2012-10-12T16:00:34-05:00 2011-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2010-07-01 750818167 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER MOTH 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 JOYCE HESTER 2012-08-31 true Amanda Maya 7134994600 2010 2016-02-24 21:20:13Z X X LINDSEY BRADLEY 910 E HOUSTON TYLER TX 75701 590968234 false X WWW.TMFHS.ORG X 1958 TX TO 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. 12 7 3500 318 1636688 -1201847 1219304 18378677 427441900 503623248 4212240 5595277 6178439 5663128 439051883 533260330 1970800 8039653 0 0 156876520 176350311 0 0 0 241797567 283202976 400644887 467592940 38406996 65667390 601401573 666516120 300564444 291887298 300837129 374628822 TO 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. false false 426557169 8039653 503623248 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. 426557169 true true false true false false false false true true false false true true false false true false true true false false false false false true true true false true true false false false false false false false true true true true false false false false true false false false false true 293 0 true 3500 true true true true CJ false false true true false false false false false X 12 7 false false false false true true true true true false false true true true true true true true true true true X MOTHER FRANCES HOSP ACCTG DEPT 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 X RAY THOMPSON 20.0 X X 716516 477677 476648 LAURA OWEN 40.0 X X 294637 0 15324 BEN FITZGERALD 1.0 X X 0 0 0 FAGG SANFORD MD 20.0 X 200000 0 0 SISTER TERESA MIKA 1.0 X X 0 0 0 SISTER LORETTA ROSE TALLAS 1.0 X 0 0 0 SISTER MALGORZATA MAJSZCZYK 1.0 X 0 0 0 SISTER EDYTA KRAWCZYK 1.0 X 0 0 0 ROYAL BECKER MD 10.0 X 0 876535 21356 ANDY KIRKPATRICK MD 10.0 X 0 737964 21356 PAT THOMAS MD 10.0 X 49673 0 0 C C BAKER 1.0 X 0 0 0 J LINDSEY BRADLEY JR 10.0 X X 1050769 700513 13611 STEVEN KEUER MD 10.0 X X 0 3854588 365945 DAVID TEEGARDEN MD 10.0 X X 0 7001538 19145 WILLIAM BELLENFANT SR 10.0 X X 526886 351258 274837 LEE PORTWOOD 40.0 X 260042 0 14881 JOHN WEBB 40.0 X 222332 0 14591 ANDY NAVARRO 40.0 X 336443 0 16427 JOYCE HESTER 40.0 X 217827 0 12466 M E JACKSON 20.0 X 227041 0 8852 MARY DODD 40.0 X 152393 0 12860 JEFF HYDE 40.0 X 199977 0 14200 CHRIS GLENNEY 40.0 X 200134 0 14259 NORMAN HANCOCK 40.0 X 226151 0 16905 PAM VUKOVICH 1.0 X 0 0 0 WILLIAM SANDBERG 40.0 X 253757 0 8793 ROSALYN GOOCH 40.0 X 258534 0 9567 DAVID CORRIER 40.0 X 251493 0 9851 MARTIN URBAN 40.0 X 275229 0 13887 TAWONDA FELTON 40.0 X 308342 0 9029 WENDELL ROBERTS 40.0 X 349003 0 1548 RHONDA LONG 40.0 X 249856 0 2449 6827035 14000073 1388787 47 true true false ARAMARK CORPORATION 101 MARKET STREET 9TH FLOOR PHILADELPHIA PA 19107 FOOD SERVICE MGMT 2768342 WHR ARCHITECTS 1111 LOUISIANA STREET 26TH FLOOR HOUSTON TX 77002 ARCHITECT SERVICES 2072397 QUEST DIAGNOSTICS PO BOX 841725 DALLAS TX 78284 TESTING/LAB SERVICES 2030547 WATSON COMMERCIAL CONSTRUCTION 2233 DEERBROOK DRIVE TYLER TX 75703 CONTRACTING SERVICES 1746722 AIR METHODS PO BOX 172892 DENVER CO 80217 AIR TRANSPORTATION 1645180 60 18237434 141243 60000 18378677 NET PATIENT REVENUE 621110 475662906 475662906 OTHER OPERATING REVENUE 900099 27960342 27960342 503623248 3660111 3660111 0 0 3914367 3914367 3914367 -112073 4026440 59607570 35500 57705317 2587 1902253 32913 1935166 1935166 0 0 0 FITNESS CENTERS 713940 1748761 1748761 1748761 533260330 503623248 1636688 9621717 8039653 8039653 0 0 0 4880821 3691784 1189037 0 138914898 126394385 12520513 3684277 3277719 406558 15810114 14962053 848061 13060201 11619013 1441188 13142632 32191 13110441 0 127729 127729 0 0 29770 29770 89719235 84589867 5129368 119079 119079 2502232 2222837 279395 1134748 780860 353888 0 7717083 