MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-14
IRS object ID: 201511349349303116
Schema version: 2013v4.0
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 K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-14T10:46:28-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PKWY STE 1100	AddressLine1
City	DALLAS	City
State	TX	State
ZIP Code	75254	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1
Business Name Line2	Care Center	BusinessNameLine2

Field	Value	IRS element (for citing)
In Care Of	% MOTHER FRANCES HOSP ACCT DEP	InCareOfNm
Business Name Control	MOTH	BusinessNameControlTxt
Phone	9036065783	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1315 Doctors Drive	AddressLine1
Address Line2	Suite	AddressLine2
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ELIZABETH PULLIAM	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9036065783	PhoneNum
Signature	2015-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jeanette Verrelli	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9036065783	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN MCGREEVY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 E DAWSON STREET	AddressLine1
City	TYLER	City
State	TX	State
ZIP Code	75701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$641,521,192	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
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	3743	TotalEmployeeCnt
Total Volunteers	276	TotalVolunteersCnt
Total Gross UBI	$1,945,843	TotalGrossUBIAmt
PY Contributions Grants	$6,805,963	PYContributionsGrantsAmt
CY Contributions Grants	$1,536,021	CYContributionsGrantsAmt
PY Program Service Revenue	$517,199,854	PYProgramServiceRevenueAmt
CY Program Service Revenue	$567,303,149	CYProgramServiceRevenueAmt
PY Investment Income	$13,973,070	PYInvestmentIncomeAmt
CY Investment Income	$5,632,580	CYInvestmentIncomeAmt
PY Other Revenue	$7,124,020	PYOtherRevenueAmt
CY Other Revenue	$8,348,799	CYOtherRevenueAmt
PY Total Revenue	$545,102,907	PYTotalRevenueAmt
CY Total Revenue	$582,820,549	CYTotalRevenueAmt
PY Grants And Similar Paid	$14,135,481	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,569,076	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$173,665,473	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$175,628,692	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$326,833,378	PYOtherExpensesAmt
CY Other Expenses	$341,567,068	CYOtherExpensesAmt
PY Total Expenses	$514,634,332	PYTotalExpensesAmt
CY Total Expenses	$533,764,836	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,468,575	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$49,055,713	CYRevenuesLessExpensesAmt
Total Assets BOY	$695,128,742	TotalAssetsBOYAmt
Total Assets EOY	$744,985,551	TotalAssetsEOYAmt
Total Liabilities BOY	$330,441,467	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$341,239,077	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$364,687,275	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$403,746,474	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE 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	$446,007,798	ExpenseAmt
Grant	$16,569,076	GrantAmt
Revenue	$567,650,484	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 COMMUNITY 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.	Desc
Total Program Service Expenses	$446,007,798	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	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	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	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	false	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	225	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3743	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	9	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	MOTHER FRANCES HOSP ACCT DEP	PersonNm
Phone	9036065783	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1315 DOCTORS DRIVE	AddressLine1
City	TYLER	City
State	TX	State
ZIP Code	75701	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAY THOMPSON
SYS EXEC VP/DIRECTOR/ASST Sec	16.0	24.0	Yes (X)	Yes (X)	$591,468	$887,201	$25,752
BEN FITZGERALD
DIRECTOR/CHAIRMAN	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
FAGG SANFORD MD
DIRECTOR	20.0	20.0	Yes (X)		$0	$858,797	$16,577
SISTER MALGORZATA MAJSZCZYK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SISTER IRENE ASZTEMBORSKA
DIRECTOR/SECRETARY/TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ANDY KIRKPATRICK MD
DIRECTOR	1.0	40.0	Yes (X)		$0	$659,049	$29,781
PATRICK THOMAS MD
DIRECTOR	1.0	1.0	Yes (X)		$53,729	$0	$0
CC BAKER
DIRECTOR/VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN MCGREEVY
SR. VP/CEO OF MFH	40.0	0.0	Yes (X)	Yes (X)	$369,307	$0	$23,914
J LINDSEY BRADLEY JR
SYSTEM PRESIDENT	9.0	31.0		Yes (X)	$381,671	$1,314,643	$25,752
JOYCE HESTER
SR. VP/CFO	10.0	30.0		Yes (X)	$109,418	$328,252	$23,252
ROBERT ROSE
SR. VP, PATIENT CARE SERVICES	40.0	0.0		Yes (X)	$273,695	$0	$27,232
TODD HANCOCK
VP	40.0	0.0		Yes (X)	$272,603	$0	$28,375
LEE PORTWOOD
VP	40.0	0.0		Yes (X)	$249,658	$0	$22,648
CHRISTY BUSH
VP	40.0	0.0		Yes (X)	$112,351	$0	$14,103
LAURA OWEN
SR VP/CEO	40.0	0.0		Yes (X)	$640,979	$0	$16,296
MARTIN URBAN
CRNA	40.0	0.0			$260,742	$0	$23,862	Yes (X)
DAVID CORRIoR
CRNA	40.0	0.0			$262,104	$0	$18,375	Yes (X)
WILLIAM SANDBERG
CRNA	40.0	0.0			$284,316	$0	$16,518	Yes (X)
ROBERT BIENERT
CRNA	40.0	0.0			$305,669	$0	$12,717	Yes (X)
Tawonda Felton
CRNA	40.0	0.0			$388,318	$0	$15,217	Yes (X)
STEVEN KEUER MD
SYSTEM PRESIDENT/CMO	0.0	40.0			$0	$895,986	$29,838		Yes (X)
GIFFORD ECKHOUT MD
EXECUTIVE VICE PRESIDENT	0.0	40.0			$0	$755,892	$10,563		Yes (X)
DAVID TEEGARDEN
SYSTEM PRESIDENT/CMO	0.0	0.0			$0	$100,806	$22,516		Yes (X)
CHRIS GLENNEY
VP OPERATIONS	0.0	40.0			$0	$303,940	$28,768		Yes (X)
WILLIAM BELLENFANT SR
SR VP/CFO/DIRECTOR/TREASURER	0.0	0.0			$0	$213,528	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,556,028	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,318,094	TotReportableCompRltdOrgAmt
Total Other Compensation	$432,056	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	84	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
HURON CONSULTING
4795 payshere circle	CHICAGO	IL	60674	consulting services	$6,032,749
sodexo inc and affiliates
po box 536922	ATLANTA	GA	30353	housekeeping/dietary	$2,231,803
mayo collaborative services inc
po box 9146	MINNEAPOLIS	MN	55480	lab services	$1,953,904
health carousel llc
po box 44743	MIDDLETOWN	OH	45044	employment services	$1,712,794
capstone personnel services inc
po box 8744	TYLER	TX	75711	employment services	$1,627,457

