% of the IT services and system. The primary objective is to reduce the number of women who delivered babies with no prenatal care or childbirth education and reduce the number of sick infants born. Social workers help clients become eligible for Medicaid, WIC, and other financial assistance. This facility provides access to well-baby care and sick baby care for new mothers who were provided care at the Tyler Family Circle of Care Womens Service and for the medically underserved children of east Texas. This clinic has the highest percentage of at-rick ethnic groups. 2. Emergency Education Description: Detailed instruction and hands on participation is offered for certification in areas including CPR, first aid, and AED use. Courses are offered to school district and sponsors for UIL programs on an as needed basis. Nearly 650 people were trained across multiple counties, school districts, and churches. 3. Bethesda Clinic Support DESCRIPTION: BETHESDA CLINIC IS A "FREE" MEDICAL CLINIC, WHICH IS SUPPORTED FINANCIALLY AND BY SUPPORT SERVICES FROM THE COMMUNITY. Mother Frances Hospital provides support in all areas and on special projects as requested. 4. Trinity Mother Frances Health System Website Description: The TMFHS website at www.tmfhs.org provides a large amount of information about the health system, Trinity Physicians, upcoming classes and events and a wealth of health information. This now includes the implementation of MYCHART for personal health information directly. 5. Community Partnerships Description: Assistance was provided both financially and with staffing for groups and organizations to provide collaborative programs, services, and health information. Projects included over 80 opportunities, including school-based programs, youth programs, and general public events. To provide assistance and support and to educate the public on programs offered by Komen Foundation, American Heart Association, American Cancer Society, Alzheimer Association, Bethesda Health Clinic, Boy Scouts, Childrens Advocacy Center, nursing programs, and public and private schools. 6. United Way Description: TMFHS and our employees provided financial support of over $32,000. To assist with the design, development, funding, and mission development of over 30 non-profit agencies in the community providing services to children and families at-risk regardless of their ability to pay for those services. 7. Health Education /Screening Programs Description: Community education for healthy life styles was offered throughout the region for a variety of conditions. The Fit City Tyler Program and various walks are included as well as stress management, diabetes education, heart health, and cancer awareness screenings. The Women with Heart program also offered education on heart disease in 4 counties. 8. School Assistance Description: Over 4,000 high school physicals and pre-participation exams and were done at no cost to the schools. Additionally, over 200 student athletes were seen for free in Saturday sports clinics. All programs are open to anyone to participate provided they have parental approval. Support for on-site trainers is also provided on an as needed basis. 9. Youth Fitness Description: Sports training programs, injury prevention and healing, running classes, walking programs, and nutritional programs were offered to educate youths and young adults on the potentials for injuries and the long term effects of not caring for the body. Examples would include: Tyler Soccer Association, summer football while other programs would include assistance with local basketball, volleyball, football, and other traditional group programs with non-profits and school districts. Added is the FCA all-star games. 