6713191 1003892 147278 131738 15540 0 304975 198470 106505 5830571 5830571 0 23477585 23476421 1164 1528019 20770 1507249 MEDICAL SUPPLIES 91664636 91664636 BAD DEBT EXPENSE 30460418 30460418 REPAIRS AND MAINTENANCE 5829970 5812812 17158 FOOD 3018911 3014638 4273 MINOR EQUIPMENT 2185168 2185168 4262937 1289125 2973812 467592940 426557169 41035771 0 44730695 70341177 7196153 8019446 47645527 52442744 5614401 5470661 6194852 2361855 575390146 313456716 251607709 261933430 130892341 149355593 4534475 4363638 102985420 112227576 601401573 666516120 49895158 57293184 92033 179830366 173696957 70838920 60805124 300564444 291887298 X 300817051 356549425 20078 18079397 300837129 374628822 601401573 666516120 X 65667390 8124303 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 25130 false false false 25130 false 2209013 50 141274 2350337 414414 1790794 4305 500 2209013 413932 239 243 414414 0.04858 0.95142 false true true 27154253 27154253 186840293 74014546 112825747 118414419 73811441 44602978 234116650 165630729 68485921 8864531 0 8864531 261933430 DUE FROM AFFILIATES 108572712 DEFERRED FINANCING COSTS 1858936 INTEREST RATE SWAP AGREEMENT 1795928 112227576 0 PENSION LIABILITY 25450306 INTEREST RATE SWAP AGREEMENT 3015341 ESTIMATED SELF INSURANCE COSTS 8887318 DUE TO AFFILIATES 18602679 AMOUNTS TO 3RD PARTY PAYERS 4849480 60805124 533260330 467592940 65667390 4495156 -11863122 -7367966 58299424 525718369 4495156 6349787 10844943 514873426 29770 18357134 18386904 533260330 467418945 467418945 29770 144225 173995 467592940 FIN 48 DISCLOSURE MANAGEMENT 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 FUNDS SCH D, PART V, QUESTION 4 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. RECONCILIATION OF OTHER CHANGES IN NET ASSETS PART XI, LINE 8 CONTRIBUTIONS 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) ------------ $11,863,122 RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS WITH FORM 990 PART XII, LINES 2D & 4B REVENUE 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 ----------- $18,357,134 RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS WITH FORM 990 PART XIII, LINE 4B EXPENSES ON RETURN, NOT ON BOOKS: MISCELLANEOUS REVENUE INCLUDED IN EXPENSES $143,671 OTHER CLASSIFICATION DIFFERENCES 554 ----------- $144,225 Central America and the Caribbean 1 Program Services INSURANCE 107750 1 1 107750 107750 false false false false false false true true X true X true X true true true false true true 19474743 19474743 0.04820 44508265 46029087 1014148 1113400 64997156 47142487 19474743 0.04820 268278 268278 0.00060 161522 161522 0.00060 2953123 2953123 0.00680 122039 122039 0.00030 7930400 7930400 0.01810 11435362 11435362 0.02640 76432518 47142487 30910105 0.07460 2507 2507 0.00000 141077 141077 0.00030 143584 143584 0.00030 true 6539852 158445077 147863266 10581811 X true true TYLER REHAB ASSOC LP REHABILITATION HOSPITAL 0.50000 0.00000 0.00000 1 1 MOTHER FRANCES HOSPITAL REGIONAL HC CTR

1315 DOCTORS DRIVE TYLER TX 75701

X X X MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1 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 REPORT 990 SCHEDULE H, PART VI TX, true TRINITY MOTHER FRANCES HEALTH SYSTEM FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 501(c)(3) 50000 SPONSORSHIP SERVICE ORGANIZATION OF PINEY WOODS 2950 50TH ST LUBBOCK TX 79314 260468622 501(C)(3) 7377016 COMMUNITY HEALTHCARE SISTERS OF THE HOLY FAMILY OF NAZARETH 800 E DAWSON TYLER TX 75701 751974678 501(C)(3) 270730 CONTRIBUTION CATHOLIC DIOCESE OF TYLER 1015 SE LOOP 323 TYLER TX 75701 756002676 501(C)(3) 50000 ST PETER PAUL CHAPEL AMERICAN CANCER SOCIETY INC 1301 S BROADWAY TYLER TX 75701 131788491 501(C)(3) 12500 2011 CATTLE BARONS AMERICAN HEART ASSOCIATION INC 10900-B STONELAKE BLVD SUITE 320 AUSTIN TX 78759 135613797 501(C)(3) 