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,199,360	RelatedOrganizationsAmt
All Other Contributions	$336,661	AllOtherContributionsAmt
Total Contributions	$1,536,021	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$519,017,456	$519,017,456
UPL MEDICAID	900099	$21,548,199	$21,548,199
EHR INCENTIVE REVENUE	900099	$3,630,403	$3,630,403
OTHER OPERATING REVENUE	900099	$23,107,091	$23,107,091

Field	Value	IRS element (for citing)
Total Program Service Revenue	$567,303,149	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,828,166	TotalRevenueColumnAmt
Exclusion	$4,828,166	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	$3,896,584	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,896,584	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,896,584	TotalRevenueColumnAmt
Unrelated Business Revenue	$162,745	UnrelatedBusinessRevenueAmt
Exclusion	$3,733,839	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$59,103,834	SecuritiesAmt
Other	$10,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$57,379,569	SecuritiesAmt
Other	$929,851	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,724,265	SecuritiesAmt
Other	-$919,851	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$804,414	TotalRevenueColumnAmt
Exclusion	$804,414	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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	$750,676	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$391,223	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$359,453	TotalRevenueColumnAmt
Related Or Exempt Func Income	$347,335	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,118	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE	722210	$2,189,716	$2,189,716
FITNESS CENTERS	713940	$1,770,980		$1,770,980
VENDING MACHINE REVENUE	722210	$132,066	$132,066

Field	Value	IRS element (for citing)
Other Revenue Total	$4,092,762	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$582,820,549	TotalRevenueColumnAmt
Related Or Exempt Func Income	$567,650,484	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,945,843	UnrelatedBusinessRevenueAmt
Exclusion	$11,688,201	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$16,569,076	TotalAmt
Program Services	$16,569,076	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,109,973	TotalAmt
Program Services	$1,947,995	ProgramServicesAmt
Management And General	$161,978	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$28,152	TotalAmt
Program Services	$26,130	ProgramServicesAmt
Management And General	$2,022	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$141,212,649	TotalAmt
Program Services	$130,059,080	ProgramServicesAmt
Management And General	$11,153,569	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,942,099	TotalAmt
Program Services	$6,176,042	ProgramServicesAmt
Management And General	$766,057	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,610,396	TotalAmt
Program Services	$12,060,235	ProgramServicesAmt
Management And General	-$449,839	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,725,423	TotalAmt
Program Services	$12,210,828	ProgramServicesAmt
Management And General	$1,514,595	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,768,172	TotalAmt
Program Services	$253,392	ProgramServicesAmt
Management And General	$4,514,780	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,903	TotalAmt
Program Services	$1,903	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$119,111,912	TotalAmt
Program Services	$56,650,966	ProgramServicesAmt
Management And General	$62,460,946	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$35,861	TotalAmt
Program Services	$35,861	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,713,855	TotalAmt
Program Services	$2,276,807	ProgramServicesAmt
Management And General	$437,048	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,651,165	TotalAmt
Program Services	$884,482	ProgramServicesAmt
Management And General	$766,683	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,278,973	TotalAmt
Program Services	$5,497,274	ProgramServicesAmt
Management And General	$781,699	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$85,594	TotalAmt
Program Services	$70,852	ProgramServicesAmt
Management And General	$14,742	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$189,767	TotalAmt
Program Services	$157,711	ProgramServicesAmt
Management And General	$32,056	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,224,893	TotalAmt
Program Services	$8,224,893	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,828,899	TotalAmt
Program Services	$23,828,302	ProgramServicesAmt
Management And General	$597	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,702,508	TotalAmt
Management And General	$4,702,508	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$106,517,165	$106,222,001	$295,164
BAD DEBT EXPENSE	$44,985,302	$44,985,302
REPAIRS AND MAINTENANCE	$7,382,683	$7,315,909	$66,774
FOOD	$3,150,917	$3,135,967	$14,950