10. Young Adults and Students and Learning Skills Description: TMFHS made a decision to participate and lead the way on helping to develop skills children need to learn and become interested in healthcare careers. Through our volunteer services programs training, job shadowing, REACH training for special need students, student programs, etc. are offered to individuals, schools, community colleges and four year institutions not only in our main hospitals but in clinics throughout our service area. 11. Care Management for Discharged Patients Description: Funds are utilized as designated by the Care Management Department to assist patients with continuity of care needs from the hospital discharge time. These funds could be used for transportation costs to home, home health visits, durable medical equipment, walkers, crutches, medications, as well as minimal days in a skilled nursing home. 12. Respite Care Program Description: The Respite Care Program provides services to families of over 100 children with special health care needs by providing parents with respite, which is a brief time away from the 24/7 attention required by a special needs child. These children received 3,619 hours of respite care for their families. Additionally, there is a support group for families that includes 90 members. 13. Ross Breast Center Description: Ross Breast Centers mobile unit covers special events reaching people with education and screenings. 14. Community Breast Health Education Description: A team of educators in collaboration with Komen reach out to women across the community to provide breast self-exam and prescreening information to individuals of all ages from teenagers to seniors. Through the Hopeful Journey program 1,200 individuals from 200 events were reached. 15. Community Non Profits and Rural Hospital Support Programs Description: TMFHS pro |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM MOTHER FRANCES HOSPITAL-TYLER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. CHRISTUS TRINITY MOTHER FRANCES IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-TYLER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS. |
| SCHEDULE H, PART VI, LINE 7 | COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT: TX |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SISTERS OF THE HOLY FAMILY OF NAZARETH | |||||||
| 310 N RIVER ROAD | DES PLAINS | IL | 60016 | 205728802 | 501(c)(3) | $100,000 | GENERAL SUPPORT |
| AMERICAN CANCER SOCIETY INC | |||||||
| 1301 S BROADWAY | TYLER | TX | 75701 | 131788491 | 501(c)(3) | $20,000 | community healthcare |
| AMERICAN HEART ASSOCIATION INC | |||||||
| POBOX 50040 | PRESCOTT | AR | 86304 | 135613797 | 501(c)(3) | $35,900 | COMMUNITY HEALTHCARE |
| BETHESDA HEALTHCARE INC | |||||||
| 409 W FERGUSON | TYLER | TX | 75702 | 311027660 | 501(c)(3) | $16,500 | Community healthcare |
| CANCER FOUNDATION FOR LIFE | |||||||
| PO BOX 8257 | TYLER | TX | 75711 | 752957440 | 501(c)(3) | $25,000 | Community healthcare |
| GRACE COMMUNITY SCHOOL | |||||||
| 3025 UNIVERSITY BLVD | TYLER | TX | 75701 | 751245705 | 501(c)(3) | $10,000 | Sponsorship |
| ST GREGORY CATHEDRAL SCHOOL | |||||||
| 500 S COLLEGE AVENUE | TYLER | TX | 75702 | 272769354 | 501(c)(3) | $10,250 | Sponsorship |
| TYLER AREA CHAMBER OF COMMERCE | |||||||
| 315 N BROADWAY | TYLER | TX | 75702 | 750624670 | 501(c)(3) | $12,740 | Sponsorship |
| TYLER ECONOMIC DEVELOPMENT COUNCIL | |||||||
| 315 N BROADWAY | TYLER | TX | 75702 | 752254467 | 501(c)(3) | $30,000 | sponsorship |
| TYLER JUNIOR COLLEGE FOUNDATION | |||||||
| PO BOX 9020 | TYLER | TX | 75711 | 756046816 | 501(C)(3) | $10,000 | PLEDGE |
| SERVICE ORGANIZATION OF PINEY WOODS | |||||||
| 2950 50TH STREET | LUBBOCK | TX | 79314 | 300630886 | 501(c)(3) | $13,702,750 | Community Healthcare |
| SERVICE ORGANIZATION OF NORTH & EAST TEXAS | |||||||