19000 CONTRIBUTION CANCER FOUNDATION FOR LIFE PO BOX 8257 TYLER TX 75711 752957440 501(C)(3) 25000 CONTRIBUTION TEXAS ROSE FESTIVAL PO BOX 8224 TYLER TX 75711 751171774 501(C)(3) 12000 FESTIVAL SPONSORSHIP TYLER JUNIOR COLLEGE 1327 S BAXTER AVENUE TYLER TX 75701 756002676 501(C)(3) 37000 NURSING SCHOLARSHIPS 9 0 PROCEDURES FOR MONITORING THE USE OF FUNDS IN THE UNITED STATES PART I, LINE 2 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. X X X X X false true false false false false false false false RAY THOMPSON 236917 157945 247448 164965 232151 154767 280762 187175 5227 3484 1002505 668336 232151 154767 LAURA OWEN 245308 0 49329 0 0 0 4900 0 10424 0 309961 0 0 0 FAGG SANFORD MD 200000 0 0 0 0 0 0 0 0 0 200000 0 0 0 ROYAL BECKER MD 0 527250 0 349285 0 0 0 4900 0 16456 0 897891 0 0 ANDY KIRKPATRICK MD 0 737964 0 0 0 0 0 4900 0 16456 0 759320 0 0 J LINDSEY BRADLEY JR 542776 361851 507993 338662 0 0 2940 1960 5227 3484 1058936 705957 0 0 LEE PORTWOOD 217955 0 42087 0 0 0 4211 0 10670 0 274923 0 0 0 JOHN WEBB 186818 0 35514 0 0 0 3571 0 11020 0 236923 0 0 0 ANDY NAVARRO 275260 0 61183 0 0 0 4900 0 11527 0 352870 0 0 0 JOYCE HESTER 181581 0 36246 0 0 0 3654 0 8812 0 230293 0 0 0 M E JACKSON 186376 0 40665 0 0 0 3461 0 5391 0 235893 0 0 0 MARY DODD 125249 0 27144 0 0 0 2606 0 10254 0 165253 0 0 0 JEFF HYDE 167558 0 32419 0 0 0 3259 0 10941 0 214177 0 0 0 CHRIS GLENNEY 167241 0 32893 0 0 0 3307 0 10952 0 214393 0 0 0 WENDELL ROBERTS 349003 0 0 0 0 0 0 0 1548 0 350551 0 0 0 RHONDA LONG 249856 0 0 0 0 0 426 0 2023 0 252305 0 0 0 STEVEN KEUER MD 0 688980 0 181912 0 2983696 0 351700 0 14245 0 4220533 0 2983696 DAVID TEEGARDEN MD 0 1005547 0 335556 0 5660435 0 4900 0 14245 0 7020683 0 5660435 WILLIAM SANDBERG 253757 0 0 0 0 0 3848 0 4945 0 262550 0 0 0 ROSALYN GOOCH 258534 0 0 0 0 0 4091 0 5476 0 268101 0 0 0 DAVID CORRIER 251493 0 0 0 0 0 0 0 9851 0 261344 0 0 0 MARTIN URBAN 275229 0 0 0 0 0 3769 0 10118 0 289116 0 0 0 NORMAN HANCOCK 189019 0 37132 0 0 0 3744 0 13161 0 243056 0 0 0 WILLIAM BELLENFANT SR 257910 171940 88900 59267 180076 120051 158049 105366 6853 4569 691788 461193 180076 120051 TAWONDA FELTON 308342 0 0 0 0 0 3547 0 5482 0 317371 0 0 0 PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, QUESTION 4B PARTICIPANTS 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 NONE TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 750818167 902261GN0 2007-05-16 65550000 CAPITAL DEVELOPMENT false false false TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 750818167 902261GP5 2007-05-16 23000000 CAPITAL DEVELOPMENT false false false TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 750818167 902261FJ0 2003-05-08 59550000 CAPITAL DEVELOPMENT false false false 0 0 73645127 6520505 0 65322821 722848 0 0 0 0 0 2006 false true true true 0 0 25294551 2465500 0 0 291306 0 0 0 0 0 2006 false false true true 0 0 68922000 6039000 0 43715000 640000 0 0 0 0 0 2006 true false true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true true false false false false false true false false false false false true false false false false false CATHERINE BRADLEY SISTER OF CEO 61403 SALARIES/WAGES false DR FAGG SANFORD DR SANFORD IS DIRECTOR 200000 CONSULTING SERVICES false X SOFTWARE FOR SKYRA 3T MR EQUIPMENT 1 60000 PURCHASE PRICE false true false DESCRIBE REVIEW PROCESS OF FORM 990 FORM 990, PART VI, QUESTION 11A THE 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 STOCKHOLDERS FORM 990, PART VI, QUESTION 6 TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. MEMBERS WITH AUTHORITY TO ELECT MEMBERS OF GOVERNING BOARD FORM 990, PART VI, QUESTION 7A THE MEMBER HAS THE AUTHORITY TO APPOINT ALL DIRECTORS OF THE GOVERNING BOARD. DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER FORM 990, PART VI, QUESTION 7B THE 