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,937,500	TotalAmt
Program Services	$7,416,790	ProgramServicesAmt
Management And General	$520,709	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$533,764,836	TotalAmt
Program Services	$446,007,798	ProgramServicesAmt
Management And General	$87,757,038	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$46,087,616	BOYAmt
EOY	$73,485,852	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,216,869	BOYAmt
EOY	$5,528,758	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	$68,432,110	BOYAmt
EOY	$54,159,296	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	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,697,256	BOYAmt
EOY	$6,883,909	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,010,233	BOYAmt
EOY	$2,827,494	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$698,097,195	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$379,210,783	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$336,425,803	BOYAmt
EOY	$318,886,412	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$152,995,025	BOYAmt
EOY	$194,316,861	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,542,791	BOYAmt
EOY	$3,375,713	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$73,721,039	BOYAmt
EOY	$85,521,256	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$695,128,742	BOYAmt
EOY	$744,985,551	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$62,214,706	BOYAmt
EOY	$66,658,256	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	$69,226	BOYAmt
EOY	$104,694	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$202,238,753	BOYAmt
EOY	$190,368,073	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	$649,751	BOYAmt
EOY	$521,179	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,269,031	BOYAmt
EOY	$83,586,875	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$330,441,467	BOYAmt
EOY	$341,239,077	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$364,687,275	BOYAmt
EOY	$403,746,474	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$364,687,275	BOYAmt
EOY	$403,746,474	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$695,128,742	BOYAmt
EOY	$744,985,551	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$49,055,713	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,045,062	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,041,576	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)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
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
Form4720 Filed	Yes (true)	Form4720FiledInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$37,082	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$37,082	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grants for lobbying purposes:	FormAndLineReferenceDesc
Explanation	23.65% OF AHA DUES WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES BASED ON MEDICARE DEFINITION OF UNALLOWABLE EXPENSES.	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,350,337	BeginningYearBalanceAmt
Contributions	$30,875	ContributionsAmt
Investment Earnings Or Losses	$27,664	InvestmentEarningsOrLossesAmt
End Year Balance	$2,408,876	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,209,013	BeginningYearBalanceAmt
Contributions	$50	ContributionsAmt
Investment Earnings Or Losses	$141,274	InvestmentEarningsOrLossesAmt
End Year Balance	$2,350,337	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$414,414	BeginningYearBalanceAmt
Contributions	$1,790,794	ContributionsAmt
Investment Earnings Or Losses	$4,305	InvestmentEarningsOrLossesAmt
Other Expenditures	$500	OtherExpendituresAmt
End Year Balance	$2,209,013	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.74260	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.25740	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	$26,832,152	OtherCostOrOtherBasisAmt
Book Value	$26,832,152	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$231,329,602	OtherCostOrOtherBasisAmt
Depreciation	$87,334,990	DepreciationAmt
Book Value	$143,994,612	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,583,427	OtherCostOrOtherBasisAmt
Depreciation	$87,543,463	DepreciationAmt
Book Value	$52,039,964	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$299,140,935	OtherCostOrOtherBasisAmt
Depreciation	$204,332,330	DepreciationAmt
Book Value	$94,808,605	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,211,079	OtherCostOrOtherBasisAmt
Book Value	$1,211,079	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$318,886,412	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$83,930,234
DEFERRED FINANCING COSTS	$1,580,409
INTEREST RATE SWAP AGREEMENT	$10,613

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$85,521,256	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$50,198,234
INTEREST RATE SWAP AGREEMENT	$1,151,720
ESTIMATED SELF INSURANCE COSTS	$10,316,034
DUE TO AFFILIATES	$20,014,408
DUE TO THIRD-PARTY PAYERS	$1,906,479

