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MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349304535
Schema version
2010v3.7
Note
A later return for the same period supersedes this one.
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T17:30:20-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN750818167EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOTHER FRANCES HOSPITAL REGIONAL HEALTHBusinessNameLine1
Business Name Line2CARE CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMOTHNameControl
Phone9035315764Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOYCE HESTERName
TitleCFOTitle
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmanda MayaName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonLINDSEY BRADLEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1910 E HOUSTONAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts590968234GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TMFHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees3500TotalNbrEmployees
Total Nbr Volunteers318TotalNbrVolunteers
Total Gross UBI1636688TotalGrossUBI
Net Unrelated Business Txbl Income-1201847NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1219304ContributionsGrantsPriorYear
Contributions Grants Current Year18378677ContributionsGrantsCurrentYear
Program Service Revenue Prior Year427441900ProgramServiceRevenuePriorYear
Program Service Revenue CY503623248ProgramServiceRevenueCY
Investment Income Prior Year4212240InvestmentIncomePriorYear
Investment Income Current Year5595277InvestmentIncomeCurrentYear
Other Revenue Prior Year6178439OtherRevenuePriorYear
Other Revenue Current Year5663128OtherRevenueCurrentYear
Total Revenue Prior Year439051883TotalRevenuePriorYear
Total Revenue Current Year533260330TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1970800GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8039653GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year156876520SalariesEtcPriorYear
Salaries Etc Current Year176350311SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year241797567OtherExpensePriorYear
Other Expenses Current Year283202976OtherExpensesCurrentYear
Total Expenses Prior Year400644887TotalExpensesPriorYear
Total Expenses Current Year467592940TotalExpensesCurrentYear
Revenues Less Expenses Prior Year38406996RevenuesLessExpensesPriorYear
Revenues Less Expenses CY65667390RevenuesLessExpensesCY
Total Assets BOY601401573TotalAssetsBOY
Total Assets EOY666516120TotalAssetsEOY
Total Liabilities BOY300564444TotalLiabilitiesBOY
Total Liabilities EOY291887298TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY300837129NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY374628822NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense426557169Expense
Grants8039653Grants
Revenue503623248Revenue
DescriptionTHE 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.Description
Total Program Service Expense426557169TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096293NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3500NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMOTHER FRANCES HOSP ACCTG DEPTNamePerson
Telephone Number9035315764TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RAY THOMPSON
CEO20.0XX875995583997476648
LAURA OWEN
SR VP40.0XX228725015324
BEN FITZGERALD
CHAIR1.0XX000
FAGG SANFORD MD
DIRECTOR20.0X20000000
SISTER TERESA MIKA
DIRECTOR1.0X000
SISTER LORETTA ROSE TALLAS
DIRECTOR1.0X000
SISTER MALGORZATA MAJSZCZYK
DIRECTOR1.0X000
SISTER EDYTA KRAWCZYK
DIRECTOR1.0X000
ROYAL BECKER MD
DIRECTOR10.0X087653521356
ANDY KIRKPATRICK MD
DIRECTOR10.0X073796421356
PAT THOMAS MD
DIRECTOR10.0X4959600
C C BAKER
DIRECTOR1.0X000
LINDSEY BRADLEY
PRESIDENT10.0X101925367950213611
BILL BELLENFANT
SR VP & CFO10.0X518282345521274837
LEE PORTWOOD
VP CIO40.0X192980014881
JOHN WEBB
VP STRATEGIC BUS DEVELOPMENT40.0X161180014591
ANDY NAVARRO
VP AND LEGAL COUNSEL40.0X255281016427
JOYCE HESTER
VP FINANCIAL OPERATIONS40.0X155161012466
M E JACKSON
VP40.0X16093208852
MARY DODD
VP MARKETING40.0X113537012860
JEFF HYDE
VP INTEGRATED SERVICES40.0X155759014200
CHRIS GLENNEY
VP OPERATIONS40.0X153142014259
STEVEN KEUER MD
EXECUTIVE VP10.0X03672675365944
DAVID TEEGARDEN MD
PRESIDENT & CMO10.0X0666598219145
NORMAN HANCOCK
VP40.0X167228016905
ANDREW VON ESCHENBACK
ADMIN DIRECTOR OF BUSINESS SVC40.0X154777010962