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 POLICY FORM 990, PART VI, QUESTION 12C THE 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 EMPLOYEES FORM 990, PART VI, QUESTIONS 15A & 15B THE 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 PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COMPENSATION FROM RELATED ORGANIZATIONS FORM 990, PART VII & SCHEDULE J 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE 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 AMENDMENT OF 2010 FORM 990 AFTER FILING THE 2010 FORM 990, THE TAXPAYER DISCOVERED ERRORS IN THEIR COMPENSATION INFORMATION. THE TAXPAYER IS AMENDING TO CORRECT THE COMPENSATION REPORTED ON THE FORM 990. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAY THOMPSON TITLE:SYSTEM EXEC VP/CEO/DIRECTOR HOURS:23 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SISTER TERESA MIKA TITLE:DIRECTOR/SECRETARY HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROYAL BECKER MD TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANDY KIRKPATRICK MD TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAT THOMAS MD TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J. LINDSEY BRADLEY JR. TITLE:SYSTEM PRESIDENT/DIRECTOR HOURS:33 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN KEUER MD TITLE:SYSTEM EXEC VP/DIRECTOR HOURS:31 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID TEEGARDEN MD TITLE:SYSTEM PRESIDENT/CMO/DIRECTOR HOURS:31 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM BELLENFANT SR. TITLE:SR. VP/CFO/DIRECTOR/TREASURER HOURS:32 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANDY NAVARRO TITLE:VP, LEGAL COUNSEL HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:M E JACKSON TITLE:VP, FOUNDATION HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAM VUKOVICH TITLE:INTERIM CFO HOURS:42 CHAMPION EMERGENCY SERVICES LLC 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 AMBULANCE SVC TX 501(C)(3) 11A NA MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 NA TRINITY MOTHER FRANCES HEALTH SYSTEM FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(C)(3) 11C NA REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 NA TRINITY MOTHER FRANCES HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HEALTHCARE TX 501(C)(3) 11C NA TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 NA MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 NA TYLER RADIATION EQUIP LEASING LLC 10101 WOODLOCH FOREST DRIVE THE WOODLANDS TX 77380 262554738 EQUIPMENT LEASING TX NA INVESTMENT -112073 1880470 false -112073 false 0.51000 HEALTHSOUTH REHAB HOSPITAL 3660 GRANDVIEW PKWY SUITE 200 BIRMINGHAM AL 35243 251675784 REHABILITATION AL NA INVESTMENT 5056898 1765705 false 0 false 0.50000 TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 COLLECTION AGENCY TX NA C-CORPORATION 0 0 0.00000 TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX NA C-CORPORATION 0 0 0.00000 HEALTHPLAN OF TEXAS INC 514 S BECKHAM TYLER TX 75701 752636832 THIRD PARTY ADMIN TX NA C-CORPORATION 0 0 0.00000 THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX NA C-CORPORATION 0 0 0.00000 TEXAS HEALTH FACILITIES INSUR CORP LTD PO BOX 1109 BWI GRAND CAYMAN CJ 980136025 INSURANCE CJ NA C-CORPORATION -119766 177957 1.00000 CONCORDIUM SERVICES INC 1315 DOCTORS DRIVE TYLER TX 75701 702811022 INACTIVE TX NA C-CORPORATION 0 0 0.00000 EMPLOYERS SERVICES INC 1315 DOCTORS DRIVE TYLER TX 75701 752602556 INACTIVE TX NA C-CORPORATION 0 0 0.00000 HERITAGE HEALTH PLANS OF TX INC 1315 DOCTORS DRIVE TYLER TX 75701 752622622 INACTIVE TX NA C-CORPORATION 0 0 0.00000 QUALITY CARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752662965 INACTIVE TX NA C-CORPORATION 0 0 0.00000 false true true false false false false false true false true true false false false false true true