Field	Value	IRS element (for citing)
Total Liability	$83,586,875	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$552,271,628	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$7,045,062	NetUnrealizedGainsInvstAmt
Other Revenue	-$37,683,277	OtherRevenueAmt
Revenue Not Reported	-$30,638,215	RevenueNotReportedAmt
Revenue Subtotal	$582,909,843	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,903	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$91,197	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$89,294	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$582,820,549	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$492,088,522	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,048,241	OtherExpensesIncludedAmt
Expenses Not Reported	$1,048,241	ExpensesNotReportedAmt
Expenses Subtotal	$491,040,281	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,903	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$42,722,652	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$42,724,555	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$533,764,836	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
schedule d, part v, line 4	Intended use of the organization's 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	liability for uncertain tax positions: The System, the Hospital, RMSA, the Clinic, Jacksonville and Winnsboro have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code (IRC) and a similar provision of state law. However, these entities are subject to federal income tax on any unrelated business taxable income. THFIC is not considered to be engaged in a United States trade or business and, therefore, is not subject to United States income taxes. If THFIC were to be considered engaged in a United States trade or business, it could be subject to federal income tax. THFIC is currently exempt from income taxes in the Cayman Islands. Accordingly, no provision for taxes has been made. With a few exceptions, the Health System is no longer subject to U.S. federal examinations by tax authorities for years before 2011.
schedule d, part xi, line 2d	reconciliation of revenue per audited financial statements with return: Bad Debt Expense $(44,985,302) Equity in earnings of affiliate 5,039,375 Other Classification Differences 2,262,650 ---------------- total $(37,683,277)
schedule d, part xi, line 4b	reconciliation of revenue per audited financial statements with return: loss on asset disposal $(919,851) contributions included in net assets 828,654 -------------- total $(91,197)
schedule d, part xii, line 2d	reconciliation of expense per audited financial statements with return: loss on asset disposal $ 919,851 change in fair value int rate swap 92,588 equity in income of consolidated sub 35,802 ------------- total $ 1,048,241
schedule d, part xii, line 4b	reconciliation of expense per audited financial statements with return: bad debt expense $ 44,985,302 other classification differences (2,262,650) ------------------- total $ 42,722,652

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$35,802	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Total Office	1	TotalOfficeCnt
Subtotal Spent	$35,802	SubtotalSpentAmt
Total Spent	$35,802	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	$18,819,324	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,819,324	NetCommunityBenefitExpnsAmt
Total Expense	0.04960	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,954,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,718,159	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$8,763,593	NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,197,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,976,209	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,221,320	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,971,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,694,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,277,051	NetCommunityBenefitExpnsAmt
Total Expense	0.06440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$417,912	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$417,912	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,231	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,231	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,059,239	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,059,239	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,898	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$62,898	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,591,277	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,591,277	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,201,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,201,557	NetCommunityBenefitExpnsAmt
Total Expense	0.03340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,172,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,694,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,478,608	NetCommunityBenefitExpnsAmt
Total Expense	0.09780	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$44,985,302	BadDebtExpenseAmt
Reimbursed By Medicare	$173,426,089	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$143,975,080	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$29,451,009	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Tyler Rehab Assoc LP	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	Rehabilitation hospital	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.00000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOTHER FRANCES HOSPITAL REG HC CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1315 DOCTORS DRIVE	AddressLine1
City	TYLER	City
State	TX	State
ZIP Code	75701	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.TMFHC.ORG	WebsiteAddressTxt
State License	000286	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOTHER FRANCES HOSPITAL REG HC CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
Residency	Yes (X)	ResidencyInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
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 3	representatives from the community: MOTHER FRANCES HOSPITAL - TYLER CONDUCTED 17 INTERVIEWS WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52. THE HOSPITAL CONSULTED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: BETHESDA CLINIC, LITERACY COUNCIL OF TYLER, BETHESDA HEALTH CLINIC, TISD HEAD START PROGRAM, BEN AND MAYTEE FISCH FOUNDATION, TYLER TODAY MAGAZINE, JUNIOR LEAGUE OF TYLER, RAMEY AND FLOCK PC, SAMARITAN COUNSELING CENTER, CATHOLIC CHARITIES OF EAST TEXAS, TEXAS DEPARTMENT OF STATE HEALTH SERVICES, ETCOg AREA AGENCY ON AGING, UNITED WAY OF SMITH COUNTY, EAST TEXAS CRISIS CENTER, MEALS ON WHEELS EAST TEXAS, NORTH EAST TEXAS PUBLIC HEALTH DISTRICT, AND MOTHER FRANCES HOSPITAL - tYLER.
schedule h, part v, section b, line 5	chna available to the public: the chna and implementation strategy is available upon request and at the following website: http://www.tmfhc.org/comprehensive-community-health-needs-assessments
schedule h, part v, section b, line 7	needs identified in chna not addressed: MOTHER FRANCES HOSPITAL - TYLER DECIDED NOT TO SPECIFICALLY ADDRESS THE NEED FOR "ACCESS TO DENTAL SERVICES" LARGELY DUE TO ITS POSITION (LAST) ON THE PRIORITIZED LIST AND THE HOSPITAL'S CAPACITY TO ADDRESS THAT NEED.
schedule h, part v, section b, lines 16, 17, & 18	billing and collections: NEITHER MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, NOR THIRD PARTIES AUTHORIZED BY MFH-REGIONAL HEALTH CARE CENTER, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
schedule h, part v, section b, line 20D	determination of FAP-eligible individuals for emergency and other medical care: For selfpay patients that show to be FAP Eligible, we discount based upon their proven FPL percentage (100%, 75% or 50%). These amounts combined with the auto-Selfpay discount of 45% gets us to a rate comparable to lowest managed care or Medicare rates.