WILLIAM SANDBERG
PHYSICIAN40.016889208793X
ROSALYN GOOCH
CRNA40.017628909567X
DAVID CORRIOR
PHYSICIAN40.017568309851X
MARTIN URBAN
CRNA40.0181689013887X
ALISIA FINLEY
CRNA40.017043804796X
WENDELL ROBERTS
VP AMBULATORY SERVICES40.031036701548X
RHONDA LONG
VP CARDIOLOGY & NEUROLOGY40.022779202449X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5972978TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs13562176TotalReportableCompFrmRltdOrgs
Total Other Compensation1395515TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK CORPORATION
101 MARKET STREET 9TH FLOORPHILADELPHIAPA19107FOOD SERVICE MGMT2768342
WHR ARCHITECTS
1111 LOUISIANA STREET 26TH FLOORHOUSTONTX77002ARCHITECT SERVICES2072397
QUEST DIAGNOSTICS
PO BOX 841725DALLASTX78284TESTING/LAB SERVICES2030547
WATSON COMMERCIAL CONSTRUCTION
2233 DEERBROOK DRIVETYLERTX75703CONTRACTING SERVICES1746722
AIR METHODS
PO BOX 172892DENVERCO80217AIR TRANSPORTATION1645180
FieldValueIRS element (for citing)
Number Of Contractors GT100 K60NumberOfContractorsGT100K
Related Organizations18237434RelatedOrganizations
All Other Contributions141243AllOtherContributions
Noncash Contributions60000NoncashContributions
Total Contributions18378677TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621110475662906475662906
OTHER OPERATING REVENUE9000992796034227960342
FieldValueIRS element (for citing)
Total Program Service Revenue503623248TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3660111TotalRevenueColumn
Exclusion$3,660,111ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3914367Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3914367Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3914367TotalRevenueColumn
Unrelated Business Revenue-112073UnrelatedBusinessRevenue
Exclusion$4,026,440ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities59607570Securities
Other35500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities57705317Securities
Other2587Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1902253Securities
Other32913Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1935166TotalRevenueColumn
Exclusion$1,935,166ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionFITNESS CENTERSDescription
Business Code713940BusinessCode
Total Revenue Column1748761TotalRevenueColumn
Unrelated Business Revenue1748761UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1748761TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column533260330TotalRevenueColumn
Related Or Exempt Function Income503623248RelatedOrExemptFunctionIncome
Unrelated Business Revenue1636688UnrelatedBusinessRevenue
Exclusion$9,621,717ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8039653Total
Program Services8039653ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4841953Total
Program Services3892589ProgramServices
Management And General949364ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total138953766Total
Program Services126193580ProgramServices
Management And General12760186ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3684277Total
Program Services3277719ProgramServices
Management And General406558ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15810114Total
Program Services14962053ProgramServices
Management And General848061ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13060201Total
Program Services11619013ProgramServices
Management And General1441188ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total13142632Total
Program Services32191ProgramServices
Management And General13110441ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total127729Total
Management And General127729ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total29770Total
Program Services29770ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total89719235Total
Program Services84589867ProgramServices
Management And General5129368ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total119079Total
Program Services119079ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2502232Total
Program Services2222837ProgramServices
Management And General279395ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1134748Total
Program Services780860ProgramServices
Management And General353888ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7717083Total
Program Services6713191ProgramServices