| 2950 50TH STREET | LUBBOCK | TX | 79314 | 260468622 | 501(c)(3) | $9,057,750 | Community Healthcare |
| CHRISTUS HOPKINS HEALTH ALLIANCE | |||||||
| 115 AIRPORT RD | SULPHUR SPRINGS | TX | 75482 | 811708177 | 501(c)(3) | $1,020,000 | Community Healthcare |
| CHRISTUS TRINITY MOTHER FRANCES FOUNDATION | |||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752028241 | 501(c)(3) | $30,000 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 14 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. | FormAndLineReferenceDesc |
| Explanation | SCHEDULE I, PART I, LINE 2 GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUEANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elizabeth Pulliam | ||||||||||||||
| System CFO | $92,375 | $153,957 | $85,036 | $141,726 | $4,387 | $7,312 | $2,971 | $4,952 | $1,317 | $2,194 | $186,086 | $310,141 | $0 | $0 |
| John McGreevy | ||||||||||||||
| Director (Term 10/16) | $363,941 | $0 | $987,667 | $2,650 | $5,871 | $1,360,129 | $0 | |||||||
| Lee Portwood | ||||||||||||||
| VP-TERM 07/16 | $179,602 | $0 | $32,795 | $0 | $312,507 | $0 | $5,743 | $0 | $4,102 | $0 | $534,749 | $0 | $0 | $0 |
| Patrick Simonson | ||||||||||||||
| VP (TERM 08/16) | $139,970 | $0 | $32,000 | $0 | $242,525 | $0 | $3,758 | $0 | $2,750 | $0 | $421,003 | $0 | $0 | $0 |
| Robert Rose | ||||||||||||||
| SVP, Patnt Care Svc-TERM 2/17 | $254,342 | $0 | $230,382 | $0 | $11,748 | $0 | $9,809 | $0 | $8,649 | $0 | $514,930 | $0 | $0 | $0 |
| Todd Hancock | ||||||||||||||
| SVP/COO (TERM 02/17) | $337,704 | $0 | $387,621 | $0 | $0 | $0 | $5,697 | $0 | $2,139 | $0 | $733,161 | $0 | $0 | $0 |
| Fagg Sanford MD | ||||||||||||||
| Director | $0 | $842,468 | $0 | $0 | $0 | $4,440 | $0 | $26,612 | $0 | $0 | $0 | $873,520 | $0 | $0 |
| Jason Proctor | ||||||||||||||
| Director (Eff 6/17) | $212,324 | $70,708 | $11,105 | $6,449 | $8,643 | $309,229 | $0 | |||||||
| Lindsey Bradley Jr | ||||||||||||||
| Director Ex-Officio-Ret. 06/17 | $216,156 | $745,538 | $101,250 | $348,750 | $1,037,407 | $3,573,291 | $2,534 | $8,729 | $1,585 | $5,460 | $1,358,932 | $4,681,768 | $0 | $0 |
| Ray Thompson | ||||||||||||||
| Director (TERM 10/16) | $318,094 | $477,141 | $188,000 | $282,000 | $1,426,490 | $2,139,735 | $1,060 | $1,590 | $2,348 | $3,522 | $1,935,992 | $2,903,988 | $0 | $0 |
| Scott Smith MD | ||||||||||||||
| Sr. Vice President | $649,309 | $152,500 | $0 | $8,613 | $2,550 | $812,972 | $0 | |||||||
| Steven Keuer MD | ||||||||||||||
| Director | $0 | $641,694 | $0 | $384,712 | $0 | $108,005 | $0 | $29,263 | $0 | $7,589 | $0 | $1,171,263 | $0 | $0 |
| ANDY KIRKPATRICK | ||||||||||||||
| DIRECTOR/CHAIR | $0 | $646,170 | $0 | $0 | $0 | $0 | $0 | $29,263 | $0 | $14,040 | $0 | $689,473 | $0 | $0 |
| CHRIS GLENNEY | ||||||||||||||
| DIRECTOR (EFF 10/16) | $0 | $369,959 | $0 | $540,531 | $0 | $0 | $0 | $11,263 | $0 | $7,980 | $0 | $929,733 | $0 | $0 |
| ROBERT BIENERT | ||||||||||||||
| CRNA | $347,469 | $0 | $0 | $0 | $279 | $0 | $7,262 | $0 | $2,212 | $0 | $357,222 | $0 | $0 | $0 |
| TOWANDA FELTON | ||||||||||||||
| CRNA | $337,976 | $0 | $0 | $0 | $671 | $0 | $8,059 | $0 | $2,644 | $0 | $349,350 | $0 | $0 | $0 |
| JOSEPH PISTONE | ||||||||||||||
| PHYSICIAN | $323,608 | $0 | $4,290 | $1,644 | $13,496 | $343,038 | $0 | |||||||
| DUSTIN VIDRINE | ||||||||||||||
| CRNA | $271,808 | $0 | $225 | $6,589 | $7,712 | $286,334 | $0 | |||||||
| TIMOTHY CLARK | ||||||||||||||
| CRNA | $284,617 | $0 | $0 | $0 | $391 | $0 | $7,791 | $0 | $8,479 | $0 | $301,278 | $0 | $0 | $0 |
| JEFFREY HYDE | ||||||||||||||
| VP | $205,497 | $0 | $5,816 | $3,999 | $1,902 | $217,214 | $0 | |||||||
| SCOTT FOSSEY | ||||||||||||||
| VP | $0 | $225,721 | $0 | $64,988 | $0 | $11,319 | $0 | $5,914 | $0 | $5,484 | $0 | $313,426 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SUPPLEMENTAL COMPENSATION INFORMATION | SCHEDULE J, PART I, LINE 1A, COMPANION TRAVEL TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. |
| FORM 990, PART VII, LINE 1A AND SCHEDULE J, PART II | DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. |
| RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION | SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. |
| SEVERANCE PAYMENT | SCHEDULE J, PART I, LINE 4A UNDER THE SEVERANCE PLAN, ALL OR A PORTION OF THE BASE SALARY OF A PARTICIPATING EXECUTIVE WILL CONTINUE TO BE PAID TO THE EXECUTIVE FOR A LIMITED PERIOD OF TIME IF THE EXECUTIVE'S EMPLOYMENT WITH CHRISTUS AND ITS AFFILIATES IS INVOLUNTARILY TERMINATED. LEE PORTWOOD RECEIVED $304,828 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2016. PATRICK SIMONSON RECEIVED $233,707 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2016. RAYMOND THOMPSON RECEIVED $3,566,225 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2016. JOHN MCGREEVY RECEIVED $987,667 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2016. LINDSEY BRADLEY, JR. RECEIVED $4,610,698 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2016. |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PESNION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. |
| PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F), COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 STEVEN KEUER, M.D. RECEIVED $108,005 DURING CALENDAR YEAR 2016 UNDER SECTION 457(F). |
| SUPPLEMENTAL COMPENSATION INFORMATION | SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2016. |
| DEFERRED COMPENSATION | FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Susan Rippy | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | PAT THOMAS BRD MEMBER | RelationshipDescriptionTxt |
| Transaction | $48,555 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF TRANSACTION 1) WAGES OF $48,555 WERE PAID TO THE DAUGHTER OF BOARD MEMBER, PAT THOMAS. | ExplanationTxt |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Of Assets Table | LiquidationOfAssetsTableGrp |
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | CASH TRANSFERRED TO AFFILIATES | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2017-06-30 | DistributionDt |
| Fair Market Value Of Asset | $347,243,880 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | BOOK VALUE | MethodOfFMVDeterminationTxt |
| EIN | 752616975 | EIN |
| Person | TRINITY MOTHER FRANCES HEALTH SYSTE | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 DOCTORS DRIVE | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, BOX C | MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER OPERATES UNDER THE FOLLOWING NAMES: LOUIS & PEACHES OWEN HEART HOSPITAL MOTHER FRANCES HOSPITAL OUTPATIENT SURGERY CENTER FLIGHT FOR LIFE TRINITY MOTHER FRANCES ENDOSCOPY CENTER Tyler Square Ambulatory Services Center CHRISTUS MOTHER FRANCES HOSPITAL CHRISTUS MOTHER FRANCES HOSPITAL - TYLER CHRISTUS MOTHER FRANCES HOSPITAL - SOUTH TYLER CHRISTUS TRINITY MOTHER FRANCES ENDOSCOPY CENTER FORM 990, PART VI, LINE 6 Members or stockholders CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. |
| FORM 990, PART VI, LINE 7A | Power to elect or appoint members THE SOLE MEMBER, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD. |
| FORM 990, PART VI, LINE 7B | Decisions reserved to members or stockholders THE MEMBER HAS THE RIGHT TO APPROVE OR DISAPPROVE CERTAIN ACTIONS THAT HAVE BEEN PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | Process used to review the Form 990 THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2018 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. |
| FORM 990, PART VI, SECTION B, LINE 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. |