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 South Fleishel	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75702	ZIPCode

Field	Value	IRS element (for citing)
Facility	Ambulatory Surgical Center	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
schedule h, part i, line 7, column f	percent of total expense: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $44,985,302.
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, section a, line 4	footnote to the financial statements describing bad debt: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and the provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Health System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). The Hospital records an automatic discount of its standard charges for uninsured patients. For the remaining receivables associated with self-pay patients, which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, the Health System records a significant provision for uncollectible accounts in the period of service on the basis of its past experience. This indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the reduced standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Health Systems allowance for doubtful accounts was approximately 98% of self-pay accounts receivable at June 30, 2014 and 2013. The current year decrease in allowance for doubtful accounts is primarily the result of a reduction in gross accounts receivable and changes in the age and payer mix of accounts receivable at June 30, 2014, as compared to 2013.
schedule h, part iii, section b, 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.
schedule h, part iii, section c, 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 ORGANIZATION'S CHARITY CARE POLICY.
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 & 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: MOTHER FRANCES HOSPITAL-TYLER PROMOTES HEALTHCARE AND WELLNESS EDUCATION BY OFFERING OUTREACH PROGRAMS AND SPECIAL INITIATIVES THAT IMPROVE THE QUALITY OF LIFE AND HEALTH IN THE COMMUNITIES SERVED. COMMUNITY BENEFIT IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS TO THE COMMUNITY. THESE SERVICES ARE ESSENTIAL TO PROVIDE COMPLETE HEALTHCARE TO THE COMMUNITIES SERVED. SOME OF THESE PROGRAMS INCLUDE THE FOLLOWING: Tyler FamilyCARE Center - Women's Services - The clinic offers prenatal services to all Medicaid patients, Title V recipients, many self-pay, underinsured, and anyone who presents for prenatal services. Patient education is an integral part of patient care offering classes in English and Spanish. In addition to regular prenatal education, car seat education is also offered. This program receives TMF support for these services. 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. Additionally, case management and diabetic counseling is provided. FamilyCARE Center - Children's Services - The Center serves the largest number of Medicaid and CHIP patients in the area. This patient population has a high percentage of at-risk ethnic groups. It is the largest provider of services to Medicaid and CHIP services for children in east Texas. A special reach out and read program with book distribution and mentors is also provided. This program receives financial and in-kind from TMF for these services. This facility provides access to well baby care and sick baby care for new mothers who were provided care at the FamilyCARE Center - Women's Service and for the medically underserved children of east Texas. Trinity Clinic Special Needs Program - The Special Needs Program believes that all children should have access to health care services; a medical home: which are continuous, comprehensive, coordinated, compassionate and culturally competent. Medical and social services are provided to children with special needs. The purpose of the program is To provide health care services to over 525 patients ranging from neonates to 21 years serving 35 communities encompassing a 12 county area. Services offered without charge include MOMS support group, Respite Care Program support, Annual Special Needs Children's Celebration for families, and other local community activities. Sickle Cell Clinic - The Tyler FamilyCare Center Pediatric Clinic provides the facility and support for patients with Sickle Cell. Joining forces with UT Southwestern Medical Center through a grant, a registered nurse works as the liaison between pediatricians and the Sickle Cell Clinic in Dallas to coordinate the care of patients. Additionally, a hematologist specializing in the care of sickle cell patients conducts a clinic four times a year on site. TMFHC joins with TFCC and serves as the site in collaboration with UT Southwestern Medical Center in Dallas to provide care for Sickle Cell patients in the Smith and surrounding counties. This program eliminates the need for families to travel to Dallas to receive care. It provides frontline information to parents and families on the disease and the need for medical care. Emergency Education - 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. Over 400 people were trained. The purpose of the program is To improve the ability of people to respond to an emergency situation regardless of where it occurs. The benefit to the public includes more rapid response by a trained person which should increase the potential for positive outcomes. TeleCare Plus-Your Health Information Resource - TeleCare Plus is a medical call center available for FREE to the public 24 hours a day. Registered nurses provide callers with answers to health questions over the telephone, can send health information via the mail, provide physician referrals, give information on community and hospital resources and do symptom based triage. Examples of the types of calls in 2014 would be: FamilyCARE Center - Pediatrics/ Obstetrics, cardiac, neuro, endocrinology, geriatric, education calls, and general information and health care questions or nurse triage. TeleCare Plus is designed to provide a central, confidential resource for the community to turn to for health information and assist callers in seeking out the appropriate level of medical resources at the appropriate time. Bethesda Clinic Support - 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. the purpose is To provide a site for patients where they can receive acute medical care. Services are paid for on a sliding scale as determined by their board of directors. This provides another access point for vulnerable populations and has bilingual staff. Trinity Mother Frances Health System Website - 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. The website is designed as an access point to TMFHS resources. Using the web people can access information about the many services TMFHS provides, find information about physicians, register for classes or upcoming events, find a job and more. The health information module provides a vast amount of information regarding diseases, medications, labs, tests and also links to disease communities or support groups and resources. Lifeline-Personal Emergency Response System - Lifeline provides independence to patients needing quick access to emergency assistance in their home. Customers wear a waterproof button on their wrist or around their neck that they can press to activate the Lifeline Call Center in case of incapacitating event such as a fall or stroke. The Lifeline Call Center will attempt to speak to the patient via the Lifeline speakerphone or send out a predetermined contact such as a friend or neighbor or activate emergency personnel to assist the caller. The Lifeline program allows some people to stay at home that might otherwise need to be in an assisted living facility. Scholarships are provided to a number of patients as requested to meet the needs of those who cannot afford the service and request financial support. Community Partnerships - Assistance was provided both financially and with staffing for groups and organizations to provide collaborative programs, services, and health information. Projects included over 75 opportunities, including school-based programs, youth programs, and general public events. The purpose is 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, Bethesda Health Clinic, Boy Scouts, Children's Advocacy Center, nursing programs, and public and private schools. United Way - TMFHS and our employees provided financial support of over $75,000. The purpose is 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. Share the Spirit - This is an annual fund raising campaign within the health system for employees. It is organized and implemented by employees with all proceeds going to help with health related programs. Over $ 160,000 was raised in 2014. To assist with the funding for the following projects: Heart care, Cancer care, Children's Miracle Network, diabetes education and services, and the employee CrisisCare Fund. Anyone is eligible to receive assistance based on need or program needs. Children's Miracle Network - This is a designation for hospitals that focus on children's care and their needs. It provides a support system for fundraising benefiting children's services. Mother Frances Hospital is the only hospital between Dallas and Houston so designated. The purpose of the network is To improve the medical services for pediatric patients and their families. Medical equipment for pediatric services is purchased for both the Tyler and Jacksonville locations. A board oversees the outlay of the funds raised in the community during the year. In 2014 over $1 million was raised for this program. Health Education /Screening Programs - Community education for healthy life styles was offered throughout the region for a variety of con
schedule h, part vi, line 6	affiliated health care system: MOTHER FRANCES HOSPITAL-TYLER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED TRINITY MOTHER FRANCES HEALTH SYSTEM. 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	state filing of community benefit report: texas