Management And General1003892ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total147278Total
Program Services131738ProgramServices
Management And General15540ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total304975Total
Program Services198470ProgramServices
Management And General106505ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5830571Total
Program Services5830571ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23477585Total
Program Services23476421ProgramServices
Management And General1164ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1528019Total
Program Services20770ProgramServices
Management And General1507249ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES9166463691664636
BAD DEBT EXPENSE3046041830460418
REPAIRS AND MAINTENANCE5829970581281217158
FOOD301891130146384273
MINOR EQUIPMENT21851682185168

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4262937Total
Program Services1289125ProgramServices
Management And General2973812ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total467592940Total
Program Services426557169ProgramServices
Management And General41035771ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY44730695BOY
EOY70341177EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7196153BOY
EOY8019446EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47645527BOY
EOY52442744EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5614401BOY
EOY5470661EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6194852BOY
EOY2361855EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis575390146LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec313456716LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY251607709BOY
EOY261933430EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY130892341BOY
EOY149355593EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4534475BOY
EOY4363638EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY102985420BOY
EOY112227576EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY601401573BOY
EOY666516120EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY49895158BOY
EOY57293184EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY92033EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY179830366BOY
EOY173696957EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY70838920BOY
EOY60805124EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY300564444BOY
EOY291887298EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY300817051BOY
EOY356549425EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20078BOY
EOY18079397EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY300837129BOY
EOY374628822EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY601401573BOY
EOY666516120EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses65667390ReconcilationRevenueExpenses
Reconcilation Other Changes8124303ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$25,130GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB25130TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2209013BeginningOfYearBalance
Contributions50Contributions
Investment Earnings Or Losses141274InvestmentEarningsOrLosses
End Of Year Balance2350337EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance414414BeginningOfYearBalance
Contributions1790794Contributions
Investment Earnings Or Losses4305InvestmentEarningsOrLosses
Other Expenditures500OtherExpenditures
End Of Year Balance2209013EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance413932BeginningOfYearBalance
Contributions239Contributions
Investment Earnings Or Losses243InvestmentEarningsOrLosses
End Of Year Balance414414EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.04858BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.95142PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis27154253OtherCostOrOtherBasis
Book Value27154253BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis186840293OtherCostOrOtherBasis
Depreciation74014546Depreciation
Book Value112825747BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis118414419OtherCostOrOtherBasis
Depreciation73811441Depreciation
Book Value44602978BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis234116650OtherCostOrOtherBasis
Depreciation165630729Depreciation