| FORM 990, PART VI, LINES 15A & 15B | Process for determining compensation THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY. THE MOST RECENT REVIEW OF OFFICER COMPENSATION WAS CONDUCTED IN 2016 BY LAURA LOCKHART, CTMFHS DIRECTOR OF TOTAL REWARDS, AND CANDY LAND, CTMFHS COMPENSATION ANALYST. ALL REVIEWS ARE DOCUMENTED IN THE MARKET ADJUSTMENT FILES. FORM 990, PART VI, QUESTION 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAIL OF GOVERNING DOCS, CONFLICT OF INTEREST POLICY AND FIN STMTS THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| Form 990, Part XI, Line 9 | Other changes in net assets: Change in pension liability $27,201,965 Net Assets Released from restrictions $1,152,199 Miscellaneous $1,208 Transfer to Affiliate ($347,243,880) _______________ Total ($318,888,508) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MOTHER FRANCES HOSPITAL-WINNSBORO | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752771569 | HOSPITAL | TX | 501(C)(3) | 3 | CTMFHS | Yes (true) |
| CHRISTUS-TRINITY MOTHER FRANCES FDN | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752028241 | SUPPORT | TX | 501(C)(3) | 12, TYPE I | CTMFHS | Yes (true) |
| REGIONAL MEDICAL SERVICES ASSOCIATION | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752511459 | HEALTHCARE | TX | 501(C)(3) | 3 | MFH REG | Yes (true) |
| CHRISTUS TRINITY MF HEALTH SYSTEM | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752616975 | SUPPORT | TX | 501(C)(3) | 12, TYPE II | CH | false |
| TRINITY CLINIC | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752616977 | HEALTHCARE | TX | 501(C)(3) | 3 | CTMFHS | Yes (true) |
| MOTHER FRANCES HOSPITAL - JACKSONVILLE | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 751976930 | HOSPITAL | TX | 501(C)(3) | 3 | CTMFHS | Yes (true) |
| ALIGNED PROVIDERS OF EAST TEXAS | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 465720165 | HEALTHCARE | TX | 501(C)(3) | 3 | MFH REG | Yes (true) |
| CSFN MISSION AND MINISTRY INC | ||||||||||
| 4001 GRANT AVENUE | PHILADELPHIA | PA | 19114 | 205728802 | SPONSORSHIP | PA | 501(C)(3) | 1 | NA | false |
| CHRISTUS HEALTH | ||||||||||
| 919 HIDDEN RIDGE DRIVE | IRVING | TX | 75038 | 760590551 | SPT HLTH SVCS | TX | 501(C)(3) | 10 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TYLER RADIATION EQUIP LEASING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 WOODLOCH FOREST DRIVE | AddressLine1Txt |
| City | THE WOODLANDS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77380 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262554738 | EIN |
| Primary Activities | EQUIPMENT LEASING | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MFH REG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | UNRELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $289,787 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $304,846 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $289,787 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRINCARE INC | |||||||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752161369 | RETAIL HEALTH SVC | TX | CTMFHS | C-CORPORATION | Yes (true) | ||||||||
| HEALTHPLAN OF TEXAS INC | |||||||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752636832 | THIRD PARTY ADMIN | TX | CTMFHS | C-CORPORATION | Yes (true) | ||||||||
| THE REGIONAL HEALTHCARE ALLIANCE | |||||||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752484109 | PREFER PROVIDER | TX | CTMFHS | C-CORPORATION | Yes (true) | ||||||||
| TEXAS HEALTH FACILITY INSUR CORP LTD | |||||||||||||||||
| 980136025 | INSURANCE | MFH REG | C-CORPORATION | Yes (true) | PO BOX 1109 | BWI | CJ | CJ | CJ | $152 | $135,824 | 1.00000 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CH WILKINSON PHYSICIAN NETWORK | ||
| L | $4,467,285 | ACCRUAL |
| CHRISTUS HOPKINS HEALTH ALLIANCE | ||
| B | $1,020,000 | ACCRUAL |
| CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION | ||
| C | $170,940 | ACCRUAL |