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SERVICE ORGANIZATION OF PINEY WOODS
2950 50TH ST	LUBBOCK	TX	79314	300630886	501(C)(3)	$10,076,250	COMMUNITY HEALTHCARE
SERVICE ORGANIZATION OF NORTH & EAST TEXAS
2950 50TH ST	LUBBOCK	TX	79314	260468622	501(C)(3)	$4,515,027	COMMUNITY HEALTHCARE
Trinity Mother Frances Health System Fdn
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	501(C)(3)	$58,180	COMMUNITY HEALTHCARE
tyler family circle of care
214 east houston	tyler	TX	75702	452578435	501(c)(3)	$1,800,325	community healthcare

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	schedule i, part i, line 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE 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)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (20 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
RAY THOMPSON
SYS EXEC VP/DIRECTOR/ASST Sec	$295,700	$443,550	$295,768	$443,651	$0	$0	$4,335	$6,503	$5,966	$8,948	$601,769	$902,652	$0	$0
FAGG SANFORD MD
DIRECTOR	$0	$832,428	$0	$0	$0	$26,369	$0	$8,287	$0	$8,290	$0	$875,374	$0	$0
ANDY KIRKPATRICK MD
DIRECTOR	$0	$625,214	$0	$0	$0	$33,835	$0	$10,837	$0	$18,944	$0	$688,830	$0	$8,719
JOHN MCGREEVY
SR. VP/CEO OF MFH	$305,141	$0	$53,292	$0	$10,875	$0	$7,726	$0	$16,188	$0	$393,221	$0	$0	$0
J LINDSEY BRADLEY JR
SYSTEM PRESIDENT	$196,885	$678,160	$184,786	$636,483	$0	$0	$2,439	$8,399	$3,356	$11,558	$387,466	$1,334,600	$0	$0
JOYCE HESTER
SR. VP/CFO	$80,449	$241,347	$28,969	$86,905	$0	$0	$2,710	$8,128	$3,104	$9,310	$115,232	$345,690	$0	$0
STEVEN KEUER MD
SYSTEM PRESIDENT/CMO	$0	$202,179	$0	$260,000	$0	$433,807	$0	$27,338	$0	$2,500	$0	$925,824	$0	$433,807
GIFFORD ECKHOUT MD
EXECUTIVE VICE PRESIDENT	$0	$612,504	$0	$133,450	$0	$9,938	$0	$8,063	$0	$2,500	$0	$766,455	$0	$9,938
ROBERT ROSE
SR. VP, PATIENT CARE SERVICES	$232,588	$0	$30,217	$0	$10,890	$0	$7,673	$0	$19,559	$0	$300,927	$0	$0	$0
TODD HANCOCK
VP	$222,273	$0	$39,515	$0	$10,815	$0	$7,709	$0	$20,666	$0	$300,978	$0	$0	$0
LEE PORTWOOD
VP	$219,930	$0	$18,913	$0	$10,815	$0	$9,341	$0	$13,307	$0	$272,306	$0	$0	$0
MARTIN URBAN
CRNA	$242,178	$0	$0	$0	$18,564	$0	$7,470	$0	$16,392	$0	$284,604	$0	$0	$0
DAVID CORRIoR
CRNA	$257,099	$0	$0	$0	$5,005	$0	$3,473	$0	$14,902	$0	$280,479	$0	$0	$0
WILLIAM SANDBERG
CRNA	$283,047	$0	$0	$0	$1,269	$0	$8,084	$0	$8,434	$0	$300,834	$0	$0	$0
ROBERT BIENERT
CRNA	$305,429	$0	$0	$0	$240	$0	$6,069	$0	$6,648	$0	$318,386	$0	$0	$0
Tawonda Felton
CRNA	$387,632	$0	$0	$0	$686	$0	$8,088	$0	$7,129	$0	$403,535	$0	$0	$0
LAURA OWEN
SR VP/CEO	$170,206	$0	$0	$0	$470,773	$0	$6,455	$0	$9,841	$0	$657,275	$0	$0	$0
DAVID TEEGARDEN
SYSTEM PRESIDENT/CMO	$0	$97,133	$0	$0	$0	$3,673	$0	$2,250	$0	$20,266	$0	$123,322	$0	$0
CHRIS GLENNEY
VP OPERATIONS	$0	$251,415	$0	$41,650	$0	$10,875	$0	$9,663	$0	$19,105	$0	$332,708	$0	$0
WILLIAM BELLENFANT SR
SR VP/CFO/DIRECTOR/TREASURER	$0	$0	$0	$0	$0	$213,528	$0	$0	$0	$0	$0	$213,528	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

schedule j, part i, line 1a

TAX INDEMNIFICATION AND GROSS UP PAYMENTS: AMOUNTS PAID FOR "GROSSED UP" GIFT CARDS ARE INCLUDED AS TAXABLE COMPENSATION FOR THE FOLLOWING individuals: ROBERT ROSE, TODD HANCOCK, LEE PORTWOOD, CHRISTY BUSH, MARTIN URBAN, DAVID CORRIOR, WILLIAM SANDBERG, ROBERT BIENERT, and TAWONDA FELTON

schedule j, part i, line 4a

SEVERANCE & change of control payments: LAURA OWEN $464,398 william bellenfant sr $213,528 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- STEVEN KEUER MD $426,080 NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- STEVEN KEUER MD $7,727 GIFFORD ECKHOUT MD $9,938 ANDY KIRKPATRICK MD $8,719

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
A	521315814	902261HP4	2011-10-12	$51,735,000	CAPITAL DEVELOPMENT	false	false	false
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
B	521315814	902261GN0	2007-05-16	$66,789,990	CAPITAL DEVELOPMENT	false	false	false
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
C	521315814	902261GP5	2007-05-30	$23,053,130	CAPITAL DEVELOPMENT	false	false	false
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
D	521315814	xxxxxxxxx	2012-10-19	$57,429,494	refinancing 1992 & 1997B Bonds	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$51,735,000	$5,173,500	$0	$45,260,090	$873,700	$0	$0	$0	$0	$0	2013	false	false	Yes (true)	Yes (true)
B	$0	$0	$66,789,990	$288,280	$0	$64,699,862	$1,801,848	$0	$0	$0	$0	$0		false	Yes (true)	Yes (true)	Yes (true)
C	$0	$0	$23,053,130	$2,300,000	$0	$0	$386,250	$0	$0	$20,366,880	$0	$0	2012	false	false	Yes (true)	Yes (true)
D	$0	$0	$57,429,494	$0	$0	$57,170,774	$258,720	$0	$0	$0	$0	$0		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)
C	false	false	false	false	0	false	false	false	Yes (true)
D	false	Yes (true)	false	false	0.00700	false	false	false	Yes (true)	0.00700

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	Yes (true)				false	false	false	0	false	Yes (true)
0
C	Yes (true)				false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	schedule k, part i	FormAndLineReferenceDesc
Explanation	REFINANCED BONDS: SERIES 1992 REVENUE BOND ISSUE DATE 05/27/1992 SERIES 1997B REVENUE BOND ISSUE DATE 12/01/1997 SERIES 2001 REVENUE BOND ISSUE DATE 10/30/2001 SERIES 2003 REVENUE BOND ISSUE DATE 05/08/2003	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	tyler health facilities development corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	521315814	BondIssuerEIN
CUSIP	902261FP6	CUSIPNum
Bond Issued	2003-05-08	BondIssuedDt
Issue Price	$60,753,954	IssuePriceAmt
Purpose	capital development	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$60,753,954	TotalProceedsAmt
In Reserve Fund	$669,419	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$40,532,637	RefundingEscrowAmt
Issuance Costs From Proceeds	$771,361	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$18,780,537	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2005	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (true)	Form8038TFiledInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	CATHERINE BRADLEY	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SISTER OF CEO	RelationshipDescriptionTxt
Transaction	$28,152	TransactionAmt
Transaction	SALARIES/WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
form 990, part vi, section a, line 6	MEMBERS OR STOCKHOLDERS: TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY: THE SOLE MEMBER, TRINITY MOTHER FRANCES HEALTH SYSTEM, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE MEMBER: 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 TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND A COPY IS PROVIDED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY: THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	REVIEW OF COMPENSATION OF CEO, OFFICER, OR KEY EMPLOYEE: THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A & Schedule J, part ii	COMPENSATION FROM RELATED ORGANIZATIONS: THE GOVERNING BOARD OF TRINITY MOTHER FRANCES HEALTH SYSTEM UPON ADVICE FROM NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS, WHO PERIODICALLY REVIEW ALL EXECUTIVE COMPENSATION, APPROVED A DEFERRED COMPENSATION PLAN THAT PROVIDES A 65% TOTAL RETIREMENT BENEFIT FOR SENIOR EXECUTIVES THAT SERVE 20 YEARS OR MORE. THIS PROGRAM HAS BOTH RETENTION AND NON-COMPETITION CLAUSES THAT CREATE A RISK OF FORFEITURE. DEFERRED COMPENSATION IS SUBJECT TO A RISK OF FORFEITURE BASED ON RETENTION, NON-COMPETITION AND OTHER CONTRACTUAL FACTORS. ACCRUALS OF DEFERRED COMPENSATION ARE NOT INCLUDIBLE IN W-2 COMPENSATION UNTIL PAID. OTHER EMPLOYEE BENEFITS INCLUDE QUALIFIED PENSION PLANS, HEALTH, DENTAL AND LIFE INSURANCE PLANS, DISABILITY INSURANCE, ETC. TAXABLE EXPENSES ARE INCLUDED IN THE W-2 PAID COMPENSATION SALARY AMOUNT.
form 990, part ix, line 11g	other fees for services: Corporate Expense $ 55,668,966 Professional Fees 33,108,055 Purchased Services 23,537,810 Contract Labor 5,726,823 Consulting 923,142 Physician Advisor 108,370 Transcription Services 38,746 ------------------- total $ 119,111,912
Form 990, part xi, line 9	other changes in net assets: transfer to affiliate $(16,623,584) change in pension plan liability (5,328,977) Equity in earnings of affiliate 5,039,375 change in fair value interest rate swap (92,588) equity in income of consolidated subsidiary (35,802) ----------------- total $(17,041,576)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(C)(3)	3	TMFHS	false
TRINITY MOTHER FRANCES HEALTH SYSTEM FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(C)(3)	11, Type i	TMFHS	false
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
TRINITY MOTHER FRANCES HEALTH SYSTEM
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	SUPPORT	TX	501(C)(3)	11, type i	NA	false
TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE	TX	501(C)(3)	3	TMFHS	false
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(C)(3)	3	TMFHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
TYLER RADIATION EQUIP LEASING
10101 WOODLOCH FOREST DRIVE	THE WOODLANDS	TX	77380	262554738	EQUIPMENT LEASING	TX	MFH REG	UNRELATED	$162,745	$973,397	false	$162,745	false	0.51000
Tyler Rehab Associates LP
3660 GRANDVIEW PKWY SUITE 200	BIRMINGHAM	AL	35243	251675784	REHABILITATION	AL	NA	EXCLUDED FROM TAX	$4,362,860	$2,767,820	false	$0	false	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
TRI-STATE FINANCIAL LLC
1315 DOCTORS DRIVE	TYLER	TX	75701	752728318	DORMANT	TX	TMFHS	C-corporation	false
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	TMFHS	C-corporation	false
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636832	THIRD PARTY ADMIN	TX	TMFHS	C-corporation	false
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	TMFHS	C-corporation	false
TEXAS HEALTH FACILITIES INSUR CORP LTD
				980136025	INSURANCE		MFH REG	C-corporation	Yes (true)	PO BOX 1109 BWI	GRAND CAYMAN	CJ	CJ	-$35,802	$147,535	1.00000
CONCORDIUM HEALTH LLC
1315 DOCTORS DRIVE	TYLER	TX	75701	702811022	INACTIVE	TX	NA	C-corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	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	Yes (true)	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	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL MEDICAL SERVICES ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	L	TransactionTypeTxt
Involved	$304,663	InvolvedAmt
Method Of Amount Determination	CASH VALUE	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART II, COLUMN F & Part iii, column d	FormAndLineReferenceDesc
Explanation	direct controlling entity: THE FOLLOWING RELATED ORGANIZATIONS REPORTABLE IN PART II ARE DIRECTLY CONTROLLED BY TRINITY MOTHER FRANCES HEALTH SYSTEM ("TMFHS"): MOTHER FRANCES HOSPITAL - JACKSONVILLE TRINITY MOTHER FRANCES HEALTH SYSTEM FOUNDATION TRINITY CLINIC MOTHER FRANCES HOSPITAL - WINNSBORO REGIONAL MEDICAL SERVICES ASSOCIATION AND TYLER RADIATION EQUIPMENT LEASING ARE DIRECTLY CONTROLLED BY MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER ("MFH REG").	ExplanationTxt