Book Value68485921BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8864531OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value8864531BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings261933430TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES108572712
DEFERRED FINANCING COSTS1858936
INTEREST RATE SWAP AGREEMENT1795928
FieldValueIRS element (for citing)
Total Book Value Other Assets112227576TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$25,450,306
INTEREST RATE SWAP AGREEMENT$3,015,341
ESTIMATED SELF INSURANCE COSTS$8,887,318
DUE TO AFFILIATES$18,602,679
AMOUNTS TO 3RD PARTY PAYERS$4,849,480
FieldValueIRS element (for citing)
Total Of Amounts60805124TotalOfAmounts
Total Revenue533260330TotalRevenue
Total Expenses467592940TotalExpenses
Excess Or Deficit For Year65667390ExcessOrDeficitForYear
Net Unrealized GL On Investments4495156NetUnrealizedGLOnInvestments
Other-$11,863,122OtherAmount
Total Adjustments-7367966TotalAdjustments
Excess Or Deficit Per FS58299424ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt525718369TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4495156NetUnrealizedGainsInvestments
Other Revenues6349787OtherRevenues
Revenue Not Rptd F99010844943RevenueNotRptdF990
Revenue Subtotal514873426RevenueSubtotal
Investment Expenses Not Included29770InvestmentExpensesNotIncluded
Other Revenues Not Included18357134OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt18386904RevenueNotRptdOnFinStmt
Total Revenue Per Form990533260330TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt467418945TotExpensesEtcAuditedFinclStmt
Expenses Subtotal467418945ExpensesSubtotal
Investment Expenses Not Included229770InvestmentExpensesNotIncluded2
Other Expenses Not Included144225OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt173995ExpensesNotRptdOnFinStmt
Total Expenses Per Form990467592940TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FIN 48 DISCLOSUREMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
INTENDED USES OF THE ORGANIZATIN'S ENDOWMENT FUNDSTHE 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.SCH D, PART V, QUESTION 4
RECONCILIATION OF OTHER CHANGES IN NET ASSETSCONTRIBUTIONS RECORDED TO NET ASSETS $18,212,909 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP (1,796,186) EQUITY IN INCOME OF CONSOLIDATED SUBSIDIARY (4,553,601) ------------ $11,863,122PART XI, LINE 8
RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS WITH FORM 990REVENUE ON BOOKS, NOT ON RETURN: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP $1,796,186 EQUITY IN INCOME OF CONSOLIDATED SUBSIDIARY 4,553,601 ----------- $6,349,787 REVENUE ON RETURN, NOT ON BOOKS: CONTRIBUTIONS RECORDED TO NET ASSETS $18,212,909 MISCELLANEOUS REVENUE INCLUDED IN EXPENSES 143,671 OTHER CLASSIFICATION DIFFERENCES 554 ----------- $18,357,134PART XII, LINES 2D & 4B
RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS WITH FORM 990EXPENSES ON RETURN, NOT ON BOOKS: MISCELLANEOUS REVENUE INCLUDED IN EXPENSES $143,671 OTHER CLASSIFICATION DIFFERENCES 554 ----------- $144,225PART XIII, LINE 4B

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedINSURANCESpecificServicesProvided
Total Expenditures107750TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Total Number Of Offices1TotalNumberOfOffices
Subtotal Amount Spent107750SubtotalAmountSpent
Total Amount Spent107750TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense19474743TotalCommunityBenefitExpense
Net Community Benefit Expense19474743NetCommunityBenefitExpense
Percent Of Total Expense0.04820PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense44508265TotalCommunityBenefitExpense
Direct Offsetting Revenue46029087DirectOffsettingRevenue

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1014148TotalCommunityBenefitExpense
Direct Offsetting Revenue1113400DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense64997156TotalCommunityBenefitExpense
Direct Offsetting Revenue47142487DirectOffsettingRevenue
Net Community Benefit Expense19474743NetCommunityBenefitExpense
Percent Of Total Expense0.04820PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense268278TotalCommunityBenefitExpense
Net Community Benefit Expense268278NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense161522TotalCommunityBenefitExpense
Net Community Benefit Expense161522NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2953123TotalCommunityBenefitExpense
Net Community Benefit Expense2953123NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense122039TotalCommunityBenefitExpense
Net Community Benefit Expense122039NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense7930400TotalCommunityBenefitExpense
Net Community Benefit Expense7930400NetCommunityBenefitExpense
Percent Of Total Expense0.01810PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11435362TotalCommunityBenefitExpense
Net Community Benefit Expense11435362NetCommunityBenefitExpense
Percent Of Total Expense0.02640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense76432518TotalCommunityBenefitExpense
Direct Offsetting Revenue47142487DirectOffsettingRevenue
Net Community Benefit Expense30910105NetCommunityBenefitExpense
Percent Of Total Expense0.07460PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense2507TotalCommunityBuildingExpense
Net Community Building Expense2507NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense141077TotalCommunityBuildingExpense
Net Community Building Expense141077NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense143584TotalCommunityBuildingExpense
Net Community Building Expense143584NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$6,539,852BadDebtExpenseAmount
Amount Reimbursed By Medicare158445077AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare147863266CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall10581811MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1TYLER REHAB ASSOC LPBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityREHABILITATION HOSPITALDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOTHER FRANCES HOSPITAL REGIONAL HC CTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MOTHER FRANCES HOSPITAL REGIONAL HC CTRBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL, CLINIC, JACKSONVILLE AND WINNSBORO PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THIRD-PARTY PAYERS ARE BILLED DIRECTLY AND BILLS ARE SENT TO THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELIQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST-TO-CHARGE RATIO. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.
PART III, LINE 8: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.
PART III, LINE 9B: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.
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.
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.
COMMUNITY INFORMATION:THE HOSPITAL OWNS AND OPERATES A 389 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.
COMMUNITY BUILDING ACTIVITIES: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: FAMILY CARE CENTER/WOMEN'S SERVICES: PROVIDES PRENATAL SERVICES TO ALL MEDICAID PATIENTS, TITLE V RECIPIENTS, MANY SELF-PAY, UNDERINSURED, AND ANYONE WHO NEEDS PRENATAL SERVICES. CLASSES IN ENGLISH & SPANISH ARE OFFERED ON PRENATAL & CAR SEAT EDUCATION. FREE CAR SEATS ARE GIVEN TO THOSE WHO CANNOT AFFORD TO PURCHASE. PATIENT VISITS FOR FISCAL YEAR 2011 WAS 18,759 SERVING 9,980 PATIENTS. FAMILY CARE CENTER/CHILDREN'S SERVICES: THE CHILDREN'S SERVICES CENTER EXPERIENCED 27,529 VISITS IN FISCAL YEAR 2011 SERVING OVER 19,000 CHILDREN. THIS PATIENT POPULATION HAS A HIGH PERCENTAGE OF AT-RISK ETHNIC GROUPS. IT IS THE LARGEST PROVIDER OF SERVICES TO MEDICAID, CHIPS, AND FREE CLINIC SERVICES FOR CHILDREN IN EAST TEXAS. SICKLE CELL CLINIC: PROVIDES THE FACILITY AND SUPPORT FOR PATIENTS WITH SICKLE CELL. JOINING FORCES WITH CHILDREN'S 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. 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 RESOUCES AND DO SYMPTOM-BASED TRIAGE. BETHESDA CLINIC SUPPORT: BETHESDA CLINIC IS A "FREE" MEDICAL CLINIC, WHICH IS SUPPORTED FINANCIALLY WITH STAFFING, INCLUDING PHYSICIANS, AND BY SUPPORT SERVICES FROM THE COMMUNITY. MOTHER FRANCES HOSPITAL PROVIDES SUPPORT IN ALL AREAS AND ON SPECIAL PROJECTS AS REQUESTED. ONE KEY PROJECT IS PROVIDING AFTER HOURS CALL FOR THE PHYSICIANS. GYN AND OB SERVICES ARE PROVIDED BY THE FAMILY CARE CENTER. LIFELINE - PERSONAL EMERGENCY RESPONSE SYSTEM: LIFELINE PROVIDES INDEPENDENCE TO PATENTS 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 AN 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. COMMUNITY PARTNERSHIPS: ASSISTANCE WAS PROVIDED BOTH FINANCIALLY AND WITH STAFFING FOR GROUPS AND ORGANIZATIONS TO PROVIDE COLLABORATIVE PROGRAMS, SERVICES, TENTS, AND HEALTH INFORMATION. PROJECTS INCLUDED OVER 100 OPPORTUNITIES, INCLUDING SCHOOL-BASED PROGRAMS, YOUTH PROGRAMS, AND GENERAL PUBLIC EVENTS. UNITED WAY: TMF AND EMPLOYEES PROVIDED FINANCIAL SUPPORT OF APPROXIMATELY $100,000 AND ASSISTED WITH SPECIAL PROJECTS. SHARE THE SPIRIT: THIS IS AN ANNUAL FUNDRAISING 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 $98,000 WAS RAISED IN 2011. 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. HEALTH EDUCATION SCREENING PROGRAMS: COMMUNITY EDUCATION ON HEALTHY LIFESTYLES AND SCREENINGS FOR CHRONIC DISEASES WERE OFFERED THROUGHOUT THE REGION FOR A VARIETY OF CONDITIONS INCLUDING CANCER, HIGH CHOLESTEROL, AND DIABETES. AN EXAMPLE OF ONE PROGRAM WOULD BE THE JOINT PROJECT WITH THE KOMEN FOUNDATION TO SCREEN AND GIVE INFORMATION ON BREAST CANCER TO AT-RISK WOMEN AND WOMEN WHO HAVE NO ACCESS TO A PRIMARY CARE PHYSICIAN. OVER 1,000 PEOPLE WERE REACHED FROM THESE PUBLIC SCREENING PROGRAMS. SCHOOL ASSISTANCE: OVER 2,600 HIGH SCHOOL PHYSICALS AND PRE-PARTICIPATION EXAMS WERE DONE AT NO COST TO THE SCHOOLS. ADDITIONALLY, OVER 150 STUDENT ATHLETES WERE SEEN FOR FREE IN SATURDAY SPORTS CLINICS. ALL PROGRAMS ARE OPEN TO ANYONE TO PARTICIPATE PROVIDED THEY HAVE PARENTAL APPROVAL. SUPPORT FOR ON-SITE TRAINERS IS ALSO PROVIDED ON AN AS-NEEDED BASIS. YOUTH FITNESS: SPORTS TRAINING PROGRAMS, INJURY PREVENTION AND HEALING, RUNNING CLASSES, WALKING PROGRAMS, AND NUTRITIONAL PROGRAMS WERE OFFERED TO EDUCATE YOUTH AND YOUNG ADULTS ON THE POTENTIALS FOR INJURIES AND THE LONG-TERM EFFECTS OF NOT CARING FOR THE BODY. EXAMPLES WOULD INCLUDE: HAWL KIDS ONLY TRIATHLON, TYLER SOCCER ASSOCIATION AND EAST TEXAS SPIRIT SOCCER, CHANDLER 5K, AND SUMMER FOOTBALL. OTHER PROGRAMS WOULD INCLUDE ASSISTANCE WITH LOCAL BASKETBALL, VOLLEYBALL, FOOTBALL, AND OTHER TRADITIONAL GROUP PROGRAMS WITH NON-PROFITS AND SCHOOL DISTRICTS. CHILDREN AND LEARNING SKILLS: TMF MADE A DECISION TO PARTICIPATE AND LEAD THE WAY ON HELPING TO DEVELOP SKILLS CHILDREN NEED TO LEARN AND BECOME INTERESTED IN HEALTHCARE CAREERS. TMF'S VOLUNTEER SERVICES PROGRAMS OFFER TRAINING, JOB SHADOWING AND STUDENT PROGRAMS TO INDIVIDUALS, SCHOOLS, COMMUNITY COLLEGES, AND FOUR-YEAR INSTITUTIONS. EMS SUPPORT: TMFHS PROVIDES, AT NO COST OF REDUCED RATES TO SCHOOLS, COMMUNITY EVENTS, FESTIVALS, SCHOOL EDUCATION PROGRAMS, SENIOR PROGRAMS, NON-PROFIT FUNDRAISING EVENTS, SPORTING EVENTS, AND EMERGENCY MEDICAL SERVICE INCLUDING BUT NOT LIMITED TO AMBULANCES ON SITE. THIS CONTRIBUTION SAVES THE SPONSORING ORGANIZATIONS HUNDREDS IF NOT THOUSANDS OF DOLLARS DEPENDING ON THE LENGTH OF THE EVENT AND THE NUMBER OF PEOPLE WHO REQUEST ASSISTANCE. MEDICAL AND FIRST AID COVERAGE: TMF PROVIDES AT NO COST TO NON-PROFIT ORGANIZATIONS, SCHOOL DISTRICTS, CITIES, COUNTIES, AND OTHER ORGANIZATIONS MEDICAL AND FIRST AID COVERAGE FOR SPECIAL EVENTS. THIS CONTRIBUTION SAVES THE SPONSORING ORGANIZATION THE COSTS OF MEDICAL COVERAGE FEES AND PROVIDES ON SITE CARE AT A MUCH LOWER COST FOR MINOR EMERGENCIES AND THE ABILITY TO TRIAGE A PATIENT WITHOUT SENDING THEM TO THE EMERGENCY ROOM FIRST. CARE MANAGEMENT FOR DISCHARGED PATIENTS: FUNDS ARE UTILIZED AS DESIGNATED BY THE CARE MANAGEMENT DEPARTMENT TO ASSIST PATIENTS WITH CONTINUITY OF CARE NEEDS FROM THE HOSPITAL DISCHARGE TIME. THESE FUNDS ARE USED FOR TRANSPORTATION COSTS TO HOME, HOME HEALTH VISITS, DURABLE MEDICAL EQUIPMENT, WALKERS, CRUTCHES, AND MEDICATIONS, AS WELL AS MINIMAL DAYS IN A SKILLED NURSING HOME. RESPITE CARE PROGRAM: THE RESPITE CARE PROGRAM PROVIDES SERVICES TO FAMILIES OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY HELPING PARENTS CARE FOR THEIR CHILDREN BY EMPOWERING AND SUPPORTING BOTH PARENTS AND SIBLINGS IN BEING THE BEST CAREGIVERS POSSIBLE. ROSS BREAST CENTER: A MOBILE UNIT COVERS THE SPECIAL EVENTS AND RURAL COMMUNITIES IN A 10 COUNTY AREA. THE UNIT PROVIDES SCREENING OPPORTUNITIES AND RURAL CLINIC VISITS AT PUBLIC SITES SUCH AS COMMUNITY, RELIGIOUS, AND BUSINESS EVENTS. COMMUNITY NON-PROFITS: TMF PROVIDES DIRECT FINANCIAL SUPPORT TO NON-PROFIT ORGANIZATIONS WITHIN THE REGION TO HELP PROVIDE NEEDED SERVICES TO THE COMMUNITY. PRIORITY IS GIVEN TO AGENCIES OR ORGANIZATIONS THAT PROVIDE SUPPORT OR DIRECT HEALTH-RELATED SERVICES OR BENEFITS AND HAVE A MISSION TO SERVE THE UNDERINSURED AND UNINSURED.
AFFILIATED HEALTH CARE SYSTEM ROLES: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.
STATE FILING OF COMMUNITY BENEFIT REPORTTX,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
TRINITY MOTHER FRANCES HEALTH SYSTEM FDN
1315 DOCTORS DRIVETYLERTX75701752028241501(c)(3)50000SPONSORSHIP
SERVICE ORGANIZATION OF PINEY WOODS
2950 50TH STLUBBOCKTX79314260468622501(C)(3)7377016COMMUNITY HEALTHCARE
SISTERS OF THE HOLY FAMILY OF NAZARETH
800 E DAWSONTYLERTX75701751974678501(C)(3)270730CONTRIBUTION
CATHOLIC DIOCESE OF TYLER
1015 SE LOOP 323TYLERTX75701756002676501(C)(3)50000ST PETER PAUL CHAPEL
AMERICAN CANCER SOCIETY INC
1301 S BROADWAYTYLERTX75701131788491501(C)(3)125002011 CATTLE BARONS
AMERICAN HEART ASSOCIATION INC
10900-B STONELAKE BLVD SUITE 320AUSTINTX78759135613797501(C)(3)19000CONTRIBUTION
CANCER FOUNDATION FOR LIFE
PO BOX 8257TYLERTX75711752957440501(C)(3)25000CONTRIBUTION
TEXAS ROSE FESTIVAL
PO BOX 8224TYLERTX75711751171774501(C)(3)12000FESTIVAL SPONSORSHIP
TYLER JUNIOR COLLEGE
1327 S BAXTER AVENUETYLERTX75701756002676501(C)(3)37000NURSING SCHOLARSHIPS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF FUNDS IN THE UNITED STATESIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationGRANT 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RAY THOMPSON
406927271285236917157945232151154767280762187175522734841161984774656232151154767
LAURA OWEN
17939604932900049000104240244049000
FAGG SANFORD MD
200000000000000200000000
ROYAL BECKER MD
0876535000004900016456089789100
ANDY KIRKPATRICK MD
0737964000004900016456075932000
LINDSEY BRADLEY
476477317651542776361851002940196052273484102742068494600
BILL BELLENFANT
257910171940802965353018007612005115804910536668534569683184455456180076120051
LEE PORTWOOD
15089304208700042110106700207861000
JOHN WEBB
12566603551400035710110200175771000
ANDY NAVARRO
19409806118300049000115270271708000
JOYCE HESTER
1189150362460003654088120167627000
M E JACKSON
1202670406650003461053910169784000
JEFF HYDE
12334003241900032590109410169959000
CHRIS GLENNEY
12024903289300033070109520167401000
WENDELL ROBERTS
310367000000015480311915000
RHONDA LONG
22779200000426020230230241000
STEVEN KEUER MD
050706701819120298369603517000142440403861902983696
DAVID TEEGARDEN MD
0669991033555605660435049000142450668512705660435
WILLIAM SANDBERG
168892000003848049450177685000
ROSALYN GOOCH
176289000004091054760185856000
DAVID CORRIOR
175683000000098510185534000
MARTIN URBAN
1816890000037690101180195576000
ALISIA FINLEY
17043800000382009760175234000
NORMAN HANCOCK
13009603713200037440131610184133000
ANDREW VON ESCHENBACK
13765401712300000109620165739000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANIdentifier
Return ReferencePART I, QUESTION 4BReturnReference
ExplanationPARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- LINDSEY BRADLEY 0 0 RAY THOMPSON 386,918 463,037 BILL BELLENFANT 300,127 258,515 STEVEN KEUER MD 2,983,696 346,800 DAVID TEEGARDEN MD 5,660,435 0 PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- DAVID TEEGARDEN MD NONE STEVEN KEUER MD NONE ROYAL BECKER MD NONE ANDY KIRKPATRICK MD NONEExplanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
750818167902261GN02007-05-1665550000CAPITAL DEVELOPMENTfalsefalsefalse
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
750818167902261GP52007-05-1623000000CAPITAL DEVELOPMENTfalsefalsefalse
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
750818167902261FJ02003-05-0859550000CAPITAL DEVELOPMENTfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00736451276520505065322821722848000002006falsetruetruetrue
0025294551246550000291306000002006falsefalsetruetrue
00689220006039000043715000640000000002006truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
truefalsefalsefalsefalsefalse
truefalsefalsefalsefalsefalse
truefalsefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CATHERINE BRADLEY
SISTER OF CEO61403SALARIES/WAGESfalse
DR FAGG SANFORD
DR SANFORD IS DIRECTOR200000CONSULTING SERVICESfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionSOFTWARE FOR SKYRA 3T MR EQUIPMENTDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99060000NoncashContribsRptdF990
Method Of Determining RevenuesPURCHASE PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIBE REVIEW PROCESS OF FORM 990FORM 990, PART VI, QUESTION 11ATHE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS. THE BOARD OF DIRECTORS ALSO RECEIVE A COPY FOR REVIEW AND COMMENT PRIOR TO FILING.
DESCRIBE THE ORGANIZATION'S MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER.
MEMBERS WITH AUTHORITY TO ELECT MEMBERS OF GOVERNING BOARDFORM 990, PART VI, QUESTION 7ATHE MEMBER HAS THE AUTHORITY TO APPOINT ALL DIRECTORS OF THE GOVERNING BOARD.
DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERFORM 990, PART VI, QUESTION 7BTHE MEMBER HAS THE RIGHT TO APPROVE OR DISAPPROVE CERTAIN ACTIONS THAT HAVE BEEN PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS.
HOW DOES THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH POLICYFORM 990, PART VI, QUESTION 12CTHE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH PRESCRIBED STANDARDS.
PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEESFORM 990, PART VI, QUESTIONS 15A & 15BTHE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY.
DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
COMPENSATION FROM RELATED ORGANIZATIONSFORM 990, PART VII & SCHEDULE JTHE 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CHANGE IN PENSION PLAN LIABILITY $21,313,204 TRANSFERS TO AFFILIATE (24,977,757) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,796,186 EQUITY IN INCOME OF CONSOLIDATED SUBSIDIARY 4,553,601 NET UNREALIZED GAINS ON INVESTMENTS 4,495,156 OTHER CHANGES IN NET ASSETS 943,913 ------------ $8,124,303
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RAY THOMPSON TITLE:CEO HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER TERESA MIKA TITLE:DIRECTOR HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER MALGORZATA MAJSZCZYK TITLE:DIRECTOR HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROYAL BECKER MD TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANDY KIRKPATRICK MD TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAT THOMAS MD TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDSEY BRADLEY TITLE:PRESIDENT HOURS:31
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BILL BELLENFANT TITLE:SR VP & CFO HOURS:32
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANDY NAVARRO TITLE:VP AND LEGAL COUNSEL HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEVEN KEUER MD TITLE:EXECUTIVE VP HOURS:31
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID TEEGARDEN MD TITLE:PRESIDENT & CMO HOURS:31

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHAMPION EMERGENCY SERVICES LLC
2201 S MOBBERLY AVELONGVIEWTX75602752747708AMBULANCE SVCTX501(C)(3)11ANA
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVETYLERTX75701751976930HOSPITALTX501(C)(3)3NA
TRINITY MOTHER FRANCES HEALTH SYSTEM FDN
1315 DOCTORS DRIVETYLERTX75701752028241SUPPORTTX501(C)(3)11CNA
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVETYLERTX75701752511459HEALTHCARETX501(C)(3)3NA
TRINITY MOTHER FRANCES HEALTH SYSTEM
1315 DOCTORS DRIVETYLERTX75701752616975HEALTHCARETX501(C)(3)11CNA
TRINITY CLINIC
1315 DOCTORS DRIVETYLERTX75701752616977HEALTHCARETX501(C)(3)3NA
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVETYLERTX75701752771569HOSPITALTX501(C)(3)3NA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
TYLER RADIATION EQUIP LEASING LLC
10101 WOODLOCH FOREST DRIVETHE WOODLANDSTX77380262554738EQUIPMENT LEASINGTXNAINVESTMENT-1120731880470false-$112,073false0.51000
HEALTHSOUTH REHAB HOSPITAL
3660 GRANDVIEW PKWY SUITE 200BIRMINGHAMAL35243251675784REHABILITATIONALNAINVESTMENT50568981765705false$0false0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
TRI-STATE FINANCIAL LLC
1315 DOCTORS DRIVETYLERTX75701752728318COLLECTION AGENCYTXNAC-CORPORATION000.00000
TRINCARE INC
1315 DOCTORS DRIVETYLERTX75701752161369RETAIL HEALTH SVCTXNAC-CORPORATION000.00000
HEALTHPLAN OF TEXAS INC
514 S BECKHAMTYLERTX75701752636832THIRD PARTY ADMINTXNAC-CORPORATION000.00000
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVETYLERTX75701752484109PREFER PROVIDERTXNAC-CORPORATION000.00000
TEXAS HEALTH FACILITIES INSUR CORP LTD
980136025INSURANCENAC-CORPORATION-1197661779571.00000PO BOX 1109 BWIGRAND CAYMANCJCJ
CONCORDIUM SERVICES INC
1315 DOCTORS DRIVETYLERTX75701702811022INACTIVETXNAC-CORPORATION000.00000
EMPLOYERS SERVICES INC
1315 DOCTORS DRIVETYLERTX75701752602556INACTIVETXNAC-CORPORATION000.00000
HERITAGE HEALTH PLANS OF TX INC
1315 DOCTORS DRIVETYLERTX75701752622622INACTIVETXNAC-CORPORATION000.00000
QUALITY CARE ALLIANCE
1315 DOCTORS DRIVETYLERTX75701752662965INACTIVETXNAC-CORPORATION000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg